Yu kin fil taya bak ɔltɛm? Yu de gɛt mɔ wet? Sɔmtɛm dis taya kin kam wit tin dɛm lɛk dray skin ɛn kɔnstipɛshɔn. Dis kin bi sayn dɛm fɔ wan tayroyd gland we nɔ de wok fayn, ɔ as wi kin kɔl am na dɔktɔ, haypotayroyd. So, fɔ dɛn kayn pipul ya, bɔku tɛm dɔktɔ dɛn kin gi dɛn mɛrɛsin dɛn we dɛn kɔl Levothyroxine ɛn Liothyronine. Lɛ wi tɔk mɔ bɔt dɛn mɛrɛsin ya tide.
Wetin dis mɛrɛsin de fɔ? Fɔ tɔk am simpul wan...
Fɔ tɔk am simpul wan, dɛn kin yuz dɛn tu mɛrɛsin ya, Levothyroxine ɛn Liothyronine, fɔ mɛn haypothayroyd, we min se yu tayroyd gland nɔ de mek inof ɔmon. Dɛn mɛrɛsin ya kin wok jɔs lɛk di tayroyd ɔmon dɛn we wi bɔdi kin mek bay insɛf.
Naw yu go de wɔnda wetin dɛn tayroyd ɔmon ya de du. Infakt, dɛn ɔmon dɛn ya rili impɔtant na wi bɔdi . Dɛn tayroyd ɔmon ya impɔtant fɔ bɔku tin dɛn, lɛk fɔ kɔntrol di ɛnaji we wi bɔdi gɛt, fɔ mek wi ebul fɔ du di wok fayn fayn wan, fɔ mek di at wok fayn, fɔ mek di bren gro, ɛn fɔ mek di bon dɛn gɛt trɛnk. So, we dɛn ɔmon ya nɔ bɔku, di sayn dɛn we wi bin dɔn tɔk bɔt, lɛk fɔ taya ɛn fɔ gɛt bɔku bɔku wet, kin apin.
Dɔktɔ dɛn kin gi dis mɛrɛsin bak fɔ ɔda sik dɛn we gɛt fɔ du wit tayroyd. If yu gɛt ɛni kwɛstyɔn, i go fayn fɔ aks yu dɔktɔ ɔ fama.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Okay, naw bifo yu bigin dis mɛrɛsin, sɔm tin dɛn de we yu fɔ tɛl yu dɔktɔ ɔr wɛlbɔdi tim bifo yu bigin. Bikɔs i rili impɔtant fɔ yu sef fɔ no aw ɛni ɔda mɛrɛsin we yu gɛt ɔ ɔda mɛrɛsin we yu de tek de intarakt wit dis tayroyd mɛrɛsin.
Na sɔm pan dɛn kayn tin ya:
- Yu gɛt ɛni prɔblɛm wit yu adrenal gland dɛn? Fɔ ɛgzampul, wan sik lɛk Addison’s disease .
- Yu gɛt chɛst pen (angina) ɔr ɔda at sik?
- Yu gɛt ɛni prɔblɛm wit yu bon?
- Yu gɛt dayabitis ?
- Yu de fala spɛshal it/weit lɔs program fɔ lɔs weit?
- Yu tink se prɔblɛm dɛn de we kin apin we pɔsin kin bɔn pikin?
- Ɛni prɔblɛm de na di pituitary gland?
- Yu de tek ɛni mɛrɛsin fɔ mek blɔd nɔ klɔt? (ɛgz. Warfarin) .
- Dis rili impɔtant:If yu gɛt alɛji, dat na, alɛji, to levothyroxine, liothyronine, ɔda tayroyd ɔmon, ɛni ɔda mɛrɛsin, it, it day, ɔ tin dɛn we de mek yu nɔ pwɛl, mek shɔ se yu tɛl yu dɔktɔ .
- Yu gɛt bɛlɛ naw? Ɔ yu de tray fɔ gɛt bɛlɛ jisnɔ?
- Yu na mama we de gi pikin in bɛlɛ?
Nɔto dɛn tin ya nɔmɔ, bɔt i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni wɛlbɔdi prɔblɛm we yu gɛt.
Aw a fɔ yuz dis mɛrɛsin?
Dis mɛrɛsin kin kam lɛk tablɛt. Yu fɔ tek am wit wan glas wata. I rili impɔtant fɔ tek di doz we dɛn tɛl yu fɔ tek, di tɛm we dɛn tɛl yu fɔ tek, ɛvride, jɔs lɛk aw yu dɔktɔ dɔn tɛl yu.
Bɔku tɛm, dɛn kin se dɛn kin tek dis mɛrɛsin na mɔnin, lɛk af awa bifo ɔ wan awa bifo dɛn it, pan ɛmti bɛlɛ. Na da tɛm de di mɛrɛsin kin absɔb fayn fayn wan insay di bɔdi.
Yu fɔ kɔntinyu fɔ yuz dis mɛrɛsin te yu dɔktɔ tɛl yu fɔ stɔp. Nɔ stɔp fɔ tek am wantɛm wantɛm.
If yu gi pikin dɛn dis mɛrɛsin:
Dɛn kin advays dis mɛrɛsin bak fɔ pikin dɛn pan sɔm kes dɛn we dɛn dɔn pik. Bɔt yu fɔ tɔk bɔt am wit yu dɔktɔ ɛn fala in instrɔkshɔn dɛn di rayt we. Sɔm tin dɛn de we wi fɔ tek tɛm wit we wi de gi pikin dɛn.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, nɔ panik ɛn go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm. Ɔ kɔl pɔyzin kɔntrol sɛnta if i pɔsibul.
Mɛmba dis:
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva gi yu mɛrɛsin to ɔda pɔsin, ilɛksɛf dɛn gɛt di sem sayn dɛn we yu gɛt.
Wetin yu kin du if yu mis apɔntinmɛnt fɔ tek mɛrɛsin?
If yu mis wan doz, nɔ wɔri. Tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz we yu mɛmba (fɔ ɛgzampul, insay sɔm awa), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dɛbul doz, we kin mek yu gɛt sayd ɛfɛkt.
Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .
Naw, dis na sɔntin we yu nid fɔ tek tɛm wit smɔl. We yu tek am wit dis tayroyd mɛrɛsin, i kin miks wit sɔm ɔda mɛrɛsin, it, vaytamɛn, ɛbul mɛrɛsin, ɔ it we yu de tek. Dis min se di we aw di tayroyd mɛrɛsin kin wok fayn kin ridyus, i kin bɔku, ɔ nyu sayd ɛfɛkt kin apin.
Dat mek,Yu nid fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de yuz, nɔto jɔs di wan dɛn we yu dɔktɔ gi yu, bɔt bak di wan dɛn we yu de bay na di famasi, vaytamɛn pils, tradishɔnal mɛrɛsin, Ayurveda mɛrɛsin, ɛn ɛni nyutrishɔnal supamakit we yu de tek.
Na sɔm tin dɛn ya we yu kin rili riak to:
- Sɔm mɛrɛsin fɔ at sik (e.g. Amiodarone , Digoxin ) .
- Di kayn antisid dɛm fɔ bɛlɛ inflameshɔn ɛn gastritis
- Di tin dɛn we dɛn kin yuz fɔ sɔpɔt di kalsiɔm
- Ayɔn sɔpɔtmɛnt dɛn
- Sɔm mɛrɛsin fɔ ɛpilepsi/sɛiz (e.g. Carbamazepine , Phenytoin , Phenobarbital ) .
- Sɔm mɛrɛsin fɔ pwɛl hat
- Sɔm mɛrɛsin dɛn fɔ kansa
- Mεdikeshכn dεm we de dכn kכlestכl (e.g. Cholestyramine , Colestipol , Colesevelam ) .
- bכn kכntrכl pils, pat dεm, ring dεm, כ injεkshכn dεm we gεt uman כmon dεm, i.e. εstrojen dεm
- Mɛrɛsin fɔ gɛt dayabitis
- Sɔm mɛrɛsin fɔ kol ɛn fɔ mek yu nɔ ebul fɔ blo fayn
- Tek sɔm mɛrɛsin ɔ sɔpɔtmɛnt fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi
- Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen (e.g. Methadone ) .
- Niacin we dɛn kɔl Niacin
- Rifampin fɔ TB
- Prodak dεm we gεt soya (Soy isoflavones) (dεn kin fכn dεm ya insay sכm milk pauda dεm εn nyutrishכnal supliment dεm)
- Steroid-tayp mεdikeshכn dεm (e.g. Prednisone , Cortisone ) .
- Di tin dɛn we de mek blɔd tan (e.g. Warfarin ) .
- Liquid nyutrishɔn prodak dɛm lɛk Ensure
- Bɔku ɔda mɛrɛsin dɛn de lɛk Ketamin , Lithium , Orlistat , Oxandrolone , Sevelamer , Simethicone , Sodium polystyrene sulfonate , Sucralfate , Testosterone , Theophylline .
Dis list nɔ de ɔlsay. Na dat mek wi se, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔltin we yu de tek, ɛn if yu de smok, drink rɔm, ɔ yuz ɛni drɔgs we nɔ rayt. Da we de, i go ebul fɔ trit yu di rayt we.
Tin dɛn we yu fɔ tek tɛm wit we yu de yuz dis mɛrɛsin
Sɔm tin dɛn de we wi fɔ tek tɛm wit we wi de yuz dis mɛrɛsin.
- Nɔ chenj di brand fɔ dis mɛrɛsin if yu dɔktɔ nɔ gri fɔ yu. Sɔntɛnde, smɔl difrɛns kin de frɔm wan brand to ɔda brand. If yu gɛt ɛni prɔblɛm, aks yu dɔktɔ bɔt am.
- Yu go nid fɔ de chɛk yu ɔltɛm wit dɔktɔ, mɔ fɔ tɛst yu blɔd, fɔ mek shɔ se di mɛrɛsin de wok fayn ɛn fɔ mek shɔ se yu tayroyd ɔmon lɛvɛl nɔmal.
- If yu de tek dis mɛrɛsin fɔ haypo tayroyd (underactive thyroid), i kin tek sɔm wiks fɔ mek yu simptom (lɛk taya ɛn wet) bɛtɛ ɛn yu kin fil fayn. So nɔ wɔri. Bɔt if yu sik nɔr bɛtɛ, tɔk to yu dɔktɔ.
- > I rili impɔtant fɔ no se sɔm pipul dɛn kin nid fɔ tek dis mɛrɛsin fɔ di res ɔf dɛn layf. Nɔ stɔp fɔ tek dis mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Dis mɛrɛsin kin afɛkt di shuga we yu gɛt na yu blɔd. If yu gɛt dayabitis, chɛk yu blɔd shuga ɔltɛm lɛk aw yu dɔktɔ tɛl yu.
- We yu fɔs bigin fɔ tek di mɛrɛsin, sɔm pipul dɛn kin gɛt smɔl mɔ ia we kin lɔs pas aw dɛn kin gɛt. Bɔt bɔku tɛm dis kin apin fɔ shɔt tɛm. Bɔku tɛm, i kin go fɔ insɛf as tɛm de go. Natin nɔ de fɔ wɔri bɔt, bɔt if i apin, i go fayn fɔ tɛl yu dɔktɔ .
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɔl di mɛrɛsin dɛn, sɔm pipul dɛn kin gɛt sayd ɛfɛkt frɔm dɛn levothyroxine ɛn liothyronine tablɛt ya. Bɔt, nɔto so i bi fɔ ɔlman. Dɔn bak, bɔku tɛm, dɛn tin ya nɔ kin siriɔs ɛn na smɔl tin. Bɔt sɔm sayd ɛfɛkt dɛn de we yu fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu notis dɛn.
Sɔm bad tin dɛn we yu fɔ tɛl yu dɔktɔ bɔt wantɛm wantɛm:
- Alɛji: Dis kin min se yu skin kin gɛt rash, ayv, i kin it bad bad wan, ɛn sɔntɛnde yu fes, lip, tɔŋ, ɛn trot kin swel (dis kin denja, bikɔs i kin mek i nɔ izi fɔ blo).
- Fɔ fil wɔri ɛn fred ɔltɛm.
- Swet pas aw i nid, fil se yu nɔ de bia wit ɔt atɔl.
- Fiva.
- Hat palpitations: Dis na filin wae de hat de bit kwik kwik wan, tranga wan, ɔr nɔr de bit ɔltɛm, lɛk se i de skip bit.
- At ritm kin chenj: At kin bit fast ɔr nɔr kin bit ɔltɛm, we kin kam wit diziz, fil fɔ fet ɔr layt, in chɛst kin pen, ɛn i nɔ kin izi fɔ blo.
- Fɔ uman dɛn, dɛn nɔ kin gɛt mɔnt ɔ we dɛn kin gɛt spat bitwin di tɛm we dɛn kin gɛt bɛlɛ.
- Sivɛri dayarɛa.
- Trem ɔ shek shek.
- Trobul fɔ slip.
If sɔntin lɛk dis apin to yu, duya mek yu dɔktɔ no wantɛm wantɛm.
Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de:
- Chenj we yu want fɔ it.
- Di ia we de lɔs - As wi bin dɔn tɔk, dis kin apin ali na di tritmɛnt ɛn i go sɔlv afta sɔm tɛm.
- Ed de at.
- Nɔs - Dis min se yu go fil lɛk se yu go vɔmit.
- Fɔ vɔmit.
If yu gɛt ɛni nyu sayn wae nɔr de ya wae yu tink se de mɔna yu, tɔk to yu dɔktɔ bɔt am. Insay kɔntri dɛn lɛk Amɛrika, yu kin ripɔt di sayd ɛfɛkt dɛn to di FDA (Food and Drug Administration) na 1-800-FDA-1088. Na Sri Lanka, yu dɔktɔ na di bɛst pɔsin fɔ ɛp yu wit dis.
Aw a fɔ kip dis mɛrɛsin?
I rili impɔtant bak fɔ kip dis mɛrɛsin fayn fayn wan.
- Ɔltɛm kip am na say we sef, ɔp ay, usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich na yu os. Dis na sɔntin we pɔsin fɔ du.
- Stɔr di mɛrɛsin bɔtul/paket na frij we di tɛmpracha bitwin 2 ɛn 8 digri sɛlshiɔs (36 ɛn 46 digri Fahrenheit).
- Kip di kap fɔ di mɛrɛsin bɔtul tayt tayt wan.
- Nɔ put am na say dɛn usay layt de fɔdɔm dairekt wan.
- Nɔ ɛva yuz mɛrɛsin dɛn we dɔn pas. Trowe dɛn fayn fayn wan.
Mɛmba se dis atikul na jɔs sɔm pan dis mɛrɛsin. Sɔntɛm i nɔ go gɛt ɔl di infɔmeshɔn. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, i go fayn fɔ aks yu dɔktɔ, fama, ɔ ɔda pɔsin we de kia fɔ yu we de trit yu.
Sɔm impɔtant tin dɛn fɔ mek yu mɛmba
Frɔm wetin wi dɔn tɔk bɔt, na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:
- Levothyroxine ɛn liothyronine na mɛrɛsin dɛn we dɛn kin gi fɔ trit haypothayroydism, we na wan sik we yu bɔdi nɔ gɛt bɛtɛ tayroyd ɔmon. Fɔ yuz dɛn kɔrɛkt wan rili impɔtant fɔ yu wɛlbɔdi.
- Tek di rayt doz, di rayt tɛm, lɛk aw yu dɔktɔ tɛl yu. Bɔku tɛm i bɛtɛ fɔ tek am na mɔnin, bifo yu it, pan ɛmti bɛlɛ.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (nɔto jɔs di wan dɛn we dɔktɔ gi yu, bɔt di wan dɛn we yu bay na famasi, tradishɔnal mɛrɛsin, ɛn vaytamɛn dɛn), bɔt ɛni ɔda sik we yu gɛt, ɛn bɔt ɛni alɛji we yu gɛt. Bikɔs sɔm tin kin miks wit dis mɛrɛsin.
- Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm, chenj di doz we yu want, ɔ chenj di brand fɔ di mɛrɛsin we yu nɔ gɛt yu dɔktɔ in advays.
- If yu gɛt ɛni ɔda kayn bad bad tin we kin apin to yu, dat na if yu notis nyu tin we nɔ bin de bifo, tɛl yu dɔktɔ bɔt am wantɛm wantɛm.
- Pan ɔl we yu go gɛt fɔ tek dis mɛrɛsin fɔ di res ɔf yu layf, i go ɛp yu fɔ liv nɔmal ɛn wɛl bɔdi layf. So nɔ wɔri, kɔntinyu fɔ gɛt gud padi biznɛs wit yu dɔktɔ, ɛn fala wetin i tɛl yu fɔ du. Dɔn yu kin kɔntinyu fɔ gɛt wɛlbɔdi.
If yu want fɔ no ɛni ɔda tin, yu kin lɛf kɔmɛnt dɔŋ ya.
`Tayrɔyd, haypotayroydism, lɛvotayroksin, liotayroyn, ɔmon, mɛrɛsin, sayd ɛfɛkt dɛn
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