Nneɛma a ɛsɛ sɛ wuhu fa Thyroid Hormone Tablets ho!

So ɛtɔ mmere bi a wote nka sɛ woabrɛ, wo ho ayɛ wo den, anaasɛ wo mu duru yɛ kɛse? Wɔ bere a ɛte saa mu no, oduruyɛfo bi akyerɛw wo aduru bi, na waka sɛ wo thyroid hormone dodow sua, a ɛkyerɛ sɛ wowɔ ``Hypothyroidism''? Asɛmmisa bi a nnipa pii wɔ ne sɛnea wɔbɛfa saa aduru yi pɛpɛɛpɛ, ne nneɛma a ɛsɛ sɛ wɔhwɛ yiye wɔ ho. Enti, ɛnnɛ yɛbɛka saa thyroid nnuru yi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye so.

Aduru bɛn na eyi yɛ?

Sɛ yɛbɛka no tiawa a, thyroid gland yɛ ntini ketewaa bi a ɛte sɛ ntontom wɔ wo kɔn mu. Ɛma thyroid hormone ahorow a ɛho hia ma yɛn nipadua no ba. Ɛtɔ mmere bi a, ebia saa ntini yi ntumi nyɛ hormone a ɛdɔɔso. Ɛno ne bere a nnuruyɛfo kyerɛw nnuru a wɔde sa thyroid. Saa nnuru yi si thyroid hormone a wo nipadua fi awosu mu yɛ no ananmu wɔ ɔkwan a wɔayɛ so.

Susuw ho saa kwan yi so, saa thyroid hormone yi te sɛ `engine` wɔ yɛn nipadua mu. Thyroid hormones ho hia ma ahoɔden a ɛwɔ yɛn nipadua mu no sohwɛ, sɛ yɛbɛyam aduane a yɛdi no yie na yɛadan no ahoɔden (eyi ne deɛ yɛfrɛ no `metabolism`), ama koma no yɛ adwuma, amemene no nyin, ne nipadua mu hyeɛ a yɛhwɛ so. Enti, sɛ saa hormone ahorow yi sua a, sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm te sɛ ɔbrɛ, mu duru a ɛkɔ soro, akisikuru, ne honam ani a ɛyɛ kusuu no da adi. Saa aduru yi tua saa sintɔ no ho ka.

Ɛtɔ da bi a wɔde saa aduru yi ma sɛ aduru a wɔde sa thyroid nyarewa afoforo anaa thyroid kokoram ahorow bi. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri.

Dɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi saa aduru yi ase?

Ansa na wubefi ase anom thyroid nnuru no, nneɛma kakraa bi a ɛho hia wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Saa aduru yi nyɛ nea wɔde ma obiara. Enti, ɛho hia paa ma w’ankasa ahobammɔ sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ saa nneɛma yi ho.

Sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ:

• Sɛ wowɔ ɔhaw biara wɔ wo adrenal glands ho, te sɛ Addison yare no a.
• Sɛ nhwɛso no, sɛ wowɔ komayare a, sɛ wowɔ koko mu yaw (angina), anaasɛ woanya komayare pɛn.
• Sɛ wowɔ nnompe mu haw biara, te sɛ nnompe mu yare a.
• Sɛ wowɔ asikreyare a.
• Sɛ woredi aduan titiriw bi a wode bɛtew wo mu duru so, anaasɛ wode nnuru biara (weight loss program) redi dwuma de ayɛ saa a.
• Sɛ wowɔ awo ho haw ahorow a.
• Sɛ ɔhaw bi wɔ pituitary gland no mu a.
• Sɛ worenom nnuru biara (e.g. Warfarin) a wode besiw mogya a ɛbɛtɔ ano anaasɛ wobɛsa a.
• Sɛ kan no na wo ho yɛ wo hyew wɔ levothyroxine, thyroid hormone afoforo, aduru foforo biara, aduan, ade a wɔde yɛ nneɛma, anaa nea wɔde sie ho a.
• Sɛ mprempren woanyinsɛn, anaasɛ worehwɛ kwan sɛ wobɛnyinsɛn nnansa yi ara a.
• Sɛ woyɛ ɛna a ɔma nufu a.

Sɛ wo ne wo duruyɛfo susuw nsɛm yi ho a, wubetumi afi ayaresa ase wɔ ɔkwan a ɛfata na ahobammɔ wom kɛse so.

Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?

Sɛnea ɛbɛyɛ a wubenya aduru yi so mfaso kɛse no, ɛho hia yiye sɛ wuhu sɛnea wode bedi dwuma yiye.

• Sɛnea wɔnom: Ɛsɛ sɛ wɔnom saa aduru yi ne nsu kuruwa biako.
• Bere: Ɛyɛ papa sɛ wobɛfa no bere koro mu da biara. Saa kwan no so no, ɛbɛyɛ mmerɛw sɛ wobɛma wo hormone dodow akɔ so ayɛ pɛ.
• Ade a ɛho hia paa: Ɛsɛ sɛ wɔnom saa aduru yi anɔpa, dɔnhwerew fã (simma 30) anaa dɔnhwerew biako (simma 60) ansa na wɔadi, wɔ yafunu a hwee nni mu. Fa no sɛ wofa saa aduru yi ne nsu kakra bere a woasɔre anɔpa ara pɛ, ansa na woanom biribi foforo biara (tii mpo). Nnuan bi, titiriw nufusu mu nneɛma a ``calcium'', ``iron'' pills, ne ``antacids'' wom, brɛ saa aduru yi a wɔtwe no ase. Ɛno nti na wɔka sɛ wɔnom no yafunu a hwee nni mu no.
• Gyinae: Kɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ "gyae saa aduru yi nom mprempren." Nnyae mpofirim, sɛ wo ho tɔ wo mpo a.
• Sɛ wɔde ma mmofra a: Nneɛma titiriw bi wɔ hɔ a ɛsɛ sɛ wosusuw ho bere a wɔde saa aduru yi rema mmofra nkumaa no. Wo ne wo mmofra oduruyɛfo nkasa mfa eyi ho na nya afotu.
• Dodow a ɛboro so: Sɛ wonom nnuru a ɛboro dodow a wɔakyerɛw ama wo wɔ akwanhyia mu a, kɔ ayaresabea dan a wɔhwɛ ntɛmpɛ a ɛbɛn wo no mu ntɛm ara, anaa frɛ baabi a wɔhwɛ awuduru so.
• Ɔde ma afoforo: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa w’aduru mma obi foforo biara esiane biribiara nti. Ebetumi ayɛ nea asiane wom ama wɔn.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Ɛtɔ da bi a yɛn werɛ fi sɛ yɛbɛnom yɛn nnuru. Sɛ ɛba saa a, mma ɛnhaw wo.

• Fa w’aduru no bere a woakae ara pɛ.
• Nanso, sɛ ɛbɛn bere a wobɛnom dodow a edi hɔ no yiye bere a wokae (sɛ nhwɛso no, sɛ ɛsɛ sɛ wonom dodow a edi hɔ no wɔ nnɔnhwerew kakraa bi mu a), twa dodow a woayera no so na fa dodow a edi hɔ no ara kwa wɔ bere a wɔahyɛ no mu.
• Mfa nnuru mmɔho abien da mfa nsiesie dodow a woayera no. Saa a wɔbɛyɛ no betumi ama nnuru dodow a wɔde di dwuma no akɔ soro na ɛde ɔhaw ahorow aba.

Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?

Sɛ worenom nnuru afoforo, vitamin, anaa aduannuru bere a worenom thyroid nnuru a, ɛsɛ sɛ wohwɛ yiye wɔ ɛno nso ho, efisɛ nneɛma bi betumi aka sɛnea thyroid nnuru no tu mpɔn.

Nneɛma kakraa bi a ɛte saa ni:

• Amiodarone (aduru a wɔde sa komayare) .
• `Antacids` (nsu/aduru a wɔde sa yafunu mu yare) .
• Nnuru a wɔde ko tia thyroid
• `Calcium a wɔde ma`
• `Carbamazepine` (aduru a wɔde sa akisikuru) .
• Nnuru bi a wɔde sa adwenemhaw
• Nnuru bi a wɔde sa kokoram
• Cholestyramine, Colesevelam, Colestipol (nnuru a wɔde ma srade a ɛwɔ mogya mu no so tew) .
• Digoxin (aduru a wɔde sa komayare) .
• Mmea hormone, sɛ nhwɛso no, nnuru a wɔde siw awo ano, nnuru a wɔde hyɛ nipadua mu, nkaa, anaa nnuru a wɔde twitwiw nipadua mu a estrogen wom
• `Dade a wɔde ka ho`
• `Ketamine` (aduru a ɛma obi dwensɔ) .
• Nsuo a ɛma aduannuru te sɛ `Ensure`
• Lithium (aduru a wɔde sa adwenemyare) .
• Nnuru bi a wɔde sa atiridii ne ahome a ɛyɛ den
• Nnuru a wɔde sa asikreyare
• Nnuru a wɔde ma obi mu duru so tew anaa nnuru a wɔde ka aduan ho
• `Methadone a wɔde yɛ aduru`
• `Niacin`
• `Orlistat` (aduru a ɛma obi mu duru so tew) .
• Nnuru a ɛwɔ barbiturate kuw no mu, te sɛ Phenobarbital
• Phenytoin (aduru a wɔde sa akisikuru) .
• `Rifampin` (aduru a wɔde sa nsamanwaw) .
• Soya isoflavones (a ɛwɔ soya nneɛma mu) .
• Steroid nnuru, s.e. prednisone, aduru a wɔde hyɛ nipadua mu
• Sucralfate (aduru a wɔde sa yafunu mu yare) .
• `Testosterone a ɛwɔ nipadua no mu`
• Theophylline (aduru a wɔde sa ayamtu) .
• Warfarin (aduru a ɛma mogya yɛ mmerɛw) .

Nea ɛho hia: Nkitahodi a ɛtaa ba nkutoo na ɛka saa nsɛm a wɔahyehyɛ yi ho. Ɛnyɛ nsɛm a wɔahyehyɛ a edi mũ. Enti, ka nnuru a worenom nyinaa (a wɔkyerɛw ma wo ne nea wɔmfa nnuru nhyɛ mu nyinaa), vitamin, nnuru a wɔde ka aduan ho, nhabannuru, ne sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne afoforo a mmara mma ho kwan di dwuma ho asɛm kyerɛ wo duruyɛfo. Wo duruyɛfo betumi de afotu a eye sen biara ama wo.

Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛrenom aduru yi?

Sɛ wode thyroid nnuru redi dwuma a, ɛho hia yiye sɛ wohwɛ w’akwahosan yiye na wudi wo duruyɛfo akwankyerɛ akyi.

• Brand transfer:Mma nsakra thyroid nnuru a worenom no a wo duruyɛfo no mpene so. Ebia nsonsonoe kakra bɛda nneɛma a wɔde yɛ nneɛma ntam. Sɛ wunnim a, wo ne wo duruyɛfo nkasa na bisa.
• Nhwehwɛmu a wɔyɛ no daa : Ɛho behia sɛ wokɔ wo duruyɛfo nkyɛn daa kɔyɛ nhwehwɛmu, ne mogya mu nhwehwɛmu nso de hwɛ sɛnea wo thyroid hormone dodow te. Eyi ne ɔkwan a wo duruyɛfo bɛfa so ahwɛ sɛ ebia nnuru dodow a wode ma wo no fata wo anaasɛ ɛsɛ sɛ wosesa anaa.
• Ebia yare no ho sɛnkyerɛnne ahorow no begye bere tenten ansa na atu mpɔn: Sɛ worenom aduru yi ama thyroid a ɛnyɛ adwuma yiye (hypothyroidism) a, ebetumi agye adapɛn pii ansa na wo sɛnkyerɛnne ahorow (te sɛ ɔbrɛ ne wo mu duru a ɛkɔ soro) no atu mpɔn na wo ho atɔ wo. Nya abotare. Sɛ wo sɛnkyerɛnne no ankɔ yiye a, ka kyerɛ wo duruyɛfo.
• Nkwa nna nyinaa: Ebia ɛho behia sɛ nnipa binom nom saa thyroid nnuru yi wɔn nkwa nna nyinaa. Eyi gyina wo tebea no so. Nnyae nnuru no nom da a wunnyaa wo duruyɛfo afotu.
• Asikreyare ne asikre a ɛwɔ mogya mu: Saa aduru yi betumi aka asikre dodow a ɛwɔ mogya mu. Sɛ wowɔ asikreyare a, hwɛ asikre dodow a ɛwɔ wo mogya mu daa sɛnea wo duruyɛfo kyerɛ no.
• Aduru no hua: Ebia thyroid nnuru ahorow bi hua a ɛyɛ yaw kakra. Eyi nkyerɛ sɛ aduru no asɛe. Nanso sɛ w’adwene mu yɛ wo naa a, bisa wo nnuruyɛfo anaa wo duruyɛfo.
• Nwi a ɛtɔ: Ebia nnipa binom ti nhwi bi bɛtɔ bere a wodi kan fi ase nom aduru no. Mpɛn pii no, eyi yɛ bere tiaa mu de na bere kɔ so no, ebefi hɔ. Sɛ wo ti nhwi kɔ so tɔ a, ka kyerɛ wo duruyɛfo.
• Oprehyɛn: Sɛ wɔreyɛ wo oprehyɛn biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo ne oprehyɛn ho ɔbenfo sɛ worenom thyroid nnuru.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ nnuru biara no, thyroid nnuru betumi de ɔhaw ahorow aba nnipa binom so. Nanso mpɛn pii no, eyinom ba sɛ dodow a wɔde ma no nyɛ nea ɛfata pɛpɛɛpɛ, kyerɛ sɛ, sɛ wɔnom dodo a.

Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo ntɛm ara:

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon (ebetumi ama ayɛ den sɛ ɔbɛhome).
• Nsakrae a ɛba adwene mu tebea mu: dadwen a emu yɛ den, ahomegye a enni hɔ, basabasayɛ.
• Fifiri ne ɔhyew a ɛma obi te nka: Fifiri a ɛboro so, tumi a ɔde gyina ɔhyew ano a ɛso tew.
• Atiridii: Atiridii a ɛnyɛ nea ɛda adi pefee sɛ ɛde ba.
• Nsakrae a ɛba koma a ɛbɔ mu: Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm, wobɛte nnyigyei a ɛrebɔ wɔ wo moma so, koma a ɛbɔ a ɛnteɛ (`koma a ɛbɔ`).
• Koma mu nnyigyei ho haw afoforo (`Koma mu nnyigyei sesa`):Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ daa, adwenemhaw, ɔtopae, koko mu yaw, ahome a ɛyɛ den.
• Nsakrae a ɛba mmea brayɛ mu: Brayɛ a ɛnkɔ so daa anaasɛ nsensanee a ɛba bere a wɔrekɔ brayɛ mu.
• Atiridiinini a emu yɛ den.
• Wosow: Nsa anaa nipadua a wɔwosow.
• Dae a wontumi nna: Ɛyɛ den sɛ wobɛda.

Nneɛma bɔne a mpɛn pii no enhia sɛ wonya aduruyɛ mu afotu (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo):

• Nsakrae a ɛba aduan ho akɔnnɔ mu (ɛkɔ soro anaasɛ ɛso tew).
• Nwi a ɛtɔ (eyi abu so mfiase no, nanso ɛbɛkɔ akyiri akyiri yi).
• Ti a ɛyɛ yaw (Hisay Redima).
• Abofono.
• Ɔfe a wɔfe.

Nneɛma bɔne a ɛtaa ba nkutoo na ɛka saa din yi ho. Nea ɛka ho no, sɛ wuhu sɛnkyerɛnne foforo biara a ɛyɛ soronko a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.

Ɔkwan bɛn so na wode nnuru sie?

Sɛ nnuru no bɛkɔ so ayɛ papa a, ɛsɛ sɛ wɔkora so yiye.

• Twe wo ho fi mmofra ne afieboa ho: Fa nnuru sie baabi a mmofra ne afieboa ntumi nkɔ hɔ bere nyinaa.
• Ɔhyew: Fa sie baabi a ɛhɔ yɛ hyew (ɛyɛ digrii Celsius 15 kosi 30, anaasɛ digrii Fahrenheit 59 kosi 86). Bɔ ho ban fi ɔhyew anaa awɔw a ano yɛ den ho.
• Hann ne Nsuo: Ma aduru toa/packet no nkɔ baabi a owia hann ne nsuo ntumi nkɔ mu tẽẽ. Mfa aduru no nsie mmeae a ɛhɔ yɛ nwini kɛse te sɛ aguaree. Fa aduru toa/packet no ano ntoto mu denneennen.
• Nnuru a ne bere atwam: Hwɛ ``da a ne bere atwam'' wɔ nnuru no so na tow nnuru biara a atwam saa da no gu.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛkae

Mewɔ anidaso sɛ wowɔ ntease pa wɔ thyroid nnuru ho fi nea yɛaka ho asɛm no mu. Nea etwa to no, ma nsɛntitiriw yi ntra w’adwenem:

• Thyroid pills yɛ aduru a ɛho hia yiye a ɛboa ma wosiesie thyroid hormone dodow a ɛba fam wɔ wo nipadua mu.
• Ɛho hia sɛ wobɛfa dodow a wɔakyerɛw ama wo no, wɔ bere a wɔahyɛ no mu, wɔ yafunu a hwee nni mu, ansa na woadi anɔpaduan, sɛnea oduruyɛfo no akyerɛ no.
• Nnyae nnuru no nom, nnsesa nea wɔde yɛ no, anaa nsakra dodow a wɔde ma no a wunnya wo duruyɛfo afotu.
• Ka nnuru afoforo a wonom nyinaa ne nyarewa foforo biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
• Sɛ wuhu nneɛma bɔne bi anaa biribi a ɛyɛ soronko a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Hwɛ oduruyɛfo no bere ano na yɛ nhwehwɛmu a ɛho hia.

Sɛ wode saa aduru yi di dwuma yiye a, ɛbɛboa wo ma woakwati ɔhaw a hypothyroidism de ba no na aboa wo ma woanya apɔwmuden na woayɛ nnam. Sɛ wowɔ nsɛmmisa foforo biara a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.

`Thyroid, thyroid hormone, hypothyroidism, thyroxine, levothyroxine, thyroid nnuru, thyroid nnuru