Guud ahaan, daroogada bedelka hoormoonka tayroodhka waa daawada Levothyroxine sida Synthroid ama Levoxyl. Waxay sidoo kale noqon kartaa daroogada dabiiciga ah ee dabiiciga ah sida dhoorka ama dabeecada, ama ku dar daroogada T3 sida Cytomel.
Daawooyinkan ayaa laguu qorayaa markaad tahay hypothyroid sababtoo ah cudur, qalliin ama daaweynta iodine radioactive, iyo inta badan, waxaa loo tixgeliyaa amaan dhawr waxyeelood oo yar.
Taasi waxay tidhi, "khataraha" ama "saameynaha" ee ugu badan ee daawooyinkan waa calaamadaha hyperthyroid-ga ee sababa maqaarka.
Kormeerka Dib u Dhigista
Dhakhaatiir badan ayaa isku dayi doona inay isticmaalaan natiijooyinka baaritaanka dhiiggaaga si loo qiimeeyo haddii aad qaadato daawo aad u badan. Xaaladaha qaarkood, haddii heerka qanjidhada hoormoonka (TSH) ee qanjirada (TSH) heerkiisu hooseeyo ee qiyaasta tiirarka , ama ka hooseeya heerka hooseeya ee caadiga ah (ie, ka yar 0.3 illaa 0.5), waxaad yeelan doontaa calaamado muujinaya in aad ka maqan tahay.
Sidoo kale, dhakhaatiirta qaar waxay kormeeri karaan heerarka T4 iyo T3 -ka oo ah dhamaadka sare ee xuduudda tixraaca, ama ka sarraysa kala duwanaanta, waxay sidoo kale tilmaamaysaa in ay ka badan tahay.
Calaamadaha iyo Calaamadaha Laga Saaray
Calaamadahaaga iyo astaamaha aad u badan tahay way kala duwan yihiin, laakiin qaar ka mid ah kuwa caadiga ah waxaa ka mid ah:
- Wadne garaaca iyo cadaadiska dhiigga
- Walaaca, tamarta dareemayaasha ah, dabaysha
- Dareemida xanaaq, cillad la'aan, qallafsan, ama niyadjab
- Way adag tahay in la xoojiyo
- Hurdada oo adkaata
- Daal
- Dareemida kulaylka, xitaa marka dadka kale qaboobaan
- Shuban
- Dareemidda sida wadnahaaga ayaa ka boodaya garaacis ama tartan
- Miisaanka culus oo aan isbeddel ku jirin cuntada / jimicsigaaga
- Kordhinta cunto qaadashada oo aan lahayn miisaan kordhin
Dib-u-dhicid ah "Paradox"
Mararka qaarkood dadku waxay u qaataan in haddii ay ka maqan yihiin, waa inay dareemaan calaamadaha ay ka soo baxaan marka cudurka hypothyroid ah.
Tusaale ahaan, waxaa laga yaabaa in qofku u maleynayo in qaadashada daawo aad u badan uu ku dhejin doono niyadjab, ama miisaan culus.
Si kastaba ha noqotee, in lakala saaro (sida laga soo xigtay liiska kor ku qoran) waxay ka dhigi kartaa qof dareemaya xitaa daal badan sida caadiga ah, ama xanuunka iyo hargabka sida oo kale ah. Qofku ama xitaa bilaabi karaa miisaanka, inkasta oo uu dareemo jilicsanaan iyo walwal.
Xaqiiqdii, ma ahan maqnaanshaha qofka inuu u tago dhakhtarka si loo baaro, hubiyo in ay yihiin hypothyroid oo u baahan doona qiyaasta kordhay, oo kaliya in la ogaado in calaamadaha ay la kulmayaan ay dhab ahaantii ka maqan tahay.
Sidee Bixin Dib-u-dhicid
Waxaa jira dhowr siyaabood oo aad uga noqon kartid daroogada bedelka tayroodhka:
Qaadashada ama Arrimaha Daroogada
Qiyaasta hoormoonka tayroodhka ee dhakhtarkaagu kuu qoray ayaa laga yaabaa inuu aad u sarreeyo. Tani waa sababta kormeerka ugu dhow uu muhiim u yahay, taas oo macnaheedu yahay in daweyntaada TSH dib loo eego lix asbuuc gudahood ka dib marka la bilaabo bedelidda hormoonka tayroodhka ama ka dib qiyaasta ama magaca calaamadda calaamadda.
Dhibaato kale oo laga yaabo inay soo baxdo waa inaad qaadato qiyaasta daawada ee qaldan, ama tilmaamo khaldan oo sax ah. Fiiro gaar ah u leh calaamadaha soo baxa ka dib markii loo baahdo farmashiyeyn dhowaan.
Farmashiistahaaga ayaa laga yaabaa in uu khalad sameeyo qiyaasta daawadaada, ama talooyinka qiyaasta.
Ugu dambeyntii, haddii aad qaadatid levothyroxin guud (taas oo dhakhaatiir badani kugula talinayaan), waxaa laga yaabaa in aad heshay daraasaad xoogan oo ku saabsan soo-celintaada ugu dambeysay. Xitaa isbeddel yar oo xoog leh oo ka imanaya hal mar ilaa soo socda, gaar ahaan marka dib u soo celinta ay ka timaaddo shirkadaha kala duwan ee levothyroxine, waxay kugu filnaan karaan inaad ku riixdo hyperthyroidism.
Isbeddel Cuntada
Waxaa laga yaabaa inaad dhawaan beddeshay cuntadaada, taas oo saameyn ku yeelaneysa nuugista daawada hoormoonka hoormoonka. Tusaale ahaan, haddii aad wax cunaysay faytamiin sare, oo aad dib u soo celisid fiyuuskaaga, waxaa laga yaabaa in aad qaadato heerarka sare ee daawada thyroid.
U hubso inaad si fiican u qaadato dawada dheef-shiid kiimikaadkaaga .
Kala-bixinnada Kufsashada Daaweyntaada Thyroid-ka
Waxaa laga yaabaa inaad dhawaan joojisay dhamaystirka macdanta birta ama kalsiyumka, ama qaadashada daroogo ku jira estrogen, sida bedelka hoormoonka ama kaniiniyada ka-hortagga uur-qaadidda. Maadaama maadooyinkani ay faragelin karaan qufaca hoormoonka tayroodhka, markaad joojiso qaadashada, xaddiga tirtiraha ee la heli karo si loo nuugo ayaa kor u kici kara, taas oo kuu horseedeysa in lagaa dhaafo.
Waxaa laga yaabaa inaad bilowdey inaad qaadato kabid dheeraad ah oo aad ku soo gashay oo ay ku jiraan tayada xayawaanka. Fiiro gaar ah " taageerada thyroid ," taageerada tamarta iyo gargaarka cuntada oo ay ku jiraan waxyaabo ay ka mid yihiin "qanjidhada thyroid," "adrenal glandulars" ama "bovine glandulars." Daawooyinka qanjiradani waxay ku jiri karaan hoormoonka thyroid ee dhabta ah, waxayna kuu horseedeysaa in aad u baahato.
Waxaa laga yaabaa in aad qaadatid daawooyinka miisaanka ku jira oo ay ku jiraan iodine , bladderwrack (fucus vesiculosus), kelp, bugleweed, jejeb Irish ama seaweed. Iodine aad u badan ayaa sii xumeyn kara qanjirkaaga, wuxuuna kugu kicin karaa hyperthyroidism.
Uurka
Haddii aad ilmo dhashay, baahida sii kordheysa ee hoormoonka tayroodhka muddada uurka, iyo caddadka bedelka hormoonka tayroodh ee aad u baahan tahay inta aad uurka leedahay ayaa aad u sareysa muddada dhalmada ka dib, taasoo keenta hyperthyroidism.
Cudurka Hashimoto
Haddii aad qabto cudurka Hashimoto , waxaa laga yaabaa inaad ku jirtid mudaharaad aad u kacsan oo qanjiradu ka badan tahay iyo wax-soosaaridda hormoonkaaga ee qanjirada, marka lagu daro beddelidda hormoonkaaga hormoonka tayroodhka, ayaa si ku-meel-gaadh ah u keeni kara hyperthyroidism.
Ereyga Si Aad u Fiican
Warka fiicani wuxuu noqon karaa xal xeeldheer oodhan: in la gooyo qiyaasta daawada hoormoonada hoormoonka, laguna tirtiro wax kasta oo la tuhunsan yahay, sida iodine ama glandulars.
Dhakhtarkaagu waa in uu ku shaqeeyaa tijaabooyin marxaladaha thyroid ah oo kobciya qiyaastaada haddii loo baahdo ilaa heerkaaga qanjirkaaga uu ku soo noqdo heerar caadi ah, iyo calaamadaha aad ka maqan tahay.
> Isha:
> Garber, J, Cobin, R, Gharib, H, et. al. "Tilmaamaha Tababarka Caafimaadka ee loogu talagalay Hypothyroidism ee Dadka Qaan-Gaarka ah: Cosponsored by American American of Endocrinologists Clinical Association iyo Ururka Tiriida ee Maraykanka." Tababarka Indhaha. Vol. 18 No 6 Noofembar / Disembar 2012.