Idan kun kasance a kan kwayoyin maye gurbin maganin hormon (watau levothyroxine, ko Synthroid, Levoxyl, ko Tirosint brands) kuma har yanzu basu ji daɗi ba, yiwuwar ita ce za ku iya amfana daga ƙara T3, ko sauyawa zuwa magani na thyroid wanda ya hada da T3.
T3 / Triiodothyronine
Levothyroxine wani nau'i na roba ne na hormone thyroxine, ya rage kamar T4.
T4 shine hormone ajiya kuma dole ne mutum ya canza shi cikin T3 don amfani da kwayoyin.
T3 yana takaice don triiodothyronine. T3 shine aikin thyroid da ke aiki a matakin salula don taimakawa tare da isar da oxygen da makamashi zuwa kwayoyin halitta, kyallen takalma, da glandan cikin jiki.
Yayinda glandar thyroid ta samar da T4 da T3, T4 ba ta aiki. Domin amfani da jiki, T4 ya canza zuwa T3.
Ana kula da maganin Levothyroxine ne kawai na kula da likitoci na al'ada. Akwai wata hujja mai zurfi na kimiyyar kimiyya, duk da haka, wanda ya gano wasu al'amurran da suka mayar da hankali ga farfadowar T3. Misali:
- Sabuwar bincike shine gano cututtukan kwayoyin da aka sani da deiodinase polymorphisms wanda ke sanya sassan marasa lafiya marasa tasiri a canza T4 cikin T3. Wadannan nazarin sun nuna cewa levothyroxine kadai bai dace da wadannan marasa lafiya ba.
- Kwanan nan shahararrun bincike sunyi nazarin ilimin levothyroxine tare da kiwon lafiya na hypothyroidism. Yawan karatun da aka gano sun sami ingantaccen yanayi, kwarewar rayuwa, da kuma abubuwan da suka dace a cikin marasa lafiya ɗauke da maganin hade, idan aka kwatanta da levothyroxine kadai.
- Wasu nazarin sun nuna cewa yin amfani da sakamakon T3 da yawa a ƙananan ƙwayar cholesterol, ƙananan raguwa da nauyin jiki, kuma mafi kyau ƙin bayyanar cututtuka, ba tare da ƙarin ƙari ba idan aka kwatanta da levothyroxine kadai.
Binciken Danemark mai zurfi , ya ruwaito a cikin babban littafin jaridar Turai na Endocrinology , ya yi nazarin maganin maganin ciwon maganin maganin ciwon kwayar cutar ta Levothyroxine, tare da levothyroxine tare da T3 (a cikin wannan yanayin, ana amfani da sakon 20 na kwayoyi 20 na T3 yau da kullum).
An yi gwajin gwagwarmayar rayuwa da damuwa a farkon binciken, sannan kuma bayan lokutan makonni 12 na mako. A kowane lokutan makonni 12, an ba da batutuwa ga levothyroxine tare da T3, ko levothyroxine tare da placebo sannan kuma a sauya su a cikin mako 12 na gaba. Masu shiga sun kasance "makãho" a cikin abin da ba su san ko suna aiki T3 ko placebo ba.
Halin rayuwa da abubuwan da suka shafi tunanin mutum sun hada da, kiwon lafiyar jama'a, aikin zamantakewa, lafiyar hankali, da karfi, jin tsoro, damuwa, da damuwa. Binciken ya nuna cewa daga cikin marasa lafiya, yawancin su mata ne, kashi 49 cikin dari na marasa lafiya sun fi son hada-hadar maganin, kuma kawai 15% sun fi son ciwon levothyroxine kawai.
Masu bincike da masu endocrinologists sun cigaba da zuwa shekaru kusan kimanin shekaru ashirin game da t3 . Bisa ga kwarewar da suke da shi tare da marasa lafiya, da kuma ci gaba da bincike na bincike, wasu likitoci na al'ada, da kuma cikakkun ma'aikata da masu haɗin kai suna kara ƙara T3 mai zurfi a matsayin mafita don taimakawa wajen inganta maganin maganin jinƙai ga wasu marasa lafiya. Sun ƙara T3 a hanyoyi da dama:
- Ƙara T3 zuwa magani na levothyroxine, ta hanyar Bugu da ƙari da rubutun takalmin magani T3 iri na miyagun ƙwayoyi Cytomel, ko jinsin cythomeline (sarkar T3)
- Ƙara roba T3 ta bin takardun magani da aka ƙaddamar lokaci-sake / ci-saki T3 ban da levothyroxine
- Ƙara wani sashi na halitta da ake kira thyroid, irin su kwayoyi kwayoyi Nature-throid, Armor Thyroid , ko Generic thyroid (mai Amurka manufacturer ne Acella) zuwa ga levothyroxine magani
- Sauran marasa lafiya da ke canzawa zuwa wata halitta ba su da alaka da tsarin maganin thyroid-only treatment
- Ƙara mai haƙuri a kan t3 kawai far (wannan shi ne wanda ba a sani ba.)
Yana da muhimmanci a lura da cewa, saboda T3 shine hormone mai aiki, zai iya samun sakamako mai zurfi akan zuciya da bugun jini a cikin wasu mutane, musamman ma wadanda ke da tarihin cututtukan zuciya, tsofaffi, da waɗanda suke da zuciya marasa biyayya kamar gyare-gyare na gyaran fuska.
T3-masanan likitocin sunyi nazari kan lafiyar T3 idan aka kwatanta da amfanin da ake samu a kan kararrakin.
Koda a cikin marasa lafiyar da ba su da wata damuwa ko tsofaffin matsalolin da zasu iya haifar da matsala T3, wasu marasa lafiya sun fi damuwa da tayin T3. Zuciya tana da matukar damuwa da hormone thyroid a general, kuma ga wasu mutane, ko da ƙananan ratsan hawan na zuma, ko kuma ƙananan t3 a cikin yanayin da ke tattare da magungunan maganin thyroid zai iya haifar da tashi daga bugun jini ko zuciya.
Ga wadanda marasa lafiya, wasu likitoci sun bada shawarar samfurin T3, wanda aka samo asali / jinkirtawa daga samfurin likita.
Wasu masanan likitoci, a gaskiya, sun gaskata cewa jinkirta-saki T3 shine ainihin tsari mafi kyau ga T3 na gaba, kamar yadda yake kama da kamawar kansa da kuma saki T3, kuma saboda jinkirin jinkirtawa ba zai iya haifarwa ba duk wani tasiri.
Halittar Halitta ta Halitta
Wasu likitoci sun gano cewa wani ɓangare na marasa lafiya sun sami nasarar tabbatar da bayyanar cututtukan su yayin da suke bin maganin maganin maganin ku, suna rage kamar yadda aka yi a matsayin NDT. NDT kuma an sani da porcine thyroid, thyroid cire, na halitta thyroid ko ma "alade thyroid." Yana da magani ne na Dokar FDA, wanda aka samo daga glandan alade na aladu. Magunguna a cikin wannan rukuni sun haɗa da Armor Thyroid, Nature-throid, da WP Thyroid a Amurka, Erfa Thyroid na Kanada, da kuma yanayin da ke tattare da thyroid a Amurka da Acella ya samar.
Halittar da ke cikin thyroid an yi amfani dashi fiye da karni. Mutane da yawa sun yarda da cewa wadannan kwayoyi, wadanda ke samar da T4, T3, T2, T1, da sauran abubuwan hormones na karoid da abubuwan da ke gina jiki, sun fi kama da kwayar kafar hormone na jikin mutum fiye da kwayoyi. Sun bayar da rahoton cewa yawancin marasa lafiyarsu suna jin dadin su. Wasu marasa lafiya sun gano cewa sun fi jin dadin maganin kwayoyin karoid, ko kuma a kan kwayoyi na roba da wasu maganin thyroid.
Kalma Daga
Free T3 da kuma warware T3 jini gwaje-gwaje, tare da alamun asibitin alamu da bayyanar cututtuka na hypothyroidism, zai iya taimaka wajen gane ko kuna da matakan al'ada na T3, ko kuma zai iya amfana daga magani T3. Wasu masanan likitoci sunyi imanin cewa isasshen gyaran maganin karoid zai haifar da matakan T3 kyauta a tsakiya zuwa rabi na sama na ɗakunan binciken dakin gwaje-gwaje.
Ka tuna cewa gwajin T3 da kuma amfani da magungunan T4 / T3 tare da magungunan maganin karoid ne maganganu masu rikitarwa. Mutane da yawa masu aikin likita da kuma likitoci na al'ada suna da tsayayya ga ra'ayin gwajin T3 da kuma magance magungunan T3, duk da binciken binciken da aka yi. Suna nuna damuwar cewa tarin ƙananan T3 zai iya haifar da kullun zuciya ko sauran tasiri.
Da yawa likitoci na al'ada ba su kula da kwayoyin thyroid kwayoyi da kyau . Suna da'awar cewa waɗannan kwayoyi ba su da kwanciyar hankali, ba "m" ba, kuma mutane da yawa ba za su rubuta su ba.
Idan kana so ka duba ƙarin magani na T3 ko magungunan maganin karoid, zaka iya buƙata aiki tare da likita ko kuma cikakke.
Har ila yau ,, yayin da daban-daban kan-da-counter thyroid goyon bayan kari suna samuwa, da kuma wasu da'awar su dauke da "thyroid glandulars," wadannan ba prescription thyroid magani, kuma ba a maimakon likita na halitta thyroid kwayoyi.
> Sources:
> Celi FS, et al. "Hanyoyin maganin rashin lafiya na kiwon lafiya a cikin hypothyroidism: wani baƙi, mai makafi guda biyu, gwagwarmaya na crossover na liothyronine da levothyroxine." J Clin Endocrinol Metab. 2011 Nov; 96 (11: 3466-74.): 10.1210 / jc.2011-1329 Afub 2011 Aug 24.
> Jagoran Harkokin Kasuwanci ga Hypothyroidism a cikin Adults : Cibiyar hadin gwiwar Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru ta Amurka da Amurka Yourroid Association.
> Escobar-Morreale HF, et al. "Jiyya na hypothyroidism tare da levothyroxine ko hade da levothyroxine da L-triiodothyronine." Mafi Amfani da Ciwon Endocrinol Metab. 2015 Janairu 29 (1): 57-75. Doi: 10.1016 / j.beem.2014.10.004. Epub 2014 Oktoba 25. Review.
> McAninch EA, Bianco AC. "Tarihi da Gabatarwa na Kula da Hypothyroidism." Ann Intern Med. 2016 Jan 5; 164 (1): 50-6. Doi: 10.7326 / M15-1799. Erratum a: Ann Intern Med. 2016 Mar 1; 164 (5): 376. PMID: 26747302
> Nygaard, B et al. "Hanyoyin hade tare da thyroxine (T4) da 3,5,30 -triiodothyronine da T4 monotherapy a cikin marasa lafiya da hypothyroidism, makafi biyu, nazarin giciye akan bazuwar." Jaridar Turai ta Endocrinology (2009) 161 895-902