Ingabe uzizwa ukhathele, ukhathele, noma ukhuluphala? Lokhu kungaba ngenxa yokwehla kwenani lama-hormone akhiqizwa yi-thyroid gland yakho. Lesi simo saziwa ngokwezokwelapha ngokuthi i-hypothyroidism. Ngakho-ke, umjovo obizwa ngokuthi i-Levothyroxine uyi-hormone yokwenziwa enikezwayo ukuze ithathe indawo ye-thyroid hormone ephansi ngokwemvelo emzimbeni wakho. Kufana nokufaka ibhethri elisha emotweni efile.
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Iyini i-Levothyroxine? Ake sikuqonde kalula.
Kalula nje, iLevothyroxine iyi-hormone yokwenziwa efana ne-hormone ekhiqizwa yi-thyroid gland yethu. Ama-hormone e-thyroid alawula imisebenzi eminingi ebalulekile emzimbeni wethu, njengokugaya ukudla, okuyinqubo yokuguqula ukudla kube amandla, izinga lokushisa lomzimba, kanye nokushaya kwenhliziyo.
Ngakho-ke uma le hormone iphansi (i-Hypothyroidism), imisebenzi eminingi emzimbeni iqala ukwehla. Yilapho odokotela benquma ukunikeza umuthi obizwa ngokuthi i-Levothyroxine, kwezinye izimo ezinzima njengomjovo. Lokhu kwenzelwa ukubuyisela amazinga aphansi e-hormone esimweni esijwayelekile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuqala ukwelashwa nge-levothyroxine, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezibalwe kuthebula elingezansi.
| Ingabe unalezi zimo? |
|---|
| Isifo sika-Addison noma enye inkinga ye-adrenal gland. |
| Ubuhlungu besifuba obuhlobene nokuhlaselwa yinhliziyo (i-Angina). |
| Izinkinga zamathambo (isib. i-osteoporosis). |
| Ukuzibandakanya ohlelweni lokwehlisa isisindo noma ukulandela ukudla okukhethekile. |
| Izinkinga zokuzala. |
| Noma yiluphi uhlobo lwesifo senhliziyo. |
| Isifo sikashukela noma amazinga aphezulu kashukela egazini. |
| Inkinga ehlobene nendlala ye-pituitary. |
| Ukuthatha imithi yokuvimbela noma yokwelapha amahlule egazi (isib. i-Warfarin). |
| Ukuba nokusabela kokungezwani komzimba ne-levothyroxine, amanye ama-hormone e-thyroid, eminye imithi, ukudla, amadayi, noma izithasiselo. |
| Ukukhulelwa noma ukuzama ukukhulelwa. |
| Ukuncelisa umntwana. |
Lo muthi wokugoma unikezwa kanjani?
Umjovo we-Levothyroxine awuvamile ukusetshenziswa ekhaya. Ufakwa emisipheni noma emthanjeni ngudokotela noma umhlengikazi oqeqeshiwe esibhedlela noma emtholampilo .
Lo muthi wokugoma unganikezwa izingane ezincane ngisho nezinsana ezisanda kuzalwa kwezinye izimo ezikhethekile. Kodwa-ke, kulandelwa izinyathelo zokuphepha ezikhethekile. Udokotela wakho uzokuchazela lokhu.
Yini okufanele uyenze uma uphuza ngokweqile?
Njengoba lokhu kunikezwa esibhedlela, ingozi yokudlula ngokweqile iphansi kakhulu. Kodwa-ke, uma ucabanga ukuthi kungenzeka ukuthi uphuze kakhulu lo muthi, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Lesi yisimo esiphuthumayo futhi kubalulekile ukuthatha isinyathelo ngokushesha.
Khumbula, lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Ezinye izinto ezingase zihlangane nalo muthi
Uma uthatha noma yimiphi eminye imithi, amavithamini, imikhiqizo yamakhambi, noma izithasiselo, kufanele utshele udokotela wakho ngazo. Eminye imithi ingasebenzisana ne-Levothyroxine futhi yandise noma yehlise ukusebenza kwayo. Ngezansi eminye yale mithi.
| Uhlobo lomuthi/into ethile | Incazelo |
|---|---|
| I-Amiodarone, i-Carbamazepine, i-Ketamine, i-Lithium, i-Methadone, i-Phenobarbital, i-Phenytoin, i-Rifampin, i-Warfarin, i-Theophylline | Imithi yezifo ezahlukahlukene. |
| Eminye imithi yokucindezeleka | Ngezinkinga zempilo yengqondo. |
| Eminye imithi yokwelapha umdlavuza | Ukulawula amangqamuzana omdlavuza. |
| Ama-hormone abesifazane (ama-estrogen) | Amaphilisi okuvimbela inzalo, ama-patches, imijovo, njll. |
| Imithi yesifo sikashukela | Ukulawula amazinga kashukela egazini. |
| Ama-isoflavone e-soya | Ukudla kanye nezithasiselo eziqukethe i-soy. |
| Izinhlobo ze-Steroids | Isibonelo: i-Prednisone, i-Cortisone. |
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uzicabangele lapho uphathwa
- Ukuhlolwa okuvamile: Ngemva kokuqala lokhu kwelashwa, kuzodingeka ukuthi uhlolwe njalo ngodokotela kanye nokuhlolwa kwegazi ukuze ubone ukuthi umzimba wakho usabela kanjani ekwelashweni.
- Bekezela: Kungathatha amasonto ambalwa ukuthi izimpawu zithuthuke. Ngakho-ke ungesabi. Uma izimpawu zakho zingathuthuki, khuluma nodokotela wakho.
- Ukuphila Konke: Kungase kudingeke ukuthi uthathe lo muthi impilo yakho yonke. Ungalokothi uyeke ukuwuthatha ngaphandle kweseluleko sikadokotela wakho.
- Uma unesifo sikashukela: Uma unesifo sikashukela, lo muthi ungathinta amazinga kashukela egazini lakho. Ngakho-ke, hlola amazinga kashukela egazini lakho njalo njengoba uqondiswe udokotela wakho.
- Ukulahlekelwa izinwele: Abanye abantu bangase balahlekelwe izinwele ngesikhathi sokuqala kokwelashwa. Ungakhathazeki, lokhu kuvame ukuba okwesikhashana futhi kuzophela ngokuhamba kwesikhathi.
- Ngaphambi kokuhlinzwa: Uma uhlinzwa, qiniseka ukuthi utshela udokotela wakho ohlinzayo ukuthi uthatha iLevothyroxine.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, i-Levothyroxine ingabangela imiphumela emibi. Iningi lale miphumela livela uma amazinga ama-hormone ephakeme kancane kunalokho umzimba okudingayo.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko zengqondo | Ukukhathazeka, ukwethuka. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo, ukushaya kwenhliziyo okusheshayo, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Ezinye izimpawu ezinkulu | Ukujuluka ngokweqile, umkhuhlane, ukuvuvukala kwesisu okukhulu, izandla ezithuthumelayo, ukuqwasha. |
| Kwabesifazane | Umjikelezo wokuya esikhathini wanyanga zonke ongajwayelekile. |
| Ngokuvamile akuyona into engathi sína, kodwa tshela udokotela wakho uma iqhubeka. | |
| Izinguquko ekufiseni ukudla | Ukulahlekelwa izinwele okwesikhashana |
| Ikhanda elibuhlungu | Isicanucanu |
Umlayezo Wokuya Nawe Ekhaya
- I-Levothyroxine iyi-hormone yokwenziwa enikezwa ukuthatha indawo ye-hormone ye-thyroid encishisiwe ngokwemvelo emzimbeni.
- Lo mjovo unikezwa esibhedlela noma emtholampilo kuphela.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo.
- Uma uhlangabezana nemiphumela emibi ngesikhathi sokwelashwa, ikakhulukazi ukushaya kwenhliziyo okusheshayo kanye nobuhlungu besifuba, funa iseluleko sikadokotela ngokushesha.
- Ungalokothi uyeke ukwelashwa ngaphandle kweseluleko sikadokotela wakho. Ukuya njalo ekuhlolweni kungakusiza ukuthi uhlale uphilile.
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