Ma jiraa Farqiga u dhaxeeya Magaca iyo Noocyada Cudurka Tiriinka?
Ma jiraan faraqyo muhiim ah oo udhexeeya levotyroxine generic iyo daawooyinka magaca caanka ah sida Synthroid, Levoxyl, Unithroid, iyo Levothroid? Maxaad ka ogaaneysaa haddii aad isbeddelayso noocyada kala duwan ama kiniinnada caamka ah ee levothyroxine? Ma jiraa hal caan ah kaas oo ugu fiican?
Levothyroxine-Definition, iyo Isticmaal
Levothyroxine waa nadiifin (samee) oo ah hormoonka weyn ee hoormoonka tayroodhka (thyroxine, ama T4) kaas oo la sameeyo oo la sii daayo qanjirkaaga qanjirka.
Levothyroxine waxaa loogu talagalay dadka qaba cudurka qanjaha 'undenactive', ee loo yaqaan 'hypothyroidism'.
Magaca Nooca iyo Diyaargarowga Guud ee Levothyroxine
Waxaad ogaan kartaa magaca caanka ah iyo diyaargarowga guud ee daroogooyinka kala duwan. Diyaargarowga magaca caanka ah waxaa badanaa la helaa marka hore. Muddo ka dib, dadka wax soo saara ayaa loo oggol yahay in ay sameeyaan daawo isku mid ah. In kasta oo "daroogada" ay isku mid tahay, maaddooyinka aan firfircooneyn ayaa lagu daraa si ay u wanaajiyaan nuugista, u ilaaliyaan daawooyinka, ama xitaa ku dar midabku way kala duwan yihiin.
Waxaa jira afar nooc oo si fiican loo tijaabiyey, diyaar garow ah ee levothyroxine oo laga heli karo Maraykanka oo loogu talagalay daaweynta dadka qaba hypothyroidism (tirakoob aan firfircoonayn) : Levothroid, Levoxyl, Synthroid, iyo Unithroid. Inkasta oo ay jiraan kala duwanaansho sida alaabooyinkaas loo soo saaray, sida isticmaalka midabada midabada leh iyo kuwa wax lagu buuxiyo, mid kasta oo ka mid ah daawooyinka caanka ah ayaa ah mid lagu kalsoonaan karo.
Maamulka Cuntada iyo Dawooyinka ee Maraykanka (FDA) ayaa ansixiyay isticmaalka levottyroxine-ka guud, oo hadda ay sameeyeen shirkado kala duwan oo dawooyin.
Faraqa udhaxeeya Muuqaalada iyo Diyaarinta Guud
Dadku waxay ogaan karaan inaysan dareemeynin sidoo kale marka ay isbeddelaan hal diyaarin ilaa mid kale, tani lama yaabna. Inkasta oo qaab-dhismeedka kiimikada ee daawooyinkani ay isku mid yihiin, waxaa jiri kara siyaabo kala duwan oo ay kala duwan yihiin. Tusaale ahaan, daawooyinkan ayaa ku kala duwanaan kara:
- Waa imisa tirada levothyroxine ee kiniinka
- Intee in le'eg ee levothyroxine ah ayaa lagu soo miiray jirka
- Qaddarka levothyroxine ee ku wareegaya jirkaada kadib qadar
- Daawooyinka kala duwan waxay yeelan karaan awoodo kala duwan
In kasta oo kiimikooyinka dheeraadka ah ee lagu daro daroogada loo yaqaan 'inert' ama 'aan firfircoonayn,' daraasaduhu waxay ogaadeen in "daaweenta" ama maaddooyinka aan firfircooneynin ay mararka qaarkood door ka qaadan karaan waxtarnimada daroogo gaar ah.
Isbeddelista Meelaha kala duwan ama Diyaarinta Guud ee Levothyroxine
Haddii dhakhtarkaagu kaa bedelay magaca calaamadda levothyroxine-sida Synthroid-si guud, waxaa laga yaabaa inaad la kulanto calaamado daawo aad u badan ama aan daaweyn ku filan. Xaqiiqdii, Ururka American Endocrinologists ayaa kugula talineysa in aad isticmaasho nooca (ama nooca caadiga ah) ee dawada inta lagu jiro daaweyntaada. Waxay sii wadaan inay yiraahdaan "cudurada thyroid inta badan waxay u baahan yihiin daaweyn joogta ah waxaana si fiican loogu maareeynayaa daaweyn joogta ah oo sax ah oo leh astaamo la mid ah hoormoonka tayroodh."
Waxaa intaa dheer, waxaa lagu siin karaa diyaargarow guud ee levothyroxine mar kasta oo aad haysatid dawooyinka laguu qoray. Dhaqdhaqaaqa hadalka, tani macnaheedu waa dhakhtarkaagu wuxuu u baahnaan karaa inuu sameeyo baaritaanno badan oo dhiig ah oo laga yaabo inuu bedelo qiyaasta daawadaada.
Inkasta oo calaamadahaaga dareenkaagu uu yahay mid khatar ah ama sababo kale oo caafimaad oo kale ah, waxaa suurtogal ah in jidhkaaga uu ka soo horjeedo farqiga u dhexeeya Synthroid iyo levothyroxine. Waxaa muhiim ah in aad kala hadashid isbedeladaan dhakhtarkaaga.
Maxay ku saabsantahay Generic Levothyroxine?
Guud ahaan, diyaargarowga guud ee levothyroxin caadi ahaan waa caadi, markaad ku qaadato in laguu siiyay daawada isku midka ah isla waqtigaas. Dhibaatooyinka ayaa ka soo bixi kara haddii farmashiyahaagu uu beddelayo udubdhexaadka caadiga ah ee ku xiran taas oo ah qiimaha ugu hooseeya iyaga. Sababtan awgeed, dhakhaatiirta qaarkood waxay soo qoraan waxyaabaha calaamadeysan oo kaliya si looga fogaado wareerkan.
Haddii aad dareentid fiicnaan oo tijaabooyinka dhiigaagu waa mid xasilan oo ku jira foomka guud ee levothyroxine, dhammaan macnaheedu, sii wad inaad isticmaasho diyaarintaas. Waxa aad u badan tahay in aad ku xanuunto saameyn xun oo aad ku beddesho badeecada magaca calaamadeysan markan. Hase yeeshee, waxay u baahan tahay inaad sameyso shaqo yar oo ka-warhayn ah (oo laga yaabo inay beddesho farmashiyeyaasha) si aad u hubiso inaad sii wadato helitaanka isku-dhiska guud ee ay sameeyeen mid ka mid ah soo saaraha.
Farqiga u dhexeeya magaca caanka ah iyo diyaargarowga guud (ama u dhaxeynta kuwan la mid ah) ayaa si cad ugu qeexan carruurta leh qabta cudurka laf-dhabarka ee daran ee lagu dhasho. Waxaan jeclaan lahayn in aan ku doodno in isbedelka hooyada ilmaha ee soo gashay halkii ay ka dhalan lahayd hypothyroidism oo ku dhashey iyo u daryeesho ilmo sidan oo kale ah.
Dabcan sidoo kale waa run haddii aad ka bedesho nooca guud ee Levothyroxine ilaa Synthroid. Qodobka ugu muhiimsani waa in isbeddel kasta oo ku yimaadda qaabka daroogada aad qaadato ay sababi karto isbeddel ku yimaada waxa jidhkaagu uu dhab ahaantii helo si uu ula shaqeeyo.
Calaamadaha qanjidhka 'Thyroid' oo aan la rumaysanin Levothyroxine 'Inkastoo ay caadi tahay TSH
Haddii calaamadahaaga thyroidku aanay u muuqan in ay ka jawaabayaan daaweynta, su'aasha ugu horreysa ee la weydiiyo waa inaad u aragto dhakhtar ku takhasusay xanuunada thyroid-ka . ama ugu yaraan wuxuu leeyahay xiiso xoog leh. Dhakhtar oo qaata daneyn xooggan ayaa ogaanaya in ay jiraan waxyaabo badan oo daaweyn ah, daaweyn badan oo feker ah. Haddii kale, waxaad u baahan kartaa inaad dhakhtarka beddesho ama ugu yaraan arag fikrad labaad . Cabbirka hal mid oo dhan waa 'maskaxiyan' ma shaqeynayo xanuunka thyroid .
Haddii ay tahay magac caan ah ama foomka jimicsiga ee levothyroxine ee qofku helo, dadka qaarkood waxay sii wadaan inay dareemaan calaamadaha hypothyroidism xitaa marka ay TSH ay caadi tahay. Dadka qaarkood, marka lagu daro T3 ilaa T4 "monotherapy" waxay keeni kartaa in si fiican loo xakameeyo calaamadaha iyo tayada nolosha. Weydii su'aalahan haddii haddii diyaarintaada tirtirkaagu uusan u muuqan inuu sameynayo.
Khadadka Hoos-u-Diyaargarowga Diyaargaroowga kala duwan ee Levothyroxine
Inkastoo daraasaduhu aysan helin kala duwanaansho farabadan oo u dhaxeeya magaca calaamadda iyo diyaar garowga guud ee levothyroxine, waxaa muhiim ah in la sii wado isticmaalka diyaargareynta aad isticmaaleysay (ama aad u beddesho mid aad qorsheyneyso inaad sii joogtid muddo dheer) maaddaama ay jiraan kala duwanaansho. Marka laga soo tago, daroogada ayaa lagu xoqay mindhicirkaada, intee le'eg ee daroogadaada dhabta ah "aragto," maaddooyinka aan firfircooneyn ayaa ka ciyaari kara doorkaaga iyo ugu dambeyntiina sida aad dareemeyso.
Waxay u badan tahay in soo saareyaasha alaabooyinka calaamaduhu ay ku faani doonaan waxtarka alaabtooda, laakiin daraasadda taariikhda ayaa ku fashilantay inay muujiso faa'iidada hal diyaargarow oo kale, ugu yaraan sawir wayn. Keliya waad ogtahay jirkaaga. Haddii aadan ku fiicneyn diyaargarowga guud inkastoo baaritaanka dhiiggaaga uu muujinayo inaad tahay, waxaa laga yaabaa inaad u baahato inaad u bedesho magac calaamadeyn ah. Daraasadu waxay eegaysaa jawaabta daroogada dadweynaha, laakiin dadku maaha dad. Waxaa jira warar fara badan oo ku saabsan dadka soo bandhigay qaabsocodka - waxayna dareemeen fiicnaan jireed natiijada ka soo wareegtey - si loo kala cadeeyo khilaafyada oo dhan.
Qoraalka kama dambaysta ah, waxaad maqli kartaa daawooyinka tayroodh dabiiciga ah ee dabiiciga ah . Inkastoo xaqiiqda ah in dhakhtarrada badani ay xajinayaan marka ay maqlaan daroogooyinkaas, waxay u dhaqmaan dadka qaarkood. Qodobka ugu muhiimsan waa in aad noqotid u doodahaaga. Keliya waad ogtahay sida aad dareemayso diyaarinta tirtirkaaga, ha ahaato magaca caanka ah, guud ahaan, T3 ama badeecad dabiici ah oo dabiici ah. Raadi dhakhtar oo kula shaqeyn doona oo kuu dhageysanaya, garashada sida aad dareemaysid, halkii aad ka heli laheyd natiijada daraasadda ugu dambaysay, waa mid muhiim ah.
> Isha
- > Carswell, J., Gordon, J., Popovsky, E., Hale, A., iyo R. Brown. Guud ahaan iyo Magaca La Magacaabay L-Thyroxine ma ahan Bioequivalent for Children with Hypothyroidism (Congenital Hypothyroidism). Joornaalka Endocrinology Clinic iyo Metabolism . 2013. 98 (2): 610-7.
- > Kasper, Dennis L .., Anthony S. Fauci, iyo Stephen L .. Hauser. Mabaadii'da Harrison ee Daawooyinka Gudaha. New York: Waxbarashada Mc Graw-Hill, 2015. Daabac.
- > Romanelli, R., Kimball, V., Dutcher, S., Pu, X., iyo J. Segal. Bixiyayaasha iyo Bukaanka Bukaanka ee Qorista Levothyroxine Guud: Daraasad Daraasad Caafimaad oo Electronic ah. Annals of Pharmacotherapy . 2017 Abriil 1. (Epub ka hor daabac).