Hagaha Daaweynta Daawooyinka Daawooyinka Qalitaanka Lagu Hormariyo
Qanjirka 'thyroid' wuxuu noqon karaa mid aan firfircoonayn - xaalad loo yaqaan 'hypothyroidism' - sababtoo ah cudurka Hummimoto ee cudur-sidaha, daawooyinka qaarkood, ama arrimaha kale. Daweynta iodine-yada ah ee roodhiga ee cudurka Graves 'iyo hyperthyroidism ayaa ka tagi kara tayroodh aan firfircoonayn - ama si buuxda u xiran. Xaaladaha qaarkood, ka saarida qaliinka (thyroidectomy) waxaa loo sameeyaa daaweyn loogu talagalay kansarka thyroid, goyso (qanjirka 'thyroid'), ama caadi ahaan, hyperthyroidism. Xaaladaha qaarkood, dhallaanku waxay ku dhashaan maqnaansho ama lumis la'aanteed qanjirka - xaalad loo yaqaanno hypothyroidism.
Xaaladaha oo idil, daaweynta qanjirada aan firfircoonayn, xiro qanjirka, qanjirada qalliin ee la jeexay ama qanjirada cilladda ku dhaca ee ku dhaca caanaha ayaa ah bedelka hormoonka tayroodhka ee lagu beddesho daroogada dawada ee tirtirta.
Waxyaabaha soo socda ayaa ah dulmar guud oo ku saabsan daawooyinka bedelka hormoon ee hormoonka tayroodh.
Levothyroxine (Synthetic Thyroxine / T4)
Dhakhaatiirta caadiga ah, daawada loo yaqaan 'thyroid hormones' ee ugu caansan ama caadi ahaan loo isticmaalo waa levothyroxine, oo ah qaab isku dhejis ah oo tayrofin ah (hoormoonka tayroodhka ee loo yaqaan T4). Levothyroxine waxaa sidoo kale loo yaqaannaa l-thyroxine, iyo L-T4.
Dalka Mareykanka, levothyroxine waxaa loo heli karaa sida levotyroxine oo guud, iyo sidoo kale Synthroid, Levothroid, iyo kiniinnada magaca Levoxyl ee levothyroxine. Tirosint waa nooc ka mid ah dareeraha dareeraha ah ee levothyroxine ee suuqa ku jiray ilaa 2011.
Kanada gudaheeda, Synthroid, Eltroxin, iyo PMS-Levothyroxine waa magac caan ah.
Dhakhaatiir badan ayaan kugula talineynin inaad qaadatid levotyroxine . Magacyada noocyada waa la door bidaa, calaamad kastana waxaa guud ahaan loo tixgeliyaa si siman.
Liotyronine (Synthetic Triiodothyronine / T3)
Qalabyada tayroodhka ee tayroodhka thyroxine iyo triiodotyronine (T3), qaabka firfircoon ee hoormoonka thyroid. Liotyronin waa nooc ka mid ah synthetic of T3, iyo waxaa lagu heli karaa foomka la soo saaray sida Cytomel brand, iyo sidoo kale sida liothyronine guud. T3 sidoo kale waa la sii deyn karaa.
Sannadihii ugu danbeeyay, dhaqaatiirta qaar ayaa qora T3 marka lagu daro T4. Mid ka mid ah daraasadda 2009 ayaa muujisay in inta badan bukaanada ay doorbidaan levothyroxin iyo T3 marka la barbar dhigo daaweynta levothyroxine-kaliya.
Daraasad caan ah oo lagu daabacay Wargayska New England Journal ayaa sheegtay in bukaannadu ka faa'iideysteen daaweynta isku dhafan ee T4 / T3 . Daraasado kale oo kale ayaa ku fashilmay inay muujiyaan faa'iido iyo isticmaalka daaweynta isku dhafan ee T4 / T3 weli muran.
Daawo cusub oo waqti dheer ah oo lagu sii daayay T3, Thyromax , ayaa ku jira tijaabo caafimaad waxaana lagu qiimeeyaa oggolaanshaha iyo qaybinta Maraykanka
Tijaabinta qanjirada dabiiciga ah
Qanjirka dabiiciga ah ee dabiiciga ah - mararka qaarkood loo soo gaabiyo NDT - waa dawo diyaarsan oo laga diyaariyey qajaar la yiraahdo porcine (pig) qanjidhada tayroodh. Daawada qanjirada dabiiciga ah ee dabiiciga ah ayaa ahayd daawada tayroodh oo keliya oo la heli karo horraantii 1900-yadii, oo hoos imanaysa magaca caanka ah Armor Thyroid, ilaa levothyroxine la soo saaray 1950-meeyadii.
Xayawaanka dabiiciga ah ayaa hoos u dhacay iyada oo maaddada synthetic loo qoondeeyay sida casri ah oo deggan. Laga soo bilaabo 1990-yadii, si kastaba ha ahaatee, waxay tirtireen thyroid waxay ku riyaaqeen dib u soo noqoshadooda, ugu horreyntii dhakhaatiirta waayeelka ah ee la yiraahdo daroogada, iyo dhakhaatiirta istiraatiijiga ah iyo kuwa isku dhafan kuwaas oo sheeganaya inay xallinayso calaamadaha ka fiican daawooyinka tayroodh ee synthetic qaar ka mid ah bukaankooda.
Maanta, noocyada kala duwan ee tayroodhka qallafsan ayaa laga helaa Maraykanka iyo dalal kale, oo ay ku jiraan Naturethroid, WP Thyroid, Armor Thyroid , oo ah NPO (oo ka samaysay shirkadda Acella), iyo tafatir dabiici ah oo ka soo jeeda shirkadda Erfa.
Liotrix (Isugeynta Thyroxine / Triiodotyronine T4 / T3 Combination)
Liotrix wuxuu ahaa isku-dhaf dabiici ah oo isku dhafan oo lagu magacaabo thyroxine iyo triiodotyronin (T4 iyo T3). Sanadihii la soo dhaafay, liotrix waxaa laga heli karaa foomka la soo saaray, oo loo yaqaano magaca Thyrolar, oo ka soo jeeda Warshadaha Xoolaha. Laakiin Thyros waxay suuqa ka soo saartey dhowr sanadood, mana jirto ama la isticmaali karo.
> Ilo:
> Braverman, MD, Lewis E., iyo Robert D. Utiger, MD. Werner iyo Ingbar's The Thyroid: Qoraalka Aasaasiga ah iyo Daawada. 9 > ed > . Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.