Miyaad ka fikireysaa sida miisaanka loo lumiyo marka lagu daaweeyo hypothyroidism? Ma waxaad qaadataa Synthroid, magac magaciis ah levothyroxine, ama noocyo kale sida Levoxyl ama Tirosint ? Ama ma waxaad qaadataa daroogada dabiiciga ah ee loo yaqaan 'thyroid' (NDT) sida Nature-throid ama Armor, oo weli la dhibtoonaya in lumiyo miisaanka? Haddii aad ku jirtid Synthroid ama beddelaad kale oo hormoon ah oo hormoon ah oo lagu daaweynayo cudurkaaga hypothyroidism, laakiin waxaad ku jirtaa cunto iyo diidmo lumis, waxaa jira waxyaabo muhiim ah oo aad u baahan tahay inaad ogaato.
Waxaad u Baahan Tahay inaad si Fiican u Qaadato Daaweyntaada Thyroid-kaaga
Markaad tahay hypothyroid, waxaa lagama maarmaan ah in daaweynta dheef-shiid kiimikaadku ay wax-tar u tahay. Taasi waxay ku bilaabataa si nadiif ah. Hubi inaadan wax qaadan ama sameynin wax kasta oo faragalin kara ugu badnaantii nuugista. Waa kuwan tilmaamo waxtar leh:
- Qaado dawadaada thyroid subaxdii, oo sug ilaa ugu yaraan hal saac ka hor inta aanad cabin kafee qudaar ama caano, ama cunto. Sug ugu yaraan saddex illaa afar saacadood ka hor inta aadan qaadan wax dheerad ah oo ku jira birta ama kalsiyum, ama cabitaanka cabitaanka calcium-ku-macaan.
- Haddii aad qaadato levotyroxine Synthroid, maskaxda ku hay in Synthroid ay ka kooban tahay acacia iyo lactose , taas oo ah xasaasiyado cadho u keenaya dadka qaarkood. Haddii aad leedahay xasaasiyad ama xasaasiyad, tixgeli inaad u beddesho nooc kale.
- Haddii aad leedahay dheef-shiid kiimikaad, ama xaalado dheef-shiid kiimikaad sida mindhicirka mindhicirka ama Crohn's cudurada, kala hadal dhakhtarkaaga Tirosint . Tani waa takhasus gaar ah, hypoallergenic, levothyroxine oo dareere ah, oo loogu talagalay in lagu hagaajiyo nuugista.
Hubi inaad qaadato Daaweyn ku filan
Waxaa muhiim ah inaad qaadatid Synthroid kugu filan ama daawo kale oo hormoon ah oo hormoon ah. Dhaqaatiirta qaar ayaa kuu qori kara oo kaliya dawo kugu filan si aad u hesho heerkaaga hormoonka kor u kaca ee hormoonka (TSH) heerarka sare ee xuduudda tixraaca, oo udhow xarigga hypothyroidism.
Tani ma noqon karto mid ku filan inaad xalliso calaamadahaaga ama aad ku hagaajiso dheef-shiid kiimikaadkaaga. Qaar badan oo ka mid ah bukaanada tirokoobka iyo kuwa xirfadlayaasha ah waxay ogaadaan in heerka TSH hoose ee ka hooseeya 2.0 ay u fiicantahay xallinta astaamaha. Haddii S-gaagu ku jiro dhamaadka sare ee xuduudda tixraaca, kala hadal dhakhtarkaaga wixii kordhin kara qiyaastaada daawada thyroid.
Waxaad ubaahantahay inaad ku darto T3
Daawooyinka Levothyroxine sida Synthroid waa nooc caleenta ah oo loo yaqaan 'thyroxine hormoonka thyroid', oo loo yaqaan T4. Marka wax walba si fiican u shaqeeyaan, jirkaagu waa inuu T4 u bedelo hormoonka labaad ee tayroodhka, triiodotyronin, oo loo yaqaan T3. T3 waa hormoon firfircoon oo kaa caawinaya fududaynta tamarta iyo oksijiinka oo gaara unugyadaada. Cilmi baaris ayaa muujisay, inkasta, in qayb ka mid ah bukaannada qanjirka 'thyroid', nidaamka isbedelkani uu khalad yahay. Hadday isbeddelaan isbeddellada hiddo-wadaha, culeyska ama nafaqada, bukaanadani waxay ku fashileen inay si wax ku ool ah ugu beddelaan T4 ku filan T3. Haddii aad ku jirto qaybtaan, waxaad ogaan kartaa in xitaa ka dib markii lagugu daaweeyo daawada loo yaqaan 'levothyroxine' sida Synthroid, waxaa laga yaabaa inaad weli miisaan qaadato, ama aadan awoodin inaad lumiso miisaanka. Waxa kale oo laga yaabaa inaad yeelato calaamado kale oo ah hypothyroidism , sida daal, timo lumis, ama sariirta maskaxda.
Waxaa laga yaabaa inaad ka faa'iido T3 ee dheeraadka ah ee levothyroxine-kaaga si loo daaweeyo hypothyroidism.
Waa kuwan tilmaamaha qaar:
- Weydiiso dhakhtarkaaga inuu baaro triodotyronka bilaashka ah, oo loo yaqaan T3. Haddii aad leedahay heerar hooseeya ama heerar hooseeya, waxaad u baahan kartaa inaad weydiisato bixiyahaaga daryeelka caafimaadka wixii ku darista T3. Tani waxaa lagu sameyn karaa magaca daroogada magaca Cytomel, daawada loo yaqaan 'T3', ama daawo rijeeto ah, oo lagu daray, liothyronine waqti go'an.
- Haddii heerarka T3 ee caadiga ah uu yahay mid caadi ah, laakiin waxaad leedahay calaamadaha hypothyroidism oo ay ka mid yihiin caqabado culus, weydii inaad T3 tijaabin. Heerarka sare ee qaabkan aan firfircooneyn ee T3 wuxuu faragelin karaa awooda jidhkaaga ee lagu siinayo T3 firfircoon xagga unugyadaada iyo xubnahaaga. Ku darista T3 daaweyntaada kiiskan waxaa laga yaabaa inay caawiso xallinta calaamadahaaga.
Waxaad u Baahan Doonta dabiiciga ah ee loo yaqaan 'Tyroid'
Qaar ka mid ah bukaanjiifka qanjirada ayaa tijaabiya daawada levothyroxine sida Synthroid, noocyada kala duwan, iyo ku dar daroogada T3, wali xali karin calaamadaha. Haddii taasi tahay waayo-aragnimadaada, waxaa laga yaabaa inaad rabto inaad kala hadasho dhakhtarkaaga ku saabsan tijaabinta daroogada dabiiciga ah ee loo yaqaan 'thyroid' (NDT) sida Nature-throid ama Armor Thyroid. Waxaa sidoo kale jira nooc guud oo ah NDT oo loo yaqaan 'Thyroid NP'. Waxaa jira baaritaan xadidan oo ku saabsan NDT, laakiin hal daraasad wax ku ool ah ayaa laga ogaaday in NDT ay bedel ku ahayd beddelka daawada levothyroxine, waxayna keentay in miisaan badan la siiyo bukaanka .
Ereyga ka
Inkastoo aysan la xiriirin Synthroid-gaaga ama daaweynta kale ee tayroodhka, waxaa jira xiriir ka dhexeeya hypothyroidism iyo khatarta heerka sonkorta dhiiggaaga iyo nooca 2aad ee sonkorowga. Haddii aad ku talagashay daaweyntaada hypothyroidism on Synthroid ama daroogo kale oo wali la dhibtoonaya in lumiyo miisaanka, la hadal dhakhtarkaaga wixii ku saabsan barashada gulukooskaaga iyo hemoglobin A1C (HA1C). Haddii heerarku sarreeyaan, isbeddel ku yimaada cuntadaada iyo jimicsiga, iyo sidoo kale noocyada nooca 2aad ee sonkorowga sida metformin, waxay kaa caawin karaan in aad caadi u yeelato heerarka sonkorta dhiiggaaga iyo in aad ka dhigto dadaalkaaga miisaankaaga waxtar badan.
> Ilo:
> Celi FS, et al. "Saamaynta metabolis ee daaweynta liotyronin ee hypothyroidism: waa la kala soocay, laba-indhoole ah, tijaabo iskudhaf ah ee liotyronin iyo levothyroxine." J Clin Endocrinol Metab. 2011 Nov; 96 (11: 3466-74: doi: 10.1210 / jc 2011-1329.Pubub 2011 Aug 24.
> Garber, J, Cobin, R, Gharib, H, et. al. Tilmaamaha Tababarka Caafimaadka ee loogu talagalay Hypothyroidism ee Dadka Qaangaarka: Cosponsored by American Association of Endocrinologists Clinical Association iyo Ururka Tiriinka American. Tababarka Indhaha. Vol. 18 No 6 Noofembar / Disembar 2012.
> Hoang TD, et al. "Tijaabinta tayroodhka ee loo yaqaan 'thyroid' marka la barbar dhigo levothyroxine oo lagu daaweeyo hypothyroidism: waa la kala soocay, laba-indhoole ah, daraasad goynta." J Clin Endocrinol Metab. 2013 Maajo 98 (5): 1982-90. doi: 10.1210 / jc.2012-4107. Epub 2013 Mar 28.
> Lambadyari, V et al. "Hormoodka qanjirka 'thyroid' ayaa si wanaagsan ula xariira caabbinta insulin goor hore ee horumarinta nooca 2aad ee sonkorowga." Endocrine. Febraayo 2011, Qaybta 39aad, Natiijada 1, pp 28-32
> McAninch EA, Bianco AC. "Taariikhda iyo mustaqbalka Daaweynta Hypothyroidism." Ann Intern Intern Med. 2016 Jan 5; 164 (1): 50-6. doi: 10.7326 / M15-1799. Erratum ee Ann Ann Med Med. 2016 Mar 1; 164 (5): 376. PMID: 26747302