Owayengumongameli wokuqala, uSenator, owayenguNobhala Wombuso, kanye no-2016 ukhetho loMengameli u-Hillary Clinton ngokuqinisekile akayena owaziyo ukunakekelwa kwezindaba. Isinqumo sakhe sokugibela isikhundla sikaMongameli, ukulahlekelwa kwakhe nguDonald Trump, nokuphikisana kwiseva yakhe ye-imeyili kwakuyizihloko ezishisayo.
Nakuba iningi lethu lingenayo imiphumela yethu yokuhlola yakamuva eshicilelwe emaphephandabeni amakhulu, kuvamile ukuba ukhetho likamongameli lukhulule amarekhodi abo kwezokwelapha.
Ngokuvamile kwenziwa ngemuva kokuba oqokelwe ukhetho, kodwa uMnuz Clinton ngokusobala wanquma ukuthola ukukhathazeka ngokukhathazeka ngempilo yakhe ngokumkhulula ekuqaleni kukaJulayi ka-2015.
Kwakusithakazelisayo ukufunda, njengoba kubikwa encwadini evela kudokotela kaNksk Clinton, uLisa Bardack, MD, ngaleso sikhathi, "UMnuz Clinton ungowesifazane oneminyaka engu-67 ubudala onempilo, kanti izimo zakhe zokwelashwa zamanje zihlanganisa i-hypothyroidism kanye nemithi yokuphuza impova yonyaka ... "Incwadi egcwele ithunyelwe ku-intanethi.
Isimo sikaMnu Clinton, i- hypothyroidism , isifo se-thyroid esingasebenzi. Izimpawu zingabandakanya ukuhamba kancane kwesimetabolism, ukukhathala, ukuzuza kwesisindo, nezinye izinkinga.
Kodwa-ke, isithakazelo esithile sasiyinkomba encwadini kadokotela wakhe ethi:
"Imithi kaNksz Clinton yamanje ihlanganisa i-Armor Thyroid ..."
I-Armor Thyroid yigama lomuthi we-thyroid (i-NDT) okhishwe ngemvelo, imithi yokwelashwa ye- hormone esikhundleni somuthi eyenziwe yinkinga yegciwane lengulube.
I-NDT ihlanganisa ama-hormone we-thyroid T4 no-T3 namanye ama-cofactors, futhi asetshenziselwe ukwelapha i-hypothyroidism iminyaka engaphezu kwekhulu. Kodwa-ke, akuthandwa kakhulu odokotela abaningi abavamile nabavamile, abashiya ukusetshenziswa kwe-NDT ngokufisa i-levothyroxine , uhlobo olwenziwe nge-T4 hormone, emuva ngawo-1950.
Udokotela kaDkt Clinton, uDkt. Bardack, ungumqeqeshi wezezifundo ophumelele esikoleni sezokwelapha ngo-1990, futhi akabonakali enomkhuba ophelele noma ohlangene. Kodwa isiguli sakhe, uNksz Clinton, uphathwa nge-hypothyroidism esebenzisa imithi engacatshangwa ngokuthi "izinga lokunakekelwa," ngokusho kuka- 2014 Hypothyroidism Guidelines , eyanyatheliswa yi-American Association of Clinical Endocrinologists (AACE) ne-American Association of Thyroid (ATA).
Lezo ziqondiso zithi:
"Akekho ubufakazi bokusekela ukusebenzisa i-hormone ye-thyroid yemvelo yemvelo - okungukuthi, i-Armor, Nature-Throid - ngokukhetha i-levothyroxine ekwelapheni i-hypothyroidism ... ngakho-ke i-hormone ye-thyroid ayifanele isetshenziselwe ukwelashwa kwe-hypothyroidism."
Kuyathakazelisa ukuthi uNksz Clinton akayena yedwa, njengoba inani lemigomo ye-NDT, kuhlanganise ne-Armor, Nature-throid, i-Thyroid WP, ne-NDT ejwayelekile, iye yanda eminyakeni yamuva. Ezinye iziguli zibonakala zenza kangcono ngokuhlanganiswa kwama-hormone e-T4 / T3 , futhi i-NDT ibonakala ikwazi ukuphepha futhi ixazulule kahle izimpawu zamanye iziguli.
Kuyaphawuleka ukuthi lokhu kungenye yezikhathi zokuqala lapho umuntu owaziwa emhlabeni jikelele njengoMnu Clinton engakhulumi obala ulwazi ababhekana nalo nge-hypothyroidism kodwa ukuthi bathatha imithi yemvelo yegazi efana ne-Armor Thyroid.
Ngezinye izikhathi, odumile baye babonisa ukuthi banesimo se-thyroid , noma ukuthi bathatha imithi ye-thyroid, kodwa akuyona into evamile, futhi abaningi kakhulu abazwayo ngomuntu owaziwayo ophethe i-NDT. Isibonelo, umphikisi weNobhala kaClinton we-2016 ukuphakanyiswa kweDemokhrasi, uSenator Bernie Sanders, wakhulula amarekhodi akhe ezokwelapha ngoJanuwari ka-2016, eveza ukuthi uSenenja uphinde wathola ukuthi unesifo se-hypothyroidism .
Eminyakeni yamuva nje, inkanyezi yoMndeni wamanje, uSofia Vergara, ukhulume ngomlomo ngomdlavuza wakhe wegciwane lesandulela ngculazi kanye nokwelashwa okwenziwe yi-Synthroid brand levothyroxine, kodwa lokho kubonakala nje ngoba wayengumkhulumeli okhokhelwayo wenkampani yezidakamizwa eyenza i-Synthroid.
Kungakhathaliseki ukuthi yiziphi zezombusazwe, ukukhululwa kolwazi lwezempilo kaMnu. Clinton kwakuyizindaba ezinhle zeziguli eziningi ze-thyroid ezithatha isifo semvelo esibikiwe. Sekuyiminyaka engamashumi amabili edlule, iziguli ziye zaqamba amanga noma zadukiswa odokotela abangenalwazi abathi izinto ezifana nalezi, "i-thyroid yemvelo iyahamba emakethe," "Isikhali siphelile," "izidakamizwa zemvelo zengozi ziyingozi," "i-NDT ayizinzile futhi engathembeki, "noma ngisho, ngokuhleka usulu, njengoba isishayamthetho sikahulumeni sisho, senziwe ngezinkomo futhi singabangela isifo sezinkomo ezimbi!
Iziguli ziye zabhekana nezinkampani zomshuwalense, ama-HMO, ngisho nezinhlelo zokunakekelwa kwempilo ezisekelwa ngokwezimali ezithatha isifo sempilo yezinyosi "ohlwini" lwezidakamizwa, "futhi utshele iziguli ukuthi zizohlanganisa kuphela i-levothyroxine, noma ngabe iyasebenza yini noma cha.
Sinezinsizakalo ze-endocrinologists, esebenza ngaphansi kwezinhlangano ezizibophezela ngokusekelwa yibo abakhiqizi be-levothyroxine, bhala okuthiwa "i-Hypothyroidism Guidelines" abathi i-levothyroxine kuphela okufanele isetshenziselwe ukwelapha i-hypothyroidism. Lokhu kungakhathaliseki ukungabikho kocwaningo okubonisa ukuthi i-levothyroxine iphumelela kakhulu kune-NDT, noma ukuthi kunezingozi ezihlobene ne-NDT, futhi ucwaningo olubonisa ukuthi i-NDT iphephile futhi isebenza njenge-levothyroxine . Khuluma ngokuphikisana kwezintshisekelo!
Manje, kuyinto evamile ukuthi isombangazwe ovelele uthatha isifo semvelo esicacisiwe. Uma sizwa kabanzi mayelana nezimo ezinjengalezi, kunzima odokotela ukusabalalisa imininingwane engafanele (njenge-NDT engekho emakethe), futhi kunzima kuba odokotela ukwenqaba ukucabangela i-NDT njengendlela yokwelashwa. Futhi lokho kuyinto enhle ngeziguli ze-thyroid.
Izwi kusuka
Omunye kufanele azibuze ukuthi uNksk. Clinton ngokwakhe uphelile yini ukucwaninga izindlela zokwelashwa zakhe ze- hypothyroidism - kuhlanganise nalesi sayithi, futhi azikhuthazele yena nodokotela wakhe. Lo mbuzo uphakanyisiwe ngoba, okokuqala, akuyona into engavamile kumuntu ohlala ngaphakathi ukufaka i-NDT. Futhi, okwesibili, ngokuthakazelisayo, njengengxenye ye "imeyili yokulahla" uMnyango WezoMbuso, owanikeza izinkulungwane zama-imeyili kaMnu. Clinton esitokisini sakhe sangasese, kunomunye owachaza isihloko lapha endaweni ye-Thyroid.