Tarihin Gudanar da Labaran Halitta na Thyroid
Ba wani asiri ba ne cewa irin abubuwan da ke cikin kwayoyin maganin thyroid (NDT) sun kasance masu rigima tun shekaru da yawa. NDT ne takardar sayan magani nau'i na thyroid hormone sauyawa kuma ana gaba ka koma ga halitta thyroid , thyroid cire, porcine thyroid, "alade thyroid," ko ta iri sunayen kamar Nature-throid ko Armor Thyroid.
An fara farawa NDT a farkon shekarun 1900 kuma an yi shi daga nauyin dabbobin da ke jikinka, a matsayin hanyar magance hypothyroidism, rashi na hormone thyroid.
Harshen farko na thyroid na jikinka ya fito ne daga glandon shanu na shanu, amma a farkon shekarun 1900, kamfanin Armor ya shiga cikin filin, sayar da kansa ta hanyar lalacewa daga aladu, wanda ake kira Armor Thyroid.
Saboda an ci gaba da ita kafin FDA ta kasance, shari'arsa a matsayin magani na maganin asibiti yana da cikakkiyar damuwa, kuma yanayin da ke cikin maganin maganin maganin maganin likitancinka, yayin da FDA ya tsara, bai taɓa yin amfani da tsarin " New Drug Application " (NDA) wanda ake buƙatar sababbin kwayoyi gabatarwa a kasuwa bayan kafa kamfanin FDA.
Natural desiccated thyroid ya ƙunshi biyu T4 (thyroxine) da T3 (triiodothyronine), da kuma calcitonin, da kuma sauran abubuwa gano a kwayoyin thyroid gland shine . Glandar thyroid gilashi ta samar da T4 (ajiyar ajiyar hormone) da wasu T3, kuma T4 ya shiga T3, hormone mai aiki, don amfani da kwayoyin jikin da jikin jikin.
Rise na Synthroid
A tsakiyar tsakiyar karni na karshe, maganin maganin thyroid ya zo a kasuwa.
Wannan siginar rubutun T4 na hormone an san shi da kwayar halitta kamar levothyroxine, wani lokacin ana kiran shi da sunan mafi yawan suna, Synthroid. Levothyroxine ya zama sananne, kuma a lokacin rabi na biyu na karni na 20, sai ya zama magunguna na zabi ga magungunan likita.
Magungunan sun ce sun fi daidaituwa kuma sun fi daidaituwa fiye da lalacewar jikinka, kuma jiki ya iya canza T4 cikin aiki T3 jikin da ake buƙatar warware hypothyroidism.
Domin da yawa shekarun da suka gabata, mafi yawan thyroid marasa lafiya an wajabta levothyroxine kwayoyi don bi da hypothyroidism. Amma yayin da sha'awa ya karu a magani na halitta a cikin shekarun 1980, masana likitoci da kuma cikakkun likitocin sun fara sake rubuta dabi'ar da ke jikin ka, wadda ta kasance a kasuwa, ko da yake tare da karamin kasuwa.
Wasu daga cikin tsofaffin likitocin da suka yi amfani da su na al'amuran da suka dace da maganin karoid tare da marasa lafiya kuma, sun canza wasu marasa lafiya zuwa ga dabi'ar da ke dauke da kwayoyin maganin karoid. Wasu daga cikin wadannan marasa lafiya sun yi gunaguni, bayan an canza su zuwa levothyroxine, cewa bayyanar cututtuka sun tsananta ko ba za a warware su ba. .
Yayinda yawancin marasa lafiya da kuma likitoci sun kasance basu san cewa akwai wani zaɓi a waje da levothyroxine don magance hypothyroidism, a cikin shekarun 1990s, sanarwa na NDT a matsayin wani zaɓi ya karu, saboda dalilai da yawa:
- Yunƙurin yanar gizo
- Ƙara yawan yin haƙuri zuwa wasu marasa lafiya
- Ƙara bayani game da marasa lafiya da masu aiki
Ƙara, symptomatic da rashin amincewa thyroid marasa lafiya shan levothyroxine ya zama mafi sani cewa halitta desiccated thyroid kwayoyi sun zama madadin levothyroxine.
Amfani da wadannan kwayoyi sun karu, kuma wasu marasa lafiya sun gano cewa alamunsu da maganin jinin karoid , sun fi dacewa akan sarrafa dabi'arsu, kamar idan aka kwatanta da levothyroxine, ko ma levothyroxine tare da nau'i na T3 (sunan mai suna Cytomel, da kuma generically an san shi da suna horsethyronine.)
Wannan rikici ya karu yayin da masu yawan marasa lafiya suka buƙaci yanayin da ake ciki, kuma mafi yawan masu aiki, musamman wadanda suke da hankali, sun tsara shi. Misinformation ya cike, tare da wasu likitoci sunyi iƙirarin cewa an halicci kwayoyin cututtukan thyroid ne kawai ba tare da takardun magani ba ko an yi su daga shanu, kuma ta haka sun kasance hadari.
Dokokin kulawa na gargajiya sun bada shawarar levothyroxine kuma musamman hana yin amfani da dabi'un da ke dauke da kwayoyin thyroid.
Amma duk da haka, yayin da ƙarfin haƙuri da ilmi suka karu, kuma a matsayin magani na gaba daya da kuma magani wanda ya sami magungunta mafi yawa, yawan adadin ka'idojin maganin maganin thyroid. A Lab, Western Research, wanda ya sanya halitta desiccated yourroid kwayoyi Halitta-throid da Westhroid (yanzu WP Thyroid), an saya ta RLC Labs, kuma wadannan biyu kwayoyi sami mafi girma kasuwa tare.
Kwanan nan Kwaskwarima na Harkokin Gudanarwa na Hypothyroidism a cikin Adult , da Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararru ta Amirka (AACE) da kuma American Thyroid Association (ATA) suka wallafa ta, sun lalace. An damu da damuwa game da maganganun hanyoyin maganin thyroid a cikin wannan labarin, amma mahimmanci, sun ci gaba da yin kuskuren cewa sunadaran likitancin NDT sun kasance daga shanu, kuma sun yi kokarin rufe wannan batun ta cewa "Babu shaida don tallafawa ta yin amfani da maganin thyroid hormone a maimakon ka L-thyroxine monotherapy a zalunta hypothyroidism sabili da haka desiccated thyroid hormone ya kamata ba za a yi amfani da magani na hypothyroidism. "
Sun kasa yin maganar cewa babu wani shaida don tallafawa ta yin amfani da levothyroxine a maimakon zafin jiki na ƙwayar thyroid. Binciken da aka yi kawai ba a taɓa yin wata hanya ba, saboda haka shekaru na al'ada, kwarewa, da tallace-tallace sun zama 'yan motsawa a bayan shawarwarin su, ba binciken daga makanta biyu ba, nazarin ɗan adam, jaridar binciken wallafe-wallafe.
Yi kwatancin Levothyroxine zuwa Thyroid
A kwanan nan bazuwar, sau biyu makafi, karkatacciyar binciken idan aka kwatanta da halitta desiccated thyroid zuwa levothyroxine. Nazarin ya kimanta marasa lafiya 70 (shekaru 18 zuwa 65) waɗanda suka fi dacewa da hypothyroidism . Ana ba da marasa lafiya a kowane irin yanayi na karen koroid ko levothyroxine na tsawon makonni 16.
Bayan kammala karatun, an tambayi magunguna wane tsari ne suka fi so, kuma kusan kashi 49 cikin dari sun fi son abin da ke cikin jikinka, wanda ya kusan kashi 19 cikin dari wanda ya fi son levothyroxine. Kimanin kashi 33 cikin dari bai bayyana wani zaɓi ba. Wadanda ke ɗauke da maganin thyroid sun rasa kusan fam guda uku, idan aka kwatanta da marasa lafiya dauke da levothyroxine , wanda bai rasa nauyi ba.
An gabatar da wannan bincike ga Endocrin Society ; manyan da muhimmanci ci gaban thyroid marasa lafiya . Magunguna da masu aiki suna da hakkin yin rubutun da kuma dauka kowane nau'i ko nau'i na maganin maganin hormone maye gurbin aiki da aminci kuma mafi kyau ga kowane mai haƙuri.
Kalma daga
Idan kuna sha'awar binciken NDT a matsayin magani don hypothyroidism, ku tuna:
- Kila iya buƙatar yin aiki tare da likitan kwakwalwa ko cikakkiyar likitanci, tare da likitancin likita.
- Ya kamata ku yi aiki tare da wani gwani wanda ke da kwarewa wajen tsara NDT, da kuma kula da marasa lafiya a kan NDT.
- Ba wani kyakkyawar mahimmanci na sayan maganin maganin cututtuka ba, ba tare da takardun magani ba, kuma kai su ba tare da kula da likita ba.
- Ƙari-da-counter glandular thyroid goyon bayan goyon baya ba takaddama NDT, kuma ba a maimakon takardar magani yourroid hormone sauyawa magani.
> Sources:
> Tang Tang. "Bayyana thyroid cire idan aka kwatanta da levothyroxine a lura da hypothyroidism." American Thyroid Association (Maris, 2013).