Zinthu zomwe muyenera kudziwa zokhudza mapiritsi a thyroid hormone!

Kodi nthawi zina mumamva kutopa, kutopa, kapena kunenepa? Pa nthawi ngati imeneyi, dokotala amakulemberani mapiritsi, akunena kuti kuchuluka kwa mahomoni a chithokomiro chanu ndi kochepa, zomwe zikutanthauza kuti muli ndi "Hypothyroidism"? Funso lomwe anthu ambiri ali nalo ndi momwe mungamwere mankhwalawa molondola, komanso zinthu zomwe muyenera kusamala nazo. Chifukwa chake, lero tikambirana za mapiritsi a chithokomiro awa m'njira yosavuta.

Kodi mankhwala awa ndi amtundu wanji?

Mwachidule, chithokomiro ndi kachithokomiro kakang'ono kooneka ngati gulugufe m'khosi mwanu. Kamapanga mahomoni a chithokomiro, omwe ndi ofunikira m'thupi lathu. Nthawi zina, chithokomirochi sichingapange mahomoni okwanira. Pamenepo madokotala amalemba mapiritsi a chithokomiro. Mapiritsiwa amalowa m'malo mwa mahomoni a chithokomiro omwe thupi lanu limapanga mwachilengedwe.

Taganizirani izi, homoni ya chithokomiro iyi ili ngati 'injini' m'thupi lathu. Mahomoni a chithokomiro ndi ofunikira polamulira mphamvu m'thupi lathu, kuti chakudya chomwe timadya chigayidwe bwino ndikuchisandutsa mphamvu (izi ndi zomwe timatcha 'kagayidwe kachakudya'), pakugwira ntchito kwa mtima, kukula kwa ubongo, komanso pakuwongolera kutentha kwa thupi. Chifukwa chake, mahomoni awa akachepa, zizindikiro zomwe zatchulidwazi monga kutopa, kunenepa kwambiri, kudzimbidwa, ndi khungu louma zimawonekera. Mankhwalawa amathandizanso pakusowa kwa mphamvu kumeneku.

Mankhwalawa nthawi zina amaperekedwa ngati mankhwala a matenda ena a chithokomiro kapena mitundu ina ya khansa ya chithokomiro. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.

Kodi ndiyenera kumuuza chiyani dokotala asanayambe kumwa mankhwalawa?

Musanayambe kumwa mapiritsi a chithokomiro, pali zinthu zingapo zofunika zomwe muyenera kuuza dokotala wanu. Mankhwalawa si a aliyense. Chifukwa chake, ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala wanu za izi.

Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu:

• Ngati muli ndi vuto lililonse ndi adrenal glands yanu, monga matenda a Addison.
• Ngati muli ndi matenda a mtima, mwachitsanzo, ngati muli ndi kupweteka pachifuwa (angina), kapena ngati munadwalapo matenda a mtima kale.
• Ngati muli ndi vuto lililonse la mafupa, monga osteoporosis.
• Ngati muli ndi matenda a shuga.
• Ngati muli ndi zakudya zapadera kuti muchepetse thupi, kapena ngati mukugwiritsa ntchito mankhwala aliwonse (pulogalamu yochepetsera thupi) kuti muchite zimenezo.
• Ngati muli ndi vuto la kusabereka.
• Ngati pali vuto lililonse mu pituitary gland.
• Ngati mukumwa mankhwala aliwonse (monga Warfarin) kuti mupewe kapena kuchiza magazi kuundana.
• Ngati kale munali ndi vuto la levothyroxine, mahomoni ena a chithokomiro, mankhwala ena aliwonse, chakudya, utoto, kapena mankhwala osungira.
• Ngati muli ndi pakati pa nthawi ino, kapena mukuyembekezera kutenga pakati posachedwa.
• Ngati ndinu mayi woyamwitsa.

Mukakambirana mfundo izi ndi dokotala wanu, mudzatha kuyamba chithandizo m'njira yoyenera komanso yotetezeka kwa inu.

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kudziwa momwe mungagwiritsire ntchito bwino.

• Momwe mungamwere: Piritsi ili liyenera kumwedwa pakamwa ndi kapu ya madzi.
• Nthawi: Ndi bwino kumwa nthawi yomweyo tsiku lililonse. Mwanjira imeneyi, zimakhala zosavuta kuti mahomoni anu azikhala ofanana.
• Chofunika kwambiri: Mankhwalawa ayenera kumwedwa m'mawa, theka la ola (mphindi 30) kapena ola limodzi (mphindi 60) musanadye, muli ndi njala. Tangoganizani kuti mwamwa mankhwalawa ndi madzi pang'ono mukangodzuka m'mawa, musanamwe china chilichonse (ngakhale tiyi). Zakudya zina, makamaka mkaka wokhala ndi "calcium", mapiritsi a "iron", ndi "antacids", zimachepetsa kuyamwa kwa mankhwalawa. Ichi ndichifukwa chake amati amamwedwa ali ndi njala.
• Kusiya: Pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti "siyani kumwa mankhwalawa tsopano." Musasiye mwadzidzidzi, ngakhale mutamva bwino.
• Ngati aperekedwa kwa ana: Pali zinthu zapadera zomwe muyenera kuganizira popereka mankhwalawa kwa ana aang'ono. Lankhulani ndi dokotala wanu wa ana za izi ndipo pemphani upangiri.
• Kuchuluka kwa mankhwala: Ngati mwamwa mwangozi mankhwala opitirira muyeso womwe mwapatsidwa, pitani kuchipatala chapafupi nthawi yomweyo, kapena imbani malo owongolera poizoni.
• Kupatsa ena: Mankhwalawa aperekedwa kwa inu nokha. Musapereke mankhwala anu kwa wina aliyense pazifukwa zilizonse. Zingakhale zoopsa kwa iwo.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Nthawi zina timaiwala kumwa mankhwala athu. Ngati zimenezo zitachitika, musadandaule.

• Imwani mankhwala anu mwamsanga mukangokumbukira.
• Komabe, ngati nthawi yoti mutenge mlingo wotsatira ili pafupi kwambiri ndi nthawi yomwe mwakumbukira (mwachitsanzo, ngati mukuyenera kumwa mlingo wotsatira m'maola ochepa), dumphani mlingo womwe mwaphonya ndikutenga mlingo wotsatira panthawi yomwe mwakonza.
• Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe munaphonya. Kuchita zimenezi kungapangitse kuti mankhwala achuluke komanso kungayambitse zotsatirapo zoyipa.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Ngati mukumwa mankhwala ena, mavitamini, kapena zowonjezera zakudya mukamamwa mapiritsi a chithokomiro, muyeneranso kusamala ndi zimenezo, chifukwa zinthu zina zingakhudze momwe mankhwala a chithokomiro amagwirira ntchito.

Nazi zinthu zingapo zotere:

• Amiodarone (mankhwala a matenda a mtima)
• Mankhwala Oletsa Asidi (zamadzimadzi/mapiritsi a gastritis)
• Mankhwala oletsa chithokomiro
• `Zowonjezera za Calcium`
• `Carbamazepine` (mankhwala ogwiritsidwa ntchito pa khunyu)
• Mankhwala ena ochizira kuvutika maganizo
• Mankhwala ena a khansa
• Cholestyramine, Colesevelam, Colestipol (mankhwala ochepetsa cholesterol)
• Digoxin (mankhwala a matenda a mtima)
• Mahomoni achikazi, mwachitsanzo mapiritsi oletsa kubereka, ma patch, mphete, kapena jakisoni omwe ali ndi ma estrogens
• `Zowonjezera zachitsulo`
• 'Ketamine' (mankhwala oletsa ululu)
• Zakudya zamadzimadzi monga 'Ensure'
• Lithium (mankhwala a matenda amisala)
• Mankhwala ena a chimfine ndi mavuto opuma
• Mankhwala a matenda a shuga
• Mankhwala ochepetsa thupi kapena zakudya zowonjezera
• `Methadone`
• `Niacin`
• `Orlistat` (mankhwala ochepetsa thupi)
• Mankhwala oletsa kutupa, monga Phenobarbital
• Phenytoin (mankhwala a khunyu)
• `Rifampin` (mankhwala a chifuwa chachikulu)
• Ma isoflavone a soya (omwe amapezeka mu zinthu za soya)
• Mankhwala a steroid, monga prednisone, cortisone
• Sucralfate (mankhwala a gastritis)
• `Testosterone`
• Theophylline (mankhwala a mphumu)
• Warfarin (mankhwala ochepetsa magazi)

Chofunika: Mndandandawu umaphatikizapo zinthu zomwe zimagwirizanitsidwa kwambiri. Si mndandanda wathunthu. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (onse omwe amaperekedwa ndi dokotala komanso omwe amagulitsidwa ndi dokotala), mavitamini, zowonjezera, zitsamba, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osaloledwa. Dokotala wanu angakupatseni upangiri wabwino kwambiri.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwalawa?

Mukamagwiritsa ntchito mapiritsi a chithokomiro, ndikofunikira kwambiri kusamala thanzi lanu ndikutsatira malangizo a dokotala wanu.

• Kusamutsa mtundu:Musasinthe mtundu wa mankhwala a chithokomiro omwe mukumwa popanda chilolezo cha dokotala wanu. Pakhoza kukhala kusiyana pang'ono pakati pa mitundu. Ngati simukudziwa, lankhulani ndi dokotala wanu ndipo mufunseni.
• Mayeso achizolowezi : Muyenera kupita kwa dokotala nthawi zonse kuti akakuyezeni, komanso kuyezetsa magazi kuti muwone kuchuluka kwa mahomoni a chithokomiro chanu. Umu ndi momwe dokotala wanu adzayezetsera ngati mlingo wa mankhwala anu ndi woyenera kwa inu kapena ngati ukufunika kusinthidwa.
• Zizindikiro zingatenge nthawi kuti zisinthe: Ngati mukumwa mankhwalawa chifukwa cha vuto la chithokomiro chosagwira ntchito bwino (hypothyroidism), zingatenge milungu ingapo kuti zizindikiro zanu (monga kutopa ndi kunenepa) zisinthe komanso kuti mumve bwino. Khalani oleza mtima. Ngati zizindikiro zanu sizisintha, uzani dokotala wanu.
• Moyo Wonse: Anthu ena angafunike kumwa mapiritsi a chithokomiro awa moyo wawo wonse. Izi zimadalira matenda anu. Musasiye kumwa mankhwala popanda upangiri wa dokotala.
• Matenda a shuga ndi shuga m'magazi: Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi. Ngati muli ndi matenda a shuga, yang'anani kuchuluka kwa shuga m'magazi anu nthawi zonse monga momwe dokotala wanu wanenera.
• Fungo la mankhwala: Mitundu ina ya mapiritsi a chithokomiro ingakhale ndi fungo lopweteka pang'ono. Izi sizikutanthauza kuti mankhwalawo ayamba kuipira. Koma ngati mukukayikira, funsani wamankhwala kapena dokotala wanu.
• Kutaya tsitsi: Anthu ena amatha kutaya tsitsi akangoyamba kumwa mankhwala. Izi nthawi zambiri zimakhala zakanthawi kochepa ndipo zimatha pakapita nthawi. Ngati kutayika tsitsi kwanu kupitirira, uzani dokotala wanu.
• Opaleshoni: Ngati mukuchitidwa opaleshoni iliyonse, onetsetsani kuti mwauza dokotala wanu ndi dokotala wanu kuti mukumwa mapiritsi a chithokomiro.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, mapiritsi a chithokomiro amatha kuyambitsa mavuto ena mwa anthu ena. Koma nthawi zambiri, izi zimachitika ngati mlingo wake suli wolondola kwenikweni, kapena ngati watengedwa mopitirira muyeso.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo:

• Matenda a ziwengo: Kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi (kungayambitse kupuma movutikira).
• Kusintha kwa maganizo: nkhawa yaikulu, kusakhazikika, kusokonezeka maganizo.
• Kutuluka thukuta ndi kutentha: Kutuluka thukuta kwambiri, kuchepa kwa mphamvu yolekerera kutentha.
• Malungo: Malungo opanda chifukwa chomveka bwino.
• Kusintha kwa kugunda kwa mtima: Kumva ngati mtima wanu ukugunda mofulumira, kumva phokoso logunda pachifuwa panu, kugunda kwa mtima kosasinthasintha (`kugunda kwa mtima`).
• Mavuto ena a mtima (`kusintha kwa mtima`):Kugunda kwa mtima mofulumira kwambiri kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa, komanso kupuma movutikira.
• Kusintha kwa nthawi ya msambo kwa akazi: Kusakhazikika kwa nthawi ya msambo kapena kuwona mawanga pa nthawi ya msambo.
• Kutsegula m'mimba kwambiri.
• Kunjenjemera: Kugwedeza manja kapena thupi.
• Kusowa tulo: Kuvutika kugona.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kunenedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

• Kusintha kwa chilakolako (kuwonjezeka kapena kuchepa).
• Kutaya tsitsi (izi zimachitika kawirikawiri poyamba, koma zidzatha pambuyo pake).
• Mutu (Hisay Redima).
• Kusanza.
• Kusanza.

Mndandandawu umaphatikizapo zotsatirapo zofala zokha. Kuphatikiza apo, ngati mukukumana ndi zizindikiro zina zachilendo, onetsetsani kuti mwauza dokotala wanu za izo.

Kodi mumasunga bwanji mankhwala?

Kuti mankhwala akhale abwino, ayenera kusungidwa bwino.

• Sungani kutali ndi ana ndi ziweto: Nthawi zonse sungani mankhwala kutali ndi ana ndi ziweto.
• Kutentha: Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, kapena pakati pa madigiri 59 ndi 86 Fahrenheit). Tetezani ku kutentha kwakukulu kapena kuzizira kwambiri.
• Kuwala ndi Chinyezi: Sungani botolo/phukusi la mankhwala kutali ndi dzuwa lachindunji ndi chinyezi. Musasunge mankhwala m'malo omwe ali ndi chinyezi chambiri, monga m'bafa. Sungani chivundikiro cha botolo/phukusi la mankhwala chitsekedwe bwino.
• Mankhwala otha ntchito: Yang'anani "tsiku lotha ntchito" pa mankhwala ndipo tayani mankhwala aliwonse omwe atha ntchito tsiku limenelo.

Zinthu zofunika kwambiri kukumbukira

Ndikukhulupirira kuti mwamvetsa bwino za mapiritsi a chithokomiro kuchokera pa zomwe takambirana. Pomaliza, kumbukirani mfundo izi:

• Mapiritsi a chithokomiro ndi mankhwala ofunikira kwambiri omwe amathandiza kukonza kuchuluka kwa mahomoni a chithokomiro m'thupi lanu.
• Ndikofunikira kumwa mlingo wolembedwa, panthawi yolembedwa, pamimba yopanda kanthu, musanadye chakudya cham'mawa, monga momwe dokotala wanenera.
• Musasiye kumwa mankhwala, kusintha mtundu wa mankhwala, kapena kusintha mlingo popanda upangiri wa dokotala.
• Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
• Ngati muwona zotsatirapo zilizonse kapena china chilichonse chachilendo, uzani dokotala wanu nthawi yomweyo.
• Pitani kwa dokotala nthawi yake ndipo mukayezetsedwe bwino.

Ngati mugwiritsa ntchito mankhwalawa moyenera, adzakuthandizani kupewa kusasangalala komwe kumachitika chifukwa cha hypothyroidism ndipo adzakuthandizani kukhala ndi thanzi labwino komanso kuchita masewera olimbitsa thupi. Ngati muli ndi mafunso ena, musazengereze kufunsa dokotala wanu.

'Chithokomiro, mahomoni a chithokomiro, hypothyroidism, thyroxine, levothyroxine, mapiritsi a chithokomiro, mankhwala a chithokomiro