Bincike ya gano mafi yawan marasa lafiya suna jin dadin su tare da ƙarin T3
Fabrairu 11, 1999 - Fabrairu 11, 1999 na New England Journal of Medicine ya ruwaito sakamakon sakamakon binciken da ya gano cewa "maganin thyroxine da triiodothyronine sun inganta yanayin rayuwa ga yawancin marasa lafiya [hypothyroid]."
An buga wannan labarin:
"Nauyin Thyroxine idan aka kwatanta da thyroxine tare da Triiodothyronine a cikin marasa lafiya da Hypothyroidism"
da Robertas Bunevicius, Gintautas Kazanavicius, Rimas Zalinkevicius, Arthur J Prange, Jr.
Cibiyar binciken Endocrinology, Kaunas Medical University, Kaunas, Lithuania tare da Sashen Harkokin Siyasa, Makarantar Medicine, Jami'ar North Carolina, Chapel Hill.
Yadda aka gudanar da binciken
Ainihin, sun dauki rukuni na mutane 33 da suka kasance hypothyroid, ko dai saboda autoimmune thyroid cuta, ko cire su thyroids saboda thyroid ciwon daji. Dukkan marasa lafiya sunyi nazari na tsawon mako biyu. A cikin mako guda biyar, mai haƙuri ya karbi takaddun sa na yau da kullum na levothyroxine. (Levothyroxine shine sunan jigon sunayen alamun sunaye irin su Euthyrox, Levoxyl, Levothroid da Synthroid.) A cikin sauran makonni biyar, marasa lafiya sun sami levothyroxine PLUS triiodothyronine (T3.) (Lura: A Amurka, sunan mai suna T3 shine "Cytomel.") A cikin T4 da T3, an maye gurbin 50 μg na likitancin levothyroxine na mai haƙuri a kashi 12.5 μg na triiodothyronine (T3).
An gudanar da jini mai yawa, fahimta, yanayi da kuma gwajin jiki a wasu matakai na gwaji.
Sakamako
Daga sakamakon yanayin ilimin lissafi, bambance-bambance a tsakanin kututturewa, karfin jini, reflexes da sauran ayyuka daban-daban na T4 kadai, da T4 da T3, sun kasance kadan. Ruwan jini da cholesterol a gaskiya ya bar dan kadan a T4 da T3.
Inda sakamakon ya kasance mai ban mamaki ne a cikin aiki na tunani. Magunguna sunyi aiki mafi kyau a kan ayyuka na musamman na neuropsychological a kan T4 da T3. Cibiyoyin kula da lafiyar marasa lafiya sun nuna ingantaccen T4 da T3.
A ƙarshen binciken, aka tambayi marasa lafiya ko sun fi son maganin farko ko na biyu. Magunguna 20 sun ce sun fi son T4 da T3 jiyya, 11 ba su da wani zaɓi ko dai hanya, kuma 2 kawai T4 ne kawai. Mace marasa lafiya 20 da suka fi son T4 da T3 sun nuna cewa suna da karin makamashi, ingantattun tsagaitawa, kuma suna jin dadi sosai.
Masu bincike sun ƙaddara cewa "maganin thyroxine da triiodothyronine sun inganta kyautata rayuwar rayuwa ga mafi yawan marasa lafiya."
Masu binciken sun kuma bada shawara cewa tsarin tsarin maye gurbin karo na thyroid na mutum ba tare da glandon thyroid ba, ko kuma wanda glandon thyroid ya kusan ba aiki, zai zama "10 μg na triiodothyronine yau da kullum a cigaba-saki tsarin ... tare da isasshen thyroxine don tabbatar da euthyroidism. "
Abubuwan Dama don Jiyya
Wannan binciken yana da muhimmiyar mahimmanci ga mutanen da basu ji daɗin maye gurbin su.
Idan kun kasance a kan ka'idojin levothyroxine kawai, zai yiwu cewa, kamar yawancin batutuwa masu nazarin, ku ma zai iya jin dadin ku tare da ƙarin samfurin T3 a lokacin da aka ba da shawarar.
Idan kun kasance a kan Armor Thyroid ko Thyrolar, yawancin kashi na T3 a cikin waɗannan kwayoyi zai iya zama da yawa, idan aka kwatanta da raƙuman da aka bayyana a wannan binciken. Za a iya samun sakamako mai kyau ta hanyar gyaran tsarin tsarin kula don biyan da ƙayyadadden shawarar da aka bayyana a cikin wannan labarin.
Idan kun kasance a kan maye gurbin kuzarin kawo kuma ba ku ji daɗi, ina bayar da shawarar ku sanar da likitanku nan da nan game da wannan binciken, kuma ku sami kwafin wannan labarin don ku.
Idan za ku raba duk wani bayani tare da likitanku, a lokaci ɗaya, kuna iya raba kwafin littafin jarida na Birtaniya da ke nuna cewa dabi'u a sama da TSH na 2 bazai "al'ada" ba, amma a gaskiya ya wakilta matakan mawuyacin matakai na thyroid riga a cikin ɓarna.
Kuna iya yin kwafin takardun ta hanyar kiran ma'aikatar sabis ta ma'aikatan kamfanin New England Journal a 1-800-DA-NEJM
Babban hoto ga marasa lafiya na thyroid
Wannan shi ne ainihin binciken da ba shi da tushe, mai gaskatãwa a cikin binciken bincike abin da mutane da yawa marasa lafiya, da kaina, da wasu likitoci, sun yi iƙirarin shekaru masu yawa: levothyroxine-kawai maye gurbin karamar karoid ba ya bar yawancin hypothyroid marasa lafiya ji lafiya, kuma waɗannan marasa lafiya suna jin daɗin aiki mafi kyau yayin da aka kara T3 zuwa ga maye gurbin hormone.
Abin sha'awa, wannan yana ba da bayani game da dalilin da ya sa marasa lafiya sun ji daɗi sosai yayin maye gurbin maganin maganin thyroid kamar Armor Thyroid, Westhroid da Naturethroid, wanda ya haɗa da T4 da T3, da kuma maganin T4 / T3 na Thyrolar, wanda shine magani ne na dauka. A wasu lokuta, marasa lafiya sun kara da Cytomel (T3 na roba) ko kuma sakin T3 zuwa ka'idar levothyroxine mai kyau kuma suna da kyakkyawan sakamako.
Shekaru da dama, an sanar da marasa lafiya cewa duk abin da suke buƙatar shine maganin levothyroxine don samun su cikin "tashar TSH na al'ada," kuma an yi la'akari da maganin karoid. Lokaci da lokaci, mutanen da ke shan wahala tare da bayyanar cututtuka - ciki har da gajiya, damuwa, matsalolin halayen, da sauransu - an gaya musu cewa sau ɗaya lokacin da kewayar ka na al'ada, wadannan matsalolin ba su da alaka da thyroid, kuma a maimakon haka sun kasance da bakin ciki , danniya, PMS, ko kawai "a kan kai." Marasa lafiya da suka aikata shekaru da yawa a kan Armor, sannan aka canza zuwa Synthroid, misali, kuma sun yi ta gunaguni da rashin jin dadi sun gaya musu cewa suna "tsufa."
Ka yi la'akari da wannan sanarwa na kwanan nan a The Bridge, kashin da aka kwashe daga karamar ka Thyroid Foundation of America, kungiyar da za ta kasance a kan lalacewar matsalolin haƙuri da kuma shawarwari:
"TSH gwaje-gwaje sune daidai, kuma idan TSH din na al'ada ne, to sai maganin karoid din ba shine dalilin wadannan cututtuka ba."
Douglas Ross, mai ba da shawara ga likita a kamfanin Thyroid Foundation of America
Babu shakka cewa marasa lafiya sunyi watsi da su, sun lakafta su, sun manta da su, kuma sun damu saboda idan sun kasance ta hanyar maganin likita, kungiyoyin karoid da kungiyoyin kiwon lafiya.
A halin yanzu, likitocin da suka ba da magungunan maganin maganin likitan maganganu irin su Armor - ko ma takaddar abokin ciniki Thyrolar - an rubuta su a matsayin ƙyama, ko rashin amincewa, ko kuma a wasu lokuta, har ma da magungunan levothyroxine-kawai ne kawai a cikin asibitoci na gida. .
Muna fatan cewa wannan bayanin zai sa marasa lafiya da likitoci, da kuma likita, su fara sauraro ga marasa lafiya - kuma ba ga kamfanoni masu sayarwa ba.
A bayyane yake, yana da matsayin kasuwancin kamfanonin kamfan Knoll Pharmaceutical, masana'antun Synthroid, cewa levothyroxine kadai shine duk wani buƙata. Abubuwan da ke biye da baya da kuma yin magana da kowace kalma sun kasance ƙungiyar masu binciken likita wadanda suka yi amfani da kyautar kyautar kudi, kudade na kudade, kudade na tarurruka, da kyauta, kuma suna da wuya su doki jirgin ruwan levothyroxine.
Wanda ya jagoranci wannan fararen ne 'yan uwansa kamar Richard Guttler, wanda ya kira kansa "likitan aikin likitancinka" kuma yana zargin marasa lafiya kimanin $ 150 ko fiye - "da ake buƙata a gaba" - domin aikinsa na biyu na intanet. A bara, ya ci gaba da fushi da marasa lafiya wadanda suka yi kuka game da bayyanar cututtuka da kuma sha'awar gwada waɗannan magungunan ƙwayoyi wanda yanzu an sami suyi aiki mafi kyau. A bara, mai karatu na yanar gizon ya rubuta masa ya sanar da shi cewa babu Synthroid bayan kwana uku zuwa hudu ya rage ta daga tarihin da ya ci gaba da jurewa shekaru ashirin da suka wuce. Ta gaya masa cewa ta canja zuwa Armor. Ya rubuta mata cewa: "Ka sami rai! A bara, Guttler ya yi mani kyauta da mahimmanci na "mafita" (rashin daidaituwa da takardun shaida shine ya):
"Na yi farin ciki da dukkanin" fringes "suna cike da imel ɗinka, ba nawa ba. Wannan yana sa rayuwata ta fi dacewa da daidaitawa kawai da maganin karoid marasa lafiya wanda ba za su taɓa tunanin ɗaukan makamai ba ko hadewar thyrolar ko cytomel. yi a lõkacin da suka a karshe dauki thyrolar kashe kasuwa? gaba zai kasance na halitta na halitta Organic bathtub thyroid da kaina brewed a kan yanar gizon ... dr.g "
Yi la'akari da dukan marasa lafiya da suke tafiya da sauri kamar yadda suke iya barin dinosaur kamar "dr g" za su gudana zuwa ga karuwar "fringes" - maciji, likitoci masu basira waɗanda suka saurari marasa lafiya, suna tunanin kansu, sunyi gaba gaba duk da la'akari matsin lamba da kamfanonin sayar da kayan sayarwa, duk da yin aiki bisa ga sanin cewa kwayoyin T3 suna aiki mafi kyau ga yawancin mu.
Kuma wa] annan likitocin da aka yanke musu hukuncin kisa, yanzu an tabbatar da su daidai ne daga daya daga cikin tushen maganin likita, New England Journal of Medicine