Liothyronine ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Liothyronine ni ubwoko bwa T3 bwakozwe na simusiga, imwe muri za hormone z'ingenzi umubiri wawe ukora mu buryo busanzwe. Igenewe abantu umubiri wabo udashobora gukora za hormone zihagije, bigafasha kugarura imbaraga n'imikorere y'umubiri wawe ukeneye kugira ngo ukore neza.

Uyu muti ukora vuba kurusha indi miti ivura imikorere mibi y'umubiri kuko utanga hormone ya T3 ikora mu buryo butaziguye mu ntsinga zawe. Muganga wawe ashobora kuyandika wenyine cyangwa hamwe n'indi miti ivura imikorere mibi y'umubiri kugira ngo ugaruke kumera nkuko wari umeze mbere.

Liothyronine ni iki?

Liothyronine ni ubwoko bwa triiodothyronine (T3) bwakozwe n'abantu, ariyo hormone ikora cyane mu mubiri wawe. Bitekereze nk'uko uha umubiri wawe hormone nyayo ukeneye iyo umubiri wawe utagikora neza.

Bitandukanye na levothyroxine (T4), umubiri wawe ugomba guhindura T3, liothyronine imaze kuba mu buryo bukora n'intsinga zawe zishobora gukoresha ako kanya. Ibi bituma bifasha cyane abantu bafite ibibazo byo guhindura iyi miti mu buryo busanzwe.

Uyu muti uza mu buryo bw'ibinini bito ufata unywa. Muganga wawe azagena urugero rukwiye rishingiye ku rwego rwa hormone yawe y'imikorere mibi y'umubiri n'uburyo witwara ku miti.

Liothyronine ikoreshwa mu kuvura iki?

Liothyronine ivura imikorere mibi y'umubiri, uburwayi aho umubiri wawe udakora za hormone zihagije. Ibi bishobora gutuma wumva unaniwe, ufite imbeho, kandi utekereza nabi uko imikorere y'umubiri wawe igenda igabanuka.

Muganga wawe ashobora kwandika uyu muti niba ufite imikorere mibi y'umubiri y'ibanze, aho umubiri wawe utagikora neza. Ikoreshwa kandi mu mikorere mibi y'umubiri ya kabiri, ibaho iyo umusonga wawe udashobora gukora neza.

Rimwe na rimwe, abaganga bandikira imiti ya liothyronine hamwe na levothyroxine ku bantu bagifite ibimenyetso nubwo ibizamini by'amaraso bisanzwe. Ubu buvuzi buhuriweho bushobora gufasha abantu bamwe kumva bameze neza iyo imiti imwe itagikora.

Mu bihe bidasanzwe, liothyronine ikoreshwa nk'igice cyo kuvura kanseri ya tiroyide kugirango igabanye urwego rwa TSH. Irashobora kandi kwandikwa kubantu bafite umubabaro ukabije iyo ikoreshejwe neza hamwe n'imiti igabanya umubabaro, nubwo ibi bidakunze kubaho.

Liothyronine ikora ite?

Liothyronine ikora isimbura mu buryo butaziguye umusemburo wa T3 tiroyide yawe ikwiye gukora. Iyo umaze kuyifata, umuti ugenda mu maraso yawe ukagera mu ntsinga zose zo mu mubiri wawe, aho ifasha kugenzura imikorere yawe.

Ibi bifatwa nk'umuti ukomeye wa tiroyide kuko T3 ikora cyane kurusha T4. Intsinga zawe zirashobora gukoresha liothyronine ako kanya hatabanje kuyihindura, niyo mpamvu abantu bamwe babona ingaruka vuba kurusha izindi miti ya tiroyide.

Uyu musemburo ufasha kugenzura uburyo umubiri wawe ukoresha imbaraga, ugira ingaruka ku mutima wawe, kandi ukagira uruhare ku bushyuhe bw'umubiri wawe. Igira kandi uruhare mu mikorere y'ubwonko, niyo mpamvu ibibazo bya tiroyide bishobora kugira ingaruka ku myumvire yawe no gutekereza.

Kubera ko liothyronine ikomeye kandi ikora vuba kurusha levothyroxine, muganga wawe azatangira akenshi ku gipimo gito hanyuma akagihindura buhoro buhoro. Ubu buryo bwo kwitonda bufasha kwirinda ibimenyetso byo kugira umusemburo wa tiroyide mwinshi.

Nkwiriye gufata liothyronine nte?

Fata liothyronine ku gifu cyambaye ubusa, byaba byiza iminota 30 kugeza ku isaha mbere ya saa sita. Ibi bifasha umubiri wawe kwinjiza neza umuti kandi bituma ubona inyungu zose z'urugero rwa buri gihe.

Mimina ikinini cyose hamwe n'ikirahure cyuzuye cy'amazi asanzwe. Irinde kuyifata hamwe na kawa, icyayi, cyangwa izindi nzoga zishobora kubangamira imikorere yayo.

Niba ufata liothyronine inshuro nyinshi ku munsi, shyira imiti mu gihe kimwe ku munsi nk'uko muganga wawe abitegeka. Abantu bamwe bayifata kabiri ku munsi, mu gihe abandi bashobora gukenera doze ntoya eshatu kugira ngo bagumane urugero rwa hormone.

Gerageza gufata umuti wawe mu gihe kimwe buri munsi kugira ngo ugumane urugero rwa hormone. Gushyiraho ibyibutso kuri terefone birashobora kugufasha gushyiraho iyi gahunda, cyane cyane mu byumweru bike bya mbere by'ubuvuzi.

Tegereza byibuze amasaha 4 nyuma yo gufata liothyronine mbere yo kurya ibyongera calcium, icyuma, cyangwa antacids, kuko ibi bishobora kugabanya umuti umubiri wawe ukoresha. Ibi byongera ibiryo byinshi bya fibre n'ibicuruzwa bya soya.

Nzamara Igihe Kingana Iki Ndafata Liothyronine?

Abantu benshi bafite hypothyroidism bakeneye gufata liothyronine ubuzima bwabo bwose, kuko uburwayi bwa thyroid butajya bukira ubwabo. Igice cyawe cya thyroid gishobora gukomeza gukenera gusimbuza hormone kugira ngo urugero rwa metabolism rukore neza.

Ariko, doze yawe irashobora guhinduka uko igihe kigenda, bitewe n'ibisubizo byawe by'amaraso n'uko wumva. Muganga wawe azagenzura urugero rwa hormone yawe ya thyroid buri gihe kandi ahindure imiti yawe uko bikwiye kugira ngo agumane uburinganire bwiza.

Abantu bamwe bashobora guhagarika liothyronine niba hypothyroidism yabo yatewe n'ibintu by'igihe gito nk'imiti imwe cyangwa uburwayi bukomeye. Muganga wawe azemeza niba ibi bikora ku miterere yawe binyuze mu kugenzura neza.

Niba ufata liothyronine kubindi bibazo nk'ubufasha bwo kurwanya depression, igihe kizaterwa na gahunda yawe yihariye yo kuvura. Ntukigere uhagarika gufata uyu muti ako kanya utabanje kubiganiraho na muganga wawe.

Ni Iyihe Miterere Mibi ya Liothyronine?

Imiterere mibi ya liothyronine ikunda kubaho iyo ubonye hormone ya thyroid nyinshi, mu by'ukuri ukora urugero rwa thyroid rurenze urugero mu mubiri wawe. Inkuru nziza ni uko guhindura doze yawe mubisanzwe bikemura ibi bibazo.

Ibi ni bimwe mu ngaruka zikunze kugaragara, cyane cyane igihe utangiye kuvurwa cyangwa nyuma yo kongera urugero rw'umuti:

• Kumva uhungabanye, ufite impungenge, cyangwa utuje
• Umutima utera cyane cyangwa mu buryo butari busanzwe
• Kugorwa no gusinzira cyangwa kumva ufite imbaraga nyinshi
• Kunyeganyega cyane cyangwa kumva ushushye cyane
• Kugabanya ibiro utabishaka cyangwa kongera ubushake bwo kurya
• Umutwe cyangwa kumva uhinda umushyitsi
• Impiswi cyangwa kujya ku bwiherero kenshi

Ibi bimenyetso bikunze kugenda bigabanuka uko umubiri wawe ukimenyereza umuti cyangwa muganga wawe amaze guhindura urugero rw'umuti. Abantu benshi babona urugero rukwiye mu byumweru bike cyangwa amezi make nyuma yo gutangira kuvurwa.

Nubwo bitajya bibaho kenshi, abantu bamwe bashobora kugira ingaruka zikomeye zisaba ubufasha bwihuse bw'abaganga:

• Kubabara mu gituza cyangwa umutima utera cyane
• Kugorwa cyane no guhumeka
• Ibimenyetso byo kwibasirwa n'umubiri nk'uruhu rureruka, kubyimba, cyangwa kugorwa no guhumeka
• Guhinduka gukomeye kw'amarangamutima cyangwa urujijo
• Kunanirwa cyane bitandukanye n'ibimenyetso bisanzwe bya thyroid

Gahoro cyane, abantu bashobora kurwara indwara yitwa thyroid storm, ikubiyemo urugero rwo hejuru rw'imisemburo ya thyroid. Ibi bishobora kuba cyane niba uteye umuti mwinshi utabizi cyangwa ufite izindi ndwara zikomeye.

Vugana na muganga wawe niba ubona ingaruka zikomeje cyangwa zitera impungenge. Bashobora kugufasha kumenya niba ukeneye guhindura urugero rw'umuti cyangwa niba ikindi kibazo gishobora gutera ibimenyetso byawe.

Ninde utagomba gufata Liothyronine?

Liothyronine ntibishoboka kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kuyandika. Indwara zimwe na zimwe z'umutima zituma uyu muti ugira akaga cyane kuko T3 ishobora kongera umuvuduko w'umutima n'umurimo wawo.

Ntabwo ugomba gufata liothyronine niba ufite indwara ya adrenal insufficiency itavuwe, indwara aho imitsi yawe ya adrenal idakora cortisol ihagije. Gufata imisemburo ya thyroid muri iyi situation birashobora gutera adrenal crisis ikomeye.

Abantu bafite utuntu twa vuba twatewe n'umutima, angina itajegajega, cyangwa umuvuduko mwinshi w'amaraso udagenzurwa mubisanzwe ntibagomba gutangira liothyronine kugeza igihe ibi bibazo bikemukiye. Umuti urashobora gushyira umuvuduko mwinshi ku mutima wamaze gukomereka.

Dore izindi ndwara zishobora gutuma liothyronine idakwiriye cyangwa igasaba gukurikiranwa byihariye:

• Indwara ikomeye y'imitsi y'umutima cyangwa ibibazo by'umutima
• Diabetes idagenzurwa (imisemburo ya thyroid irashobora kugira ingaruka ku isukari yo mu maraso)
• Osteoporosis cyangwa impungenge zo gutakaza amagufa
• Amateka ya thyroid storm cyangwa hyperthyroidism ikomeye
• Indwara zimwe na zimwe zo mu mutwe zishobora kwiyongera niba zishishikajwe

Gusama no konsa bisaba kwitonderwa byihariye, nubwo gusimbuza imisemburo ya thyroid akenshi biba ngombwa muri ibyo bihe. Muganga wawe azahindura neza urugero rwawe kandi akugenzure neza niba usamye mugihe ufata liothyronine.

Niba urengeje imyaka 65 cyangwa ufite indwara nyinshi, muganga wawe ashobora gutangira kugufata urugero ruto kandi akongera buhoro kugirango agabanye ibyago byo kugira ingaruka ziterwa n'umuti.

Amazina y'ubwoko bwa Liothyronine

Izina risanzwe rya liothyronine muri Leta Zunze Ubumwe z'Amerika ni Cytomel, imaze imyaka myinshi iboneka. Ubu bwoko buza muburyo butandukanye bwa tablet kugirango bishoboke gufata neza.

Triostat ni irindi zina ry'ubwoko, nubwo rikoreshwa cyane mu bitaro nk'ubwoko bwa liothyronine buterwa. Abantu benshi bafata liothyronine murugo bazakoresha uburyo bwa tablet yo kunywa.

Imiti ya rusange ya liothyronine iraboneka kandi ikora neza nk'imiti y'amazina. Farumasi yawe ishobora guhita ishyira mu mwanya wa liothyronine rusange keretse muganga wawe asabye izina ry'umuti.

Niba uhindura hagati y'abakora imiti batandukanye cyangwa uva ku izina ry'umuti ujya ku rusange, muganga wawe ashobora gushaka kureba urwego rwa thyroyide yawe nyuma y'ibyumweru bike uhinduye kugirango urebe niba urwego rwa hormone yawe rukomeza guhagarara.

Uburyo bwo gusimbuza Liothyronine

Levothyroxine (T4) ni uburyo busanzwe bwo gusimbuza liothyronine kandi ni bwo buvura bwa mbere ku bantu benshi bafite hypothyroidism. Ihindurwa muri T3 mu mubiri wawe kandi ikunda gutanga urwego rwa hormone ruhamye umunsi wose.

Abantu bamwe babana neza na therapy ihuriweho irimo levothyroxine na liothyronine. Ubu buryo bugerageza kwigana icyo glande ya thyroyide nziza yakora mu buryo busanzwe.

Imiti ya thyroyide y'umwimerere (NDT) nka Armour Thyroid irimo hormone zombi za T4 na T3 zikomoka ku glande ya thyroyide y'inyamaswa. Abantu bamwe barayikunda, nubwo akenshi itasabwa nk'ubuvuzi bwa mbere.

Ku bantu batabasha kwihanganira hormone za thyroyide zikozwe, muganga wawe ashobora gushakisha izindi nzira cyangwa agashakisha niba izindi ndwara zigira uruhare mu bimenyetso byawe. Rimwe na rimwe gukemura ibibazo by'imirire cyangwa ibindi bibazo by'ubuzima bishobora kunoza imikorere ya thyroyide.

Ese Liothyronine iruta Levothyroxine?

Liothyronine ntiruta levothyroxine ku bantu benshi bafite hypothyroidism. Levothyroxine ifatwa nk'urugero rwiza rw'ubuvuzi kuko itanga uburyo buhamye, burambye bwo gusimbuza hormone ya thyroyide ikora neza ku bantu bagera kuri 80%.

Ariko, liothyronine ishobora kuba nziza kuri wowe niba umubiri wawe ufite ikibazo cyo guhindura T4 ikaba T3, cyangwa niba ukomeza guhura n'ibimenyetso nubwo ibizamini by'amaraso bisanzwe kuri levothyroxine. Abantu bamwe bumva bafite imbaraga nyinshi kandi bafite ubwenge kuri liothyronine.

Ibyiza bya mbere bya liothyronine birimo gutangira gukora vuba no gutanga umusemburo ukora wa T3. Ibi birashobora gufasha abantu bakeneye guhumurizwa vuba cyangwa bafite ibibazo byo guhinduka.

Ku rundi ruhande, levothyroxine itanga urwego rwo hejuru rw'imisemburo umunsi wose kandi muri rusange biroroshye gupima buri gihe. Ifite kandi imyaka myinshi y'ubushakashatsi ishyigikira ikoreshwa ryayo nk'ubuvuzi bwibanze bwa hypothyroidism.

Muganga wawe azatekereza ku bimenyetso byawe byihariye, ibisubizo by'ibizamini by'amaraso, n'uburyo witwaye ku bundi buvuzi mugihe cyo gufata icyemezo cy'umuti ushobora kugukorera neza. Nta

Menya ibimenyetso byo kugira umusemburo wa thyroïde mwinshi, nk'umutima wihuta, guhangayika, kubira ibyuya, cyangwa kumva uhungabanye. Niba ubonye ibimenyetso bikomeye nk'ububabare mu gituza, guhumeka bigoranye, cyangwa guhagarara cyane, genda kwa muganga ako kanya.

Ntugerageze "gushyira mu buryo" urugero rwinshi rwa imiti ukoresha utareba imiti yawe ikurikira keretse muganga wawe akubwiye byeruye kubikora. Ibi bishobora gutuma urugero rw'imisemburo yawe ruzunguruka cyane mu buryo butandukanye.

Muganga wawe ashobora kugusaba gukurikirana ibimenyetso byawe kandi wenda ukagenzura urugero rwa thyroïde yawe niba wafashe imiti myinshi cyane kuruta uko byari byanditswe. Bazagufasha kumenya uburyo bwiza bwo gukora bushingiye ku buryo wafashe imiti myinshi.

Nigute nzakora niba nirengagije urugero rwa Liothyronine?

Niba wirengagije urugero rwa liothyronine, ifate ako kanya wibukira, keretse igihe cyo gufata urugero rwawe rukurikira. Muricyo gihe, reka urugero warengagije ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugirango usubize urugero warengagije, kuko ibi bishobora gutera ibimenyetso byo kugira umusemburo wa thyroïde mwinshi. Biruta kurengagiza urugero rumwe kuruta gushyira mu kaga gufata byinshi.

Niba ukunda kwibagirwa urugero, gerageza gushyiraho alarme kuri terefone cyangwa ukoreshe umuteguro w'imiti kugirango ugufashe kwibuka. Gufata imiti buri munsi ni ngombwa kugirango ugumane urugero rwa thyroïde ruhamye.

Ganira na muganga wawe niba ukunda kurengagiza urugero, kuko ashobora gukenera guhindura gahunda yawe yo kuvura cyangwa akagufasha gushaka uburyo bwo kunoza imikoreshereze y'imiti.

Nshobora guhagarika ryari gufata Liothyronine?

Ntabwo ugomba guhagarika gufata liothyronine ako kanya cyangwa utabiherewe uburenganzira na muganga wawe, niyo wumva umeze neza. Abantu benshi bafite hypothyroidism bakeneye gusimbuza umusemburo wa thyroïde ubuzima bwabo bwose kugirango bagumane imikorere isanzwe y'umubiri n'urwego rw'imbaraga.

Muganga wawe ashobora gutekereza guhagarika liothyronine niba hypothyroidism yawe yaratewe n'ibintu by'agateganyo nk'imiti imwe n'imwe, indwara ikomeye, cyangwa impinduka ziterwa no gutwita. Ariko, iki cyemezo gisaba isuzuma ryitondewe no gukurikiranwa.

Abantu bamwe bashobora kugabanya urugero rwabo cyangwa guhindura imiti itandukanye ya thyroid, ariko ibi bikwiye gukorwa gusa hakurikijwe ubuyobozi bwa muganga hamwe n'ibizamini by'amaraso bisanzwe kugirango bakurikirane urugero rw'imisemburo.

Niba ufite impungenge zo gufata imiti igihe kirekire, ganira impungenge zawe na muganga wawe. Barashobora gusobanura impamvu gukomeza kuvurwa ari ngombwa ku buzima bwawe no gukemura impungenge zose waba ufite.

Nshobora gufata Liothyronine mugihe ntwise?

Liothyronine irashobora gukoreshwa mugihe cyo gutwita iyo gusimbuza imisemburo ya thyroid ari ngombwa, nubwo levothyroxine ikunze kwandikwa kubagore batwite. Hypothyroidism itavuwe mugihe cyo gutwita irashobora kwangiza wowe n'umwana wawe ugenda akura.

Muganga wawe ashobora gushaka gukurikirana urugero rwa thyroid yawe kenshi mugihe cyo gutwita kandi ashobora gukenera guhindura urugero rwawe uko imisemburo yawe ihinduka. Gutwita mubisanzwe byongera icyifuzo cyo gusimbuza imisemburo ya thyroid.

Niba uteganya gutwita cyangwa ugasanga utwite mugihe ufata liothyronine, vugana na muganga wawe ako kanya. Bazashaka kureba urugero rwa thyroid yawe kandi birashoboka ko bahindura gahunda yawe yo kuvura.

Ntukahagarike gufata liothyronine niba utwise, kuko ibi bishobora kwangiza iterambere ry'umwana wawe. Muganga wawe azakorana nawe kugirango yemeze ko urimo kwakira uburyo bwo kuvura butekanye kandi bwiza mugihe cyo gutwita kwawe.