2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:25
Cov thyroid caj pas ua lub luag haujlwm tseem ceeb hauv kev noj qab haus huv ntawm tib neeg lub cev. Cov kab mob endocrine yog nyob ze nrog lwm tus. Yog li ntawd, kev cuam tshuam ntawm kev ua haujlwm ntawm ib qho cuam tshuam rau txhua lub tshuab cuam tshuam nrog nws.
Koj yuav tsum paub dab tsi?
Nrog tsis txaus cov thyroid hormones, cov kab mob xws li lub plawv raug kev txom nyem. Cov neeg mob feem ntau yws yws ntawm lub plawv dhia, ua tsis taus pa, nkees.
Hormon deficiency muaj qhov cuam tshuam tshwj xeeb rau tib neeg lub paj hlwb. Qhov no tshwm sim nyob rau hauv kev hloov tus cwj pwm, inconstancy ntawm mus ob peb vas, tsis muaj peev xwm ntawm ib tug neeg los tswj nws tus kheej kev xav.
Cov keeb kwm hormonal cuam tshuam, vim cov thyroid hormones ncaj qha cuam tshuam rau cov tshuaj hormones ntawm qhov chaw mos. Hauv cov poj niam, qhov no tshwm sim nws tus kheej hauv kev ua txhaum ntawm kev coj khaub ncaws. Thaum tsis ua tiav ntawm kev coj khaub ncaws, qhov ua tau ntawm kev xav tsis suav nrog.
Qhov txawv ntawm hyperfunction thiab hypofunction ntawm cov thyroid caj pas. Ib qho kev sib txawv ntawmtus txheej txheem yog pathology. Hyperfunction, los yog ntau lawm ntawm cov tshuaj hormones, cuam tshuam qhov nce hauv cov ntshav thiab intraocular siab. Cov tsos mob tshwm sim yog bulging ntawm lub qhov muag. Thaum cev xeeb tub, ntau cov thyroid hormones tuaj yeem ua rau muaj kev hem thawj ntawm kev yug ntxov ntxov, rho menyuam tawm tsis tu ncua.
Hypofunction, ntawm qhov tsis sib xws, yog tus cwj pwm los ntawm kev txo qis hauv cov tshuaj hormones. Tus kab mob no hu ua hypothyroidism. Cov mob no tsis tshua muaj tshwm sim yog qhov ua rau muaj menyuam tsis taus, thiab thaum cev xeeb tub tuaj yeem ua rau fetal malformations thiab intrauterine tuag. Yog li ntawd, kev kho mob yuav tsum pib sai li sai tau thaum pom qhov teeb meem. Txij li thaum tsis muaj cov thyroid hormones, nws yog qhov tsim nyog los sau tshuaj hloov kho. "L-Thyroxine" thiab "Iodomarin" yog dav siv thaum cev xeeb tub.
Thaum teem caij?
Cov tshuaj no yog qhia nyob rau hauv kev kho mob ntawm diffuse euthyroid goiter. Nws yog siv los ua prophylaxis rau rov tshwm sim ntawm nodular goiter. Tsis tas li ntawd nrog malignant neoplasms, xws li kab mob endocrinological li myxedema, cretinism. "L-Thyroxine" yog qhov tseem ceeb rau kev tshem tawm ib nrab lossis ua tiav ntawm cov thyroid caj pas.
Thaum "L-Thyroxine" raug tshuaj thaum cev xeeb tub:
- Yog ib tug poj niam mob ua ntej cev xeeb tub thiab tab tom kho, tshuaj txuas ntxiv mus.
- Thaum cev xeeb tub, muaj ntau yam cuam tshuam hauv kev ua haujlwm ntawm cov thyroid caj pas. Yog vim li cas rau qhov no yog kev hloov ntawm tus poj niam lub cev rau cov xwm txheej tshiab. Kev hloov kho ntawm txhua lub tshuab rau kev tsim cov embryo tuaj yeem ua rau muaj kev cuam tshuam ntawm lub neej ib txwm muaj ntawm tus poj niam cev xeeb tub. Tom qab ntawd nws raug nquahu kom pib noj "L-thyroxine". Cov tshuaj tsis ua mob rau lub embryo. Nws tsis muaj tshuaj lom, mutagenic nyhuv. Los ntawm cov placental barrier tsis nkag mus. Tag nrho cov no pab txhawb rau kev siv tshuaj.
Txoj kev noj "L-Thyroxine"
Raws li kev tshuaj xyuas, "L-Thyroxine" pab tau zoo thaum cev xeeb tub. Cov tshuaj yog cov tshuaj hormones hluavtaws. Cov tshuaj nquag yog levothyroxine. Hauv lub cev, nws ua haujlwm uas cov tshuaj hormones uas ploj lawm ib txwm ua. Nws tswj cov metabolism, cuam tshuam rau kev loj hlob ntawm cov hlwb, pab hauv kev ua haujlwm ntawm cov hlab plawv, thiab tseem txhawb nqa lub hauv paus paj hlwb.
Hauv thawj peb lub hlis twg ntawm cev xeeb tub, "L-Thyroxin" koom nrog hauv kev loj hlob ntawm embryo. Hauv lub hlis tom ntej, nws pab cov thyroid caj pas ntawm tus me nyuam hauv plab.
Nws yog qhov yuav tsum tau noj "L-Thyroxine" nkaus xwb raws li tus kws kho mob endocrinologist qhia. Koj tsis tuaj yeem teem lossis hloov koob tshuaj koj tus kheej.
Recommendations
Muaj qee yam ntawm kev noj tshuaj. Thaum siv "L-Thyroxine" thaum cev xeeb tub, cov lus qhia yog raws li nram no:
- Yuav tsum noj ntsiav tshuaj ib nrab teev ua ntej noj mov.
- Haus dej kom ntau, haus lwm yam tsis raug qhia.
- Rau noj tshaistxwv tsis pub haus kas fes, mis nyuj, noj nqaij yuav tsum tau ncua mus txog rau ib nrab hnub.
- Nws yooj yim dua los yuav cov ntsiav tshuaj nrog qhov puv thiab xav tau ntau npaum li cas. Qhov no yuav txo qhov kev pheej hmoo ntawm kev noj tshuaj tsis raug.
- Yog tias thaum sawv ntxov tsis noj, nws pom zoo kom haus cov tshuaj tsis pub dhau 3-4 teev tom qab noj mov.
- Yuav tau faib cov tshuaj ua ob peb zaug hauv ib hnub, yog tias cov tshuaj tsis txaus siab.
Khoom noj khoom haus
"L-Thyroxine 50" thaum cev xeeb tub tsis zoo nrog ntau lwm yam tshuaj, yog li koj yuav tsum qhia tus kws kho mob tam sim ntawd ntawm cov npe tshuaj noj. Nws tuaj yeem hloov cov nyhuv ntawm cov tshuaj tiv thaiv kev ntxhov siab, tshuaj txo cov suab thaj, tshuaj tiv thaiv coagulants. Nws raug nquahu kom tsis txhob siv cov tshuaj uas muaj iodine, vitamins, mineral complexes tib lub sijhawm. Kev npaj calcium tuaj yeem noj tau ob peb teev tom qab noj "L-Thyroxine".
Yog tias qhov koob tshuaj "L-Thyroxine" thaum cev xeeb tub tsuas yog xaiv, ces nws yog ib qho tseem ceeb kom tswj cov qib ntawm cov tshuaj hormones hauv cov ntshav. Qhov zaus ntawm kev sim yog ib zaug txhua ob lub hlis. Ntawm cov koob tshuaj - ib zaug txhua rau lub hlis.
Vim tias thaum cev xeeb tub, txawm nyob hauv niam noj qab haus huv, muaj kev noj ntau ntawm cov tshuaj hormones rau kev loj hlob ntawm tus menyuam hauv plab, tom qab ntawd nrog kev txo qis hauv qib ntawm cov tshuaj hormones, tag nrho cov tshuaj " L-Thyroxine" raug tshuaj tam sim ntawd. Qhov no tseem ceeb heev vim txoj kev loj hlob ntawm tus me nyuam noj qab nyob zoo.
Qhov cuam tshuam ntawm cov thyroid hormones ntawm lub cev ntawm tus poj niam cev xeeb tub
Cov thyroid caj pas yog lub luag haujlwm rau kev tsim cov tshuaj hormones xws li thyroxine(T4), triiodothyronine (T3), calcitonin.
Thaum tus poj niam cev xeeb tub, nws lub cev tau hloov kho ntau lub cev. Qhov no yog vim qhov tseeb tias leej niam cov peev txheej xav tau rau kev loj hlob ntawm tus menyuam. Cov tshuaj hormones no mus rau kev tsim cov txheej txheem sib txawv ntawm tus menyuam hauv plab. Vim li ntawd, cov thyroxine dawb hauv niam cov ntshav txo qis.
Kuj thaum cev xeeb tub, tus nqi ntawm cov protein tshwj xeeb - globulin, uas khi thyroxin, nce. Qhov no yog vim qhov nce hauv estrogen.
Thaum thawj lub hlis, tib neeg chorionic gonadotropin pom nyob rau hauv cov ntshav ntawm tus poj niam. Nrog rau kev nce hauv nws cov concentration, cov thyroid-stimulating hormone (TSH) txo qis. Muaj kev pheej hmoo ntawm hyperthyroidism. Tab sis estrogen stimulates globulin, uas tiv thaiv ntau tshaj ntawm thyroxin.
Kev cev xeeb tub cuam tshuam rau lub raum ua haujlwm. Qhov pom tus nqi nce, thiab vim li ntawd, kev tshem tawm ntawm iodine los ntawm lub cev yog nrawm. Yog li ntawd, txhua tus poj niam cev xeeb tub raug sau tshuaj iodine.
Vim li cas?
Kev siv "L-Thyroxine" thaum cev xeeb tub yog qhov tsim nyog yog tias cov txheej txheem physiological hauv lub cev cuam tshuam, thiab qhov no ua rau tsis muaj thyroxine. Yog tias qhov ntsuas tsis raug kho, qhov xwm txheej tuaj yeem ua rau muaj qhov txawv txav ntawm fetus, txawm tias nchuav menyuam. Kev tsim ntawm lub paj hlwb raug cuam tshuam, uas yuav cuam tshuam ntxiv rau cov teeb meem psychoneurological.
Hauv thawj peb lub hlis twg, txawm tias qhov ntsuas tsis tseem ceeb, "L-Thyroxine" tseem siv. Hauv lub lim tiam thib tsib, tus me nyuam hauv plab tsim nws cov thyroid caj pas. Kev ua haujlwm ntawm iodine tsub zuj zuj zuj zus tuaj ntawm kaum ob lub lis piam, tab sis tsuas yog nyob rau ntawm kaum rau lub cev tau txiav txim siab tsim. Thiab tom qab ntawd koj tuaj yeem txo qhov koob tshuaj lossis tshem tawm. Tsuas yog nrog cov nqi nce ntxiv, kev siv "L-Thyroxine" txuas ntxiv.
Tom qab yug me nyuam, cov tshuaj txuas ntxiv yog tias tus poj niam tau kuaj pom thiab nws tau noj "L-Thyroxine" ua ntej cev xeeb tub.
Thaum tus menyuam yug los, koob tshuaj nce ntxiv, txwv tsis pub txo qis ntawm koj tus kheej. Tom qab yug me nyuam, tom qab li ob thiab ib nrab lub hlis, nws yog ib qho tsim nyog yuav tsum tau kuaj cov tshuaj hormones. Raws li qhov tshwm sim, tus kws kho mob endocrinologist tau sau ntau npaum li cas.
Yog cov thyroid mob tshwm sim thaum cev xeeb tub, tom qab yug menyuam, tus kws kho mob yuav tshem tawm cov tshuaj. Nws yog ib qho tsim nyog yuav tau txiav txim siab qhov ua rau ntawm pathology. Yog tias cov tshuaj hormones rov qab mus rau qhov qub, qhov no yuav qhia tias muaj kev cuam tshuam ib ntus.
Contraindications rau kev siv
Nws yuav tsum nco ntsoov tias "L-Thyroxine" yog tshuaj hormonal. Ua tib zoo saib.
Cov tshuaj no nce cov tshuaj hormones hauv tib neeg cov ntshav, yog li kev siv kev noj qab haus huv lossis qib siab yog txwv nruj. Thaum cev xeeb tub, inattention tuaj yeem ua rau tuag taus.
Yog tias muaj kev tsis haum tshuaj rau levothyroxine lossis ib qho tshuaj ntxiv, txwv tsis pub siv tshuaj. Piv txwv li, yog tias muaj kev tsis haum rau lactose, qhov no yuav tsum tau coj mus rau hauv tus account.
Kev tsis txaus ntseegqog adrenal, pituitary caj pas kuj yog ib qho contraindication rau kev siv tshuaj. Tsuas yog tom qab kev kho mob ntawm cov mob no tuaj yeem tham txog kev teem caij "L-Thyroxine".
Tshuaj kuj txwv tsis pub yog tias muaj kab mob plawv: mob plawv, mob myocarditis.
L-Thyroxine yuav tsum tau muab tshuaj kom zoo rau cov menyuam yaus thiab cov neeg laus.
Tab sis lub ntsiab contraindication tsuas yog kev tsis haum rau cov tshuaj. Hauv lwm qhov xwm txheej, hauv kev sab laj nrog tus kws kho mob uas muaj kev paub dhau los, kev teem sijhawm tau tso cai raws li kev saib xyuas tas li ntawm tus kws kho mob endocrinologist.
Muaj feem cuam tshuam
Hormonal overdose tuaj yeem ua rau cov tsos mob ntawm hyperthyroidism. Qhov no yog kev ua txhaum ntawm lub paj hlwb - irritability, pw tsaug zog, excitability.
Also:
- Lub plawv raug kev txom nyem: muaj lub suab tsis sib xws, tachycardia.
- Lub raum ua haujlwm tsis zoo, tej zaum yuav o.
- Tau plaub hau poob, tawv nqaij qhuav heev.
- Kev qab los noj mov, ua rau hnyav nce.
- Qhov hnyav nce yog qhov tshwm sim ntawm kev kho tshuaj hormone. Yog li ntawd, yuav tsum tau saib xyuas koj tus kheej qhov hnyav. Qhov no tsis yog ib txoj haujlwm yooj yim, tab sis yog vim li cas nws thiaj ua tau.
- Cov kab mob hnyav tuaj yeem ua tau, tshwj xeeb tshaj yog cov kab mob neurological.
Zaj lus
txhawm rau txhawm rau tshem tawm qhov tsis xav tau qhov tshwm sim ntau li ntau tau, cov tshuaj "L-Thyroxine" raug kho. Los yog nws ib ntustxais tos cuam tshuam. Nyob rau hauv rooj plaub ntawm kev noj tshuaj ntau dhau, kev kho mob tsim nyog yuav raug sau tseg.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov: qhov tshwm sim ntawm "L-Thyroxine" thaum cev xeeb tub tsis txaus ntshai li tsis quav ntsej hypothyroidism.
Pom zoo:
Vim li cas cov poj niam cev xeeb tub drip magnesia: cov lus qhia rau kev siv, cov lus qhia, cov nyhuv ntawm cov tshuaj thiab cov kev mob tshwm sim
Cov lus nug ntawm yog vim li cas cov poj niam cev xeeb tub raug tshuaj magnesia yog nug los ntawm ntau tus neeg. Ib yam khoom zoo sib xws yog siv thoob plaws ntiaj teb los kho, ua ntej ntawm tag nrho cov, preeclampsia, preterm ua hauj lwm thiab cov tsos mob txuam nrog lawv
Txo cov ntshav protein thaum cev xeeb tub: cov lus qhia rau kev sim, algorithm rau cov txheej txheem, kev txiav txim siab, cov protein tsawg, ua rau, qhov tshwm sim thiab cov lus pom zoo
Cov kab lus qhia txog kev ntsuas kev ntsuas rau tag nrho cov protein. Cov txheej txheem coj mus kuaj thiab cov xwm txheej kom tau txais txiaj ntsig zoo tau piav qhia. Kev txhais lus ntawm qhov tshwm sim ntawm kev tsom xam yog muab. Qhov ua rau ntawm cov protein tsawg tsawg, nws tus kheej feem hauv cov ntshav thaum cev xeeb tub yog qhia. Qhov ua tau rau tus menyuam thiab leej niam ntawm cov protein tsawg hauv cov ntshav yog suav tias yog. Cov lus pom zoo tau muab rau ntawm kev npaj cov khoom noj kom nce ntshav protein
Cov tsos mob ntawm cev xeeb tub ib lub lim tiam tom qab xeeb tub: cov tsos mob, cov lus qhia siv kev kuaj cev xeeb tub, kev sab laj nrog kws kho mob gynecologist thiab poj niam txoj kev noj qab haus huv
Cov poj niam uas npau suav txog kev xeeb tub xav paub txog qhov pib ntawm cev xeeb tub txawm tias ua ntej ncua kev coj khaub ncaws. Yog li ntawd, cov niam txiv muaj peev xwm twb pom thawj cov tsos mob ntawm cev xeeb tub ib lub lim tiam tom qab xeeb tub. Kab lus yuav tham txog cov cim qhia ntawm cev xeeb tub ib lub lim tiam tom qab ua, yuav ua li cas thiaj siv tau qhov kev kuaj cev xeeb tub thiab thaum twg yuav teem sij hawm nrog kws kho mob
Kev mob ntawm cov pos hniav thaum cev xeeb tub: cov tsos mob, qhov ua tau tshwm sim, kev kho mob tsim nyog, kev siv tshuaj nyab xeeb thiab gynecologically pom zoo, cov lus qhia thiab cov lus pom zoo los ntawm kws kho hniav
Kev mob ntawm cov pos hniav thaum cev xeeb tub yog ib qho tshwm sim heev uas yuav tsum tsis txhob raug ignored. Qhov laj thawj tseem ceeb ntawm tus kab mob no yog cov xwm txheej ntxhov siab, tsis txaus cov as-ham hauv lub cev, cov vitamins, thiab lwm yam
Puas yog nws tuaj yeem tshem cov hniav thaum cev xeeb tub: kev xaiv cov tshuaj tiv thaiv kev nyab xeeb, nws cuam tshuam rau lub cev ntawm tus poj niam thiab tus menyuam hauv plab, tshuaj xyuas cov poj niam cev xeeb tub thiab cov lus qhia los ntawm gynecologist
Thaum cev xeeb tub, ntau yam teeb meem tuaj yeem tshwm sim hauv qhov ncauj, tab sis banal caries muaj ntau dua li lwm tus. Muaj tseeb tiag, qee zaum qhov kev puas tsuaj rau cov hniav yog qhov zoo heev uas tus kws kho mob tau txais kev pom zoo tag nrho rau nws qhov kev tshem tawm. Tab sis nws puas tuaj yeem tshem cov hniav thaum cev xeeb tub? Qhov no ua phem rau leej niam thiab menyuam, yuav ua li cas txaus ntshai tos tus poj niam yog tias nws tso cai rau qhov xwm txheej no?
