Ophunzira a NIH Akuthandizira Phunziro Latsopano
Ndilo tsiku losangalatsa la odwala a chithokomiro, ndipo omwe akhala akuyembekezera nthawi yaitali. Nyuzipepala ya US National Institute of Health yanena kuti mayesero a zachipatala atangoyamba mu 2012 ku Walter Reed National Military Medical Center, ku Bethesda, MD, kuti aphunzire za mankhwala omwe ali ndi kachilombo koyambitsa matenda a chithokomiro motsutsana ndi levothyroxine, pochizira matenda a hypothyroidism.
Phunziro lapadera-lopitilira mwezi wa May, 2014 - lidzayesa lingaliro lakuti odwala hypothyroid omwe amadziwika ndi chiwopsezo (chomwe amachitcha kuti "chotsitsa cha chithokomiro" kapena "DTE") chingakhale "kuchepa kwa zizindikiro, kupititsa patsogolo chidziwitso, ndi kuwonjezeka kwa umoyo wabwino / umoyo , "poyerekeza ndi levothyroxine.
Mutu wa phunziroli ndi "Wosanthuledwa ndi Chithokomiro Choyerekeza Kuyerekeza ndi Levothyroxine mu Treatment of Hypothyroidism : Phunziro Loyamba Losavuta, Lopanda Khungu, Lachiwiri," ndipo akulembera odwala chithokomiro ngati ophunzira.
Kuyenerera
Muyenera kulandira nawo phunziroli ngati ndinu mwamuna kapena mkazi, pakati pa zaka 18 ndi 65. ndipo wakhala pa levothyroxine kwa primary hypothyroidism kwa miyezi isanu ndi umodzi. (ZOYENERA: Amagulu okhazikika kapena omwe achoka pantchito ndi asilikali awo ali oyenera kuyesedwa.)Zopanda
Mudzasungidwa pa phunziro ngati muli ndi zifukwa izi:- mimba kapena ndondomeko ya mimba m'miyezi 12 yotsatira
- matenda a mtima , makamaka matenda a mitsempha ya mitsempha
- matenda obwera m'mapapo
- matenda osokoneza bongo
- opaleshoni ya m'mimba
- chosowa chachikulu cha chiwindi kapena chiwindi
- zovuta za kugwidwa
- khansa yogwira khate komanso ayi
- psychosis yosayendetsedwa
- kugwiritsa ntchito mankhwala okhudza psychotropic
- ntchito ya steroid
- ntchito yamododone
- chemotherapy kwa khansa
- chitsulo chimaphatikizapo zoposa 325mg patsiku
- carafate / proton pump inhibitor ntchito
- ntchito ya cholestyramine
Nchifukwa chiyani Chiyeso Ichi ndi Chofunika?
Mlanduwu ndi wofunika kwambiri chifukwa ndi nthawi yoyamba m'mbiri yamakedzana kuti ndikudziwa kuti bungwe lofufuza zachipatala lovomerezeka padziko lonse - pakadali pano, US National Institutes of Health - likuchita kafukufuku wambirimbiri, wofufuza zizindikiro, kumvetsetsa bwino, moyo wabwino, komanso umoyo wa anthu odwala matenda opatsirana pogwiritsa ntchito mankhwala osokoneza bongo , motsatira levothyroxine.Mayeserowa ndi ofunikira chifukwa pali kusiyana kwakukulu pakati pa anthu omwe amakhulupirira kuti mankhwala a chithokomiro amawoneka, koma sichichokera pafukufuku, komatu, malingaliro awo ndi zokonda zawo. Akatswiri ena a zachipatala, adanenanso kuti mankhwala a chithokomiro monga ngati zida zimangotengedwa ndi "mphuno" , ngakhale kuti mankhwala oposa mamiliyoni awiriwa amalembedwa chaka chilichonse ku United States okha, dziko.
Mayeserowa ndi ofunikira chifukwa tikusowa kufufuza komwe kumayang'ana makamaka kugwiritsidwa ntchito kwa chithokomiro chodziwika bwino. Kafukufuku wina, kuphatikizapo phunziro la Denmark ku 2009 , wasonyeza khalidwe la kusintha kwa moyo ndi kuwonjezereka kwa T3 kupanga mankhwala a T4 (levothyroxine), koma madokotala ena adanena kuti maphunzirowa sali othandiza pakuganizira za chilengedwe cha mankhwala a chithokomiro (omwe mwachibadwa ali nawo T3 ndi T4 ) chifukwa ndizosiyana mankhwala osokoneza bongo.
Kuchita nawo Mlandu
Ngati mukukumana ndi ziyeneretsozi ndipo mukufunanso kuti mutenge nawo mbali muzoyezetsa magazi, funsani: Mohamed Shakir, MD, 301-295-5165, mohamed.shakir@med.navy.mil ndi Patrick Clyde, MD, 301-295- 5165, patrick.clyde@med.navy.mil.Chiwerengero cha chidziwitso cha Clinical Trials.gov chiyeso ndi NCT01739972.
Mutha kuwona mndandanda wathunthu wa ClinicalTrials.gov.