Nang pawhin i chau reng em? I chak lo va, i thau a, a châng chuan i rilru a hah hle tih i inhria em? Hengte hi kan taksaa thyroid gland hnathawh tlahniam chhinchhiahna a ni fo thin. Doctor-te chuan he natna hi (Hypothyroidism) an ti a. Chuvangin, doctor-te’n an rawt fo thin leh mi tam takin an hman thin damdawi pakhat chu Levothyroxine a ni. Vawiin hian he damdawi leh a hman laia fimkhur tur thilte, awlsam tak leh friendly takin sawi ila.
A awlsam zawngin, Levothyroxine hi eng nge ni?
Levothyroxine hi laboratory-a siam synthetic hormone a ni a, kan kawr chhunga thyroid gland-in a pianphung a siam chhuah thyroid hormone nen a inang a ni. Eng emaw chhan vanga i taksain thyroid hormone a siam tlem chuan i doctor chuan a tlakchhamna phuhruk nan he damdawi hi a pe ang.
Thyroid hormone hi kan taksa chhunga thil awm zawng zawng control tu manager tlemte angin han ngaihtuah teh.
- Kan taksa hian metabolism a control a, chu chu kan ei tur chu chaknaah a chantir chakna rate a ni.
- Kan heart rate leh taksa lumna ang chi thilte chu a level dik takah a awm tir thei a ni.
- He hormone hi kan chakna level leh rilru dinhmun vawng reng turin a pawimawh hle.
Chuvangin he hormone hi a hniam chuan (Hypothyroidism) heng zawng zawng hi a slow deuh vek a ni. Levothyroxine pills hian a tih chu chutiang slowed down process te chu a siam tha leh thin.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Levothyroxine i hman tan hmain i doctor hnenah damdawi dang i neih leh damdawi dang i ei tur te hriattir hmasak a pawimawh hle a , natna thenkhatah chuan he damdawi i hman hian fimkhur bik a ngai a ni.
| A hnuaia natna pakhat emaw a aia tam emaw i neih chuan i doctor hnenah hrilh ngei ang che: |
|---|
| • Addison natna emaw, adrenal gland lama harsatna dang emaw a awm thei |
| • Lung natna emaw thinlung natna (Angina) . |
| • Ruh chak lo emaw, ruh natna emaw ang chi dinhmun |
| • Zunthlum |
| Pituitary gland lama harsatna awm thei |
| • Thisen zam venna emaw enkawl emaw damdawi i ei a nih chuan (e.g. Warfarin) . |
| • I taksa rihna tihtlem program i neih chuan |
| • Naupai lama harsatna i neih chuan |
| • Naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan |
| • Damdawi dang, ei tur dang emaw, dye dang emaw allergy i neih chuan. |
Engtin chiah nge he damdawi hi i hman?
Hei hi mi tam tak kal sualna hmun a ni. He damdawi hi a hlawk ber tur chuan a ei dan tur dik tak i hriat a ngai a ni.
A pawimawh ber: Levothyroxine tablets hi chaw ei khama ei fo ang che , chawhmeh ei hma minute 30 atanga darkar khat tal , tui glass khat nen.
Engvangin nge chutiang chu kan sawi? A chhan chu he damdawi hi chaw nen kan ei chuan ei tur a tibuai ang a, damdawi chu a hip lut tha lo ang. Chuti a nih chuan damdawi ei thatna chu a tlahniam ang.
Tin, he damdawi hi ei hun (darkar 4 chhung) hnaih ber (darkar 4 chhunga) a hnuaia thil te hi ei loh tur a ni:
- Gastritis (a bik takin aluminium emaw magnesium emaw awmna) tan anticids .
- Calcium tablets (Calcium carbonate) hmanga siam chhuah a ni.
- Thir tablet (Ferrous sulfate) hmanga siam a ni.
- Cholesterol tihhniamna damdawi thenkhat (e.g. Cholestyramine) .
- Damdawi dang thenkhat (e.g. Sucralfate, Sevelamer) .
Nitin i damdawi ei hun inangah ei thin ang che. I doctor-in a tih tur dose chauh ei rawh. A tam zawk la suh.
Naupang te te hnenah i pek chuan...
He damdawi hi nausen piang tharte tan pawh pek theih a ni. Chutiang hunah chuan tablet chu uluk takin chil la, tui, hnute tui, emaw soy tel lo nausen chaw teaspoon 1-2-ah hmin la, doctor-in a tih angin pe rawh. Soy-based formula nen chuan mix ngai suh., a chhan chu damdawi chu a tichak lo thei a ni.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Double dose ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
Overdose i ei nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh . A nih loh leh, Colombo National Hospital-a National Poisons Information Center-ah biak theih a ni bawk.
Levothyroxine nena inzawm thei thil dang
Levothyroxine hian damdawi tam tak, vitamin leh ei tur thenkhat nen pawh a inzawm thei a, chuvangin i ei zawng zawng hi doctor hnenah hrilh vek a pawimawh.
| Damdawi / thil chi hrang hrang | Entirnan |
|---|---|
| Lung natna damdawi | Amiodarone, Digoxin tih a ni |
| Vitamin leh mineral te a awm | Calcium, Iron ei tur chi hrang hrang |
| Gastritis/acid reflux damdawi | Anticids, Sucralfate tih a ni |
| Epilepsy natna damdawi | Carbamazepine, Phenytoin, Phenobarbital te a awm bawk |
| Hormone chi hrang hrang | Naupai venna damdawi, Estrogen, Testosterone te a awm bawk |
| Zunthlum damdawi | Insulin emaw zunthlum damdawi emaw |
| Depression damdawi thenkhat | A bik takin tricyclic antidepressant damdawi te hi a ni |
| Steroid chi hrang hrang | Prednisone, Cortisone tih a ni |
Hei hi list kimchang a ni lo. I doctor hnenah damdawi lei theih loh zawng zawng, vitamin leh hnam damdawi i ei zawng zawng te, zu i in emaw, zu i in emaw te pawh hrilh rawh.
Damdawi ei huna ngaihtuah tur dang
- Tui tam in rawh: Levothyroxine pill thenkhat hi a lian khawp mai a, chuvangin tui tling lova ei chuan i rilruah a tlakbuak thei a ni. Chuvangin damdawi hi tui glass khat nen ei fo ang che.
- Brand thlak suh: I doctor phalna la hmasa lovin Levothyroxine i hman mek brand hi thlak suh. A chang chuan damdawi taksa chhunga a luh dan hi brand hrang hrangah a inang lo deuh thei bawk.
- Test neih fo: He damdawi hi i ei lai hian i doctor chuan i thyroid hormone level a dik leh dik loh enfiah nan thisen test (TSH test) a ti fo thin. Skip suh.
- Nun chhung zawng: Mi tam zawk chuan he damdawi hi an dam chhung zawngin an ei a ngai a ni. Doctor thurawn tel lo chuan damdawi ei kha bansan suh.
- Sam tlakchham: Mi thenkhat chuan damdawi an ei tan tirh hian sam tla tlem an nei tam zawk thei. Mahse lungngai suh, a tam zawkah chuan hun kal zelah a mah chauhin a bo vek ang.
- Operation hmain: Surgery i neih dawn chuan i medical team te hnenah Levothyroxine i ei thu hrilh lawk ang che.
Side effect awm thei te chu engte nge ni?
Damdawi dose hian taksa mamawh aia tam a nih chuan side effect a awm fo thin. Chuvang chuan heng symptoms te hi kan hriat chian a pawimawh hle.
| Side effect a awm thei |
|---|
| Side effects te chu doctor hnenah hriattir nghal tur a ni |
| • Allergy (hmai, hmui, lei hring, vun hring, thawk harsa) . |
| • I thinlung a thawk chak ang maia inhriatna, rilru na |
| • Thaw tam lutuk, lum tuar thei lo |
| • Hahdam lohna nasa tak, thinrimna, mut theih lohna |
| • Khur nghing |
| • Luak chhuak na tak |
| • Hmeichhiaah thlasik hun mumal lo |
| Thil pawi lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni |
| • Ei duhna a inthlak danglam |
| • Lu na |
| • Nausea/luak chhuak |
Take-Home Thuchah a ni
- Levothyroxine tablet hi zing tin, pum ruak, tui nen, chaw ei hma minute 30 tal ei thin tur a ni.
- Doctor thurawn tel lova damdawi ei khap emaw, a dose thlak emaw loh tur a ni.
- Damdawi dang zawng zawng, vitamin leh supplement i ei tur zawng zawng chu i doctor hnenah hrilh rawh.
- I thisen test (TSH test) chu a hun takah tih tir la, damdawi hman dan dik tak chu vawng reng rawh.
- I rilru natna, thinlung na rang, emaw, rilru hah lutuk emaw ang chi symptom i neih chuan doctor ko nghal rawh.
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