Kodi mukumva kutopa, kutopa, kapena kunenepa kwambiri? Izi zitha kukhala chifukwa cha kuchepa kwa mahomoni opangidwa ndi chithokomiro chanu. Matendawa amadziwika kuti hypothyroidism. Chifukwa chake, jakisoni wotchedwa Levothyroxine ndi mahomoni opangidwa omwe amaperekedwa kuti alowe m'malo mwa mahomoni a chithokomiro omwe ali ochepa m'thupi lanu. Zili ngati kuyika batri yatsopano m'galimoto yakufa.
Kodi Levothyroxine ndi chiyani? Tiyeni timvetse mosavuta.
Mwachidule, Levothyroxine ndi mahomoni opangidwa omwe ali ofanana ndi mahomoni opangidwa ndi chithokomiro chathu. Mahomoni a chithokomiro amalamulira ntchito zambiri zofunika m'thupi lathu, monga kagayidwe kachakudya, komwe ndi njira yosinthira chakudya kukhala mphamvu, kutentha kwa thupi, ndi kugunda kwa mtima.
Choncho pamene mahomoni awa ali ochepa (Hypothyroidism), ntchito zambiri m'thupi zimayamba kuchepa. Pamenepo madokotala amasankha kupereka mankhwala otchedwa Levothyroxine, nthawi zina akamabaya jekeseni. Izi zimachitika kuti mahomoni otsika abwerere mwakale.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanayambe kulandira chithandizo cha levothyroxine, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yonse ya thanzi. Izi zili choncho chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse lomwe latchulidwa patebulo ili pansipa.
| Kodi muli ndi mikhalidwe iyi? |
|---|
| Matenda a Addison kapena vuto lina la adrenal gland. |
| Kupweteka pachifuwa komwe kumakhudzana ndi matenda a mtima (Angina). |
| Mavuto a mafupa (monga osteoporosis). |
| Kuchita pulogalamu yochepetsa thupi kapena kutsatira zakudya zapadera. |
| Mavuto okhudzana ndi kubereka. |
| Matenda a mtima amtundu uliwonse. |
| Matenda a shuga kapena kuchuluka kwa shuga m'magazi. |
| Vuto lokhudzana ndi pituitary gland. |
| Kumwa mankhwala oletsa kapena kuchiza magazi kuundana (monga Warfarin). |
| Kukhala ndi vuto la ziwengo ku levothyroxine, mahomoni ena a chithokomiro, mankhwala ena, zakudya, utoto, kapena zotetezera. |
| Kukhala ndi pakati kapena kuyesera kutenga mimba. |
| Kuyamwitsa mwana. |
Kodi katemerayu amaperekedwa bwanji?
Jakisoni wa Levothyroxine nthawi zambiri si chinthu chomwe mungagwiritse ntchito kunyumba. Umaperekedwa mu minofu kapena mtsempha ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena kuchipatala .
Katemerayu angaperekedwe kwa ana aang'ono komanso ngakhale makanda obadwa kumene nthawi zina zapadera. Komabe, njira zina zodzitetezera zimatsatiridwa. Dokotala wanu adzakufotokozerani izi.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Popeza izi zimaperekedwa kuchipatala, chiopsezo chogwiritsa ntchito mankhwala mopitirira muyeso n'chochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Izi ndi zadzidzidzi ndipo ndikofunikira kuchitapo kanthu mwachangu.
Kumbukirani, mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ngati mukumwa mankhwala ena, mavitamini, mankhwala azitsamba, kapena zowonjezera, muyenera kuuza dokotala wanu za mankhwalawa. Mankhwala ena amatha kuyanjana ndi Levothyroxine ndikuwonjezera kapena kuchepetsa mphamvu yake. Nazi zina mwa mankhwalawa.
| Mtundu wa mankhwala / mankhwala | Kufotokozera |
|---|---|
| Amiodarone, Carbamazepine, Ketamine, Lithium, Methadone, Phenobarbital, Phenytoin, Rifampin, Warfarin, Theophylline | Mankhwala a matenda osiyanasiyana. |
| Mankhwala ena ochizira kuvutika maganizo | Za mavuto amisala. |
| Mankhwala ena a khansa | Kulamulira maselo a khansa. |
| Mahomoni achikazi (Estrogens) | Mapiritsi oletsa kubereka, mabala, jakisoni, ndi zina zotero. |
| Mankhwala a matenda a shuga | Kuwongolera kuchuluka kwa shuga m'magazi. |
| Ma isoflavone a soya | Zakudya ndi zowonjezera zomwe zili ndi soya. |
| Mitundu ya Ma Steroid | Mwachitsanzo: Prednisone, Cortisone. |
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu za mankhwala onse omwe mumamwa.
Zinthu zofunika kuziganizira mukamalandira chithandizo
- Kuyezetsa pafupipafupi: Mukayamba kulandira chithandizochi, muyenera kuyesedwa pafupipafupi ndi dokotala komanso magazi kuti muwone momwe thupi lanu likumvera ndi chithandizochi.
- Khalani oleza mtima: Zingatenge milungu ingapo kuti zizindikiro zanu ziwongoke. Choncho musachite mantha. Ngati zizindikiro zanu sizikuwongoka, lankhulani ndi dokotala wanu.
- Moyo Wanu Wonse: Mungafunike kumwa mankhwalawa moyo wanu wonse. Musasiye kumwa popanda upangiri wa dokotala.
- Ngati muli ndi matenda a shuga: Ngati muli ndi matenda a shuga, mankhwalawa angakhudze kuchuluka kwa shuga m'magazi mwanu. Chifukwa chake, yang'anani kuchuluka kwa shuga m'magazi mwanu nthawi zonse monga momwe dokotala wanu wanenera.
- Kutaya tsitsi: Anthu ena angataye tsitsi poyamba chithandizo. Musadandaule, nthawi zambiri izi zimakhala zakanthawi kochepa ndipo zimatha pakapita nthawi.
- Musanachite opaleshoni: Ngati mukuchitidwa opaleshoni iliyonse, onetsetsani kuti mwauza dokotala wanu kuti mukumwa Levothyroxine.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, Levothyroxine ingayambitse zotsatira zina zoyipa. Zambiri mwa izi zimachitika ngati kuchuluka kwa mahomoni kuli kokwera pang'ono kuposa momwe thupi limafunira.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa maganizo | Nkhawa, mantha. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mwachangu, kugunda kwa mtima, kupweteka pachifuwa, kuvutika kupuma. |
| Zizindikiro zina zazikulu | Kutuluka thukuta kwambiri, kutentha thupi, kutupa kwa m'mimba kwambiri, manja akunjenjemera, kusowa tulo. |
| Kwa akazi | Kusamba kosakhazikika pamwezi. |
| Kawirikawiri si nkhani yaikulu, koma uzani dokotala ngati ikupitirira. | |
| Kusintha kwa chilakolako | Kutaya tsitsi kwakanthawi |
| Mutu | Kusanza |
Uthenga Wopita Nawo Kunyumba
- Levothyroxine ndi mahomoni opangidwa omwe amaperekedwa kuti alowe m'malo mwa mahomoni a chithokomiro omwe thupi limataya mwachibadwa.
- Katemerayu amaperekedwa kuchipatala kapena ku chipatala chokha.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse ndi mankhwala onse omwe mukumwa.
- Ngati mukukumana ndi zotsatirapo zoyipa panthawi ya chithandizo, makamaka kugunda kwa mtima mofulumira komanso kupweteka pachifuwa, funsani upangiri wa dokotala nthawi yomweyo.
- Musasiye kulandira chithandizo popanda upangiri wa dokotala. Kupita kukayezetsa nthawi zonse kungakuthandizeni kukhala ndi thanzi labwino.
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