Ke luhi mau nei hoʻi ʻoe? Ke manaʻo nei ʻoe ua make ʻoe? Ke piʻi nei kou kaumaha? Malia paha he mau hōʻailona kēia o ka emi ʻana o ka hana o ke kelepa thyroid, kahi i like me ke ʻano o ka pulelehua ma ko mākou ʻāʻī. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia maʻi hypothyroidism. No laila, ʻo kekahi o nā lāʻau lapaʻau nui a nā kauka e kuhikuhi ai ma ke ʻano he lāʻau lapaʻau no kēia ʻo Liothyronine. E aʻo kākou i nā mea āpau e pili ana i kēia lāʻau i kēia lā.
He aha ka Liothyronine?
I ka ʻōlelo maʻalahi, he kope synthetic ka liothyronine o ka hormone thyroid triiodothyronine (T3), ka mea i hana maoli ʻia i loko o ko mākou kino. He mea nui loa nā hormones thyroid no kā mākou metabolism, ke kaʻina hana o ka hoʻololi ʻana i ka meaʻai a mākou e ʻai ai i ka ikehu, a no ka kaohi ʻana i ko mākou pae ikehu.
No laila, ke hana ʻole nei kou kelepa thyroid i ka lawa o kēia mau hormones, e hāʻawi kāu kauka iā ʻoe i kēia lāʻau lapaʻau e hoʻopiha ai i ka hemahema. E kōkua kēia i ka hoʻihoʻi ʻana i kou pae ikehu a mālama i kāu metabolism e holo pono ana. I kekahi manawa hoʻohana ʻia kēia lāʻau lapaʻau no nā maʻi thyroid ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ke kuhikuhi ʻana i nā papa liothyronine iā ʻoe, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Ke kūlana āu e pono ai e hōʻike | Ka wehewehe a me ke koʻikoʻi |
|---|---|
| Maʻi puʻuwai | E haʻi i kāu kauka inā loaʻa iā ʻoe ka ʻeha umauma (angina), ka hōʻeha puʻuwai, a i ʻole kekahi maʻi puʻuwai ʻē aʻe. Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou helu puʻuwai. |
| Maʻi diabetes | Hiki i ka Liothyronine ke hoʻopilikia i nā pae kō koko, no laila inā ʻoe e lawe ana i ka lāʻau lapaʻau no ka maʻi diabetes, pono ʻoe e haʻi i kāu kauka. |
| Nā pilikia me nā kelepa adrenal a i ʻole pituitary | Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi ʻo Addison, pono e mālama ʻia kēlā mau maʻi ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau. |
| Nā lāʻau lapaʻau e pale ai i nā ʻōpū koko | Inā ʻoe e lawe nei i nā lāʻau lapaʻau e like me Warfarin, hiki ke loli ko lākou hopena me ka liothyronine. |
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | E haʻi i kāu kauka inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. Pono paha e hoʻoponopono ʻia kāu nui o ka lāʻau. |
| Nā maʻi ʻaleka ʻē aʻe | E haʻi i kāu kauka inā he mau maʻi allergies kou i kēia lāʻau lapaʻau, nā hormones thyroid ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea nui loa ka hoʻohana pono ʻana i kēia lāʻau. E lawe i ka nui kūpono, i ka manawa kūpono, e like me ke kauoha a ke kauka.
- E lawe i kēia pila me ka wai nui .
- ʻO ka mea nui loa, ʻo ia ke inu ʻana i kēia ma ka ʻōpū ʻole. No nā hopena maikaʻi loa, e inu iā ia ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻaina kakahiaka, a i ʻole 2 mau hola ma hope o ka ʻai ʻana.
- E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Ma kēlā ʻano, ʻaʻole ʻoe e poina.
- Mai lawe i nā lāʻau lapaʻau ma mua o ka mea i kauoha ʻia e ke kauka.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. 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 i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia o ka haukapila kokoke loa (ETU). A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo . E mālama i kēia me he pilikia lā.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki iā Liothyronine ke launa pū me nā lāʻau lapaʻau ʻē aʻe, 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.
Aia i loko o kēia papa inoa kekahi mau hiʻohiʻona maʻamau wale nō:
- Nā wikamina a me nā minelala: Nā papa kalipuna, Nā papa hao.
- Nā lāʻau lapaʻau no ka ʻakika o ka ʻōpū: Antacids, Sucralfate.
- Nā lāʻau hoʻohaʻahaʻa kolesterol: Cholestyramine, Colesevelam.
- Nā lāʻau lapaʻau maʻi diabetes: Hiki ke ʻokoʻa nā hopena o kēia mau mea.
- Nā lāʻau lapaʻau no ka maʻi puʻuwai: Digoxin, Amiodarone.
- Lāʻau hoʻokahe koko: Warfarin.
- Nā hormones: Nā lāʻau hoʻomalu hānau, estrogen, testosterone.
- Nā lāʻau lapaʻau no ka maʻi noʻonoʻo: Kekahi mau lāʻau lapaʻau no ke 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 āpau, nā huaora, a me nā huahana lāʻau āu e lawe ai. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
Aia kekahi mau mea āu e pono ai e hoʻolohe i ka wā e hoʻohana ai i ka liothyronine.
1. Nā nānā mau ʻana: E nānā mau kāu kauka iā ʻoe e ʻike pehea e pane ai kou kino i ka lāʻau lapaʻau. E kauoha pū ʻo ia i nā hoʻāʻo koko e nānā i kāu mau pae hormone thyroid (Thyroid Function Tests - TFT). Mai hōʻalo i kēia mau mea.
2. E hoʻomanawanui: ʻAʻole paha ʻoe e ʻoluʻolu koke ke hoʻomaka ʻoe e lawe i ka lāʻau lapaʻau. Hiki ke hala kekahi mau pule no kou kino e hoʻōla. No laila, mai hopohopo a hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe.
3. Pono paha no ke ola: I ka hapanui o nā hihia, pono ka mālama ʻana no ka hypothyroidism i ke ola holoʻokoʻa.
Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ke aʻo ʻole a kāu kauka. ʻO ka hana ʻana pēlā e hoʻi hou mai ai kāu mau hōʻailona.
4. Ma mua o ke ʻoki kino: Inā e hana ʻia kekahi ʻoki kino, e hoʻomaopopo i ke kauka ʻoki kino a me ka anesthesiologist e lawe ana ʻoe i ka liothyronine.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka liothyronine ke hana i kekahi mau hopena ʻaoʻao. ʻO ka hapa nui o kēia mau mea ke hana ʻia inā ʻoi aku ka nui o ka lāʻau lapaʻau ma mua o ka mea e pono ai ke kino.
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli i ka helu o ka puʻuwai | Nā palpitations, ʻeha umauma, poniuniu, paʻakikī ka hanu ʻana. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ka maʻi palahē nui, ka haʻalulu, ka hou nui, ka hoʻomaha loa, ka hiamoe ʻole, ke kuni. |
| Inā hoʻomau kēia mau mea a lilo paha i mea hoʻopilikia, e haʻi i kāu kauka. | |
| Pohō lauoho | Hiki ke loaʻa ka nalowale o ka lauoho no ka manawa pōkole i nā mahina mua o ka lāʻau lapaʻau. |
| Nā hiʻohiʻona liʻiliʻi ʻē aʻe | ʻEha ke poʻo, nausea, luaʻi, loli i ka makemake e ʻai. |
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku .
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 Celsius).
- E pale mai ka mālamalama a me ka makū. No laila, ʻaʻole kūpono ke mālama ʻia i loko o ka lumi ʻauʻau.
- E pani pono i ke poʻi o ka ʻōmole.
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Liothyronine no ka nele o ka hormone thyroid. Hoʻololi ia i ka nele o ka hormone kūlohelohe o ke kino.
- E lawe mau i kēia lāʻau lapaʻau ma ka ʻōpū ʻole, e like me ka ʻōlelo a ke 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.
- Mai hoʻōki i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. He lāʻau lapaʻau kēia no ke ola holoʻokoʻa.
- Inā loaʻa iā ʻoe nā hopena ʻino e like me ka ʻeha o ka umauma a i ʻole ka puʻuwai wikiwiki, e ʻimi koke i ke kōkua lapaʻau.
- He mea nui loa e ʻike i ke kauka i ka manawa a hana i nā hoʻokolohua e pono ai.
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