Qaar badan oo ka mid ah bukaannada tayroodhka ah ee nala soo xiriira ama kuwa ku dhajiya bogga Facebook Thyroid Support waxay weydiinayaan su'aal isku mid ah: "Anigu waxaan ku jiraa Synthroid (ama daroogada kale ee levothyroxine sida Levoxyl), mana dareemayo wax fiican. "
Wixii bukaan-socodka qanjidhada tiibaydu waa xaaladdan, waxa ugu horeeya ee aad ka fekereyso waa haddii aad ka faaiidaysan karto T3 dheeriga ah .
(Soo-celinta kooban: Synthroid, Levoxyl iyo daawooyinka kale ee levothyroxine -ka la yiraahdo l-thyroxine, iyo L-T4-waa noocyada synthetic ee hormoonka T4 ee hormoonka T4 waa hormoonka xajinta, waana in loo rogaa T3, hormoonka firfircoon , ee loo isticmaalo unugyadaada. Cytomel waa muunad macmacaan ah oo ka mid ah T3. Waxaa jira nooc ka mid ah noocyada Cytomel, qaar ka mid ah takhaatiirta waxay la shaqeeyaan waqti-sii-deyn / sii-wadi-sii-deyn ah oo T3 ka soo iibsato farmasiyada. Nature-throid, Thyroid Throid wuxuu ka kooban yahay noocyo dabiici ah oo ah T4, T3 iyo hormoonnada kale ee tayroodh .
Hada, dib ugu noqo arrinka haddii ay tahay inaad ka faa'iideysan karto T3 . Su'aasha iswadaarsiga ahi waa: Dhakhtarkaaga ayaa diyaar u ah inuu xitaa kaala hadlo arintan, wax yar ma qoro? Ma jirto jawaab sax ah.
Haddii aad dhakhtarka u sheegto, "Ma ka faa'iideysan karaa T3 dheeraad ah?" jawaabtu waxay u badan tahay inay ku habboonaato mid ka mid ah afar dhacdo oo suurtagal ah ...
- A. Waxay caddaynaysaa in isaga / iyada aysan lahayn daneyn dheeraad ah oo ku saabsan T3.
- B. Dhakhtarku si ixtiraam leh ayuu u yiri, "Taasi ma ahan wax aan ku kalsoonahay.
- C. Dhakhtarku wuxuu u maleynayaa waxa ku saabsan, oo wuxuu leeyahay, "Wanaagsanow, aynu eegno heerkaaga T3 ee bilaashka ah si aad u aragto waxa ay u eg tahay ka dibna sameyso go'aan.
- D. Dhakhtarku wuxuu oranayaa, "Taasi waa suurtagal, waxaannu isku daynaa qadar yar oo T3 ah oo arag sida aad u dareemaysid, laakiin aan hubinno inaysan jirin wax khilaafaad ah ...
Si cad, haddii aad tahay bukaanka Dhakhtar A, doorasho wanaagsan waa inaad hesho dhakhtar cusub oo dheef-shiid . Codsashada in laga wada hadlo daaweynta suurtogalka ah waa codsi sharci ah, waana in aan marnaba la kulmin xishmeyn ama shaqo joojin. Noocyada jawaabaha ayaa ah, xaqiiqda, caddayn cad oo sheegaya in wakhtigu uu yahay dhakhtar cusub.
Haddii aad la shaqeyneyso Dhakhtar B, si fiican, waxa laga yaabaa inaad weydiiso waxa ra'yigiisa ujeedkiisu yahay inuusan ku raaxaysaneynin isagoo ku daraya T3 ilaa daaweynta tiryryroxine-only levothyroxine. Halkan waxaa laga yaabaa in aad rabto in aad sheegto, ama xitaa soo qaado nuqul ama nuqul ka mid ah daraasadda deenishka ee soo baxday dhamaadkii 2009kii ee joornaalka Yurub ee Endocrinology . Daraasaddani waxay eegtey arrin murugo leh oo lagu daaweynayo T3 dabiiciga ah oo loo yaqaan 'T4-only (levothyroxine) daaweynta hypothyroidism .
Baaritaanku wuxuu sheegay in 49 boqolkiiba bukaanka la daraasaday ay doorbidayaan daaweynta ay la socoto daawada levothyroxine iyo daroogada T3 , keliya 15% daaweynta levothyroxine-ka keliya. (Fiiri hoosta macluumaad dheeraad ah ee daraasaddan, iyo sida aad u heli karto nuqul si aad u muujiso dhakhtarkaaga.) Haddii Dhakhtar B weli si qaas ah u diido inuu kaala hadlo T3 adiga oo aan ku qanacsaneyn sharaxaad sax ah, waa wakhti cusub dhakhtarka qanjirka
Haddii aad la tacaaleyso Dhakhtar C, ka fikir naftaada nasiib. Weydii dhakhtarka waxa uu bartilmaameed u yahay T3 Free. Hore u sii qaado imtixaanka T3 ee bilaashka ah, maskaxda ku hay in khubaro badan oo tirakoobka ahi ay aaminsan yihiin in bukaanku ay dareemaan ugu fiican marka heerarka T3 ee heerarka ugu sarreeya ee caadiga ah ee caadiga ah, iyo xitaa qiyaastii 75 boqolkiiba iyo ka sarraysa tirada.
Hadday shaqadu tahay? Aynu samee xisaabta. Haddii sheyga tixraaca ee "Free T3" uu yahay 2.0-4.4 pg / mL, markaa bartilmaameedku waa kala bar iyaga, ama 3.2, iyo 75 boqolkiiba waa 3.8.
Haddii aad tahay bukaanka dhakhtarku, mar kale, waxaad tixgelisaa inaad nasiib u leedahay inaad haysato dhakhtar furan oo aqoon leh.
Sida loola dhaqmo, dhakhaatiirtu waxay u muuqdaan inay ka taxadaraan isticmaalka T3 qofkasta oo qaba taariikhda wadnaha wadnaha ama dhibaatooyinka wadnaha, iyo dadka waayeelka ah, sidaa daraadeed dhakhaatiirta T3-dakhliga ayaa maskaxda ku hayaan.
A xusuusin ka
Haddii aad u baahan tahay inaad la wadaagto macluumaadka dhakhtarkaaga 2009 daraasadda deenishka, halkan waxaa ku yaal khayraadka:
- Qodobka: Daraasad ayaa muujinaysa in T3 ee dheeraadka ah ee T3 uu ka sarreeyo Levothyroxine / T4-kaliya Kalilid Daawo loogu talagalay Hypothyroidism
- Tixraac Daraasadda Deenishka: Birte Nygaard, Ebbe Winther Jensen, Jan Kvetny, Anne Jarløv iyo Jens Faber. "Saamaynta daaweynta isku-dhafan ee la yiraahdo thyroxine (T4) iyo 3,5,3'-triiodotyronine oo ka soo horjeeda daaweynta T4 ee bukaanka qaba hypothyroidism, laba-indhoole ah, daraasad isweydaarsi ah," Journal Journal of Endocrinology, Vol 161, Issue 6, 895-902, Diisambar 2009
- Daraasada: Akhriso Abstract / Get Reprint (Ha ilaawin in halkii aad internetka ku bixin lahayd daabacaadda, waxaad awoodi kartaa inaad hesho nuqul bilaash ah oo ah maqaalo saxaafadeed haddii aad leedahay dugsi caafimaad, isbitaal ama maktabad saynis ku dhow )
> Isha:
> Nygaard, B et. al. "Saamaynta daaweynta isku-dhafan ee la yiraahdo thyroxine (T4) iyo 3,5,3'-triiodotyronine oo ka soo horjeeda daaweynta T4 ee bukaanka qaba hypothyroidism, laba-indhoole ah, daraasad isweydaarsi ah," Journal Journal of Endocrinology, Vol 161, Issue 6, 895-902, Diisambar 2009