Umhlahlandlela Wokubhaliswa Ngokwemithi Ye-Hormone Ye-Hormone Replacement
I-thyroid ingaba yinto engasebenzi - isimo esibizwa ngokuthi i-hypothyroidism - ngenxa yesifo se-Hashimoto, imithi ethile noma ezinye izinkinga. Ukwelashwa kwe-iodine ye-radio for Graves 'isifo kanye ne-hyperthyroidism kungashiya i-thyroid ingasebenzi - noma igweme ngokuphelele. Kwezinye izimo, ukususwa kokuhlinzwa (i-thyroidectomy) kwenziwa njengokwelashwa umdlavuza we-thyroid, i-goiter (i-thyroid ekhulisiwe), noma ngokuvamile, i-hyperthyroidism. Kwezinye izimo, izinsana zizalwa zinekholo engekho noma engasebenzi - isimo esibizwa ngokuthi i-congenital hypothyroidism.
Kuzo zonke izimo, ukwelashwa kwe-thyroid engasebenzi, ukuvala ingubo, ukugcoba ukugcoba noma ukugcoba ngokukhululekile kungumuthi we-hormone we-thyroid esikhundleni somuthi we-thyroid.
Lokhu okulandelayo ukuhlolisisa imithi yokwelapha i-hormone yokuguqula i-hormone.
I-Levothyroxine (Synthetic Thyroxine / T4)
Phakathi kwadokotela abavamile, i-hormone ye-thyroid eyinhloko ye-hormone ethandwa kakhulu futhi evame ukusetshenziswa kakhulu yi-levothyroxine, ifomu le-thyroxine (i-hormone yegciwane echazwe njenge-T4). I-Levothyroxine ibizwa nangokuthi i-l-thyroxine, ne-L-T4.
E-United States, i-levothyroxine iyatholakala njenge-levothyroxine ejwayelekile, kanye ne-Synthroid, i-Levothroid, ne-Levoxyl yamagama amaphilisi e-levothyroxine. I-Tirosint ifomu le-gelcap ye-levothyroxine eline-liquide eye yaba emakethe kusukela ngo-2011.
E-Canada, i-Synthroid, i-Eltroxin, ne-PMS-i-Levothyroxine yilawa magama omuthi adumile.
Odokotela abaningi abacebisi i-levothyroxine ejwayelekile . Amagama we-Brand ayethandwa, futhi umkhiqizo ngamunye ngokuvamile uthathwa ngokuphumelelayo ngokulinganayo.
I-Liothyronine (Synthetic Triiodothyronine / T3)
Izakhi ze-gland ze-thyroid kanye ne-triiodothyronine (T3), uhlobo olusebenzayo lwe-hormone ye-thyroid. I-Liothyronine yindlela yokwenza i-T3, futhi iyatholakala efomini elenziwe njengeCytomel, futhi njenge-liothyronine ejwayelekile. I-T3 ingabuye ifakwe.
Eminyakeni yamuva, abanye odokotela bebelokhu bebeka i-T3 ngaphezu kwe-T4. Ucwaningo olulodwa luka-2009 lubonise ukuthi iningi leziguli likhetha i-levothyroxine kanye ne-T3 uma kuqhathaniswa nokwelashwa kwe-levothyroxine kuphela.
Ucwaningo oluvelele olwanyatheliswa eNew England Journal of Medicine lwathola ukuthi iziguli zazuza ngosizo lwe-T4 / T3 yokwelapha . Ezinye izifundo zahluleka ukubonisa inzuzo futhi ukusetshenziswa kwe-T4 / T3 yokwelapha inhlanganisela kuhlala kungqubuzana.
Isidakamizwa esisha esikhiqizwa isikhathi esisha se-T3, i- Thyromax , sisesimweni sokuhlolwa kwemitholampilo futhi siyahlolwa ukuze kutholakale ukuvunyelwa nokusatshalaliswa e-US
Ukucaciswa kwe-Natural Thyroid
I-thyroid ekhishwe emvelo - ngezinye izikhathi igcizelelwe i-NDT - isilwane esilungiswe kusuka ezigulini ze-thyroid ezomile zengulube. I-thyroid eyakhiwe yendalo yilezi kuphela izidakamizwa ze-thyroid ezitholakala ekuqaleni kwawo-1900, ngaphansi kwegama elithi Armor Thyroid, kuze kufike i-levothyroxine ngawo-1950.
I-thyroid yemvelo yahluleka ngoba umkhiqizo wokwenza izinto wawunjengezinsuku zanamuhla futhi ezinzile. Nokho, kusukela ngawo-1990, isifo se-thyroid esibucayi siye sajabulela ukuvuselelwa, ikakhulukazi odokotela asebekhulile abajwayelene nalesi sidakamizwa, futhi odokotela abanobuciko obuhle futhi abahlanganisayo abathi banquma izibonakaliso ezingcono kunezinye iziguli zabo.
Namuhla, imikhiqizo eminingi ye-thyroid ekhishwe yilezi zitholakala e-US nakwamanye amazwe, nge-prescription, kuhlanganise ne-Naturethroid, i-WP Thyroid, i- Armor Thyroid , i-NP ejwayelekile ye-Thyroid (eyenziwe ngumenzi we-Acella), kanye ne-Canada ye-thyroid yemvelo evela kumkhiqizi u-Erfa.
Liotrix (Synthetic Thyroxine / Triiodothyronine T4 / T3 Inhlanganisela)
I-Liotrix yayiyinhlanganisela yokwenziwa kwe-thyroxine ne-triiodothyronine (T4 no-T3). Eminyakeni yamuva, i-liotrix itholakale efomini elenziwe, eyaziwa ngegama legama lakho iTrorolar, kusukela emaHlathini amaLanga. Kodwa i-Thyrolar isuke imakethe iminyaka eminingana, futhi ayisatholakali noma isetshenzisiwe.
> Imithombo:
> Braverman, MD, Lewis E., noRobert D. Utiger, MD. Werner and Ingbar's The Thyroid: Umbhalo Eyisisekelo Nezokwelapha. 9th > ed > . I-Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.