Uma ungajwayelene ne- thyroid ekhishwe, nansi i-rundown esheshayo. Ukuchazwa (okomisiwe) i-thyroid iyimithi ye-hormone ephindaphindiwe ye-hormone elungiselelwe kusukela ekuguleni kwegciwane kusuka ezingulubeni, eyaziwa nangokuthi "i-porcine thyroid." Amanye amagama egama ahlanganisa i- Armor Thyroid , i-Nature-thyroid, ne-WP Thyroid.
I-thyroid echazwe yizidakamizwa, futhi ilawulwa yi-FDA.
Kuye emakethe futhi isetshenziswe ngokuphepha iminyaka engaphezu kwengu-100.
Kuze kube yi-synthetic thyroxine (eyaziwa ngokuthi i-levothyroxine, enegama lomkhiqizo ehlanganisa i-Synthroid, Levoxyl, ne-Tirosint) yasungulwa ngawo-1950, i-thyroid eyakhiwe yilezi kuphela imishanguzo ye-hormone yokuguqula i-thyroid.
Lapho kwenziwa i-thyroxine yokwenziwa, kwakukhona injabulo enkulu mayelana nokuthi isimanje kanjani, uma kuqhathaniswa ne-thyroid ekhonjisiwe, eyabhekwa njengendlela yakudala. Ngaleso sikhathi, odokotela abaningi bashintsha iziguli ngaphezu kwemithi yokwenziwa futhi abazange babuke emuva. Okwamanje, i-synthetic thyroid-okungukuthi i-Synthroid-yaba yinzuzo enkulu yezinkampani ezidakamizwa ezihlukahlukene ezinamalungelo eS Synthroid kule minyaka, ezibandakanya amabhuzu, i-BASF, kanye ne-AbbVie manje, i-spinoff ye-Abbott Labs.
Konke okufanayo, njengezinkampani eziningi ezidakamizwa ezidakamizwa, abenzi be-Synthroid baye baxhasa imihlangano yezokwelapha, ukuphuma kwegalofu, i-symposia, izibonelelo zocwaningo, nezindleko zezikhulumi, futhi banikeze izincwadi zezincwadi zamahala mahhala, amapeni, amapayipi, amakagu, nezinye izinto zokunikezela nokuthengisa .
Manje sinezizukulwane eziningana zodokotela abaqeqeshwe esikoleni sezokwelapha ukuze baqonde ukuthi i-levothyroxine yokwakheka yilawo kuphela imithi yokwelashwa ye-thyroid eyamukelekayo, futhi abaningi bayazi igama elithi Synthroid ngokuqondile, ngenxa yokudayiswa kwemakethe.
Odokotela abaningi abaqapheli ukuthi i-thyroid ekhishwe imvelo isatholakala, noma ukuthi ingasetshenziswa ngokuphepha ukuphatha iziguli ezithile ze-hypothyroid.
Abanye bakholelwa ukuthi kunzima ukubeka imithi yesifo semvelo esiyinkimbinkimbi. Le mibono ngeshwa iqiniswe yimibono engalungile evela kubameli be-levothyroxine yokuthengisa, amahemuhemu angenasisekelo aveza ukuthi i- thyroid iphuma emakethe , kanye nolunye ulwazi lwe-anecdotal.
Naphezu kokuthandwa kwe-levothyroxine, kusukela ngawo-1990, izidakamizwa zemvelo yemvelo zaqala ukuvuselela, njengoba inzalo yemithi yemvelo yanda. Ngaleso sikhathi, iziguli ezazingazizwa kahle emithini yokwelapha ye-thyroid zibuye zithole amandla futhi zikwazi, ngenxa yokuthi ziyingxenye ye-intanethi. Iziguli zafunda ukuthi kunezinketho-phakathi kwabo, ezikhishwe izidakamizwa ze-thyroid njenge-Armor ne-Nature-throid.
Masibe sobala: Iminyango yezigidi eziningana ngonyaka ibhalelwe i-thyroid echaziwe, uma kuqhathaniswa nemigomo engaphezu kwezigidi ezingu-30 ngonyaka we-levothyroxine. Kodwa kuphazamise iziguli ezingazizwa kahle eziza kumasayithi afana nalesi, ukufunda izincwadi, nokukhuluma nezinye iziguli. Ngenxa yalokho, bayaqhubeka beqaphela ukuthi kunezinketho ezingaphezu kwe-levothyroxine, futhi , ukuthi ezinye iziguli zizwa zingcono emithini yemithi ye-thyroid.
Umbono we-Endocrinologist's on the Natural Desiccated Thyroid
Ngaphezu kwe- Endocrine Namuhla ibhulogi, i-endocrinologist kanye ne-osteopath Thomas Meas, DO, FACP, FACE, CDE, yenza isihloko esilandelayo esilandelayo esithi "I-thyroid ecacisiwe ekuphathweni kwe-hypothyroidism," ngombono wakhe njenge-endocrinologist.
- Ukuchazwa kwe-Thyroid ekuphathweni kwe-Hypothyroidism-Ingxenye I
- Ukuchazwa kwe-Thyroid ekuphathweni kwe-Hypothyroidism-Ingxenye II
- Ukuchazwa kwe-Thyroid ekuphathweni kwe-Hypothyroidism-Ingxenye III
Kuyinto ukuhlaziywa okuthakazelisayo ngoba inikeza umbono ngokucacile ukuthi abaningi endocrinologists babheka zemvelo ezikhethiwe izidakamizwa zegciwane, futhi kungani umphakathi endocrinology kuvame ukuphikiswa ukusetshenziswa kwalezi zidakamizwa. (Lokhu kuqhathaniswa nama-MDs aphelele, ahlangene nalabo abavame ukusebenzisa i-thyroid ekhethiwe ngoba bayithola ukuthi isebenza kangcono kwezinye iziguli zabo.)
UDkt Repas uqala ngokusho ukuthi, njengontanga yakhe ekupheleni kwe-endocrinology, ayisebenzisi i-thyroid eshicilelwe, ngoba, "Ngikholelwa ukuthi i-thyroid eshicilelwe yi-antiquated therapy futhi akumele isetshenziswe."
Uthi futhi i-endocrinologists ayisebenzisi i-Armor ngenxa yezinga "elingavumelekile lokubhebhetheka kwe-batch kuya ku-batch, okuvame ukuphumela ekushintsheni okungavumelekile kwe-hormone ye-thyroid." Ephawula ukuthi i-levothyroxine nayo ine-variability kusukela kumkhiqizo kuya kumkhiqizo, uthi, "uma sicabanga ukuthi ukuhluka okuncane phakathi kwemikhiqizo ehlukahlukene ye-levothyroxine kubaluleke kakhulu emtholampilo, ukuhluka okukhulu kakhulu ngaphakathi kwamalungiselelo e-thyroid akuvunyelwe."
ENgxenyeni ye-III, uDkt. Repas uthi nakuba abantu abaningi bengenakuphupha "kokuqondisa isazi sezinzwa zegazi ukuthi senze kanjani ukuvuselelwa kwe-cardiaculmonary ngesikhathi sokuboshwa komzimba ... abanye abantu abanengqondo benganqikazi ukuzama ukungifundisa nge-thyroid." Ube esho ukuthi isifiso sokulalela nokukhathalela izindlela zemvelo senza isithakazelo senzolo yemvelo ekhethiwe.
UDkt Repas uthi ukuphikiswa kwakhe kwegciwane lesayensi yemvelo kuncike kwisayensi, kodwa ukhona. UDkt Repas uhluleka ukuphawula ukuthi azikho izifundo ezimbili eziphambene nezimpumputhe, ezibuyekezwa kontanga, eziphindwe kabili eziqhathanisa i-levothyroxine ekwenzeni i-thyroid ngendlela ephumelelayo ekuxazululeni izimpawu zesiguli.
Eqinisweni, uDkt Repas ngokwakhe uvuma, esigabeni sokuphawula seNgxenye I:
Ngomlando, ukukhathazeka kwami okukhulu nge-thyroid (noma i-levothyroxine noma i-T3) eshicilelwe yilokho okushiwo ngendlela eholela hyperthyroidism engapheli isikhathi eside. Uma isiguli singekho hyperthyroid futhi benza kangcono komkhiqizo owodwa ngokumelene nomunye, kunzima kakhulu ukuphikisa lokho.
Uphetha neNgxenye ye-III ngamazwana angenangqondo:
Ekugcineni, ngesonto eledlule ngabona owesifazane owayesesifo se-thyroid iminyaka eminingi. Ngachaza ukuthi manje sithanda i-levothyroxine kunokuba sithole i-thyroid. Ngiphinde ngabonisa ngokushesha ukuthi i-hormone yakhe evuselela i-thyroid iphelele, phakathi kuka-0.7 mIU / L no-1.0 mIU / L eminyakeni embalwa edlule. Wayengekho izimpawu; Kwakunzima kimi ukuphikisana ngempumelelo. Ngemva kokuxoxa naye nokumbuza ukuthi yini ayefuna ukuyenza, washiya ihhovisi lami namanje ekhanda le-thyroid.
Lapho lezi zihloko zishicilelwa ekuqaleni, kwakukhona amazwana amaningi ashiywe yiziguli ezazithukuthelele. Ngakolunye uhlangothi, uDkt Repas wayezama ukuchaza ukuthi kungani engakholelwa ku-Armor Thyroid, ebiza ngokuthi ayiyona into yesayensi futhi ethi abalandeli bayo bahlanganyela "ekucabangeni kwemilingo." Kodwa uDkt Repas akazange anikeze ubufakazi besayensi ukusekela izimangalo zakhe, futhi walahlekelwa isipiliyoni sangempela sempilo yamakhulu nezinkulungwane zeziguli ze-thyroid kanye nodokotela.
Ngesikhathi esifanayo, uDkt Repas naye uyavuma ukuthi, ngokubheka okubalulekile, ukuthi ukukhathazeka kwakhe okuyinhloko kugxila isiguli ku-hyperthyroidism kunoma yisiphi isisindo se-thyroid-hhayi nje nge-thyroid ekhethiwe. Futhi uyavuma ukuthi uma isiguli singaphathwa ngendlela efanele ngesifo se-thyroid, khona-ke akaboni isizathu sokuthi "aphikisana nempumelelo."
UDkt Repas ngeke aqale iziguli ezintsha ezihlinzekwe ngegciwane-ngisho noma zibuza. Uma isiguli esivele sikhona ku-levothyroxine singazizwa kahle sicele ukuthi sishintshe ku-thyroid esicacisiwe, ngeke sikwenze. Kodwa uma isiguli sesivele sikhona futhi senza kahle, sitshela ukuthi ngeke "aphikisana ngempumelelo" futhi uzoqhubeka nokubeka i-thyroid ekhishwe yona.
Ngandlela-thile, uDkt Repas unengqondo evulekile kakhulu kunezinye ze-endocrinologists. Kukhona abanye abangeke babe neziguli ezitholakala kumuthi we-T3 noma i-thyroid ekhethiwe. Abanye baze bashise iziguli zabo ezigxile emithini yemvelo ye-thyroid, noma ngubani ongayikulandela izinkomba. Kodwa uDkt Repas uphinde ubhekane nombono esiwubona phakathi kwe-endocrinologists ngokujwayelekile. Ukukhathazeka kwabo okuyinhloko yi-"TSH ejwayelekile" - futhi umgomo wabo wokwelashwa ukuthola iziguli zibe zihlakalweni ezijwayelekile. Isixazululo sesibonakaliso sibonakala singenasidingo futhi sithatha isihlalo sokubuyela kubaphathi bamazinga we-TSH.
Izwi kusuka
Uma uphathwa nge-hypothyroidism nge-Synthroid noma i-levothyroxine yedwa futhi usenayo izimpawu ze-hypothyroidism eziphikisanayo, khuluma nodokotela wakho mayelana nokuzama ukuzama i-thyroid yemvelo ekhethiwe.
Uma udokotela wakho enqaba ngokuphelele ukujabulisa leyo nketho ngaphandle kokukunikeza isizathu esihle kakhulu esiqondile empilweni yakho, kungase kusebenze isithakazelo sakho sokufuna olunye umbono phakathi komsebenzi ohlukile -mhlawumbe udokotela ohlangene noma ophelele ukhululekile ngohla oluphelele izinketho zemithi ye-thyroid-uma kuqhathaniswa nesifo se-endocrinologist.
> Imithombo:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. I-WLL / Wolters Kluwer; 2012.
> Garber, J, Cobin, R, Gharib, H, et. al. "Iziqondiso Zomtholampilo Zokusebenza Nge-Hypothyroidism Kubantu Abadala: I-Cosponsored yi-American Association of Endocrinologists Clinic kanye ne-American Thyroid Association." I-Endocrine Practice. I-Vol 18 No. 6 Novemba / Disemba 2012.
> Imenyu, T. DO, FACP, FACE, CDE. "I-thyroid ecaciswe ekulawulweni kwe-hypothyroidism: Izingxenye I, II, III." I-Endocrine Namuhla. NgoJanuwari 2009. Online