Izigulane ezininzi ze-thyroid eziqhagamshelana nathi okanye ezithumela kwi-Facebook ye-Thyroid Support page zibuza umbuzo ofanayo: "Ndikho kwi-Synthroid (okanye enye i-levothyroxine izidakamizwa ezifana neLevoxyl) kwaye andiziva kakuhle. "U
Kwizigulane ze-thyroid yile meko, into yokuqala yokucinga ngayo ukuba ingaba uncedo okanye ungazifumana ngokungeniswa kwe-T3 eyongezelelweyo .
(I-Synthroid, i-Levoxyl kunye nezinye izidakamizwa ze-levothyroxine -zibizwa ngokuba yi-l-thyroxine, kunye ne-L-T4-ziyimpawu zokwenza i-hormone ye-T4 ye-thyroid, kwaye iguqulelwe ibe yi-T3, i-hormone esebenzayo , ukuba isetyenziswe iiseli zakho. I-Cytomel isilwanyana se-T3. Kukho uhlobo oluthile lwe-Cytomel, kwaye abanye oogqirha basebenzisana ne-T3 yokukhululwa kwexesha kunye nokugcinwa okuqhubekayo kwi-pharmacy. Ubunjani be-Nature, i- Armor ye-Thyroid iqulethe uhlobo lwe-T4, T3 kunye nezinye i-hormone ze-thyroid .)
Ngoku, buyela kumbandela wokuba ungenelwa okanye ungabi nzuzo kwi-T3 . Umbuzo wokusebenza ngu: Ngaba ugqirha wakho uya kukulungela ukuxoxa ngale nto nawe, ungancitshiswe kangako? Akukho mpendulo ecacileyo.
Ukuba uthe ugqirha, "Ngaba ndingayinceda kwi-T3 eyongezelelweyo?" impendulo iyakwazi ukufikelela kwimiba emine enokwenzeka ...
- A. Iyabonisa ngokucacileyo ukuba akanayo inxaxheba kwingxoxo engakumbi malunga neT3.
- B. Ugqirha uthi ngentlonelo, "akuyonto into endiyiyo ngayo."
- C. Ugqirha ucinga ngako, kwaye uthi, "kakuhle, makhe sijonge kwizinga lakho le-T3 elikhululekile ukujonga ukuba libukeka njani kwaye wenze isigqibo.
- D. Ugqirha uthi, "ngokuqinisekileyo oko kwenzeka. Masizame umthamo ophantsi kakhulu we-T3 uze ubone indlela oziva ngayo.Kodwa masiqinisekise ukuba akukho zichaso ...
Kucacile ukuba, ukuba ungumgulane weDktr A, into entle kukufumana ugqirha entsha we-thyroid . Ukucela ukuxoxa ngonyango olunokwenzeka ukuba luyimfuneko esisemthethweni, kwaye akufuneki kudibana nokungahloneli okanye ukuxothwa. Lezo zihlobo zempendulo, ngokwenene, ubungqina obucacileyo lokuba lixesha logqirha omtsha.
Ukuba usebenza kunye noGqirha B, ngokuqinisekileyo, unokufuna ukubuza ukuba yintoni into yakhe yokungahambi kakuhle xa enezela i- T3 kwi-levothyroxine kuphela yonyango lwe-thyroid. Apha, unokuba ufuna ukukhankanya, okanye ukuzisa kwakhona ikopi okanye ikopi ye-Danish study eyaphuma ngasekupheleni kuka-2009 kwi- European Journal ye-Endocrinology . Olu pho nonongo lukhangelele imbambano enokongqinisiso yonyango kunye ne-T3 yokwenziwa njengesongezelelo kwi-T4-kuphela (levothyroxine) unyango lwe-hypothyroidism .
Uphando lubhengeze ukuba ama-49 eepesenti zezigulana ezifundwayo zikhetha unyango oludibanisa i-levothyroxine kunye neziyobisi ze-T3 , kwaye kuphela i-15% ekhetha unyango lwe-levothyroxine kuphela. (Jonga apha ngezantsi ukuze uthole ulwazi oluthe xaxa kweso sifundo, nokuba ungayifumana njani ikopi ukubonisa ugqirha wakho.) Ukuba ugqirha B unqabe ngokukhawuleza ukuxoxa ngeT3 kunye kwaye akanakukunelisayo ngengcaciso engqiqo, lixesha elitsha ugqirha .
Ukuba ujongene noDokotela C, qwa lasela inhlanhla. Buza ugqirha ukuba injongo yakhe yintoni kwi-Free T3. Yaye uye phambili kwaye ufumane uvavanyo lwe-T3 lwamahhala, uhlale ukhumbule ukuba iingcali ezininzi ze-thyroid zikholelwa ukuba izigulane ziziva zilunge xa amazinga e- T3 akhululekileyo esesigxina esiphezulu soluhlu oluqhelekileyo, kwaye nakwi-75th percentile nangaphezulu kwoluhlu.
(Oko kusebenzayo? Masenze izibalo.) Ukuba uluhlu lwesibheno yebhorari ye-Free T3 yi-2.0-4.4 pg / mL, kwaye i-middlepoint iphakathi kwayo, okanye 3.2, kunye ne-75th percentile yi-3.8.)
Yaye ukuba uyigulane kaDokotela, kwakhona, zicinge ngethamsanqa ukuba ube nodokotela ovulekileyo kunye nolwazi.
Ngokuphathelele ukuchasene, oogqirha bahlala beqaphele ngokusebenzisa i-T3 kunoma ubani onayo imbali yesifo senhliziyo okanye iingxaki zentliziyo, nakumaziko asebekhulile, ngoko oogqirha be-T3-bacvo baya kugcina oku engqondweni.
Ingqalelo
Ukuba udinga ukwabelana ngolwazi nogqirha wakho malunga no-2009 Isifundo saseDanish, nantsi ezinye izibonelelo:
- I-Article: Uvavanyo lubonisa ukuba Ukongezwa kwe-T3 kuphakamileyo ku-Levothyroxine / T4-Kuphela kwonyango lwe-Thyroid ye-Hypothyroidism
- Isikhokelo sesiFundo seDanish: uBirte Nygaard, u-Ebbe Winther Jensen, uJan Kvetny, u-Anne Jarløv noJens Faber. "Impembelelo yonyango oluhlangeneyo kunye ne-thyroxine (T4) kunye ne-3,5,3'-triiodothyronine kunye ne-T4 monotherapy kwizigulane ezine-hypothyroidism, i-double-blind blindness study," i- European Journal of Endocrinology, Vol 161, Issue 6, 895-902, Disemba 2009
- Isifundo: Funda i-Abstract / Get Reprint (Musa ukulibala ukuba endaweni yokuhlawula i-intanethi ukuprintwa kwakhona, unokukwazi ukufumana ikopi yamahhala yendaba yezobugcisa ukuba unesikolo sezonyango, isibhedlele okanye ithala leencwadi. ) U
> Umthombo:
> Nygaard, B et. al. "Impembelelo yonyango oluhlangeneyo kunye ne-thyroxine (T4) kunye ne-3,5,3'-triiodothyronine kunye ne-T4 monotherapy kwizigulane ezine-hypothyroidism, i-double-blind blindness study," i- European Journal of Endocrinology, Vol 161, Issue 6, 895-902, Disemba 2009