Amakhambi Okwelapha Izifo Zendlala Yendlala
-Delile
- Izixazululo ze-Hyperthyroidism
- Izixazululo ze-Hypothyroidism
- Izimpawu ezingavela ngokwelashwa
- Uyawuthatha yini umuthi we-thyroid?
Imithi efana ne-levothyroxine, i-propylthiouracil noma i-methimazole, isetshenziselwa ukwelapha ukuphazamiseka kwe-thyroid, njengoba isiza ukulawula ukusebenza kwale ndlala.
Indlala yegilo ingahlushwa yizifo ezenza ukuba ukusebenza kwayo kube nehaba, kubangele i-hyperthyroidism, noma okwenza ukusebenza kwayo kunganeli, kubangele i-hypothyroidism, engadalwa ukuvuvukala, izifo zesistimu yomzimba noma izifo. Thola kabanzi mayelana nezifo ezingathinta i-thyroid.
Amakhambi e-thyroid angasiza ekulawuleni lezi zinguquko, futhi kufanele akhonjiswe ngudokotela, ikakhulukazi i-endocrinologist, kanye nohlobo lomuthi, umthamo nobude besikhathi sokwelashwa kuncike kwisizathu, uhlobo lwesifo, kanye nezimpawu eziveziwe .
Izixazululo ze-Hyperthyroidism
Izidakamizwa ezisetshenziselwa ukwelapha i-hyperthyroidism zibizwa ngokuthi yimithi ye-antithyroid ngoba inesibopho sokuvimbela ukukhiqizwa kwamahomoni wegilo. Ezinye zazo yilezi:
- Propiltiouracila(Propilracil);
- IMethimazole.
La makhambi anesenzo se-antithyroid, esibhekele ukuvimbela ukukhiqizwa kwamahomoni wegilo. Umthamo womuthi ungancishiswa kancane kancane, njengoba amanani ejwayelekile. Ngenye indlela, imithamo ephezulu ingalawulwa ngokuhlanganiswa ne-levothyroxine, ukuze kugwenywe i-hypothyroidism eyenziwe yizidakamizwa.
Udokotela angaphinde anikeze i-beta-blocker, njengepropranolol noma i-atenolol, ngokwesibonelo, ukulawula izimpawu ze-adrenergic, ikakhulukazi kusaqalwa, kuyilapho izidakamizwa ze-antithyroid zingenamthelela.
Kwezinye izimo, ukusetshenziswa kwemithi kungenzeka kunganeli ukwelapha i-hyperthyroidism, futhi izindlela zokwelapha ezinjenge-radioactive iodine noma ngisho nokuhlinzwa kwegilo kungakhonjiswa ngudokotela. Funda ngezinye izinketho zokwelashwa.
Izixazululo ze-Hypothyroidism
Imithi esetshenziselwa ukwelapha i-hypothyroidism inesibopho sokushintsha noma ukufaka ama-hormone egilo:
- I-Levothyroxine (iPuran T4, I-Eutirox, iTetroid noma I-Synthroid) - ngumuthi okwazi ukufaka esikhundleni sehomoni evame ukwenziwa yindlala yegilo, ngaleyo ndlela ivumele ukushintshwa kwayo.
I-Levothyroxine kufanele iqale ngaso sonke isikhathi ngamanani aphansi futhi iguqule ngokuya ngezivivinyo zomuntu ngamunye, ukugwema imithamo eyeqile edala imiphumela emibi noma i-hyperthyroidism, ikakhulukazi ezigulini ezindala, ezingazwela kakhulu emiphumeleni yomuthi.
Izimpawu ezingavela ngokwelashwa
Imithi yokwelapha ukuphazamiseka kwendlala ingaholela ezimpawu, ngenkathi umthamo wakho ungakalungiswa kahle. Izimpawu eziyinhloko yilezi:
- Izinguquko zesisindo;
- Umjuluko owandayo;
- Ukuphelelwa isifiso sokudla;
- Isiyezi;
- Ubuthakathaka emilenzeni;
- Ukushintsha okungazelelwe kwemizwa nokucasula;
- Isicanucanu, ukuhlanza kanye / noma isifo sohudo;
- Ukulahleka kwezinwele;
- Ukulunywa;
- Ubuthakathaka;
- Ukuthuthumela;
- Ikhanda;
- Ukuqwasha;
- Imfiva.
Umthamo wemithi ye-thyroid awuqinisekile futhi ulayini, ngokuhluka okuphawulekayo phakathi kweziguli. Kukhona abantu abangathola inhlalakahle ngamanani aphansi, kanti abanye badinga amanani aphezulu.
Ngakho-ke, kuyinto ejwayelekile ukuba nesidingo sokushintsha umthamo womuthi ngokuhamba kwesikhathi, ngakho-ke, udokotela we-endocrinologist ucela ukuhlolwa kwegazi njalo, futhi ahlole izimpawu ezilethwayo, ukuze athole umthamo ofanele ecaleni ngalinye. Lokhu kulungiswa kungathatha izinyanga ezi-3 kuye kwezi-6 ukufinyelela futhi, noma ngemuva kokufinyelela kokuhle, kungashintshwa izinyanga noma iminyaka kamuva.
Uyawuthatha yini umuthi we-thyroid?
Lapho uthatha imithi yokwelapha i-hyperthyroidism, umuntu angathola isisindo, njengoba kubambezela imetabolism. Ngokuphambene nalokho, abantu abelashwa i-hypothyroidism bangalahlekelwa isisindo, njengoba lesi sidakamizwa sandisa umzimba, senza umzimba ushise amanoni amaningi, ngisho nangaphandle kwemisebenzi yansuku zonke, kepha awukho umthetho ojwayelekile ofanela wonke umuntu.
Lapho umuntu ehla kakhulu emzimbeni, ngaphezu kuka-10% wesisindo sokuqala, angacela udokotela ukuthi enze izivivinyo futhi, njengoba ukukhuluphala kungaba yingozi empilweni.
Bukela kule vidiyo elandelayo, imihlahlandlela evela kusazi sokudla okunempilo yokuthi ukudla kungakuthokozela kanjani ukusebenza kwendlala yegilo: