Ate era owulira ng’okooye buli kiseera? Owulira ng’oli munafu, weeyongera okugejja, era oluusi owulira ng’oli mugayaavu nnyo? Bino bitera okuba obubonero bw’okukendeera kw’enkola y’endwadde z’ekibumba mu mubiri gwaffe. Embeera eno abasawo bagiyita (Hypothyroidism). Kale, eddagala abasawo lye batera okugamba era abantu bangi lye bakozesa ye Levothyroxine. Leero, ka twogere ku ddagala lino n’ebintu by’olina okwegendereza nga tulikozesa, mu ngeri ennyangu ennyo era ey’omukwano.
Mu ngeri ennyangu, Levothyroxine kye ki?
Levothyroxine busimu obukolebwa mu laboratory, okufaananako n’obusimu bwa thyroid obukolebwa mu butonde endwadde ya thyroid mu bulago bwaffe. Singa olw’ensonga ezimu omubiri gwo tegukola busimu bwa thyroid bumala, omusawo ajja kukuwa eddagala lino okumalawo ebbula.
Lowooza ku busimu bwa thyroid ng’aka maneja akatono akafuga buli kimu mu mubiri gwaffe.
- Omubiri gwaffe gwe gufuga enkyukakyuka mu mubiri, omutindo emmere gye tulya gy’ekyusibwamu n’efuuka amaanyi.
- Kiyamba okukuuma ebintu ng’okukuba kw’omutima gwaffe n’ebbugumu ly’omubiri ku mutindo omutuufu.
- Obusimu buno bwetaagisa nnyo okukuuma amaanyi gaffe n’embeera y’ebirowoozo byaffe.
Kale obusimu buno bwe buba wansi (Hypothyroidism), enkola zino zonna zikendeera katono. Empeke za Levothyroxine kye zikola kwe kuzzaawo enkola ezo ezaali zikendedde.
Ebintu by’olina okutegeeza omusawo nga tonnamira ddagala lino
Nga tonnatandika Levothyroxine, kikulu nnyo okutegeeza omusawo wo ku mbeera endala yonna ey’obujjanjabi gy’olina n’eddagala eddala lyonna ly’omira, kuba embeera ezimu zeetaaga okufaayo okw’enjawulo ng’okozesa eddagala lino.
| Bw’oba olina emu oba eziwera ku mbeera zino wammanga, kakasa nti otegeeza omusawo wo: |
|---|
| • Obulwadde bwa Addison oba obuzibu obulala obw’endwadde z’ekibumba |
| • Obulwadde bw’omutima oba okulumwa omutima (Angina) . |
| • Embeera ng’okunafuwa kw’amagumba oba okuzimba amagumba |
| • Ekirwadde ekya sukaali |
| Ebizibu by’endwadde z’omubiri (pituitary gland). |
| • Bw’oba omira eddagala eriziyiza oba okujjanjaba okuzimba omusaayi (e.g. Warfarin) . |
| • Bw’oba oli ku pulogulaamu y’okugejja |
| • Bw’oba olina obuzibu mu kuzaala |
| • Bw’oba oli lubuto, ng’ogezaako okufuna olubuto, oba ng’oyonsa |
| • Bw’oba olina alergy eri eddagala eddala lyonna, emmere oba langi. |
Ddala eddagala lino okozesa otya?
Wano abantu bangi we bagenda obubi. Okusobola okuganyulwa ennyo mu ddagala lino, olina okumanya obulungi engeri y’okulimira.
Ekisinga obukulu: Bulijjo mira empeke za Levothyroxine nga tolina lubuto , waakiri eddakiika 30 okutuuka ku ssaawa emu nga tonnalya kyankya, n’egiraasi y’amazzi.
Lwaki twogera bwe tutyo? Kubanga eddagala lino bwe tulimira n’emmere, lijja kutaataaganya emmere era eddagala teririyingizibwa bulungi. Olwo emigaso gy’okumira eddagala gijja kukendeera.
Ekirala, weewale okumira ebintu bino wammanga okumpi n’obudde (mu ssaawa 4) ng’omira eddagala lino:
- Eddagala eriziyiza asidi eriwonya obulwadde bw’olubuto (naddala eryo eririmu aluminiyamu oba magnesium) .
- Empeke za kalisiyamu (Calcium carbonate) .
- Empeke z’ekyuma (Ferrous sulfate) .
- Eddagala erimu erikendeeza ku kolesterol (e.g. Cholestyramine) .
- Eddagala eddala erimu (e.g. Sucralfate, Sevelamer) .
Funa omuze gw’okumira eddagala lyo mu kiseera kye kimu buli lunaku. Ddira ddoozi yokka omusawo gy’akugamba okumira. Totwala bingi.
Bw’ogiwa abaana abato...
Eddagala lino era liyinza okuweebwa abalongo. Mu mbeera ng’ezo, empeke eno ginyige bulungi n’ogisaanuusa mu bijiiko 1-2 eby’amazzi, amata g’amabeere, oba emmere y’abaana abawere etaliimu soya , era ogiwe ng’omusawo bw’akulagidde. Togitabulangako na mmere ekoleddwa mu soya., kubanga kiyinza okufuula eddagala lino obutakola bulungi.
Kiki ky’olina okukola singa osubwa ddoozi y’eddagala?
Bw’oba weerabira okumira ddoozi, gimira amangu ddala ng’ojjukira. Naye bwe kiba nti kumpi ekiseera kya ddoozi yo eddako, buuka ddoozi gy’osubiddwa n’omira ddoozi yo eddako mu ssaawa gye wategese. Tomirangako ddoozi ya mirundi ebiri.
Watya singa nnywa eddagala erisukkiridde?
Bw’oba olowooza nti onywa eddagala erisukkiridde, genda mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) amangu ddala . Ekirala, kuba ku ssimu ya National Poisons Information Center mu ddwaaliro ly’eggwanga erya Colombo .
Ebintu ebirala ebiyinza okukwatagana ne Levothyroxine
Levothyroxine asobola okukwatagana n’eddagala lingi, vitamiini, n’emmere ezimu, n’olwekyo kikulu okubuulira omusawo wo buli ky’omira.
| Eddagala / ekika ky’ebintu | Eby’okulabirako |
|---|---|
| Eddagala eriwonya endwadde z’omutima | Amiodarone, eddagala eriyitibwa Digoxin |
| Vitamiini n’eby’obuggagga bw’omu ttaka | Calcium, Ebirungo Ebiyamba mu kyuma |
| Eddagala eriweweeza ku bulwadde bw’olubuto/acid reflux | Ebirungo ebiziyiza asidi, Sucralfate |
| Eddagala eriweweeza ku bulwadde bw’okusannyalala | Carbamazepine, Phenytoin, Ebirungo ebiyitibwa Phenobarbital |
| Ebika by’obusimu | Empeke eziziyiza okuzaala, Estrogen, Testosterone |
| Eddagala lya sukaali | Empeke za insulini oba ssukaali |
| Eddagala erimu eriwonya ekiwuubaalo | Naddala eddagala eriweweeza ku kweraliikirira erya tricyclic |
| Ebika by’eddagala eriweweeza ku bulwadde bwa steroid | Prednisone, Eddagala lya Cortisone |
Luno si lukalala lujjuvu. Buulira omusawo wo ku ddagala lyonna eritali ku ddagala, vitamiini, n’eddagala ly’ekinnansi ly’omira, awamu n’okunywa sigala oba okunywa omwenge.
Ebintu ebirala by’olina okulowoozaako ng’omira eddagala
- Nywa amazzi mangi: Empeke ezimu eza Levothyroxine nnene nnyo, n’olwekyo okuzimira nga tolina mazzi gamala kiyinza okuzisibira mu mumiro. Kale bulijjo eddagala limira n’egiraasi y’amazzi.
- Tokyusa bubonero: Tokyusa kika kya Levothyroxine ky’okozesa nga tolina lukusa lwa musawo. Oluusi, engeri eddagala gye liyingizibwa mu mubiri eyinza okwawukana katono okusinziira ku kika.
- Okukeberebwa buli kiseera: Nga omira eddagala lino, omusawo ajja kutera okulagira okukeberebwa omusaayi (TSH test) okukebera oba obusimu bwo obwa thyroid butuufu. Tokibuuka.
- Obulamu bwonna: Abantu abasinga balina okumira eddagala lino obulamu bwabwe bwonna. Tolekera awo kumira ddagala nga tolina magezi ga musawo.
- Okugwa kw’enviiri: Abantu abamu bayinza okufuna enviiri okuggwaamu katono nga basoose kutandika kumira ddagala lino. Naye teweeraliikiriranga, ebiseera ebisinga kijja kugenda ku bwakyo okumala ekiseera.
- Nga tonnalongoosebwa: Bw’oba ogenda kulongoosebwa kwonna, tegeeza ttiimu yo ey’abasawo nga bukyali nti omira eddagala lya Levothyroxine.
Biki ebiyinza okuvaamu?
Ebizibu ebivaamu bitera okubaawo nga ddoozi y’eddagala esukkulumye ku bungi omubiri gwe gwetaaga. N’olwekyo, kikulu okumanya obubonero buno.
| Side effect |
|---|
| Ebizibu ebivaamu ebirina okuloopebwa eri omusawo mu bwangu |
| • Allergy (okuzimba mu maaso, emimwa, olulimi, okusiiyibwa ku lususu, okukaluubirirwa okussa) . |
| • Okuwulira ng’omutima gukuba mangu, okulumwa mu kifuba |
| • Okutuuyana ennyo, obutasobola kugumira bbugumu |
| • Obutawummulamu nnyo, okunyiiga, obuteebaka |
| • Okukankana |
| • Ekiddukano eky’amaanyi |
| • Okugenda mu nsonga ezitali za bulijjo mu bakyala |
| Ebintu ebitera obutaba bya maanyi, naye nga birina okuloopebwa eri omusawo singa bisigala |
| • Enkyukakyuka mu njagala y’okulya |
| • Okulumizibwa omutwe |
| • Okuziyira/okusiiyibwa |
Obubaka Obutwala Awaka
- Mwa empeke ya Levothyroxine buli ku makya, ng’oli lubuto njereere, ng’olina amazzi, waakiri ng’ebula eddakiika 30 okulya.
- Weewale okuyimiriza eddagala oba okukyusa eddagala nga tolina magezi ga musawo.
- Tegeeza omusawo wo ku ddagala eddala lyonna, vitamiini, n’ebirungo ebiyamba omubiri gw’omira.
- Okukebera omusaayi gwo (TSH test) kukolebwe mu budde era okuume ddoozi y’eddagala entuufu.
- Bw’ofuna obubonero ng’okulumwa mu kifuba, omutima okukuba amangu oba okutabuka ennyo, kuba essimu y’omusawo mu bwangu.











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