Umbhali: Gregory Harris
Umhla Wokudalwa: 8 Utshazimpuzi 2021
Hlaziya Umhla: 19 Eyenkanga 2024
Anonim
Is There a Role for Liothyronine (LT3) in the Treatment of Hypothyroidism?
Ividiyo: Is There a Role for Liothyronine (LT3) in the Treatment of Hypothyroidism?

Umxholo

Idlala lengqula alifanele lisetyenziselwe ukunyanga ukutyeba kakhulu kwizigulana ezinomsebenzi oqhelekileyo wedlala lengqula. I-Liothyronine ayisebenzi ekunciphiseni ubunzima kwizigulana eziqhelekileyo ze-thyroid kwaye inokubangela ubungozi obunobungozi okanye obusongela ubomi, ngakumbi xa ithathwa nge-amphetamines. Thetha nogqirha wakho malunga neengozi ezinokubakho ezinxulumene neliyeza.

I-Liothyronine isetyenziselwa ukunyanga i-hypothyroidism (imeko apho idlala lengqula lingavelisi ngokwaneleyo idlala lengqula). I-Liothyronine ikwasetyenziselwa ukunyanga i-goiter (i-gland eyandisiweyo) kunye nokuvavanya i-hyperthyroidism (imeko apho i-thyroid gland ivelisa i-hormone ye-thyroid eninzi). U-Liothyronine ukwiklasi yamayeza abizwa ngokuba ziiarhente zedlala lengqula. Isebenza ngokubonelela iihomoni ze-thyroid eziqhelekileyo eziveliswa ngumzimba.

Okwangoku, abukho ubungqina obaneleyo kwizifundo zeklinikhi zokuxhasa ukusetyenziswa kwe-liothyronine, iyodwa okanye idityaniswe namanye amayeza, njengokhetho lokuqala lonyango ukunyanga i-hypothyroidism.

I-Liothyronine iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-liothyronine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.


Ugqirha wakho uya kuqala ngedosi esezantsi ye-liothyronine kwaye ngokuthe ngcembe andise idosi yakho hayi ngaphezulu kwesinye kwiiveki ezi-1 ukuya kwezi-2.

Ukulawula iimpawu ze-hypothyroidism, kuya kufuneka uthathe eli yeza ubomi bakho bonke. Qhubeka nokuthatha i-liothyronine nokuba uziva uphilile. Sukuyeka ukuthatha i-liothyronine ngaphandle kokuthetha nogqirha wakho.

Eli yeza linokumiselwa kwezinye iimeko; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-liothyronine,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-liothyronine, ihomoni ye-thyroid, i-levothyroxine, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-liothyronine. 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 zinto zilandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin, Jantoven); amayeza eswekile athathwe ngomlomo; idigoxin (Lanoxin); ii-estrogens; i-insulin; izinto zokucwangcisa zomlomo ezine-estrogen; kunye ne-tricyclic antidepressants ezinje nge-amitriptyline (Elavil). Uninzi lwamanye amayeza anokusebenzisana ne-liothyronine, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
  • ukuba uthatha icholestyramine (Questran), thatha ubuncinci iiyure ezi-4 ukuya kwezi-5 ngaphambi okanye kwiiyure ezi-4 ukuya kwezi-5 emva kokuba uthathe i-liothyronine.
  • xelela ugqirha wakho ukuba une-adrenal insufficiency (imeko apho umzimba ungazivelisi ngokwaneleyo izinto ezithile zendalo eziyimfuneko kwimisebenzi ebalulekileyo efana noxinzelelo lwegazi) okanye i-thyrotoxicosis (imeko evela kwihomoni yegazi eninzi okanye kwi-hyperthyroidism). Ugqirha wakho uya kukuxelela ukuba ungathathi i-liothyronine.
  • xelela ugqirha wakho ukuba ukhe unesifo seswekile; isifo sentliziyo esifana noxinzelelo lwegazi, isifo sokuqina kwemithambo yegazi (ukuqina kwemithambo), iintlungu zesifuba (angina), okanye ukubetha kwentliziyo okungaqhelekanga, okanye okhe wahlaselwa sisifo sentliziyo.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-liothyronine, tsalela umnxeba ugqirha wakho.
  • ukuba utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-liothyronine.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.


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

  • ukuhla ukusinda
  • uvalo
  • ukubila okugqithisileyo
  • uvakalelo kubushushu
  • ukulahleka kweenwele okwethutyana (ngakumbi ebantwaneni kwiinyanga zokuqala zonyango)

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana enye yezi mpawu zilandelayo, biza ugqirha ngokukhawuleza:

  • iintlungu zesifuba
  • ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga okanye ukubetha kwentliziyo

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:

  • intloko ebuhlungu
  • ukucaphuka
  • uvalo
  • ukubila
  • ukonyuka kwamathumbu
  • izitenxo zokuya exesheni

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

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi ukuba uthatha i-liothyronine.

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.

  • ICytomel®
  • L-Triiodothyronine
Ukuhlaziywa kokugqibela-01/15/2018

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