Da yawa daga cikin masu maganin thyroid waɗanda suka tuntube mu a ko wa anda suka aika kan shafin yanar gizo na Facebook Thyroid sun tambayi wannan tambaya: "Ina kan Synthroid (ko wani likitan levothyroxine kamar Levoxyl) kuma ba ni jin dadi. "
Ga masu maganin kawoyi ne wannan halin da ake ciki, abu na farko da zamu yi tunani shine ko zaka iya amfana daga ƙarin Karin T3 .
(A takaice dai: Synthroid, Levoxyl da sauran kwayoyin levothyroxine -wanda ake kira l-thyroxine, da L-T4-sune siffofin roba na T4 thyroid hormone T4 shine hormone ajiya, kuma dole ne a canza shi cikin T3, hormone mai aiki , don amfani da kwayoyin ku.Kamarin magani Cytomel shine nau'i na roba na T3. Akwai tsarin kwayar cutar Cytomel, wasu masu aiki suna aiki tare da T3 ta hanyar sayarwa daga lokaci-lokaci don yin amfani da kwayoyin magani. Yanayin-throid, Armor Thyroid yana da nau'o'in halitta na T4, T3 da sauran hormones na thyroid .)
Yanzu, koma ga batun ko ko zaka iya amfana daga Bugu da ƙari na T3 . Tambayar tambaya ita ce: shin likitan ku zai yarda har ya tattauna da ku tare da ku, da yawa ya rubuta shi? Babu amsa mai mahimmanci.
Idan ka ce wa likita, "Zan iya amfana daga wasu ƙarin T3?" Maida martani zai dace da daya daga cikin abubuwa hudu da ke faruwa ...
- A. Ya sa ya bayyana cewa yana da sha'awar karin bayani game da T3.
- B. likitan ya ce, "wannan ba abin da nake dadi ba." Yi hakuri. "
- C. Dikita yana tunani game da shi, kuma yana cewa, "Da kyau, bari mu dubi matakin T3 kyauta don ganin abin da yake kama da kuma yanke shawara.
- D. Dikita ya ce, "hakika akwai yiwuwar.Da muyi kokarin ƙananan kashi na T3 kuma mu ga yadda kuke jin dadi." Amma bari mu tabbatar cewa babu wata hujja game da ku ...
A bayyane yake, idan kun kasance mai haƙuri na Doctor A, mai kyau zaɓi shine don samun sabon likitan thyroid . Tambaya don tattaunawa akan yiwuwar magani shine aikace-aikacen da ya dace, kuma bai kamata a hadu da shi ba tare da nuna rashin amincewa ko aikawa ba. Irin wadannan martani ne, a gaskiya, bayyananne shaidar cewa lokaci ne don sabon likita.
Idan kana aiki tare da Doctor B, da kyau, za ka iya so ka tambayi abin da yake nufi don rashin jin daɗi tare da ƙara T3 zuwa magani na levothyroxine-kawai thyroid. A nan, za ku iya so ku ambaci, ko kuma ku zo da recap ko kwafin, nazarin Danish wanda ya fito a ƙarshen shekara ta 2009 a cikin Jaridar Turai na Endocrinology . Wannan nazarin ya dubi batutuwan maganganu na maganin maganin T3 na roba a matsayin kari ga T4-kawai (levothyroxine) farfadowa don hypothyroidism .
Binciken ya bayar da rahoton cewa kashi 49 cikin 100 na marasa lafiya binciken sun fi son maganin da ya hada levothyroxine da magungunan T3 , kuma kawai 15% sun fi son ciwon levothyroxine kawai. (Dubi ƙasa don ƙarin bayani game da wannan binciken, da kuma yadda zaka iya samun kwafi don nuna likitanka.) Idan Dole B har yanzu ta ƙi yarda da tattauna T3 tare da kai kuma ba zai iya cika maka da bayani mai mahimmanci, lokaci ya yi ba don sabon thyroid likita .
Idan kuna aiki da Doctor C, la'akari da kanka da sa'a. Ka tambayi likita abin da yake nufi shine Free T3. Kuma ku ci gaba da samun wannan gwajin T3 kyauta, ku tuna cewa mutane masu yawa na thyroid sunyi imanin cewa marasa lafiya suna jin dadi lokacin da matakan T3 kyauta sun kasance a cikin rabin rabi na al'ada, har ma a kashi 75th kuma sama da kewayon.
(Mene ne wannan aikin? Bari mu yi math.Da tashar layi na Lab don Free T3 shine 2.0-4.4 pg / mL, to tsakiya shine rabi tsakanin su, ko 3.2, kuma kashi 75th na 3.8.)
Kuma idan kun kasance mai haƙuri Doctor, kuma ku yi la'akari da kansa don jin dadi da likita.
Amma ga contraindications, likitoci sun kasance da hankali game da amfani da T3 a cikin duk wanda yana da tarihin cututtukan zuciya ko matsalolin zuciya, da kuma a cikin tsofaffi, don haka T3-savvy likitoci za su ci gaba da wannan a zuciyarsa.
A Note daga
Idan kana buƙatar raba bayani tare da likitanku game da nazarin Danish na 2009, a nan akwai wasu albarkatun:
- Mataki na ashirin: Nazarin ya nuna cewa Ƙarin T3 ne mafi Girma ga Levothyroxine / T4-Kawai Thyroid Treatment for Hypothyroidism
- Nazarin Nazarin Danish: Birte Nygaard, Ebir Winther Jensen, Jan Kvetny, Anne Jarløv da Jens Faber. "Hanyoyin hade tare da thyroxine (T4) da 3,5,3'-triiodothyronine da T4 monotherapy a marasa lafiya tare da hypothyroidism, da makafi guda biyu, nazarin giciye akan baƙi," Jaridar Turai na Endocrinology, Vol 161, Issue 6, 895-902, Disamba 2009
- Nazarin: Karanta Abubuwa / Sauke Rubutun (Kada ka manta da cewa maimakon biyan kuɗin yanar gizon sabuntawa, zaka iya samun kyauta na asibitoci idan ka sami makarantar likita, asibiti ko ɗakin kimiyya a kusa )
> Source:
> Nygaard, B et. al. "Hanyoyin hade tare da thyroxine (T4) da 3,5,3'-triiodothyronine da T4 monotherapy a marasa lafiya tare da hypothyroidism, da makafi guda biyu, nazarin giciye akan baƙi," Jaridar Turai na Endocrinology, Vol 161, Issue 6, 895-902, Disamba 2009