I-thyroid yemvelo eyaziwayo njenge-NDT, i-thyroid ye-extract kunye ne-porcine thyroid-iyimithi yonyango ye-thyroid ephuma kwi-thyroid egciniweyo yeengulube.
I-thyroid ekhethiweyo yendalo yayisisilwanyana esilungele ukusetyenziswa ekuphatheni i-hypothyroidism kwaye sele ifumaneke ngaphezu kwekhulu leminyaka.
Shift ku-Levothyroxine
Ngesiqingatha sokuqala senkulungwane yeshumi elinamibini, i-thyroid ekhethiweyo yendalo-oko kukuthi, i-brand eyaziwa njenge-Armor ye-Thyroid-yayiyodwa yonyango efumaneka kwi-hypothyroidism.
Ngama-1950, ifomu le-thyroxine (T4) yokwenziwa. I-Thyroxine yenye yee-hormone ezibalulekileyo i-thyroid gland ikhiqiza. Le thyroxine eyakhiweyo yaziwa ngokuba yi-levothyroxine, okanye i-thyroxine, kwaye yaphakanyiswa njengendlela yokwenza unyango lwangoku lwe-hypothyroidism, xa kuthelekiswa ne-thyroid ye-nature.
Ngokungafani ne-levothyroxine, eyinxalenye yokwenziwa kwe-hormone ye-T4, i-thyroid echongiwe yendalo iqukethe i-hormone ye-thyroid-T4 (thyroxine) kunye ne-T3 (triiodothyronine) kunye ne-calcitonin kunye nezinye izinto ezitholakala kwi- thyroid gland . I- thyroid yegciwane evamile ivelisa ngokuyinhloko i-T4 (i-hormone yokugcina) kunye ne-T3, kunye ne-T4 iguqulwa ibe yi-T3, i-hormone esebenzayo, ukuze isebenziswe ngamaseli kunye nezicubu zomzimba.
U-Levothyroxine uye waba yonyango ekhethiweyo yehlabathi lezonyango ukususela ekuqaleni. (Ezinye zeempawu eziqhelekileyo ze-levothyroxine ziquka i-Synthroid, iTirosint , Unithroid, neLevoxyl).
Izidakamizwa ze-thyroid ezichongiweyo zendalo, ezibandakanya amagama e-brand-Nature-Throid, i-Thyroid WP, i-Armor ye-Thyroid, kunye ne-Acella ye-natural thyroid ye-NP yeCroroid, iye yahlala emarikeni. Ezi ziyobisi ziqhubeka nokudweba kunye nomlilo kwizigulana eziqhelekileyo kunye neenkampani zonyango ezikhuphisanayo, ezibhala ngokuthi "zakudala" kwaye ziphelelwe yisikhathi.
Okwangoku, i-subset yezigulane ze-thyroid ziye zaqhubeka zikhetha i-thyroid ekhethiweyo ye-levothyroxine, mhlawumbi ngenxa yokuba kukho i- hormone ye-T4 kunye ne-T3 kwi-thyroid ye-nature, ngokubhekiselele ku-T4 kuphela kwi-levothyroxine.
I-Natural Desiccated Thyroid neLevothyroxine
Ingxaki yendalo ye-thyroid echaziweyo, ngokubhekiselele ku-levothyroxine iye yaphikisana ngamawaka eminyaka. Nangona kusetyenziswe iminyaka engama-50 ubudala, emva kokusungulwa kwe-levothyroxine, oogqirha babehlala bephikisana nokusetyenziswa kweziyobisi zendalo ye-thyroid, besithi akukho zifundo ezibonisa ukuba zikhuselekile okanye ziyasebenza.
Kwabalandeli be-thyroid echongiwe yendalo, kukho iindaba ezibalulekileyo ezigulane ze-thyroid ezaphuma kwiNkomfa Yonyaka Yonyaka ye-Endocrine, eyaqhutywa ngoJuni ka-2013 eSan Francisco. Ngokwentetho eyenziwe ngu-Thanh D. Hoang, INGABE, abasebenzi be-endocrinologist ye-Walter Reed National Medical Centre eBetdada, MD, izidakamizwa zendalo ezichongiweyo zonyango zikhona ezinye iindlela ezinokuthi zisebenzise ukwelashwa kwe -hormone ye-thyroid .
Kulo pho nonongo, uDkt. Hoang wenza isifundo esingenangqondo, esifubini, esiphakambileyo, ukuthelekisa ukuphumelela kwe-thyroid echasene ne-levothyroxine njengonyango lwe-hypothyroidism.
Uphononongo lwavavanya izigulane ezingama-70, eziphakathi kweminyaka eyi-18 ukuya kwi-65, kwaye bonke babenomphambili we-hypothyroidism. Izigulane zanikwa ikhefu ezithatha ikhefu okanye i-levothyroxine, ngokubakho iiveki ezili-16. Izifundo zaziyimfama, oku kuthetha ukuba izigulane zazingayazi ukuba zeziphi iyeza zamachiza abazitholayo.
Ekupheleni kwesifundo, izigulane zacelwa ukuba zeziphi izidakamizwa zikarhulumente ezikhethayo. Kuyathakazelisa ukuba phantse ihafu yeqela-ngokukodwa, iipesenti ezingama-49 zibhekiselele kunyango lwe-thyroid oluchongiweyo, xa kuthelekiswa nama-19 ekhulwini abakhetha i-levothyroxine.
Phantse iipesenti ezingama-33 zezigulane azizange zichaze ukhetho.
Inomdla othile: uDkt. Hoang wachaza ukuba izigulana ezithatha i-thyroid ezichongiweyo zendalo zalahleka malunga neekhilogram ezintathu ngexesha lokufunda, xa kuthelekiswa nezigulane ezithatha i-levothyroxine, ezingazange zilahlekelwe nantoni na.
UDkt. Hoang utshele i- Endocrine Namhlanje :
Asizange sithole nayiphi na into eyahlukileyo kwimilinganiselo ye-neurocognitive phakathi kwezinto ezimbini zokwelapha ... Ngoku siyazi ukuba i-extract yecropy yenziwa yindlela ekhuselekileyo yonyango kwizonyango ezine-hypothyroidism ezingenelisekanga ngonyango lwe-levothyroxine. Kukhethwa ukuba bazame, kwaye kunye nokuchithwa kungenza ukuba ukulahleka kwesisindo esifanelekileyo kulezi zi gulane nazo.
> Umthombo:
> Hoang TD, et al. "Ukucatshiswa kwe-thyroid kucaciswe xa kuqhathaniswa ne-levothyroxine ekhatyweni kwe-hypothyroidism: isifundo esingenangqiqo, esingaba yimpumputhe." J Clin Endocrinol Metab. 2013 ngoMeyi; 98 (5): 1982-90. i-doi: 10.1210 / jc.2012-4107. Epub 2013 ngoMatshi 28.