Iyo T4 / T3 Kutapukisa Kwemishonga Inodhaka

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

Tetra Images - Daniel Grill / Brand X Mifananidzo / Getty Images

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."

Zvimwe

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.

Zvimwe

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.

Zvimwe

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. "

Zvimwe

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.

Zvimwe

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.

Zvimwe

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?

Zvimwe

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 .

Zvimwe

Tsvakurudzo Itsva

Chimwe chinyorwa chinovimbisa mumakakava pamusoro peT4-chete maererano neT3 / T3 kusanganiswa kwehutano kwe hypothyroidism ndechidzidzo chikuru chekutsvakurudza chinorongwa muna 2018. Ichi chidzidzo chichaona mitemo yakasiyana-siyana, kusanganisira hupenyu hwehupenyu uye kugutsikana kwechigarire, pamwe chete purogiramu yeropa rekuenzanisa, kuenzanisa levothyroxine pamusoro peevothyroxine pamwe neT3, uyewo kuenzanisa nemishonga miviri yekurwisana nemasikirwo emararamiro evanhu. Chidzidzo chacho chichaongororawo kupararira kwekusiyana kwemajini, inozivikanwa sepolymorphism, iyo inogona kuita kuti T3 ibudirire kana kuti inotodiwa kune vamwe varwere vema hypothyroid. Iyi iyi yakawanda-inzvimbo, mbiri-mapofu, nyanzvi-yakaongororwa zvidzidzo, iyo inogadzirirwa uye inotungamirirwa nedzimwe nyika inotungamirira endocrinologists, uye inoitwa kuburikidza nepamusoro ekurapa uye zvipatara, hazvibhadharwi nemakambani ose emishonga. Kana zvabuda zvikabudiswa, chidzidzo ichi chine simba rekushandura zvakajeka hurumende hypothyroidism mishonga yekurapa, nekuratidza kuti levothyroxine / T4, T4 / T3 pamwe chete, uye chirwere cheNATT chinonyatsochengeteka uye chinoshanda. Chidzidzo chacho chinogona kuratidzawo kuti kuwedzerwa kweT3 kunobatsira kuvandudza hupenyu hwevamwe kana kunyange huwandu hwevarwere hwe hypothyroid. Chidzidzo chinofanirwawo kuratidza kana chimiro chechimiro chechimiro chechimiro chinosanganiswa nekudiwa kweT3 sechikamu chechirapa. Ramba wakatarisa kuti uwane mamwe mashoko!