Kuchiza Hypothyroidism: Zomwe Wopanga Mankhwala Anu Sangakhale Akukuuzani
Zamkati
- Kodi ndi mtundu uti wa mahomoni a chithokomiro omwe dokotala wanga adalemba?
- Ndingamwe bwanji mankhwala?
- Kodi ndiyenera kumwa chiyani?
- Kodi ndiyenera kuchita chiyani ndikaphonya mlingo?
- Kodi mahomoni a chithokomiro amatha kulumikizana ndi mankhwala ena aliwonse omwe ndimamwa?
- Ndi mankhwala ati owonjezera komanso owonjezera omwe angakhudze mankhwala anga a chithokomiro?
- Kodi ndiyenera kusintha kadyedwe kanga ndikamamwa mankhwalawa?
- Ndi zovuta ziti zomwe mankhwalawa angayambitse?
- Ndi zovuta ziti zomwe ndiyenera kuyimbira dokotala wanga?
- Kodi ndingasunge bwanji mankhwalawa?
- Kutenga
Pofuna kuchiza hypothyroidism, dokotala wanu amakupatsani mankhwala a chithokomiro, levothyroxine. Mankhwalawa amakulitsa mahomoni amtundu wa chithokomiro kuti muchepetse zizindikilo monga kutopa, kumva kuzizira, komanso kunenepa.
Kuti mupindule kwambiri ndi mankhwala anu a chithokomiro, muyenera kumwa moyenera. Njira imodzi yochitira izi ndikufunsa dokotala mafunso ambiri nthawi iliyonse mukalandira mankhwala atsopano.
Wamasamba wanu ndi chinthu china chabwino chothandizira kumwa mankhwala osokoneza bongo komanso chitetezo. Koma musayembekezere kuti wamankhwala angakufotokozereni bwino za mankhwala anu ndi momwe mungamamwere mukasiya mankhwala. Muyenera kuyambitsa zokambirana.
Nawa mafunso angapo oti mufunse wamankhwala musanayambe mankhwala anu a chithokomiro kapena kuyamba kumwa mankhwala atsopano.
Kodi ndi mtundu uti wa mahomoni a chithokomiro omwe dokotala wanga adalemba?
Mitundu ingapo ya levothyroxine ilipo. Zikuphatikizapo:
- Levothroid
- Levo-T
- Levoxyl
- Zovuta
- Tirosint
- Unithroid
- Unithroid Direct
Mutha kugulanso mitundu ya mankhwalawa. Zogulitsa zonse za levothyroxine zimakhala ndimtundu wofanana wa mahomoni a chithokomiro, T4, koma zosakaniza zopanda kanthu zimatha kusiyanasiyana pakati pama brand. Kusintha mitundu kungakhudze mphamvu ya chithandizo chanu. Lolani wamankhwala wanu adziwe kuti mukufuna kuchenjezedwa za kusintha kulikonse kwa mankhwala anu.
Ndingamwe bwanji mankhwala?
Funsani mapiritsi angati omwe muyenera kumwa, nthawi yoyenera kumwa (m'mawa, masana, kapena madzulo), komanso ngati mungamwe mopanda kanthu kapena mwakhuta. Nthawi zambiri mumatenga mahomoni a chithokomiro m'mawa ndimadzi athunthu pamimba yopanda kanthu kuti muzitha kuyamwa.
Kodi ndiyenera kumwa chiyani?
Ndikofunika kwambiri kuti mupeze mlingo wa mahomoni a chithokomiro molondola. Dokotala wanu adzasintha mosamalitsa mlingo wanu malinga ndi kuyezetsa magazi. Onetsetsani kuti mulingo womwe udalembedwa pa botolo ndi womwe dokotala wakupatsani. Kutenga mahomoni ochulukirapo a chithokomiro kumatha kuyambitsa zovuta zina monga kugwedeza ndi kugunda kwa mtima.
Kodi ndiyenera kuchita chiyani ndikaphonya mlingo?
Wosunga mankhwala anu akhoza kukuwuzani kuti mutenge mankhwalawa mukangokumbukira. Ngati mlingo wanu wotsatira ukubwera, muyenera kudumpha mlingo womwe mwaphonya ndikuyambiranso mankhwala anu nthawi yanu. Osachulukitsa pamlingo.
Kodi mahomoni a chithokomiro amatha kulumikizana ndi mankhwala ena aliwonse omwe ndimamwa?
Wasayansi wanu ayenera kukhala ndi mbiri ya mankhwala ena onse omwe mumamwa. Lembani mndandandawu ndipo onetsetsani kuti palibe mankhwala omwe mumamwa nawo omwe angagwirizane ndi mahomoni anu a chithokomiro. Kuyanjana kumatha kuyambitsa zovuta, ndipo mwina kumapangitsa mankhwala anu a chithokomiro kukhala osagwira ntchito.
Mankhwala omwe mungalumikizane ndi levothyroxine ndi awa:
- mankhwala ochepetsa mphamvu, monga phenytoin (Dilantin),
carbamazepine (Tegretol) - opaka magazi, monga warfarin (Coumadin)
- mapiritsi olera
- mankhwala ochepetsa mafuta m'thupi, monga colesevelam
(Welchol),
cholestyramine (Wopeza, Questran) - zotengera za estrogen
- fluoroquinolone maantibayotiki, monga
ciprofloxacin (Cipro), levofloxacin
(Levaquin), lomefloxacin (Maxaquin), moxifloxacin
(Avelox), ofloxacin (Floxin) - Rifampin (Rifadin)
- ma modulators osankhidwa ndi estrogen, monga
raloxifene (Evista) - kusankha serotonin reuptake inhibitor
mankhwala opatsirana pogonana, monga sertraline (Zoloft),
theophylline (Theo-Dur) - sucralfate (Carafate)
- tricyclic antidepressants, monga amitriptyline
(Elavil)
Ndi mankhwala ati owonjezera komanso owonjezera omwe angakhudze mankhwala anga a chithokomiro?
Uzani wamankhwala wanu za zowonjezera zonse ndi mankhwala omwe mumamwa - ngakhale omwe mumagula popanda mankhwala. Mankhwala ena owonjezera komanso owonjezera pawebusayiti amatha kuyambitsa zovuta mukamamwa ndi mahomoni a chithokomiro. Zina zitha kuteteza thupi lanu kuti lisamwe levothyroxine moyenera.
Mankhwala owonjezera omwe angagwirizane ndi levothyroxine ndi awa:
- calcium ndi maantacid ena (Matamu, Ma Rolaids,
Makhadzi - ochotsa gasi (Phazyme, Gas-X)
- chitsulo
- mankhwala ochepetsa thupi (Alli, Xenical)
Kodi ndiyenera kusintha kadyedwe kanga ndikamamwa mankhwalawa?
Pitirizani kudya zakudya zanu ndi wamankhwala wanu. Zakudya zina zimatha kupangitsa kuti mankhwala a chithokomiro asamagwire bwino ntchito. Izi zimaphatikizapo madzi amphesa, zakudya za soya monga tofu ndi soya, khofi wa espresso, ndi walnuts.
Ndi zovuta ziti zomwe mankhwalawa angayambitse?
Pitani pamndandanda wazotsatira zake pamapepala azidziwitso za mankhwala anu ndi wamankhwala. Zotsatira zoyipa kwambiri za levothyroxine ndi izi:
- nseru, kusanza
- kutsegula m'mimba
- kukokana m'mimba
- kuonda
- kugwedezeka
- mutu
- manjenje
- kuvuta kugona
- thukuta kwambiri
- kuchuluka kwa njala
- malungo
- kusintha msambo
- kuchulukitsa chidwi cha kutentha
- kumeta tsitsi kwakanthawi
Chifukwa choti zotsatira zoyipa zili pamndandanda sizitanthauza kuti mudzakumana nazo. Funsani wamankhwala anu kuti ndi zovuta ziti zomwe amaziwona nthawi zambiri, ndipo ndi zinthu ziti zomwe zimakupangitsani kuti mukhale ndi zovuta zina.
Ndi zovuta ziti zomwe ndiyenera kuyimbira dokotala wanga?
Pezani zovuta zomwe zimafunikira kuyitanitsa dokotala wanu. Zina mwa zovuta zoyipa kuchokera ku mahomoni a chithokomiro ndi awa:
- kupweteka pachifuwa kapena kulimba
- kukomoka
- kuthamanga kapena kugunda kwamalingaliro kosafanana
- kutopa kwambiri
- kutupa kwa milomo yanu, mmero, lilime, kapena nkhope
- kuvuta kupuma kapena kumeza
Kodi ndingasunge bwanji mankhwalawa?
Wosunga mankhwala anu mwina angakuuzeni kuti musunge levothyroxine kutentha, m'dera lomwe mulibe chinyezi chochuluka (pewani bafa). Sungani mankhwalawo m'chiwiya chake choyambirira, komanso kuti ana asamafikire.
Kutenga
Ngakhale mungaganize kuti dokotala wanu amadziwa mayankho onse ku chithandizo cha hypothyroidism, wazamankhwala wanu amathanso kukuthandizani. Kufunsa mafunso oyenera kungapangitse kusiyana pakati pa kuyamba mankhwala omwe mumaganizira kuti mwalamulidwa kuti mupeze mtundu wa generic.