Kei te miharo koe ki te ngaro i te taimaha i te tukinotanga mo te hypothyroidism? Kei te tango koe i te Synthroid, he ingoa waitohu-ingoa levothyroxine, etahi atu rama ranei penei i te Levoxyl ranei Tirosint ? Kei te tango ranei koe i te tarutaru materoi (NDT) mo te taiao ( Nature-throid) ranei, me te ngana tonu ki te ngaro i te taimaha? Mena kei runga koe i te Synthroid, i tetahi atu huringa rero ki te mahi i to hipothyroidism, engari kei te pakari koe ki te kai me te mate taimaha, he mea nui kia mohio koe.
Me hiahia koe ki te whakakore i a koe te rongoā materoka
A, no te mea he hypothyroid koe, he mea nui kia whai hua tou rongoā taika. E tīmata ana ki te whakamahinga tika. Kia mohio koe kaore koe e mahi, e mahi ana ranei i tetahi mea e pa ana ki te whakamahinga nui. Anei etahi aratohu whaihua:
- Tangohia taau rongoā i te ata, ka tatari mo te haora kotahi i mua i te inu i te kawhe , i te waiu ranei, i te kai ranei. Tatari neke atu i te toru ki te wha haora i mua i te tango i nga taputapu kei roto i te rino, te konupūmā ranei, te inu waipiro-wairewa ranei.
- Mena kei te tango koe i te levothyroxine Synthroid, kia mahara kei te Synthroid te acacia me te lactose , he mea mate ki te hunga mate. Mena he hauora koe, he mate mate ranei, whakaarohia te huri ki tetahi atu tohu.
- Mena kei a koe nga take o te keri, me nga tikanga ngahuru katoa pērā i te mate pukupuku o te kiriuroro ranei o te mate o Crohn, korero ki to taakuta mo Tirosint . He mea rongonui tenei, hypoallergenic, levothyroxine wai i roto i te gelcap, i hangaia hei whakapai ake i te whakamahinga.
Me mohio kei te tango koe i te Mote
He mea nui kia tangohia e koe te Synthroid me etahi atu tarukino whakakapi hopi reroid. Ko etahi o nga kaitohutohu ka taea te whakarato i nga rongoā anake hei tiki i to taumata hiroone whakaongaonga (TSH) ki te pito pito o te awhe tohutoro, e tata ana ki te tapawha mo te hypothyroidism.
Kaore pea tenei e ranea ki te whakatau i to tohu me te arotau i to paanga. He maha nga kaitautoko me nga kaimahi e kite ana ko te taumata TSH kei raro 2.0 he tino pai mo te whakatau i nga tohu. Mena kei te pito teitei o te awhe tohutoro, TSH kei a koe, korero ki to taakuta mo te whakanui ake i to hua o te rongoā taiu.
Ka Me Me Mea T3
Ko nga taero Levothyroxine rite te Synthroid he ahua waihanga o te thyroxine thyroid hormonone, ano hoki ko te T4. Ina mahi nga mea katoa, kia hurihia e te tinana te T4 ki roto i te hiroone tuarua o te thyroid, triiodothyronine, e mohiotia ana ko T3. Ko te T3 te hormone kaha e awhina ana i te kaha me te hauora tae atu ki o puna. Ko nga rangahau e whakaatu ana, i roto i te waahi o te mate o te materoi, he kino tenei tukanga whakahuri. Ahakoa he rerekētanga o te ira, he uaua, he whaikorero kai ranei, kaore enei maimoatanga e whai hua ki te tahuri T4 ki T3. Mena ka hinga koe ki tenei waahanga, ka kitea e koe ahakoa ka tukinotia koe me te tarukino levothyroxine ano he Synthroid, ka taea pea e koe he taimaha, kaore ranei e taea te ngaro te taimaha. Ka taea ano e koe etahi atu tohu tohu hypothyroidism , pēnei i te ngoikore, te mate makawe, te pupuhi roro ranei.
Ka whai hua koe mai i te tua o T3 ki to revothyroxine ki te hamani i to hipothyroidism.
Anei etahi aratohu:
- Me tono atu ki to taakuta kia whakamatautau i to tiotororonetine korekore, e mohiotia ana ko T3. Mena he iti iho, he iti noa iho ranei nga tikanga, ka hiahia pea koe ki te tono i to kaiwhakawhiwhi hauora ki te whakauru i te T3. Ka taea tenei ki te whakamahi i te Cytomel tarukino ingoa waitohu, te nui o te T3 te terethyronine tarukino, te whakatikatika ranei, te whakarahi, te terethyronine i te wa.
- Mena he pai noa nga taumata T3 kore, engari he tohu tohu hypothyroidism e mohiotia ana, tae atu ki nga wero taimaha, me tono kia whakamatautauhia to T3 whakamuri. Ko nga taumata tiketike o tenei ahuakore o te T3 ka awhina i te kaha o to tinana ki te whakaora i te T3 kaha ki o raau me oana. Ko te whakauru i te T3 ki to maimoatanga i tenei take ka awhina i te whakatau i o tohu.
Ka hiahia koe ki te whakamaroke i te taiao
Ko etahi o nga kaitautoko o te taiora e whakamatautau i te tarukino levothyroxine rite te Synthroid, nga rama rereke, me te whakauru i te tarukino T3, kaore tonu e taea te whakatau i nga tohu. Mena koinei to wheako, ka hiahia pea koe ki te korero ki to kaiwhakaako mo te whakamatautau i te tawhitinga tawhito o te tairoi (NDT) e rite ana ki te Nature-throid or Thyor Thyroid. Kei reira hoki he putanga tawhito o NDT e mohiotia ana ko Thyroid NP. He iti nei te rangahau mo te NDT, engari kotahi rangahau whai hua i kitea ko te NDT he waahi haumaru me te whai hua ki nga raau taero o te levothyroxine, a, i puta ai he mate taimaha atu mo nga turoro .
He Kupu mai i
Ahakoa kaore e pa ana ki a Synthroid, ki etahi atu whakamahinga o te rongoā taikaro, kei te hono tetahi o to hypothyroidism me te waahi o te piki ake o te huka toto me te mate huka 2. Mena kua tohua e koe te maimoatanga hypothyroidism i runga i te Synthroid, i tetahi atu tarukino, kei te ngana tonu hoki ki te ngaro i te taimaha, korero ki to taakuta mo te whakamatau i to kuku me te hemoglobin A1C (HA1C). Mena he tiketike nga taumata, he rereke te whakarereke i to kai me te mahi, me nga momo mate pukupuku 2 ano he metformin, ka awhina i te whakatauira i nga taumata o te huka toto, me te kaha ake o nga taumaha o te mate.
> Mahinga:
> Celi FS, et al. "Ngā pānga mate o te hauthyronine therapy i roto i te hypothyroidism: he randomized, rua-matapo, whakamātautau rerekē o te liothyronine me te levothyroxine." J Clin Endocrinol Metab. 2011 Noema; 96 (11: 3466-74 .i: 10.1210 / jc.2011-1329. Pipiri 2011 Aug 24.
> Garber, J, Cobin, R, Gharib, H, et. al. Ko nga Aratohu Whakangungu Hauora mo te Hypothyroidism i roto i nga Paari: I tautokohia e te American Association of Clinical Endocrinologists me te American Thyroid Association. Mahi Whakamutunga. Vol 18 No. 6 Noema / Hakihea 2012.
> Hoang TD, et al. "Ko te toro o te taikaro ki a koe me te levothyroxine i roto i te maimoatanga o te hypothyroidism: he matarangi, he matapo, he matapo, he whakawhitiwhiti." J Clin Endocrinol Metab. 2013 Haratua; 98 (5): 1982-90. doi: 10.1210 / jc.2012-4107. Apub 2013 Mar 28.
> Lambadiari, V et al. "Ko nga hormones thyroid te tino whai pānga ki te whakatairanga o te insulin i te tīmatanga o te whanaketanga o te mate huka 2." Endocrine. Hui-tanguru 2011, Putanga 39, Putanga 1, pp 28-32
> McAninch EA, Bianco AC. "Ko te History me te Future o te Treatment o Hypothyroidism." Ann Intern Med. 2016 Hānuere 5; 164 (1): 50-6. doi: 10.7326 / M15-1799. Erratum i: Ann Intern Med. 2016 Mar 1; 164 (5): 376. PMID: 26747302