Idan baku san sababbin maganin ku ba, nan ne mai sauri. Desiccated (dried) thyroid ne thyroid hormone sauyawa miyagun ƙwayoyi tattalin daga thyroid gland shine daga aladu, Har ila yau, da aka sani da "porcine thyroid." Wasu daga cikin alamun sunaye ciki har da Armor Thyroid , Yanayin-thyroid, da kuma WP Thyroid.
Sanin thyroid ne maganin miyagun kwayoyi, kuma FDA ta tsara ta.
An kasance a kasuwa kuma an yi amfani dashi fiye da shekaru 100.
Har sai an kwatanta thyroxine (wanda aka sani da jini kamar levothyroxine, tare da alamomin sun hada da Synthroid, Levoxyl, da Tirosint) a cikin shekarun 1950, haɗin thyroid shine kawai maganin maganin hormone.
Lokacin da aka gabatar da thyroxine, akwai babban abin farin ciki game da yadda zamani yake, idan aka kwatanta da nauyin maganin thyroid, wadda aka dauka tsohuwar kama. A wannan lokacin, likitoci da yawa sun canza marasa lafiya zuwa ga maganin maganin magunguna kuma ba su sake duba baya ba. A halin yanzu, maganin thyroid-wato Synthroid-ya zama babbar mahimmanci ga kamfanonin miyagun ƙwayoyi da suka mallaki 'yanci zuwa Synthroid a cikin shekaru, wanda ya hada da Boots, BASF, kuma yanzu AbbVie, wani ɓangaren Abbott Labs.
Duk da haka, kamar yawancin kamfanoni masu magungunan ƙwayoyi, masu aikin Synthroid sun gudanar da tarurrukan likita, wasan golf, wasan kwaikwayon, tallafin bincike, da kuma masu magana, kuma sun ba da kyautar littattafai marasa lafiya, alkalami, pads, mugs, da sauran kayan aiki da kayan kasuwanci .
Yanzu muna da ƙwararrun likitoci waɗanda aka horar da su a makarantar likita don fahimtar cewa levothyroxine na roba ne kawai magani mai sauya maganin thyroid, kuma mutane da yawa suna san sunan Synthroid musamman, saboda yawan tallan tallan.
Mutane da yawa likitoci ba su san cewa halitta desiccated thyroid ne har yanzu samuwa, ko kuma cewa za a iya amfani da aminci zuwa bi da wasu hypothyroid marasa lafiya.
Wadansu sun gaskata cewa kayyade dabi'ar lalacewar thyroid yana da wuya. Wadannan ra'ayoyin sunyi ta'azantar da hankali daga ra'ayoyin da ba su da kyau daga levothyroxine wakilan tallace-tallace, jita-jita maras tabbas da suka nuna cewa thyroid yana tafiya kasuwa , da sauran bayanan sirri.
Duk da cewa zafin dabarar levothyroxine, tun daga shekarun 1990s, magungunan maganin thyroid sun fara sake farfadowa, yayin da sha'awar maganin halitta ya karu. A wannan lokacin, marasa lafiya da basu ji dadin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin ƙwayar maganin maganin maganin maganin maganin maganin maganin maganin ƙwayar maganin maganin maganin maganin maganin maganin maganin ƙwayar maganin ka. Marasa lafiya sun fahimci cewa akwai wasu zaɓuɓɓuka-daga cikinsu, wadanda ba su da amfani da kwayoyin maganin thyroid kamar Armor da Nature-throid.
Bari mu kasance a fili: An rubuta takardu da dama a kowace shekara don rashin lafiyar ka, idan aka kwatanta da fiye da miliyan 30 da aka tsara a shekara don levothyroxine. Amma marasa lafiyar marasa lafiya wadanda ba su jin dadi da suke zuwa shafuka kamar wannan, karatun littattafai, da kuma yin magana da marasa lafiya. A sakamakon haka, suna ƙara fahimtar cewa akwai wasu bayanan da ke da levothyroxine, kuma , wasu marasa lafiya suna jin dadi a kan magungunan maganin thyroid.
Mahimman ilimin likitancin mutum game da thyroid
Kashe a Endocrine A yau blog, endocrinologist da osteopath Thomas Rasa, DO, FACP, FACE, CDE, ya yi wani ɓangare na uku labarin a "Desiccated thyroid a cikin gudanar da hypothyroidism," daga matsayinsa a matsayin endocrinologist.
- Sanin Thyroid a Gudanar da Hypothyroidism-Part I
- Sanya Thyroid a Gudanarwa na Hypothyroidism-Sashe na II
- Sanin Thyroid a Gudanarwa na Hypothyroidism-Sashe na III
Yana da ban sha'awa mai ban sha'awa domin yana bayar da cikakken ra'ayi game da yadda yawancin masu maganin ƙarshen halitta suke kallon kwayoyin maganin maganin karoid, kuma me yasa duniyar endocrinology ya sabawa yin amfani da wadannan kwayoyi. (Wannan shi ne a kwatanta da cikakke na MDs, wanda ya fi son yin amfani da maganin thyroid saboda sun ga yana aiki mafi kyau ga wasu marasa lafiya.)
Dokta Riba ya fara ne ta hanyar cewa shi, kamar abokansa a cikin endocrinology, ba ya yin amfani da maganin thyroid, domin, "Na yi imani da cewa lalacewar thyroid ne maganin rigakafi kuma ya kamata ba a yi amfani da."
Ya kuma yi iƙirarin cewa endocrinologists ba su yi amfani da Armor saboda "matakin da ba a yarda da shi ba don sauyawa tsari, sau da yawa yakan haifar da bambancin da ba a yarda ba a cikin hormone." Ganin cewa levothyroxine yana da bambanci daga alama zuwa alama, in ji shi, "idan muka yi la'akari da bambancin kadan tsakanin kayan levothyroxine masu muhimmanci da gaske, to, yawancin bambancin da ke cikin abubuwan da ba a yarda da shi ba ne wanda ba a yarda ba."
A Sashe na III, Dokta Riba ya ce yayin da mafi yawancin mutane ba za su yi mafarki na "jagorantar likita ba akan yadda za a yi tashin hankali na cardiopulmonary a lokacin kamacciyar zuciya ... in ba haka ba mutane masu tsada suna da ƙoƙarin ƙoƙarin 'koya' ni game da thyroid. Ya kuma jaddada cewa sha'awar da za a saurare shi da kuma sha'awar abubuwan da ke tattare da hanyoyi na al'ada ne ke motsa sha'awa a cikin yanayin da ke tattare da thyroid.
Dokta Riba ya ce abokin hamayyarsa na dabi'ar da ke da ƙwayar thyroid na tushen kimiyya, amma yana da kama. Dokta Riba bai faɗi cewa babu makafi guda biyu ba, nazarin binciken ɗan adam, binciken binciken makafi guda biyu wanda ya kwatanta levothyroxine don yaduwar thyroid a cikin tasiri a warware matsalar bayyanar cututtuka.
A gaskiya, Dokta Gurasa da kansa ya yarda, a cikin sharuddan sashe na Sashe na I:
Don rikodin, babbar damuwa da damuwa da rashin ciwon thyroid (ko levothyroxine ko T3) shine lokacin da aka tsara su a hanyar da ke haifar da hyperthyroidism mai tsayi. Idan mai haƙuri ba hyperthyroid ba ne kuma suna yin kyau a kan samfurin daya vs. wani, yana da matukar wuya a jayayya da wannan.
Ya kuma kammala Sashe na III tare da sharhi maras kyau:
A ƙarshe, makon da ya gabata, na ga wata mace da ta kasance a kan lalacewar thyroid shekaru da yawa. Na bayyana cewa yanzu mun fi son levothyroxine maimakon desiccated thyroid. Na kuma nuna da sauri cewa hormone mai maganin thyroid-stimulating ya kasance cikakke, tsakanin 0.7 mIU / L da 1.0 mIU / L a cikin shekaru da suka gabata. Ba ta da alamun bayyanarta; yana da wahala a gare ni in yi jayayya da nasara. Bayan tattaunawar da tambayar ta abin da ta so ya yi, ta bar ofishina har yanzu ana cike da thyroid.
Lokacin da aka wallafa littattafai na farko, akwai marasa lafiya da yawa wadanda suka yi fushi. A wani bangaren, Dokta Dogon yana ƙoƙari ya bayyana dalilin da ya sa bai yi imani da Armor Thyroid ba, yana kiran shi kimiyya ba tare da kimiyya ba kuma yana da'awar cewa magoya bayansa suna cikin "tunanin tunani." Amma Dr. Riba bai bayar da hujjojin kimiyya don tallafawa da'awarsa ba, kuma ya shafar kwarewar rayukan daruruwan da dubban thyroid marasa lafiya da masu aiki.
Bugu da kari, Dokta Riba ya yarda, daga hanyar da ta dace, cewa damuwa ta farko shi ne ya rage mai haƙuri ga hyperthyroidism a duk wani magani mai maganin thyroid-ba kawai ya rage karoid ba. Kuma ya kuma yarda cewa idan mai haƙuri zai iya yin amfani da shi yadda ya kamata a kan rashin jin dadin ka, to, bai ga dalilin da zai "yi jayayya da nasara ba."
Dokta Riba ba zai fara sababbin marasa lafiya a kan rashin jin dadi ba-ko da sun yi tambaya. Idan wanda ya kasance mai haƙuri a kan levothyroxine ba shi da kyau ya yi tambaya don canzawa zuwa lalacewar thyroid, ba zai yi ba. Amma idan mai hakuri ya kasance a kanta kuma yayi kyau, yana cewa ba zai "yi jayayya da nasara ba" kuma zai cigaba da rubuta rubutun maganin da ke ciki.
A wasu hanyoyi, Dr. Riba yana da hankali sosai fiye da wasu masu binciken likita. Akwai wasu wadanda ba za su sami marasa lafiya a kan wani magani na T3 ba ko desiccated thyroid. Wasu ma sun warkar da marasa lafiya wadanda suke jure wa kwayoyin maganin karoid, ko kuma wanda ba zai bi ka'idoji ba. Amma Dokta Riba ne kuma mai wakilci na hangen nesan da muke gani a tsakanin masu ilimin kimiyya a general. Babban damuwa ita ce "TSH na al'ada" - kuma manufar maganin su shine sa marasa lafiya zuwa al'ada. Ƙaddamarwar ƙuduri ya bayyana ba mahimmanci ba ne kuma yana ɗaukar ɗakin baya don gudanarwa na matakan TSH.
Kalma daga
Idan ana bi da ku don hypothyroidism tare da Synthroid ko levothyroxine kadai kuma har yanzu kuna da alamun cututtuka na m hypothyroidism, magana da likitanku game da yiwuwar kokarin halitta desiccated thyroid.
Idan likitanku ya ƙi yarda da wannan zabin ba tare da ya ba ku kyakkyawan dalili da ke da alaka da lafiyarku ba, zai iya zama mafi kyawun ku don neman ra'ayi na dabam daga likita daban-daban kuma a matsayin likita ko kuma cikakkiyar likita a cikin kullun zaɓuɓɓukan magani na thyroid-da kuma endocrinologist.
> Sources:
> Braverman, L, Cooper D. Werner & Ingbar's Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Garber, J, Cobin, R, Gharib, H, et. al. "Ayyukan Gudanar da Harkokin Gudanarwa na Hypothyroidism a cikin Manya: Cikin Shaɗin Ƙungiyar Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararruyar Amirka da Ƙungiyar Ƙasa ta Amirka." Endocrine Practice. Vol 18 No. 6 Nuwamba / Disamba 2012.
> Abincin, T. DO, FACP, FACE, CDE. "Sanin thyroid a cikin gudanar da hypothyroidism: Parts I, II, III." Endocrine A yau. Janairu 2009. Online