Ke luhi nei hoʻi ʻoe i ka lā a pau, manaʻo wale ʻoe ʻaʻohe ou ikaika, ke piʻi nei ke kaumaha, a i ʻole ʻoi aku kou anu ma mua o nā poʻe ʻē aʻe? He mau hōʻailona paha kēia o kahi kelepa thyroid hana ʻole, kahi kūlana i kapa ʻia e nā kauka he "Hypothyroidism". No laila, ua haʻi aku paha kāu kauka iā ʻoe e hoʻohana i ka hopena Levothyroxine no kēia kūlana. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hoʻohana ai, a me nā mea āu e pono ai e makaʻala, ma ke ʻano maʻalahi a aloha hoʻi.
I ka ʻōlelo maʻalahi, he aha ka Levothyroxine?
E noʻonoʻo i ko kākou kino e like me ke kaʻa. ʻO ka ʻenekini o kēia kaʻa e kāohi i ka wikiwiki a kōkua i nā mea āpau e holo mālie a i ka manawa kūpono, a ʻo ia ka hormone thyroid, ka mea i hana ʻia e ka thyroid gland i loko o ko kākou ʻāʻī. Hoʻomalu kēia hormone i nā mea he nui i loko o ko kākou kino, e like me ko kākou metabolism, ka helu o ka puʻuwai, a me ka mahana o ke kino.
I kekahi manawa, ma muli o nā kumu like ʻole, ʻaʻole hiki i ko kākou kelepa thyroid ke hana i ka nui e pono ai o kēia hormone. ʻO ia ka mea a mākou e kapa nei he `(Hypothyroidism)` a i ʻole ka hemahema o ka hormone thyroid.
He hormone synthetic ʻo Levothyroxine i like loa me ka hormone thyroid a ko kākou kino e hana maoli ai. I ka ʻōlelo maʻalahi, hoʻololi kēia lāʻau i ka hormone e pono ai ke kino akā ʻaʻole hiki ke hana iā ia iho. No ka mea, hele mai ia i loko o kahi ʻano wai, he mea maʻalahi loa ia e hoʻohana no ka poʻe paʻakikī i ka ale ʻana i nā pila a no nā keiki ʻōpio. ʻO `(Ermeza)`, `(Thyquidity)`, `(TIROSINT-SOL)` kekahi o nā inoa i loaʻa ma ka mākeke no kēia lāʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke loaʻa kahi kiʻi piha o kou kūlana olakino. E kōkua kēia iā lākou e hoʻoholo i ka nui kūpono loa nāu. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
| Kou kūlana a i ʻole kou ʻano maʻamau | No ke aha ʻoe e hoʻomaopopo ai i ke kauka? |
|---|---|
| ʻO ka maʻi ʻo Addison a i ʻole nā pilikia o ke kelepa adrenal | Hiki i nā loli i nā pae hormone thyroid ke hoʻopilikia i ka hana o kēia mau kelepa, no laila pono e kaohi mua ʻia kēlā mau kūlana. |
| Maʻi diabetes | Hiki i ka Levothyroxine ke hoʻopilikia i nā pae kō koko, no laila pono paha ʻoe e hoʻololi i ka nui o kāu lāʻau lapaʻau maʻi diabetes. |
| Maʻi puʻuwai, ʻeha umauma | Hiki i kēia lāʻau lapaʻau ke loaʻa kahi hopena iki i kou puʻuwai puʻuwai ke hoʻomaka mua ʻoe e lawe, no laila e hoʻomaka kāu kauka iā ʻoe ma kahi haʻahaʻa loa a hoʻonui mālie iā ia. |
| Nā pilikia iwi (e.g. osteoporosis) | ʻO ka lawe ʻana i ka nui o ka levothyroxine i kahi manawa lōʻihi e hiki ai ke hoʻomānoanoa i nā iwi. |
| Inā ʻoe e lawe ana i ka lāʻau lapaʻau e pale aku i nā ʻōpū koko (e.g. 'Warfarin') | Hiki paha i ka Levothyroxine ke hoʻonui i ka pono o kēlā mau lāʻau lapaʻau, no laila pono paha e hoʻoponopono ʻia ka nui o kēlā mau lāʻau lapaʻau. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Hoʻololi nā koi o ka hormone thyroid i ka wā hāpai, no laila pono paha kāu kauka e hoʻololi i ka nui o kāu lāʻau lapaʻau. |
| Inā hānai ʻia ka pēpē me ka waiū | Ma muli o ka hiki i nā lāʻau liʻiliʻi ke hele i ka pēpē ma o ka waiū umauma, he mea nui e hoʻomaopopo i ke kauka e pili ana i kēia. |
| Inā he maʻi ʻoe i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | He mea nui kēia e hōʻoia inā he maʻi ʻoe i kekahi mau mea ʻē aʻe i loko o ka lāʻau lapaʻau. |
ʻO ke ala kūpono e hoʻohana ai i ka lāʻau lapaʻau
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e ʻike pono pehea e hoʻohana ai.
- ʻO ka mea nui loa: Pono e lawe ʻia kēia lāʻau i kēlā me kēia kakahiaka, ma ka ʻōpū hakahaka . ʻO ia hoʻi ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻaina kakahiaka, a ʻoi aku ka maikaʻi o hoʻokahi hola ma mua. ʻO kēia no ka mea ua emi ka omo ʻana o kēia lāʻau i loko o ke kino ke loaʻa ka meaʻai i loko o ka ʻōpū.
- I ka manawa like i kēlā me kēia lā: I ka hiki, e hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. He maʻamau maikaʻi ka lawe ʻana i kāu lāʻau lapaʻau i kou ala ʻana i ke kakahiaka.
- Nā pilina me nā lāʻau lapaʻau ʻē aʻe: Hiki i kekahi mau lāʻau lapaʻau a me nā huaora ke hoʻopilikia i ka omo ʻana o kēia lāʻau lapaʻau, ʻoiai nā antacids, calcium, a me nā papa hao.
E hoʻomanaʻo: Inā ʻoe e lawe ana i kahi antacid i loaʻa ka calcium, ka hao, a i ʻole ka alumini/magnesium, pono ʻoe e lawe iā Levothyroxine 4 mau hola ma mua a i ʻole 4 mau hola ma hope o ka lawe ʻana. ʻO ke ʻano kēia, pono e loaʻa kahi kaʻawale 4 hola ma waena o nā lāʻau ʻelua.
Pehea e hoʻohana ai i nā ʻano like ʻole
Hiki ke ʻokoʻa iki ke ʻano o ka hoʻohana ʻana ma muli o ke ʻano a kāu kauka i kuhikuhi ai nou.
- No Tirosint-SOL: Hiki ke lawe pololei ʻia kēia wai i loko o ka waha. A i ʻole, hiki ke hoʻoheheʻe ʻia i loko o 1-2 teaspoon (5-10 ml) o ka wai. Mai hoʻohuihui me kekahi wai ʻē aʻe ma mua o ka wai (waiū, wai huaʻai).
- No ka Thyquidity: Pono e lawe pololei ʻia kēia ʻano i loko o ka waha. Mai hoʻohuihui me ka wai.
Inā ʻoe e hāʻawi iā ia i nā keiki ...
Hāʻawi ʻia kēia lāʻau lapaʻau i nā pēpē hānau hou no kekahi mau maʻi. Akā, hana ʻia ia ma lalo o ka nānā pono ʻana a ke kauka. E hahai i nā kuhikuhi a ke kauka e pili ana i ka nui a me ke ʻano o ka hāʻawi ʻana i ke keiki.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo. A i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi, ʻoiai inā like ko lākou mau hōʻailona me kāu.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe (e.g., he mau hola wale nō ia), e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Levothyroxine
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai ke hoʻopilikia i ke ʻano o ka hana ʻana o Levothyroxine, a hiki iā Levothyroxine ke hoʻololi i ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻē aʻe. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau lāʻau) .
| Māhele lāʻau lapaʻau/mea | Nā Laʻana |
|---|---|
| Lāʻau lapaʻau ʻeha ʻōpū, nā huaora, a me nā minelala | Nā antacids, nā huahana i loaʻa ka calcium, ka hao, ka magnesium |
| Nā lāʻau hoʻohaʻahaʻa kolesterol | ʻO Cholestyramine, Colesevelam, Colestipol |
| Lāʻau lapaʻau maʻi diabetes | ʻO nā lāʻau insulin a i ʻole nā lāʻau maʻi diabetes |
| Nā lāʻau lapaʻau no ke kaumaha a me ka maʻi epilepsy | ʻO Carbamazepine, Phenytoin, Phenobarbital |
| Nā ʻano o nā hormones | Estrogen, Testosterone, Nā lāʻau hoʻomalu hānau, Steroids |
| Nā lāʻau lapaʻau no ka maʻi puʻuwai | ʻAmiodarone, Digoxin |
| ʻĒ aʻe | ʻO Warfarin (hoʻohana ʻia e hoʻokahe i ke koko), Rifampin (hoʻohana ʻia e mālama i ka maʻi puʻupuʻu), kekahi mau lāʻau hoʻemi kaumaha, nā huahana i loaʻa ka soy |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā maʻamau: Ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, pono ʻoe e kipa i kāu kauka i nā manawa maʻamau e like me ke kuhikuhi ʻana. Pono paha ʻoe e loaʻa i nā hoʻāʻo koko ('Nā Hoʻāʻo Hana Thyroid') e ʻike i ka nui kūpono no kou kino.
- E hoʻomanawanui: ʻAʻole ʻoe e ʻike koke i kahi ʻokoʻa nui ke hoʻomaka ʻoe e lawe i ka lāʻau lapaʻau. He mau pule paha e emi ai ka luhi a me ka palaualelo a e ʻoluʻolu ʻoe. No laila, mai hopohopo.
- Mai hoʻololi i nā lama: Mai hoʻololi mai kekahi lama i kekahi me ka ʻole o ke aʻo a kāu kauka, no ka mea, hiki ke hoʻopili iki ʻia nā lama like ʻole e ke kino, hiki ke hoʻopilikia i kāu pae hormone.
- E makaʻala me ka Biotin: Inā ʻoe e lawe ana i kahi huaora i loaʻa ka 'Biotin (Vitamin B7)' no ka nani, ka lauoho, a i ʻole ka ʻili, e hoʻōki i ka lawe ʻana iā ia ma ka liʻiliʻi he ʻelua lā ma mua o ka hoʻāʻo koko thyroid. Hiki i ka Biotin ke hana i nā hopena wahaheʻe i ka hoʻāʻo koko.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
ʻO ka maʻamau, ke lawe ʻia ma ke ʻano kūpono, he kakaikahi nā hopena ʻaoʻao koʻikoʻi mai kēia lāʻau lapaʻau. ʻO ka hapa nui, loaʻa nā hopena ʻaoʻao inā ʻoi aku ka nui o ka lāʻau lapaʻau ma mua o ka nui e pono ai ke kino. ʻO ia hoʻi, inā loaʻa kahi kūlana e like me ka hyperthyroidism ma kahi o ka nele o ka hormone thyroid (hypothyroidism).
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā loli i ka helu o ka puʻuwai | Nā palpitations o ka puʻuwai, ke kani ʻana o ke kani i loko o ka umauma, ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma. |
| Ka hoʻomaha nui a me ka hiamoe ʻole | Ke hopohopo mau nei, ka huhū, ka manaʻo e haʻalulu ana kou kino, a ʻaʻole hiki ke hiamoe i ka pō. |
| Ka hou nui ʻana | Ke wela nei a me ka hou nui nei i nā wahi maʻamau. |
| Ka maʻi kahe nui (Diarrhea) | Ka maʻi diarrhea hiki ʻole ke kāohi. |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā loli i ke kaʻina hana menstrual i nā wahine | Ka pōʻaiapuni menstrual kūpono ʻole a i ʻole ke kahe koko pinepine ʻole. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | Hiki paha iā ʻoe ke loaʻa i kahi ʻeha poʻo iki ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau. |
| Ka nalowale o ka lauoho no ka manawa pōkole | Aia paha he hāʻule iki o ka lauoho i nā mahina mua, akā e hoʻi hou ia i ka maʻamau ke maʻa ke kino i ka lāʻau lapaʻau. |
| Nā loli i ka makemake | Hiki iā ʻoe ke ʻike i ka piʻi ʻana a i ʻole ka emi ʻana o ka makemake. |
Pehea ʻoe e mālama pono ai i ka lāʻau lapaʻau?
No ka mālama ʻana i ka maikaʻi o ka lāʻau lapaʻau, pono e mālama pono ʻia.
- E mālama ʻia mai nā keiki a me nā holoholona.
- Tirosint-SOL: E mālama i kēia ma ka mahana o ka lumi maʻamau (25 kekelē Celsius). E hoʻolei i kekahi lāʻau lapaʻau i koe i loko o 15 mau lā o ka wehe ʻana i ka ʻeke.
- ʻAno Thyquidity: E mālama i kēia ma ka mahana o ka lumi (20-25 kekelē Celsius). E hoʻolei i kekahi lāʻau lapaʻau i koe i loko o 8 mau pule o ka wehe ʻana i ka ʻōmole.
E hoʻolei maluhia i nā lāʻau lapaʻau i pau ka lāʻau a i ʻole i hoʻohana ʻole ʻia.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Levothyroxine e pani ana i ka hormone thyroid i nele i kou kino. Pono paha ʻoe e lawe iā ia no ke koena o kou ola.
- E lawe i kēia lāʻau i kēlā me kēia kakahiaka, ma ka ʻōpū ʻole, 30-60 mau minuke ma mua o ka ʻai ʻana.
- Inā ʻoe e lawe ana i ka hao, ka calcium, a i ʻole nā lāʻau lapaʻau ʻeha ʻōpū, e mālama i kahi kaʻawale he 4 hola ma waena o ka lawe ʻana iā Levothyroxine.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau, hoʻololi i ka dosage, a hoʻololi paha i ka brand me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā ʻike ʻoe i nā hōʻailona e like me ka puʻuwai wikiwiki, ka haʻalulu, a i ʻole ka hou nui ʻana, he hōʻailona paha kēia o ka overdose. E haʻi koke aku i kāu kauka.
- He mea nui loa e hana i nā hoʻāʻo koko i ka manawa kūpono, e ʻike i kāu kauka, a mālama pono i ka nui o kāu lāʻau lapaʻau.
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