Izinto okudingeka uzazi ngamaphilisi e-thyroid hormone!

Ingabe ngezinye izikhathi uzizwa ukhathele, ukhathele, noma ukhuluphala? Ngaleso sikhathi, udokotela usuke ekunike iphilisi, ethi izinga lakho le-hormone ye-thyroid liphansi, okusho ukuthi une-"Hypothyroidism"? Umbuzo abantu abaningi abanawo ukuthi ungawuthatha kanjani lo muthi ngqo, nokuthi yiziphi izinto okufanele uziqaphele. Ngakho-ke, namuhla sizokhuluma ngala maphilisi e-thyroid ngendlela elula kakhulu.

Luhlobo luni lomuthi lolu?

Kalula nje, i-thyroid gland iyi-gland encane emise okwebhabhathane entanyeni yakho. Ikhiqiza ama-hormone e-thyroid, abalulekile emizimbeni yethu. Ngezinye izikhathi, le gland ingase ingakhiqizi ama-hormone anele. Yilapho odokotela benikeza amaphilisi e-thyroid. Lawa maphilisi athatha indawo yama-hormone e-thyroid akhiqizwa ngumzimba wakho ngokwemvelo.

Cabanga ngale ndlela, le hormone ye-thyroid ifana 'nenjini' emzimbeni wethu. Ama-hormone e-thyroid abalulekile ekulawuleni amandla emzimbeni wethu, ekugayeni kahle ukudla esikudlayo nokuyiguqula ibe amandla (yilokhu esikubiza ngokuthi 'i-metabolism'), ekusebenzeni kwenhliziyo, ekukhuleni kobuchopho, nasekulawuleni izinga lokushisa komzimba. Ngakho-ke, lapho la ma-hormone ephansi, kuvela izimpawu ezibalwe ngenhla njengokukhathala, ukukhuluphala, ukuqunjelwa, kanye nesikhumba esomile. Lo muthi uvala lokho kuntuleka.

Lo muthi ngezinye izikhathi unikezwa njengokwelapha ezinye izifo ze-thyroid noma ezinye izinhlobo zomdlavuza we-thyroid. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.

Yini okufanele ngiyitshele udokotela ngaphambi kokuqala lo muthi?

Ngaphambi kokuthi uqale ukuthatha amaphilisi e-thyroid, kunezinto ezimbalwa ezibalulekile okudingeka uzitshele udokotela wakho. Lo muthi awufanele wonke umuntu. Ngakho-ke, kubaluleke kakhulu ekuphepheni kwakho ukwazisa udokotela wakho ngalezi zinto.

Uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho:

• Uma unezinkinga ngezindlala zakho ze-adrenal, njengesifo sika-Addison.
• Uma unesifo senhliziyo, isibonelo, uma unezinhlungu esifubeni (i-angina), noma uma uke waba nokuhlaselwa yinhliziyo ngaphambili.
• Uma unezinkinga zamathambo, njenge-osteoporosis.
• Uma unesifo sikashukela.
• Uma udla ukudla okukhethekile ukuze wehlise isisindo, noma uma usebenzisa noma yimuphi umuthi (uhlelo lokunciphisa isisindo) ukwenza kanjalo.
• Uma unezinkinga zokuzala.
• Uma kukhona ukuphazamiseka kwe-pituitary gland.
• Uma uthatha noma yimuphi umuthi (isib. i-Warfarin) wokuvimbela noma wokwelapha amahlule egazi.
• Uma uke waba ne-allergy ku-levothyroxine, amanye ama-hormone e-thyroid, noma yimuphi omunye umuthi, ukudla, udayi, noma isilondolozi.
• Uma ukhulelwe njengamanje, noma ulindele ukukhulelwa maduze.
• Uma ungumama oncelisayo.

Ngokuxoxa ngala maphuzu nodokotela wakho, uzokwazi ukuqala ukwelashwa ngendlela efanele kakhulu futhi ephephile kuwe.

Ngiyisebenzisa kanjani ngempela le mithi?

Ukuze uthole okuningi ngalo muthi, kubaluleke kakhulu ukwazi ukuthi ungawusebenzisa kanjani ngendlela efanele.

• Indlela Yokuthatha: Leli philisi kufanele lithathwe ngomlomo kanye nengilazi yamanzi.
• Isikhathi: Kungcono ukuyithatha ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, kulula ukugcina amazinga akho ama-hormone ehambisana.
• Into ebaluleke kakhulu: Lomuthi kufanele uphuzwe ekuseni, isigamu sehora (imizuzu engama-30) noma ihora (imizuzu engama-60) ngaphambi kokudla, esiswini esingenalutho. Cabanga ukuthi uphuza lo muthi ngamanzi amancane ngokushesha nje lapho uvuka ekuseni, ngaphambi kokuphuza noma yini enye (ngisho netiye). Ukudla okuthile, ikakhulukazi imikhiqizo yobisi equkethe "i-calcium", amaphilisi "ensimbi", kanye "nemithi yokunciphisa i-acid", kunciphisa ukumuncwa kwalo muthi. Yingakho kuthiwa uphuzwa esiswini esingenalutho.
• Ukuyeka: Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi "yeka ukuthatha lo muthi manje." Ungayeki ngokuzumayo, noma ngabe uzizwa ungcono.
• Uma kunikezwa izingane: Kunezimfuneko ezikhethekile zokucatshangelwa lapho kunikezwa lo muthi ezinganeni ezincane. Khuluma nodokotela wezingane ngalokhu bese uthola iseluleko.
• Ukweqisa umthamo: Uma ngengozi uthatha umuthi ongaphezu kwesilinganiso esinqunyiwe, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi.
• Ukunikeza abanye: Lo muthi unikezwe wena kuphela. Unganiki omunye umuntu umuthi wakho nganoma yisiphi isizathu. Kungaba yingozi kubo.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Ngezinye izikhathi siyakhohlwa ukuphuza imithi yethu. Uma lokho kwenzeka, ungakhathazeki.

• Thatha umuthi wakho ngokushesha nje lapho ukhumbula.
• Kodwa-ke, uma kuseduze kakhulu nesikhathi somthamo wakho olandelayo uma ukhumbula (isibonelo, uma kufanele uthathe umthamo olandelayo emahoreni ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe.
• Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo ongawusebenzisi. Ukwenza kanjalo kungandisa inani lemithi futhi kubangele imiphumela emibi.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

Uma uthatha eminye imithi, amavithamini, noma izithasiselo zokudla ngenkathi uthatha amaphilisi e-thyroid, kufanele uqaphele nalokho, njengoba ezinye izinto zingathinta ukusebenza kahle kwemithi ye-thyroid.

Nazi izinto ezimbalwa ezinjalo:

• I-Amiodarone (umuthi wesifo senhliziyo)
• `Ama-antacid` (uketshezi/amaphilisi e-gastritis)
• Imithi yokulwa ne-thyroid
• `Izithasiselo ze-calcium`
• `I-Carbamazepine` (umuthi osetshenziselwa isifo sokuwa)
• Eminye imithi yokucindezeleka
• Eminye imithi yokwelapha umdlavuza
• I-Cholestyramine, i-Colesevelam, i-Colestipol (imithi yokwehlisa i-cholesterol)
• I-Digoxin (umuthi wesifo senhliziyo)
• Ama-hormone abesifazane, isibonelo amaphilisi okuvimbela inzalo, ama-patches, amasongo, noma imijovo equkethe ama-estrogen
• `Izithasiselo zensimbi`
• `I-Ketamine` (isidakamizwa sokubulala izinzwa)
• Imikhiqizo yokudla okunempilo efana ne-'Ensure'
• I-Lithium (umuthi wesifo sengqondo)
• Eminye imithi yokwelapha umkhuhlane nobunzima bokuphefumula
• Imithi yesifo sikashukela
• Imithi yokwehlisa isisindo noma izithasiselo zokudla
• `I-Methadone`
• `I-Niacin`
• `I-Orlistat` (umuthi wokwehlisa isisindo)
• Imithi esekilasini le-barbiturate, njenge-Phenobarbital
• I-Phenytoin (umuthi wesifo sokuwa)
• `Rifampin` (umuthi wesifo sofuba)
• Ama-isoflavone e-soy (aqukethwe emikhiqizweni ye-soy)
• Imithi ye-steroid, isibonelo i-prednisone, i-cortisone
• I-Sucralfate (umuthi we-gastritis)
• 'I-Testosterone'
• I-Theophylline (umuthi we-asthma)
• I-Warfarin (isidakamizwa esinciphisa igazi)

Okubalulekile: Lolu hlu luhlanganisa kuphela ukusebenzisana okuvamile. Akulona uhlu oluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kokubili kadokotela kanye nemithi ongayithenga ngaphandle kwemithi kadokotela), amavithamini, izithasiselo, amakhambi, kanye nokuthi ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa ezingekho emthethweni. Udokotela wakho angakunikeza iseluleko esingcono kakhulu.

Yiziphi izinto okufanele uziqaphele lapho uthatha lo muthi?

Uma usebenzisa amaphilisi e-thyroid, kubaluleke kakhulu ukunaka impilo yakho nokulandela imiyalelo kadokotela wakho.

• Ukudluliselwa komkhiqizo:Ungashintshi uhlobo lomuthi we-thyroid owuthathayo ngaphandle kwemvume kadokotela wakho. Kungase kube nomehluko omncane phakathi kwezinhlobo. Uma ungaqiniseki, khuluma nodokotela wakho bese ubuza.
• Ukuhlolwa okuvamile : Kuzodingeka ubone udokotela wakho njalo ukuze ahlolwe, kanye nokuhlolwa kwegazi ukuze kuhlolwe amazinga e-hormone yakho ye-thyroid. Lena yindlela udokotela wakho azohlola ngayo ukuthi umthamo wemithi yakho ukulungele yini noma udinga ukushintshwa.
• Izimpawu zingase zithathe isikhathi eside ukuthuthuka: Uma uthatha lo muthi we-thyroid engasebenzi kahle (i-hypothyroidism), kungathatha amasonto ambalwa ukuthi izimpawu zakho (njengokukhathala nokukhula kwesisindo) zithuthuke futhi uzizwe ungcono. Yiba nesineke. Uma izimpawu zakho zingathuthuki, tshela udokotela wakho.
• Ukuphila Konke: Abanye abantu kungadingeka bathathe la maphilisi e-thyroid impilo yabo yonke. Lokhu kuncike esimweni sakho. Ungalokothi uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
• Isifo sikashukela kanye noshukela egazini: Lo muthi ungathinta amazinga kashukela egazini. Uma unesifo sikashukela, hlola amazinga kashukela egazini lakho njalo njengoba kuqondiswe udokotela wakho.
• Iphunga lomuthi: Ezinye izinhlobo zamaphilisi e-thyroid zingase zibe nephunga elibukhali kancane. Lokhu akusho ukuthi umuthi wonakele. Kodwa uma ungabaza, buza usokhemisi wakho noma udokotela.
• Ukulahlekelwa izinwele: Abanye abantu bangase balahlekelwe izinwele lapho beqala ukuthatha umuthi. Lokhu kuvame ukuba okwesikhashana futhi kuzophela ngokuhamba kwesikhathi. Uma ukulahleka kwezinwele kuqhubeka, tshela udokotela wakho.
• Ukuhlinzwa: Uma uhlinzwa, qiniseka ukuthi utshela udokotela wakho nodokotela wakho ukuthi uphuza amaphilisi e-thyroid.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, amaphilisi e-thyroid angabangela imiphumela emibi kwabanye abantu. Kodwa ngokuvamile, lokhu kwenzeka uma umthamo ungafanele, okungukuthi, uma uphuzwe kakhulu.

Imiphumela emibi okufanele ibikwe kudokotela ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo (kungabangela ubunzima bokuphefumula).
• Izinguquko esimweni sengqondo: ukukhathazeka okukhulu, ukungahlaliseki, ukucasuka.
• Ukujuluka kanye nokuzwela ukushisa: Ukujuluka ngokweqile, ukwehla kwamandla okubekezelela ukushisa.
• Umkhuhlane: Umkhuhlane ongenambangela esobala.
• Izinguquko ekushayeni kwenhliziyo: Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, ukuzwa umsindo oshaya esifubeni sakho, ukushaya kwenhliziyo okungajwayelekile (`ukushaya kwenhliziyo okungavamile').
• Ezinye izinkinga zesigqi senhliziyo (`Ukushintsha kwesigqi senhliziyo`):Ukushaya kwenhliziyo okusheshayo kakhulu noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, nobunzima bokuphefumula.
• Izinguquko emijikelezweni yokuya esikhathini kwabesifazane: Imijikelezo yokuya esikhathini engajwayelekile noma ukubonakala kwamabala ngesikhathi sokuya esikhathini.
• Uhudo olubi kakhulu.
• Ukuthuthumela: Ukuthuthumela izandla noma umzimba.
• Ukungalali: Ubunzima bokulala.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

• Ushintsho ekufiseni ukudla (ukwanda noma ukwehla).
• Ukulahlekelwa izinwele (lokhu kuvamile ekuqaleni, kodwa kuzophela kamuva).
• Ikhanda elibuhlungu (uHisay Redima).
• Isicanucanu.
• Ukuhlanza.

Lolu hlu luhlanganisa kuphela imiphumela emibi evamile. Ngaphezu kwalokho, uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile, qiniseka ukuthi utshela udokotela wakho ngazo.

Ugcina kanjani imithi?

Ukuze kugcinwe ikhwalithi yemithi, kumele igcinwe kahle.

• Gcina kude nezingane nezilwane ezifuywayo: Gcina imithi kude nezingane nezilwane ezifuywayo ngaso sonke isikhathi.
• Izinga Lokushisa: Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, noma phakathi kwama-degree Fahrenheit angu-59 no-86). Vikela ekushiseni okukhulu noma ekubandeni okukhulu.
• Ukukhanya Nomswakama: Gcina ibhodlela/iphakethe lemithi kude nokukhanya kwelanga okuqondile kanye nomswakama. Ungagcini umuthi ezindaweni ezinomswakama ophezulu, njengasendlini yokugezela. Gcina isivalo sebhodlela/iphakethe lemithi sivaliwe kahle.
• Imithi ephelelwe yisikhathi: Hlola "usuku lokuphelelwa yisikhathi" emithini bese ulahla noma yimiphi imithi esidlulile kulolo suku.

Izinto ezibaluleke kakhulu okufanele uzikhumbule

Ngiyethemba ukuthi uyaqonda kahle amaphilisi e-thyroid kulokho esikuxoxile. Okokugcina, khumbula la maphuzu:

• Amaphilisi e-thyroid ayimithi ebaluleke kakhulu esiza ukulungisa amazinga aphansi ama-hormone e-thyroid emzimbeni wakho.
• Kubalulekile ukuthatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, esiswini esingenalutho, ngaphambi kokudla kwasekuseni, njengoba kunqunywe udokotela.
• Ungayeki ukuthatha umuthi, ushintshe uhlobo lomuthi, noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
• Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo.
• Uma ubona noma yimiphi imiphumela emibi noma into engavamile, tshela udokotela wakho ngokushesha.
• Bonana nodokotela ngesikhathi bese wenza izivivinyo ezidingekayo.

Uma usebenzisa lo muthi ngendlela efanele, uzokusiza ugweme ukungakhululeki okubangelwa yi-hypothyroidism futhi kukusize uhlale uphilile futhi usebenza. Uma uneminye imibuzo, ungangabazi ukubuza udokotela wakho.

'I-thyroid, i-hormone ye-thyroid, i-hypothyroidism, i-thyroxine, i-levothyroxine, amaphilisi e-thyroid, imithi ye-thyroid