Daaweynta qanjirka 'hypothyroidism' waa daaweynta hormoonka tayroodhka ee tayroodhka, oo leh qaab caan ah oo lagu magacaabo thyroxine hormoonka thyroxine (T4). Tani waxay keentaa tayrhoofin (synthetic thyroxine) oo loo yaqaanno levothyroxine (iyo mararka qaarkood l-tirokurin, ama L-T4). Qaar ka mid ah noocyada caadi ahaan loo yaqaan waa Synthroid, Levoxyl, Tirosint , iyo Unithroid. Kuwani waxaa badanaa loo yaqaan "daawooyinka T4."
Si kastaba ha ahaatee, waxaa jira caddaymo sii kordhaya, si kastaba ha ahaatee, qaar ka mid ah bukaannada qanjirka thay ka jawaabaan isticmaalka daaweynta T4, oo ay ku fiicnaadaan marka lagu daro dheecaanka hormoonka labaad ee tayroodhka, triiodotyronine (T3). Foomamka suuban ee T3 waxaa loo yaqaanaa guud ahaan liothyronin, iyo magaca caanka ah ee Maraykanka waa Cytomel. Kuwani waxaa loo yaqaan "daawooyinka T3."
Noocyada dabiiciga ah ee xayawaanka ah ee T4 iyo T3 waxaa sidoo kale laga helaa daawooyinka laguu qoro ee loo yaqaan 'Thyroid Natural Detraction Thyroid (NDT)', oo laga sameeyay qanjidhada qallalan ee qanjidhada. Magacyada caanka ah ee caanka ah waxaa ka mid ah Nature-throid, WP Thyroid, iyo Thyroid Armor. Dalka Mareykanka, guud ahaan waxaa loo yaqaan NP Thyroid.
Sida lagu xusay, heerka daaweynta caadiga ah ee loo yaqaan 'hypothyroidism' waa daawada levothyroxine oo kali ah. Isugeynta T3 ee daaweynta levothyroxine / T4-keliya - ama isticmaalka daroogooyinka NDT - waa muran iyo mawduuc cilmi baaris iyo wadahadal socota. Khilaafkan daaweynta waxaa lagu falanqeynayaa faahfaahin dheeraad ah qodobada muhiimka ah halkan.
Daroogooyinka T3 waxay hagaajinayaan Tayada Nolosha
Daraasad cilmi-baadhis ah oo lagu soo saarey 1999-kii ayaa lagu sheegay in tayada nolosha dadka loo daaweeyo cudurka hypothyroidism ay si weyn u fiicnayd iyada oo la kordhiyay daroogada T3 ee daaweynta levothyroxine-keliya.
Cilmi-baadhayaashu waxay go'aamiyeen in "daaweynta tayriska iyo triiodotyronin ay wanaajisay tayada nolosha bukaanka badankood."
2003 Daraasada Jamaas ayaa sheegay in T3 uusan wax lacag ah bixin
The Journal of American Medical Association (JAMA) ayaa sannadkii 2003 soo wariyay daraasad muran dhalisay oo aan wax faa'iido ah u lahayn bukaanada marka T3 lagu daro daaweynta T4 kaliya.
Dr. Ken Blanchard on T4 / T3 Issue
Taariikhda Ken Ken Blanchard, MD, PhD, qoraaga buugga Takhtarkaagu aanu kuu sheegi karin Hypothyroidism, wuxuu kasheegay daraasadda 2003 JAMA.
T4 / T3 Daaweynta Dareemida Bukaanka Daraasada
Bishii Maajo 2005 ee Jariidadda Endokrinology iyo Metabolism-ka ayaa lagu soo bandhigay daraasad muujisay in dadka qaba hypothyroidism ay doorbidaan daaweynta T4 / T3 daaweynta T4 kaliya. Cilmi baadhayaasha ayaa sidoo kale ogaaday in daaweynta isku dhafan ay la xiriirto miisaanka lumitaanka, halka daaweynta T4 kaliya aysan ahayn.
"Bukaanku waxay doorbideen daaweynta LT4 / LT3 ee daaweynta caadiga ah ee LT4 ... Yaraynta miisaanka jidhka waxay la xiriirtay qanacsanaanta daawada daraasadda ... natiijada daraasaddan ma joojinayso suurtagalnimada in koox gaar ah oo bukaanno ah ay ka faa'iideysan karaan isku dhafka LT4 / Daaweynta LT3. "
Daawooyinka Aaladaha Qarsoon ee Dabiiciga ah Lagu Qaadey
Daraasadii 2003dii oo ay sameysay xukuumadda federaalka ah ee Maraykanka, oo lagu qiimeeyay bukaanada hypothyroid ee Walter Reed Medical Center, ayaa sheegay in daawooyinka dabiiciga ah ee loo yaqaan 'tyroid (NDT)' ay tahay bedel ku habboon daaweynta levothyroxine-keliya.
Daraasadda deenishka ayaa lagu daray T3 sarraysa T4-Keli ah
Daraasad weyn oo laga soo xigtay Jariidadda Yurub ee Endocrinology , waxay eegtay arin muran leh oo lagu daaweynayo T3 dabiiciga ah ee loo yaqaan 'T4' (levothyroxine) oo loogu talagalay daaweynta hypothyroidism. Daraasadu waxay ogaatay in isku-darka T4 / T3 uu ka sareeyo T4 daaweynta kaliya / levothyroxine ee loogu talagalay hypothyroidism.
Natiijo muhiim ah:
Wadarta 49% bukaanjiifka ayaa doorbiday daaweynta isku dhafan, keliya 15% daaweynta levothyroxine-ka keliya.
Ma u baahan tahay inaad T3 si aad uqalmaasho?
Sidaa daraadeed bukaanjiif badan oo tiradoodu badani nagala soo xiriiraan bogga iyo bogga Facebook Thyroid Support, isla markaana weydii su'aal isku mid ah: "Anigu waxaan ku jiraa Synthroid (ama daroogada kale ee levothyroxine sida Levoxyl), mana dareemayo wax fiican. " Waa maxay waxa bukaannada qaba cudurka thyroid u baahan yahay in ay ogaadaan in ay weydiistaan, xaaladdan, waa: Miyaad ka faa'iideysan lahayd T3 dheeriga ah?
Ma ubaahantahay T3 ama dabeecada dabiiciga ah ee dabiiciga ah?
Haddii aad ku jirto daroogada hormoonka tayroodhka (sida, levotyroxine-ka, ama noocyada Synthroid, Levoxyl, ama Tirosint) oo aanad fiicnayn, waxaa suurtagal ah in aad ka faa'iideysan karto inaad ku darto T3, ama aad u beddesho dawo tayrood ah oo ay ku jiraan T3 .