I-Levothyroxine

Umxholo

• Ngaphambi kokuba uthathe i-levothyroxine,
• I-Levothyroxine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana enye yezi mpawu zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

I-Levothyroxine (idlala lengqula) akufuneki isetyenziswe yodwa okanye kunye nezinye iindlela zonyango zokutyeba okanye zokunciphisa umzimba.

I-Levothyroxine inokubangela iingxaki ezinzulu okanye ezisongela ubomi xa unikwa ngeedosi ezinkulu, ngakumbi xa uthathwa ngee-amphetamines ezinje nge-amphetamine (Adzenys, Dyanavel XR, Evekeo), dextroamphetamine (Dexedrine), kunye ne-methamphetamine (Desoxyn). Xelela ugqirha wakho ukuba ngaba unazo ezi mpawu zilandelayo ngelixa uthatha i-levothyroxine: iintlungu zesifuba, ukubetha kwentliziyo okukhawulezileyo okanye okungagungqiyo okanye ukubetha kwentliziyo, ukungcangcazela okungalawulekiyo kwenxalenye yomzimba, uvalo, unxunguphalo, ukuba nochuku, ubunzima bokulala okanye ukuhlala ulele, ubufutshane ukuphefumla, okanye ukubila okugqithisileyo.

Thetha nogqirha wakho malunga neengozi ezinokubakho ezinxulumene neliyeza.

I-Levothyroxine isetyenziselwa ukunyanga i-hypothyroidism (imeko apho idlala lengqula lingavelisi ngokwaneleyo idlala lengqula). Ikwasetyenziswa ngotyando kunye nonyango lwe-iodine ene-radioactive ukunyanga umhlaza wedlala lengqula. I-Levothyroxine ikudidi lwamayeza abizwa ngokuba zihormone. Isebenza ngokutshintsha i-hormone ye-thyroid eveliswa ngumzimba.

Ngaphandle kwehomoni yedlala lengqula, umzimba wakho awunakho ukusebenza kakuhle, nto leyo enokubangela ukukhula okungalunganga, ukuthetha kancinci, ukunqongophala kwamandla, ukudinwa kakhulu, ukuqhina, ukutyeba, ukuncipha kweenwele, ukoma, ulusu olungqindilili, ukonyuka kokuziva kubanda, ukudibana kunye nentlungu yomzimba, amaxesha anzima okanye angaqhelekanga okuya exesheni, kunye noxinzelelo. Xa kuthathwe ngokuchanekileyo, i-levothyroxine iyaziguqula ezi mpawu.

I-Levothyroxine iza njengecwecwe kunye nepilisi ukuyithatha ngomlomo. Ihlala ithathwa kanye ngemini kwisisu esingenanto, imizuzu engama-30 ukuya kweyure enye ngaphambi kwesidlo sakusasa. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-levothyroxine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ukuginya njengezingxobo ngokupheleleyo; sukuzihlafuna okanye uzityumze. Sukususa i-capsule kwiphakheji de ube ukulungele ukuyithatha.

Thatha iipilisi ngeglasi epheleleyo yamanzi njengoko zinokubambeka emqaleni wakho okanye zibangele ukukrwitshwa okanye ukugwetywa.

Ukuba unika i-levothyroxine kusana, emntwaneni, okanye kubantu abadala abangakwaziyo ukuyiginya ithebhulethi, yityumze kwaye uyixube kwiitispuni ezi-1 ukuya kwezi-2 (5 ukuya kwi-10 ml) yamanzi. Hlanganisa kuphela iipilisi ezichotshoziweyo ngamanzi; sukuyixuba nokutya okanye ubisi olungumgubo lweentsana zesoya. Nika lo mxube ngepuni okanye nge-dropper kwangoko. Sukuyigcina ukuze uyisebenzise kamva.

Ugqirha wakho uya kuqala ngedosi esezantsi ye-levothyroxine kwaye ngokuthe ngcembe andise idosi yakho.

I-Levothyroxine ilawula i-hypothyroidism kodwa ayiyinyangi. Kungathatha iiveki ezimbalwa ngaphambi kokuba uqaphele utshintsho kwiimpawu zakho. Qhubeka uthatha i-levothyroxine nokuba uziva uphilile. Sukuyeka ukuthatha i-levothyroxine ngaphandle kokuthetha nogqirha wakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-levothyroxine,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-levothyroxine, idlala lengqula, nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi ze-levothyroxine. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO: amiodarone (Nexterone, Pacerone); i-androgens efana ne-nandrolone kunye ne-testosterone (Androderm); ii-antacids ezithile ezine-aluminium okanye i-magnesium (Maalox, Mylanta, nezinye); ii-anticoagulants ('igazi elincinci') njengeheparin okanye warfarin (Coumadin, Jantoven); ii-beta-blockers ezinje nge-metoprolol (Lopressor), propranolol (Inderal, Innopran), okanye i-timolol; amayeza omhlaza njenge-asparaginase, i-fluorouracil, kunye ne-mitotane (Lysodren); carbamazepine (Carbatrol, Equetro, Tegretol, okanye Teril); clofibrate (Atromid); ii-corticosteroids ezinjenge-dexamethasone; amayeza okukhohlela kunye neempawu ezibandayo okanye ukunciphisa umzimba; idigoxin (Lanoxin); amayeza aqukethe i-estrogen njengonyango lokutshintsha i-hormone okanye izinto zokucwangcisa zehomoni (iipilisi zolawulo lokuzalwa, iipatches, iiringi, ukufakelwa, okanye inaliti); i-furosemide (iLasix); i-insulin okanye amanye amayeza ukunyanga isifo seswekile; imaphrotiline; i-mefenamic acid (iPonstel); imethadone (iMethadose); niacin; uluhlu lwezinto (Alli, Xenical); phenobarbital; phenytoin (iDilantin, iPhenytek); Iiproton pump inhibitors ezifana ne-esomeprazole (Nexium), i-lansoprazole (Prevacid), kunye ne-omeprazole (Prilosec); irifampin (Rifater, Rifamate, Rifadin); i-sertraline (iZoloft); isimethicone (Phazyme, Gas X); I-sucralfate (iKarafate); tamoxifen (Soltamox); tyrosine kinase inhibitors ezinje ngecabozantinib (Cometriq) okanye imatinib (Gleevac); kunye ne-tricyclic antidepressants ezinje nge-amitriptyline (Elavil).Uninzi lwamanye amayeza anokusebenzisana ne-levothyroxine, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• ukuba uthatha i-calcium carbonate (Tums) okanye i-ferrous sulfate (isongezelelo sesinyithi), yithathe ubuncinci iiyure ezi-4 ngaphambi okanye kwiiyure ezi-4 emva kokuba uthathe i-levothyroxine. Ukuba uthatha icholestyramine (Prevalite), colesevelam (Welchol), colestipol (Colestid), sevelamer (Renvela, Renagel), okanye sodium polystyrene sulfonate (Kayexalate), yithathe ubuncinci iiyure ezi-4 emva kokuba uthathe i-levothyroxine.
• xelela ugqirha wakho ukuba awonelanga yi-adrenal (imeko apho amadlala e-adrenal engavelisi ngokwaneleyo iihomoni ezithile ezifunekayo kwimisebenzi ebalulekileyo yomzimba). Ugqirha wakho unokukuxelela ukuba ungathathi i-levothyroxine.
• xelela ugqirha wakho ukuba usandula ukufumana unyango ngemitha okanye ukuba ukhe unesifo seswekile; ukuqina kwemithambo (atherosclerosis); iingxaki zokopha okanye i-anemia; i-porphyria (imeko apho izinto ezingaqhelekanga zakha egazini kwaye zibangela iingxaki kulusu okanye kwinkqubo yemithambo-luvo); i-osteoporosis (imeko apho amathambo esiba buthathaka kwaye abe buthathaka kwaye aphule ngokulula); i-pituitary gland (incindi encinci kwingqondo) ukuphazamiseka; nayiphi na imeko eyenza kubenzima ukuba uyiginye; okanye isifo sezintso, sentliziyo, okanye sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa okanye ukuncancisa. Ukuba ukhulelwe ngelixa uthatha i-levothyroxine, tsalela ugqirha wakho.
• ukuba uyatyandwa, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-levothyroxine.

Olunye uhlobo lokutya kunye neziselo, ngakumbi ezo ziqukethe iimbotyi zesoya, i-walnuts, kunye nefayibha yokutya, inokuchaphazela indlela i-levothyroxine esebenza ngayo kuwe. Thetha nogqirha wakho ngaphambi kokutya okanye ukusela oku kutya.

Thetha nogqirha wakho malunga nokutya igrapefruit kunye nokusela ijusi yamagilebhisi ngelixa uthatha eli yeza.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Levothyroxine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ubunzima okanye ukulahleka
• intloko ebuhlungu
• ukugabha
• urhudo
• utshintsho kumdla wokutya
• ifiva
• utshintsho kumjikelo wokuya exesheni
• uvakalelo kubushushu
• ukulahleka kweenwele
• intlungu edibeneyo
• iinyanda zomlenze

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana enye yezi mpawu zilandelayo okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• ukuphefumla okufutshane, ukuvutha, imingxunya, ukurhawuzelela, irhashalala, ukugungxula, iintlungu zesisu, isicaphucaphu, okanye ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• iintlungu zesifuba
• ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga okanye ukubetha kwentliziyo
• ukushukuma okungalawulekiyo kwilungu lomzimba
• uvalo
• ixhala
• ukucaphuka
• ubunzima bokulala okanye ukulala
• ukuqhawukelwa ngumphefumlo
• ukubila okugqithisileyo
• ukudideka
• ukulahleka kwengqondo
• ukuxhuzula

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zelebhu ukujonga impendulo yakho kwi-levothyroxine.

Funda igama lophawu kunye negama elenziwe ngohlobo oluthile lonyango lwakho. Sukutshintsha ii-brand ungakhange uthethe nogqirha okanye usokhemesti, njengoko uphawu ngalunye lwe-levothyroxine luqulathe isixa esahlukileyo sonyango.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Ilevothroid^®¶
• I-Levo-T^®
• Levoxyl^®
• Synthroid^®
• ITirosint^®
• Unithroid^®

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.