Ukuba awuqhelani ne- thyroid echongiweyo, nantsi i-rundown faster. Ukucaciswa (okomile) i- thyroid iyimithi ye-hormone yokutshintshwa kwesilwanyana esilungiselelwe kwi-thyroid gland kwiihagu, ezibizwa nangokuthi "i-porcine thyroid." Amanye amagama egama egama i- Armor ye-Thyroid , i-Nature-thyroid kunye ne-WP Thyroid.
I-thyroid echazwe yile mithi, kwaye ilawulwa yi-FDA.
Kuye kwintengiso kwaye isetyenziswe ngokukhuselekileyo iminyaka engaphezu kwe-100.
Kuze kube yinto yokwenza i-thyroxine (eyaziwayo ngokubanzi njenge-levothyroxine, enegama lomnxeba kuquka i-Synthroid, Levoxyl, kunye neTirosint) yaqaliswa ngawo-1950, i-thyroid ye-thyroid yayiyiyo kuphela yonyango ye-hormone yokuguqula imithi.
Xa i-thyroxine eyakhiweyo yaveliswa, kwakukho uvuyo oluninzi malunga nendlela yakutshanje ngayo, xa kuthelekiswa ne-thyroid ekhethiweyo, eyayibukeka njengdala. Ngaloo xesha, oogqirha abaninzi batshintsha izigulane ukuya kwiiyeza zokwenziwa kwaye abazange babuke emva. Okwangoku, i-thyroid ye-synthetic-ebizwa ngokuthi i-Synthroid-yaba yinto eyinzuzo kwiinkampani ezahlukeneyo zeziyobisi ezinamalungelo kwi-Synthroid kule minyaka, ezibandakanya izibhokisi, i-BASF, kwaye ngoku i-AbbVie, i-spinoff ye-Abbott Labs.
Yonke imihla, njengamashishini amaninzi akwiziyobisi, abenzi be-Synthroid baye baxhasa iintlanganiso zonyango, ukuphuma kwegalufu, i-symposia, izibonelelo zophando, kunye neentlawulo zeentetho, kwaye banikezele iincwadi zesigulana samahhala, ipen, ipads, iigg, kunye nezinye izinto zokuthengisa kunye nezinto zokuthengisa .
Sinezizukulwana ezininzi zoogqirha abaqeqeshwe kwisikolo sezokwelapha ukuze baqonde ukuba i-levothyroxine yokwenziwa komzimba iyona kuphela eyamkelekileyo yeyeza ye-thyroid, kwaye abaninzi bayazi igama elithi brand Synthroid ngokukodwa, ngenxa yokuthengisa ngokubanzi.
Oogqirha abaninzi abaqapheli ukuba i-thyroid ekhethiweyo yendalo ikhona, okanye ukuba ingasetyenziswa ngokukhuselekileyo ukunyanga izigulane ze-hypothyroid.
Abanye bakholelwa ukuba ukucacisa i-thyroid echongiweyo yemvelo kunzima. Le ngcamango ngelishwa yongqinelwa yimibono engafanelekiyo evela kubameli be-levothyroxine, ama-rumors angenakunqununu ayenayo i-thyroid ephuma kwimarike , kunye nolunye ulwazi lwe-anecdotal.
Nangona ukhetho lwe-levothyroxine, ukususela kwiminyaka ye-1990, iziyobisi ze-thyroid zemvelo zaqala ukuvuselela, njengoko inzala kwimithi yendalo yanda. Ngaloo xesha, izigulane ezingazange zivelele kakuhle kwiyeza zonyango ziyenzela amandla kwaye ziqonda, kubonga inxalenye kwi-intanethi. Izigulane zafunda ukuba kukho iindlela-phakathi kwabo, zichongiwe izidakamizwa ze-thyroid njengezixhobo zeArms kunye ne-Nature-throid.
Masibe kucacile: Imimiselo emininzi yezigidi ibhalwa kwi-thyroid echongiweyo, xa kuthelekiswa nemigangatho engaphezu kwezigidi ezingama-30 zemigangatho ye-levothyroxine. Kodwa ziphazamisekile izigulane ezingenakuziva ziza kwiindawo ezifana nale, ukufunda iincwadi kunye nokuthetha nezinye izigulane. Ngenxa yoko, bayazi ngakumbi ukuba kukho ukhetho olungaphezulu kwe-levothyroxine, kwaye , ukuba ezinye izigulane ziziva ziphucula kwiyeza zonyango.
Umbono we-Endocrinologist's Perspective kwi-Natural Deciccated Thyroid
Ngaphezulu kwi- Endocrine Njalo ibhulogi, i-endocrinologist kunye ne-osteopath Thomas Meas, i-DO, FACP, FACE, i-CDE, yenza inqaku elinesithathu-nxalenye "kwi-thyroid ecacileyo ekulawuleni i-hypothyroidism," kwimbono yakhe njenge-endocrinologist.
- Ukuchazwa kweTroid kwi-Hypothyroidism-Icandelo I
- Ukuchazwa kweTroid kwi-Hypothyroidism-Icandelo II
- Ukuchazwa kweTroid kwi-Management of Hypothyroidism-Ingxenye III
Uhlalutyo olumnandi kuba lubonelela ngendlela ecacileyo ngayo indlela ezininzi ze-endocrinologists ezijonga ngayo izidakamizwa ze-thyroid zendalo, kwaye kutheni i-endocrinology yoluntu ihlala ichasene nokusetyenziswa kwezi nkunkuma. (Oku kukuthelekisa kunye ne-MDs, edibanisa i-thyroid, kuba bahlala bekhetha ukusebenzisa i-thyroid ekhethiweyo kuba bayifumana ibhetele ngakumbi kwezinye izigulane zabo.)
UDkt Mees uqala ngokuthi, njengontanga yakhe kwi-endocrinology, ayisebenzisi i-thyroid ekhethiweyo, kuba, "Ndiyakholelwa ukuba i-thyroid ichitshiweyo yonyango kwaye ayifanele isetyenziswe."
Kwakhona uthi i-endocrinologists ayisebenzisi i-Armor ngenxa ye "nqanaba elingafanelekiyo lokutshintsha ibhegi kwi-batch, ngokuphindaphindiweyo kubangele ukungafani kwamkeleko kwi-hormone ye-thyroid." Ekubona ukuba i-levothyroxine nayo inokuhlukahluka kwi-brand to brand, ithi, "xa sibona ukuhluka okuncane phakathi kweemveliso ze-levothyroxine ezibalulekileyo kubaluleke kakhulu kwiikliniki, ngoko ke ukuhluka okukhulu kunokuba kulungelelaniswe i-thyroid".
KwiNgxenye III, uDkt Repas uthi ngelixa abaninzi abantu bengenakuphupha "ekuqondiseni i-cardiologist indlela yokuvuselela i-cardiopulmonary during a cardiac arrest ... mhlawumbi abantu abanengqiqo abanakuzeza ukuzama 'ukufundisa' nge-thyroid." Emva koko uxela ukuba umnqweno wokuphulaphulwa kunye nomdla kwizindlela zemvelo ziqhuba umdla kwi-thyroid ecetywayo.
UDkt Repas uthi ukuchasana ne-thyroid echongiweyo yendalo isekelwe kwisayensi, kodwa kunokwakheka. UDkt Meas uyahluleka ukukhankanya ukuba akukho zimbini eziziimfama, eziphononongwa ngontanga, eziziimfama eziqhathaniswa nezimbini eziqhathanisa i-levothyroxine ukuya kwi-thyroid ngokuchanekileyo ngokubhekiselele kwimpembelelo yesigulane.
Enyanisweni, uDkt Repas ngokwakhe uyavuma, kwicandelo lamagqabaza kwiNgxenye I:
Kule rekhodi, into endikhathazayo kakhulu kwi-thyroid (okanye i-levothyroxine okanye i-T3) yilapho ichazwe ngendlela ephumela kwi-hyperthyroidism engangexesha elide. Ukuba isigulane asikho hyperthyroid kwaye benza ngcono kumveliso omnye nomnye, kunzima kakhulu ukuphikisana noko.
Ugqityisa iNxalenye ye-III ngeengcamango ezingathandekiyo:
Ekugqibeleni, iveki eveleleyo ndabona umfazi owayesetyenziswe i-thyroid iminyaka emininzi. Ndacacisa ukuba ngoku sinokukhetha i-levothyroxine endaweni ye-thyroid. Ndaphinda ndibonise ngokukhawuleza ukuba ihomoni ye-thyroid-stimulating hormone iphelele, phakathi kwe-0.7 mIU / L kunye ne-1.0 mIU / L kwiminyaka embalwa edluleyo. Wayengenayo impawu; Kwakunzima kum ukuphikisa nokuphumelela. Emva kokuxoxa kunye nokumbuza oko wayefuna ukukwenza, washiya iofisi yam ehleli kwi-thyroid.
Xa amaxwebhu ayapapashwa okokuqala, kukho ezininzi iimpendulo ezishiywe zizigulane ezazithukuthelele. Ngakolunye uhlangothi, uDkt uDas wayezama ukuchaza isizathu sokuba engakholelwa kwi-Armor ye-Thyroid, ekuthiwa yiyoyiyo yesayensi kwaye ithi iifestile zibandakanya "ukucinga ngemilingo." Kodwa uDkt Meas akazange anike ubungqina bobunzululwazi ukuba axhaswe ngamabango akhe, kwaye wayenalo ilungelo lokuphila kwangamakhulu amawaka kunye nezigidi zezigulane ze-thyroid kunye nabagqirha.
Ngexesha elifanayo, uDkt Repas naye uyavuma ukuba, ngokubhekiselele kwimeko ethile, ukuba ukukhathazeka kwakhe ngokuyinhloko kukugqithisa isigulane kwi-hyperthyroidism kunoma yiyiphi imichiza ye-thyroid-kungekhona nje i-thyroid. Kwaye uyavuma ukuba ukuba isigulane sinokulawulwa kakuhle kwi-thyroid, ke akayi kubona isizathu sokuthi "uphumelele."
UDkt Mezi akayi kuqalisa izigulane ezintsha kwi-thyroid-enoba zicela. Ukuba isiguli esele sikhona kwi-levothyroxine asiva kakuhle sicela ukuba sitshintshele kwi-thyroid echongiwe, akayi kwenza. Kodwa ukuba isigulane sele sisekhona kwaye senza kakuhle, sitsho ukuba akayi ku "phikisa ngempumelelo" kwaye uya kuqhubeka nokumisela i-thyroid.
Ngandlela-thile, uDkt. UDeas ukhululekile kakhulu kunabanye be-endocrinologists. Kukho abathile abayi kuba nezigulane kwiidakamizwa ze-T3 okanye i-thyroid. Abanye bade bavutha izigulane zabo abagxininisa imithi ye-thyroid, okanye ngubani ongayi kulandelwa. Kodwa uDkt. I-Repas nayo imele imele imbono esiyibona phakathi kwe-endocrinologists ngokubanzi. Inkxalabo yabo eyona nto "yi-TSH ejwayelekile" -negalelo labo lonyango ukufumana izigulane zibe ziziqhelo eziqhelekileyo. Isisombululo sesibonakaliso sibonakala singabalulekanga kwaye sithatha isihlalo sokubuyela kumanqanaba e-TSH.
ILizwi
Ukuba uphathwa nge-hypothyroidism kunye ne-Synthroid okanye i-levothyroxine yedwa kwaye unayo impawu ye-hypothyroidism eqhubekayo, xela ugqirha malunga nokuba unokuzama ukuzama i-thyroid yemvelo.
Ukuba ugqirha wakho wenqaba ukuthobela loo nto ngaphandle kokunikezela isizathu esihle kakhulu esicacileyo kwimpilo yakho, inokubangela umdla onomdla wokufuna enye imbono evela kwintsebenziswano eyahlukileyo- ngokufanelekileyo okanye unogqirha opheleleyo ukhululekile kunye nohlu olupheleleyo ukhetho lwamachiza-i-endocrinologist.
> Imithombo:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10 Edition. WLL / Wolters Kluwer; 2012.
> Garber, J, Cobin, R, Gharib, H, kunye. al. "Izikhokelo zeCliniki zoLwazi lwe-Hypothyroidism kubantu abadala: I-Cosponsored yi-American Association of Clinical Endocrinologists kunye ne-American Thyroid Association." I-Endocrine Practice. I-Vol 18 No. 6 uNovemba / Disemba 2012.
> Iireko, T. INGA, FACP, FACE, CDE. "Ukuchazwa kwe-thyroid ekulawuleni i-hypothyroidism: Ingxenye I, II, III." Endocrine Namhlanje. NgoJanuwari 2009. I-Intanethi