Ingabe nawe uzizwa ukhathele ngaso sonke isikhathi? Ingabe uzizwa ubuthakathaka, ukhuluphala, futhi ngezinye izikhathi uzizwa uvilapha kakhulu? Lokhu kungaba izimpawu zokwehla kokusebenza kwendlala yegilo emzimbeni wethu. Odokotela babiza lesi simo ngokuthi (i-Hypothyroidism). Ngakho-ke, umuthi odokotela abavame ukuwuncoma futhi abantu abaningi abawusebenzisayo yi-Levothyroxine. Namuhla, ake sixoxe ngalo muthi nezinto okufanele uziqaphele ngenkathi uwusebenzisa, ngendlela elula kakhulu nenobungane.
Kalula nje, iyini i-Levothyroxine?
I-Levothyroxine iyi-hormone yokwenziwa eyenziwe elabhorethri, efana ne-hormone ye-thyroid ekhiqizwa ngokwemvelo yi-thyroid gland entanyeni yethu. Uma ngesizathu esithile umzimba wakho ungakhiqizi i-hormone ye-thyroid eyanele, udokotela wakho uzokunikeza lo muthi ukuze alungise ukuntuleka kwayo.
Cabanga nge-hormone ye-thyroid njengomphathi omncane olawula konke emzimbeni wethu.
- Umzimba wethu ulawula imetabolism, izinga lapho ukudla esikudlayo kuguqulwa khona kube amandla.
- Kusiza ukugcina izinto ezifana nokushaya kwenhliziyo yethu kanye nokushisa komzimba kusezingeni elifanele.
- Le hormone ibalulekile ekugcineni amazinga ethu amandla nesimo sethu sengqondo.
Ngakho-ke uma le hormone iphansi (i-Hypothyroidism), zonke lezi zinqubo ziyehla kancane. Lokho okwenziwa amaphilisi e-Levothyroxine ukubuyisela lezo zinqubo eziyehlayo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala i-Levothyroxine, kubaluleke kakhulu ukwazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nanoma yimiphi eminye imithi oyithathayo, njengoba ezinye izimo zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi.
| Uma unesinye noma ngaphezulu kwalezi zimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho: |
|---|
| • Isifo sika-Addison noma ezinye izinkinga ze-adrenal gland |
| • Isifo senhliziyo noma ubuhlungu benhliziyo (i-Angina) |
| • Izimo ezinjengobuthakathaka bamathambo noma i-osteoporosis |
| • Isifo sikashukela |
| Izinkinga ze-pituitary gland |
| • Uma uthatha imithi yokuvimbela noma yokwelapha amahlule egazi (isib. i-Warfarin) |
| • Uma usehlelweni lokunciphisa isisindo |
| • Uma unezinkinga zokuzala |
| • Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa |
| • Uma une-allergy kunoma yimuphi omunye umuthi, ukudla, noma udayi. |
Uyisebenzisa kanjani kahle le mithi?
Yilapho abantu abaningi bephambuka khona. Ukuze uthole okuningi kulo muthi, udinga ukwazi kahle ukuthi uwuthatha kanjani.
Okubaluleke kakhulu: Njalo thatha amaphilisi e-Levothyroxine esiswini esingenalutho , okungenani imizuzu engama-30 kuya ehoreni ngaphambi kokudla kwasekuseni, nengilazi yamanzi.
Kungani sisho kanjalo? Ngoba uma sithatha lo muthi kanye nokudla, uzophazamisa ukudla futhi umuthi ngeke umunceke kahle. Khona-ke izinzuzo zokuthatha umuthi zizoncipha.
Futhi, gwema ukuthatha izinto ezilandelayo eduze nesikhathi (phakathi kwamahora ama-4) sokuthatha lo muthi:
- Ama-antacid e-gastritis (ikakhulukazi lawo aqukethe i-aluminium noma i-magnesium)
- Amaphilisi e-calcium (i-calcium carbonate)
- Amaphilisi ensimbi (i-ferrous sulfate)
- Eminye imithi yokwehlisa i-cholesterol (isib. i-Cholestyramine)
- Eminye imithi (isib. iSucralfate, iSevelamer)
Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Thatha umthamo udokotela wakho akutshela wona kuphela. Ungaphuzi owengeziwe.
Uma uyinika izingane ezincane...
Lomuthi unganikezwa nezinsana ezisanda kuzalwa. Ezimweni ezinjalo, cindezela iphilisi kahle bese ulincibilikisa ezipunini ezi-1-2 zamanzi, ubisi lwebele, noma ubisi lwezingane olungenasoya , bese ulinika njengoba kuqondiswe udokotela wakho. Ungalokothi uluxube nobisi lwe-soya., ngoba kungenza umuthi ungasebenzi kahle.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi ususebenzise izidakamizwa ngokweqile, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Ngaphandle kwalokho, shayela i-National Poisons Information Centre e-Colombo National Hospital .
Ezinye izinto ezingasebenzisana neLevothyroxine
I-Levothyroxine ingasebenzisana nemithi eminingi, amavithamini, ngisho nokudla okuthile, ngakho-ke kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo.
| Isigaba semithi/izidakamizwa | Izibonelo |
|---|---|
| Umuthi wesifo senhliziyo | I-Amiodarone, i-Digoxin |
| Amavithamini namaminerali | I-Calcium, Izithasiselo Zensimbi |
| Umuthi we-gastritis/acid reflux | Ama-antacid, i-Sucralfate |
| Imithi yokwelapha isithuthwane | I-Carbamazepine, i-Phenytoin, i-Phenobarbital |
| Izinhlobo zama-hormone | Amaphilisi okuvimbela inzalo, i-Estrogen, i-Testosterone |
| Imithi yesifo sikashukela | Amaphilisi e-insulin noma esifo sikashukela |
| Eminye imithi yokucindezeleka | Ikakhulukazi ama-antidepressant e-tricyclic |
| Izinhlobo zama-steroid | I-Prednisone, i-Cortisone |
Lolu akulona uhlu oluphelele. Tshela udokotela wakho ngayo yonke imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, kanye nemithi yendabuko oyithathayo, kanye nokuthi ubhema noma uphuza utshwala.
Ezinye izinto okufanele uzicabangele lapho uthatha umuthi
- Phuza amanzi amaningi: Amanye amaphilisi e-Levothyroxine makhulu impela, ngakho-ke ukuwagwinya ngaphandle kwamanzi anele kungabangela ukuthi abhajwe emphinjeni wakho. Ngakho-ke phuza umuthi njalo nengilazi yamanzi.
- Ungashintsha izinhlobo: Ungashintsha uhlobo lwe-Levothyroxine oyisebenzisayo ngaphandle kwemvume kadokotela wakho. Ngezinye izikhathi, indlela umuthi omuncwa ngayo emzimbeni ingahluka kancane kuye ngohlobo lomuthi.
- Ukuhlolwa okuvamile: Ngesikhathi uthatha lo muthi, udokotela wakho uvame uku-oda ukuhlolwa kwegazi (i-TSH test) ukuze ahlole ukuthi amazinga akho e-thyroid hormone alungile yini. Ungakweqi.
- Ukuphila Konke: Iningi labantu kufanele lithathe lo muthi impilo yalo yonke. Ungayeki ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho.
- Ukulahlekelwa izinwele: Abanye abantu bangase balahlekelwe izinwele kakhulu lapho beqala ukuthatha umuthi. Kodwa ungakhathazeki, isikhathi esiningi kuzophela ngokwako ngokuhamba kwesikhathi.
- Ngaphambi kokuhlinzwa: Uma uzohlinzwa, tshela ithimba lakho lezokwelapha kusenesikhathi ukuthi uthatha i-Levothyroxine.
Yimiphi imiphumela emibi engaba khona?
Imiphumela emibi ivame ukwenzeka uma umthamo wemithi udlula inani elidingwa ngumzimba. Ngakho-ke, kubalulekile ukuqaphela lezi zimpawu.
| Umphumela ongemuhle |
|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha |
| • Ukusabela kokungezwani komzimba (ukuvuvukala kobuso, izindebe, ulimi, ukuqubuka kwesikhumba, ubunzima bokuphefumula) |
| • Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, ubuhlungu besifuba |
| • Ukujuluka ngokweqile, ukungakwazi ukubekezelela ukushisa |
| • Ukungahlaliseki okukhulu, ukucasuka, ukungakwazi ukulala |
| • Ukuthuthumela |
| • Uhudo olubi kakhulu |
| • Imijikelezo yokuya esikhathini engajwayelekile kwabesifazane |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka |
| • Izinguquko ekufiseni ukudla |
| • Ikhanda elibuhlungu |
| • Ukucanuzela/ukuhlanza |
Umlayezo Wokuya Nawe Ekhaya
- Phuza iphilisi le-Levothyroxine njalo ekuseni, esiswini esingenalutho, ngamanzi, okungenani imizuzu engama-30 ngaphambi kokudla.
- Gwema ukuyeka imithi noma ukushintsha umthamo ngaphandle kweseluleko sikadokotela wakho.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Yenza ukuhlolwa kwegazi lakho (i-TSH test) ngesikhathi futhi ugcine umthamo wemithi ofanele.
- Uma uzwa izimpawu ezifana nobuhlungu besifuba, ukushaya kwenhliziyo okusheshayo, noma ukungahlaliseki okukhulu, shayela udokotela wakho ngokushesha.
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