Thyroid Hormone Tablets chungchanga hriat tur pawimawh te!

A châng chuan i chau, i chau, a nih loh leh i taksa rihna i tipung tih i inhria em? Chutiang hunah chuan doctor chuan pill a pe che a, i thyroid hormone level a hniam a, chu chu ``Hypothyroidism'' i nei tihna a ni? Mi tam takin zawhna an neih chu he damdawi hi engtin nge dik takin kan ei ang a, eng thil nge fimkhur tur tih hi a ni. Chuvangin, vawiin hian heng thyroid pills chungchang hi awlsam takin kan sawi dawn a ni.

Hei hi eng damdawi nge ni?

A awlsam zawngin sawi ila, thyroid gland hi i kawr chhunga butterfly ang chi gland te tak te a ni. Thyroid hormone a siam chhuak a, chu chu kan taksa tana pawimawh tak a ni. A châng chuan, he gland hian hormone a siam tling lo thei bawk. Chu chu doctor ten thyroid pill an pek lai a ni. Heng pill te hian i taksain a pianphung atanga a siam thyroid hormone te chu artificial takin a thlak a ni.

Hetiang hian han ngaihtuah teh, he thyroid hormone hi kan taksaa `engine` ang mai a ni. Thyroid hormone hi kan taksaa chakna thunun nan te, kan eitur te dik taka kan ei theih nan leh chakna (hei hi `metabolism` kan tih chu a ni) a, thinlung hnathawhna atan te, thluak thanlenna atan te, taksa lumna thunun nan te a pawimawh hle. Chuvangin, heng hormone te hi a hniam chuan a chunga kan sawi tak symptoms te, hahna, taksa rihna sang, constipation, leh vun vawt te hi a lo lang thin. He damdawi hian chu tlakchhamna chu a khum ta a ni.

He damdawi hi a chang chuan thyroid natna dang emaw, thyroid cancer chi hrang hrang emaw enkawlna atan an pe thin. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.

He damdawi hi ka ei tan hmain doctor hnenah eng nge ka hrilh tur?

Thyroid pill i ei tan hmain doctor hnena i hrilh tur pawimawh tlemte a awm. He damdawi hi mi zawng zawng tan a ni lo. Chuvangin, mahni himna atan hengte hi doctor hnenah hriattir a pawimawh hle.

A hnuaia natna te hi i neih chuan doctor hnenah hrilh ngei ang che:

• I adrenal glands-a harsatna i neih chuan, Addison natna ang chi hi.
• Lung natna i neih chuan entirnan, rilru na (angina) i neih chuan, a hmaa lungphun i lo nei tawh a nih chuan.
• Ruh lama harsatna i neih chuan, ruh natna ang chi.
• Diabetes i neih chuan.
• I taksa rihna tihtlem nan special diet i ei a nih chuan, emaw, chutiang ti tur chuan damdawi eng pawh (weight loss program) i hmang a nih chuan.
• Fertility lama harsatna i neih chuan.
• Pituitary gland-ah harsatna a awm chuan.
• Thisen zam venna tur emaw, enkawlna tur damdawi eng emaw (e.g. Warfarin) i ei a nih chuan.
• Tun hmaa levothyroxine, thyroid hormone dang, damdawi dang, ei tur, dye emaw, preservative emaw allergy i neih tawh chuan.
• Tunah hian naupai i nih chuan, emaw naupai thuai i beisei a nih chuan.
• Nu hnute pe lai i nih chuan.

Heng thute hi i doctor nen in sawiho chuan i tan a remchang ber leh him ber angin enkawlna i tan thei ang.

Engtin chiah nge he damdawi hi ka hman ang?

He damdawi hi a hlawk ber tur chuan a hman dan dik hriat a pawimawh hle.

• Ei dan: He pill hi tui glass khat nena ei tur a ni.
• Hun: Nitin hun khata ei a tha ber. Chutiang chuan i hormone level chu a inmil theih nan a awlsam zawk.
• A pawimawh ber: He damdawi hi zingkar, chaw ei hma darkar chanve (minute 30) emaw, chaw ei hma darkar khat (minute 60) emaw, pum ruak chunga ei tur a ni. He damdawi hi zing i thawh veleh, thil dang (tea pawh) i in hmain tui tlem nen i ei ang tih han ngaihtuah teh. Chaw thenkhat, a bik takin bawnghnute atanga siam ``calcium'', ``iron'' pill, leh ``antacids'' te hian he damdawi hi a hip lut a ti tlem a ni. Chuvang chuan pum ruak a ei thin nia sawi a ni.
• Titawp: I doctor-in "tunah hian he damdawi hi ei tawh suh" a tih hma loh chuan he damdawi hi ei chhunzawm zel ang che. I rilru a hahdam pawhin chawlhsan thut suh.
• Naupangte hnena pek a nih chuan: He damdawi hi naupang tê tête hnena pek dawnin ngaihtuah tur bik a awm. Hemi chungchang hi i pediatrician nen inbia la, thurawn la rawh.
• Overdosage: Damdawi pek zat aia tam i ei palh a nih chuan damdawi in hnai ber emergency room-ah kal nghal la, a nih loh leh poison control center call rawh.
• Midang hnena thilpek: He damdawi hi nangmah tan chauh pek a ni. I damdawi chu eng vangin pawh midang hnenah pe suh. An tan chuan hlauhawm tak a ni thei.

Damdawi dose i ei loh chuan engtin nge i tih ang?

Kan damdawi ei hi a chang chuan kan theihnghilh thin. Chutiang a nih chuan lungngai suh.

• I hriatreng veleh i damdawi ei nghal rawh.
• Mahse, i hriatreng huna i dose leh tur hun a hnaih hle a nih chuan (entir nan, darkar tlemte hnuah dose dang i ei tur a nih chuan) dose hloh chu skip la, a hun ruat saah dose dang i ei mai tur a ni.
• Dose hloh tawh chu tihpun nan double dose ei ngai suh. Chutianga tih chuan damdawi a tipung thei a, side effect a nei thei bawk.

He damdawi nen hian eng thil dang nge inzawm thei?

Thyroid pill i ei laiin damdawi dang, vitamin emaw dietary supplement emaw i ei a nih chuan chutiang lam pawh chu i fimkhur tur a ni, thil thenkhat chuan thyroid damdawi thatna a nghawng thei a ni.

Chutiang thil tlemte chu hetiang hi a ni:

• Amiodarone (lung natna damdawi) .
• `Antacids` (gastritis natna atana tui/tablet) .
• Thyroid dona damdawi te
• `Calcium tihpun`
• `Carbamazepine` (Epilepsy natna atana hman thin damdawi) .
• Depression damdawi thenkhat
• Cancer damdawi thenkhat
• Cholestyramine, Colesevelam, Colestipol (Cholesterol tihhniamna damdawi) te hi a tha hle.
• Digoxin (lung natna damdawi) .
• Hmeichhe hormone, entirnan birth control pill, patch, ring, emaw estrogens awmna injection te
• `Iron supplement` tih a ni
• `Ketamine` (anesthetic) tih a ni.
• `Ensure` ang chi nutritional products tui tak tak te
• Lithium (rilru natna damdawi) .
• Khawsik leh thawk harsatna damdawi thenkhat
• Zunthlum natna damdawi
• Weight loss damdawi emaw dietary supplement emaw ei tur a ni
• `Methadone` tih a ni
• `Niacin` tih a ni
• `Orlistat` (thil rihna tihtlem nana damdawi) .
• Barbiturates, Phenobarbital ang chi te pawh a awm
• Phenytoin (epilepsy damdawi) 1.1.
• `Rifampin` (TB natna damdawi) .
• Soy isoflavones (soy thil siama awm) 1.1.
• Steroid damdawi, e.g. prednisone, cortisone tih a ni
• Sucralfate (gastritis damdawi) 1.1.
• `Testosterone` tih a ni
• Theophylline (asthma damdawi) 1.1.
• Warfarin (thisen tithianghlimtu) .

Pawimawh: He list-ah hian inbiakpawhna tlanglawn ber berte chauh a tel. List kimchang tak a ni lo. Chuvangin, i damdawi ei zawng zawng (prescription leh over-the-counter-te), vitamin, supplement, herbs, leh zu i in emaw, zu i in emaw, ruihhlo dang i hman chuan i doctor hnenah hrilh rawh. I doctor chuan thurawn tha ber ber a pe thei che a ni.

He damdawi ei lai hian eng thilte nge fimkhur tur?

Thyroid pill i hman hian i hriselna ngaih pawimawh a, doctor thupek zawm a pawimawh hle.

• Brand transfer:Thyroid damdawi i ei tur brand hi doctor phalna la hmasa lovin thlak suh. Brand hrang hrangah hian danglamna tlem a awm thei. I chiang lo a nih chuan i doctor nen inbia la, zawt rawh.
• Routine test: Exam nan i doctor i pan fo a ngai dawn a, chubakah thisen test i neih a ngai bawk ang a, i thyroid hormone level enfiah a ngai bawk ang. Hei hi i doctor chuan i damdawi ei tur chu i tan a tha em tih emaw, thlak a ngai em tih emaw a enfiah ang.
• Symptoms te hi a dam rei thei hle: He damdawi hi underactive thyroid (hypothyroidism) tan i ei a nih chuan i symptoms (chau leh thau lutuk ang chi) te a lo tha leh a, i rilru a hahdam theih nan kar engemaw zat a ngai thei. Dawhthei takin awm rawh. I symptoms a that loh chuan doctor hnenah hrilh rawh.
• Nun chhung zawng: Mi thenkhat chuan an dam chhung zawng heng thyroid pills te hi an ei a ngai mai thei. Hei hi i dinhmun a zirin a ni. Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh.
• Zunthlum leh thisen thlum: He damdawi hian thisen thlum level a tichhe thei. Zunthlum i vei chuan i thisen sugar level chu doctor-in a tih angin enfiah fo ang che.
• Damdawi rim: Thyroid pill brand thenkhat chuan rim a nam deuh thei. Hei hian damdawi a kal chhe tihna a ni lo. Mahse rinhlelhna i neih chuan i pharmacist emaw doctor emaw zawt la.
• Sam tlakchham: Mi thenkhat chuan damdawi an ei tan tirh khan sam tlakchhamna engemaw zat an nei thei. Hei hi hun eng emaw chen atan a ni tlangpui a, hun kal zelah a bo vek ang. I sam a tla chhunzawm zel a nih chuan doctor hnenah hrilh rawh.
• Surgery: Eng surgery pawh i neih chuan i doctor leh surgeon hnenah thyroid pill i ei tih hrilh ngei ang che.

He damdawi hian eng side effect nge a neih theih?

Damdawi dang ang bawkin thyroid pill hian mi thenkhatah side effect a nei thei a ni. Mahse a tam zawkah chuan hengte hi a dose dik tak a nih loh chuan, chu chu ei tam lutuk a nih chuan a thleng thin.

Side effects doctor hnena hriattir nghal tur:

• Allergic reactions: Vun vun rawng, hnim hring, hives, hmai, hmui, lei emaw, kawr emaw a hring (thaw harsa a thlen thei).
• Rilru dinhmun inthlak danglamna: lungkhamna nasa tak, rilru hahdam lohna, buaina.
• Thawmhnaw leh lumna sensitivity: Thawmhnaw tam lutuk, lumna tuar thiamna tlahniam.
• Fever: A chhan langsar lova khawsik.
• Heart rate inthlak danglamna: I thinlung a thawk chak zawk ang maia inhriatna, i rilru chhunga ri beng ri hriat, heartbeat mumal lo (`heart palpitations`).
• Heart rhythm lama harsatna dang (`Heart rhythm inthlak`):Lung na lutuk emaw, mumal lo emaw, luak chhuak, muhil, rilru na, thawk harsa.
• Hmeichhe thlasik hun inthlak danglamna: Thlai hun mumal lo emaw, thlasik laiin spotting emaw.
• Diarrhea na tak a awm.
• Tremors: Kut emaw taksa emaw vawt.
• Mut theih lohna: Mut harsat.

Side effects, a tlangpuiin doctor thurawn mamawh lo (mahse a awm reng emaw, a buaithlak emaw chuan doctor hnenah hriattir tur a ni):

• Ei duhna inthlak danglamna (tipung emaw tihhniam emaw).
• Sam tlakchham (hei hi a tirah chuan a awm fo thin a, mahse a hnuah a reh mai ang).
• Lu na (Hisay Redima).
• Luhai.
• Luak chhuak.

He list hian side effect tlangpui chauh a huam a ni. Chu bâkah, natna lan chhuahna dang, danglam tak i neih chuan i doctor hnênah hrilh ngei ang che.

Engtin nge damdawi i dahkhawm thin?

Damdawi quality vawng reng tur chuan uluk taka dahkhawm a ngai a ni.

• Naupang leh ran vulh laka inthiarfihlim rawh: Damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah dah fo ang che.
• Temperature: Room temperature (15 leh 30 degree Celsius inkar, emaw 59 leh 86 degree Fahrenheit inkar)-ah dah tur a ni. Khua lum lutuk emaw, khaw lum lutuk emaw lakah venghim rawh.
• Light leh Moisture: Damdawi bottle/packet chu ni êng direct leh moisture atanga hla takah dah tur a ni. Damdawi hi hmun lumna hmun, inbualna hmunah dah loh tur a ni. Damdawi bottle/packet cap chu khar nghet takin dah tur a ni.
• Damdawi hman zawh tawh: Damdawi ``expiry date'' tih kha enfiah la, chu hun kal tawh damdawi chu paih vek rawh.

Hriat reng tur pawimawh ber berte

Kan sawi tawh atang hian thyroid pills chungchang hi in hriatthiam ka beisei. A tawp berah chuan heng thute hi hre reng ang che:

• Thyroid pills hi damdawi pawimawh tak a ni a, i taksaa thyroid hormone level hniam tak siam that nan a pui a ni.
• Dose ruat chu, a hun ruatah, chaw ei khama, chawhmeh ei hmain, doctor-in a tih angin ei a pawimawh hle.
• Doctor thurawn tel lovin damdawi ei kha bansan suh, brand thlak suh, a dose pawh thlak suh.
• Damdawi dang i ei zawng zawng leh natna dang i neih apiang chu doctor hnenah hrilh rawh.
• Side effect emaw thil danglam emaw i hmuh chuan doctor hnenah hrilh nghal rawh.
• Doctor chu a hun takah hmu la, a tul ang ang test tihsak rawh.

He damdawi hi dik taka i hman chuan hypothyroidism avanga lungawi lohna awm lo turin a pui ang che a, hrisel leh active taka awm reng turin a pui bawk ang che. Zawhna dang i neih chuan doctor zawt hreh suh.

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