Ke luhi mau nei hoʻi ʻoe? Ke nāwaliwali nei ʻoe, ke kaumaha nei, a i kekahi manawa ke lohi loa nei? Hiki i kēia ke lilo i mau hōʻailona o ka emi ʻana o ka hana o ke kelepa thyroid i loko o ko mākou kino. Ua kapa nā kauka i kēia maʻi (Hypothyroidism). No laila, ʻo kahi lāʻau lapaʻau a nā kauka e ʻōlelo pinepine ai a hoʻohana nui ʻia e ka poʻe he nui ʻo Levothyroxine. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau a me nā mea e makaʻala ai i ka wā e hoʻohana ana, ma ke ʻano maʻalahi a aloha hoʻi.
I ka ʻōlelo maʻalahi, he aha ka Levothyroxine?
He hormone synthetic ʻo Levothyroxine i hana ʻia i loko o kahi keʻena hoʻokolohua, like me ka hormone thyroid i hana maoli ʻia e ka thyroid gland i loko o ko kākou ʻāʻī. Inā no kekahi kumu ʻaʻole lawa ka hormone thyroid i kou kino, e kuhikuhi kāu kauka i kēia lāʻau lapaʻau e hoʻopiha ai i ka hemahema.
E noʻonoʻo i ka hormone thyroid e like me kahi mea hoʻokele liʻiliʻi e kaohi ana i nā mea āpau i loko o ko mākou kino.
- Hoʻokele ko mākou kino i ka metabolism, ʻo ia hoʻi ka wikiwiki o ka hoʻololi ʻana o ka meaʻai a mākou e ʻai ai i ka ikehu.
- Kōkua ia i ka mālama ʻana i nā mea e like me ka helu o ko mākou puʻuwai a me ka mahana o ke kino ma ka pae kūpono.
- He mea nui kēia hormone no ka mālama ʻana i ko mākou pae ikehu a me ke kūlana noʻonoʻo.
No laila, ke haʻahaʻa kēia hormone (Hypothyroidism), lohi iki kēia mau kaʻina hana a pau. ʻO ka mea a nā lāʻau Levothyroxine e hana ai, ʻo ia ke hoʻihoʻi i kēlā mau kaʻina hana i lohi.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana iā Levothyroxine, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, no ka mea, pono kekahi mau pilikia i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau.
| Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā kūlana ma lalo nei, e haʻi pono i kāu kauka: |
|---|
| • Ka maʻi ʻo Addison a i ʻole nā pilikia ʻē aʻe o ke kelepa adrenal |
| • Maʻi puʻuwai a i ʻole ʻeha puʻuwai (Angina) |
| • Nā kūlana e like me ka nāwaliwali o ka iwi a i ʻole ka osteoporosis |
| • Maʻi diabetes |
| Nā pilikia o ka pituitary gland |
| • Inā ʻoe e lawe ana i ka lāʻau lapaʻau e pale aku ai a mālama paha i nā ʻūpā koko (e.g. Warfarin) |
| • Inā ʻoe ma kahi papahana hōʻemi kaumaha |
| • Inā he mau pilikia hānau keiki kou |
| • Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana |
| • Inā he maʻi ʻaleka kou i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO kēia kahi e kuhihewa ai nā kānaka he nui. I mea e loaʻa ai ka pono nui mai kēia lāʻau lapaʻau, pono ʻoe e ʻike pono pehea e lawe ai.
ʻO ka mea nui loa: E lawe mau i nā papa Levothyroxine ma ka ʻōpū ʻole , ma ka liʻiliʻi he 30 mau minuke a i hoʻokahi hola ma mua o ka ʻaina kakahiaka, me kahi aniani wai.
No ke aha mākou e ʻōlelo ai pēlā? No ka mea, inā lawe mākou i kēia lāʻau lapaʻau me ka meaʻai, e hoʻopilikia ia i ka meaʻai a ʻaʻole e komo pono ka lāʻau lapaʻau. A laila e hoʻemi ʻia nā pono o ka lawe ʻana i ka lāʻau lapaʻau.
Eia kekahi, e pale i ka lawe ʻana i kēia mau mea kokoke i ka manawa (i loko o 4 mau hola) o ka lawe ʻana i kēia lāʻau lapaʻau:
- Nā antacids no ka gastritis (ʻoi aku ka poʻe i loaʻa ka alumini a i ʻole ka magnesium)
- Nā papa kalipuna (Calcium carbonate)
- Nā papa hao (Ferrous sulfate)
- ʻO kekahi mau lāʻau hoʻohaʻahaʻa cholesterol (e.g. Cholestyramine)
- ʻO kekahi mau lāʻau lapaʻau ʻē aʻe (e.g. Sucralfate, Sevelamer)
E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. E lawe wale i ka nui a kāu kauka e ʻōlelo ai iā ʻoe. Mai lawe hou aku.
Inā hāʻawi ʻoe iā ia i nā keiki liʻiliʻi ...
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā pēpē hānau hou. I kēlā mau hihia, e kuʻi maikaʻi i ka papa a hoʻoheheʻe iā ia i loko o 1-2 punetēpuni wai, waiū umauma, a i ʻole ka waiū pēpē soy-free , a hāʻawi iā ia e like me ke kuhikuhi a kāu kauka. Mai hoʻohuihui iā ia me ka waiū soy-based., no ka mea, hiki paha ke hoʻēmi i ka maikaʻi o ka lāʻau lapaʻau.
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 i ka wā e hoʻomanaʻo ai ʻoe. Akā inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua overdose ʻoe, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole, e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo .
Nā mea ʻē aʻe e hiki ke launa pū me Levothyroxine
Hiki i ka Levothyroxine ke launa pū me nā lāʻau lapaʻau he nui, nā huaora, a me kekahi mau meaʻai, no laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
| Māhele lāʻau lapaʻau / mea waiwai | Nā Laʻana |
|---|---|
| Lāʻau lapaʻau no ka maʻi puʻuwai | ʻAmiodarone, Digoxin |
| Nā wikamina a me nā minelala | Kalipuna, Nā Mea Hoʻohui Hao |
| Lāʻau lapaʻau no ka gastritis/acid reflux | Nā lāʻau hoʻōla ʻakika, Sucralfate |
| Nā lāʻau lapaʻau no ka maʻi epilepsy | ʻO Carbamazepine, Phenytoin, Phenobarbital |
| Nā ʻano o nā hormones | Nā lāʻau hoʻomalu hānau, Estrogen, Testosterone |
| Lāʻau lapaʻau maʻi diabetes | ʻO nā lāʻau insulin a i ʻole nā lāʻau maʻi diabetes |
| ʻO kekahi mau lāʻau lapaʻau no ke kaumaha | ʻOi loa aku nā antidepressants tricyclic |
| Nā ʻano steroid | ʻO Prednisone, Cortisone |
ʻAʻole kēia he papa inoa piha. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe ai, a inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea ʻē aʻe e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Inu nui i ka wai: He nui loa kekahi mau pila Levothyroxine, no laila ʻo ka moni ʻana iā lākou me ka ʻole o ka wai lawa e hiki ai ke paʻa i loko o kou puʻu. No laila e lawe mau i ka lāʻau me ke aniani wai.
- Mai hoʻololi i nā lama: Mai hoʻololi i ka lama o Levothyroxine āu e hoʻohana nei me ka ʻole o ka ʻae ʻia e kāu kauka. I kekahi manawa, hiki ke ʻokoʻa iki ke ʻano o ka komo ʻana o ka lāʻau lapaʻau i loko o ke kino mai kēlā lama a i kēia lama.
- Nā hoʻāʻo maʻamau: ʻOiai e lawe ana i kēia lāʻau lapaʻau, e kauoha pinepine kāu kauka i kahi hoʻāʻo koko (hoʻāʻo TSH) e nānā inā pololei kāu mau pae hormone thyroid. Mai hōʻalo iā ia.
- Ke ola holoʻokoʻa: Pono ka hapa nui o ka poʻe e lawe i kēia lāʻau lapaʻau no ke koena o ko lākou ola. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Ka hāʻule ʻana o ka lauoho: Hiki i kekahi poʻe ke ʻike i ka hāʻule ʻana o ka lauoho ke hoʻomaka mua lākou e lawe i ka lāʻau. Akā, mai hopohopo, ʻo ka hapa nui o ka manawa e nalo wale ia i ka hala ʻana o ka manawa.
- Ma mua o ke ʻoki kino: Inā e hana ʻia kekahi ʻoki kino, e haʻi mua i kāu hui lapaʻau e lawe ana ʻoe iā Levothyroxine.
He aha nā hopena ʻaoʻao e hiki mai ana?
Hoʻomaka pinepine nā hopena ʻaoʻao ke ʻoi aku ka nui o ka lāʻau lapaʻau ma mua o ka nui e pono ai ke kino. No laila, he mea nui e makaʻala i kēia mau hōʻailona.
| Ka hopena ʻaoʻao |
|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka |
| • Nā hopena maʻi ʻaleka (pehu ʻana o ka maka, nā lehelehe, ke alelo, ka ʻulaʻula o ka ʻili, ka paʻakikī o ka hanu ʻana) |
| • Manaʻo e like me ka wikiwiki o kou puʻuwai, ʻeha ka umauma |
| • Ka hou nui ʻana, ka hiki ʻole ke ʻae i ka wela |
| • Hoʻomaha nui, huhū, hiamoe ʻole |
| • Nā haʻalulu |
| • Ka maʻi pākī nui |
| • Nā pōʻaiapuni menstrual kūpono ʻole i nā wahine |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
| • Nā loli i ka makemake e ʻai |
| • ʻEha poʻo |
| • Ka luaʻi/ka luaʻi ʻana |
Leka Lawe-Home
- E lawe i ka papa Levothyroxine i kēlā me kēia kakahiaka, ma ka ʻōpū ʻole, me ka wai, ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻai ʻana.
- Mai hoʻōki i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei.
- E hana i kāu mau hoʻāʻo koko (hoʻāʻo TSH) i ka manawa kūpono a mālama i ka nui o ka lāʻau lapaʻau kūpono.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka puʻuwai wikiwiki, a i ʻole ka hoʻomaha nui, e kāhea koke aku i kāu kauka.
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