Unonzwawo kuneta zuva rese, kungonzwa sekunge hauna simba, uri kuwedzera uremu, kana kuti wava kutonhorwa kupfuura vamwe here? Izvi zvinogona kuva zviratidzo zvegland re thyroid risingashande zvakanaka, chirwere chinonzi nachiremba chinonzi ``Hypothyroidism''. Saka chiremba wako anogona kunge akakuudza kuti ushandise mushonga weLevothyroxine pachirwere ichi. Nhasi, tichataura nezvemushonga uyu, mashandisirwo awo, uye zvaunofanira kungwarira, nenzira iri nyore uye ine hushamwari.
Zvichitaurwa zviri nyore, chii chinonzi Levothyroxine?
Funga nezvemuviri wedu semota. Injini yemota iyi inodzora kumhanya uye inobatsira kuti zvinhu zvese zvifambe zvakanaka uye nenguva, uye ndiyo thyroid hormone, inogadzirwa ne thyroid gland iri mumutsipa wedu. Iyi hormone inodzora zvinhu zvakawanda mumuviri wedu, zvakaita se metabolism yedu, kurova kwemoyo, uye tembiricha yemuviri.
Dzimwe nguva, nekuda kwezvikonzero zvakasiyana-siyana, gland redu re thyroid harikwanise kugadzira huwandu hunodiwa hwehormone iyi. Ndizvo zvatinodaidza kuti `(Hypothyroidism)` kana kuti kushomeka kwehormone ye thyroid.
Levothyroxine ihormone yakagadzirwa yakafanana zvachose nehormone yethyroid inogadzirwa nemuviri wedu. Muchidimbu, mushonga uyu unotsiva hormone inodiwa nemuviri asi isingagone kuzvigadzira yoga. Sezvo unouya uri muchimiro chemvura, zviri nyore kushandisa kune vanhu vanonetseka nekumedza mapiritsi uye kuvana vadiki. `(Ermeza)`, `(Thyquidity)`, `(TIROSINT-SOL)` ndemamwe emazita aripo pamusika wemushonga uyu.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Chiremba wako asati akupa mushonga uyu, anofanira kunge aine mufananidzo wakazara wehutano hwako. Izvi zvichamubatsira kusarudza mushonga wakakodzera iwe. Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako.
| Mamiriro ako kana tsika yako | Sei uchifanira kuzivisa chiremba? |
|---|---|
| Dambudziko reAddison kana adrenal gland | Kuchinja kwehuwandu hwemahormone ethyroid kunogona kukanganisa mashandiro emagland aya, saka mamiriro iwayo anofanira kudzorwa kutanga. |
| Chirwere cheshuga | Levothyroxine inogona kukanganisa huwandu hweshuga muropa, saka ungangoda kugadzirisa huwandu hwemushonga wako wechirwere cheshuga. |
| Chirwere chemwoyo, kurwadziwa kwechipfuva | Mushonga uyu unogona kukanganisa kurova kwemoyo wako paunotanga kuutora, saka chiremba wako achatanga newe nedosi shoma uye owedzera zvishoma nezvishoma. |
| Matambudziko emapfupa (semuenzaniso osteoporosis) | Kana mushonga weLevothyroxine wakanyanya kukwira nekufamba kwenguva, zvinogona kukonzera kutetepa kwemapfupa. |
| Kana uri kutora mushonga wekudzivirira kuumbwa kweropa (semuenzaniso `Warfarin`) | Levothyroxine inogona kuwedzera kushanda kwemishonga iyoyo, saka chiyero chemishonga iyoyo chingada kugadziriswa. |
| Kana uine pamuviri kana kuti uri kuedza kubata pamuviri | Zvinodiwa zvemahormone ethyroid zvinochinja panguva yekuzvitakura, saka chiremba wako angangoda kugadzirisa mwero wemishonga yako. |
| Kana mwana achiyamwiswa | Sezvo mishonga mishoma ichigona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu, zvakakosha kuzivisa chiremba nezvazvo. |
| Kana uine allergies kune mimwe mishonga, chikafu, kana dhayi | Izvi zvakakosha kuti uzive kana une allergy kune zvimwe zvinhu zviri mumushonga. |
Nzira chaiyo yekushandisa mushonga
Kuti mushonga uyu uwane pundutso yakakwana, zvakakosha kuziva mashandisirwo awo chaiwo.
- Chinonyanya kukosha: Mushonga uyu unofanira kutorwa mangwanani ega ega, mudumbu musina chinhu . Izvi zvinoreva kuti maminetsi makumi matatu usati wadya kudya kwemangwanani, uye zviri nani awa imwe usati wadya. Izvi zvinodaro nekuti kupinda kwemushonga uyu mumuviri kunoderera kana chikafu chiri mudumbu.
- Panguva imwe chete zuva nezuva: Nepo zvichibvira, tanga tsika yekunwa mushonga wako panguva imwe chete zuva nezuva. Itsika yakanaka kutora mushonga wako nekukurumidza paunomuka mangwanani.
- Kudyidzana kwemishonga nemimwe mishonga: Mimwe mishonga nemavhitamini zvinogona kukanganisa kunyudzwa kwemushonga uyu, kunyanya mishonga inorwisa asidhi, calcium, uye mapiritsi esimbi.
Yeuka: Kana uri kutora mushonga unorwisa asidhi une calcium, iron, kana aruminiyamu/magnesium, unofanira kutora Levothyroxine maawa mana usati watora kana maawa mana watora. Izvi zvinoreva kuti panofanira kuva nemusiyano wemaawa mana pakati pemishonga miviri iyi.
Maitiro ekushandisa mhando dzakasiyana
Nzira yekushandisa inogona kusiyana zvishoma zvichienderana nerudzi rwemushonga wawakanyorerwa nachiremba.
- Kune Tirosint-SOL: Mvura iyi inogona kutorwa zvakananga mumuromo. Kana kuti, inogona kusanganiswa ne 1-2 spoons (5-10 ml) yemvura. Usamboisanganisa neimwe mvura kunze kwemvura (mukaka, muto wemichero).
- Kana Uine Thyquidity: Rudzi urwu runofanira kutorwa zvakananga mumuromo. Usarusanganise nemvura.
Kana ukapa vana...
Mushonga uyu unotopihwa vacheche vacheche nekuda kwezvimwe zvirwere. Asi unoitirwa pasi pekutarisirwa kwachiremba. Tevedzera mirairo yachiremba maererano nemupimo uye nzira yekupa mwana mushonga uyu.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga unopfuura wakatarwa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Usambofa wakagovana mushonga uyu nevamwe vanhu, kunyangwe zviratidzo zvavo zvakafanana nezvako.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera utore (semuenzaniso, kwasara maawa mashoma), siya mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usatore mushonga kaviri kuti udzorere mushonga wawakakanganwa.
Mimwe mishonga inogona kupindirana neLevothyroxine
Mimwe mishonga yaunotora inogona kukanganisa mashandiro anoita Levothyroxine, uye Levothyroxine inogona kushandura mashandiro anoita mimwe mishonga. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga) .
| Chikamu chemishonga/zvinhu | Mienzaniso |
|---|---|
| Mishonga yekurwadziwa kwedumbu, mavitamini, uye mamineral | Mishonga inorwisa asidhi, zvinhu zvine calcium, iron, magnesium |
| Mishonga yekuderedza cholesterol | ``Cholestyramine``, ``Colesevelam``, ``Colestipol``` |
| Mishonga yechirwere cheshuga | Mapiritsi eInsulin kana eDiabetes |
| Mishonga yekuderedza kushushikana uye pfari | `Carbamazepine`, `Phenytoin`, `Phenobarbital` |
| Mhando dzemahormone | Estrogen, Testosterone, Mapiritsi Ekudzivirira Kuzvara, MaSteroids |
| Mishonga yezvirwere zvemwoyo | 'Amiodarone', 'Digoxin' |
| Zvimwe | Warfarin (inoshandiswa kuderedza ropa), Rifampin (inoshandiswa kurapa TB), mimwe mishonga yekuderedza uremu, zvigadzirwa zvine soy |
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvemishonga yauri kutora.
Zvinhu zvekungwarira paunenge uchitora mushonga
- Kuongororwa nguva dzose: Mushure mekutanga mushonga uyu, unofanira kushanyira chiremba wako nguva nenguva sezvakarairwa. Ungangoda kuongororwa ropa (`Thyroid Function Tests`) kuti uwane mwero wakakodzera wemuviri wako.
- Iva nemwoyo murefu: Hauzonzwi mutsauko mukuru pakarepo paunotanga kutora mushonga. Zvinogona kutora mavhiki mashoma kuti kuneta nekushaya simba zviderere uye kuti unzwe zviri nani. Saka usavhunduke.
- Usachinja mhando dzemishonga: Usachinja kubva kune imwe mhando kuenda kune imwe usina kurairwa nachiremba wako, sezvo mhando dzakasiyana dzinogona kutorwa zvakasiyana zvishoma nemuviri, izvo zvinogona kukanganisa huwandu hwemahormone ako.
- Chenjerera neBiotin: Kana uri kutora vhitamini ine `Biotin (Vitamin B7)` yerunako, bvudzi, kana ganda, rega kuitora kwemazuva maviri usati waongororwa ropa rethyroid. Biotin inogona kukonzera mhedzisiro yenhema pakuongororwa kweropa.
Migumisiro inogona kuitika nekuda kwemishonga
Kazhinji, kana ikatorwa nemuyero wakakodzera, migumisiro yakaipa inobva mumushonga uyu haiwanzoitiki. Kazhinji, migumisiro yakaipa inoitika kana muyero wemushonga wacho wakakwira kupfuura huwandu hunodiwa nemuviri. Kureva kuti, kana chirwere chakadai sehyperthyroidism chikaitika panzvimbo pekushaikwa kwehormone yethyroid (hypothyroidism).
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo, ruzha runorova muchipfuva, kuoma kufema, kurwadziwa muchipfuva. |
| Kusagadzikana kwakanyanya uye kushaya hope | Kugara uchinetseka, uchigumbuka, uchinzwa sekunge muviri wako uri kudedera, uye usingakwanise kurara husiku. |
| Kudikitira zvakanyanya | Kunzwa kupisa uye kudikitira zvakanyanya kunyangwe uri munzvimbo dzakajairika. |
| Manyoka akanyanya | Manyoka asingadzoreki. |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kuchinja kwekuenda kumwedzi kuvakadzi | Kuenda kumwedzi kusina kurongeka kana kubuda ropa nguva nenguva. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Musoro | Unogona kunzwa musoro mudiki paunotanga kutora mushonga wacho. |
| Kurasikirwa nebvudzi kwenguva pfupi | Panogona kunge paine kurasikirwa nebvudzi mumwedzi mishoma yekutanga, asi rinozodzokera pakuva rakajairika kana muviri wajaira mushonga. |
| Kuchinja kwechido chekudya | Unogona kunzwa kuwedzera kana kudzikira kwechido chekudya. |
Unochengeta sei mushonga zvakanaka?
Kuti mushonga urambe wakanaka, unofanira kuchengetwa nemazvo.
- Chengeta kure nevana nezvipfuyo.
- Tirosint-SOL: Chengeta izvi patembiricha yemukamuri yakajairika (25 degrees Celsius). Rasa mushonga wasara mukati memazuva gumi nemashanu mushure mekuvhura paketi.
- Kuoma: Chengeta izvi patembiricha yemumba (20-25 degrees Celsius). Rasa mushonga wasara mukati memavhiki masere ekuvhura bhodhoro.
Rasa zvakachengeteka mushonga wapera kana kuti usina kushandiswa.
Mharidzo Yekuenda Nayo Kumba
- Levothyroxine mushonga unotsiva hormone yethyroid iyo isipo mumuviri wako. Ungangoda kuutora kweupenyu hwako hwese.
- Tora mushonga uyu mangwanani ega ega, usina chinhu mudumbu, maminetsi makumi matatu kusvika makumi matanhatu usati wadya.
- Kana uri kutora mishonga yesimbi, calcium, kana marwadzo emudumbu, chengeta nguva yemaawa mana pakati pekutora Levothyroxine.
- Usarega kutora mushonga, chinja mwero wemushonga, kana kushandura zita remushonga usina kurairwa nachiremba wako.
- Kana ukaona zviratidzo zvakaita sekurova kwemoyo nekukurumidza, kudedera, kana kudikitira zvakanyanya, izvi zvinogona kunge zviri chiratidzo chekunwa doro zvakanyanya. Udza chiremba wako nekukasika.
- Zvakakosha kuti ropa riongororwe nenguva, uone chiremba wako, uye uchengetedze mushonga wacho zvakanaka.
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