Ngaba kukho ukungafani phakathi kwegama leBrama kunye neGeneric Thyroid?
Ingaba kukho ukungafani okubalulekileyo phakathi kwe-levothyroxine enegama kunye negama legama le-brand njenge-Synthroid, Levoxyl, Unithroid, ne-Levothroid? Yintoni omele uyayazi ukuba uyatshintsha phakathi kweempawu ezahlukileyo okanye iiphilisi zamachiza ze-levothyroxine? Ngaba kukho uphawu oluthile olulungileyo?
Levothyroxine-Inkcazo, kunye nokuSebenza
I-Levothyroxine yinto yokwenza (yokwenziwa komntu) ingu-hormone ye-thyroid ephezulu (thyroxine, okanye i-T4) eyenziwe kwaye ikhutshwe nge-thyroid gland.
U-Levothyroxine umiselwe abantu abane-thyroid engasebenzi, imeko ebizwa ngokuba yi-hypothyroidism.
Igama leBrama kunye noHlelo lweGeneric lwe-Levothyroxine
Uyakwazi ukuqhelana negama legama kunye nokulungiselela amachiza ahlukeneyo. Amalungiselelo egama leBrama aqhelekileyo atholakale kuqala. Emva kwexesha elithile, abanye abavelisi bavunyelwe ukuba benze izilwanyana ezifanayo. Ngelixa "iichiza" lifana, izithako ezingasebenziyo zongezelelwe ukuphucula ukunyuswa, ukugcina amayeza, okanye ukongeza umbala kungahluka.
Kukho ezine ezivivinywe kakuhle, igama lophawu lwegama levothyroxine efumaneka eUnited States ukwenzela unyango lwabantu abane- hypothyroidism (i- thyroidroid, i-Levoxyl, i-Synthroid, ne-Unithroid). Nangona kukho ukungafani kwindlela ezi zinto zenziwe ngayo, ezifana nokusebenzisa imibala yombumba kunye nezizalisi, ngalinye lala mayeza anikezela ngegama lonyango lithembekile.
I-US Food and Drug Administration (i-FDA) ivume ukusetyenziswa kwe-levothyroxine, ekhoyo eyenziwa ngamanani amaninzi eekhemikhali.
Ukwahlukana Phakathi koBuchule kunye noLungiselelo lwesiGrike
Abantu bangaqaphela ukuba abazivekanga xa beshintsha ukusuka kwilungiselelo elinye ukuya kwelinye, kwaye akumangalisi. Nangona isakhiwo semichiza sala mayeza siyafana, kukho iindlela ezininzi ezahlukileyo. Ngokomzekelo, la mayeza angahluka kwi:
- Ingakanani i-levothyroxine ekhompyutheni
- Ingakanani ye-levothyroxine ifakwa emzimbeni
- Isixa se-levothyroxine sisasaza emzimbeni wakho emva kwesazi
- Iziyobisi ezahlukeneyo zinokuba neendlela ezahlukeneyo
Nangona ikhempi eyongezelelweyo eyongeziweyo kwiziyobisi idlalwa ngokuthi "inert" okanye "ingasebenzi," iifundo zifumene ukuba le "i-excipients" okanye izithako ezingasebenziyo ngamanye amaxesha inokudlala indima ekusebenzeni kweziyobisi ezithile.
Ukutshintsha phakathi kwamanqaku ahlukeneyo okanye ukulungelelaniswa kwamaGeneric ka-Levothyroxine
Ukuba ugqirha wakho ukutshintshile kwigama legama levothyroxine-njengeStyroid-kwi-generic version, unokufumana iimpawu zamachiza amaninzi okanye unayo imishanguzo eyaneleyo. Enyanisweni, i-American Association of Endocrinologists icebisa ukuba kufuneka usebenzise uphawu olufanayo (okanye uhlobo oluthile) lwamachiza kunyango lwakho. Baqhubeka besithi "isifo se-thyroid sisoloko sifuna unyango lwasemphilweni kwaye sinolawulo olufanelekileyo kunye oluchanekileyo kunye nolunye uhlobo lwe-hormone ye-thyroid."
Ukongezelela, unokwenziwa ukulungiswa okuqhelekileyo kwe-levothyroxine rhoqo xa unemvume yakho. Ukuthetha ngoku, oko kuthetha ukuba ugqirha wakho unokufuna ukwenza iimvavanyo zegazi rhoqo kwaye mhlawumbi utshintshe umthamo weyeza lakho.
Nangona iimpawu zakho zokuvakalelwa kwintlanzi ingaba yintlekeleko okanye ngenxa yenye ingxaki yempilo, kungenzeka ukuba umzimba wakho uphendule kwimpikiswano phakathi kweSyroid ne-levothyroxine. Kubalulekile ukuba uxoxe ngale nguqu kunye nodokotela wakho.
Kuthiwani ngo-Generic Levothyroxine?
Ngokuqhelekileyo, ukulungiswa okuqhelekileyo kwe-levothyroxine ngokuqhelekileyo kulungile, becinga ukuba unikezwa ngokufanayo kunye nexesha elifanayo. Iingxaki zinokuvela xa ikhemisi yakho ihamba phakathi kwamalungiselelo ahlukeneyo ngokuxhomekeke kwixabiso eliphantsi kubo. Ngenxa yesi sizathu, abanye oogqirha banqamisela iimveliso zegama lonyango bodwa ukuphepha ukudideka.
Ukuba uvakalelwa kakuhle kwaye iimvavanyo zakho zegazi zizinzile kwifom ye generic ye levothyroxine, ngeendlela zonke, qhubeka usebenzisa olo lungiso. Unokuthi ufumane ubunzima obubi ngenxa yokuguqula umkhiqizo wegama lomkhangeli ngeli xesha. Kodwa ke, kunokufuna ukuba wenze umsebenzi omncinci wechungechunge (kwaye mhlawumbi utshintshe ii-pharmacy) ukuqinisekisa ukuba uqhubeka nokulungiselela okufanayo okwenziwa ngumenzi ofanayo.
Ukwahlula phakathi kwegama lomenzi kunye nokulungelelanisa (okanye ukutshintshana phakathi kwezi zinto) kuboniswe ngokucacileyo kunye nabantwana abanesifo esincinci se-hypothyroidism. Sinqwenela ukuphikisa ukuba umtshini womama wengane oye wathola ngaphezu kokuzalwa kwengqondo ye-hypothyroidism kwaye uyanyamekela loo mntwana ubaluleke kakhulu.
Ngokuqinisekileyo kuyafana nokuba uyatshintshwa kwi-brand ye-Levothyroxine kwi-Synthroid. Ingongoma ebalulekileyo kukuba nayiphi na utshintsho ekuqulunqweni kwesilwanyana osithathayo kunokubangela utshintsho kulowo umzimba wakho owamkela ukusebenzisana nawo.
Iimpawu Zobomi be-Thyroid Ukungaxhaswanga ngu-Levothyroxine Naphezu kwe-TSH eqhelekileyo
Ukuba iimpawu zakho ze-thyroid azibonakali ukuba uphendule unyango, umbuzo wokuqala unokuwubuza ukuba ngaba ubona ugqirha ogxile kwiingxaki ze-thyroid . okanye ubuncinane unomdla onzulu. Udokotela othakazelayo uya kuqonda ukuba kukho amaninzi amanqanaba ekwelapheni, amaninzi athatha ingqalelo. Ukuba akunjalo, ungadinga ukutshintsha oogqirha okanye ubuncinane ufumane umbono wesibini . "Ubungakanani obufanayo buhambisana nazo zonke" iingqondo azisebenzi kunye neengxaki ze-thyroid .
Ingaba ligama lomtshina okanye uhlobo lobudala lwe-levothyroxine umntu owamkelayo, abanye abantu bayaqhubeka bebona iimpawu ze-hypothyroidism nangona i-TSH yabo iqhelekile. Kwabanye abantu, ukongezwa kweT3 ukuya kwi-T4 "i-monotherapy" kungakhokelela ekulawuleni okungcono iimpawu kunye nomgangatho wobomi. Zibuze le mibuzo xa ulungiso lwakho lwe-thyroid alubonakali lukwenza.
Ngaphantsi Kwimiba Ephathelele Ukulungiswa Kwe-Levothyroxine
Nangona uphando alufumananga ulwahlulo oluphawulekayo kwimpembelelo phakathi kwegama lomenzi kunye nokulungiswa kohlobo lwe-levothyroxine, kubalulekile ukuqhubeka usebenzisa ukulungiswa oye wasebenzisa (okanye ukutshintshela kumntu oceba ukuhlala kwixesha elide) njengoko kunokubahluko okhoyo. Ukusuka endleleni, isilwanyana sithintela emathunjini akho, ukuba uninzi lwezilwanyana iiseli zakho "ziyabona," izithako ezingasebenziyo zingadlala indima yakho kwaye ekugqibeleni uvakalelwa njani.
Kungenzeka ukuba abavelisi beemveliso zegama lomkhangeli bayaqhayisa malunga neenzuzo zeemveliso zabo, kodwa izifundo ukuya kumhla zihluleka ukubonisa iintlobo zokulungiswa komnye komnye, ubuncinane kwimifanekiso enkulu. Nguwe kuphela owaziyo umzimba wakho. Ukuba ungeva kakuhle kulungiso lomzimba nangona uvavanyo lwakho lwegazi lubonisa ukuba kufanelekile, luya kuba lufanelekile ukutshintshela kwigama lomnxeba. Izifundo zijonge ukuphendula kwisilwanyana sabemi abantu, kodwa abantu abahlali. Kukho iingxelo ezininzi zabantu abaye batshintsha iifomulations-kwaye baziva bebhetele ngokomzimba ngenxa yokutshintshwa-ukugxotha nayiphi na ingxaki.
Njengengxelo yokugqibela, mhlawumbi uye wakuva malunga neziyobisi zemvelo zonyango . Nangona ininzi yokuba oogqirha bayaphula xa beva lala machiza, bayasebenza kwabanye abantu. Ingongoma ebalulekileyo kukuba ngummeli wakho. Uyazi kuphela indlela ozivakalelwa ngayo ngokulungiswa kwakho kwe-thyroid, ingaba igama legama, i-generic, i-T3 eyongezelelweyo okanye umkhiqizo otyhiweyo wendalo. Fumana ugqirha oza kusebenza nawe kwaye akuphulaphule, ekuqapheliseni ukuba indlela ozive ngayo, kunokuba iziphumo zophando olutsha, zibaluleke kakhulu.
> Imithombo
- > Carswell, J., Gordon, J., Popovsky, E., Hale, A., no R. Brown. I-Generic kunye neBrama-Igama L-Thyroxine ayinayo i-Bioequivalent kwaBantwana abaneCropothyroidism eqhelekileyo. Umbhalo we-Clinical Endocrinology kunye neMetabolism . 2013. 98 (2): 610-7.
- > Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: iMac Graw-Hill Education, 2015. Phrinta.
- > Romanelli, R., Kimball, V., Dutcher, S., Pu, X, kunye noJ. Segal. UMboneleli kunye neziGulane eziMonde ze-Generic Levothyroxine Ukunyathelisa: IsiFundo seNgcaciso seMpilo yee-elektroniki. I-Annals ye-Pharmacotherapy . 2017 Apr 1. (Epub ngaphambi kokuprinta).