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Tsiku La Chilengedwe: 12 Epulo 2021
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Levothyroxine (mahomoni a chithokomiro) sayenera kugwiritsidwa ntchito paokha kapena limodzi ndi mankhwala ena kuti athetse kunenepa kwambiri kapena kuchepa thupi.

Levothyroxine imatha kubweretsa mavuto owopsa kapena opatsa moyo mukamamwa kwambiri, makamaka akamwedwa ndi amphetamine monga amphetamine (Adzenys, Dyanavel XR, Evekeo), dextroamphetamine (Dexedrine), ndi methamphetamine (Desoxyn). Uzani dokotala wanu ngati muli ndi zizindikiro izi mukamamwa levothyroxine: kupweteka pachifuwa, kugunda kwamtima mwachangu kapena mosasinthasintha kapena kugunda, kugwedezeka kosalamulirika kwa gawo lina la thupi, mantha, nkhawa, kukwiya, kuvutika kugona kapena kugona, kufupika wa mpweya, kapena thukuta kwambiri.

Lankhulani ndi dokotala wanu za zoopsa zomwe zingabwere chifukwa cha mankhwalawa.

Levothyroxine imagwiritsidwa ntchito pochiza hypothyroidism (momwe gland ya chithokomiro sichimatulutsa timadzi ta chithokomiro chokwanira). Amagwiritsidwanso ntchito pochita opaleshoni ndi mankhwala a ayodini okhudzana ndi khansa ya chithokomiro. Levothyroxine ali mgulu la mankhwala otchedwa mahomoni. Zimagwira ntchito m'malo mwa mahomoni a chithokomiro omwe nthawi zambiri amapangidwa ndi thupi.


Popanda mahomoni a chithokomiro, thupi lanu silingagwire bwino ntchito, zomwe zingayambitse kukula, kulankhula pang'ono, kusowa mphamvu, kutopa kwambiri, kudzimbidwa, kunenepa, tsitsi, khungu lowuma, khungu lakuthwa, kuwonjezeka kwa kuzizira, kupweteka kwamagulu ndi minofu, kusamba kolemera kapena kosasamba, ndi kukhumudwa. Mukamamwa moyenera, levothyroxine amasintha izi.

Levothyroxine amabwera ngati piritsi komanso kapisozi woti amwe pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku wopanda kanthu, 30 mphindi 1 ora musanadye chakudya cham'mawa. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani levothyroxine monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse; musatafune kapena kuwaphwanya. Musachotse kapisozi mu phukusi mpaka mutakonzeka kulitenga.

Tengani mapiritsiwo ndi kapu yathunthu yamadzi momwe ingakakamire pakhosi panu kapena kuyambitsa kutsamwa.


Ngati mukupatsa levothyroxine kwa khanda, mwana, kapena wamkulu yemwe sangathe kumeza piritsili, aphwanyeni ndi kusakaniza supuni 1 mpaka 2 (5 mpaka 10 mL) a madzi. Sakanizani mapiritsi osweka ndi madzi; osasakaniza ndi chakudya kapena kapangidwe ka makanda a soya. Perekani izi osakaniza ndi supuni kapena dropper nthawi yomweyo. Osasunga kuti mugwiritse ntchito mtsogolo.

Dokotala wanu angayambe ndi mlingo wochepa wa levothyroxine ndipo pang'onopang'ono muwonjezere mlingo wanu.

Levothyroxine amalamulira hypothyroidism koma samachiritsa. Zitha kutenga milungu ingapo musanawone kusintha kwa zizindikilo zanu. Pitirizani kumwa levothyroxine ngakhale mukumva bwino. Osasiya kumwa levothyroxine osalankhula ndi dokotala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge levothyroxine,

  • uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la levothyroxine, mahomoni a chithokomiro, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a levothyroxine. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO: amiodarone (Nexterone, Pacerone); androgens monga nandrolone ndi testosterone (Androderm); maantacid ena okhala ndi aluminium kapena magnesium (Maalox, Mylanta, ena); anticoagulants ('magazi ochepetsa magazi') monga heparin kapena warfarin (Coumadin, Jantoven); beta-blockers monga metoprolol (Lopressor), propranolol (Inderal, Innopran), kapena timolol; mankhwala a khansa monga asparaginase, fluorouracil, ndi mitotane (Lysodren); carbamazepine (Carbatrol, Equetro, Tegretol, kapena Teril); clofibrate (Atromid); corticosteroids monga dexamethasone; mankhwala a chifuwa ndi kuzizira kapena kuchepa thupi; digoxin (Lanoxin); mankhwala okhala ndi estrogen monga mankhwala obwezeretsa mahomoni kapena njira zolerera za mahomoni (mapiritsi oletsa kubereka, zigamba, mphete, zopangira kapena jakisoni); furosemide (Lasix); insulin kapena mankhwala ena ochizira matenda ashuga; maprotiline; mefenamic acid (Ponstel); methadone (Methadose); kachilombo; mndandanda (Alli, Xenical); phenobarbital; phenytoin (Dilantin, Phenytek); proton pump inhibitors monga esomeprazole (Nexium), lansoprazole (Prevacid), ndi omeprazole (Prilosec); rifampin (Rifater, Rifamate, Rifadin); mankhwala opatsirana (Zoloft); simethicone (Phazyme, Gasi X); sucralfate (Carafate); tamoxifen (Soltamox); tyrosine kinase inhibitors monga cabozantinib (Cometriq) kapena imatinib (Gleevac); ndi tricyclic antidepressants monga amitriptyline (Elavil).Mankhwala ena ambiri amathanso kulumikizana ndi levothyroxine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • mukatenga calcium carbonate (Tum) kapena ferrous sulphate (chitsulo chowonjezera), imwani maola 4 musanadye kapena maola 4 mutatenga levothyroxine. Mukatenga cholestyramine (Prevalite), colesevelam (Welchol), colestipol (Colestid), sevelamer (Renvela, Renagel), kapena sodium polystyrene sulfonate (Kayexalate), tengani osachepera maola 4 mutatenga levothyroxine.
  • auzeni adotolo ngati muli ndi vuto losakwanira la adrenal (momwe matumbo a adrenal samatulutsa mahomoni okwanira ofunikira mthupi). Dokotala wanu akhoza kukuwuzani kuti musatenge levothyroxine.
  • uzani dokotala wanu ngati mwalandira mankhwala a radiation posachedwa kapena ngati mwakhalapo ndi matenda ashuga; kuuma kwa mitsempha (atherosclerosis); kutaya magazi kapena kuchepa kwa magazi; porphyria (momwe zinthu zosazolowereka zimakhalira m'magazi zimayambitsa mavuto ndi khungu kapena dongosolo lamanjenje); kufooka kwa mafupa (matenda omwe mafupa amawonda komanso kufooka ndikuphwanya mosavuta); pituitary gland (kamphongo kakang'ono muubongo) zovuta; chikhalidwe chilichonse chomwe chimakupangitsani kukhala kovuta kuti mumumeze; kapena matenda a impso, mtima, kapena chiwindi.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga levothyroxine, itanani dokotala wanu.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa levothyroxine.

Zakudya ndi zakumwa zina, makamaka zomwe zili ndi soya, walnuts, ndi fiber, zingakhudze momwe levothyroxine imagwirira ntchito kwa inu. Lankhulani ndi dokotala musanadye kapena kumwa zakudyazi.


Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Levothyroxine imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • kunenepa kapena kutayika
  • mutu
  • kusanza
  • kutsegula m'mimba
  • kusintha kwa njala
  • malungo
  • kusintha kwa msambo
  • kutengeka kwa kutentha
  • kutayika tsitsi
  • kupweteka pamodzi
  • kukokana kwamiyendo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

  • kupuma pang'ono, kupuma, ming'oma, kuyabwa, kuthamanga, kuthamanga, kupweteka m'mimba, nseru, kapena kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

  • kupweteka pachifuwa
  • kugunda kwamtima mwachangu kapena mosasinthasintha kapena kugunda
  • kugwedezeka kosalamulirika kwa gawo lina la thupi
  • manjenje
  • nkhawa
  • kupsa mtima
  • kuvuta kugona kapena kugona
  • kupuma movutikira
  • thukuta kwambiri
  • chisokonezo
  • kutaya chidziwitso
  • kulanda

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone yankho lanu ku levothyroxine.

Dziwani dzina lake komanso dzina la mankhwala anu. Osasintha ma brand osalankhula ndi dokotala kapena wamankhwala, chifukwa mtundu uliwonse wa levothyroxine uli ndi mankhwala osiyana pang'ono.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

  • Levothroid®
  • Levo-T®
  • Levoxyl®
  • Zovuta®
  • Tirosint®
  • Unithroid®

Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.

Idasinthidwa Komaliza - 02/15/2019

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