Ukwelapha I-Hypothyroidism: Yini Okungahle Kube Yikhemisi Lakho

-Delile

• Yimuphi umkhiqizo wehomoni yegilo owadluliselwa udokotela wami?
• Ngiwuphuza kanjani umuthi?
• Yimuphi umthamo okufanele ngiwuthathe?
• Yini okufanele ngiyenze uma ngiphuthelwa umthamo?
• Ngabe i-hormone yegilo ingaxhumana nanoma imuphi omunye umuthi engiwudlayo?
• Yiziphi izithasiselo nezidakamizwa ezingathengiswa ezingathinta umuthi wami wegilo?
• Ngabe ngidinga ukushintsha indlela engidla ngayo ngenkathi ngisebenzisa lo muthi?
• Yimiphi imiphumela emibi engabangelwa yilesi sidakamizwa?
• Yimiphi imiphumela engemihle okufanele ngibizele kuyo udokotela wami?
• Ngiwugcina kanjani lo muthi?
• Ukuthatha

Ukwelapha i-hypothyroidism, udokotela wakho uzokunikeza i-hormone yokwenziwa yegilo, i-levothyroxine. Lo muthi wandisa amazinga akho e-hormone yegilo ukukhulula izimpawu ezinjengokukhathala, ukuzwela okubandayo nokuzuza kwesisindo.

Ukuze uthole okuningi emthini wakho we-thyroid, udinga ukuthatha kahle. Enye indlela yokwenza lokho ukubuza udokotela wakho imibuzo eminingi njalo lapho uthola umuthi omusha.

Usokhemisi wakho ungomunye umthombo omuhle wokufakwa kwezidakamizwa nokuphepha. Kodwa ungalindeli ukuthi usokhemisi anikeze incazelo ephelele yomuthi wakho nokuthi ungawuthatha kanjani lapho ushiya incwadi kadokotela. Uzodinga ukuqala ingxoxo.

Nayi imibuzo embalwa ongayibuza usokhemisi wakho ngaphambi kokuthi uqale ngomuthi wakho wehomoni ye-thyroid noma uthole umthamo omusha.

Yimuphi umkhiqizo wehomoni yegilo owadluliselwa udokotela wami?

Izinhlobo ezimbalwa ze-levothyroxine ziyatholakala. Kubandakanya:

• I-Levothroid
• I-Levo-T
• I-Levoxyl
• I-Synthroid
• I-Tirosint
• Unithroid
• I-Unithroid Direct

Ungathenga izinhlobo ezijwayelekile zale mithi, futhi. Yonke imikhiqizo ye-levothyroxine iqukethe uhlobo olufanayo lwehomoni yegilo, i-T4, kepha izithako ezingasebenzi zingahluka phakathi kwemikhiqizo. Ukushintsha imikhiqizo kungathinta ukusebenza kokwelashwa kwakho. Yazisa usokhemisi wakho ukuthi ufuna ukwaziswa nganoma yiluphi ushintsho kumuthi kadokotela wakho.

Ngiwuphuza kanjani umuthi?

Buza ukuthi mangaki amaphilisi okufanele uwaphuze, nini ukuwaphuza (ekuseni, ntambama, noma kusihlwa), nokuthi kufanele uwaphuze esiswini esingenalutho noma esigcwele. Ngokuvamile uzothatha i-hormone yegiloji ekuseni ngengilazi egcwele yamanzi esiswini esingenalutho ukukhulisa ukumuncwa.

Yimuphi umthamo okufanele ngiwuthathe?

Kubaluleke kakhulu ukuthola isilinganiso se-hormone ye-thyroid ngokufanele. Udokotela wakho uzolungisa ngokucophelela umthamo wakho ngokuya ngokuhlolwa kwegazi. Qiniseka ukuthi umthamo obhalwe kwilebula lebhodlela yilokho okuyalelwe ngudokotela wakho. Ukuthatha i-hormone yegilo ngokweqile kungadala imiphumela emibi njengokushikiza nokushaya kwenhliziyo.

Yini okufanele ngiyenze uma ngiphuthelwa umthamo?

Usokhemisi wakho angakutshela ukuthi uphinde uthathe umuthi ngokushesha okukhulu lapho ukhumbula khona. Uma umthamo wakho olandelayo ohleliwe uqhamuka, kufanele weqe umthamo owuphuthelwe bese uqala kabusha imishanguzo yakho esimisweni sakho esijwayelekile. Ungaphindi kabili kumthamo.

Ngabe i-hormone yegilo ingaxhumana nanoma imuphi omunye umuthi engiwudlayo?

Usokhemisi wakho kufanele abe nerekhodi layo yonke eminye imithi oyiphuzayo. Dlulisa lolu hlu futhi uqiniseke ukuthi azikho izidakamizwa oziphuzayo ezingasebenzisana ne-hormone yakho yegilo. Ukusebenzisana kungadala imiphumela emibi, futhi mhlawumbe kwenze ukuthi umuthi wakho wegilo ungasebenzi kahle.

Imithi kadokotela engasebenzisana ne-levothyroxine ifaka phakathi:

• izidakamizwa zokuqeda uketshezi, njenge phenytoin (Dilantin),
  i-carbamazepine (Tegretol)
• abanciphisi begazi, njenge-warfarin (Coumadin)
• amaphilisi okuvimbela inzalo
• imithi yokwehlisa i-cholesterol, njenge-colesevelam
  (Welchol),
  icholestyramine (iLocholest, i-Questran)
• okuphuma ku-estrogen
• ama-antibiotic we-fluoroquinolone, njenge
  ciprofloxacin (Cipro), levofloxacin
  (Levaquin), lomefloxacin (Maxaquin), moxifloxacin
  (Avelox), ofloxacin (Floxin)
• i-rifampin (Rifadin)
• ama-modulators we-estrogen receptor akhethiwe, njenge
  i-raloxifene (Evista)
• i-serotonin reuptake inhibitor ekhethiwe
  imishanguzo, njenge-sertraline (Zoloft),
  i-theophylline (Theo-Dur)
• i-sucralfate (Carafate)
• ama-tricyclic antidepressants, njenge-amitriptyline
  (Elavil)

Yiziphi izithasiselo nezidakamizwa ezingathengiswa ezingathinta umuthi wami wegilo?

Tshela usokhemisi wakho ngakho konke ukwengeza nemithi oyiphuzayo - ngisho naleyo oyithenga ngaphandle kwemithi kadokotela. Ezinye izithasiselo nemithi engathengiswa kungadala imiphumela emibi uma uyiphuza ngehomoni ye-thyroid. Eminye ingavimbela umzimba wakho ekutholeni kahle i-levothyroxine.

Izithasiselo nezidakamizwa ezingathengiswa ezingasebenzisana ne-levothyroxine zifaka:

• i-calcium namanye ama-antacids (ama-Tums, ama-Rolaids,
  Amphojel)
• okwehlisa ugesi (Phazyme, Gas-X)
• insimbi
• imithi yokwehlisa isisindo (Alli, Xenical)

Ngabe ngidinga ukushintsha indlela engidla ngayo ngenkathi ngisebenzisa lo muthi?

Dlulisa ukudla kwakho nosokhemisi wakho. Ukudla okuthile kungenza umuthi wakho we-thyroid ungasebenzi kahle. Lokhu kufaka phakathi ijusi lamagilebhisi, ukudla kwesoya njenge-tofu nobhontshisi, ikhofi ye-espresso nama-walnuts.

Yimiphi imiphumela emibi engabangelwa yilesi sidakamizwa?

Dlulela ohlwini lwemiphumela emibi kushidi lemininingwane lesidakamizwa nomuthi wakho wemithi. Imiphumela emibi kakhulu evela ku-levothyroxine yile:

• isicanucanu, ukuhlanza
• isifo sohudo
• amajaqamba esiswini
• ukuncipha komzimba
• eqhaqhazela
• ikhanda
• uvalo
• inkathazo yokulala
• ajuluke kakhulu
• ukwanda kwesifiso sokudla
• imfiva
• izinguquko esikhathini sokuya esikhathini
• ukwanda kobuzwe ekushiseni
• ukulahlekelwa izinwele okwesikhashana

Ukuthi umthelela oseceleni usohlwini akusho ukuthi uzohlangabezana nakho. Buza usokhemisi wakho ukuthi imiphi imiphumela emibi abayibona kaningi, futhi yiziphi izinto ezikwenza ube sethubeni lokuba nemiphumela emibi ethile.

Yimiphi imiphumela engemihle okufanele ngibizele kuyo udokotela wami?

Thola ukuthi yimiphi imiphumela emibi evumela ukuthi kushayelwe udokotela wakho. Eminye yemiphumela emibi kakhulu evela ku-hormone ye-thyroid ihlanganisa:

• ubuhlungu besifuba noma ukuqina
• ukuquleka
• ukushaya kwenhliziyo okusheshayo noma okungalingani
• ukukhathala okukhulu
• ukuvuvukala kwezindebe zakho, umphimbo, ulimi, noma ubuso
• inkinga yokuphefumula noma ukugwinya

Ngiwugcina kanjani lo muthi?

Usokhemisi wakho mhlawumbe uzokutshela ukuthi ugcine i-levothyroxine ekamelweni lokushisa, endaweni engenawo umswakama omningi (gwema indlu yangasese). Gcina umuthi esitsheni sawo sokuqala, futhi lapho izingane zingafinyeleli khona.

Ukuthatha

Ngenkathi ungacabanga ukuthi udokotela wakho uyazazi zonke izimpendulo ekwelashweni kwakho kwe-hypothyroidism, usokhemisi wakho angakusiza ngendlela efanayo. Ukubuza imibuzo efanele kungenza umehluko phakathi kokuqala umuthi ocabanga ukuthi ububekelwe ukuthi uwuthenge kumkhiqizo ojwayelekile.