Ese ufite imisemburo mike ya tiroyide? Reka twige ku binini bya Levothyroxine na Liothyronine (Imiti ya Thyroid Hormone)!

Ese nawe wumva unaniwe igihe cyose? Ese urimo kwiyongera ibiro? Hari igihe uyu munaniro ushobora guherekezwa n'ibintu nk'uruhu rwumye no kubyimba impatwe. Ibi bishobora kuba ibimenyetso by'uko thyroid gland idakora neza, cyangwa nk'uko tubyita mu buvuzi, hypothyroidism. Rero, kuri bene abo bantu, abaganga bakunze kwandika imiti yitwa Levothyroxine na Liothyronine. Reka tuvuge kuri iyi miti mu buryo burambuye uyu munsi.

Uyu muti ni uw'iki? Mu magambo make...

Muri make, iyi miti yombi, Levothyroxine na Liothyronine, ikoreshwa mu kuvura hypothyroidism, bivuze ko tiroyide yawe idakora imisemburo ihagije. Iyi miti ikora nk'imisemburo ya tiroyide ikorwa n'imibiri yacu mu buryo busanzwe.

Noneho ushobora kuba wibaza icyo iyi misemburo ya tiroyide ikora. Mu by’ukuri, iyi misemburo igira uruhare runini mu mubiri wacu . Iyi misemburo ya tiroyide ni ingenzi mu bintu byinshi, nko kugenzura ingufu z’umubiri wacu, kubungabunga imikorere myiza y’umubiri, imikorere y’umutima, iterambere ry’ubwonko, n’imbaraga z’amagufwa. Rero, iyo iyi misemburo iri hasi, ibimenyetso byavuzwe haruguru, nko kunanirwa no kwiyongera ibiro, bigaragara.

Uyu muti ushobora kandi kwandikirwa n'abaganga ku zindi ndwara ziterwa na tiroyide. Niba ufite ikibazo icyo ari cyo cyose, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti

Mbere yuko utangira uyu muti, hari ibintu bike ugomba kubwira umuganga wawe cyangwa itsinda ry’abaganga mbere yuko utangira. Kuko ni ingenzi cyane ku mutekano wawe kumenya uburyo izindi ndwara ufite cyangwa indi miti ufata ihura n’uyu muti wa tiroyide.

Dore bimwe muri ibyo bintu:

• Ese ufite ikibazo ku ngirabuzimafatizo zawe z'impyiko? Urugero, indwara nk'indwara ya Addison .
• Ese urwaye indwara yo mu gatuza (angina) cyangwa izindi ndwara z'umutima?
• Ese ufite ikibazo cy'amagufwa?
• Uri diyabete ?
• Ukurikiza gahunda yihariye yo kugabanya ibiro/indyo isanzwe kugira ngo ugabanye ibiro?
• Ese hari ibibazo by'uburumbuke?
• Ese hari ikibazo kiri mu gasabo k'ubwonko (pituitary gland)?
• Ese hari umuti urimo gufata wo kwirinda kubyimba kw'amaraso? (urugero: Warfarin)
• Ibi ni ingenzi cyane:Niba ufite allergie, ni ukuvuga allergie, kuri levothyroxine, liothyronine, indi misemburo ya tiroyide, indi miti iyo ari yo yose, ibiryo, irangi ry'ibiryo, cyangwa imiti irinda ubushyuhe, menya neza ko wabibwiye muganga wawe .
• Ese ubu utwite? Cyangwa urimo gushaka gutwita vuba?
• Ese uri umubyeyi wonsa?

Si ibi bintu gusa, ahubwo ni ingenzi cyane kubwira muganga wawe ibibazo byose by'ubuzima ufite.

Uyu muti nkwiye kuwukoresha nte?

Uyu muti uza mu buryo bw'ikinini. Ugomba kuwufata n'ikirahure cy'amazi. Ni ngombwa cyane gufata ingano yagenwe, ku gihe cyagenwe, buri munsi, nk'uko muganga wawe yabigutegetse.

Ubusanzwe, uyu muti ufatwa mu gitondo, hafi iminota 30 mbere cyangwa isaha mbere yo kurya, mu nda idafite icyo kurya. Icyo gihe umuti uba winjijwe neza mu mubiri.

Ugomba gukomeza gukoresha uyu muti kugeza igihe muganga wawe azakubwiriye kuwuhagarika. Ntugahagarike kuwufata mu buryo butunguranye.

Niba uhaye abana uyu muti:

Uyu muti kandi ugirwa inama ku bana mu bihe bimwe na bimwe. Ariko, ugomba kubiganiraho na muganga wawe no gukurikiza amabwiriza ye neza. Hari ibintu bimwe na bimwe ugomba kwitondera mu gihe uwuha abana.

Bite ho iyo mfashe imiti myinshi?

Niba ubona ko wafashe imiti myinshi cyane, ntugatinye ujye mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe ako kanya. Cyangwa hamagara ikigo gishinzwe kurwanya uburozi niba bishoboka.

Wibuke ibi:

Uyu muti wanditswe kuri wewe gusa. Ntukigere uha undi muntu uwo ari we wese umuti wawe, kabone n'iyo yaba afite ibimenyetso nk'ibyawe.

Wakora iki iyo usibye gahunda yo gufata imiti?

Niba wabuze dose, ntugahangayike. Fata vuba ubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze (urugero, mu masaha make), rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri, zishobora gutera ingaruka mbi.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)

Noneho, iki ni ikintu ugomba kwitondera cyane. Iyo ufashe uyu muti wa tiroyide, ushobora kugira ingaruka ku yindi miti, ibiryo, vitamine, imiti y'ibimera, cyangwa inyongeramusaruro ufata. Ibi bivuze ko akamaro k'umuti wa tiroyide gashobora kugabanuka, kwiyongera, cyangwa hakavuka izindi ngaruka mbi.

Bityo rero,Ugomba kubwira muganga wawe imiti yose ukoresha, atari iyo muganga wawe yaguze gusa, ahubwo n'iyo uguze muri farumasi, ibinini bya vitamine, imiti gakondo, imiti ya Ayurvedic, n'inyongeramusaruro iyo ari yo yose ufata.

Dore bimwe mu bintu ushobora kwitaho by'umwihariko:

• Imiti imwe n'imwe ivura indwara z'umutima (urugero: Amiodarone , Digoxin )
• Ubwoko bw'imiti igabanya aside mu gifu no mu ndwara ya gastritis
• Inyongeramusaruro za kalisiyumu
• Inyongeramusaruro z'icyuma
• Imiti imwe n'imwe ivura igicuri/igicuri (urugero: Carbamazepine , Phenytoin , Phenobarbital )
• Imiti imwe n'imwe ivura indwara yo kwiheba
• Imiti imwe n'imwe ivura kanseri
• Imiti igabanya cholesterol (urugero: Cholestyramine , Colestipol , Colesevelam )
• Ibinini byo kuboneza urubyaro, uduce duto, impeta, cyangwa inshinge zirimo imisemburo y'abagore, ni ukuvuga estrogens
• Imiti ivura diyabete
• Imiti imwe n'imwe ivura ibicurane n'ingorane zo guhumeka
• Fata imiti cyangwa inyongeramusaruro zimwe na zimwe kugira ngo ugabanye ibiro
• Hari imiti igabanya ububabare (urugero: Methadone )
• Niyasini
• Rifampine ivura igituntu
• Ibicuruzwa birimo soya (isoflavones za Soya) (ibi biboneka muri zimwe mu fu y'amata n'inyongeramusaruro z'imirire)
• Imiti yo mu bwoko bwa steroid (urugero: Prednisone , Cortisone )
• Imiti igabanya amaraso (urugero: Warfarin )
• Ibikoresho by'intungamubiri by'amazi nka Essure
• Hari indi miti myinshi nka Ketamine , Lithium , Orlistat , Oxandrolone , Sevelamer , Simethicone , Sodium polystyrene sulfonate , Sucralfate , Testosterone , Theophylline .

Uru rutonde ntabwo rurambuye. Niyo mpamvu tuvuga ko ugomba kubwira muganga wawe ibyo unywa byose, kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Muri ubwo buryo, ashobora kukuvura mu buryo bukwiye.

Ibintu ugomba kwitondera mu gihe ukoresha uyu muti

Hari ibintu bike tugomba kwitondera mu gihe dukoresha uyu muti.

• Ntugahindure ikirango cy'uyu muti muganga wawe atagusabye uruhushya. Hari igihe hashobora kubaho itandukaniro rito hagati y'ikirango n'ikindi. Niba ufite ikibazo, baza muganga wawe.
• Uzakenera kwisuzumisha kwa muganga buri gihe, cyane cyane ibizamini by'amaraso, kugira ngo urebe niba umuti ukora neza kandi niba urugero rw'imisemburo ya tiroyide yawe ari rusanzwe.
• Niba ufata uyu muti wo kurwanya hypothyroidism (thyroid idakora neza), bishobora gufata ibyumweru bike kugira ngo ibimenyetso byawe (nk'umunaniro no kwiyongera ibiro) birusheho kumera neza kandi ushobora kumva umeze neza. Rero ntugahangayike. Ariko niba ibimenyetso byawe bitameze neza, vugana na muganga wawe.
• > Ni ingenzi cyane kumenya ko hari abantu bashobora gukenera gufata uyu muti ubuzima bwabo bwose. Ntugahagarike gufata uyu muti utabanje kugirwa inama na muganga.
• Uyu muti ushobora kugira ingaruka ku rugero rw'isukari mu maraso yawe. Niba urwaye diyabete, genzura buri gihe urugero rw'isukari mu maraso yawe nk'uko muganga wawe yabigutegetse.
• Iyo utangiye gufata umuti, hari abantu bashobora kugira ikibazo cyo gutakaza umusatsi kurusha uko bisanzwe. Ariko ibi akenshi biba iby'igihe gito. Akenshi bigenda byonyine uko igihe kigenda gihita. Nta kintu cyo guhangayika, ariko niba bibaye, ni byiza kubimenyesha muganga wawe .

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, hari abantu bashobora kugira ingaruka mbi zikomoka kuri ibi binini bya levothyroxine na liothyronine. Ariko, si ko bimeze kuri buri wese. Nanone, akenshi, izi si mbi cyane kandi ni ntoya. Ariko, hari ingaruka zimwe na zimwe ugomba kubimenyesha muganga wawe vuba ubibonye.

Ingaruka mbi ugomba guhita ubibwira muganga wawe :

• Ubwivumbure bw'uruhu: Ibi bivuze uduheri ku ruhu, uduheri, uburyaryate bukabije, rimwe na rimwe no kubyimba mu maso, ku minwa, ku rurimi no mu muhogo (ibi bishobora guteza akaga, kuko bishobora gutera kugorwa no guhumeka).
• Guhora numva mfite impungenge n'ubwoba.
• Kubira ibyuya birenze urugero, kumva nta kwihanganira ubushyuhe na gato.
• Umuriro.
• Umutima utera cyane: Iyi ni imitekerereze y'uko umutima utera cyane, cyane, cyangwa mu buryo budasanzwe, nk'aho usimbuka imitsi.
• Imihindagurikire y'umutima: Umutima utera vuba cyane cyangwa utera nabi, ujyana no kuzerera, kumva nta cyo ushoboye cyangwa ufite umutwe uhagaze neza, kubabara mu gatuza, no guhumeka bigoranye.
• Ku bagore, imihango idahoraho cyangwa kubona ibimenyetso hagati y'imihango.
• Impiswi ikomeye.
• Guhinda umushyitsi cyangwa kunyeganyega.
• Kugorwa no gusinzira.

Niba ikintu nk'iki kikubayeho, nyamuneka menyesha muganga wawe ako kanya.

Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe mu gihe zikomeje:

• Ihinduka ry'ubushake bwo kurya.
• Gutakaza umusatsi - Nkuko byavuzwe mbere, ibi bishobora kubaho mu ntangiriro z'ubuvuzi kandi bikarangira nyuma y'igihe runaka.
• Umutwe.
• Isesemi - Ibi bivuze kumva ugiye kuruka.
• Kuruka.

Niba ufite ibimenyetso bishya bitaravuzwe hano ubona ko bikubangamiye, vugana na muganga wawe ku byerekeye ibyo bimenyetso. Mu bihugu nka Leta Zunze Ubumwe za Amerika, ushobora gutanga raporo ku ngaruka mbi ku kigo gishinzwe ibiribwa n'imiti (FDA) kuri 1-800-FDA-1088. Muri Sri Lanka, muganga wawe ni we muntu mwiza wo kugufasha muri ibi.

Uyu muti nawubika nte?

Ni ngombwa kandi kubika uyu muti neza.

• Buri gihe ubibike ahantu hatekanye, hejuru, kure y'abana n'amatungo mu rugo rwawe. Ibi ni ngombwa.
• Bika icupa ry'umuti/agapaki muri firigo ku bushyuhe buri hagati ya dogere selisiyusi 2 na 8 (dogere selisiyusi 36 na 46).
• Ugomba gufunga neza umupfundikizo w'icupa ry'umuti.
• Ntugashyire ahantu hagwa urumuri rutaziguye.
• Ntuzigere ukoresha imiti yarengeje igihe. Ijugunye neza.

Wibuke ko iyi nkuru ari incamake y'uyu muti gusa. Ishobora kuba idafite amakuru yose. Niba ufite ibindi bibazo kuri uyu muti, ni byiza kubaza muganga wawe, umufarumasiye, cyangwa undi muganga ukuvura.

Ibintu by'ingenzi ugomba kwibuka

Ukurikije ibyo twaganiriyeho, dore bimwe mu bintu by'ingenzi ugomba kwibuka:

• Levothyroxine na liothyronine ni imiti itangwa kugira ngo ivure hypothyroidism, indwara aho umubiri wawe uba ufite imisemburo mike ya tiroyide. Kuyikoresha neza ni ingenzi cyane ku buzima bwawe.
• Fata igipimo nyacyo, ku gihe nyacyo, nk'uko muganga wawe abikubwira. Akenshi ni byiza kugifata mu gitondo, mbere yo kurya, mu nda irimo ubusa.
• Menya neza ko wabwiye muganga wawe indi miti yose ufata (atari iyo wanditswe n'abaganga gusa, ahubwo n'iyo waguze muri farumasi, imiti gakondo, na vitamine), izindi ndwara zose ufite, ndetse n'ibindi byose ufite ubwivumbure. Kuko hari ibintu bimwe na bimwe bishobora kugira ingaruka kuri uyu muti.
• Ntugahagarike gufata uyu muti mu buryo butunguranye, hindura ingano y'umuti uko ubyifuza, cyangwa ngo uhindure ubwoko bw'umuti utabanje kugisha inama muganga wawe.
• Niba ugize ingaruka zidasanzwe, ni ukuvuga ko niba ubonye ikintu gishya kitari kihari mbere, bwira muganga wawe ako kanya.
• Nubwo ushobora gufata uyu muti ubuzima bwawe bwose, bizagufasha kubaho ubuzima busanzwe kandi bufite ubuzima bwiza. Rero ntugahangayike, komeza umubano mwiza na muganga wawe, kandi ukurikize amabwiriza ye neza. Hanyuma ushobora gukomeza kugira ubuzima bwiza.

Niba ushaka kumenya ikindi kintu, ushobora gushyira igitekerezo hano hasi.

"Tiroyide, hypothyroidism, levothyroxine, liothyronine, imisemburo, imiti, ingaruka mbi