Chii chinonzi Mushonga weAntithyroid: Zvaunoshandisa, Mishonga, Migumisiro Yakaipa nezvimwe

Mishonga yeAntithyroid mishonga inobatsira kuderedza shwanu inoshanda zvakanyanya kana ichigadzira mahomoni akawandisa e thyroid. Mishonga iyi inoshanda nekudzivisa thyroid yako kubva pakugadzira mahomoni akawandisa, izvo zvinogona kubatsira kudzorera chiyero kune metabolism yako nemazinga esimba.

Kana wakaudzwa kuti une hyperthyroidism kana thyroid inoshanda zvakanyanya, chiremba wako anogona kukurudzira mishonga iyi sechikamu chechirongwa chako chekurapa. Funga nezvavo semabhureki akapfava e thyroid yako, achiibatsira kudzokera kune yakajairika yekugadzirwa kwemahomoni.

Chii chinonzi Mushonga weAntithyroid?

Mushonga weantithyroid imhando yemushonga wakagadzirirwa kuderedza kugadzirwa kwemahomoni e thyroid mumuviri wako. Mishonga inonyanya kunyorerwa antithyroid ndeye methimazole uye propylthiouracil, iyo iri muchikamu chemishonga inonzi thionamides.

Mishonga iyi haiporesi matambudziko e thyroid zvachose, asi inogona kubata zviratidzo zvako zvakanaka apo mamiriro ako e thyroid ari kurapwa. Anowanzo shandiswa sechirapa chebhureji pamberi pezvimwe zvirapi zvakaita se radioactive iodine kana kuvhiyiwa, kana dzimwe nguva semhinduro yenguva refu kune vamwe varwere.

Chiremba wako achasarudza mushonga weantithyroid wakakodzera zvichienderana nemamiriro ako chaiwo, zera, uye zvimwe zvinhu zveutano. Mishonga yese inoshanda zvakafanana, asi vane zvishoma zvakasiyana zvinogona kuita kuti imwe ikukodzere iwe pane imwe.

Chii chinonzi Mushonga weAntithyroid Unoshandiswa?

Mishonga yeAntithyroid inonyanya kushandiswa kurapa hyperthyroidism, mamiriro apo shwanu yako inogadzira mahomoni akawandisa e thyroid. Mushonga uyu unobatsira kuunza mazinga ako emahormone kudzokera kune hutano, izvo zvinogona kuvandudza zvakanyanya manzwiro ako zuva nezuva.

Mamiriro akajairika anorapwa nemishonga iyi chirwere cheGraves, chirwere chemuviri chinokonzera kuti thyroid yako ive yakanyanya kushanda. Unogonawo kupihwa mishonga iyi kana uine toxic multinodular goiter kana imwe nodule ye thyroid inoshanda zvakanyanya.

Dzimwe nguva vanachiremba vanonyora mishonga inorwisa thyroid vasati vaita kuvhiyiwa kwe thyroid kubatsira kugadzirisa mazinga emahormone ako uye kuita kuti maitiro acho ave akachengeteka. Anoshandiswawo kugadzirira varwere kurapwa kwe iodine yeradioactive, vachiva nechokwadi chokuti thyroid yako iri mumamiriro akanaka zvikuru maitiro asati aitwa.

Muzviitiko zvisingawanzoitiki, mishonga iyi inogona kunyorerwa thyroid storm, mamiriro anotyisidzira upenyu apo mazinga emahormone e thyroid anova akakwirira zvinotyisa. Zvisinei, izvi zvinowanzoita kuti urapwe muchipatara nekukurumidza pamwe chete nemimwe mishonga.

Mishonga Inorwisa Thyroid Inoshanda Sei?

Mishonga inorwisa thyroid inoshanda nekukanganisa kugona kwe thyroid yako kushandisa iodine kugadzira mahormone e thyroid. Anovharira enzyme inonzi thyroid peroxidase, iyo yakakosha pakugadzirwa kwemahormone, zvichinyatsoisa mabhureki akapfava pa thyroid yako inoshanda zvakanyanya.

Mishonga iyi inoonekwa seyakasimba zvine mwero uye inoshanda kune vanhu vazhinji vane hyperthyroidism. Kunyange zvazvo isingashandi pakarepo, iwe unowanzo kutanga kuona kuvandudzwa muzviratidzo zvako mukati memavhiki mashoma ekutanga kurapwa.

Propylthiouracil ine imwe mhinduro nokuti inovharirawo shanduko yeT4 kuita T3 mahormone mumuviri wako. Izvi zvinoita kuti zvive zvakanyanya kubatsira muzviitiko zvakakomba zve hyperthyroidism kana panguva yekuzvitakura apo kukurumidza kutonga kwehomoni kunodiwa.

Mishonga inoshanda zvakanakisisa kana ichitorwa nguva dzose zuva rega rega, sezvo ichifanira kuchengetedza mazinga akagadzikana mumuviri wako kuti udzore kugadzirwa kwemahormone. Thyroid yako ichaneta zvishoma nezvishoma kugadzirwa kwemahormone sezvo mushonga uchishanda.

Ndinofanira Kutora Sei Mishonga Inorwisa Thyroid?

Tora mushonga wako weantithyroid sezvakanyorwa nachiremba wako, kazhinji negirazi remvura izere. Vanhu vazhinji vanotora mishonga iyi nemuromo, kunyangwe mumamiriro ezvinhu asingawanzoitiki muchipatara, inogona kupihwa murectally kana kumedza kusingagoneki.

Unogona kutora mishonga iyi uine kana usina chikafu, asi edza kuenderana nesarudzo yako. Kana mushonga ukakutsamwisa dumbu rako, kuutora nechikafu kana mukaka kunogona kubatsira kuderedza chero kusagadzikana kwekugaya kwaungave uine.

Kuti uwane mhedzisiro yakanaka, tora mushonga wako panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana mumuviri wako. Vanhu vazhinji vanoona zvichibatsira kumisa chiyeuchidzo chezuva nezuva kana kutora mishonga yavo nechiitiko chezuva nezuva chakajairika sekudya kwemangwanani kana kukwesha mazino avo.

Kana iwe uchitora methimazole, iwe ungangotora kamwe chete pazuva, nepo propylthiouracil inowanzo torwa kaviri kana katatu pazuva. Chiremba wako achakutanga padosi chaiyo uye anogona kuigadzirisa zvichienderana nekuti muviri wako unopindura sei uye mhedzisiro yebvunzo yeropa rako.

Ndingatora Kwenguva Yakareba Sei Antithyroid Agent?

Kureba kwekurapa kweantithyroid kunosiyana zvakanyanya kubva kumunhu nemunhu, kazhinji kubva pa12 kusvika ku18 mwedzi kune vanhu vazhinji vane chirwere cheGraves. Chiremba wako achatarisa kufambira mberi kwako kuburikidza nebvunzo dzeropa dzenguva dzose uye achagadzirisa chirongwa chako chekurapa zvinoenderana.

Vamwe vanhu vanowana remission uye vanogona kurega kutora mushonga mushure menguva yekutanga yekurapa. Zvisinei, vamwe vangada kurapwa kwenguva refu kana vangasarudza kugara pane dosi rekuchengetedza kwemakore akati wandei, kunyanya kana dzimwe sarudzo dzekurapa dzisina kukodzera.

Chiremba wako achaderedza zvishoma nezvishoma dosi rako sezvo mazinga emahormone ako ethyroid achigadzikana, pane kumisa mushonga kamwe kamwe. Iyi nzira yekudzikisa inobatsira kuona kuti thyroid yako haizove yakanyanya kushanda zvakare.

Kana uine mhando dzakasiyana dze thyroid nodules kana uri kugadzirira kuvhiwa kana kurapwa ne radioactive iodine, unogona kungoda mishonga iyi kwemavhiki mashoma kusvika kumwedzi. Chikwata chako chehutano chichagadzira nguva yakatarwa inoenderana nemamiriro ako ezvinhu uye zvinangwa zvekurapa.

Ndezvipi Zvakaipa ZveAntithyroid Agent?

Semishonga yese, antithyroid agents inogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vachivatambira zvakanaka. Mazhinji emhedzisiro idiki uye inogoneka, asi zvakakosha kuziva zvekutarisa kuti ugone kukurukura chero zvinokunetsa nachiremba wako.

Heano mhedzisiro yakajairika yaungasangana nayo uchitora mishonga iyi:

• Meno paganda kana kukwenya
• Kusvotwa kana dumbu rinogumbuka
• Kutemwa nemusoro
• Kurwadziwa mumajoini kana kurwadziwa kwemhasuru
• Kurasikirwa kwebvudzi kwenguva pfupi
• Kuchinja mukuravira
• Dizziness

Izvi zvakajairika mhedzisiro zvinowanzoita nani sezvo muviri wako uchigadzirisa kumishonga, asi usazeza kubata chiremba wako kana vakava vanonetsa kana kuramba vachiripo.

Kunyange zvisingawanzoitiki, kune mamwe mhedzisiro yakakomba inoda kutariswa kwekurapa nekukurumidza. Izvi zvisingawanzoitiki asi zvakakosha mhedzisiro zvinosanganisira:

• Kukosora kwakanyanya kana fivha (zviratidzo zvehuwandu hweropa jena)
• Kusviba kweganda kana maziso (matambudziko echiropa)
• Kuneta kwakanyanya kana kusimba
• Kubuda ropa kusinganzwisisike kana kupwanya
• Maitiro eganda akakomba kana meno akapararira
• Kurutsa kunoramba kuripo

Kana iwe ukaona chero eaya akakomba zviratidzo, bata mupi wako wehutano nekukurumidza kana kutsvaga kutarisirwa kwekurapa nekukurumidza. Chiremba wako anogona kuda kuita bvunzo dzeropa kuti atarise basa rechiropa chako uye kuverenga maseru eropa nguva dzose paunenge uri pamishonga iyi.

Ndiani Asingafaniri Kutora Antithyroid Agent?

Mishonga inorwisa thyroid haina kukodzera munhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yezvokurapa asati akuraira. Vanhu vane mamiriro akati kana mamiriro anogona kuda mamwe marapirwo ematambudziko avo e thyroid.

Haufanire kutora mishonga iyi kana uchiziva kuti une allergy ku methimazole, propylthiouracil, kana chero zvinhu zviri mumishonga iyi. Chiremba wako achavawo akangwarira nezvekukupa mishonga iyi kana uine mamwe mamiriro echiropa kana matambudziko eropa.

Heano mamiriro apo kungwarira kwakawanda kana mamwe marapirwo angadiwa:

• Chirwere chechiropa chakakomba kana nhoroondo yekukuvara kwechiropa kunokonzerwa nemishonga
• Kuverenga kwakaderera kwemasero machena eropa kana matambudziko ekuumbwa kweropa
• Kuzvitakura (propylthiouracil inowanzo sarudzwa pamusoro pe methimazole)
• Kuyamwisa (kunoda kunyatso tariswa)
• Vana vadiki zvikuru (kushandisa mishonga kunoda kufunga kwakakosha)
• Kuvhiyiwa kukuru kwemazuva ano kana chirwere chakakomba

Chiremba wako achayerera zvakanakira nenjodzi zvakanyatsoenderana nemamiriro ako chaiwo. Kunyangwe uine chimwe chezvinhu izvi, unogona kutora mushonga unorwisa thyroid nekutarisa pedyo uye pamwe nekugadzirisa muyero.

Mazita emhando yemishonga inorwisa thyroid

Mishonga miviri mikuru inorwisa thyroid inowanikwa pasi pemazita akati wandei emhando, kunyangwe mhando dzakajairika dzichiwanzorairwa. Methimazole inotengeswa pasi pezita remhando Tapazole, nepo propylthiouracil ichiwanzonzi PTU.

Zvese zviri zviviri zita remhando uye mhando dzakajairika zvinoshanda zvakaenzana, saka chiremba wako anogona kuraira chero zvichienderana nekuwanikwa, mutengo, kana inishuwarenzi yako. Zvinhu zvinoshanda zvakafanana zvaunowana zita remhando kana vhezheni yakajairika.

Chitoro chako chemishonga chinogona kutsiva pakati pemhando dzakasiyana uye dzisina zita rekambani kunze kwekunge chiremba wako achikumbira zita rekambani. Kana ukaona misiyano mune manzwiro ako mushure mekutsauswa pakati pemhando dzakasiyana, zivisa chiremba wako, kunyangwe izvi zvisingawanzoitiki.

Zvimwe Zvinotsiva Zvinhu zveAntithyroid

Kana mishonga yeantithyroid isina kukodzera iwe kana isingashande zvakanaka, pane dzimwe nzira dzekurapa dzinoshanda dzinowanikwa dzekurapa hyperthyroidism. Chiremba wako achakubatsira kuongorora sarudzo idzi zvichienderana nemamiriro ako chaiwo uye zvaunofarira.

Kurapa neiodine yeradioactive inzira yakajairika inosanganisira kutora piritsi re radioactive rinovavarira uye rinoparadza tishu ye thyroid inoshanda zvakanyanya. Kurapa uku kazhinji kunoshanda zvakanyanya asi kazhinji kunoguma ne thyroid isingashande zvakanyanya inoda kutsiva mahomoni ehupenyu hwese.

Kubviswa kwechikamu kana zvese zve thyroid yako (thyroidectomy) imwe sarudzo, kunyanya kune vanhu vane goiters hombe kana avo vasingakwanise kutora mamwe marapirwo. Kufanana ne radioactive iodine, kuvhiyiwa kazhinji kunotungamira mukuda kurapwa nekutsiva mahomoni e thyroid mushure meizvozvo.

Beta-blockers inogona kubatsira kutarisira zviratidzo zvakaita sekurova kwemoyo nekukurumidza, kuzununguka, uye kushushikana apo mamwe marapirwo ari kushanda. Zvisinei, mishonga iyi inongorapa zviratidzo uye haitarise kuwandisa kwehomoni ye thyroid.

Ko Antithyroid Agent iri Nani Kupfuura Beta-Blockers?

Antithyroid agents uye beta-blockers zvinoshanda zvakasiyana uye zvinoshanda zvakasiyana mukurapa hyperthyroidism, saka kuenzanisa zvakananga hakusi nzira chaiyo. Mishonga yeAntithyroid inoderedza kugadzirwa kwehomoni ye thyroid, nepo beta-blockers inongobatsira kutarisira zviratidzo zvinokonzerwa nekuwandisa kwehomoni ye thyroid.

Funga nezvazvo nenzira iyi: kana hyperthyroidism yako yakaita semotokari ine accelerator yakabatikana, antithyroid agents inogadzirisa dambudziko re accelerator, nepo beta-blockers yakaita semabhureki ari nani anokubatsira kutarisira kumhanya asi haagadzirise nyaya iri pasi.

Vanachiremba vazhinji vanoraira mhando mbiri dzemishonga pamwechete, kunyanya kana uchitanga kurapwa. Iyo beta-blocker inogona kupa rubatsiro rwekukurumidza kubva kuzviratidzo zvakaita sekurova kwemoyo nekukurumidza uye kuzununguka apo mumiririri weantithyroid anotora nguva kuderedza kugadzirwa kwehomoni.

Kuti utarisire hyperthyroidism kwenguva refu, vamiririri veantithyroid vanowanzonyanya kukosha nekuti vanogadzirisa chikonzero chikuru chematambudziko. Zvisinei, chiremba wako angakurudzira kuenderera mberi nebeta-blockers kana uine mamwe mamiriro emoyo kana kana vachikubatsira kuti unzwe wakasununguka.

Mibvunzo Inowanzo Bvunzwa Pamusoro peVamiririri veAntithyroid

Mishonga yeAntithyroid Yakachengeteka Here Kune Zvirwere Zvemoyo?

Vamiririri veAntithyroid vanowanzova vakachengeteka kune vanhu vane chirwere chemoyo uye vanogona kubatsira kuchengetedza moyo wako nekuderedza kushushikana kunokonzerwa nehomoni ye thyroid yakawandisa. Hyperthyroidism inogona kuwedzera mamiriro emoyo, saka kuirapa kazhinji kunovandudza hutano hwemoyo wako hwese.

Zvisinei, chiremba wako achakutarisa zvakanyanya kana uine chirwere chemoyo, kunyanya mumavhiki ekutanga ekurapa. Vanogona zvakare kuraira beta-blockers pamwe chete nemishonga yako yeantithyroid kuti ipe imwe nzvimbo yekudzivirira moyo apo mazinga ako ehomoni ye thyroid anojairika.

Kana uine chirwere chemoyo chakakomba kana uchangobva kurwara nekurwisa kwemoyo, chiremba wako angasarudza propylthiouracil pamusoro pe methimazole nekuti inoshanda nekukurumidza. Vachadawo kukuona kazhinji kuti vaone kuti moyo wako uri kupindura zvakanaka kurapwa.

Ndoita Sei Kana Ndikashandisa Mishonga yeAntithyroid Yakawandisa Netsaona?

Kana ukatora mishonga yako yeantithyroid yakawandisa netsaona, taura nachiremba wako kana nzvimbo yekudzora muchetura nekukasira, kunyangwe ukanzwa zvakanaka. Kutora zvakanyanya kunogona kukonzera kuti thyroid yako ive isingashande, zvichikonzera zviratidzo zvakaita sekuneta zvakanyanya, kuora mwoyo, kana kunzwa kutonhora zvakanyanya.

Usayedze kuzviita kuti urutse kunze kwekunge wakanzi na chiremba. Pane kudaro, inwa mvura yakawanda uye tora bhodhoro remushonga wako kuti upe ruzivo nezve zva watora uye zvakawanda sei.

Kunyanya kudhakwa kamwe chete nemushonga weantithyroid hakuna njodzi pakarepo, asi ungangoda bvunzo dzeropa kuti uongorore basa rethyroid yako mumazuva mashoma kana mavhiki anotevera. Chiremba wako anogona kugadzirisa dose yako yenguva dzose kana kuronga mamwe maapointments ekutevera.

Ndoita Sei Kana Ndakanganwa Dose yeAntithyroid Agent?

Kana ukakanganwa dose yemushonga wako weantithyroid, tora nekukasira paunorangarira, kunze kwekunge yava nguva yekuita dose yako inotevera. Muchiitiko ichocho, siya dose yakakanganwa uye uenderere mberi nechirongwa chako chemazuva ese.

Usatore madosi maviri panguva imwe chete kuti ugadzirise dose yakakanganwa, sezvo izvi zvinogona kukonzera kuti mazinga ehomoni ye thyroid yako adzikire zvakanyanya. Kana iwe uchikanganwa madosi kazhinji, funga kuisa zviyeuchidzo zvefoni kana kushandisa chirongwa chemushonga kuti zvikubatsire kuti urambe uri munzira.

Kukanganwa dose dzimwe nguva kazhinji hakukuvadzi, asi edza kutora mushonga wako nguva dzose kuti uwane mhedzisiro yakanaka. Kana ukakanganwa madosi akati wandei kana kukanganwa kutora mushonga wako kwemazuva anopfuura rimwe, taura nachiremba wako kuti uwane gwara rekuti ungadzokera sei kurapwa kwako zvakachengeteka.

Ndingamira Rini Kutora Antithyroid Agent?

Unofanira kungomira kutora mushonga wako weantithyroid pasi pekutariswa nachiremba wako, sezvo kumira nekukurumidza kana nekukurumidza kunogona kukonzera kuti hyperthyroidism yako idzoke. Chiremba wako achashandisa bvunzo dzeropa uye zviratidzo zvako kuti aone kana zvakachengeteka kuderedza kana kumisa mushonga wako.

Vanhu vazhinji vane chirwere cheGraves vanotora mushonga weantithyroid kwemwedzi gumi nemiviri kusvika gumi nemasere vasati vaedza kumira, asi vamwe vangada kurapwa kwenguva refu. Chiremba wako achaderedza zvishoma nezvishoma dose yako kwemavhiki akati wandei kana mwedzi panzvimbo yekumisa kamwe kamwe.

Kunyangwe mushure mekumisa mushonga zvinobudirira, unozoda kugara uchienda kunoona chiremba uye kuongororwa ropa kuti uone kuti thyroid yako inoramba yakagadzikana. Vamwe vanhu vanowana hyperthyroidism zvakare mwedzi kana makore gare gare uye vanogona kuda kutangazve kurapwa kana kufunga nezve mamwe marapirwo.

Ndingatora Mushonga weAntithyroid Panguva Yekuzvitakura Here?

Mishonga yeAntithyroid inogona kushandiswa panguva yekuzvitakura, asi inoda kunyatso tariswa nekufungwa. Propylthiouracil inowanzo shandiswa mukota yekutanga yekuzvitakura, nepo methimazole inogona kushandiswa gare gare mukuzvitakura pasi pemamiriro akatarwa.

Kana uri kuronga kuva nepamuviri kana kuona kuti une pamuviri uchitora mishonga iyi, taura nachiremba wako nekukasira. Vanogona kuda kugadzirisa rudzi rwemushonga wako kana muyero uye kukutarisa zvakanyanya panguva yekuzvitakura kwako.

Hyperthyroidism isina kurapwa panguva yekuzvitakura inogona kuva nenjodzi kwauri nemwana wako, saka zvakakosha kuti uenderere mberi nekurapwa pasi pekutariswa kwechiremba. Chiremba wako achashandisa muyero wakaderera unoshanda uye achanyatso tarisa basa rethyroid yako nekukura kwemwana wako.