Kwamfutar da aka gano sun zama marasa lafiya
A shekarar 2017 na Cibiyar Thyroid Association ta Amirka, yawancin masu bincike sun ruwaito akan sababbin binciken da suka nuna cewa siffofin ruwa na levothyroxine sun fi tasiri fiye da Allunan in zalunta da yawa daga marasa lafiya.
Levothyroxine wani nau'i ne na likitanci irin na thyroxine (T4), wani maɗallin hormone wanda ya haifar da thyroid. Levothyroxine shine magunguna na farko don maganin hypothyroidism, maganin ciwon daji wanda yafi dacewa daga cirewa na maganin karoid, maye gurbin rediyo da glandon, da kuma lalata gland din saboda sakamakon cutar ta mikiyar Hashimoto ta thyroiditis.
Generic levothyroxine, da kuma sunayen da aka fi sani da Synthroid da Levoxyl, sune siffofin kwamfutarka na wannan magani mai maye gurbin maganin horroone . Siffar kwamfutar hannu levothyroxine ita ce hanya mafi mahimmanci da aka dauka wannan magani.
Shekaru da dama, an samo ruwa, mai lausar launin fata na levothyroxine a Amurka a karkashin sunan suna Tirosint . An tsara nau'in levothyroxine na Tirosint a matsayin hypoallergenic, samfurin levothyroxine na musamman ga mutanen da ke da matsala masu ciwo ko na ciwo, da matsalolin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin levothyroxine.
A watan Fabrairu na shekarar 2017, FDA ta amince da levothyroxine, Tirosint-SOL. Liquid levothyroxine yana samuwa a Italiya tun 2012. An yi amfani da levothyroxine mai ruwa don maye gurbin marasa lafiya waɗanda baza su iya haɗiye su ba, wadanda aka ciyar da tube, da kuma yara da hypothyroidism.
Ana sa ran ana samun samfurin SOL-SOL a kasuwar Amurka ta 2018.
Liquid Levothyroxine vs. Tablets
A cikin binciken daya, masu bincike na Italiya sun nuna cewa siffofin ruwa na levothyroxine sakamakon sakamako mafi kyau na matakan thyroid idan aka kwatanta da allunan. Sun kimanta rukuni na marasa lafiya ɗauke da allunan Levothyroxine, wanda, duk da girman ƙwayar cuta , ba su da hawan hormone mai tayarwa (TSH) da matakan T4 masu kyauta a cikin maƙallin kewayawa.
Masu binciken sun sauya marasa lafiya zuwa wannan asarar ruwa ko levothyroxine mai laushi da kuma lambasured su thyroid matakan. Sun gano cewa kashi 85 cikin dari na marasa lafiya na binciken sun nuna matukar cigaba a duka matakan TSH da matakan T4 masu kyauta. Bayan makonni da yawa bayan sun fara samfurori na kwayoyin levothyroxine, marasa lafiya hypothyroid sun iya isa matakan ƙwayar jikinka a cikin jeri na bincike.
Masu bincike sun kammala cewa siffofin ruwa na levothyroxine suna da sakamako mai mahimmanci idan aka kwatanta da tsarin kwamfutar hannu a wasu marasa lafiya.
Bayan Thyroidectomy, Capsules na Softgel Mafi Aminci
A cikin wani binciken, masu bincike sun kwatanta tasirin levothyroxine da kuma laushi a cikin marasa lafiya wadanda ke da cikakkun thyroidectomy don goiter multinodular. Wadannan marasa lafiya ba su da wata matsala game da malabsorption.
Kimanin rabin marasa lafiya sun ba da Allunan, ɗayan kuma sun karbi kwayoyin launin rufi a wannan cuta, suna farawa bayan an tilasta waraka. TSH marasa lafiya, free thyroxine (FT4), da matakan triiodothyronine kyauta (FT3) an kimanta bayan makonni 6 sannan bayan makonni 12.
A makonni 6 da goma sha biyu, marasa lafiya da ke ɗauke da kwayoyin launin ruɓaɓɓen sunadaran ƙananan matakan TSH.
A duka maki guda biyu, adadin marasa lafiya wadanda suka daukaka TSH matakan sama da kimanin 3.5 mcU / ml-hypothyroid don wannan binciken-ya kasance mafi girma a cikin marasa lafiya masu karbar Allunan. Masu bincike sun tabbatar da cewa ko da a marasa lafiyar da ba su da magunguna ko matsaloli masu narkewa, levothyroxine softgel capsules sun fi tasiri.
Better TSH Control TSH Bayan Ciwo
Wani binciken Italiyanci ya dubi marasa lafiya tare da bambancin ciwon maganin thyroid (DTC) shan levothyroxine. Bisa ga Amurka Thyroid Association, waɗannan marasa lafiya ya kamata su sami matakin TSH tsakanin 0.1 da 0.5 mU / L - a ƙasa da ƙananan ƙarshen wurin tunani - don taimakawa wajen hana sake ciwon ciwon maganin thyroid.
Saboda wannan maƙalli ne mai ƙaƙƙarfan taga, yana da muhimmanci cewa magani na levothyroxine ya kasance daidai a riƙe da matakin TSH.
Masu bincike sun kwatanta yiwuwar matakin TSH a marasa lafiya bi da bi da levothyroxine, tare da allunan. Half marasa lafiya sun sami levothyroxine, kuma rabin sun karbi kwamfutar hannu, kuma duk suna da irin maganin maganin hormone sauyawa. An aiwatar da matakai masu yawa na matakan TSH.
Masu binciken sun ga karuwa a cikin matakan TSH a cikin marasa lafiya shan Allunan, idan aka kwatanta da wadanda suke shan levothyroxine. Musamman, kimanin kashi 16 cikin dari na marasa lafiya a kan Allunan ba su isa iyakar TSH ba, idan aka kwatanta da kawai 4% na wadanda ke kan levothyroxine. Masu bincike sun yanke shawarar cewa amfani da LT4 levothyroxine idan aka kwatanta da Allunan sun haifar da yawancin masu yawan marasa ciwon daji da ke riƙe da TSH suna ƙaddamar da ƙaddamar da ciwon ciwon daji.
Game da Liquid Levothyroxine
Kamar yadda muka gani, a Amurka, ana samun levothyroxine a cikin kamfanin sayar da ruwa a cikin Tirosint brand softgel capsules, kuma a cikin Tirosint-SOL ruwa. Rashin ruwa ba ya ƙunshi sugars, dyes, barasa, sitaci (alkama), lactose, acacia , ko wasu additives ko kayan da ake amfani dasu don yin levothyroxine Allunan. Abinda kawai ke ciki a cikin capsules shine levothyroxine, gelatin, glycerin, da ruwa, wanda bazai iya tsoma baki tare da shayewa ba ko haifar da cututtuka. Tashin daji na ciki na dauke da kawai levothyroxine.
An riga an adana takarda ga marasa lafiya wadanda ke da yanayi kamar cutar Crohn ko rashin ciwo mai jiji wanda aka sani don shafar narkewa ko sha. Domin yana da hypoallergenic, magunguna suna amfani da su tare da ƙwayoyin da aka sani akan kayan da ake amfani dasu ko kayan hade da ake amfani dasu wajen yin lakabi da sunan jinsin levothyroxine.
Wasu sun amfana da sha'anin ruwa na ruwa mai laushi: abinci, alli , baƙin ƙarfe, kofi , da madara ba su bayyana su tsoma baki tare da shawan levothyroxine na ruwa, kamar yadda suke yi tare da Allunan.
Saboda matsayinsa a matsayin likita na kwararru don masu sauraro masu iyaka, kuma saboda Tirosint ya fi tsada fiye da sauran nau'i na levothyroxine ko jinsunan jinsunan, ba a yi amfani dashi ba don amfani da hypothyroidism a Amurka.
Kalma Daga
Sakamakon binciken ya nuna cewa marasa lafiya da dama-ba kawai wadanda ke da malashorption ko allergies-zasu iya amfana daga sauyawa daga siffofin launi na levothyroxine zuwa siffofin levothyroxine. Wani binciken binciken da aka buga a mujallar DR Diet ya gano cewa daga cikin likitoci 1,000 da ke shan levothyroxine, kashi 15 cikin dari na da ciwon haɗari ga kayan da kuma addittu da aka samu a cikin allunan levothyroxine.
Akwai wasu kalubalen da za a canza daga wani levothyroxine a kwamfutar hannu zuwa capsules mai laushi na Tirosint ko ruwa na Tirosint-SOL, duk da haka:
- Kwararka na iya ba da saninsa na Capsules na Tirosint ko ruwa na Tirosint-SOL kamar yadda zaɓuɓɓuka.
- Asusunka, HMO, ko sauran kiwon lafiya bazai yarda da biya ko sake biya ga Tirosint. A wannan yanayin, ƙila ka buƙaci mai kula da lafiyarka don tabbatar da "kyauta kamar yadda aka rubuta" ko "babu wani canji / babu jima'i".
- Idan kana bukatar ka biya aljihu, adadin kudin-wanda zai iya zama kamar $ 50 zuwa $ 100 ko fiye da wata-zai iya sa canza ya haramta maka kudi.
Idan, duk da haka, kuna da ƙalubale don cimma burin da aka yi niyya ko kuma maganin gwajin maganin ƙwaƙwalwar ku da kuma tabbatar da ci gaba da alamun cututtuka na hypothyroidism, kuna so ku tattauna da ma'aikatan lafiyarku game da ko an canza wani magani.
> Sources:
> Benvanga, S. et al. "L-Thyroxine a cikin Liquid Harkokin Koya ko Tsarin Softgel Ya tabbatar da Matsayin Sashin Kullum na Free T4." Thyroid. Oktoba 2017, 27 (S1): A-166-A-188.
> Fallahi, P et. al. "Oral L-Thyroxine a cikin Gel Capsule Kusa da Halitta Halitta a cikin marasa lafiya an sallama zuwa Total Thyroidectomy." Thyroid. Oktoba 2017, 27 (S1): A-166-A-188.
> McMillan M, Rotenberg K, et al. Cormorbidities, Magungunan kwantar da hankali, da kuma cin abinci kamar abubuwan da ke fama da levothyroxine farfado: sakamakon Sakamakon duba tsarin. Drugs RD. 2015. Disamba 21.
> Pirola, I. et. al. "Canjin TSH a cikin marasa lafiya da ke cutar da cutar Thyroid Ciwon daji tare da Lemothyroxine Liquid Solution ko Tablet." Thyroid. Oktoba 2017, 27 (S1): A-166-A-188.
> Sevilla Alsina, ME ET. al. "Hanyoyin Saukakawa a Gudanar da Hypothyroidism Bayan Kasawa na Lemothyroxine na Labaran." Thyroid. Oktoba 2017, 27 (S1): A-166-A-188.