Ingabe nawe uzizwa ukhathele usuku lonke, uzizwa sengathi awunawo amandla, uyakhuluphala, noma ubanda kakhulu kunabanye? Lokhu kungaba izimpawu zendlala yegilo engasebenzi kahle, isimo odokotela abasibiza ngokuthi "i-Hypothyroidism". Ngakho-ke udokotela wakho kungenzeka ukuthi ukutshelile ukuthi usebenzise isisombululo se-Levothyroxine salesi simo. Namuhla, sizoxoxa ngalo muthi, ukuthi ungawusebenzisa kanjani, nokuthi yini okudingeka uyiqaphele, ngendlela elula kakhulu nenobungane.
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Kalula nje, iyini i-Levothyroxine?
Cabanga ngemizimba yethu njengemoto. Injini yale moto ilawula isivinini futhi isiza konke ukuthi kuhambe kahle futhi ngesikhathi, futhi yi-hormone ye-thyroid, ekhiqizwa yi-thyroid gland entanyeni yethu. Le hormone ilawula izinto eziningi emzimbeni wethu, njengokugaya kwethu ukudla, ukushaya kwenhliziyo, kanye nokushisa komzimba.
Ngezinye izikhathi, ngenxa yezizathu ezahlukene, indlala yethu yegilo ayikwazi ukukhiqiza inani elidingekayo lale hormone. Yilokho esikubiza ngokuthi (Hypothyroidism) noma ukuntuleka kwehomoni yegilo.
I-Levothyroxine iyi-hormone yokwenziwa efana ngokuphelele ne-hormone ye-thyroid ekhiqizwa umzimba wethu ngokwemvelo. Kalula nje, lo muthi uthatha indawo ye-hormone edingwa ngumzimba kodwa engakwazi ukuyikhiqiza. Njengoba iza ngesimo soketshezi, kulula kakhulu ukuyisebenzisa kubantu abanenkinga yokugwinya amaphilisi kanye nezingane ezincane. (Ermeza), (Thyquidity), (TIROSINT-SOL) ngamanye amagama atholakala emakethe yalo muthi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka abe nesithombe esiphelele sesimo sakho sempilo. Lokhu kuzosiza ekunqumeni umthamo ofanele kakhulu kuwe. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho.
| Isimo sakho noma umkhuba wakho | Kungani kufanele wazise udokotela? |
|---|---|
| Isifo sika-Addison noma izinkinga ze-adrenal gland | Izinguquko emazingeni e-thyroid hormone zingathinta ukusebenza kwalezi zindlala, ngakho-ke lezo zimo kufanele zilawulwe kuqala. |
| Isifo sikashukela | I-Levothyroxine ingathinta amazinga kashukela egazini, ngakho-ke kungadingeka ulungise umthamo wemithi yakho yesifo sikashukela. |
| Isifo senhliziyo, ubuhlungu besifuba | Lo muthi ungase ube nomthelela omncane ekushayeni kwenhliziyo yakho lapho uqala ukuwuthatha, ngakho udokotela wakho uzokuqala ngomthamo ophansi kakhulu bese ewukhulisa kancane kancane. |
| Izinkinga zamathambo (isib. i-osteoporosis) | Uma umthamo we-Levothyroxine uphezulu kakhulu ngokuhamba kwesikhathi, ungabangela ukuncipha kwamathambo. |
| Uma uthatha imithi yokuvimbela amahlule egazi (isib. Warfarin) | I-Levothyroxine ingandisa ukusebenza kahle kwaleyo mithi, ngakho-ke umthamo waleyo mithi kungadingeka ulungiswe. |
| Uma ukhulelwe noma uzama ukukhulelwa | Izidingo zama-hormone e-thyroid ziyashintsha ngesikhathi sokukhulelwa, ngakho-ke udokotela wakho kungadingeka alungise umthamo wemithi yakho. |
| Uma umntwana enceliswa ibele | Njengoba imithi emincane ingadlulela enganeni ngobisi lwebele, kubalulekile ukwazisa udokotela ngalokhu. |
| Uma une-allergies kweminye imithi, ukudla, noma udayi | Lokhu kubalulekile ukuqinisekisa ukuthi une-allergy kwezinye izithako ezikulesi sidakamizwa. |
Indlela efanele yokusebenzisa umuthi
Ukuze uthole okuningi ngalo muthi, kubaluleke kakhulu ukwazi ukuthi uwusebenzisa kanjani kahle.
- Okubaluleke kakhulu: Lo muthi kufanele uthathwe njalo ekuseni, esiswini esingenalutho . Lokho kusho okungenani imizuzu engama-30 ngaphambi kokudla kwasekuseni, futhi kungcono ihora ngaphambi. Lokhu kungenxa yokuthi ukumuncwa kwalo muthi emzimbeni kuyancishiswa uma ukudla kukhona esiswini.
- Ngesikhathi esifanayo nsuku zonke: Kangangokunokwenzeka, jwayela ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Kungumkhuba omuhle ukuphuza imithi yakho ngokushesha nje lapho uvuka ekuseni.
- Ukusebenzisana neminye imithi: Eminye imithi namavithamini kungaphazamisa ukumuncwa kwalo muthi, ikakhulukazi ama-antacid, i-calcium, kanye namaphilisi ensimbi.
Khumbula: Uma uthatha umuthi oqeda i-asidi oqukethe i-calcium, i-iron, noma i-aluminium/magnesium, kufanele uthathe i-Levothyroxine emahoreni ama-4 ngaphambi noma emahoreni ama-4 ngemva kokuwuthatha. Lokhu kusho ukuthi kufanele kube negebe lamahora ama-4 phakathi kwemithi emibili.
Indlela yokusebenzisa izinhlobo ezahlukene
Indlela yokusebenzisa ingahluka kancane kuye ngohlobo udokotela wakho akunike lona.
- Nge-Tirosint-SOL: Lolu ketshezi lungathathwa lungene ngqo emlonyeni. Noma, lungaxutshwa nezipuni eziyi-1-2 (5-10 ml) zamanzi. Ungalokothi uluxube nanoma yiluphi uketshezi ngaphandle kwamanzi (ubisi, ijusi yezithelo).
- Uma une-Thyquidity: Lolu hlobo kufanele lufakwe emlonyeni ngqo. Ungaluxubi namanzi.
Uma uyinika izingane...
Lo muthi unikezwa ngisho nezinsana ezisanda kuzalwa ngenxa yezimo ezithile. Kodwa wenziwa ngaphansi kokuqashwa okuseduze kukadokotela. Landela imiyalelo kadokotela mayelana nomthamo kanye nendlela yokunikeza ingane.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe okungaphezu komthamo onqunyiwe, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Okubalulekile: Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngalo muthi nanoma ubani omunye, noma ngabe izimpawu zakhe zifana nezakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isb., kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe.
Eminye imithi engase ihlangane neLevothyroxine
Eminye imithi oyithathayo ingathinta indlela esebenza ngayo iLevothyroxine, kanti iLevothyroxine ingashintsha indlela esebenza ngayo eminye imithi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi) .
| Isigaba sezidakamizwa/izidakamizwa | Izibonelo |
|---|---|
| Imithi yobuhlungu besisu, amavithamini, kanye namaminerali | Ama-antacid, imikhiqizo equkethe i-calcium, i-iron, ne-magnesium |
| Imithi yokwehlisa i-cholesterol | I-Cholestyramine'', I-Colesevelam'', I-Colestipol'' |
| Imithi yesifo sikashukela | Amaphilisi e-insulin noma esifo sikashukela |
| Imithi yokucindezeleka kanye nesifo sokuwa | I-Carbamazepine, I-Phenytoin, I-Phenobarbital |
| Izinhlobo zama-hormone | I-Estrogen, i-Testosterone, Amaphilisi Okulawula Ukuzalwa, Ama-Steroids |
| Imithi yesifo senhliziyo | 'Amiodarone', 'Digoxin' |
| Okunye | I-Warfarin (esetshenziselwa ukunciphisa igazi), i-Rifampin (esetshenziselwa ukwelapha isifo sofuba), eminye imithi yokwehlisa isisindo, imikhiqizo equkethe i-soy |
Lolu hlu aluphelele, ngakho tshela udokotela wakho nganoma yimiphi imithi oyithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa okuvamile: Ngemva kokuqala lo muthi, kufanele uvakashele udokotela wakho ngezikhathi ezithile njengoba kuyalelwe. Kungase kudingeke ukuthi uhlolwe igazi (Izivivinyo Zomsebenzi We-Thyroid) ukuze uthole isilinganiso esifanele somzimba wakho.
- Bekezela: Ngeke uzwe umehluko omkhulu ngokushesha uma uqala ukuthatha umuthi. Kungathatha amasonto ambalwa ukuthi ukukhathala nokuzola kuphele futhi uzizwe ungcono. Ngakho ungesabi.
- Ungazishintshi izinhlobo: Ungashintshi usuka kolunye uhlobo uye kolunye ngaphandle kweseluleko sikadokotela wakho, njengoba izinhlobo ezahlukene zingamuncwa umzimba ngendlela ehlukile, okungathinta amazinga akho ama-hormone.
- Qaphela i-Biotin: Uma uthatha i-vitamin equkethe i-'Biotin (i-Vitamin B7)' yobuhle, izinwele, noma isikhumba, yeka ukuyithatha okungenani izinsuku ezimbili ngaphambi kokuhlolwa kwegazi le-thyroid. I-Biotin ingabangela imiphumela engamanga ekuhlolweni kwegazi.
Imiphumela emibi engase ivele ngenxa yemithi
Ngokuvamile, uma kuthathwa ngesilinganiso esifanele, imiphumela emibi kakhulu evela kulo muthi ayivamile. Ngokuvamile, imiphumela emibi ivela uma umthamo womuthi uphakeme kunenani elidingwa ngumzimba. Okusho ukuthi, uma kwenzeka isimo esinjenge-hyperthyroidism esikhundleni sokuntuleka kwe-hormone ye-thyroid (i-hypothyroidism).
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo, umsindo oshayayo esifubeni, ubunzima bokuphefumula, ubuhlungu esifubeni. |
| Ukungaphumuli okukhulu kanye nokungalali kahle | Ukuzizwa ukhathazekile njalo, ucasukile, uzizwa sengathi umzimba wakho uyathuthumela, futhi awukwazi ukulala ebusuku. |
| Ukujuluka ngokweqile | Ukuzizwa ushisa futhi ujuluka kakhulu ngisho nasezindaweni ezivamile. |
| Uhudo olubi kakhulu | Uhudo olungalawuleki. |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinguquko emjikelezweni wokuya esikhathini kwabesifazane | Umjikelezo wokuya esikhathini ongavamile noma ukuphuma kwegazi ngezikhathi ezithile. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Ungase uzwe ikhanda elincane uma uqala ukuthatha umuthi. |
| Ukulahlekelwa izinwele okwesikhashana | Kungase kube nokulahlekelwa izinwele ezinyangeni ezimbalwa zokuqala, kodwa kuzobuyela esimweni esijwayelekile uma umzimba usujwayele umuthi. |
| Izinguquko ekufiseni ukudla | Ungase uzwe ukwanda noma ukwehla kwesifiso sokudla. |
Ugcina kanjani imithi ngendlela efanele?
Ukuze kulondolozwe ikhwalithi yomuthi, kumele ugcinwe kahle.
- Gcina kude nezingane nezilwane ezifuywayo.
- I-Tirosint-SOL: Gcina lokhu ekushiseni okuvamile kwegumbi (25 degrees Celsius). Lahla noma yimuphi umuthi osele zingakapheli izinsuku ezingu-15 kusukela uvule iphakethe.
- Ukuqina: Gcina lokhu ekushiseni kwegumbi (20-25 degrees Celsius). Lahla noma yimuphi umuthi osele zingakapheli amasonto ayisishiyagalombili kusukela uvule ibhodlela.
Lahla ngokuphephile imithi ephelelwe yisikhathi noma engasetshenziswanga.
Umlayezo Wokuya Nawe Ekhaya
- I-Levothyroxine umuthi othatha indawo ye-hormone ye-thyroid entulekayo emzimbeni wakho. Kungase kudingeke ukuthi uwuthathe impilo yakho yonke.
- Thatha lo muthi njalo ekuseni, esiswini esingenalutho, imizuzu engama-30-60 ngaphambi kokudla.
- Uma uthatha imithi ye-iron, i-calcium, noma izinhlungu zesisu, gcina igebe lamahora ama-4 phakathi kokuthatha i-Levothyroxine.
- Ungayeki ukuthatha umuthi, ushintshe umthamo, noma ushintshe uhlobo lomuthi ngaphandle kweseluleko sikadokotela wakho.
- Uma uzwa izimpawu ezifana nokushaya kwenhliziyo okusheshayo, ukuthuthumela, noma ukujuluka ngokweqile, lokhu kungaba uphawu lokusebenzisa ngokweqile. Tshela udokotela wakho ngokushesha.
- Kubaluleke kakhulu ukwenza ukuhlolwa kwegazi ngesikhathi, ukubona udokotela wakho, nokugcina isilinganiso semithi yakho sinembile.
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