Yu kin fil bak fɔ taya ɔl di de, jɔs fil lɛk se yu nɔ gɛt trɛnk, yu de gɛt mɔ wet, ɔ yu kol pas ɔda pipul dɛn? dis kin bi simptom dεm fכ wan כndaaktif tayroyd gland, wan kכndyushכn we dכkta dεn kכl ``Hypothyroidism''. So yu dɔktɔ go dɔn tɛl yu fɔ yuz Levothyroxine solution fɔ dis sik. Tide, wi go tɔk bɔt dis mɛrɛsin, aw fɔ yuz am, ɛn wetin yu nid fɔ tek tɛm wit, insay wan we we rili simpul ɛn we gɛt padi biznɛs wit ɔda pipul dɛn.
Fɔ tɔk am simpul wan, wetin na Levothyroxine?
Tink bɔt wi bɔdi lɛk motoka. Di injin fɔ dis motoka de kɔntrol di spid ɛn i de ɛp ɔltin fɔ rɔn fayn fayn wan ɛn di rayt tɛm, ɛn na di tayroyd ɔmon, we di tayroyd gland we de na wi nɛk de mek. Dis ɔmon de kɔntrol bɔku tin dɛn na wi bɔdi, lɛk aw wi de du tin, aw wi at de bit, ɛn aw wi bɔdi de wam.
Sɔntɛnde, bikɔs ɔf difrɛn rizin dɛn, wi tayroyd gland nɔ kin ebul fɔ mek di ɔmon we dɛn nid. Na dat wi kin kɔl `(Hypothyroidism)` ɔ tayroyd ɔmon dɛfisiɛns.
Levothyroxine na wan sintetik ɔmon we fiba di tayroyd ɔmon we wi bɔdi de mek bay insɛf. Fɔ tɔk am simpul wan, dis mɛrɛsin de tek di ples fɔ di ɔmon we di bɔdi nid bɔt i nɔ ebul fɔ mek insɛf. Bikɔs i kin kam insay wata, i rili izi fɔ yuz fɔ pipul dɛn we nɔ kin izi fɔ swɛla pils ɛn fɔ yɔŋ pikin dɛn. `(Ermeza)`, `(Thyquidity)`, `(TIROSINT-SOL)` na sɔm pan di nem dɛm we de na di makit fɔ dis mɛrɛsin.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu dɔktɔ gi yu dis mɛrɛsin, i go nid fɔ gɛt kɔmplit pikchɔ bɔt yu wɛlbɔdi prɔblɛm. Dis go ɛp dɛn fɔ no di doz we fit yu pas ɔl. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
| Yu kɔndishɔn ɔ yu abit | Wetin mek yu fɔ tɛl di dɔktɔ? |
|---|---|
| Addison in sik ɔr prɔblɛm wit di adrenal gland | di chenj we di tayroyd hכmon lεvεl de chenj kin afekt di wok we dεn gland dεm ya de wok, so dεn fכ kכntrol dεn kכndyushכn dεm fכs. |
| Shuga | Levothyroxine kin afɛkt di blɔd shuga lɛvɛl, so yu kin nid fɔ ajɔst di doz fɔ yu dayabitis mɛrɛsin. |
| At sik, chɛst pen | Dis mɛrɛsin kin gɛt smɔl ifɛkt pan yu at rit we yu fɔs bigin fɔ tek am, so yu dɔktɔ go bigin yu pan wan rili smɔl doz ɛn i go inkrisayz am smɔl smɔl. |
| Bɔn prɔblɛm (e.g. ɔstioporosis) . | If yu tek bɔku lɛvotayroksin fɔ lɔng tɛm, dat kin mek di bon dɛn tan. |
| If yu de tek mɛrɛsin fɔ mek blɔd nɔ klɔt (e.g. `Warfarin`) . | Levothyroxine kin mek dɛn mɛrɛsin dɛn de wok fayn, so dɛn kin nid fɔ chenj di doz fɔ dɛn mɛrɛsin dɛn de. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | di tayroyd ɔmon we yu nid kin chenj we yu gɛt bɛlɛ, so yu dɔktɔ kin nid fɔ ajɔst di mɛrɛsin we yu de tek. |
| If dɛn de gi di pikin in mama in bɛlɛ | Bikɔs smɔl mɛrɛsin kin pas to di pikin tru in mama in milk, i impɔtant fɔ tɛl di dɔktɔ bɔt dis. |
| If yu gɛt alɛji to ɔda mɛrɛsin, it, ɔ day | Dis impɔtant fɔ kɔnfɔm if yu gɛt alɛji to ɛni ɔda tin we de insay di mɛrɛsin. |
Di kɔrɛkt we fɔ yuz di mɛrɛsin
Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin, i rili impɔtant fɔ no gud gud wan aw fɔ yuz am.
- Di tin we impɔtant pas ɔl: Yu fɔ tek dis mɛrɛsin ɛvri mɔnin , pan ɛmti bɛlɛ . Dat min se at le 30 minit bifo yu it brɛf, ɛn i go fayn fɔ mek yu it wan awa bifo yu it. dis na biכs di abzכpshכn fכ dis mεdisin insay di bכdi de rεdכks we it de insay di bεlε.
- Na di sem tɛm ɛvride: As yu ebul, gɛt di abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Na gud abit fɔ tek yu mɛrɛsin jɔs lɛk aw yu wek na mɔnin.
- Intarakshɔn wit ɔda mɛrɛsin: Sɔm mɛrɛsin ɛn vaytamɛn kin ambɔg di absɔpshɔn fɔ dis mɛrɛsin, mɔ di antasid, kalsiɔm, ɛn ayɔn tablɛt.
Mɛmba: If yu de tek wan antasid we gɛt kalsiɔm, ayɛn, ɔ aluminiɔm/magnɛsiɔm, yu fɔ tek Levothyroxine 4 awa bifo ɔ 4 awa afta yu tek am. Dis min se 4 awa gap fɔ de bitwin di tu mɛrɛsin dɛn.
Aw fɔ yuz difrɛn kayn dɛn
Di we aw dɛn kin yuz am kin difrɛn smɔl fɔ di kayn we aw yu dɔktɔ dɔn tɛl yu.
- Fɔ Tirosint-SOL: Dɛn kin tek dis wata dairekt insay di mɔt. Ɔ, yu kin dil am insay 1-2 ti spɔnj (5-10 ml) wata. Nɔ ɛva miks am wit ɛni ɔda wata pas wata (milk, frut jus).
- Fɔ Thyquidity: Dɛn fɔ tek dis kayn tin dairekt insay di mɔt. Nɔ miks wit wata.
If yu giv am to pikin dem...
Dɛn kin ivin gi dis mɛrɛsin to pikin dɛn we dɛn jɔs bɔn fɔ sɔm kɔndishɔn dɛn. Bɔt dɛn kin du am ɔnda dɔktɔ we de kia fɔ am gud gud wan. Fɔ fala di dɔktɔ in instrɔkshɔn bɔt di doz ɛn di we aw fɔ gi di pikin.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ pas di doz we dɛn tɛl yu fɔ tek, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm. Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Impɔtant: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb dis mɛrɛsin wit ɔda pɔsin, ilɛksɛf dɛn sik tan lɛk yu yon.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz (e.g., i jɔs de fɔ sɔm awa), skip di doz we yu mis ɛn tek yu nɛks doz na di tɛm we dɛn dɔn sɛtul. Nɔ tek dabl doz fɔ mek di doz we yu dɔn fɔgɛt.
Ɔda mɛrɛsin dɛn we kin miks wit Levothyroxine
Ɔda mɛrɛsin dɛn we yu kin tek kin afɛkt di we aw Levothyroxine de wok, ɛn Levothyroxine kin chenj di we aw ɔda mɛrɛsin dɛn de wok. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn) .
| Kategori fɔ drɔg/sɔbstans | Ɛgzampul dɛn |
|---|---|
| Bɛlɛ pen mɛrɛsin, vaytamɛn, ɛn minral | Antasid, prodak dɛm we gɛt kalsiɔm, ayɔn, magnɛsiɔm |
| Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel | ``Kɔlɔstiramin'', ``Kɔlesɛvɛlam'', ``Kɔlestipɔl''. |
| Mɛrɛsin fɔ gɛt dayabitis | Insulin ɔ dayabitis pils |
| Mɛrɛsin fɔ pwɛl hat ɛn fɔ gɛt ɛpilepshi | `Karbamazεpin`, `Fεnitoin`, `Fεnobarbital` |
| Di kayn ɔmon dɛn we dɛn kin yuz | Ɛstrojen, Tɛstostɛron, Bɔn Kɔntrol Pil, Stɛroyd |
| Mɛrɛsin fɔ gɛt at sik | Amiodarɔn, Digɔksin, we de wok |
| Ɔda | Warfarin (dɛn kin yuz am fɔ mek di blɔd tan), Rifampin (dɛn kin yuz am fɔ mɛn TB), sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku bɔku bɔdi, tin dɛn we gɛt soya |
Dis list nɔ kɔmplit, so tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Chek-ap ɔltɛm: Afta yu dɔn bigin fɔ tek dis mɛrɛsin, yu fɔ go to yu dɔktɔ ɔltɛm lɛk aw dɛn tɛl yu. Yu kin nid fɔ du blɔd tɛst (`Thyroid Function Tests`) fɔ fɛn di rayt doz fɔ yu bɔdi.
- Peshɛnt: Yu nɔ go fil big difrɛns wantɛm wantɛm we yu bigin fɔ tek di mɛrɛsin. I kin tek sɔm wiks fɔ mek yu taya ɛn taya fɔ stɔp ɛn yu fɔ fil fayn. So nɔ panik.
- Nɔ chenj brand: Nɔ chenj frɔm wan brand to ɔda wan if yu dɔktɔ nɔ advays yu, bikɔs difrɛn brand dɛn kin absɔb smɔl difrɛn we na di bɔdi, we kin afɛkt yu ɔmon lɛvɛl.
- Tek tɛm wit Biotin: If yu de tek vaytamɛn we gɛt `Biotin (Vitamin B7)` fɔ fayn, ia, ɔ skin, stɔp fɔ tek am at le tu dez bifo yu du tayroyd blɔd tɛst. Bayotin kin mek lay lay rizɔlt na di blɔd tɛst.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Jɛnɛral wan, we dɛn tek am di rayt doz, siriɔs sayd ɛfɛkt frɔm dis mɛrɛsin nɔ kin bɔku. Bɔku tɛm, di sayd ɛfɛkt kin apin if di doz fɔ di mɛrɛsin pas di amount we di bɔdi nid. Dat min se if wan kכndyushכn lεk haypa tayroyd de apin insted fכ di tayroyd כmon we nכ de (hypothyroidism).
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Di chenj dɛn we de apin na di at rit | At de bit, sawnd we de paund na di chɛst, i nɔ izi fɔ blo, i de pen na di chɛst. |
| I nɔ kin rɛst bad bad wan ɛn i nɔ kin ebul fɔ slip | Fɔ de wɔri ɔltɛm, fɔ vɛks, fil lɛk se yu bɔdi de shek, ɛn nɔr ebul fɔ slip na nɛt. |
| We pɔsin de swet pasmak | Fɔ fil wam ɛn swet bɔku bɔku wan ivin na nɔmal say. |
| Sivɛri dayarɛa (Dayrɛa) . | Dayarɛa we pɔsin nɔ ebul fɔ kɔntrol. |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip ɔ tong. |
| di chenj dεm we de apin na di mεnstral saykl na uman dεm | Menstrual saykl we nɔ de ɔltɛm ɔ we i de blɔd wan wan tɛm. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Ed de at | Yu kin gɛt smɔl ed pen we yu fɔs bigin fɔ tek di mɛrɛsin. |
| Di ia we de lɔs fɔ sɔm tɛm | Sɔm ia kin lɔs insay di fɔs mɔnt, bɔt i go kam bak to nɔmal wans di bɔdi dɔn yus to di mɛrɛsin. |
| Di chenj dɛn we de apin na di we aw pɔsin want fɔ it | Yu kin si se yu nɔ want fɔ it mɔ ɔ yu nɔ go want fɔ it. |
Aw yu kin kip mɛrɛsin fayn fayn wan?
Fɔ mek di mɛrɛsin kɔntinyu fɔ gɛt di kwaliti, dɛn fɔ kip am di rayt we.
- Kip fa frɔm pikin ɛn animal dɛn we yu de mɛn.
- Tirosint-SOL: Stɔr dis na nɔmal rum tɛmpracha (25 digri sɛlshiɔs). Trowe ɛni mɛrɛsin we lɛf insay 15 dez afta yu opin di paket.
- Thyquidity: Stɔr dis na rum tɛmpracha (20-25 digri sɛlshiɔs). Trowe ɛni mɛrɛsin we lɛf insay 8 wiks afta yu opin di bɔtul.
Trowe di mɛrɛsin we dɔn pas ɔ we yu nɔ yuz fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Levothyroxine na wan mɛrɛsin we de tek di ples fɔ di tayroyd ɔmon we nɔ de na yu bɔdi. Yu go nid fɔ tek am fɔ di res ɔf yu layf.
- Tek dis mɛrɛsin ɛvri mɔnin, pan ɛmti bɛlɛ, 30-60 minit bifo yu it.
- If yu de tek ayɛn, kalsiɔm, ɔ bɛlɛ pen mɛrɛsin, kip 4 awa gap bitwin fɔ tek Levothyroxine.
- Nɔ stɔp fɔ tek di mɛrɛsin, chenj di doz, ɔ chenj di brand if yu dɔktɔ nɔ advays yu.
- If yu gɛt sɔm sayn dɛn lɛk we yu at de bit kwik kwik wan, yu de shek shek, ɔ yu de swet pasmak, dis kin bi sayn fɔ se yu dɔn tek am pasmak. Tɛl yu dɔktɔ wantɛm wantɛm.
- I rili impɔtant fɔ mek dɛn du yu blɔd tɛst di rayt tɛm, go to yu dɔktɔ, ɛn kip di mɛrɛsin we yu de tek kɔrɛkt wan.
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