Nang pawhin i chau reng em? I thau chho zel em? A châng chuan he hahna hi vun vawt leh chaw ei kham ang chi thilte nen a inzawm thei bawk. Hengte hi underactive thyroid gland chhinchhiahna emaw, damdawi lama kan sawi angin hypothyroidism emaw chhinchhiahna a ni thei bawk. Chuvangin, chutiang mite tan chuan doctor-te chuan Levothyroxine leh Liothyronine tih damdawi an pe fo thin. Heng damdawi chungchang hi vawiinah hian chipchiar zawkin han sawi ila.
He damdawi hi eng atan nge ni? A awlsam zawngin...
A awlsam zawngin sawi ila, heng damdawi pahnih Levothyroxine leh Liothyronine te hi hypothyroidism enkawlna atan hman a ni a, chu chu i thyroid gland hian hormone a siam chhuak tlem tihna a ni. Heng damdawi te hian kan taksain a pianphung a siam chhuah thyroid hormone ang bawkin hna a thawk a ni.
Tunah chuan heng thyroid hormone te hian eng nge an tih tih i ngaihtuah mai thei. Dik tak chuan heng hormone te hian kan taksaah hmun pawimawh tak an chang a ni . Heng thyroid hormone te hi thil tam takah a pawimawh hle a, chu chu kan taksa chakna level control te, metabolism dik tak vawn that te, thinlung hnathawh dan te, thluak thanlenna te, ruh chakna te a ni. Chuvangin, heng hormone te hi a hniam chuan a hmaa kan sawi tawh ang chi, hahna leh taksa rihna tihpun te hi a lo lang thin.
He damdawi hi thyroid nena inzawm natna dang tan pawh doctor ten an pe thei bawk. Zawhna i neih chuan doctor emaw pharmacist emaw zawh a tha ber.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Okay, tunah chuan he damdawi hi i hman tan hmain, i ei tan hmain i doctor emaw healthcare team emaw hnena i hrilh tur thil tlemte a awm. A chhan chu i himna atan damdawi dang i neih emaw, damdawi dang i ei emaw hian he thyroid damdawi nen hian engtin nge a inzawm tih hriat a pawimawh hle.
Chutiang thil tlemte chu hetiang hi a ni:
- I adrenal glands ah harsatna i nei em? Entîr nân, Addison-a natna ang chi natna .
- I rilru natna (angina) emaw, thinlung natna dang emaw i nei em?
- Ruh lama harsatna i nei em?
- Diabetic i ni em ?
- I taksa rihna tihtlem nan special diet/weight loss program i zawm em?
- Fertility lama harsatna a awm em?
- Pituitary gland-ah hian natna a awm em?
- Thisen zam venna tur damdawi eng emaw tal i ei em? (e.g. Warfarin) tih a ni.
- Hei hi a pawimawh hle a ni:Allergy, chu chu allergy i neih chuan, levothyroxine, liothyronine, thyroid hormone dang, damdawi dang eng pawh, ei tur, ei tur rawng, a nih loh leh preservatives i neih chuan i doctor hnenah hrilh ngei ang che
- Tunah hian naupai i ni em? Nge naupai thuai i tum em?
- Nu hnute pe thin i ni em?
Hengte chauh ni lovin, hriselna lama harsatna i neih apiang doctor hnena hrilh hi a pawimawh hle.
He damdawi hi engtin nge ka hman ang?
He damdawi hi tablet angin a awm a. Tui glass khat nen i ei tur a ni. Dose ruat sa, a hun ruat saah, nitin, i doctor-in a tih ang chiah chiah ei a pawimawh hle.
A tlangpuiin, he damdawi hi zingkar, chaw ei hma darkar chanve vel emaw, chaw ei hma darkar khat vel emaw, chaw ei khama ei tur niin an sawi. Chu chu damdawi chu taksaah dik taka a luhchilh hunah a ni.
Doctor-in chawlhsan tura a tih hma loh chuan he damdawi hi i hmang chhunzawm zel tur a ni. A ei nghal vat loh tur.
He damdawi hi naupangte hnena i pek chuan:
He damdawi hi naupang tan pawh case thlan bik thenkhatah chuan a tha hle. Mahse, i doctor nen in sawiho tur a ni a, a thupek dik tak chu zawm tur a ni. Naupangte hnena pek dawnin fimkhur tur thil engemaw zat a awm.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
Damdawi i ei tam lutuk nia i hriat chuan hlauthawng suh la, damdawi in hnai ber emergency room-ah kal nghal rawh. A nih loh leh a theih chuan poison control center call rawh.
Hei hi hre reng ang che:
He damdawi hi i tan chauh pek a ni. I damdawi hi midang hnenah pe ngai suh, nangmah ang bawka natna lanchhuahna nei pawh nise.
Damdawi ei tur appointment i neih loh chuan engtin nge i tih?
Dose i miss a nih chuan lungngai suh. I hriatreng veleh la nghal rawh. Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh a nih chuan (entir nan darkar tlemte chhungin) dose hloh chu skip la, i dose leh tur chu a hun ruatah ei rawh. Double dose ei ngai suh, chu chuan side effect a thlen thei.
He damdawi nena inzawm thei thil dang (Interactions) .
Tunah chuan hei hi tlem a fimkhur a ngai hle. He thyroid damdawi nen hian ei a nih chuan damdawi dang thenkhat, ei tur, vitamin, herbal remedies, emaw dietary supplement i ei te nen a inzawm thei a ni. Chumi awmzia chu thyroid damdawi hman tangkai dan a tlahniam thei a, a tipung thei a, side effect thar a awm thei tihna a ni.
Chuvangin,I damdawi hman zawng zawng chu i doctor hnenah i hrilh vek tur a ni a, i doctor-in a pek ang chauh ni lovin, damdawi dawr atanga i lei te, vitamin pill, traditional medicine, Ayurvedic damdawi, leh nutritional supplement i ei apiang te pawh i hrilh vek tur a ni.
A bik taka i chhan theih tur thil thenkhat chu hetiang hi a ni:
- Lung natna damdawi thenkhat (e.g. Amiodarone , Digoxin ) .
- Pum natna leh gastritis tan antacid chi hrang hrang
- Calcium tihpunna tur a ni
- Iron tihpunna tur a ni
- Epilepsy/seizure damdawi thenkhat (e.g. Carbamazepine , Phenytoin , Phenobarbital ) .
- Depression damdawi thenkhat
- Cancer damdawi thenkhat
- Cholesterol tihhniamna damdawi (e.g. Cholestyramine , Colestipol , Colesevelam ) te hi a ni.
- Birth control pill, patch, ring, emaw injection hmanga hmeichhe hormone, i.e. estrogens awmna
- Zunthlum damdawi
- Khawsik leh thawk harsatna damdawi thenkhat
- Damdawi emaw supplement emaw thenkhat ei la, taksa rihna tihtlem nan
- Natna tidamtu thenkhat (e.g. Methadone ) .
- Niacin a ni
- Rifampin hi TB natna a ni
- Soy (Soy isoflavones) awmna thil (hengte hi bawnghnute powder leh nutritional supplement thenkhatah hmuh tur a awm) .
- Steroid chi hrang hrang damdawi (e.g. Prednisone , Cortisone ) .
- Thisen tithianghlimtu (e.g. Warfarin ) .
- Liquid nutrition product hrang hrang Ensure ang chi te
- Damdawi dang tam tak Ketamine , Lithium , Orlistat , Oxandrolone , Sevelamer , Simethicone , Sodium polystyrene sulfonate , Sucralfate , Testosterone , Theophylline te pawh a awm bawk
He list hi a kimchang lo hle. Chuvang chuan kan ti a, i ei zawng zawng hi i doctor hnenah hrilh vek tur a ni a, zu i in emaw, zu i in emaw, ruihhlo i hman emaw pawh nise. Chutiang chuan a remchan ber angin a cheibâwl thei che a ni.
He damdawi hman huna fimkhur tur thilte
He damdawi kan hman lai hian kan fimkhur a tul deuh a.
- He damdawi brand hi i doctor phalna la hmasa lo chuan thlak suh. A châng chuan brand hrang hrangah danglamna tlem a awm thei. Harsatna i neih chuan doctor zawt la.
- Damdawi hian hna a thawk tha em tih leh i thyroid hormone level a normal em tih enfiah nan medical checkup neih fo a ngai dawn a, a bik takin thisen test i neih a ngai dawn a ni.
- He damdawi hi hypothyroidism (underactive thyroid) tan i ei a nih chuan i natna lan chhuah dan (chauhna leh taksa rihna sang ang chi) te chu a lo ṭhat theih nan kar engemaw zat a la ngai thei a, i rilru a hahdam thei bawk. Chuvangin lungngai suh. Mahse i symptoms a that loh chuan doctor nen inbia ang che.
- > Mi thenkhat chuan an dam chhung zawng he damdawi hi an ei a ngai mai thei tih hriat a pawimawh hle. He damdawi hi doctor thurawn tel lova ei khap suh.
- He damdawi hian i thisen sugar level a nghawng thei a ni. Zunthlum i vei chuan i thisen sugar level chu doctor-in a tih angin enfiah fo ang che.
- Damdawi i ei tan tirh hian mi thenkhat chuan a tlangpui aia sam tlakchhamna tlem an nei thei. Mahse hei hi a tlangpuiin hun eng emaw chen atan a ni. Hun kal zelah a mah chauhin a bo tlangpui. Thil ngaihtuah tur a awm lo va, mahse a lo thleng a nih chuan doctor hnenah hrilh a tha .
He damdawi hian eng side effect nge a neih theih?
Damdawi zawng zawng ang bawkin mi thenkhat chuan heng levothyroxine leh liothyronine tablet te hian side effect an nei thei a ni. Mahse, hei hi mi zawng zawng tan a ni lo. Tin, a tam zawkah chuan hengte hi a pawi lo va, thil tenau tak a ni bawk. Mahse, side effect thenkhat a awm a, chu chu i hriat chuan doctor hnenah i hriattir nghal tur a ni.
I doctor hnena i hrilh nghal tur side effects:
- Allergic reactions: Hei hian vun natna, hive, natna nasa tak, leh a chang chuan hmai, hmui, lei leh kawr a hring (hei hi a hlauhawm thei a, thawk harsatna a thlen theih avangin).
- Lungngaihna leh hlauhna nei reng reng.
- A tul aia tam thawk hah, lumna tuar thei lo tak tak anga inhria.
- Khawsik.
- Heart palpitations: Hei hi thinlung chu a na hle a, a na hle a, a thawk mumal lo bawk a, a skip beat ang maiin a na a ni.
- Heart rhythm inthlak danglamna: Lung na a chak emaw, a mumal lo emaw a awm reng a, chu chu luak chhuak, rilru hah emaw, lu hah emaw, rilru na, leh thawk harsatna te nen a inzawm a ni.
- Hmeichhia tan chuan thlasik hun mumal lo emaw, period inkara spotting emaw.
- Diarrhea na tak a awm.
- Tremors emaw, nghing emaw.
- Mut harsatna.
Hetiang thil hi i chungah a lo thleng a nih chuan i doctor hnenah hriattir nghal rawh.
Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur:
- Ei duhna a inthlak danglam.
- Sam tlakchham - Sawi tawh ang khan hei hi a tlangpuiin enkawl tan tirh lamah a thleng thei a, rei vak lo hnuah a reh mai ang.
- Lu na.
- Nausea - Hei hian i luak dawn ang maia inhriat tihna a ni.
- Luak chhuak.
Heta tarlan loh symptom thar i neih chuan i rilru tibuaitu nia i hriat chuan i doctor nen sawiho rawh. United States ang ram ah chuan side effects te chu FDA (Food and Drug Administration) ah 1-800-FDA-1088 ah report theih a ni. Sri Lanka ramah chuan i doctor hi he thila puitu tur che tha ber a ni.
He damdawi hi engtin nge ka dahkhawm ang?
He damdawi hi uluk taka dahkhawm a pawimawh hle bawk.
- Hmun him takah, sang takah, i in chhunga naupang leh ran vulhte hmuh theih lohna hmunah dah fo ang che. Hei hi tih ngei ngei tur a ni.
- Damdawi bottle/packet chu refrigerator-ah 2 leh 8 degree Celsius (36 leh 46 degree Fahrenheit) inkar ah dah la.
- Damdawi bottle cap chu khar nghet takin dah la.
- Direct light tlakna hmunah dah suh.
- Damdawi expired hmang ngai suh. Anni chu uluk takin paih rawh.
He thuziak hi he damdawi hi a tawi zawng chauh a ni tih hre reng ang che. Thu hriat zawng zawng a keng tel lo mai thei. He damdawi chungchanga zawhna dang i neih chuan i doctor, pharmacist emaw, i enkawltu healthcare provider dang emaw zawh a tha ber.
I hriat reng tur thil pawimawh thenkhat
Kan sawiho tawh atang hian thil pawimawh tak tak i hriat reng tur thenkhat chu hetiang hi a ni:
- Levothyroxine leh liothyronine te hi hypothyroidism enkawlna atana pek thin a ni a, hei hi i taksaah thyroid hormone a tlahniam a ni. An hman dik hi i hriselna atan a pawimawh hle.
- Dose dik tak, a hun takah, i doctor-in a hrilh angin ei rawh. A tlangpuiin zingkar, chaw ei hmain, pum ruak chunga ei a tha ber.
- Damdawi dang i ei zawng zawng (doctor-te’n an pek chauh ni lovin, damdawi dawr, hnam damdawi leh vitamin atanga i lei te pawh), natna dang i neih leh allergy i neih zawng zawngte chu i doctor hnenah hrilh ngei ang che. A chhan chu thil thenkhat chu he damdawi nen hian a inzawm thei a ni.
- He damdawi hi ei nghal vat suh la, i duh angin thlak suh la, i doctor thurawn tel lovin damdawi brand pawh thlak suh.
- Side effect danglam tak i neih chuan, chu chu a hmaa awm lo thil thar i hmuh chuan i doctor hnenah hrilh nghal rawh.
- He damdawi hi i dam chhung zawng i ei a ngai mai thei a, mahse nun pangngai leh hrisel tak i neih theih nan a pui ang che. Chuvângin, lungngai suh, i doctor nên inlaichînna ṭha tak nei la, a thupêkte chu dik takin zawm rawh. Tichuan hrisel takin i awm thei ang.
Thil dang hriat duh chuan a hnuaiah hian comment-ah i dah thei ang.
`Thyroid, hypothyroidism, levothyroxine, liothyronine, hormone, damdawi, side effects te a awm thei
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