Ngaba nawe uziva udiniwe ngalo lonke ixesha? Ngaba uziva ubuthathaka, utyeba, kwaye ngamanye amaxesha uzive ucotha kakhulu? Ezi zidla ngokuba ziimpawu zokuncipha kokusebenza kwe-thyroid gland emzimbeni wethu. Oogqirha bayibiza le meko ngokuthi (Hypothyroidism). Ngoko ke, iyeza elicetyiswa ngoogqirha kwaye abantu abaninzi balisebenzisa yiLevothyroxine. Namhlanje, masithethe ngale yeza kunye nezinto ekufuneka uzilumkele xa ulisebenzisa, ngendlela elula neyobuhlobo.
Ngamafutshane, yintoni iLevothyroxine?
I-Levothyroxine yi-hormone eyenziweyo eyenziwe kwilebhu, efana ne-hormone ye-thyroid eveliswa ngokwendalo yi-thyroid gland entanyeni yethu. Ukuba ngesizathu esithile umzimba wakho awuvelisi i-hormone ye-thyroid eyaneleyo, ugqirha wakho uya kukunika eli yeza ukuze ahlawulele ukungabikho kwayo.
Cinga nge-hormone ye-thyroid njengomphathi omncinci olawula yonke into emzimbeni wethu.
- Umzimba wethu ulawula imetabolism, isantya apho ukutya esikutyayo kuguqulwa khona kube ngamandla.
- Inceda ukugcina izinto ezifana nesantya sentliziyo yethu kunye nobushushu bomzimba zikwinqanaba elifanelekileyo.
- Le hormone ibalulekile ekugcineni amanqanaba ethu amandla kunye nesimo sengqondo.
Ngoko ke xa le hormone iphantsi (iHypothyroidism), zonke ezi nkqubo ziyancipha kancinci. Oko kwenziwa ziipilisi zeLevothyroxine kukubuyisela ezo nkqubo zicothayo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqale iLevothyroxine, kubaluleke kakhulu ukwazisa ugqirha wakho ngazo naziphi na ezinye iimeko zempilo onazo kunye nazo naziphi na ezinye iindlela zokwelapha ozisebenzisayo, njengoko ezinye iimeko zifuna unonophelo olukhethekileyo xa usebenzisa eli yeza.
| Ukuba unenye okanye ngaphezulu kwezi meko zilandelayo, qiniseka ukuba uxelela ugqirha wakho: |
|---|
| • Isifo sika-Addison okanye ezinye iingxaki ze-adrenal gland |
| • Isifo sentliziyo okanye iintlungu zentliziyo (i-Angina) |
| • Iimeko ezinje ngobuthathaka bamathambo okanye i-osteoporosis |
| • Isifo seswekile |
| Iingxaki ze-pituitary gland |
| • Ukuba uthatha amayeza okuthintela okanye okunyanga amahlwili egazi (umz. iWarfarin) |
| • Ukuba ukwinkqubo yokunciphisa umzimba |
| • Ukuba unengxaki yokuzala |
| • Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa |
| • Ukuba une-allergy nakweyiphi na enye imithi, ukutya, okanye idayi. |
Ulisebenzisa njani kanye kanye eli yeza?
Kulapho abantu abaninzi bephazama khona. Ukuze ufumane okuninzi kweli yeza, kufuneka wazi kakuhle indlela yokulisebenzisa.
Eyona nto ibalulekileyo: Soloko usela iipilisi zeLevothyroxine esiswini esingenanto , ubuncinane imizuzu engama-30 ukuya kwiyure ngaphambi kwesidlo sakusasa, neglasi yamanzi.
Kutheni sitsho njalo? Kuba ukuba sithatha eli yeza kunye nokutya, liya kuphazamisana nokutya kwaye iyeza aliyi kutsalwa kakuhle. Emva koko iingenelo zokuthatha eli yeza ziya kuncipha.
Kwakhona, kuphephe ukuthatha ezi zinto zilandelayo kufutshane nexesha (kwiiyure ezi-4) lokuthatha eli yeza:
- Ii-antacids ze-gastritis (ingakumbi ezo ziqulethe i-aluminium okanye i-magnesium)
- Iipilisi zeCalcium (iCalcium carbonate)
- Iipilisi zentsimbi (iFerrous sulfate)
- Amanye amayeza okwehlisa i-cholesterol (umz. i-Cholestyramine)
- Amanye amayeza (umz. iSucralfate, iSevelamer)
Ziqhelise ukusela amayeza akho ngexesha elifanayo yonke imihla. Thatha kuphela idosi oyixelelwa ngugqirha wakho. Musa ukuthatha ngaphezulu.
Ukuba uyinika abantwana abancinci...
Eli yeza linokunikwa iintsana ezisandul’ ukuzalwa. Kwimeko ezinjalo, tyumza ipilisi kakuhle uze uyinyibilikise kwiithisipuni ezi-1-2 zamanzi, ubisi lwebele, okanye ubisi lweentsana olungenasoya , uze uyinike njengoko ugqirha wakho ekuyalele. Ungaze uyixube nefomula esekelwe kusoya., kuba kunokwenza iyeza lingasebenzi kakuhle.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Kodwa ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba usele kakhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko . Okanye, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo .
Ezinye izinto ezinokusebenzisana neLevothyroxine
I-Levothyroxine inokunxibelelana namayeza amaninzi, iivithamini, kunye nokutya okuthile, ngoko ke kubalulekile ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
| Udidi lwamayeza / lweziyobisi | Imizekelo |
|---|---|
| Amayeza esifo sentliziyo | I-Amiodarone, iDigoxin |
| Iivithamini kunye neeminerali | I-Calcium, Izongezo ze-Iron |
| Amayeza e-gastritis/acid reflux | Iiantacids, iSucralfate |
| Amayeza okunyanga isifo sokuwa | I-Carbamazepine, iPhenytoin, iPhenobarbital |
| Iintlobo zeehomoni | Iipilisi zokulawula ukuzalwa, i-estrogen, i-testosterone |
| Amayeza eswekile | Iipilisi ze-insulin okanye zeswekile |
| Amanye amayeza okudakumba | Ingakumbi ii-tricyclic antidepressants |
| Iintlobo ze-steroids | IPrednisone, iCortisone |
Olu luhlu aluphelelanga. Xelela ugqirha wakho ngazo zonke iipilisi ozithenga ngaphandle kwemvume kagqirha, iivithamini, kunye namayeza esintu owasebenzisayo, kunye nokuba utshaya okanye usela utywala.
Ezinye izinto ekufuneka uziqwalasele xa usebenzisa iyeza
- Sela amanzi amaninzi: Ezinye iipilisi zeLevothyroxine zikhulu kakhulu, ngoko ke ukuziginya ngaphandle kwamanzi aneleyo kunokubangela ukuba zibhajwe emqaleni wakho. Ngoko ke soloko usela iyeza neglasi yamanzi.
- Musa ukutshintsha iimpawu: Musa ukutshintsha uphawu lweLevothyroxine olusebenzisayo ngaphandle kwemvume kagqirha wakho. Ngamanye amaxesha, indlela amayeza angena ngayo emzimbeni inokwahluka kancinci kuhlobo oluthile.
- Uvavanyo oluqhelekileyo: Ngelixa usebenzisa eli yeza, ugqirha wakho uhlala eyalela uvavanyo lwegazi (TSH test) ukujonga ukuba amanqanaba akho ehomoni ye-thyroid alungile na. Musa ukuliphosa.
- Ubomi bonke: Uninzi lwabantu kufuneka basebenzise eli yeza ubomi babo bonke. Musa ukuyeka ukulisebenzisa ngaphandle kwengcebiso kagqirha wakho.
- Ukulahleka kweenwele: Abanye abantu banokuphulukana neenwele kancinci xa beqala ukuthatha amayeza. Kodwa ungakhathazeki, uninzi lwexesha liza kuphela lodwa ngokuhamba kwexesha.
- Ngaphambi kotyando: Ukuba uza kwenza naluphi na utyando, xelela iqela lakho lezonyango kwangaphambili ukuba uthatha iLevothyroxine.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Iziphumo ebezingalindelekanga zihlala zisenzeka xa umthamo wamayeza udlula umlinganiselo ofunekayo emzimbeni. Ngoko ke, kubalulekile ukuba uqaphele ezi mpawu.
| Imiphumela |
|---|
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko |
| • Iimpendulo ze-allergy (ukudumba kobuso, imilebe, ulwimi, irhashalala lolusu, ubunzima bokuphefumla) |
| • Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza, iintlungu zesifuba |
| • Ukubila kakhulu, ukungakwazi ukunyamezela ubushushu |
| • Ukungaphumli kakhulu, ukucaphuka, ukungalali kakuhle |
| • Iinyikima |
| • Urhudo oluqatha |
| • Ukungahlali kakuhle kwenyanga kwabasetyhini |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka |
| • Utshintsho ekutyeni |
| • Intloko ebuhlungu |
| • Ukucaphuka/ukuhlanza |
Umyalezo Wokuya Ekhaya
- Sela ipilisi yeLevothyroxine qho kusasa, esiswini esingenanto, ngamanzi, ubuncinane imizuzu engama-30 ngaphambi kokutya.
- Kuphephe ukuyeka amayeza okanye ukutshintsha umthamo ngaphandle kwengcebiso kagqirha wakho.
- Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye nezongezo ozithathayo.
- Yenza uvavanyo lwakho lwegazi (uvavanyo lwe-TSH) ngexesha kwaye ugcine umthamo ochanekileyo wamayeza.
- Ukuba ufumana iimpawu ezifana neentlungu zesifuba, ukubetha kwentliziyo ngokukhawuleza, okanye ukungazinzi okukhulu, tsalela umnxeba ugqirha wakho ngoko nangoko.
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