Zvisikwa zvakasvibiswa nehutachiona-inozivikanwa seNATT, chiziviso chetachiona, uye chirwere chetachikoma-chinonzi mishonga yemishonga yekodhi inotorwa nehutachiona yakasviba yenguruve.
Chirwere chetachiona chakakonzerwa nehutachiona ndicho chakatanga kugadzirwa nemishonga inoshandiswa kurapa hypothyroidism uye yave ichiwanika kwemakore anopfuura zana.
The Shift kuna Levothyroxine
Kwehafu yekutanga yezana remakore rechimakumi maviri, chimiro chetachiona chakasikwa-chinonzi, chiziviso chinonzi Armor Thyroid-ndicho chete chirwere chinowanikwa che hypothyroidism.
Muma1950, maitiro ekuumbwa kwe thyroxine (T4) akavakwa. Thyroxine imwe yezvinhu zviviri zvakakosha hormone inonzi thyroid gland inobudisa. Iyi yakagadzirwa ne thyroxine yaizivikanwa se levothyroxine, kana kuti-l-thyroxine, uye yakakurudzirwa senzira yekuwedzera kurapa kwe hypothyroidism, zvichienzaniswa nehutachiona hwakarongedzwa nehutachiona.
Kusiyana nevothyroxine, iyo yakagadziridzwa yeT4 hormone, chimiro chetachiona chakasikwa chakakosha mahomoni e-thyroid (T4 (thyroxine) uye T3 (triiodothyronine) pamwe chete ne calcitonin, nezvimwe zvinhu zvinowanikwa muhutano hwehutano hwehupenyu . Chirwere chetachiona chinowanzoitika chinogadzira zvikuru T4 (inonzi hormone yekuchengetedza) uye imwe T3, uye T4 inoshandurwa kuva T3, hormone inoshanda, kushandiswa nemasero uye masukisi emuviri.
Levothyroxine ndiyo ndiyo yakakosha kurapwa kwechirongwa chezvechirongwa chekare kubva pakusanangurwa kwayo. (Dzimwe dzezvikwata zvinowanzozivikanwa zve levothyroxine dzinosanganisira Synthroid, Tirosint , Unithroid, uye Levoxyl).
Zvisikwa zvakasvibiswa nehutachiona zvinodhaka, zvinosanganisira marita mazita Nature-Throid, Thyroid WP, Hondo yeTroroid, uye Acella's generic chirwere chetachiona chinonzi NP Utachiona, yakaramba iri pamusika. Iyi mishonga inoramba ichitsvaga kutsoropodza uye moto kubva kune vanogadzira vanachiremba uye makambani anokwikwidzana nemishonga, vanozviti "yekare-kare" uye yakapera nguva.
Munguva iyi, chirwere chetachiona chinoramba chichida kusarudza chimiro chetachiona pamusoro peLevothyroxine, zvichida nekuda kwekuvapo kweT4 uye T3 mahomoni mune zvakasikwa zvakasvibiswa nehutachiona, zvichienderana neT4 chete mu levothyroxine.
Zvinhu Zvakasikwa Zvakarongwa neTyroid pamwe naEevothyroxine
Nyaya yemhuka yakasikwa yakasvibiswa nehutachiona, zvichienderana nevothyroxine yave ichikakavara kwemakumi emakore. Pasinei nehafu yezana remakore rekushandiswa, mushure mokutangwa kwe levothyroxine, vanachiremba vaigara vachikakavara nezvekushandiswa kwemishonga yemakemikari echisikigo, vachitaura kuti kwakanga kusina dzidzo dzinoratidzika kuti yakachengeteka kana inoshanda.
Kune vatevedzeri vehutano hwemhuka yakasikwa, pane nyaya dzakakosha kune varwere vetachiona vakabuda mumusangano wegore negore weEntocrine Society, wakaitwa munaJune 2013 muna San Francisco. Maererano nehurukuro yakagadzirwa naHanh D. Hoang, UNO, vashandi vekupedzisira muEtter Reed National Military Medical Center muBethesda, MD, zvinokonzerwa nemasikirwo emakemikari zvakasikwa zvinogona kushandiswa kune utachiona hwemishonga inoshandiswa kurapwa ne levothyroxine.
Nokuda kwekudzidza uku, Dr. Hoang akaita shanduro dzisinganzwisisiki, mbiri-mapofu, dzidziso yekufananidza kuenzanisa nekubudirira kwezvinhu zvakasikwa zvakagadzirwa nehutano pamwe ne levothyroxine se hypothyroidism kurapwa.
Chidzidzo chacho chakaongorora varwere makumi manomwe, avo vakabva kubva pazera remakore gumi nemasere kusvika kune makumi matanhatu, uye vose vakange vane primary hypothyroidism. Varwere vaisarudzwa kune rimwe boka rakatora chimiro chechirwere chetachiona kana levothyroxine, kwemavhiki gumi nemaviri. Zvidzidzo zvaiva mapofu, zvichireva kuti varwere vakanga vasingazivi kuti ndeipi yemishonga miviri yavakanga vachiwana.
Pakupera kwekudzidza, varwere vakabvunzwa kuti ndeipi chirongwa chemishonga chavakasarudza. Zvinofadza kuti inenge hafu yeboka-kunyanya, 49 muzana-inotaura nezvemhuka yakarongeka yehutano hwehutano, inofananidzwa nevanenge 19 muzana avo vaida levothyroxine.
Inenge 33 muzana yevarwere havana kutaura zvakasarudzwa.
Zvekuda kufarira: Dr. Hoang akaudzawo kuti varwere vanotora masikirwo emasikirwo akangoita zvakasikwa vakarashika anenge mapaundi matatu panguva yekudzidza, kana vachienzanisa nevarwere vanotora levothyroxine, vasina kurasikirwa chero chipi nechipi.
Dr. Hoang akaudza Endocrine Nhasi :
Isu hatina kuwana kusiyana kwehutano hwehutano hwepfungwa pakati pemishonga miviri ... Isu tinoziva kuti kamwe-zuva rimwe nerimwe rakarongedzerwa nehutachiona hwehutano ndeimwe nzira yakachengeteka yekurapa kune varwere vane hypothyroidism vasina kugutsikana ne levothyroxine kurapwa. Icho chisarudzo chavo kuti vaedze, uyewo chinonyatsorongwa chinogona kukonzera kuora kwekureruka kwemuviri muvarwere ava zvakare.
> Kwakabva:
> Hoang TD, et al. "Inotsanangurwa nekodhi yekristi yakaenzaniswa ne levothyroxine mukurapa hypothyroidism: kudzidza kusinganzwisisiki, kaviri-bofu, kuongorora." J Clin Endocrinol Metab. 2013 May; 98 (5): 1982-90. doi: 10.1210 / jc.2012-4107. Epub 2013 Mar 28.