Chinhu Chine Chivimbiso Chingawedzera Kuwedzera kuTroroid Treatment
Mumwe anovimbisa kutsva patsva mukuongorora chirwere chetachiona ndiko kunzwisiswa kwehukama pakati pevanhu vanozivikanwa sechirwere cheshuga chinonzi metformin (zita rechiratidzo Glucophage) uye utachiona.
Metformin inoshandiswa kurapa rudzi rwechipiri chirwere cheshuga uye insulini kushorwa. Pane hukama hwakanzwisiswa pakati pe insulin kurwisana -yekare-kupfuura-yakakwana yezinga re insulin, ine mararamiro akakwirira eropa regihusi inoratidza kuti insulini haisi kubudirira mukuderedza shuga yeropa-uye kwete chete chirwere chetachiona chikuru (goiter), asi kunyanya kupararira kwevhudhiya yekroid uye kenza yehurosi.
Zvinofadza kuti tsvakurudzo itsva yakabudiswa mu Journal of Endocrinology yakawana kuti varwere vanobatwa ne metformin vane hutachiona hwehutachiona uye hutsika hweTSH huri pasi, asiwo vakaderedzwa njodzi dze goiter, nodyroid yeganda, uye kanzera yekameti.
Nezve Metformin
Metformin, iyo inotengeswa pasi pezita reGlucophage, inoonekwa semushonga wekutanga-mishonga inoshandiswa kurapa rudzi rwechipiri chirwere cheshuga , kunyanya kune varwere vanowedzera kuwandisa . Metformin ihurukuro, zvinoreva kuti inoderedza chiropa chako chekugadzira glucose, uye inoita kuti muviri wako uwedzere kunzwisisa kune insulin. IUnited States yakatanga kushandisa metformin muna 1995, uye metformin ikozvino ndiyo yakanyanya-yakashandiswa mumuromo wemishonga yechirwere cheshuga 2 munyika yose. MuUnited States, iyo inowanzobhadharwa yetimetformin therapy inobva ku $ 5 kusvika ku $ 25 pamwedzi.
Metformin uye Thy Thyroid
Chidzidzo chikuru chakataurwa mu Journal of Endocrinology chakacherechedza ukama huri pakati pemetformin nehutano hwehutano uye inopfupikisa zvimwe zvakakosha zvinokonzera metformin izvo zvinorehwa nehutano hwehutano munguva yemberi.
Kunyanya, chidzidzo chacho chakashuma pane zvimwe zvitsva zvinowanikwa:
- Metformin uye Thyroid Cancer: Zvizhinji zvinotsvakurudza zvakawanikwa zvinoratidza kuti metformin inotadzisa kukura kwekenza yekemikari, uye ine izvo zvinozivikanwa semabasa anoramba achiwedzera. Metformin yakaderedza zvakanyanya kukwanisa kwe insulini yekukurudzira kukura kwemasero etachiona akasiyana-siyana, uye masero emukenza wepurogiramu, kusanganisira maitiro ekurwisa utachiona hwetachiona . Metformin inobvisawo kukura uye inodzivirira metastases mu medullary yekenza yekenza . The metformin inoratidzika inopesana ne nzira huru yekuisa nzira dzinosimudzira kukura kwakadaro.
- Metformin uye Thyroid Nodules: Metformin inewo zvinopesana nezvinoita zvinopesana nemakunguti ehutachiona, zvichidzikisa kukura kwavo kana kuderedza hukuru hwavo. Chidzidzo chacho chakaratidza kutsvakurudza kwakawanikwa kuti mune varwere vane minda ine chirwere chetrojeni yakasimba uye insulin kushorwa, kurapwa ne metformin kwakaguma nekuderedza ukuru hweedululumu, pamwe nekudonhera muTSH mazinga. Imwe kuongorora kwemazuva mashoma evakadzi vane insulin yekudzivirira uye mishonga yehutachiona yakawana kuti pakanga paine kuderedza zvakanyanya mukukura kwegununu mune varwere vaibatwa ne metformin uye levothyroxine, zvichienderana nezvimwe zvinodhaka zvinotorwa chete.
- Metformin uye TSH Kushandiswa kweTroroid Cancer Varwere: Metformin kurapwa kwaiwanzobatanidzwa nemazinga ekuderera kweTSH, zvichiratidza kuti inogona kuita basa mumazuva ano ekurapa kwekenza yepachirwere inotarisirwa kubvisa TSH maitiro ekudzivirira kenza yekare yekenza. I-metformin inogona kunyanya kukosha, nokuti inoita seyokudzivirira mazinga eTSH, pasina kukonzera hyperthyroidism.
- Metformin uye Zvirwere zveTyroid muChipiri 2 Diabhesi: Pane kuwandisa kwepamusoro kwehuwandu hwehutano hwehutachiona hwechirwere muchirwere chechipiri che diabetics pane metformin therapy. Metformin inosanganiswa nekuderedzwa kwehutachiona hunokonzera hormone (TSH) mune vane chirwere cheshuga. Mukurudzi rwechipiri chirwere cheshuga cheshuga chekenza, kurapwa ne metformin kwakabatanidzwa nepamusoro ekuregererwa uye kuponeswa kwevanhu vane chirwere cheshuga vane kenza yekemikari, uye zvinowedzera zvakanaka kubva kune vane chirwere cheshuga vane kusiyana kwekenza yekenza yakagadziriswa kune lymph nodes. Vatsvakurudzi vanofungidzira kuti metformin inowedzera migumisiro yehomoni yekemikari pamucheka wepituitary.
Kufungisisa Kunokosha
Zviongorori zvakaratidza kuti levothyroxine kudyiwa haisi kuchinjwa nokutora metformin, saka zvakachengeteka kutora mishonga mbiri pamwe chete.
Chinetso, zvisinei, ndechokuti nokuti metformin inogona kuderedza TSH pasina kuchinja mazinga eT4 kana T3, inogona kunge isina kuratidza utachiona hwechokwadi hwechirwere chechipiri che diabetics ne hypothyroidism dziri kutora zvose metformin uye levothyroxine. Zvinogonawo kukanganisa kudzvinyirirwa kwechirwere chechipiri chirwere cheshuga chinokonzerwa nekenza yehutachiona uye chinoda kwete kungoderedza TSH mazinga, asi kuwedzera kwemazinga eT4 uye T3 mahomoni ehutori kuitira kuti utachiona hudzoke zvakare.
Maererano nevatsvakurudzi:
Kushungurudzika TSH yenyika inopa kuvimbiswa kwenhema kana kunogona kukurudzira kutanga kwerapi, kana kuti endocrinologists inogona kuderedza [levothyroxine] kuyerwa nechepasi pasi TSH. Vanachiremba vanofanirwa kufunga nezvemagumisiro eesformin apo vanodudzira utachiona hwebasa kuti vasatore kurapa kwakakodzera kana kugadziriswa kwe [levothyroxine] muyero.
Kuderedza kuwedzerwa kunogona kuita kuti hypothyroidism zviratidzo zvidzoke nokuti, pasinei neTSH yakadzika, zvinogona kunge zvisina kukwana kukwira hormone yekemikari kuti ibvise zvirwere zve hypothyroid.
Uyezve, mushure mekuvhiyiwa kubvisa gland kurapa kenza yekodhi, varwere vakawanda vanoiswa kurapa inopesana, kuchengetedza TSH nharaunda yakadzika uye utachiona hwehomoni hwepamusoro kuti hudzivirire chirwere chekenza chidzoke zvakare. Kune rudzi rwechipiri diabetics vane kenza yekenza, uye vane utachiona hwetachiona kuti vabvise gland, TSH yakanyanyisa pasi nekuda kwe metformin therapy inogona kuratidza kudikanwa kwekuderedzwa kwechirwere che levothyroxine. Ichi kuderedzwa mumushinga, zvisinei, hazvikwanise kuzadzikiswa pamasero emasero.
Shoko kubva
Izvi zvitsva zvinonakidza zvinoratidza kuti pangave pane zvimwe zvingashandiswa zve metformin mumapoka akawanda:
- Tora 2 diabetics ane chirwere chetachiona
- Tora 2 diabetics isina chirwere chetachiona
- Vanhu vane hypothyroidism vane insulin kusasimba, metabolic syndrome, uye / kana kuneta
- Vanopinda muropa yekrissi paTSH-suppressive therapy
Panguva ino, zvisinei, nyanzvi dzinokurudzira zvimwe zvidzidzo zvechiremba kuti zvive nani kuongorora kushandiswa kwemasformin sechikamu chehutachiona hwehutano uye kugadzira nzira dzingashandiswa pakurapa nemitemo.
Kana iwe uri hypothyroid, uye uine insulin kushorwa, asi hausati watora metformin, zvingave zvakakosha kuva nehurukuro nachiremba wako pamusoro pekuwedzera kune chirongwa chako chekurapa. Metformin inofungidzirwa kuva mishonga yakachengeteka ine mishonga yakawandisa, uye inorayirirwa yehutachiona hwehutachiona / pre-diabetes / insulin kushorwa, uye inogona kumisa kufambira mberi kwechipiri chechirwere cheshuga. Aya maitsva matsva anoratidza kuti inogonawo kuva nekudzivirirwa kwoutachiona hwako.
> Sources:
> Distiller LA, et al. "Rudzi rwechipiri chirwere cheshuga mellitus uye hypothyroidism: iyo inogona kuita simba remasformin therapy." Diabet Med 31 172-175. 2012.
> Xianghui M et al. "Ongorora: Metformin uye chirwere chetachiona." Nyaya ye Endocrinology. Inotanga kushandiswa paIndaneti, 14 February 2017. Abstract / Full PDF