Ukunyanga iHypothyroidism: Into enokuthi usokhemesti wakho angakuxeleli

Umxholo

• Loluphi uhlobo lwehomoni yehypones eyamiselwa ngugqirha wam?
• Ndilithatha njani iyeza?
• Yeyiphi idosi endifanele ukuyithatha?
• Kufuneka ndenze ntoni xa ndiphosa idosi?
• Ngaba ihomoni ye-thyroid inokusebenzisana nazo naziphi na ezinye iziyobisi endizithathayo?
• Zeziphi izongezo kunye namayeza angachaphazela amayeza akho e-thyroid?
• Ngaba kufuneka nditshintshe indlela enditya ngayo ngelixa ndisela eli yeza?
• Zeziphi iziphumo ebezingalindelekanga ezinokubangelwa leli chiza?
• Zeziphi iziphumo ebezingalindelekanga ekufuneka ndibize ugqirha wam?
• Ndiligcina njani eli yeza?
• Ukuthatha

Ukunyanga i-hypothyroidism, ugqirha wakho uya kumisela i-hormone ye-thyroid, i-levothyroxine. Eli yeza lonyusa amanqanaba akho e-hormone ye-thyroid ekunciphiseni iimpawu ezinjengokudinwa, ubuntununtunu obubandayo kunye nokuzuza ubunzima.

Ukufumana uninzi lwamayeza akho e-thyroid, kufuneka uthathe ngokuchanekileyo. Enye indlela yokwenza oko kukubuza ugqirha imibuzo emininzi ngalo lonke ixesha ufumana iyeza elitsha.

Usokhemesti wakho sesinye isixhobo esifanelekileyo sokufumana ichiza kunye nokhuseleko. Kodwa musa ukulindela ukuba usokhemesti anike inkcazo epheleleyo yamayeza akho kunye nendlela yokuyithatha xa ushiya amayeza akho. Uya kudinga ukuqala ingxoxo.

Nantsi imibuzo embalwa ukubuza usokhemesti wakho ngaphambi kokuba uqale kwichiza lakho le-thyroid okanye ufumane idosi entsha.

Loluphi uhlobo lwehomoni yehypones eyamiselwa ngugqirha wam?

Iinguqu ezimbalwa ezahlukeneyo ze-levothyroxine ziyafumaneka. Ziquka:

• ILevothroid
• I-Levo-T
• Levoxyl
• Synthroid
• ITirosint
• Unithroid
• Ngqo kwi-Unithroid

Unokuthenga iinguqulelo eziqhelekileyo zala machiza, nawo. Zonke iimveliso ze-levothyroxine ziqulathe uhlobo olunye lwehomoni yedlala, i-T4, kodwa izinto ezingasebenziyo zinokwahluka phakathi kweempawu. Ukutshintsha kweempawu kunokuchaphazela ukusebenza konyango lwakho. Yazisa usokhemesti wakho ukuba ufuna ukwaziswa ngalo naluphi na utshintsho kwiyeza lakho.

Ndilithatha njani iyeza?

Buza ukuba zingaphi iipilisi oza kuzisela, uzithatha nini (kusasa, emva kwemini, okanye ngokuhlwa), nokuba uza kuzitya ungatyanga okanye uzele sisisu. Uhlala uthatha i-hormone ye-thyroid ekuseni kunye neglasi epheleleyo yamanzi kwisisu esingenanto ukuze ukwandise ukuxutywa.

Yeyiphi idosi endifanele ukuyithatha?

Kubaluleke kakhulu ukufumana idosi yehomoni yedlala ngokuchanekileyo. Ugqirha wakho uya kuyilungisa ngononophelo idosi yakho ngokusekwe kuvavanyo lwegazi. Qiniseka ukuba idosi ebhalwe kwileyibhile yebhotile yile nto ugqirha ayimisileyo. Ukuthatha i-hormone ye-thyroid eninzi kunokubangela iziphumo ezifana nokugubha kunye nokubetha kwentliziyo.

Kufuneka ndenze ntoni xa ndiphosa idosi?

Usokhemesti wakho angakuxelela ukuba uphinde uthathe iyeza ngokukhawuleza. Ukuba idosi yakho elandelayo ehleliweyo iyeza, kuya kufuneka weqe idosi oyiphosileyo kwaye uphinde uqale amayeza akho kwishedyuli yakho yesiqhelo. Musa ukuphindaphinda kabini idosi.

Ngaba ihomoni ye-thyroid inokusebenzisana nazo naziphi na ezinye iziyobisi endizithathayo?

Usokhemesti wakho kufuneka abenerekhodi yawo onke amanye amayeza owathathayo. Yiya kuluhlu kwaye uqiniseke ukuba akukho ziyobisi uzithathayo ezinokusebenzisana nehomoni yakho ye-thyroid. Ukudibana kunokubangela iziphumo ebezingalindelekanga, kwaye kunokwenzeka ukuba wenze ichiza le-thyroid lingasebenzi kakuhle.

Amayeza amiselweyo anokusebenzisana ne-levothyroxine abandakanya:

• iziyobisi ezichasayo, ezinje nge phenytoin (Dilantin),
  icarbamazepine (Tegretol)
• abancinci begazi, njenge-warfarin (Coumadin)
• iipilisi zokulawula inzala
• amayeza anciphisa i-cholesterol, njenge-colesevelam
  (Welchol),
  cholestyramine (Indawo yelizwe, Questran)
• Iziphumo ze-estrogen
• i-fluoroquinolone antibiotics, enje
  ciprofloxacin (Cipro), levofloxacin
  (Levaquin), lomefloxacin (Maxaquin), moxifloxacin
  (Aveloxx), ofloxacin (Floxin)
• irifampin (Rifadin)
• iimodulators ezikhethiweyo ze-estrogen, ezinje nge
  raloxifene (Evista)
• ukhetho lwe-serotonin reuptake inhibitor
  i-anti-depressants, efana ne-sertraline (Zoloft),
  Ithiophylline (Theo-Dur)
• I-sucralfate (iCarafate)
• tricyclic antidepressants, ezinje ngeamitriptyline
  (Elavil)

Zeziphi izongezo kunye namayeza angachaphazela amayeza akho e-thyroid?

Xelela usokhemesti wakho ngalo lonke uncedo olongezayo kunye namayeza owathathayo- kwanezo uzithenga ngaphandle kommiselo. Ezinye izongezo kunye namayeza angaphaya kwamayeza anokubangela iziphumo ebezingalindelekanga xa uwathatha ngehomoni yedlala lengqula. Abanye banokuthintela umzimba wakho ekufunxeni ngokufanelekileyo i-levothyroxine.

Iziyobisi kunye namayeza angaphaya kwe-counter anokusebenzisana ne-levothyroxine zibandakanya:

• i-calcium kunye nezinye ii-antacids (Tums, Rolaids,
  Amphojel)
• Ukunciphisa igesi (Phazyme, Gas-X)
• intsimbi
• amayeza okunciphisa umzimba (Alli, Xenical)

Ngaba kufuneka nditshintshe indlela enditya ngayo ngelixa ndisela eli yeza?

Yiya kwindlela otya ngayo nosokhemesti wakho. Ukutya okuthile kunokwenza iyeza lakho le-thyroid lingasebenzi kakuhle. Oku kubandakanya ijusi yamagilebhisi, ukutya kwesoya okunje nge-tofu kunye neembotyi zesoya, ikofu ye-espresso, kunye nama-walnuts.

Zeziphi iziphumo ebezingalindelekanga ezinokubangelwa leli chiza?

Yiya kuluhlu lweziphumo ebezingalindelekanga kwiphepha lolwazi leziyobisi kunye nosokhemesti wakho. Iziphumo ebezingalindelekanga eziqhelekileyo ezivela kwi-levothyroxine zezi:

• isicaphucaphu, ukugabha
• urhudo
• isisu esiswini
• ukuhla ukusinda
• ndingcangcazela
• intloko ebuhlungu
• uvalo
• ingxaki yokulala
• ndibile kakhulu
• ukwanda kwesidlo
• ifiva
• utshintsho sexesheni
• ukwanda kovakalelo kubushushu
• ukulahleka kweenwele okwexeshana

Kungenxa yokuba isiphumo esisecaleni kuluhlu aluthethi ukuba uyakuyifumana. Buza usokhemesti wakho ukuba zeziphi iziphumo ebezingalindelekanga abazibona rhoqo, kwaye zeziphi izinto ezenza ukuba ubenamathuba ophuculo lweziphumo ebezingalindelekanga.

Zeziphi iziphumo ebezingalindelekanga ekufuneka ndibize ugqirha wam?

Fumana ukuba zeziphi iziphumo ebezingalindelekanga ezigunyazisa umnxeba kugqirha wakho. Ezinye zeziphumo ebezingalindelekanga ezibi kakhulu ezivela kwihomoni ye-thyroid zibandakanya:

• iintlungu esifubeni okanye ukuqina
• isiqaqa
• ukukhawuleza kwentliziyo okanye ukungalingani
• ukudinwa kakhulu
• ukudumba kwemilebe yakho, umqala, ulwimi, okanye ubuso
• ingxaki yokuphefumla okanye ukuginya

Ndiligcina njani eli yeza?

Usokhemesti wakho uya kuthi kuwe gcina i-levothyroxine kubushushu begumbi, kwindawo engenabumanzi obuninzi (thintela igumbi lokuhlambela). Gcina iyeza kwisikhongozeli salo sokuqala, kwaye kude nokufikelela kwabantwana.

Ukuthatha

Ngelixa ucinga ukuba ugqirha wakho uyazazi zonke iimpendulo kunyango lwakho lwe-hypothyroidism, usokhemesti wakho unokunceda. Ukubuza imibuzo eyiyo kungenza umahluko phakathi kokuqalisa amayeza ocinga ukuba ubuyalelwe ukuba ufumane uphawu lophawu oluthile.