Kodi mumamvanso kutopa nthawi zonse? Kodi mumamva kufooka, kunenepa, ndipo nthawi zina mumamva kutopa kwambiri? Izi nthawi zambiri zimakhala zizindikiro za kuchepa kwa ntchito ya chithokomiro m'thupi lathu. Madokotala amatcha vutoli (Hypothyroidism). Chifukwa chake, mankhwala omwe madokotala nthawi zambiri amalangiza ndipo anthu ambiri amagwiritsa ntchito ndi Levothyroxine. Lero, tiyeni tikambirane za mankhwalawa ndi zinthu zomwe muyenera kusamala nazo mukamagwiritsa ntchito, m'njira yosavuta komanso yochezeka.
Mwachidule, kodi Levothyroxine ndi chiyani?
Levothyroxine ndi mahomoni opangidwa ndi anthu omwe amapangidwa mu labotale, ofanana ndi mahomoni a chithokomiro omwe amapangidwa mwachibadwa ndi chithokomiro chomwe chili m'khosi mwathu. Ngati pazifukwa zina thupi lanu silipanga mahomoni okwanira a chithokomiro, dokotala wanu adzakupatsani mankhwalawa kuti akwaniritse zosowazo.
Taganizirani za mahomoni a chithokomiro ngati kasamalidwe kakang'ono komwe kamayang'anira chilichonse m'thupi lathu.
- Thupi lathu limalamulira kagayidwe kachakudya, liwiro lomwe chakudya chomwe timadya chimasanduka mphamvu.
- Zimathandiza kuti zinthu monga kugunda kwa mtima wathu ndi kutentha kwa thupi lathu zikhale pamlingo woyenera.
- Homoni iyi ndi yofunika kwambiri kuti tisunge mphamvu zathu komanso maganizo athu.
Choncho pamene mahomoni awa ali ochepa (Hypothyroidism), zonsezi zimachepa pang'ono. Zimene mapiritsi a Levothyroxine amachita ndikubwezeretsa machitidwe ochedwawo.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kugwiritsa ntchito Levothyroxine, ndikofunikira kwambiri kudziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa, chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa.
| Ngati muli ndi vuto limodzi kapena angapo mwa awa, onetsetsani kuti mwauza dokotala wanu: |
|---|
| • Matenda a Addison kapena mavuto ena a adrenal gland |
| • Matenda a mtima kapena kupweteka kwa mtima (Angina) |
| • Matenda monga kufooka kwa mafupa kapena kufooka kwa mafupa |
| • Matenda a shuga |
| Mavuto a pituitary gland |
| • Ngati mukumwa mankhwala oletsa kapena kuchiza magazi kuundana (monga Warfarin) |
| • Ngati muli pa pulogalamu yochepetsa thupi |
| • Ngati muli ndi vuto la kusabereka |
| • Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa |
| • Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala ena, chakudya, kapena utoto. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Apa ndi pomwe anthu ambiri amalakwitsa. Kuti mupindule kwambiri ndi mankhwalawa, muyenera kudziwa bwino momwe mungawamwere.
Chofunika kwambiri: Nthawi zonse imwani mapiritsi a Levothyroxine pamimba yopanda kanthu , osachepera mphindi 30 mpaka ola limodzi musanadye chakudya cham'mawa, ndi kapu ya madzi.
N’chifukwa chiyani tikutero? Chifukwa ngati titenga mankhwala awa pamodzi ndi chakudya, adzasokoneza chakudya ndipo mankhwalawo sadzayamwa bwino. Kenako ubwino womwa mankhwalawo udzachepa.
Komanso, pewani kumwa zinthu zotsatirazi pafupi ndi nthawi (mkati mwa maola 4) mutatenga mankhwalawa:
- Mankhwala oletsa asidi a gastritis (makamaka omwe ali ndi aluminiyamu kapena magnesium)
- Mapiritsi a Calcium (Calcium carbonate)
- Mapiritsi achitsulo (Ferrous sulfate)
- Mankhwala ena ochepetsa mafuta m'thupi (monga Cholestyramine)
- Mankhwala ena (monga Sucralfate, Sevelamer)
Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Imwani mlingo wokhawo womwe dokotala wanu wakuuzani. Musamwe mankhwala ochulukirapo.
Ngati mupatsa ana aang'ono ...
Mankhwalawa angaperekedwenso kwa makanda obadwa kumene. Zikatero, phwanyani piritsi bwino ndikusungunula mu supuni 1-2 za madzi, mkaka wa m'mawere, kapena mkaka wa ana wopanda soya , ndipo perekani monga momwe dokotala wanu wanenera. Musasakanize ndi mkaka wa soya., chifukwa zingapangitse kuti mankhwalawo asagwire bwino ntchito.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala opitirira muyeso, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena, imbani National Poisons Information Centre ku Colombo National Hospital .
Zinthu zina zomwe zingagwirizane ndi Levothyroxine
Levothyroxine imatha kuyanjana ndi mankhwala ambiri, mavitamini, komanso zakudya zina, choncho ndikofunikira kuuza dokotala wanu zonse zomwe mukumwa.
| Gulu la mankhwala / mankhwala | Zitsanzo |
|---|---|
| Mankhwala a matenda a mtima | Amiodarone, Digoxin |
| Mavitamini ndi mchere | Calcium, Zowonjezera za Iron |
| Mankhwala a gastritis/acid reflux | Mankhwala Oletsa Kuchuluka kwa Ma asidi, Sucralfate |
| Mankhwala a khunyu | Carbamazepine, Phenytoin, Phenobarbital |
| Mitundu ya mahomoni | Mapiritsi oletsa kubereka, Estrogen, Testosterone |
| Mankhwala a shuga | Mapiritsi a insulin kapena matenda a shuga |
| Mankhwala ena ochizira kuvutika maganizo | Makamaka mankhwala oletsa kuvutika maganizo otchedwa tricyclic |
| Mitundu ya ma steroid | Prednisone, Cortisone |
Iyi si mndandanda wathunthu. Uzani dokotala wanu za mankhwala onse ogulitsidwa kunja kwa chipatala, mavitamini, ndi mankhwala achikhalidwe omwe mumamwa, komanso ngati mumasuta kapena kumwa mowa.
Zinthu zina zofunika kuziganizira mukamamwa mankhwala
- Imwani madzi ambiri: Mapiritsi ena a Levothyroxine ndi akuluakulu, kotero kuwameza popanda madzi okwanira kungayambitse kuti atsekere pakhosi panu. Choncho nthawi zonse imwani mankhwalawa ndi kapu ya madzi.
- Musasinthe mtundu wa mankhwala: Musasinthe mtundu wa mankhwala a Levothyroxine omwe mukugwiritsa ntchito popanda chilolezo cha dokotala wanu. Nthawi zina, momwe mankhwala amalowetsedwa m'thupi zimatha kusiyana pang'ono malinga ndi mtundu wa mankhwalawo.
- Mayeso okhazikika: Dokotala wanu nthawi zambiri amalamula kuti muyesedwe magazi (TSH test) kuti awone ngati mulingo wa mahomoni a chithokomiro uli wolondola. Musachite zimenezo.
- Moyo Wonse: Anthu ambiri ayenera kumwa mankhwalawa moyo wawo wonse. Musasiye kumwa mankhwalawa popanda upangiri wa dokotala.
- Kutaya tsitsi: Anthu ena amatha kutaya tsitsi pang'ono akangoyamba kumwa mankhwalawo. Koma musadandaule, nthawi zambiri amatha okha pakapita nthawi.
- Musanachite opaleshoni: Ngati mukufuna opaleshoni iliyonse, uzani gulu lanu lachipatala pasadakhale kuti mukumwa Levothyroxine.
Kodi zotsatirapo zake zingakhale zotani?
Zotsatirapo zoyipa nthawi zambiri zimachitika pamene mlingo wa mankhwala wapitirira kuchuluka komwe thupi limafuna. Chifukwa chake, ndikofunikira kudziwa zizindikiro izi.
| Zotsatira zoyipa |
|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo |
| • Matenda a ziwengo (kutupa kwa nkhope, milomo, lilime, ziphuphu pakhungu, kuvutika kupuma) |
| • Kumva ngati mtima wanu ukugunda mofulumira, kupweteka pachifuwa |
| • Thukuta kwambiri, kulephera kupirira kutentha |
| • Kusakhazikika kwambiri, kukwiya, kusowa tulo |
| • Kugwedezeka |
| • Kutsegula m'mimba kwambiri |
| • Kusakhazikika kwa msambo mwa akazi |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira |
| • Kusintha kwa chilakolako cha chakudya |
| • Mutu |
| • Kusanza/kutuluka nseru |
Uthenga Wopita Nawo Kunyumba
- Imwani piritsi la Levothyroxine m'mawa uliwonse, pamimba yopanda kanthu, ndi madzi, osachepera mphindi 30 musanadye.
- Pewani kusiya kumwa mankhwala kapena kusintha mlingo popanda malangizo a dokotala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi zowonjezera zomwe mukumwa.
- Yesani magazi anu (TSH) pa nthawi yake ndipo pitirizani ndi mlingo woyenera wa mankhwala.
- Ngati mukumva zizindikiro monga kupweteka pachifuwa, kugunda kwa mtima mofulumira, kapena kusakhazikika kwambiri, imbani dokotala nthawi yomweyo.
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