Ho itima lijo, meriana, bokhachane, le bokuli bo tebileng e ka 'na ea e-ba li-Culprits
Hangata liteko tsa mali tsa qoqotho li nepahetse ebile li nepahetse, empa ka linako tse ling lintho tse ling li ka ama liphello tsa motho ka bomong. Ka hona, e le hore u fumane liphello tse tobileng ka ho fetisisa (kapa moratuoa oa hau), ke taba e ntle ho tseba lintlha tsena.
Kamoo ho Itima lijo ho Amang Liteko Tsa Thyroid
Ha ho itima lijo ha ho nkoe ho hlokahala ha u etsa tlhahlobo ea mali ea qoqotho , liphuputso li bontšitse hore hoseng haholo ho itima lijo ho fetolela litekanyetso tse phahameng tsa TSH , ha li bapisoa le tse nkiloeng hamorao motšehare ka ho itima lijo.
Mefuta ena ea ho itima lijo / e sa khaotseng e ka ba bothata haholo ho batho ba nang le subclinical hypothyroidism (e hlalositsoeng ke TSH e phahamisitsoeng ka bonolo le T4 e tloaelehileng ea mahala) kaha ho hlahlojoa le ho shebella boemo bona ho itšetleha feela ka boleng ba TSH (ho tloha ha T4 e tloaelehile).
Ka mantsoe a mang, ho hlahlojoa ha subclinical hypothyroidism ho ka 'na ha haelloa ke hore haeba boleng ba TSH bo batla bo le tlaase ka lebaka la mali a sa itime lijo, a mantsiboea a mantsiboea.
Le hoja sena se bonahala eka ke taba e kholo setšoantšong se seholo, ha u ntse u nka li-hormone tsa qoqotho, mohlomong ho na le kelello ho kenyelletsa mali a hao a TSH a pota-potileng nako e le 'ngoe ea letsatsi le ka mokhoa o ts'oanang (ho itima lijo / ha ho itima lijo) .
Mokhoa oa ho Sebelisa Meriana o Ama Litlhahlobo Tsa Thyroid
Meriana e meng e ka etsa hore qoqotho e se sebetse, e bolelang hore motho a ka hlahisa hypo-hyperthyroidism, ka lebaka la ho noa lithethefatsi. Mehlala e seng mekae ea meriana e kenyelletsa:
- Lithium
- Amiodarone
- Iodine kapa kelp e tlatsetsa
- Lithethefatsi tsa immunomodulating tse kang li-interferon alpha, interleukin-2, le Lemtrada (alemtuzumab)
- Tyrosine kinase inhibitors, joaloka Nexavar (sorafenib) kapa Sutent (sunitinib)
Lithethefatsi tse ling li ka boela tsa kena-kenana le qoqotho ea qoqotho e kenang mofuteng, joaloka calcium carbonate, iron sulfate le proton pump inhibitors Prilosec (omeprazole) le Prevacid (lansoprazole).
Meriana e meng e ka kena-kenana le litekanyetso tsa laboratori tsa qoqotho, empa eseng ka ho sebetsa hantle ha thyroid. Mehlala e seng mekae ea meriana ena e kenyelletsa:
- Tse ling tsa antisteroidal anti-inflammatories (NSAIDs)
- Ba bang ba li-anti-convulsants
- Heparin (mali a tšesaane)
- Lasix (furosemide)
- Glucocorticoids
Qetellong, lipatlisiso li fumanoe hore biotin ea tlatsetso (e nkiloeng ka tekanyo ea limiligrama tse hlano ho isa ho tse 10) e ka kena-kenana le tekanyo ea liteko tsa mali tsa qoqotho. Ka hona, ho buelloa hore batho ba nkang biotin ba e tšoare ka matsatsi a mabeli pele ba e-ba le liteko tsa mali tsa qoqotho.
Kamoo Boimana bo Amang Liteko Tsa Thyroid
Ka lebaka la ho eketseha ha litlhoko tsa metsoako nakong ea bokhachane, ho na le liphetoho tse etsahalang meleng ea qoqotho ea mosali. Ke ka lebaka leo American Thyroid Association e khothalletsang hore ngaka e sebelise li-rang tse ling tsa litšila tsa TSH le li-T4 tsa mahala nakong ea bokhachane.
Kamoo Maloetse a Amang Liteko Tsa Thyroid
Haeba motho a kula haholo, haholo-holo haeba a le sepetlele setsing sa tlhokomelo e matla, boloetse ba bona bo ka ama tsela ea bona ea qoqotho. Ka hara lefu lena, TSH hangata e ka lehlakoreng le tloaelehileng le tlase T4, mahala T4, le T3.
Ka lebaka la tšohanyetso ena, e bitsoang lefu la nonhyroidal kapa "euthyroid syndrome," hangata litsebi li khothalletsa hore lingaka li se ke tsa lekanya liteko tsa mali tsa qoqotho ho bakuli ba kulang haholo ntle le haeba ho belaela ho matla ka lefu la qoqotho.
Lentsoe le Tsoang ho
Qetellong, e le hore u sebetse hantle ka tlhokomelo ea thyroid, etsa bonnete ba hore o tsebisa ngaka haeba ho na le mabaka ana a teng, haholo-holo haeba u imme.
Hopola, leha ho le joalo, haeba liteko tsa hau tsa qoqotho tsa mali li bonahala li le "ntle" ka lebaka le utloahalang, ho pheta phepelo ea mali kamehla ho bonolo ho e etsa, le mohato o latelang o utloahalang.
> Mehloli:
> Barbesino G. Ts'oaetso ea Likokoana-hloko tsa Mabitla a nang le Boikutlo bo Bobebe ba Hyperthyroidism ho Mokuli A nka Biotin Megadoses. Thyroid . 2016 Jun, 26 (6): 860-3.
> Koulouri, O. le Gurnell, M. Tsela ea ho hlalosa litlhahlobo tsa thyroid. Phekolo ea meriana. La 1 June, 2013; 13 (3): 282-286.
> Nair R, Mahadevan S, Muralidharan RS, Madhavan S. Na ho itima lijo kapa boemo ba postpandial ho na le tšebetso ea ho hlahloba mosebetsi oa qoqotho? Ke naan J Endocrinol Metab. 2014 Sep-Oct; 18 (5): 705-07.
> DSs DS. (2017). Tlhahlobo ea laboratabelo ea thyroid. Ka: UpToDate, Cooper DS (Ed), UpToDate, Waltham, MA.