Natural desiccated thyroid-da aka sani da NDT, thyroid cire, da kuma porcine thyroid-ne takardar sayen magani thyroid magani da aka samu daga dried yourroid gland shine na aladu.
Halittar da ke tattare da thyroid shi ne ƙwayar da aka gina ta farko da ake amfani dasu don magance hypothyroidism kuma ya kasance har tsawon fiye da karni.
Shift zuwa Levothyroxine
Domin rabin rabin karni na ashirin, yanayin da ke cikin thyroid-wato, alama da ake kira Armor Thyroid-ita ce kawai magani don hypothyroidism.
A cikin shekarun 1950, an kirkiro irin maganin thyroxine (T4). Thyroxine yana daya daga cikin mahimman hanyoyi guda biyu na glandon thyroid. Wannan roba thyroxine da aka sani da levothyroxine, ko l-thyroxine, kuma an karfafa shi a matsayin wani zaɓi na zamani don magance hypothyroidism, idan aka kwatanta da halitta desiccated thyroid.
Ba kamar levothyroxine ba, wanda shine wani nau'i na T4 na hormone, mai launi na ƙwayar thyroid ya ƙunshi nau'i biyu na hormones thyroid-T4 (thyroxine) da T3 (triiodothyronine) - da na lakabi, da sauran abubuwa da aka gano a cikin glandon jikinka . 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.
Lemothyroxine ya kasance mafi kyawun maganin lafiyar likita a duniya tun lokacin gabatarwa (wasu daga cikin shahararrun levothyroxine sun hada da Synthroid, Tirosint , Unithroid, da Levoxyl).
Halitta sun haɗu da kwayoyin karoid, ciki har da sunayen sunaye Nature-Throid, Thyroid WP, Armor Thyroid, da kuma Acella na kwayoyin maganin thyroid NP Thyroid, sun kasance a kasuwa. Wadannan kwayoyi sun ci gaba da jawo zargi da wuta daga likitoci da magungunan miyagun ƙwayoyi, waɗanda suka yi la'akari da shi azaman "tsohuwar salon" da kuma dadewa.
A halin yanzu, wani saiti na thyroid marasa lafiya ya ci gaba da fi son halitta desiccated thyroid a kan levothyroxine, mai yiwuwa saboda kasancewar biyu T4 da T3 hormones a cikin halitta desiccated thyroid, a kan kawai T4 a levothyroxine.
Halitta na Halitta na Halitta Kamar yadda Lemothyroxine yake
Tambayar da ke tattare da dabi'a ta hankalin thyroid, a kan levothyroxine yana da rikici na shekaru da yawa. Duk da rabin karni na amfani, bayan gabatarwar levothyroxine, likitoci akai-akai sun yi jayayya game da amfani da kwayoyin maganin karoid na maganin karoid, suna cewa babu wani bincike wanda ya nuna shi lafiya ko tasiri.
Ga magoya bayan al'ada da ke ciwon maganin thyroid, akwai labari mai mahimmanci ga marasa lafiya da ke cikin maganin da suka fito daga Endocrine Society Annual Meeting, wanda ya faru a Yuni na 2013 a San Francisco. Bisa ga gabatarwa da Thanh D. Hoang, DO, ma'aikatan aikin likita na Walter Reed na Ƙasar Kula da Sojoji a garin Bethesda, MD, abubuwan da ke tattare da kwayoyin maganin karoid sune hanyoyin da za su iya canzawa ga maganin maganin hormone da ke cike da levothyroxine.
Don wannan binciken, Dokta Hoang ya gudanar da bincike mai mahimmanci, makafi guda biyu, nazarin ƙididdiga don kwatanta tasiri na al'ada da ke bautar thyroid a kan levothyroxine a matsayin magani na hypothyroidism.
Binciken ya kimanta yawan marasa lafiya 70, wadanda suka kasance daga shekarun 18 zuwa 65, kuma duk suna da asalin hypothyroidism. An sanya marasa lafiya zuwa wata ƙungiya wanda ya dauki nauyin kwayar cutar thyroid ko levothyroxine, ko kuma tsawon makonni 16. Nazarin ya makanta, ma'ana marasa lafiya basu san ko wane daga cikin magunguna biyu da suke karbar ba.
A ƙarshen binciken, an tambayi marasa lafiya wanene tsarin likita ya fi so. Abin sha'awa, kusan rabin rabon-musamman, kashi 49 cikin 100-da ake magana da ita na halitta ya haifar da maganin karoid, idan aka kwatanta da kimanin kashi 19 cikin dari wanda ya fi son levothyroxine.
Kimanin kashi 33 cikin dari na marasa lafiya bai bayyana wani zaɓi ba.
Dangane da sha'awa: Dokta Hoang kuma ya ruwaito cewa marasa lafiya da ke dauke da maganin thyroid sun rasa kusan fam guda a lokacin binciken, idan aka kwatanta da marasa lafiya dauke da levothyroxine, wanda bai rasa komai ba.
Dokta Hoang ya gaya wa Endocrine Yau :
Ba mu sami wata bambance-bambance a cikin matakan neurocognitive tsakanin maganin nan biyu ba ... Yanzu mun sani cewa sau ɗaya-rana ana cire hawan karo mai magani ne mai lafiya don maganin marasa lafiya tare da hypothyroidism wadanda basu gamsu da maganin levothyroxine ba. Yana da wani zaɓi don su gwada, kuma baza a iya haifar da asarar nauyi a cikin wadannan marasa lafiya.
> Source:
> Hoang TD, et al. "An bayyana thyroid tsantsa idan aka kwatanta da levothyroxine a lura da hypothyroidism: a randomized, biyu makafi, binciken crossover." J Clin Endocrinol Metab. 2013 May, 98 (5): 1982-90. Doi: 10.1210 / jc.2012-4107. Afrilu 2013 Mar 28.