Iyo inowanzoitwa, mirayiridzo-inogamuchirwa kurapwa kwe hypothyroidism inotoriyo yehomoni inotsiviwa nemhando yehutachiona hormone thyroxine (T4). Izvi zvinogadzirwa ne thyroxine zvinowanzozivikanwa seLevothyroxine (uye dzimwe nguva l-thyroxine, kana L-T4). Zvimwe zvezvikwata zvinowanzozivikanwa ndeye Synthroid, Levoxyl, Tirosint , uye Unithroid. Izvi zvinowanzotaurwa nezve "T4 zvinodhaka."
Kune humwe uchapupu hunowedzera, zvisinei, kuti vamwe varwere vehutachiona havatauri pakushandiswa kweT4-chete kurapwa, uye zviri nani nekuwedzerwa kwechipiri chetrojoni hormone, triiodothyronine (T3). Iyo yakagadzirwa maitiro eT3 inowanzozivikanwa se liothyronine, uye zita iri muU.S. ndiCytomel. Izvi zvinonzi "T3 mishonga."
Zvisikwa, mhuka-yakabva mhando dzeT4 uye T3 dzinowanikawo mumishonga inonzi Natural Desiccated Thyroid (NDT) zvinodhaka, zvakagadzirwa kubva kuhutachiona hwakasvibiswa hwevenguruve. Mazita evanhu vanowanzobatanidza Nature-throid, WP Thyroid, uye Armor Thyroid. MuUnited States, generic inozivikanwa seNP Thyroid.
Sezvakataurwa, muyero, kushandiswa kwechirwere we hypothyroidism ndeye levothyroxine zvinodhaka chete. Kuwedzerwa kweT3 kune levothyroxine / T4-chete kurapwa - kana kushandiswa kwezvinodhaka zveNATT - kunokakavara uye nyaya yekutsvakurudza nekuenderera mberi. Iyi nharo yekurapa inoongororwa zvakajeka munyaya dzinotevera dzinotevera apa.
T3 Zvinodhaka Kuvandudza Unhu hweHupenyu
Chimwe chikonzero chinokanganisa 1999 chakabudiswa muNew England Journal yeMishonga chakaona kuti hupenyu hwevanhu huri kurapwa hwe hypothyroidism hwakashandurwa zvakanyanya nekuwedzerwa kwechirwere cheT3 kuravothyroxine-chete kurapwa.
Vatsvakurudzi vakafunga kuti "kurapwa ne thyroxine pamwe ne triiodothyronine kwakagadzirisa hupenyu hwevamwe varwere."
2003 JAMA Chidzidzo Chinoti T3 Inopa Chero Mubayiro
Journal of the American Medical Association (JAMA) yakashuma muna 2003 pamusoro penyaya yakakakavadzana isina kuwana rubatsiro kuvarwere apo T3 yakawedzerwa kune T4-chete kurapwa.
Dr. Ken Blanchard pane T4 / T3 Nyaya
Dzose Dr. Ken Blanchard, MD, PhD, munyori webhuku rinonzi What Your Doctor Can Not Tell You About Hypothyroidism, rakatsanangura kuongorora kweJAMA muna 2003.
T4 / T3 Kurapa Kunosarudzwa Nevarwere muChidzidzo
Nyaya yaMay 2005 ye Journal of Clinical Endocrinology uye Metabolism yakataura pamusoro pekuongorora kwakaratidza kuti vanhu vane hypothyroidism vaida kusanganiswa T4 / T3 kurapa kune T4-chete kurapwa. Vatsvakurudzi vakaonawo kuti kusanganiswa kwekubatana kunosanganiswa nekurema kwekureruka, asi T4-chete kurapa haisi.
"Varwere vachisarudza kusanganiswa kweL44 / LT3 kurapwa kuchipatara chechirwere cheR44 ... Kuderedza kuwanda kwemuviri kwakabatanidzwa nekugutsikana nemishonga yekudzidza ... zvakaguma zvekudzidza uku hazviregi kuti pane imwe boka revarwere rinogona kubatsirwa neL44 yakabatanidzwa / LT3 kurapwa. "
Zvinhu Zvakasikwa Zvichienzaniswa Nehutachiona Zvinonzi Zvakachengeteka
Chidzidzo che2003 chakatungamirirwa nehurumende yeUnited States, kuongorora hypothyroid varwere paWalter Reed Medical Center, yakashuma kuti utachiona hwakakonzerwa nehutachiona (NDT) mishonga yaiva nzira yakachengeteka kune levothyroxine-chete kurapwa.
Danish Learning Shows Yakawedzera T3 Mukurumbira T4-Chete
Chidzidzo chikuru chakataurwa pamusoro peEuropean Journal of Endocrinology , yakatarisa nyaya inopikisa yehutano nehutachiona T3 sekuwedzera kune T4-chete (levothyroxine) therapy ye hypothyroidism.Chidzidzo chakawana kuti kusanganiswa kweT4 / T3 kwakakwirira kupfuura T4 chete / levothyroxine mishonga ye hypothyroidism.
Chikumbiro chikuru:
Avhareji 49% evarwere vaida kusanganiswa, uye 15% chete ndivo vaida levothyroxine-chete kurapa.
Unoda T3 Kuti Unzwe Wakanaka Here?
Saka varwere vazhinji vane utachiona vanotitaurirai pano uye pa Facebook Thyroid Support peji, uye mubvunze mubvunzo iwoyo: "Ndiri pane Synthroid (kana imwe mishonga levothyroxine seLevoxyl) uye ini handinzwi zvakanaka. " Ndezvipi zvirwere zvehutano zvinoda kuziva ndezvikumbira, mumamiriro ezvinhu aya, ndei: Ungabatsirwa nekuwedzera kwekuwedzera T3?
Iwe Unoda T3 kana Zvisikwa Zvakasikwa Zvirwere?
Kana iwe uri pane utachiona hwemishonga yemishonga yemishonga (kureva, generic levothyroxine, kana Synthroid, Levoxyl, kana Tirosint marina) uye haisi kunzwa zvakanaka, imwe inogona kunge iwe unogona kubatsirwa nekuwedzera T3, kana kuchinja mushonga wekemikari unosanganisira T3 .