Kumvetsetsani zomwe mungasankhe ndi kufufuza kumbuyo kwawo
Ngati muli ndi matenda a chithokomiro, mukhoza kudabwa kuti mankhwala abwino a chithokomiro ndi abwino kwambiri. Ngakhale pali njira zingapo, mwatsoka, palibe yankho lophweka, lodulidwa ndi louma.
Njira Zothandizira Mankhwala a Chithokomiro
Odwala ambiri a chithokomiro omwe amafunika kutulutsa mahomoni m'malo mochizira awo hypothyroidism sakudziwa kapena sakudziwa kuti pali mankhwala oposa limodzi.
Mukhoza kuwerenga nkhani yowonjezereka yokhudzana ndi majeremusi a chithokomiro , koma apa pali mwachidule mwachidule:
- Levothyroxine -mtundu wopangidwa ndi ma hormone T4-ndiwo mankhwala osankhidwa kudziko lodziwika komanso lachidziwitso lachipatala. Mafakitale omwe amadziwikanso monga Synthroid, Levoxyl, ndi Tirosint , ndi magetsi osiyanasiyana ochokera opanga osiyana amapezeka. Matenda ambiri a chithokomiro amangofotokozedwa zapadera komanso amapatsidwa levothyroxine, ndipo madokotala ambiri ochiritsira amapereka mankhwala okhawo kwa odwala awo a hypothyroid .
- Liothyronine -mtundu wopangidwa ndi ma hormone T3- sichimadziwika bwino kwambiri ndi akatswiri otchedwa endocrinologists, koma nthawi zambiri amagwiritsidwa ntchito ndi madokotala ophatikizana ndi madokotala omwe ali ndi luso la mahomoni. Mayina a mayina ku US ndi Cytomel ndi Triostat, ndipo ma generic amapezeka. Odwala ambiri a chithokomiro sakhala akuyesedwa kwa Free T3 kuti adziwe ngati ali otsika mu T3 , mahomoni otulutsa chithokomiro , kupatulapo akatswiri odziwa kutentha kwa hormone ndi madokotala ophatikizana ndi / kapena naturopathic.
- Chithokomiro chodziwika bwino cha mankhwala, chomwe chimadziwika kuti NDT, "chithokomiro chachilengedwe," "chithokomiro cha porcine," kapena kuti madokotala ena amachititsa kuti "chithokomiro cha nkhumba" ndicho mankhwala osokoneza bongo omwe amachokera ku tizilombo toyambitsa matenda a chithokomiro . Mitundu yambiri ndi Zida za Chithokomiro ndi Zachilengedwe, ndipo paliponse paliponse. Ambiri okhulupirira zachipatala komanso madokotala ochuluka sagwirizana kapena kugwiritsa ntchito mankhwala osokoneza bongo, ngakhale kuti American Thyroid Association (ATA) imavomereza kuti odwala ena amamvera bwino NDT.
Zimene Kafukufuku Amanena
Kafukufuku sapereka yankho lomveka. Kafukufuku wina amati palibe phindu lovomerezeka pa Kuwonjezera kwa T3 ku levothyroxine (T4) mankhwala. Maphunziro ena, monga maphunziro akuluakulu a Denmark ku European Journal of Endocrinology, adapeza kuti mankhwala a T4 + T3 anali opambana kuposa mankhwala a T4 / levothyroxine okha. Kafukufuku wina anapeza kuti mankhwala opangidwa ndi chithandizo cha chithokomiro anali njira yabwino komanso yothandiza kwa levothyroxine, ngakhale kuti nthawi zambiri sinalembedwe.
Pansipa? Kufikira wina atapanga zochitika zazikulu, zopanda pake, zowona, zowerengera za anzanu akuyang'ana pa chitetezo, chithandizo, ndi chithandizo cha matenda a levothyroxine, levothyroxine ndi liothyronine, ndi chithokomiro chodziwika bwino-ndipo amafalitsa zotsatira mu magazini yaikulu yachipatala-ife sudzapeza yankho lomveka kuchokera kuwona masomphenya a sayansi.
Odwala ndi Odwala Ali ndi Zosowa Zosokoneza
Monga mukudziwira, yankho la funso lakuti "Kodi mankhwala a chithokomiro ndi abwino kwambiri?" adzasiyana kwambiri, malingana ndi yemwe mukumufunsa. Ngati mufunsanso akatswiri odziwa bwino zachipatala kapena kuwerenga malamulo awo (omwe nthawi zambiri amawathandizira, osadabwitsa, ndi makampani osokoneza bongo), pafupifupi pafupifupi onse amalimbikitsa levothyroxine-synthetic T4-kupatulapo njira zina.
Ena a iwo amapita ngakhale ku mtundu wina uliwonse. Ngati mumapempha opaleshoni yokhala ndi malo osungirako mankhwala, kanyumba kakang'ono kameneka kamangokhalira kugwiritsidwa ntchito mwamphamvu pogwiritsa ntchito mankhwala osokoneza bongo komanso mankhwala osakaniza.
Mankhwala Oposa Chithokomiro
Mankhwala othandiza kwambiri pa chithokomiro kuti athe kuchiritsa matenda a hypothyroidism ndi omwe amatha kuteteza bwinobwino zizindikiro za wodwala aliyense. Mwa kuyankhula kwina, kukula kwake sikukwanira zonse, ndipo mankhwala omwe amagwira ntchito bwino kwa wodwala sangagwire ntchito kwa ena. Pezani mankhwala a chithokomiro kapena mankhwala osokoneza bongo omwe amakupindulitsani bwino, ndipo yankho lanu ndilo: ndi mankhwala abwino kwambiri a chithokomiro.
> Zotsatira:
> Hoang TD, Olsen CH, Mai VQ, Clyde PW, Shakir MK. Kufotokozedwa kwa chithandizo cha chithokomiro poyerekeza ndi Levothyroxine mu Treatment of Hypothyroidism: Phunziro lachidule, lachiwiri, lakhungu, la Crossover. The Journal of Clinical Endocrinology & Metabolism. May 2013; 98 (5): 1982-90. do: 10.1210 / jc.2012-4107.
> McAninch EA, Bianco AC. Mbiri ndi Tsogolo la Chithandizo cha Hypothyroidism. Annals of Internal Medicine . August 11, 2016; 164 (1): 50-56. pitani: 10.7326 / M15-1799.
> Nygaard B, Jensen EW, Kvetny J, Jarløv A, J. J. Faber Mmene Mankhwala Amagwiritsira Ntchito Thyroxine (T4) ndi 3,5,3'-Triiodothyronine Versus T4 Monotherapy Odwala ndi Hypothyroidism, pa Phunziro. European Journal of Endocrinology. December 2009; 161 (6): 895-902.