Saka varwere vakawanda vane hutachiona vanotitaurira kana kuti vanotumira pa Facebook Facebook Thyroid Support peji vanobvunza mubvunzo mumwe chete: "Ndiri pane Synthroid (kana imwe mishonga levothyroxine yakafanana neLevoxyl) uye ini handinzwi zvakanaka. "
Nezvechirwere chetachiona ndiyo mamiriro ezvinhu, chinhu chokutanga chaunofunga pamusoro apa ndechekuti iwe kana unogona kubatsirwa nekuwedzera kwekuwedzera T3 .
(Ichinyorwa zvakare: Synthroid, Levoxyl nedzimwewo levothyroxine zvinodhaka- iyo inonzi l-thyroxine, uye L-T4-inoita maitiro eT4 hormone yeTroid.T4 ndiyo hormone yekuchengetedza, uye inofanira kushandurwa kuva T3, hormone inoshanda , kushandiswa nemasero ako.Mushonga weCytomel yakagadzirwa nemaitiro eT3. Kune chinyorwa che generator cheCytomel, uye vamwe vashandi vanoshanda nekanguva-yakasunungurwa / yakasunungurwa-kusunungurwa T3 nemirairo kubva pamakemikari e pharmacies. Chimiro-chine simba, Hondo yeTyroid ine maitiro evanhu veT4, T3 uye mamwe mahomoni ehutori .)
Iye zvino, kudzokera kumagazini yekuti iwe kana iwe ungabatsirwe nekuwedzera kweT3 . Mubvunzo wekushanda ndewekuti: chiremba wako angada here kutokurukurirana izvi nemwi, kunyanya kuripa? Hapana mhinduro yakasimba.
Kana iwe ukati kuna chiremba, "Ndingabatsirwa here nezvimwe zvekare T3?" iyo mhinduro inogona kunge yakaenzana neimwe yezvinguva zvina zvinogona kuitika ...
- A. Zvinoratidza zvakajeka kuti haazofariri mberi kwehurukuro pamusoro peT3.
- B. Chiremba anokuremekedza anoti, "icho hachisi chimwe chinhu chandinofara nacho."
- C. Chiremba anofunga pamusoro payo, uye anoti, "zvakanaka, ngatitarisei pane yako yeT3 yakasununguka kuti uone kuti inoratidzika sei uye wozoita chisarudzo.
- D. Chiremba anoti, "Ichokwadi kuti izvi ndezvokuti, ngatiedzei mudiki weT3 uye tione kuti unonzwa sei pazviri asi ngatiratidzei kuti hapana chinopesana iwe ...
Zviri pachena, kana iwe uri murwere waDhirector A, chakanaka ndechokuwana chiremba mutsva wehutano . Kukumbira kukurukura nezvingaitika kurapwa chikumbiro chakanaka, uye hachifaniri kumbosangana nekusaremekedza kana kubviswa. Izvozvo zvipinduri zviri, chokwadi, uchapupu hwakajeka kuti inguva yechiremba mutsva.
Kana uri kushanda naDhictor B, zvakanaka, iwe ungada kubvunza kuti chii chaanofunga ndechekusasununguka nekuwedzera T3 kune levothyroxine-chete chirwere chetachiona. Pano, iwe unogona kutaura, kana kutotorazve kudzokorora kana kopi ye, chidzidzo cheDanish chakabuda kumavambo 2009 muEuropean Journal of Endocrinology . Iko kuongorora kwakatarisa nyaya yakakonzera yehutano nehutachiona T3 sekuwedzera kune T4-chete (levothyroxine) therapy for hypothyroidism .
Tsvakurudzo yakarondedzera kuti 49 muzana yevarwere vakadzidza vaida kurapwa kwaisanganisira levothyroxine pamwe neT3 drug , uye 15% chete ndivo vaida levothyroxine-chete kurapwa. (Ona pasi apa kuti uwane mamwe mashoko pamusoro pechidzidzo ichocho, uye kuti ungawana sei kopi kuratidzira chiremba wako.) Kana Dhictor B achiri kukanganisa kuronga kukurukura T3 newe uye haagoni kukugutsa nechinangwa chakanaka, inguva yezvitsva thyroid doctor .
Kana iwe uri kutarisana naChiremba C, chimbofunga iwe une nhamo. Kumbira chiremba kuti chinangwa chake ndechei Free T3. Uye enda mberi undotora Test free T3, uchiyeuka mupfungwa kuti vazhinji vadzidzisi vehutano vanotenda kuti varwere vanonzwa zvakanaka kana mahara asina maturo ari muhafu yepamusoro yehutano hwakanaka, uye kunyange pa 75th percentile uye pamusoro pehuwandu.
Izvi zvinoshanda sei? Ngatitadzei kuita mathemoni.Kana ibhuku rekuongorora iri re Free T3 ndi 2.0-4.4 pg / mL, ipapo midpoint iri pakati pavo, kana 3.2, uye 75th percentile iri 3.8.)
Uye kana iwe uri murwere Dhictor D', zvakare, funga iwe pachako mukana wekuva nechiremba akazaruka uye ane ruzivo.
Kana zviri izvo zvinopesana, vanachiremba vanongwarira kushandisa T3 kune ani zvake ane nhoroondo yezvirwere zvemoyo kana zvinetso zvemoyo, uye kune vakwegura, saka vanachiremba veT3-savvy vacharamba vachifunga izvi.
A Note kubva
Kana iwe uchida kugovana ruzivo nachiremba wako pamusoro pe 2009 Danish chidzidzo, heino zvimwe zviwanikwa:
- Chinyorwa: Chidzidzo Chinoratidza kuti Kuwedzera kweT3 kunopfuura kuLevothyroxine / T4-Chero Yehutano Hwetano hweHyspothyroidism
- Dheuteronomio yeChiDanish Yokudzidza: Birte Nygaard, Ebbe Winther Jensen, Jan Kvetny, Anne Jarløv naJens Faber. "Chiitiko chekubatanidza utachiona ne thyroxine (T4) uye 3,5,3'-triiodothyronine pamwe neT4 monotherapy mune varwere vane hypothyroidism, aviri-mapofu, anoromised cross-over study," European Journal of Endocrinology, Vol 161, Nyaya 6, 895-902, December 2009
- Zvidzidzo: Verenga Bhuku / Tsvaga Kudzokorora (Usakanganwa kuti panzvimbo yekubhadhara paIndaneti kuti udzokezve, iwe unogona kuwana kopi yakasununguka yepanhau rezvechiremba nyaya kana une chiremba chechiremba, chipatara kana shandura rekudzidzisa pedyo )
> Kwakabva:
> Nygaard, B et. al. "Chiitiko chekubatanidza utachiona ne thyroxine (T4) uye 3,5,3'-triiodothyronine pamwe neT4 monotherapy mune varwere vane hypothyroidism, aviri-mapofu, anoromised cross-over study," European Journal of Endocrinology, Vol 161, Nyaya 6, 895-902, December 2009