Icyo Umuti wa Antithyroid Uvuga: Ibyo Ukoreshwa, Uburyo Ufatwa, Ingaruka Ziwuranga n'Ibindi

Imiti ya antithyroid ni imiti ifasha kugabanya umuvuduko w'umusemburo wa thyroïde iyo ukora umusemburo wa thyroïde mwinshi cyane. Iyi miti ikora ibuza thyroïde yawe gukora imisemburo myinshi, ibyo bikaba byafasha kugarura uburinganire mu mikorere y'umubiri wawe n'imbaraga zawe.

Niba warabwiwe ko ufite hyperthyroïdie cyangwa thyroïde ikora cyane, muganga wawe ashobora kugusaba iyi miti nk'igice cy'ubuvuzi bwawe. Utekereze nk'amafero yoroheje ya thyroïde yawe, ayifasha gusubira ku muvuduko usanzwe wo gukora imisemburo.

Umuti wa Antithyroid ni Iki?

Umuti wa antithyroid ni ubwoko bw'umuti wagenewe kugabanya umusaruro w'imisemburo ya thyroïde mu mubiri wawe. Imiti ya antithyroid ikoreshwa cyane ni methimazole na propylthiouracil, zikaba zigize itsinda ry'imiti yitwa thionamides.

Iyi miti ntikiza burundu ibibazo bya thyroïde, ariko ishobora gufasha gucunga neza ibimenyetso byawe mugihe uburwayi bwa thyroïde burimo kuvurwa. Akenshi ikoreshwa nk'ubuvuzi bwo hagati mbere y'izindi terapiya nka iodine ya radiyoactive cyangwa kubagwa, cyangwa rimwe na rimwe nk'igisubizo cy'igihe kirekire ku barwayi bamwe.

Muganga wawe azahitamo umuti wa antithyroid ukwiye bitewe n'uburwayi bwawe bwihariye, imyaka yawe, n'ibindi bintu by'ubuzima. Iyi miti yombi ikora kimwe, ariko ifite imitungo itandukanye gato ishobora gutuma imwe ikwira kurusha iyindi.

Umuti wa Antithyroid Ukoreshwa ku Iki?

Imiti ya antithyroid ikoreshwa cyane cyane mu kuvura hyperthyroïdie, uburwayi aho umusemburo wa thyroïde wawe ukora umusemburo wa thyroïde mwinshi cyane. Uyu muti ufasha kugarura urwego rw'imisemburo yawe mu rugero rwiza, ibyo bikaba bishobora guhindura cyane uko wumva uko iminsi igenda.

Indwara isanzwe ivurwa n'imiti nk'iyi ni indwara ya Graves, indwara y'umubiri yirwanya ubwayo ituma umushyukoryi wawe ukora cyane. Ushobora kandi guhabwa iyi miti niba ufite goiter ya multinodular ya toxic cyangwa nodule imwe y'umushyukoryi ukora cyane.

Rimwe na rimwe abaganga bandika imiti irwanya umushyukoryi mbere yo kubaga umushyukoryi kugira ngo bafashe kuringaniza urwego rwa hormone yawe kandi bitume uburyo bwo kubaga burushaho kuba bwiza. Zikoreshwa kandi mu gutegura abarwayi kubera kuvurwa na iodine ya radioactive, zikemeza ko umushyukoryi wawe umeze neza mbere y'uburyo.

Mu bihe bidasanzwe, iyi miti ishobora kwandikwa kubera umuyaga w'umushyukoryi, indwara itera ubuzima bwawe akaga aho urwego rwa hormone y'umushyukoryi rugera ku rwego rwo hejuru cyane. Ariko, ibi bisaba kuvurwa mu bitaro ako kanya hamwe n'indi miti.

Ni gute imiti irwanya umushyukoryi ikora?

Imiti irwanya umushyukoryi ikora ituma umushyukoryi wawe utabasha gukoresha iodine mu gukora hormone y'umushyukoryi. Zibangamira enzyme yitwa thyroid peroxidase, ikenewe cyane mu gukora hormone, mu by'ukuri ishyira feri yoroheje ku mushyukoryi wawe ukora cyane.

Iyi miti ifatwa nk'ikomeye kandi ifite akamaro ku bantu benshi bafite hyperthyroidism. Nubwo zitagira akamaro ako kanya, mubisanzwe uzatangira kubona impinduka mu bimenyetso byawe mu byumweru bike umaze gutangira kuvurwa.

Propylthiouracil ifite akamaro kongeraho kuko nayo ibangamira ihinduka rya hormone ya T4 igahinduka T3 mu bice by'umubiri wawe. Ibi bituma ifite akamaro cyane mu gihe cy'indwara ya hyperthyroidism ikaze cyangwa mu gihe cyo gutwita igihe gukontorora hormone byihuse bikenewe.

Imiti ikora neza iyo ifashwe buri munsi, kuko ikeneye gukomeza urwego ruzigama mu maraso yawe kugira ngo igenzure neza imikorere ya hormone. Umushyukoryi wawe azagabanya buhoro buhoro imikorere ya hormone uko umuti utangira gukora.

Nkwiriye gufata gute imiti irwanya umushyukoryi?

Fata imiti yawe igabanya imisemburo ya thyroïde nk'uko byategetswe na muganga wawe, akenshi unywa ikirahure cyuzuye cy'amazi. Abantu benshi bafata iyi miti banywa mu kanwa, nubwo mu bihe bidasanzwe byo mu bitaro, ishobora gutangwa mu kibuno niba kunywa bidashoboka.

Urashobora gufata iyi miti urya cyangwa utarya, ariko gerageza kubigira akamenyero. Niba umuti utuma wumva utameze neza mu gifu, kuwufata urya cyangwa unywa amata bishobora kugufasha kugabanya ibibazo byo mu gifu ushobora kugira.

Kugira ngo ubashe kubona umuti neza, fata imiti yawe ku gihe kimwe buri munsi kugira ngo ugumane urugero ruzima mu mubiri wawe. Abantu benshi basanga bifasha gushyiraho umwibutso wa buri munsi cyangwa gufata imiti yabo hamwe n'igikorwa gisanzwe cya buri munsi nk'ifunguro rya mu gitondo cyangwa kumesa amenyo.

Niba ufata methimazole, birashoboka ko uzayifata rimwe ku munsi, mugihe propylthiouracil akenshi ifatwa kabiri cyangwa gatatu ku munsi. Muganga wawe azagutangiza urugero runaka kandi ashobora kuruhindura bitewe n'uko umubiri wawe witwara n'ibisubizo by'ibizamini byawe by'amaraso.

Nzamara Igihe Kingana Gite Ndafatwa Iyi Miti Igabanya Imisemburo ya Thyroïde?

Igihe cyo kuvurwa n'imiti igabanya imisemburo ya thyroïde biratandukanye cyane ku muntu ku muntu, akenshi bikaba hagati y'amezi 12 kugeza kuri 18 ku bantu benshi barwaye indwara ya Graves. Muganga wawe azakurikiza uko urimo utera imbere binyuze mu bizamini by'amaraso bya buri gihe kandi ahindure gahunda yawe yo kuvurwa uko bikwiye.

Abantu bamwe barakira indwara kandi bashobora kureka gufata imiti nyuma y'iki gihe cyo kuvurwa. Ariko, abandi bashobora gukenera kuvurwa igihe kirekire cyangwa bashobora guhitamo kuguma ku rugero rwo kubungabunga mu myaka myinshi, cyane cyane niba ubundi buryo bwo kuvura butakwiriye.

Muganga wawe azagabanya buhoro buhoro urugero rwawe uko urugero rw'imisemburo ya thyroïde yawe rugenda rutuza, aho guhagarika imiti mu buryo butunguranye. Ubu buryo bwo kugabanya bufasha kumenya neza ko thyroïde yawe itazongera gukora cyane mu buryo butunguranye.

Niba ufite ubwoko runaka bw'utubumbe twa thyroïde cyangwa uri kwitegura kubagwa cyangwa kuvurwa na iodine ya radiyoactive, ushobora gukenera imiti iyi mu byumweru bike cyangwa amezi. Itsinda ryawe ry'ubuzima rizagena igihe gihwanye n'uko ubuzima bwawe buteye n'intego z'ubuvuzi.

Ni Ibihe Bikorwa Bigaragara by'Imiti Irwanya Thyroïde?

Kimwe n'indi miti yose, imiti irwanya thyroïde ishobora gutera ibikorwa bigaragara, nubwo abantu benshi bayihanganira neza. Ibikorwa bigaragara byinshi ni bike kandi birashobora gucungwa, ariko ni ngombwa kumenya icyo ugomba kwitaho kugirango ushobore kuganira ku mpungenge zose na muganga wawe.

Dore ibikorwa bigaragara bisanzwe ushobora guhura nabyo mugihe ufata iyi miti:

• Uruhu rurashobora kwangirika cyangwa kuribwa
• Kuruka cyangwa kurwara inda
• Umutwe
• Urubavu ruribwa cyangwa kubabara imitsi
• Guhomba umusatsi by'agateganyo
• Impinduka mu buryohe
• Urugero

Ibi bikorwa bisanzwe bigaragara akenshi birakosoka umubiri wawe umaze kumenyera umuti, ariko ntugatinye kuvugana na muganga wawe niba bibaye bibi cyangwa bikomeje.

Nubwo bitagaragara cyane, hariho ibikorwa bigaragara bikomeye bisaba ubufasha bwihutirwa. Ibi bikorwa bigaragara bidakunze kubaho ariko bifite akamaro birimo:

• Kubabara umuhogo cyane cyangwa umuriro (ibimenyetso byo kugabanuka kw'umubare w'uturemangingo tw'amaraso twera)
• Uruhu cyangwa amaso byihindura umuhondo (ibibazo by'umwijima)
• Kunanirwa cyane cyangwa intege nke
• Kuva amaraso cyangwa gukomereka bidasanzwe
• Uruhu rukomeye cyangwa ibibara byose byose
• Kuruka bikomeza

Niba uhuye n'ikimenyetso icyo aricyo cyose gikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa. Muganga wawe ashobora gushaka gukora ibizamini by'amaraso kugirango arebe imikorere y'umwijima wawe n'umubare w'uturemangingo tw'amaraso buri gihe mugihe uri kuri iyi miti.

Ninde Utagomba Gufata Iyi Miti Irwanya Thyroïde?

Imiti igabanya imisemburo ya thyroïde ntikwiriye buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyikwandikira. Abantu bafite ibibazo runaka cyangwa ibihe runaka bashobora gukenera izindi miti yo kuvura ibibazo byabo bya thyroïde.

Ntugomba gufata iyi miti niba ufite allergie izwi kuri methimazole, propylthiouracil, cyangwa ibindi bintu bigize iyi miti. Muganga wawe azitonda kandi mu kuyikwandikira niba ufite ibibazo by'umwijima cyangwa indwara z'amaraso.

Dore ibihe bikeneye kwitonda cyane cyangwa izindi miti:

• Indwara ikomeye y'umwijima cyangwa amateka yo kwangirika kw'umwijima biturutse ku miti
• Umubare muto w'uturemangingo twera tw'amaraso cyangwa indwara zo gupfuka kw'amaraso
• Gusama (propylthiouracil akenshi ikundwa kurusha methimazole)
• Konsa (bisaba gukurikiranwa neza)
• Abana bato cyane (dosing bisaba kwitonderwa by'umwihariko)
• Kubagwa vuba cyangwa indwara ikomeye

Muganga wawe azagereranya neza inyungu n'ibibazo byihariye byawe. N'iyo waba ufite kimwe muri ibi bibazo, urashobora gukomeza gufata imiti igabanya imisemburo ya thyroïde hamwe no gukurikiranwa hafi kandi birashoboka ko hagahindurwa urugero rwa dosing.

Amazina y'ubwoko bw'imiti igabanya imisemburo ya thyroïde

Imiti ibiri y'ingenzi igabanya imisemburo ya thyroïde iboneka mu mazina menshi y'ubwoko, nubwo na verisiyo rusange zikoreshwa cyane. Methimazole igurishwa ku izina ry'ubwoko rya Tapazole, mugihe propylthiouracil akenshi yitwa PTU gusa.

Zombi izina ry'ubwoko na verisiyo rusange zikora kimwe neza, bityo muganga wawe ashobora kwandika kimwe muri byo bitewe n'uko biboneka, igiciro, cyangwa ubwishingizi bwawe. Ibintu bikora ni bimwe niba wakira izina ry'ubwoko cyangwa verisiyo rusange.

Farumasi yawe ishobora gusimbuza hagati y'ubwoko bw'imiti y'izina ry'ubucuruzi n'iy'izina rusange keretse muganga wawe asabye byihariye izina ry'ubucuruzi. Niba ubonye itandukaniro iryo ariryo ryose mu buryo wumva nyuma yo guhindura hagati y'ubwoko bw'imiti, bimenyeshe muganga wawe, nubwo ibi bidakunze kubaho.

Izindi Miti Ishobora Gusimbura Ibyo Kurwanya Umusemburo wa Thyroïde

Niba imiti irwanya umusemburo wa thyroïde itagukwiriye cyangwa idakora neza, hariho izindi miti ikora neza iboneka yo kuvura hyperthyroïdie. Muganga wawe azagufasha gushakisha izi nzira zishingiye ku miterere yawe yihariye n'ibyo ukunda.

Ubuvuzi bwa iodine ya radiyo ni uburyo busanzwe bwo kuvura burimo gufata ikinini cya radiyo kigamije kandi kikarimbura imitsi ya thyroïde ikora cyane. Ubu buvuzi akenshi bukora neza cyane ariko akenshi bituma thyroïde idakora cyane bisaba gusimbuza umusemburo ubuzima bwose.

Kubaga gukuraho igice cyangwa byose bya thyroïde yawe (thyroïdectomie) ni ubundi buryo, cyane cyane kubantu bafite goiters nini cyangwa abatafata izindi miti. Kimwe na iodine ya radiyo, kubaga akenshi bituma biba ngombwa gukoresha ubuvuzi bwo gusimbuza umusemburo wa thyroïde nyuma.

Beta-blockers irashobora gufasha gucunga ibimenyetso nk'umutima utera vuba, guteguka, no guhangayika mugihe izindi miti itangira gukora. Ariko, iyi miti ivura gusa ibimenyetso kandi ntivuga ku birebana n'umusemburo wa thyroïde.

Ese Ibyo Kurwanya Umusemburo wa Thyroïde Biruta Beta-Blockers?

Ibyo kurwanya umusemburo wa thyroïde na beta-blockers bikora mu buryo butandukanye kandi bikora ibintu bitandukanye mu kuvura hyperthyroïdie, bityo kubigereranya mu buryo butaziguye ntabwo ari uburyo bukwiye. Ibyo kurwanya umusemburo wa thyroïde bigabanya koko umusaruro w'umusemburo wa thyroïde, mugihe beta-blockers ifasha gusa gucunga ibimenyetso biterwa n'umusemburo wa thyroïde urenze urugero.

Tekereza kubyerekeye ubu buryo: niba hyperthyroïdie yawe isa n'imodoka ifite accelerator yafashwe, ibyo kurwanya umusemburo wa thyroïde bikemura ikibazo cya accelerator, mugihe beta-blockers isa n'amafero meza agufasha gucunga umuvuduko ariko ntikemura ikibazo cy'ibanze.

Abaganga benshi bandika imiti yombi icyarimwe, cyane cyane iyo ugitangira kuvurwa. Umuti wa beta-blocker ushobora gutanga ubufasha bwihuse ku bimenyetso nk'umutima utera cyane n'umubiri uhinda, mu gihe umuti wa antithyroid ufata igihe kugira ngo ugabanye imisemburo.

Mu gucunga hyperthyroidism igihe kirekire, imiti ya antithyroid akenshi ni ingenzi kuko ikemura ikibazo cy'umuzi. Ariko, muganga wawe ashobora kugusaba gukomeza gukoresha beta-blockers niba ufite izindi ndwara z'umutima cyangwa niba zigufasha kumva umeze neza.

Ibikunze Kubazwa Ku MitI ya Antithyroid

Ese umuti wa Antithyroid ufite umutekano ku ndwara z'umutima?

Imiti ya antithyroid akenshi ifite umutekano ku bantu barwaye indwara z'umutima kandi ishobora no gufasha kurinda umutima wawe mugihe igabanya umunaniro uterwa n'imisemburo ya thyroid nyinshi. Hyperthyroidism ishobora gukomeza indwara z'umutima, bityo kuyivura akenshi bituma umutima wawe ugira ubuzima bwiza.

Ariko, muganga wawe azakugenzura neza niba ufite indwara z'umutima, cyane cyane mu byumweru bya mbere byo kuvurwa. Bashobora kandi kwandika beta-blockers hamwe n'umuti wawe wa antithyroid kugira ngo batange uburinzi bw'umutima bwongerewe mu gihe urwego rw'imisemburo ya thyroid rusanzwe.

Niba ufite indwara zikomeye z'umutima cyangwa umaze iminsi mike ugize umutima, muganga wawe ashobora guhitamo propylthiouracil kurusha methimazole kuko ikora vuba. Bazashaka kandi kukubona kenshi kugira ngo barebe niba umutima wawe ukora neza ku kuvurwa.

Nkwiriye gukora iki niba nkoresheje umuti wa antithyroid mwinshi ku buryo butunguranye?

Niba ufata umuti wawe wa antithyroid mwinshi ku buryo butunguranye, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, niyo wumva umeze neza. Gufata mwinshi bishobora gutuma thyroid yawe idakora neza, bigatuma ugaragaza ibimenyetso nk'umunaniro ukabije, agahinda, cyangwa kumva ukonje cyane.

Ntugerageze kwivugisha umuriro keretse ubisabwe n'umuganga. Ahubwo, nywa amazi menshi kandi ufate urugero rw'imiti yawe kugira ngo utange amakuru y'icyo wafashe n'ingano yacyo.

Gufata imiti yo kuvura umusonga w'amaraso (antithyroid) mu rugero rumwe ntibigira ingaruka zihuse, ariko birashoboka ko uzakenera ibizamini by'amaraso kugira ngo ukurikirane imikorere y'imisemburo yawe mu minsi cyangwa mu byumweru biri imbere. Muganga wawe ashobora guhindura urugero rwawe rusanzwe rw'imiti by'agateganyo cyangwa gutegura gahunda y'izindi gahunda zo gukurikirana.

Nkwiriye gukora iki niba nirengagije urugero rw'umuti wo kuvura umusonga w'amaraso?

Niba wirengagije urugero rw'umuti wawe wo kuvura umusonga w'amaraso, uwufate uko ubyibutse, keretse igihe cyo gufata urugero rukurikira cyegereje. Mur'icyo gihe, reka urugero wibagiwe kandi ukomeze gahunda yawe isanzwe.

Ntufate urugero rurenze rumwe icyarimwe kugira ngo usimbure urugero wibagiwe, kuko ibi bishobora gutuma urugero rw'imisemburo yawe yo mu misemburo y'umubiri rugabanuka cyane. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe igikoresho cyo gutegura imiti kugira ngo bigufashe gukurikirana neza.

Kutafata urugero rimwe na rimwe mubisanzwe ntibigira ingaruka, ariko gerageza gufata imiti yawe buri gihe kugira ngo ubone ibisubizo byiza. Niba wirengagije urugero rwinshi cyangwa ukibagirwa gufata imiti yawe mu gihe kirenga umunsi umwe, vugana na muganga wawe kugira ngo akuyobore uko wakongera gufata imiti yawe mu buryo bwizewe.

Nshobora guhagarika ryari gufata umuti wo kuvura umusonga w'amaraso?

Wagombye guhagarika gufata imiti yawe yo kuvura umusonga w'amaraso gusa uyobowe na muganga wawe, kuko guhagarika kare cyangwa mu buryo butunguranye bishobora gutuma umusonga wawe w'amaraso ugaruka. Muganga wawe azakoresha ibizamini by'amaraso n'ibimenyetso byawe kugira ngo amenye igihe cyiza cyo kugabanya cyangwa guhagarika imiti yawe.

Abantu benshi bafite indwara ya Graves bafata imiti yo kuvura umusonga w'amaraso mu gihe cy'amezi 12 kugeza kuri 18 mbere yo kugerageza guhagarika, ariko bamwe bashobora gukenera kuvurwa igihe kirekire. Muganga wawe azagabanya buhoro buhoro urugero rwawe mu byumweru cyangwa mu mezi menshi aho guhagarika ako kanya.

N'ubwo waba umaze guhagarika imiti neza, uzakenera kujya kwa muganga buri gihe kugira ngo barebe uko umubiri wawe wifashe kandi bakore ibizamini by'amaraso kugira ngo barebe niba imikorere y'umubiri wawe ikora neza. Abantu bamwe na bamwe bagaragaraho ibimenyetso byo kurwara hyperthyroidism nyuma y'amezi cyangwa imyaka, bityo bakaba bashobora kongera gufata imiti cyangwa bagatekereza ku zindi nzira zo kuvurwa.

Nshobora gufata imiti ivura hyperthyroidism ntwite?

Imiti ivura hyperthyroidism ishobora gukoreshwa mu gihe cyo gutwita, ariko bisaba gukurikiranwa neza no kubitekerezaho. Propylthiouracil ikunze gukoreshwa mu gihe cy'amezi atatu ya mbere yo gutwita, naho methimazole ishobora gukoreshwa nyuma y'amezi atatu yo gutwita mu bihe byihariye.

Niba uteganya gutwita cyangwa ukaba waramenye ko utwite ukoresha iyi miti, vugana na muganga wawe ako kanya. Ashobora guhindura ubwoko bw'umuti ukoresha cyangwa urugero rwawo, akagukurikiranira hafi mu gihe cyo gutwita kwawe.

Hyperthyroidism itavuwe mu gihe cyo gutwita ishobora guteza akaga kuri wowe no ku mwana wawe, bityo ni ngombwa gukomeza kuvurwa ukurikiranwa na muganga. Muganga wawe azakoresha urugero ruto rw'umuti rukora neza, akurikirane imikorere y'umubiri wawe ndetse n'imikurire y'umwana wawe neza.