Liothyronine
Zamkati
- Musanatenge liothyronine,
- Liothyronine amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo:
- Zizindikiro za bongo zingaphatikizepo izi:
Mahomoni a chithokomiro sayenera kugwiritsidwa ntchito pochiza kunenepa kwambiri kwa odwala omwe ali ndi vuto la chithokomiro. Liothyronine sichitha kuchepetsa kulemera kwa odwala amtundu wa chithokomiro ndipo imatha kuyambitsa poizoni wowopsa kapena wowopsa, makamaka akamwedwa ndi amphetamines. Lankhulani ndi dokotala wanu za zoopsa zomwe zingabwere chifukwa cha mankhwalawa.
Liothyronine amagwiritsidwa ntchito pochiza hypothyroidism (vuto lomwe chithokomiro sichimatulutsa timadzi tambiri tithokomiro). Liothyronine imagwiritsidwanso ntchito pochizira chotupa (chotupa chithokomiro chokulitsa) ndikuyesa hyperthyroidism (vuto lomwe chithokomiro chimatulutsa timadzi tambiri ta chithokomiro). Liothyronine ali mgulu la mankhwala otchedwa chithokomiro. Zimagwira ntchito popereka mahomoni a chithokomiro omwe nthawi zambiri amapangidwa ndi thupi.
Pakadali pano, palibe umboni wokwanira kuchokera ku maphunziro azachipatala othandizira kugwiritsa ntchito liothyronine, yokha kapena kuphatikiza mankhwala ena, monga njira yoyamba yothandizira kuchiza hypothyroidism.
Liothyronine amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani liothyronine monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Dokotala wanu angakuyambitseni pa liothyronine yochepa ndipo pang'onopang'ono muwonjezere mlingo wanu kamodzi pa masabata 1 kapena 2.
Kuti muchepetse zizindikilo za hypothyroidism, mwina muyenera kumwa mankhwalawa kwa moyo wanu wonse. Pitirizani kumwa liothyronine ngakhale mutakhala bwino. Osasiya kumwa liothyronine osalankhula ndi dokotala.
Mankhwalawa amatha kuperekedwera zochitika zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge liothyronine,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la liothyronine, mahomoni a chithokomiro, levothyroxine, mankhwala ena aliwonse, kapena chilichonse mwapiritsi a liothyronine. 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: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); Mankhwala ashuga omwe amatengedwa pakamwa; digoxin (Lanoxin); estrogens; insulini; ndi tricyclic antidepressants monga amitriptyline (Elavil). Mankhwala ena ambiri amathanso kulumikizana ndi liothyronine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
- mukatenga cholestyramine (Questran), imwani maola 4 kapena 5 musanadye kapena 4 mpaka 5 maola mutatenga liothyronine.
- auzeni adotolo ngati muli ndi vuto losakwanira la adrenal (momwe thupi silimatulutsira zinthu zina zachilengedwe zofunikira pazinthu zofunika monga kuthamanga kwa magazi) kapena thyrotoxicosis (zomwe zimachitika chifukwa cha mahomoni ambiri a chithokomiro kapena hyperthyroidism). Dokotala wanu angakuuzeni kuti musatenge liothyronine.
- uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda ashuga; matenda amtima monga kuthamanga kwa magazi, atherosclerosis (kuuma kwa mitsempha), kupweteka pachifuwa (angina), kapena kugunda kwamtima kosafunikira, kapena adadwalapo mtima.
- Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga liothyronine, itanani dokotala wanu.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa liothyronine.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
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.
Liothyronine amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kuonda
- manjenje
- thukuta kwambiri
- kutengeka kwa kutentha
- Kutaya tsitsi kwakanthawi (makamaka kwa ana m'miyezi yoyamba yamankhwala)
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo:
- kupweteka pachifuwa
- kugunda kwamtima mwachangu kapena mosasinthasintha kapena kugunda
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:
- mutu
- kupsa mtima
- manjenje
- thukuta
- kuchulukitsa matumbo
- kusasamba kwa msambo
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone yankho lanu ku liothyronine.
Musanayezetsedwe kwa labotale, uzani adotolo ndi omwe akuwalembera kuti mukumwa liothyronine.
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.
- Cytomel®
- L-Triiodothyronine