NIH tana tattara masu hawan magungunan hypothyroid don sabon binciken
Lokaci ne mai ban sha'awa ga marasa lafiya na thyroid, da kuma wanda aka dade yana jiran. Cibiyoyin Kula da Lafiya ta Amurka sun bayyana cewa an fara gwaji ne kawai a shekarar 2012 a cibiyar kiwon lafiya na Walter Reed, a Bethesda, MD, don nazarin abubuwan da ke tattare da kwayoyin maganin karoid a maimakon levothyroxine, domin maganin hypothyroidism na farko.
Binciken da aka bazu, wanda ya wuce Mayu na shekara ta 2014 - zai yi la'akari da cewa hypothyroid marasa lafiya a kan yanayin da ke da ƙwayar thyroid (abin da suke magana a matsayin "kayan shafa thyroid extract" ko DTE) na iya "ragewa a cikin bayyanar cututtuka, haɓaka aikin aiki na zuciya, da kuma karuwa a ji na lafiyayyu / ingancin rayuwa , "idan aka kwatanta da levothyroxine.
Matsayin mabukaci na binciken shi ne "Harkokin Thyroid wanda aka kwatanta da Levothyroxine a maganin Hypothyroidism : A Randomized, Makafi guda biyu, Nazarin Kashewa," kuma suna daukar marasa lafiya thyroid a matsayin masu karatu.
Yiwuwa
Kuna iya shiga wannan binciken idan kun kasance namiji ko mace, tsakanin shekarun 18 zuwa 65. kuma sun kasance a kan levothyroxine na farko na hypothyroidism na akalla watanni shida. (NOTE: Masu aiki ne kawai ko 'yan gudun hijirar da aka yi ritaya da kuma masu amfana sun cancanci wannan gwaji.)Abubuwa
Za a cire ku daga binciken idan kuna da wasu daga cikin wadannan sharuɗɗa ko al'amurra:- ciki ko shirin yin ciki a cikin watanni 12 masu zuwa
- cututtuka na zuciya , musamman cututtukan cututtuka
- cuta mai cututtuka na kullum
- cuta malabsorption
- gastrointestinal surgeries
- babban ƙwayar kofi ko rashin hanta
- haddasa cuta
- thyroid da wadanda ba thyroid aiki cancers
- rashin kwakwalwa
- Amfani da magani na psychotropic
- amfani da steroid
- amiodarone amfani
- chemotherapy don ciwon daji
- Karin ƙarfe fiye da 325mg kowace rana
- fassarar / amfani da mai yin amfani da shi don yin amfani da shi
- amfani da cholestyramine
Me ya sa wannan gwajin yana da mahimmanci?
Wannan gwaji yana da muhimmanci saboda shine farkon lokacin tarihin kwanan nan cewa na san cewa wata hanyar bincike na likita a cikin ƙasa - a cikin wannan hali, Cibiyar Kula da Lafiya ta Amurka - tana gudanar da makanta masu makafi, binciko bincike don kwatanta bayyanar cututtuka, aiki mai hankali, zaman lafiya, da kuma ingancin rayuwa a hypothyroid marasa lafiya a kan halitta desiccated thyroid kwayoyi , a kan mafi yawan wajabta levothyroxine.Wannan fitina ma yana da muhimmanci saboda akwai karfi mai ban sha'awa a tsakanin magungunan magungunan maganganun da suka shafi magungunan maganin karoid, amma ba a dogara ne akan bincike ba, amma, ra'ayoyinsu da abubuwan da suke so. Wasu magungunan endocrinologists, a gaskiya ma, sun ce sunyi amfani da kwayoyin maganin thyroid irin su Armor ne kawai ta hanyar "fringe" , duk da cewa an rubuta fiye da nau'i biyu na umarnin wadannan kwayoyi a kowace shekara a Amurka kadai, kuma mafi kusa da duniya.
Wannan gwajin yana da mahimmanci saboda muna buƙatar binciken da ya kebanta sosai a kan amfani da dabi'ar karoid. Wasu nazarin, ciki har da nazarin Danish na 2009 , sun nuna ingantaccen rayuwar rayuwa tare da tara T3 na roba zuwa T4 (levothyroxine) na roba, amma wasu likitoci sun ce wadannan nazarin ba su dace ba idan sunyi la'akari da kwayoyin cututtukan karoid (wadanda suke dauke da duka T3 da T4 ) saboda sune kwayoyi daban-daban.
Don shiga cikin gwaji
Idan kun haɗu da cancanta kuma kuna sha'awar kasancewa a cikin wannan gwaji, tuntuɓi: Mohamed Shakir, MD, 301-295-5165, mohamed.shakir@med.navy.mil da Patrick Clyde, MD, 301-295- 5165, patrick.clyde@med.navy.mil.Lambar ganowa na Trials.gov na wannan jarrabawa shine NCT01739972.
Kuna iya ganin cikakken jerin sunayen ClinicalTrials.gov.