Nyorera kuDhigirii yeTroroid Hormone Mishonga Inodhaka
Iyo utachiona inogona kunge isingagadziriswi - chiitiko chinonzi hypothyroidism - nemhaka yehutachiona hweHashimoto's, mamwe mishonga, kana zvimwe zvinetso. Utachiona hwehutachiona hwehutachiona hweHerves 'uye hyperthyroidism inogona kusiya utachiona husingashanduki - kana kuti huvharwa zvachose. Mune zvimwe zviitiko, kubvisa kushandiswa (thyroidectomy) kunoitwa senzira yekurapa kenza yekenza, a goiter (yakakura yekirori), kana zvisiri zvishoma, hyperthyroidism. Mune zvimwe zviitiko, vacheche vanoberekwa vane chirwere chinoshaikwa kana chisina kunaka - chiitiko chinonzi congenital hypothyroidism.
Muzviitiko zvose, kurapwa kwechirwere chetachiona chisina kuvhara, kupfigira gland, kuputirwa gland kana kufara kwemazamu hutachiona hutachiona huchiendesa mberi nemishonga yemishonga yehutachiona.
Izvi zvinotevera mhedziso yekodhi yeHroid hormone replacement medication.
Levothyroxine (Synthetic Thyroxine / T4)
Pakati pezvakawanda zvechiremba, inonyanya kuzivikanwa uye inowanzopiwa yakagadziriswa hormone inoshandiswa zvinodhaka ndeye levothyroxine, inoitwa maitiro e thyroxine (utachiona hwehomoni inotsanangurwa seT4). Levothyroxine anonziwo l-thyroxine, uye L-T4.
MuUnited States, levothyroxine inowanikwa se generic levothyroxine, pamwe ne Synthroid, Levothroid, uye Levoxyl mazita mapiritsi evevothyroxine. Tirosint inonzi liquid gelcap form of levothyroxine yakave iri pamusika kubva muna 2011.
MuKanada, Synthroid, Eltroxin, uye PMS-Levothyroxine inowanzozivikanwa mazita ezita.
Vanachiremba vakawanda havatauri kuti levothyroxine yakawanda . Mazita emagetsi anosarudzwa, uye maruva ose anowanzoonekwa seanobudirira zvakaenzana.
Lionyronine (Synthetic Triiodothyronine / T3)
Utachiona hwegorosi vadzidzisi vese thyroxine uye triiodothyronine (T3), iyo inoshandiswa yehutoni yehomoni. Liyronronine yakagadzirwa seT3, uye inowanika mugadzirwa rakagadzirwa seCytomel, uyewo se generic liothyronine. T3 inogonawo kuwedzerwa.
Mumakore achangobva kupfuura, vamwe vashandi vave vachiratidza T3 mune T4. Chimwe chekuongorora muna 2009 chakaratidza kuti vazhinji vevarwere vaida levothyroxine pamwe neT3 vachienzaniswa ne levothyroxine-chete kurapwa.
Chidzidzo chakakurumbira chakabudiswa muNew England Journal of Medicine chakawana kuti varwere vakabatsirwa kubva kuT4 / T3 kusanganiswa kwehutano . Zvimwe zvidzidzo zvakakundikana kuratidza kubatsirwa uye kushandiswa kweT4 / T3 mushonga pamwe chete kunoramba kuchikakavara.
Nguva itsva-yakabudiswa yakagadzirwa neT3 mishonga, Thyromax , iri mumakiriniki ekuedzwa uye iri kuongororwa kuti inogona kugamuchirwa uye kugoverwa muUnited States
Yakarongeka Utachiona hweMasikirwo
Zvisikwa zvakasvibiswa zvehutano - dzimwe nguva dzakapfupiswa NDT - inodhaka yakagadzirirwa kubva kumaperembudzi akaoma (yenguruve) gorosi glands. Chirwere chetachiona chakakonzerwa nehutachiona ndicho chete chemishonga yemishonga inowanika mumavambo ekutanga kwema1900, pasi pezita rechirongwa Armor Thyroid, kusvikira livothyroxine rakatangwa muma1950.
Utachiona hwemasikirwe hwakanga husingafariri sezvo chigadzirwa chakanga chave chichienderera mberi sechichiri chemazuva ano uye chakagadzikana. Kubva kuma1991, zvisinei, chirwere chetachiona chakakonzerwa nekudzoka, kunyanya navanachiremba vakwegura vanoziva nemishonga, uye vanachiremba vakanyatsogadzirira uye vanobatanidza vanoti vanogadzirisa zviratidzo zviri nani kudarika zvirongwa zvehutachiona mune vamwe varwere vavo.
Nhasi, maronda akawanda ehutachiona anowanikwa muU.S. uye kune dzimwe nyika, nemishonga, iyo inosanganisira Naturethroid, WP yeTroroid, Hondo yeTroroid , yaNP yakagara yakagadzirwa nemuumbi weAcella), uye utachiona hweCanada hunobva kumugadziri Erfa.
Liotrix (Synthetic Thyroxine / Triiodothyronine T4 / T3 Kusanganiswa)
Liotrix yaiva yakagadzirwa pamwe chete ye thyroxine uye triiodothyronine (T4 naT3). Mumakore achangobva kupfuura, liotrix yaive yakawanikwa mune imwe fomu yakagadzirwa, inozivikanwa nezita rokuti Thyrolar, kubva ku Forest Forests. Asi Thyrolar yave iri pamusika kwemakore akawanda, uye haisisipo kana kushandiswa.
> Sources:
> Braverman, MD, Lewis E., naRobert D. Utiger, MD. Werner uye Ingbar's The Thyroid: Chimwe Chinokosha uye Chirongwa Chekunyora. 9th > ed > . Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.