Ingabe unama-hormone e-thyroid aphansi? Ake sifunde ngamaphilisi e-Levothyroxine kanye ne-Liothyronine (Imithi Yama-hormone E-Thyroid)!

Ingabe nawe uzizwa ukhathele ngaso sonke isikhathi? Ingabe uyakhuluphala? Ngezinye izikhathi lokhu kukhathala kungahambisana nezinto ezifana nesikhumba esomile kanye nokuqunjelwa. Lokhu kungaba izimpawu zendlala yegilo engasebenzi kahle, noma njengoba sibiza ngokwezokwelapha, i-hypothyroidism. Ngakho-ke, kubantu abanjalo, odokotela bavame ukunikeza imithi ebizwa ngokuthi i-Levothyroxine kanye ne-Liothyronine. Ake sixoxe ngale mithi ngokuningiliziwe namuhla.

Uyini lo muthi? Kalula nje...

Kalula nje, le mithi yomibili, i-Levothyroxine ne-Liothyronine, isetshenziselwa ukwelapha i-hypothyroidism, okusho ukuthi i-thyroid gland yakho ayikhiqizi ama-hormone anele. Le mithi isebenza njengama-hormone e-thyroid akhiqizwa yimizimba yethu ngokwemvelo.

Manje ungase uzibuze ukuthi lawa ma-hormone e-thyroid enzani. Eqinisweni, lawa ma-hormone adlala indima ebaluleke kakhulu emizimbeni yethu . Lawa ma-hormone e-thyroid abalulekile ezintweni eziningi, njengokulawula amazinga amandla emizimba yethu, ukugcina i-metabolism efanele, ukusebenza kwenhliziyo, ukukhula kobuchopho, kanye namandla amathambo. Ngakho-ke, lapho lawa ma-hormone ephansi, izimpawu ezishiwo ngaphambilini, njengokukhathala kanye nokukhuluphala, ziyavela.

Lo muthi ungase unqunywe odokotela nakwezinye izimo ezihlobene ne-thyroid. Uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi

Kulungile, manje ngaphambi kokuthi uqale lo muthi, kunezinto ezimbalwa okudingeka uzitshele udokotela wakho noma ithimba lezempilo ngaphambi kokuthi uqale. Ngoba kubaluleke kakhulu ekuphepheni kwakho ukwazi ukuthi noma yiziphi ezinye izimo zezokwelapha onazo noma eminye imithi oyithathayo ihlangana kanjani nalo muthi we-thyroid.

Nazi izinto ezimbalwa ezinjalo:

• Ingabe unezinkinga ngezindlala zakho ze-adrenal? Isibonelo, isimo esifana nesifo sika-Addison .
• Ingabe unezinhlungu zesifuba (i-angina) noma esinye isifo senhliziyo?
• Ingabe unezinkinga zamathambo?
• Ingabe unesifo sikashukela ?
• Ingabe ulandela uhlelo lokudla/lokwehlisa isisindo olukhethekile ukuze wehlise isisindo?
• Ingabe zikhona izinkinga zokuzala?
• Ingabe kukhona ukuphazamiseka kwendlala ye-pituitary?
• Ingabe uthatha noma yimiphi imithi yokuvimbela ukuqhekeka kwegazi? (isib. i-Warfarin)
• Lokhu kubaluleke kakhulu:Uma une-allergy, okungukuthi, ukusabela kwe-allergy, i-levothyroxine, i-liothyronine, amanye ama-hormone e-thyroid, noma yimiphi eminye imithi, ukudla, udayi wokudla, noma izithasiselo, qiniseka ukuthi utshela udokotela wakho .
• Ingabe ukhulelwe njengamanje? Noma uzama ukukhulelwa maduze?
• Ingabe ungumama oncelisayo?

Akuzona lezi zinto kuphela, kodwa kubaluleke kakhulu ukutshela udokotela wakho nganoma yiziphi izinkinga zempilo onazo.

Ngingawusebenzisa kanjani lo muthi?

Lo muthi uza ngesimo sephilisi. Kufanele uwuphuze nengilazi yamanzi. Kubaluleke kakhulu ukuthatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, nsuku zonke, njengoba nje udokotela wakho ekuyalile.

Ngokuvamile, lo muthi kuthiwa uphuzwa ekuseni, cishe isigamu sehora ngaphambi noma ihora ngaphambi kokudla, esiswini esingenalutho. Yilapho umuthi umuncwa kahle emzimbeni.

Kufanele uqhubeke nokusebenzisa lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ukuwuthatha ngokuzumayo.

Uma unikeza izingane lo muthi:

Lo muthi unconywa nasezinganeni kwezinye izimo ezikhethiwe. Kodwa-ke, kufanele uxoxe ngawo nodokotela wakho futhi ulandele imiyalelo yakhe ngqo. Kunezinto okufanele uziqaphele lapho uwunikeza izingane.

Kuthiwani uma ngiphuza umuthi omningi kakhulu?

Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, ungesabi futhi uye egumbini lezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Noma shayela isikhungo sokulawula ubuthi uma kungenzeka.

Khumbula lokhu:

Lo muthi unikezwe wena wedwa. Ungalokothi unike omunye umuntu umuthi wakho, noma ngabe unezimpawu ezifanayo nezakho.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Uma uphuthelwa umthamo, ungakhathazeki. Thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo lapho ukhumbula (isibonelo, phakathi namahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili, okungadala imiphumela emibi.

Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)

Manje, lokhu kuyinto okudingeka uyiqaphele kakhudlwana. Uma ithathwa nalo muthi we-thyroid, ingasebenzisana neminye imithi, ukudla, amavithamini, amakhambi, noma izithasiselo zokudla ozithathayo. Lokhu kusho ukuthi ukusebenza kahle komuthi we-thyroid kungancipha, kwandiswe, noma kungase kube nemiphumela emibi emisha.

Ngakho-ke,Udinga ukutshela udokotela wakho ngayo yonke imithi oyisebenzisayo, hhayi nje leyo oyinikezwe udokotela wakho, kodwa naleyo oyithenga ekhemisi, amaphilisi amavithamini, imithi yendabuko, imithi ye-Ayurvedic, nanoma yiziphi izithasiselo zokudla ozithathile.

Nazi ezinye izinto ongasabela kuzo ngokuqondile:

• Eminye imithi yesifo senhliziyo (isib. i- Amiodarone , i-Digoxin )
• Izinhlobo ze-antacids zokuvuvukala kwesisu kanye ne-gastritis
• Izithako ze-calcium
• Izithako zensimbi
• Eminye imithi yokwelapha isithuthwane/ukuquleka (isib. i- Carbamazepine , i-Phenytoin , i-Phenobarbital )
• Eminye imithi yokucindezeleka
• Eminye imithi yokwelapha umdlavuza
• Imithi yokwehlisa i-cholesterol (isib. i-Cholestyramine , i-Colestipol , i-Colesevelam )
• Amaphilisi okuvimbela inzalo, ama-patches, ama-ring, noma imijovo equkethe ama-hormone abesifazane, okungukuthi ama-estrogen
• Imithi yesifo sikashukela
• Eminye imithi yokwelapha umkhuhlane nobunzima bokuphefumula
• Thatha imithi ethile noma izithasiselo ukuze wehlise isisindo
• Ezinye izidakamizwa zokunciphisa ubuhlungu (isib. iMethadone )
• I-Niacin
• I-Rifampin yesifo sofuba
• Imikhiqizo equkethe i-soy (ama-isoflavone e-soy) (lokhu kungatholakala kwezinye izimpushana zobisi kanye nezithako zokudla okunempilo)
• Imithi yohlobo lwe-steroid (isib. i-Prednisone , i-Cortisone )
• Izinto zokunciphisa igazi (isib. i-Warfarin )
• Imikhiqizo yokudla okunempilo efana ne-Ensure
• Kuneminye imithi eminingi efana neKetamine , iLithium , i-Orlistat , i-Oxandrolone , iSevelamer , iSimethicone , iSodium polystyrene sulfonate , iSucralfate , iTestosterone , iTheophylline .

Lolu hlu aluphelele. Yingakho sithi, qiniseka ukuthi utshela udokotela wakho ngakho konke okuthathayo, nokuthi uma ubhema, uphuza utshwala, noma usebenzisa noma yiziphi izidakamizwa ezingekho emthethweni. Ngaleyo ndlela, angakwelapha ngendlela efanele kakhulu.

Izinto okufanele uziqaphele uma usebenzisa lo muthi

Kunezinto ezimbalwa okudingeka siziqaphele lapho sisebenzisa lo muthi.

• Ungashintshi uhlobo lomuthi ngaphandle kwemvume kadokotela wakho. Ngezinye izikhathi kungaba nomehluko omncane kusuka kolunye uhlobo lomuthi kuya kolunye. Uma unezinkinga, buza udokotela wakho ngakho.
• Kuzodingeka ukuthi uhlolwe njalo ngodokotela, ikakhulukazi ukuhlolwa kwegazi, ukuze kuhlolwe ukuthi imithi isebenza kahle yini nokuthi amazinga akho e-thyroid hormone ajwayelekile yini.
• Uma uthatha lo muthi we-hypothyroidism (i-thyroid engasebenzi kahle), kungathatha amasonto ambalwa ukuthi izimpawu zakho (njengokukhathala nokukhula kwesisindo) zithuthuke futhi ungase uzizwe ungcono. Ngakho ungakhathazeki. Kodwa uma izimpawu zakho zingathuthuki, khuluma nodokotela wakho.
• > Kubaluleke kakhulu ukuqaphela ukuthi abanye abantu kungadingeka bathathe lo muthi impilo yabo yonke. Ungayeki ukuthatha lo muthi ngaphandle kweseluleko sikadokotela wakho.
• Lo muthi ungathinta amazinga kashukela egazini lakho. Uma unesifo sikashukela, hlola amazinga kashukela egazini lakho njalo njengoba kuqondiswe udokotela wakho.
• Uma uqala ukuthatha umuthi, abanye abantu bangase balahlekelwe izinwele kakhulu kunokujwayelekile. Kodwa lokhu kuvame ukuba okwesikhashana. Ngokuvamile kuyaphela ngokwako ngokuhamba kwesikhathi. Akukho okufanele ukhathazeke ngakho, kodwa uma kwenzeka, kuwumqondo omuhle ukutshela udokotela wakho .

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, abanye abantu bangase babe nemiphumela emibi evela kula maphilisi e-levothyroxine ne-liothyronine. Kodwa-ke, lokhu akunjalo kuwo wonke umuntu. Futhi, isikhathi esiningi, lokhu akukubi kakhulu futhi kuncane. Kodwa-ke, kuneminye imiphumela emibi okufanele wazise udokotela wakho ngokushesha uma uyiqaphela.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

• Ukusabela kokungezwani komzimba: Lokhu kusho ukuqubuka kwesikhumba, ukuqubuka, ukulunywa okukhulu, futhi ngezinye izikhathi ukuvuvukala kobuso, izindebe, ulimi, kanye nomphimbo (lokhu kungaba yingozi, njengoba kungabangela ubunzima bokuphefumula).
• Ukuzizwa ukhathazekile futhi ukhathazekile njalo.
• Ukujuluka ngokweqile, ukuzizwa ungakubekezeleli nhlobo ukushisa.
• Imfiva.
• Ukushaya kwenhliziyo: Lona umuzwa wokuthi inhliziyo ishaya ngokushesha, kanzima, noma ngokungajwayelekile, njengokungathi ishaya kancane.
• Ukushintsha kwesigqi senhliziyo: Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile okuqhubekayo, okuhambisana nesiyezi, ukuzizwa ubuthakathaka noma ikhanda elibuhlungu, ubuhlungu besifuba, kanye nobunzima bokuphefumula.
• Kwabesifazane, imijikelezo yokuya esikhathini engajwayelekile noma ukubonakala phakathi kokuya esikhathini.
• Uhudo olubi kakhulu.
• Ukuthuthumela noma ukuthuthumela.
• Unenkinga yokulala.

Uma kwenzeka into efana nalena kuwe, sicela wazise udokotela wakho ngokushesha.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka:

• Shintsha ekufiseni ukudla.
• Ukulahlekelwa izinwele - Njengoba kushiwo ngaphambili, lokhu kuvame ukwenzeka ekuqaleni kokwelashwa futhi kuzophela ngemva kwesikhashana.
• Ikhanda elibuhlungu.
• Isicanucanu - Lokhu kusho ukuzizwa sengathi uzohlanza.
• Ukuhlanza.

Uma unezimpawu ezintsha ezingabhalwanga lapha ocabanga ukuthi ziyakukhathaza, khuluma nodokotela wakho ngazo. Emazweni afana ne-United States, ungabika imiphumela emibi ku-FDA (Food and Drug Administration) ku-1-800-FDA-1088. ESri Lanka, udokotela wakho ungumuntu ongcono kakhulu ukukusiza ngalokhu.

Ngingawugcina kanjani lo muthi?

Kubaluleke kakhulu futhi ukugcina lo muthi ngendlela efanele.

• Hlala uyigcina endaweni ephephile, phezulu, kude nezingane nezilwane ezifuywayo ekhaya lakho. Lokhu kuyinto okumele uyenze.
• Gcina ibhodlela/iphakethe lemithi esiqandisini ezingeni lokushisa eliphakathi kwama-degree Celsius angu-2 no-8 (ama-degree Fahrenheit angu-36 no-46).
• Gcina isivalo sebhodlela lemithi sivaliwe kahle.
• Ungabeki ezindaweni lapho kwehla khona ukukhanya okuqondile.
• Ungalokothi usebenzise imithi ephelelwe yisikhathi. Yilahle ngendlela efanele.

Khumbula, lesi sihloko siyisifinyezo nje salo muthi. Kungenzeka singabi nalo lonke ulwazi. Uma uneminye imibuzo mayelana nalo muthi, kungcono ukubuza udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo okwelaphayo.

Ezinye izinto ezibalulekile okufanele uzikhumbule

Kusukela kulokho esikuxoxile, nansi ezinye zezinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-Levothyroxine ne-liothyronine yimithi enikezwa ukwelapha i-hypothyroidism, isimo lapho umzimba wakho unezinga eliphansi lama-hormone e-thyroid. Ukuwasebenzisa ngendlela efanele kubaluleke kakhulu empilweni yakho.
• Thatha umthamo oqondile, ngesikhathi esiqondile, njengoba udokotela wakho ekutshelile. Ngokuvamile kungcono ukuwuthatha ekuseni, ngaphambi kokudla, esiswini esingenalutho.
• Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyithathayo (hhayi leyo enqunywe odokotela kuphela, kodwa naleyo ethengwe emakhemisi, emithini yendabuko, kanye namavithamini), nganoma yiziphi ezinye izifo onazo, kanye nanoma yikuphi ukungezwani komzimba onakho. Ngoba ezinye izinto zingathintana nalo muthi.
• Ungayeki ukuthatha lo muthi ngokuzumayo, shintsha umthamo ngokuthanda kwakho, noma ushintshe uhlobo lomuthi ngaphandle kweseluleko sikadokotela wakho.
• Uma uhlangabezana nanoma yimiphi imiphumela emibi engavamile, okungukuthi, uma ubona into entsha ebingekho ngaphambili, tshela udokotela wakho ngayo ngokushesha.
• Ngisho noma kungase kudingeke ukuthi uphuze lo muthi impilo yakho yonke, uzokusiza ukuthi uphile impilo evamile nenempilo. Ngakho ungakhathazeki, gcina ubuhlobo obuhle nodokotela wakho, futhi ulandele imiyalelo yakhe ngqo. Khona-ke ungahlala uphilile.

Uma ufuna ukwazi okunye, ungashiya amazwana ngezansi.

'I-thyroid, i-hypothyroidism, i-levothyroxine, i-liothyronine, ama-hormone, imithi, imiphumela emibi