Chii chinonzi Levothyroxine: Zvazvinoshandiswa, Madosi, Mativi eMuviri, nezvimwe

Levothyroxine ihomoni yekugadzirwa yethyroid inotsiva kana kuwedzera homoni yechisikigo inogadzirwa negland yako yethyroid. Kana thyroid yako isingagadziri homoni yakakwana yega, levothyroxine inopinda kuti ibatsire muviri wako kuchengetedza metabolism yakajairika, mazinga esimba, uye hutano hwese. Mushonga uyu ndemumwe wemishonga inonyanya kunyorerwa pasi rose uye yakabatsira mamiriyoni evanhu kunzwa sevavo zvakare.

Chii chinonzi Levothyroxine?

Levothyroxine inonyanya kuve vhezheni yakagadzirwa nevanhu ye thyroxine, inozivikanwawo seT4, iyo ndiyo homoni huru inogadzirwa negland yako yethyroid. Gland yako yethyroid, iri mumutsipa wako, inoita semuzinda wekudzora metabolic wemuviri wako. Kana isingagadziri homoni yakakwana, sisitimu yako yese inogona kunonoka, ichikanganisa zvese kubva pamazinga ako esimba kusvika kumwero wemoyo wako.

Iyo synthetic vhezheni mu levothyroxine yakafanana nemakemikari nezvinogadzirwa nemuviri wako pachisikigo. Izvi zvinoreva kuti muviri wako unogona kuishandisa zvakanyanya sezvaunogona homoni yako yethyroid. Funga nezvazvo sekupa muviri wako mafuta aunoda kuti umhanye nekumhanya kwakakodzera kana thyroid yako isingakwanise kuchengetedza zvido.

Levothyroxine Inoshandiswa Kunei?

Levothyroxine inonyanya kurapa hypothyroidism, mamiriro apo gland yako yethyroid isingagadziri homoni yakakwana. Izvi zvinoitika kakawanda kupfuura zvaungafunga, zvichikanganisa vanenge 5% yevanhu, nevakadzi vachikwanisa kuita kaviri kusvika kasere kupfuura varume.

Kunze kwehypothyroidism, vanachiremba vanonyora levothyroxine kune mamwe mamiriro ane chekuita nethyroid. Heano mashandisiro makuru ayo mupi wako wehutano angakurudzira:

• Hashimoto's thyroiditis, chirwere chemuviri chinokuvadza thyroid yako zvishoma nezvishoma
• Kurapa kenza yethyroid, kazhinji mushure mekubviswa kwevhiyo ye thyroid gland
• Kudzivirira uye kurapa goiter, kana thyroid yakakura ichida kudzvinyirirwa kwehomoni
• Kutsiva hormone ye thyroid mushure mekuvhiyiwa kwe thyroid
• Hypothyroidism yakaberekwa muvana vachangoberekwa vasina thyroid inoshanda zvakanaka

Mune dzimwe nguva, vanachiremba vanogona kunyora levothyroxine ye subclinical hypothyroidism, uko mazinga ako e thyroid hormone ari pasi asi uri kusangana nezviratidzo. Chiremba wako achanyatsoongorora kana kurapwa kwakakodzera mamiriro ako chaiwo.

Levothyroxine Inoshanda Sei?

Levothyroxine inoshanda nekutsiva thyroid hormone iyo muviri wako usiri kugadzira zvakakwana. Paunotora, muviri wako unochinja imwe ye levothyroxine kuita fomu rinoshanda zvakanyanya rinonzi T3, iro rinoita zvakananga masero ako uye metabolism.

Mishonga iyi inoonekwa seyakasimba uye yakavimbika kurapwa nekuti inopa yakagadzikana, inowirirana mazinga ehomoni kana ichitorwa nemazvo. Kusiyana nemimwe mishonga inoshanda nekukurumidza, levothyroxine inotora nguva kuti ivake mumuviri wako uye iratidze mhedzisiro yayo yakazara. Vanhu vazhinji vanotanga kunzwa zviri nani mukati mevhiki 4-6 yekutanga kurapwa, kunyangwe kumwe kuvandudzwa kungaonekwa nekukurumidza.

Muviri wako unoshandisa hormone iyi kudzora metabolism yechero sero. Kana mazinga adzorerwa kune akajairika, simba rako rinodzoka, kurova kwemoyo wako kunojairika, uye zvimwe zviratidzo zve hypothyroidism zvinovandudza zvishoma nezvishoma. Mishonga iyi inobatsira muviri wako kuti ushande sekunge thyroid yako yaishanda zvakajairika zvakare.

Ndingatora Sei Levothyroxine?

Kutora levothyroxine nemazvo kwakakosha kuti ishande nemazvo. Nguva nemaitiro ekutora mushonga uyu zvinogona kukanganisa zvakanyanya kuti muviri wako unougamuchira sei, saka kutevera matungamirirwo zvakanyatsonaka kunoita mutsauko chaiwo mukuona kwako.

Tora levothyroxine mudumbu risina chinhu, zvakanaka maminitsi 30-60 usati wadya mangwanani kana panguva yekurara, angangoita maawa 3-4 mushure memukaka wako wekupedzisira. Izvi zvinovimbisa kunyudzwa kwakanyanya sezvo chikafu, kunyanya chikafu chine fiber yakawanda, calcium, uye iron, zvinogona kukanganisa kuti muviri wako unoshandisa mushonga wakadii.

Mvura ndiyo sarudzo yakanaka yekutora levothyroxine. Dzivisa kuitora nekofi, mukaka, kana zvimwe zvinwiwa, sezvo izvi zvinogona kuderedza kunyudzwa. Kana iwe uchida kuitora panguva yekurara, ita shuwa kuti hauna kudya chero chinhu kwemaawa angangoita 3-4 pamberi.

Kugadzikana kwakakosha ne levothyroxine. Itore panguva imwechete zuva rega rega kuti uchengetedze mazinga emahormone mumuviri wako. Vanhu vazhinji vanowana kuti kumisa alarm yezuva nezuva kunovabatsira kuyeuka, kunyanya mumavhiki mashoma ekutanga ekurapa.

Kana iwe uchida kutora mamwe mishonga kana zvinowedzera, kuzviparadzanisa kubva ku levothyroxine kwakakosha. Zvinowedzera calcium, iron, antacids, uye mamwe mishonga anofanirwa kutorwa angangoita maawa 4 akaparadzana kubva ku levothyroxine kudzivirira kusangana.

Ndingatora Levothyroxine Kwenguva Yakareba Sei?

Vanhu vazhinji vane hypothyroidism vanofanirwa kutora levothyroxine kwehupenyu hwese. Izvi hazvisi nekuti mushonga unowanisa, asi nekuti mamiriro ari pasi akakonzera kuti thyroid yako isashande zvakanaka kazhinji haigadzirise yega.

Zvisinei, pane zvimwe zvisingabatanidzi uko kurapwa kungave kwenguva pfupi. Kana yako hypothyroidism yakakonzerwa nemamwe mishonga, postpartum thyroiditis, kana mamwe mafomu ekuputika kwe thyroid, chiremba wako anogona kupedzisira aedza kuderedza kana kumisa mushonga kuti aone kana basa re thyroid yako rakadzoka.

Chiremba wako achatarisa kushanda kwegland yako yethyroid nekuedzwa kweropa nguva dzose, kazhinji mwedzi 6-12 kana mushonga wako wagadzikana. Miedzo iyi inobatsira kuona kuti uri kuwana huwandu hwakakodzera hwemushonga uye kuti mazinga ako e-thyroid anoramba akakwana kuhutano hwako.

Usambofa wakamira kutora levothyroxine kamwe kamwe usina kuzvikurukura nemupi wako wehutano. Muviri wako unovimba nekutsiva kwehomoni iyi, uye kumira kamwe kamwe kunogona kukonzera kuti zviratidzo zvako zvehypothyroidism zvidzoke, dzimwe nguva zvakanyanya kupfuura kare.

Ndezvipi Zvipingamupinyi zveLevothyroxine?

Kana ichitorwa padosi yakakodzera, levothyroxine inowanzoita zvishoma zvikuru zvinokonzeresa nekuti inongotsiva izvo muviri wako unofanirwa kugadzira zvakasikwa. Zvizhinji zvinokonzeresa zvinowanzoitika kana dosi yakanyanya kukwirisa, zvichigadzira nyika yehyperthyroid yenguva pfupi.

Heano mativi akajairika aunogona kusangana nawo, kunyanya paunotanga kurapwa kana kugadzirisa dosi:

• Kurova kwemoyo kana kukurumidza kwemoyo
• Kunzwa uchinetseka, jittery, kana kusagadzikana
• Kutadza kurara kana kunzwa uchishingaira zvakanyanya
• Kuwedzera chido pasina kuwedzera uremu
• Kudedera kudiki mumaoko ako
• Kunzwa kupisa zvakanyanya kana kutukwa zvakanyanya kupfuura zvakajairika
• Kurasikirwa kwebvudzi kwenguva pfupi mumwedzi mishoma yekutanga yekurapa

Zviratidzo izvi zvinowanzoita nani sezvo muviri wako uchigadzirisa kumushonga kana chiremba wako achigadzirisa dosi yako. Vanhu vazhinji vanowana kuti chero mativi ekutanga anopera mukati memavhiki mashoma.

Zvikonzero zvakakomba hazviwanzoitiki asi zvinoda kutariswa kwekurapa nekukurumidza. Bata chiremba wako nekukurumidza kana ukaona kurwadziwa muchipfuva, kurova kwemoyo kwakanyanya, kutadza kufema, kana zviratidzo zvekuita allergic senge rash, kuzvimba, kana kutadza kumedza.

Vamwe vanhu vanonetseka nezve migumisiro yenguva refu, asi makumi emakore ekutsvagurudza anoratidza kuti levothyroxine inopiwa zvakanaka yakachengeteka kwazvo kushandiswa kwenguva refu. Zvakanakira kurapa hypothyroidism zvinopfuura njodzi shoma kana mushonga uchishandiswa zvakakodzera.

Ndiani Asingafaniri Kutora Levothyroxine?

Levothyroxine inowanzova yakachengeteka kune vanhu vazhinji, asi mamiriro akati wandei anoda kungwarira kwakanyanya kana angaita kuti mushonga uyu usakodzere. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akuraira.

Vanhu vane adrenal insufficiency isina kurapwa havafaniri kutora levothyroxine kusvikira mamiriro avo eadrenal achigadziriswa zvakanaka. Kutora mahomoni e thyroid kana adrenal glands yako isiri kushanda zvakanaka kunogona kuwedzera adrenal crisis, mamiriro anogona kuisa hupenyu panjodzi.

Kana uine mamiriro emwoyo akati wandei, chiremba wako angangoda kukutanga pamwero wakaderera uye kukutarisa zvakanyanya. Izvi zvinosanganisira vanhu vane coronary artery disease, heart failure, kana nhoroondo yekurwisa kwemoyo. Mushonga uyu unogona kuwedzera kurova kwemoyo uye basa pamoyo wako.

Heano mamwe mamiriro apo levothyroxine inoda kufunga kwakakosha:

• Kuzvitakura nekuyamwisa (kazhinji kwakachengeteka asi kunoda kugadzirisa dose)
• Varwere vakuru, kunyanya avo vanopfuura makore makumi matanhatu nemashanu vane mamiriro emwoyo
• Vanhu vane chirwere cheshuga, sezvo thyroid hormone inogona kukanganisa mazinga eshuga yeropa
• Avo vane osteoporosis, sezvo yakawandisa thyroid hormone inogona kukanganisa bone density
• Vanhu vane seizure disorders, sezvo thyroid hormone inogona kuderedza seizure threshold

Kana uine chero mamiriro aya, usanetseka - hazvirevi kuti haugone kutora levothyroxine. Chiremba wako achashanda newe kuti aone nzira yakachengeteka uye anogona kutanga nemwero wakaderera kana kukutarisa kakawanda.

Mazita eLevothyroxine Brand

Levothyroxine inowanikwa pasi pemazita akawanda emhando, neSynthroid ichiva iyo inonyanya kuzivikanwa. Dzimwe mhando dzakajairika dzinosanganisira Levoxyl, Tirosint, uye Unithroid, imwe neimwe iine mafomula akasiyana zvishoma asi iine chinhu chimwe chete chinoshanda.

Vanhu vazhinji vanofara ne generic levothyroxine, iyo isingadhuri zvakanyanya kupfuura mhando-zita. Zvisinei, vamwe vanhu vanowana kuti vanonzwa zviri nani pamhando chaiyo nekuda kwekusiyana kwezvinhu zvisingashande kana maitiro ekugadzira.

Kana iwe uchitora mhando-zita, usachinjira ku generic (kana zvinopesana) usina kubvunza chiremba wako. Kunyange zvazvo zvine chinhu chimwe chete chinoshanda, muviri wako unogona kuzvitora zvishoma zvakasiyana, zvichida kugadzirisa dose.

Tirosint ifomula itsva inouya mumagaba egel uye ine zvishoma zvisingashande. Vamwe vanhu vane matambudziko nemahwendefa echinyakare nekuda kweallergies kana nyaya dzekutora vanogona kubatsirwa neiyi fomula.

Zvimwe Zvinhu Zvokutsiva Levothyroxine

Nepo levothyroxine iri iyo goridhe standard yekurapa hypothyroidism, kune zvimwe zvinhu zviripo zvevanhu vasingapinduri zvakanaka kwairi kana vane zvinodiwa zvakakosha zvekurapa.

Natural desiccated thyroid (NDT), inotengeswa pasi pemazita emhando seArmour Thyroid uye Nature-Throid, ine ese maT4 uye T3 mahomoni akatorwa kubva kumaguru egi pig. Vamwe vanhu vanonzwa zviri nani paNDT, kunyange humbowo hwesainzi husiri pachena kuti hwakakwirira kune levothyroxine kune vazhinji varwere.

Synthetic T3 (liothyronine) dzimwe nguva inorayirwa yega kana pamwe chete ne levothyroxine. Izvi zvinowanzo chengeterwa vanhu vane matambudziko ekushandura T4 kuita T3 mumuviri wavo, kunyange izvi zvisingawanzoitiki.

Kurapa kwakabatanidzwa uchishandisa levothyroxine ne liothyronine imwe sarudzo vamwe vanachiremba vanofunga. Tsvakurudzo iripo inoratidza kuti nzira iyi inogona kubatsira chikamu chidiki chevarwere vasinganzwe zvakakwana pa levothyroxine yega.

Vazhinji ve endocrinologists vachiri kuda levothyroxine sekurapa kwekutanga nekuti yakadzidzwa zvakanaka, inofungidzika, uye inoshanda kune vanhu vazhinji. Kana usiri kunzwa zvakanaka pa levothyroxine, taura nachiremba wako nezvekugadzirisa muyero wako wazvino usati wafunga nezvezvimwe zvinotsiva.

Levothyroxine Zviri Nani Kudarika Synthroid Here?

Levothyroxine ne Synthroid zvine chinhu chimwe chete chinoshanda - levothyroxine sodium. Synthroid ingori zita remhando ye levothyroxine, saka zvinenge zviri mushonga mumwe chete une mhedzisiro imwechete yekurapa.

Misiyano mikuru iri muzvinhu zvisingashandi uye maitiro ekugadzira. Synthroid yanga iripo kwenguva refu uye ine data rakawanda rekiriniki, ndosaka vamwe vanachiremba vachiiisa pamberi. Zvisinei, generic levothyroxine inotenderwa neFDA uye bioequivalent kuSynthroid, zvinoreva kuti inofanira kushanda zvakanyanya.

Vamwe vanhu vanoshuma kunzwa zviri nani paSynthroid vachienzaniswa ne generic levothyroxine, asi vamwe havacherechedzi musiyano zvachose. Iyi musiyano wega unogona kunge uri nekuda kwemisiyano mukuti muviri wako unogadzirisa sei zvisingashandi kana misiyano midiki mukugadzira.

Mutengo kazhinji chinhu chakakosha pakuita sarudzo. Generic levothyroxine inowanzoita mari shoma kudarika Synthroid, zvichiita kuti iwanikwe nyore kurapwa kwenguva refu. Kana uri kuita zvakanaka pa generic levothyroxine, kazhinji hapana chikonzero chekurapa chekuchinjira kuzita remhando.

Kana uri kufunga nezvekuchinja pakati pe generic uye brand-name versions, kurukura izvi nachiremba wako kutanga. Vanogona kuda kutarisa zvakare mazinga ako ethyroid mushure memavhiki 6-8 mushure mekuita chero shanduko kuti uve nechokwadi chekuti mazinga ako emahormone anoramba akakwana.

Mibvunzo Inowanzo Bvunzwa Nezve Levothyroxine

Levothyroxine Yakachengeteka Here Kune Chirwere Chemoyo?

Levothyroxine inogona kuva yakachengeteka kune vanhu vane chirwere chemoyo, asi inoda kutarisirwa kwakanyatsoitwa nachiremba. Chiremba wako anogona kukutangisa nemushonga mudiki uye wozowedzera zvishoma nezvishoma kudzivirira kuisa kushushikana kwakawanda pamoyo wako.

Hypothyroidism isina kurapwa inogona kuwedzera chirwere chemoyo nekukwidza cholesterol mazinga uye kuderedza kushanda kwemoyo. Kana yakapiwa mushonga nemazvo, levothyroxine inowanzoita kuti moyo uve neutano hwakanaka nekudzosa metabolism yakajairika uye kuderedza njodzi dzezvirwere zve cardiovascular.

Kana uine chirwere chemoyo, chiremba wako achakutarisa zvakanyanya panguva yekurapa, pamwe nekuedzwa kweropa kakawanda uye kuongorora moyo. Vachashanda kuti vawane chiyero chakakodzera pakati pekurapa hypothyroidism yako nekudzivirira hutano hwemoyo wako.

Ndingaita Sei Kana Ndikatora Levothyroxine yakawanda netsaona?

Kana netsaona ukatora mushonga wakawanda we levothyroxine, usavhunduka. Mushonga mumwe chete wakawanda haungakonzere kukuvadza kwakanyanya, asi unogona kusangana nezviratidzo zvakaita sekurova kwemoyo, kushushikana, kana kunzwa uchidedera kwezuva kana maviri.

Bata chiremba wako kana wezve mishonga kuti uwane gwara, kunyanya kana wakatora zvakanyanya kupfuura mushonga wako wakanyorwa. Vanogona kukupa zano rekuti unoda here kutariswa nachiremba uye maitiro ekugadzirisa chirongwa chako chemushonga.

Usasvetuke mushonga wako unotevera kuti

Kana ukakanganwa mushonga welevothyroxine, utore paunorangarira, kunze kwekunge yava nguva yekutora imwe dose. Kana zvakadaro, siya dose yawakakanganwa uye ramba uchiita zvawakajaira - usatore madosi maviri panguva imwe chete.

Nekuti levothyroxine ine nguva refu yekugara mumuviri, kukanganwa dose imwe chete dzimwe nguva hakuzokonzeri matambudziko nekukasira. Zvisinei, edza kuramba uchiita zvakajairika nekuti kutora mushonga nguva dzose kunobatsira kuchengetedza mazinga ako emahormone akagadzikana.

Kana uchikanganwa madosi kazhinji, funga kuisa alarm yezuva nezuva kana kushandisa chirongwa chemishonga. Vamwe vanhu vanoona zvichibatsira kuchengeta mushonga wavo pedyo nemubhedha wavo kana muchina wekofi sechinhu chinovayeuchidza.

Kana wakanganwa madosi akati wandei, usaedze kuzvigadzirisa nekutora mapiritsi akawanda. Bata chiremba wako kuti uwane gwara rekuti ungadzokera sei kuchirongwa chako chekushandisa mushonga zvakachengeteka.

Ndingamira Rini Kutora Levothyroxine?

Vanhu vazhinji vane hypothyroidism vanoda kurapwa kweupenyu hwese nelevothyroxine. Zvirwere zvinokonzera hypothyroidism, zvakadai seHashimoto's thyroiditis kana kuvhiyiwa kwethyroid, kazhinji hazvizvigadzirise zvega.

Zvisinei, pane dzimwe nguva apo chiremba wako angangofunga kumisa kurapwa. Izvi zvinosanganisira zvikonzero zvenguva pfupi zvehypothyroidism senge postpartum thyroiditis, mishonga yakati wandei, kana mamwe marudzi ekuputika kwethyroid anogona kupora nekufamba kwenguva.

Chiremba wako achaita sarudzo iyi zvichienderana nemamiriro ako chaiwo, kuti wanga uchirapwa kwenguva yakareba sei, uye bvunzo dzako dzazvino dzethyroid function. Vanogona zvishoma nezvishoma kuderedza dose yako vachitarisa mazinga ako ethyroid kuti vaone kana basa rako rechisikigo rethyroid rakadzoka.

Usambomira kutora levothyroxine wega, kunyangwe ukanzwa zviri nani. Zviratidzo zvako zvinogona kudzoka zvishoma nezvishoma, uye kumira kamwe kamwe dzimwe nguva kunogona kukonzera kuti adzoke zvakanyanya kupfuura kare kurapwa.

Ndingatora Levothyroxine Panguva Yekuzvitakura Here?

Levothyroxine haisi kungochengeteka panguva yekuzvitakura chete asi kazhinji inokosha kune hutano hwamai neve mwana. Hypothyroidism panguva yekuzvitakura inogona kuwedzera njodzi yematambudziko akaita se preeclampsia, kuberekwa nguva isati yakwana, uye nyaya dzekukura mumwana.

Vakadzi vazhinji vanoda kuwedzera mushonga wavo we levothyroxine panguva yekuzvitakura nekuti zvinodiwa zve hormone yethyroid zvinowanzo kuwedzera. Chiremba wako achatarisa mazinga ako ethyroid kakawanda panguva yekuzvitakura uye achagadzirisa mushonga wako sezvinodiwa.

Kana uri kuronga kuva nepamuviri kana kuti uchangobva kuziva kuti une pamuviri, zivisa chiremba wako nekukasira. Vanogona kuda kutarisa mazinga ako ethyroid uye vanogona kuwedzera mushonga wako kunyange zvisati zvaitika zviratidzo.

Levothyroxine inochengetekawo panguva yekuyamwisa uye inobatsira kuona kuti une simba uye hutano hunodiwa kutarisira mwana wako mutsva. Huwandu hudiki hunopinda mumukaka wemazamu hahukuvadzi vacheche vanoyamwisa.