Boholo ba batho ba nang le hypothyroidism -kapa qoqotho e sa sebetsaneng-United States ke basali. Boholo ba basali bana ke ba lilemo tsa ho ba le bana kapa ba na le lefu la ho ba le meriana . Sena se bolela hore ha ba ntse ba phekoloa ka hypothyroidism, ba bang ba bona ba boetse ba noa meriana ea meriana e kang lipilisi tsa thibelo ea thibelo ea meriana kapa phekolo ea phetoho ea li-hormone.
Ho ea ka lipatlisiso tse tsoang ho Guttmacher Instutute, basali ba ka bang limilione tse 10 ba pakeng tsa lilemo tse 15 le 44 ba sebelisa pilisi ea thibelo ea thibelo ea bokhachane.
Ho hakanngoa hore ho na le melaetsa ea limilione tse 57 ho ea ho tse 75 bakeng sa phekolo ea phekolo ea li-hormone, boholo ba tsona ho akarelletsa le mofuta o itseng oa estrogen, e ngotsoeng United States. Litsebi tse ling li hakanya hore karolo ea 5 lekholong ea basali bohle ba nako le ea kamora 'meriana' e nka phekolo ea phetoho ea li-hormone le meriana ea qoqotho ea phetoho ea thyroid.
Ke habohlokoa ho mosali ofe kapa ofe ea ntseng a sebelisa lithethefatsi tse ling tsa qoqotho ho phekola hypothyroidism-e kang levothyroxine kapa tlhaho ea tlhaho e hloekisitsoeng-ho tseba liphello tse nang le lithethefatsi tse nang le estrogen li ka ba le qoqotho le phekolo ea hypothyroidism. Ka tsela e ts'oanang, o lokela ho ela hloko haeba o laetse meriana ea phetoho ea hormone bakeng sa hypothyroidism ka mor'a hore u be le pilisi ea thibelo ea bokhachane e nang le estrogen, kapa u se u ntse u nka phekolo ea phekolo ea hormone e akarelletsang mofuta leha e le ofe oa estrogen.
Liphello tsa Estrogen ho Thyroid
Ho eketseha ha estrogen ho ka bakoa ke bokhachane, liphatsa tse itseng tsa lefutso, le tšebeliso ea meriana e kang lipilisi tsa meriana kapa phekolo ea phekolo ea hormone. Li-Estrogens tse nkiloeng e le meriana e ka ba ka sebōpeho sa li-estrogen tsa maiketsetso tse kang ethinylestradiol, kapa mefuta e fapaneng ea estrogen e kang estradiol, estriol, kapa estrone.
Estradiol e boetse e tsebahala e le 17 beta-estradiol.
Ebang li-estrogen tse eketsehileng li hlahisoa ke 'mele oa hao kapa li nkoa e le moriana oa molomo, estrogen e na le bokhoni ba ho phahamisa likarolo tsa thyroxine-binding globulin, e tsejoang e le TBG. TBG ke protheine e khethehileng e tsejoang e le "globulin." Karolo ea TGB ke ho khomarela lihomone tse peli tsa qoqotho-thyroxine (T4) le triiodothyronine (T3) - ho iketsetsa mali maling a hao, le ho thusa ho tsamaisa lihomone tsena lisele tsa hau .
Ha TBG e phahame, TBG e tlama e ngata ea thyroid ea hormone, 'me ka lebaka leo, e theola boholo ba lihomone tsa qoqotho tse fumanehang mali a hao. Sena se ka etsa hore ho be le keketseho ea boemo ba hau ba TSH , e leng se ka etsang hore tlhahiso ea lihomone tsa qoqotho e eketsehe.
Ho ea ka lipatlisiso, ka mor'a libeke tse tšeletseng tsa phekolo ea estrogen, TBG e phahama ho basali ba bangata ba hypothyroid. Ho eketseha ha TBG hangata ho phahama ka libeke tse 12 ka mor'a ho qala phekolo. Ka mokhoa o ts'oanang, likhaolo tsa mahala tsa T4 lia theoha-'me maemong a mang, TSH e phahama-ka tsela e ts'oanang nakong ea nako eo. Liphetoho tsena ha li tloaelehe ho basali ba seng hypothyroid.
Bakuli ba Thyroid: Liphetoho Tse latelang
1. Hlahloba mosebetsi oa Thyroid Ka mor'a ho qala le ho emisa pilisi kapa phetoho ea li-hormone
Basali ba nang le bophelo bo botle ha ba na liphetoho tse kholo mosebetsing oa qoqotho ha ba ntse ba le tšebetsong ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea meriana kapa li-hormone. Leha ho le joalo, lipatlisiso li bontšitse hore hoo e ka bang karolo ea 40 lekholong ea basali ba ntseng ba e-na le meriana ea qoqotho ea phekolo ea moriana e eketsang meriana e nang le estrogen e fokotsehile ka tekanyo ea mali ea T4. Sena se bolela hore matšoao a hypothyroidism a kang mokhathala le phaello ea boima e ka khutla ntle leha tekanyo ea meriana ea qoqotho e eketseha. Hape ke kotsi bakeng sa basali ba kileng ba pholoha kankere ea qoqotho 'me ba lokela ho boloka lihomone tsa qoqotho li thibelitsoe ho thusa ho thibela kankere ea meriana ea phekolo ea meriana.
Hobane hoo e batlang e le halofo ea basali ba hypothyroid e tla ameha ka estrogen, ke habohlokoa hore thyroid ea hao e hlokehe nakong ea likhoeli tse tharo haeba u le meriana ea phetoho ea lihomone tsa qoqotho 'me u qale kapa u emise ho thibela pelehi ka molomo kapa meriana ea oral estrogen. U ka 'na ua hloka ho eketseha kapa ho fokotseha ha tekanyo ea hau ea meriana ea qoqotho ea phetoho ea qoqotho.
2. U se ke ua khaotsa ho nka lipilisi tsa hau tsa thibelo ea bokhachane kapa li-hormone ntle le ho hlahloba mosebetsi oa Thyroid
Ho ea ka mofuputsi Dr. Robert Utiger, basali ba bang ba hypothyroid ba nkang li-estrogen kapa thibelo ea bokhachane ba ka 'na ba e-ba le matšoao,' me ba etsa qeto ea ho khaotsa ho nka li-hormone tsa bona, sebaka sa ho thibela bokhachane kapa li-hormone. Ho e-na le hoo, ho latela Dr. Utiger, ho hlahloba litekanyetso tsa qoqotho le ho eketsa tekanyo ea meriana ea qoqotho e ka 'nang ea rarolla bothata ba basali bao.
3. Nahana ka pilisi e nyane bakeng sa ho thibela bana
Boholo ba basebelisi ba lipilisi tsa thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea lipilisi ba nka pilisi e "kopane" e kopanyang mahlaseli a estrogen le progesterone. Tse ling tsa lihlahisoa tse tloaelehileng tsa lipilisi tsena tsa khoeli le khoeli li akarelletsa Lo / Ovral, Loestrin, Lybrel, Mircette, Norinyl, Ortho-Novum, Ortho-Cyclen, Seasonique, Seasonale, Yasmin le Yaz. Lipilisi tsena li ka ama likhahla tsa TBG le mosebetsi oa thyroid.
Lipilisi tse thibelang thibelo ea bokhachane tse sa akarelletseng estrogen ha li ame likhahla tsa TBG, ka lebaka leo, li ke ke tsa fetola mosebetsi oa qoqotho. Lipilisi tsena tsa meriana tsa thibelo ea thibelo ea estrogen li atisa ho bitsoa "mini-pilisi." Tse ling tsa mabitso a tummeng a lipilisi tsena tsa estrogen a kenyelletsa Camila, Errin, Micronor, Nor-QD, Norethindrone, le Ovrette. Lipilisi tsa meriana tsa thibelo ea thibelo ea estrogen ha li sebelisoe habonolo ha li bapisoa le lipilisi tse kopantsoeng, 'me ho na le lipotso mabapi le hore na li nkoa e le tse atlehang.
Lipilisi tsa motsoako li atleha ho thibela bokhachane ho feta "pilisi ea mini." Ha e nkoa ka nepo, pilisi e kopantsoeng e lekantsoe pakeng tsa 91% le 99.9% e sebetsang. (Ha e nkoa ka nepo, pilisi e nyenyane e lekantsoe ho tloha ho 87% ho isa ho 99.7% e sebetsang.)
Haeba u le meriana ea phetoho ea li-hormone 'me u batla ho etsa bonnete ba hore phekolo ea hau ea qoqotho e ke ke ea angoa ke lipilisi tsa meriana le estrogen, leha ho le joalo, u lokela ho buisana ka "pilisi ea mini" le ngaka ea hau ea bophelo bo botle.
4. Nahana ka Patch ea Contraceptive
Ho na le lesela la thibelo ea bokhachane, le sebelisetsoang letlalo, le nang le li-hormone tse tšoanang, tse fanoang ka transdermally (ka letlalo), e le lipilisi tsa molomo. Lihlahisoa tse ling tse tloaelehileng tsa patch li kenyelletsa Ortho Evra le Xulane.
Ts'ebetso ena ea thibelo ea bokhachane ha e ama likhaolo tsa TBG, 'me ka lebaka leo, ha li khone ho fetola mosebetsi oa qoqotho.
Haeba u le meriana ea phetoho ea lihomone tsa qoqotho 'me u batla ho etsa bonnete ba hore phekolo ea hau ea qoqotho e ke ke ea angoa ke lipilisi tsa thibelo ea bokhachane le estrogen, u lokela ho buisana ka khetho ea ho sebelisa patch ea thibelo ea bokhachane le ngaka ea hao ea bophelo bo botle.
5. Nahana ka Transdermal Forms of Hormone Replacement Therapy
Lipatlisiso li bontšitse hore mefuta ea lipalesa feela ea estrogen e na le phello ea litekanyetso tsa TBG. Li-brand-name tse tloaelehileng tsa lipalesa (lipilisi) tsa mofuta oa estrogen-feela kapa li-hormone tse ncha-phetolo tse ncha li akarelletsa Activella, Angeliq, Cenestin, Enjuvia, Estrace, Femhrt, Femtrace, Menest, Prefest, Premarin le Prempro.
Haeba u nahana ka phekolo ea li-hormone e ncha e akarelletsang estrogen, u lokela ho nahana ka mefuta e fetisisang ea estrogen feela kapa ea phetoho ea phetoho ea hormone, e kang li-patches, li-gel, kapa lipilisi tsa botšehali. Lihlahisoa tse tloaelehileng li kenyeletsa sephara sa Alora, Climara patch, Combipatch patch, Gel Divigel, phala ea Extraderm, Estring e kenngoa ka har'a botšehaling, gel ea EstroGel, spel ea Evamist, patch ea Minivell, letlapa la Vagifem le la Vivelle patch.
> Mehloli:
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> Mokhatlo oa Guttmacher. "Ho Sebelisa Bana ba Bang ka Makhetlo a Kopaneng United States: 2016 Sheet Factory." https://www.guttmacher.org/fact-sheet/contraceptive-use-united-states
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