Amene kale anali Mkazi Woyamba, Senator, yemwe kale anali Mlembi wa boma, ndi mtsogoleri wa chisankho cha 2016, Hillary Clinton, sakudziwa kwenikweni nkhani zofalitsa nkhani. Chisankho chake chofuna kuthamangitsira utsogoleri wake, kutaya kwake kwa Donald Trump, ndi kutsutsana pa seva yake ya imelo anali nkhani zotentha.
Ngakhale ambiri a ife sakhala ndi zotsatira zathu zatsopano zomwe zafalitsidwa m'nyuzipepala zazikulu, zimakhala zofunikila kuti abambo amilandu awamasulire zolemba zawo zachipatala.
Kawirikawiri zimatha munthu amene wasankhidwayo atatha, koma amayi a Clinton mwachiwonekere adaganiza kuti adzalumphira pazinthu zirizonse zokhudza umoyo wake pomutulutsa kumayambiriro kwa mwezi wa July wa 2015.
Zinali zokondweretsa kuphunzira, monga momwe zinalembedwera m'kalata yochokera kwa dokotala wa a Clinton, Lisa Bardack, MD, kuti panthaŵiyo, "Akazi a Clinton ali ndi zaka 67 zomwe ali ndi thanzi labwino lomwe likuphatikizapo hypothyroidism ndi matenda a nyengo ... "Chilembo chonsecho chimaikidwa pa intaneti.
Matenda a Clinton, hypothyroidism , ndi chithokomiro chopanda mphamvu. Zizindikiro zingakhale monga kuchepa kwa thupi, kutopa, kupindula, ndi zina.
Koma chidwi chake, komabe, chinali mzere mu kalata yake ya dokotala yomwe imati:
"Madokotala a Clinton amadziwika kuti Armor Thyroid ..."
Chithokomiro chachitetezo ndi dzina la chithokomiro chodziwika bwino (NDT), mankhwala opangidwa ndi mankhwala a chithokomiro omwe amachokera ku chithokomiro chakuda cha nkhumba.
NDT ikuphatikizapo mahomoni a chithokomiro T4 ndi T3 ndi othandizira ena, ndipo agwiritsidwa ntchito pochizira hypothyroidism kwa zaka zopitirira zana. Komabe, sizitchuka kwambiri ndi madokotala ambiri omwe amapezeka, omwe adasiya kugwiritsa ntchito NDT kuti adziwe levothyroxine , mawonekedwe a ma hormone T4, kumbuyo kwa zaka za m'ma 1950.
Dokotala wa Clinton, Dr. Bardack, ndi wophunzira wina yemwe amaphunzira sukulu ya zachipatala mu 1990, ndipo sakuwoneka kuti ali ndi chizolowezi chokwanira. Komabe, wodwala wake, Akazi a Clinton, akuchiritsidwa ndi hypothyroidism pogwiritsira ntchito mankhwala omwe saganiziridwa kuti ndi "muyezo wa chisamaliro," malinga ndi zomwe 2014 Hypothyroidism Guidelines , yomwe inalembedwa ndi American Association of Clinical Endocrinologists (AACE) ndi America Gulu la Chithokomiro (ATA).
Malangizo amenewo akuti:
"Palibe umboni wotsimikizira pogwiritsa ntchito masoka otentha a chithokomiro - mwachitsanzo, Zida, Nature-Throid - mosiyana ndi levothyroxine pochizira matenda a hypothyroidism ... motero, mahomoni a chithokomiro sayenera kugwiritsidwa ntchito pochizira matenda a hypothyroidism."
Chochititsa chidwi n'chakuti amayi a Clinton sali okha, chifukwa chiwerengero cha zilembo za NDT, kuphatikizapo zida zankhondo, chithokomiro cha tizilombo, ndi chithokomiro cha NDT, chakhala chikukula m'zaka zaposachedwapa. Odwala ena amawoneka kuti akuchita bwino potsakaniza ma hormoni a T4 / T3 , ndipo NDT ikuwoneka kuti imatha kukhala bwinobwino komanso kuthetsa zizindikiro za odwala ena.
Ndizodabwitsa kuti iyi ndi imodzi mwa nthawi zoyamba zomwe munthu wina wodziwika padziko lonse monga a Clinton sanatulutse poyera zomwe akudwala chifukwa cha hypothyroidism koma kuti akudya mankhwala a chithokomiro monga chida cha chithokomiro.
Nthaŵi zina, anthu otchuka amasonyeza kuti ali ndi vuto la chithokomiro , kapena kuti akumwa mankhwala a chithokomiro, koma si zachilendo, ndipo ndi ochepa kwambiri kumva za munthu wodziwika kutenga NDT. Mwachitsanzo, Wotsutsa wa Clinton chifukwa cha chisankho cha 2016 ku Democratic Republic, Senator Bernie Sanders, adatulutsa zolemba zake zachipatala mu Januwale 2016, povumbulutsa kuti Senator anagwiritsidwanso kuti ali ndi mankhwala a hypothyroidism .
Zaka zaposachedwapa, nyenyezi yamakono yotchedwa Family Family Sofia Vergara adayankhula payekha za kansa yake ya chithokomiro ndi mankhwala omwe anagwiritsidwa ntchito ndi Synthroid brand levothyroxine, koma zikuoneka kuti anali chifukwa choti amalankhulana ndi kampani ya mankhwala yomwe imapangitsa Synthroid.
Ziribe ndale zanu, kumasulidwa kwa chitsimikizo cha amayi a Clinton ndi uthenga wabwino kwa odwala chithokomiro ambiri omwe amatenga chithokomiro. Kwa zaka makumi awiri zapitazi, odwala akhala akunamizidwa kapena kusocheretsedwa ndi madokotala osadziŵika omwe amanena zinthu monga "chithokomiro chachilengedwe chimachoka pamsika," "Zida zatha," "mankhwala ochizira a chilengedwe amakhala owopsa," "NDT ndi wosakhazikika ndi osakhulupirika, "kapena, mochititsa manyazi, monga momwe anthu ammudzi amatsutsira, wapangidwa ndi ng'ombe ndipo amatha kuchititsa matenda a ng'ombe wamisala!
Odwala akhala akuyang'aniridwa ndi a inshuwalansi, ma HMO, komanso ngakhale mapulogalamu a zachipatala omwe amapereka thandizo lachipatala omwe atulutsa mankhwala a chithokomiro pamndandanda wa mankhwalawa, ndipo adawawuza odwala omwe adzaphimba levothyroxine, kaya ayi.
Takhala ndi magulu akuluakulu ogwira ntchito zachipatala, ogwira ntchito pansi pa mabungwe omwe amathandizidwa bwino ndi olemba levothyroxine, kulemba chomwe chimatchedwa "Hypothyroidism Guidelines" omwe amati ndi levothyroxine yokha yomwe iyenera kugwiritsidwa ntchito pochizira hypothyroidism. Izi zilibe ngakhale kuti palibe kafukufuku wosonyeza kuti levothyroxine ndi yabwino kuposa NDT, kapena kuti pali ngozi zomwe zimagwirizanitsidwa ndi NDT, ndipo kafukufuku amasonyeza kuti NDT ndi yotetezeka kwambiri ngati levothyroxine . Kambiranani za kusamvana kwa chidwi!
Tsopano, ndizodziwika kuti wolemba ndale wotchuka akutenga chilengedwe chonchi. Pamene tikumva zambiri za zochitika ngati izi, zimakhala zovuta kuti madokotala afalitsa uthenga wonyenga (monga NDT akuchoka pamsika), ndipo zimakhala zovuta kuti madokotala azikana kuganizira NDT ngati njira yothandizira. Ndipo ndicho chinthu chabwino kwa odwala chithokomiro.
Mawu ochokera
Munthu ayenera kudzifunsa ngati Akazi a Clinton mwiniwakeyo adatha kufufuza za mankhwala ake hypothyroidism - kuphatikizapo pa webusaitiyi, ndikudzipangira yekha dokotala. Funso limeneli likukwezedwa chifukwa, choyamba, sizodabwitsa kuti munthu wina wamkulu wodziwa kuti alembetse NDT. Ndipo, chachiwiri, chochititsa chidwi, monga gawo la "maimelo a maimelo" a Dipatimenti ya Boma, yomwe inapereka maimelo a amayi a Clinton zikwizikwi kuchokera pa seva yake, panali imodzi yomwe inafotokozera nkhani pano pa tsamba la chithokomiro.