Ngaba nawe uziva udiniwe imini yonke, uzive ngathi awunamandla, uyatyeba, okanye ubanda kakhulu kunabanye? Ezi zinokuba ziimpawu ze-thyroid gland engasebenzi kakuhle, imeko oogqirha abayibiza ngokuba yi-"Hypothyroidism". Ngoko ke ugqirha wakho usenokuba ukuxelele ukuba usebenzise isisombululo seLevothyroxine kwesi sifo. Namhlanje, siza kuthetha ngale mayeza, indlela yokuwasebenzisa, kunye noko kufuneka ukuqaphele, ngendlela elula neyobuhlobo.
Ngamafutshane, yintoni iLevothyroxine?
Cinga ngemizimba yethu njengemoto. Injini yale moto ilawula isantya kwaye inceda yonke into ukuba isebenze kakuhle nangexesha, kwaye yiyo loo hormone ye-thyroid, eveliswa yi-thyroid gland entanyeni yethu. Le hormone ilawula izinto ezininzi emzimbeni wethu, ezifana ne-metabolism yethu, isantya sentliziyo, kunye nobushushu bomzimba.
Ngamanye amaxesha, ngenxa yezizathu ezahlukeneyo, i-thyroid gland yethu ayikwazi ukuvelisa ubungakanani obufunekayo bale hormone. Yiloo nto siyibiza ngokuba yi-`(Hypothyroidism)` okanye ukungabikho kwehomoni ye-thyroid.
I-Levothyroxine yi-hormone yokwenziwa efana ngokupheleleyo ne-hormone ye-thyroid eveliswa ngumzimba wethu ngokwendalo. Ngamafutshane, eli yeza lithatha indawo ye-hormone efunekayo ngumzimba kodwa lingakwazi ukuzivelisa ngokwalo. Ekubeni liza likwimo yolwelo, kulula kakhulu ukulisebenzisa kubantu abanengxaki yokuginya iipilisi nakubantwana abancinci. `(Ermeza)`, `(Thyquidity)`, `(TIROSINT-SOL)` ngamanye amagama afumaneka kwimarike yeli yeza.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kuya kufuneka abe nomfanekiso opheleleyo wemeko yakho yempilo. Oku kuya kubanceda ukuba bakhethe idosi efanelekileyo kuwe. Ke ngoko, ukuba unenye yezi meko zidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho.
| Imeko okanye umkhwa wakho | Kutheni ufanele uxelele ugqirha? |
|---|---|
| Isifo sika-Addison okanye iingxaki ze-adrenal gland | Utshintsho kumanqanaba ehomoni ye-thyroid lunokuchaphazela ukusebenza kwezi gland, ngoko ke ezo meko kufuneka zilawulwe kuqala. |
| Isifo seswekile | I-Levothyroxine inokuchaphazela amanqanaba eswekile egazini, ngoko ke kunokufuneka ulungise umthamo wamayeza akho eswekile. |
| Isifo sentliziyo, iintlungu zesifuba | Eli yeza linokuba nefuthe elincinci kwisantya sentliziyo yakho xa uqala ukulisebenzisa, ngoko ugqirha wakho uza kukuqalisa ngedosi ephantsi kakhulu aze ayinyuse kancinci kancinci. |
| Iingxaki zamathambo (umz. i-osteoporosis) | Ukuba idosi yeLevothyroxine iphezulu kakhulu ngokuhamba kwexesha, inokubangela ukubhitya kwamathambo. |
| Ukuba uthatha amayeza okuthintela ukuqhekeka kwegazi (umz. `Warfarin`) | I-Levothyroxine inokunyusa ukusebenza kakuhle kwala mayeza, ngoko ke umthamo walawo mayeza unokufuna ukulungiswa. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Iimfuno zehomoni ye-thyroid ziyatshintsha ngexesha lokukhulelwa, ngoko ke ugqirha wakho unokufuna ukulungisa umthamo wamayeza akho. |
| Ukuba umntwana uncanciswa | Ekubeni amayeza amancinci anokudluliselwa kumntwana ngobisi lwebele, kubalulekile ukwazisa ugqirha ngale nto. |
| Ukuba une-allergies kwamanye amayeza, ukutya, okanye iidayi | Oku kubalulekile ukuqinisekisa ukuba awunayo i-allergy kwezinye izithako ezikweli yeza. |
Indlela echanekileyo yokusebenzisa iyeza
Ukuze ufumane okuninzi kweli yeza, kubaluleke kakhulu ukwazi kakuhle indlela yokulisebenzisa.
- Okubaluleke kakhulu: Eli yeza lifanele lithathwe rhoqo kusasa, ungenanto esiswini . Oko kuthetha ukuba ubuncinane imizuzu engama-30 ngaphambi kwesidlo sakusasa, kwaye kungcono iyure ngaphambi kokuba lisetyenziswe. Oku kungenxa yokuba ukufunxwa kweli yeza emzimbeni kuyancitshiswa xa ukutya kukho esiswini.
- Ngexesha elifanayo yonke imihla: Kangangoko kunokwenzeka, ziqhelise ukusela amayeza akho ngexesha elifanayo yonke imihla. Kungumkhwa olungileyo ukusela amayeza akho kwangoko xa uvuka kusasa.
- Ukusebenzisana namanye amayeza: Amanye amayeza kunye neevithamini zinokuphazamisa ukufunxwa kweli yeza, ingakumbi ii-antacids, i-calcium, kunye neepilisi zesinyithi.
Khumbula: Ukuba uthatha i-antacid ene-calcium, i-iron, okanye i-aluminium/magnesium, kufuneka uthathe iLevothyroxine kwiiyure ezi-4 ngaphambi okanye kwiiyure ezi-4 emva kokuyithatha. Oku kuthetha ukuba kufuneka kubekho isithuba seeyure ezi-4 phakathi kwamayeza amabini.
Indlela yokusebenzisa iintlobo ezahlukeneyo
Indlela yokusebenzisa ingahluka kancinci ngokuxhomekeke kuhlobo oluchazwe ngugqirha wakho.
- Kwi-Tirosint-SOL: Olu lwelo lungathathwa lungene ngqo emlonyeni. Okanye, lungaxutywa kwiithisipuni ezi-1-2 (5-10 ml) zamanzi. Ungaze uluxube nalo naluphi na ulwelo ngaphandle kwamanzi (ubisi, ijusi yeziqhamo).
- Kwi-Thyquidity: Olu hlobo lufanele luthathwe ngqo emlonyeni. Musa ukuxuba namanzi.
Ukuba uyinika abantwana...
Eli yeza linikwa neentsana ezisandul’ ukuzalwa ngenxa yeemeko ezithile. Kodwa lenziwa phantsi kweliso elibukhali likagqirha. Landela imiyalelo kagqirha malunga nomthamo kunye nendlela yokusetyenziswa komntwana.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe ngaphezu kwedosi emiselweyo, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye yiya kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
Kubalulekile: Eli yeza limiselwe wena wedwa. Ungaze wabelane ngeli yeza nabanye abantu, nokuba iimpawu zabo zifana nezakho.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo (umz., kusele iiyure ezimbalwa), yeka idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha idosi ephindwe kabini ukuze ubuyisele idosi oyilibeleyo.
Amanye amayeza anokusebenzisana neLevothyroxine
Amanye amayeza owasebenzisayo anokuchaphazela indlela esebenza ngayo iLevothyroxine, kwaye iLevothyroxine inokutshintsha indlela esebenza ngayo amanye amayeza. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu) .
| Udidi lweziyobisi/iziyobisi | Imizekelo |
|---|---|
| Amayeza entlungu yesisu, iivithamini kunye neeminerali | Ii-antacids, iimveliso eziqulethe i-calcium, i-iron, i-magnesium |
| Amayeza okwehlisa i-cholesterol | ``Cholestyramine'', ``Colesevelam'', ``Colestipol'' |
| Amayeza eswekile | Iipilisi ze-insulin okanye zeswekile |
| Amayeza okudakumba kunye nesifo sokuwa | `Carbamazepine`, `Phenytoin`, `Phenobarbital` |
| Iintlobo zeehomoni | I-estrogen, i-Testosterone, iipilisi zokulawula ukuzalwa, ii-steroids |
| Amayeza esifo sentliziyo | 'Amiodarone', 'Digoxin' |
| Okunye | I-Warfarin (esetyenziselwa ukunciphisa igazi), i-Rifampin (esetyenziselwa ukunyanga isifo sephepha), amayeza athile okunciphisa umzimba, iimveliso ezinesoya |
Olu luhlu aluphelelanga, ngoko xelela ugqirha wakho malunga namayeza owasebenzisayo.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Emva kokuqalisa eli yeza, kufuneka undwendwele ugqirha wakho rhoqo njengoko kuyalelwe. Kusenokufuneka ukuba wenze uvavanyo lwegazi (`Thyroid Function Tests`) ukuze ufumane idosi efanelekileyo emzimbeni wakho.
- Yiba nomonde: Awuyi kuva mahluko mkhulu kwangoko xa uqala ukuthatha amayeza. Kungathatha iiveki ezimbalwa ukuba ukudinwa kunye nokudinwa kuphele kwaye uzive ungcono. Ngoko ke ungoyiki.
- Musa ukutshintsha iimpawu: Musa ukutshintsha ukusuka kwenye uphawu ukuya kwenye ngaphandle kwengcebiso kagqirha wakho, njengoko iimpawu ezahlukeneyo zinokufunxwa ngokwahlukileyo kancinci ngumzimba, nto leyo enokuchaphazela amanqanaba akho eehomoni.
- Lumka ngeBiotin: Ukuba uthatha ivithamini equlethe i-'Biotin (iVitamin B7)' yobuhle, iinwele, okanye ulusu, yeka ukuyithatha ubuncinane iintsuku ezimbini ngaphambi kovavanyo lwegazi lwe-thyroid. I-Biotin inokubangela iziphumo ezingezizo kuvavanyo lwegazi.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Ngokwesiqhelo, xa kuthathwe idosi echanekileyo, iziphumo ebezingalindelekanga ezibi kakhulu ezivela kweli yeza azixhaphakanga. Ngokuqhelekileyo, iziphumo ebezingalindelekanga zivela ukuba idosi yeyeza iphezulu kunomlinganiselo ofunekayo emzimbeni. Oko kukuthi, ukuba imeko efana ne-hyperthyroidism iyenzeka endaweni yokungabikho kwehomoni ye-thyroid (hypothyroidism).
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo, isandi esibuhlungu esifubeni, ubunzima bokuphefumla, iintlungu esifubeni. |
| Ukungaphumli kakhulu kunye nokungalali kakuhle | Ukuhlala uxhalabile, unomsindo, uzive ngathi umzimba wakho uyangcangcazela, kwaye awukwazi ukulala ebusuku. |
| Ukubila okugqithisileyo | Ukuziva ushushu kwaye ubila kakhulu nokuba ukwindawo eqhelekileyo. |
| Urhudo oluqatha | Urhudo olungalawulekiyo. |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Utshintsho kumjikelo wokuya esikhathini kwabasetyhini | Umjikelo wokuya exesheni ongaqhelekanga okanye ukopha okukhawulezileyo. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intloko ebuhlungu | Usenokuba nentloko ebuhlungu kancinci xa uqala ukuthatha amayeza. |
| Ukulahleka kweenwele okwethutyana | Kusenokubakho ukulahleka kweenwele kwiinyanga ezimbalwa zokuqala, kodwa kuya kubuyela esiqhelweni xa umzimba sele uqhele amayeza. |
| Utshintsho ekutyeni | Usenokuziva unyuke okanye unciphe kumnqweno wokutya. |
Ugcina njani amayeza ngendlela efanelekileyo?
Ukuze kugcinwe umgangatho weyeza, kufuneka ligcinwe ngokuchanekileyo.
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- I-Tirosint-SOL: Gcina oku kubushushu obuqhelekileyo begumbi (25 degrees Celsius). Lahla naliphi na iyeza eliseleyo zingadlulanga iintsuku ezili-15 emva kokuvula ipakethe.
- Ukuthamba: Gcina oku kubushushu begumbi (20-25 degrees Celsius). Lahla naliphi na iyeza eliseleyo zingadlulanga iiveki ezi-8 emva kokuvula ibhotile.
Lahla ngokukhuselekileyo amayeza aphelelwe lixesha okanye angasetyenziswanga.
Umyalezo Wokuya Ekhaya
- I-Levothyroxine liyeza elithatha indawo yehomoni ye-thyroid engekho emzimbeni wakho. Kusenokufuneka ulisebenzise ubomi bakho bonke.
- Thatha eli yeza rhoqo kusasa, ungenanto esiswini, imizuzu engama-30-60 ngaphambi kokutya.
- Ukuba uthatha amayeza e-iron, calcium, okanye iintlungu zesisu, gcina isithuba seeyure ezi-4 phakathi kokuthatha iLevothyroxine.
- Musa ukuyeka ukusebenzisa amayeza, utshintshe idosi, okanye utshintshe uphawu lweyeza ngaphandle kwengcebiso kagqirha wakho.
- Ukuba ufumana iimpawu ezifana nokubetha kwentliziyo ngokukhawuleza, ukungcangcazela, okanye ukubila kakhulu, oku kungaba luphawu lokusebenzisa kakhulu iziyobisi. Xelela ugqirha wakho ngoko nangoko.
- Kubaluleke kakhulu ukwenza uvavanyo lwegazi ngexesha, ukubona ugqirha wakho, kunye nokugcina umthamo wamayeza akho uchanekileyo.
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