Chii chinonzi Liothyronine (Nzira yeIntravenous): Zvinoshandiswa, Mishonga, Migumisiro Yemuviri uye Zvimwe

Liothyronine intravenous imhando yekugadzirwa yeT3 thyroid hormone inopiwa zvakananga muropa rako kuburikidza neIV line. Mushonga uyu wakachengeterwa mamiriro akakomba, anotyisa upenyu apo mazinga ako e thyroid ari pasi zvakanyanya uye anoda kugadziriswa nekukurumidza.

Kusiyana nemapiritsi emuromo aunogona kuziva, IV liothyronine inoshanda mukati meawa panzvimbo pemazuva. Inowanzo shandiswa munzvimbo dzekuchipatara kana basa remu thyroid remunhu radzikira zvakanyanya zvekuti kumirira mushonga wemuromo kuti ushande kungave kune njodzi.

Chii chinonzi Liothyronine?

Liothyronine ndiyo vhezheni yakagadzirwa nevanhu ye triiodothyronine (T3), imwe yeiyo mahomoni maviri makuru ayo thyroid gland yako inogadzira zvakasikwa. T3 ndiyo fomu inoshanda ye thyroid hormone iyo inokanganisa zvakananga mashandisiro anoita maseru ako simba.

Kana ichipiwa intravenously, liothyronine inopfuura zvachose mudumbu rako uye inopinda muropa rako nekukasira. Izvi zvinoita kuti ishande nekukurumidza kupfuura mishonga yemuromo ye thyroid, ndosaka vanachiremba vachiichengetera mamiriro ekukurumidzira.

Iyo IV fomu yakafanana nemakemikari neT3 hormone inogadzirwa nemuviri wako, saka inogona kupinda uye kuita basa rimwe chete kana thyroid yako isingakwanise kugadzira zvakakwana yega.

Chii chinonzi Liothyronine chinoshandiswa?

IV liothyronine inonyanya kushandiswa kurapa myxedema coma, mamiriro asingawanzoitiki asi anotyisa upenyu apo mazinga e thyroid hormone anodonha zvakanyanya zvekuti zvinokanganisa basa rehuropi hwako nenhengo dzakakosha. Iyi emergency yekurapa inoda kutsiva hormone nekukurumidza kudzivirira kukundikana kwenhengo.

Vanachiremba vanoiitawo severe hypothyroidism kana mumwe munhu asingakwanise kutora mishonga yemuromo nekuda kwematambudziko ekugaya kana kana vasina kuziva uye vasingakwanise kumedza. Dzimwe nguva inoshandiswa pamberi pekuvhiyiwa kukuru kwemoyo muvarwere vane matambudziko e thyroid anozivikanwa.

Muzviitiko zvisingawanzoitiki, zvinogona kupiwa kumunhu akabviswa chinyamunhondo chavo uye anowana zviratidzo zvakakomba vasati vatora mishonga yemuromo. Chinangwa nguva dzose ndechokugadzirisa murwere nekukurumidza uye wozochinja kumishonga yemuromo yekutsiva mahomoni ethyroid.

Liothyronine Inoshanda Sei?

Liothyronine inoshanda nekutsiva hormone yeT3 iyo chinyamunhondo chako chinowanzoita. T3 inonzi ndiyo hormone ye

Liothyronine yeIV inowanzo piwa kwemazuva mashoma, kazhinji mazuva 1-3 chete. Yakagadzirirwa kuva kurapwa kwenguva pfupi kwedambudziko rekukurumidza kugadzirisa mazinga ako emahormone ethyroid nekukurumidza.

Kana mamiriro ako achivandudzika uye iwe wakagadzikana, chiremba wako anogona kukuchinjira kumishonga yethyroid yemuromo yakaita sematableti e levothyroxine. Shanduko iyi inowanzoitika zvishoma nezvishoma kuti ive nechokwadi chekuti mazinga ako emahormone anoramba akagadzikana.

Kureba chaiko kunoenderana nekuti mamiriro ako akanga akakomba sei uye nekukurumidza kwaunopindura kurapwa. Chikwata chako chekurapa chichange chichiongorora mazinga ako emahormone ethyroid nguva dzose kuti aone kuti rinhi zvakachengeteka kumisa mushonga weIV.

Ndezvipi Zvipingamupinyi zveLiothyronine?

Zvipingamupinyi zvakajairika zvine chekuita nekuti muviri wako unopindura nekukurumidza kuwedzera kwemahormone ethyroid. Unogona kusangana nekukurumidza kana kusagadzikana kwemoyo, kurwadziwa muchipfuva, kana kutukwa sezvo metabolism yako ichikurumidza.

Vamwe vanhu vanonzwa vachinetseka, vasingazorore, kana kuva nematambudziko ekurara kana mazinga avo ethyroid achikwira nekukurumidza. Unogonawo kuona kudedera mumaoko ako, kutemwa nemusoro, kana kunzwa uchidziya zvisingaite kana kuita flush.

Zvimwe zvipingamupinyi zvakakomba zvinogona kusanganisira njodzi dzekuchinja kwemoyo, kunyanya kana uine matambudziko emoyo aripo. Chikwata chako chekurapa chichange chichiongorora moyo wako nguva dzose kuti ubate chero shanduko dzinonetsa kare.

Heano zvipingamupinyi zvaungasangana nazvo, zvakaunganidzwa nekuti zvinowanzoitika sei:

Zvipingamupinyi zvakajairika zvinosangana nevanhu vazhinji:

• Kukurumidza kana kusagadzikana kwemoyo
• Kurwadziwa muchipfuva kana kusimba
• Kutukwa kupfuura zvakajairika
• Kunzwa uchinetseka kana kusazorora
• Maoko anodedera
• Kutemwa nemusoro
• Matambudziko ekurara
• Kunzwa kudziya kana kuita flush

Zvisingawanzoitiki asi zvakakomba zvipingamupinyi:

• Kurwadziwa kwakanyanya muchipfuwo
• Kuchinja kwengozi kwemoyo
• Kumanikidzwa kweropa kwakanyanya
• Kufema kwakaoma kwazvo
• Kuvhiringidzika kana kusagadzikana
• Kutapukirwa (kashoma kwazvo)

Rangarira kuti uchatariswa zvakanyanya mukati mekurapwa kwako, saka chikwata chako chekurapa chinogona kugadzirisa nekukurumidza chero mhedzisiro inobuda. Mazhinji emhedzisiro anogoneka uye anovandudzika sezvo muviri wako uchigadzirisa mushonga.

Ndiani Asingafaniri Kutora Liothyronine?

Vanhu vane mamiriro emoyo akati wandei vanoda kungwarira zvakanyanya neIV liothyronine nekuti inogona kumanikidza hurongwa hwemwoyo. Kana uine chirwere chakakomba chemitsipa yemoyo, kurwisa kwemoyo kuchangobva kuitika, kana matambudziko ane ngozi emoyo, chiremba wako achayerera njodzi zvakanyanya.

Avo vane adrenal insufficiency isina kurapwa (kana maadrenal glands ako asingagadziri mahomoni akakwana) kazhinji havagone kugamuchira mahomoni e thyroid zvakachengeteka kusvikira mamiriro avo eadrenal arapiwa kutanga. Musanganiswa unogona kuva nengozi.

Kana uine allergic ku liothyronine kana chero zvinhu zviri muIV solution, chikwata chako chekurapa chichada kutsvaga mamwe marapirwo. Vachavawo vakangwarira kana uine kumanikidzwa kweropa kwakanyanya kusingadzorwi zvakanaka.

Hezvino zviitiko zvikuru uko IV liothyronine ingasava yakakodzera:

Mamiriro anoda kungwarira zvakanyanya:

• Chirwere chakakomba chemoyo kana kurwisa kwemoyo kuchangobva kuitika
• Untreated adrenal insufficiency
• Matambudziko ane ngozi emoyo
• Kumanikidzwa kweropa kwakanyanya kusingadzorwi
• Active thyrotoxicosis (overactive thyroid)
• Allergies inozivikanwa ku liothyronine

Vanhu vakakosha vanoda kutarisa zvakanyanya:

• Varwere vakuru (vanonyanya kuita mhedzisiro)
• Vanhu vane chirwere cheshuga (vanogona kuda kugadzirisa mushonga)
• Avo vanotora zvinoderedza ropa
• Varwere vane matambudziko eitsvo kana chiropa

Chikwata chako chekurapa chichanyatsoongorora nhoroondo yako yekurapa uye mamiriro ako azvino usati wasarudza kana IV liothyronine yakakukodzera. Mumamiriro ezvinhu ekukurumidzira, vanogona kuishandisa nekutarisa kwakawedzerwa kana mabhenefiti achipfuura njodzi.

Mazita eBrand eLiothyronine

Zita rinowanzozivikanwa reIV liothyronine iTriostat, iyo yakagadzirirwa zvakananga kushandiswa mumitsipa. Izvi zvakasiyana nemhando dzemuromo dze liothyronine dzaungaziva, senge Cytomel mahwendefa.

Triostat inouya seupfu husina utachiona hunosanganiswa nemafamasi emuchipatara nemvura isina utachiona isati yapiwa kwauri. Inogadzirwa zvakananga kushandiswa muchipatara uye haisi kuwanikwa kuti itungamirirwe kumba.

Zvimwe zvipatara zvinogona zvakare kushandisa shanduro dzakajairika dzeIV liothyronine, asi dzese dzine chinhu chimwe chete chinoshanda uye dzinoshanda nenzira imwechete. Chikwata chako chekurapa chichashandisa chero vhezheni iripo panzvimbo yavo.

Zvimwe Zvinhu zveLiothyronine

Muzviitiko zvisina simba zvehypothyroidism, oral levothyroxine (Synthroid, Levoxyl) ndiyo kurapwa kwakajairika. Iyo yakachengeteka kushandiswa kwenguva refu uye inogona kutorwa kumba, asi zvinotora mavhiki kuti isvike pakushanda zvizere.

Mumamiriro ezvinhu ekukurumidzira uko IV liothyronine isingawanikwe, vamwe vanachiremba vanogona kushandisa IV levothyroxine (Synthroid jekiseni), kunyangwe ichishanda zvishoma nezvishoma. Muzviitiko zvisingawanzoitiki, zvakasikwa thyroid extracts zvinogona kufungwa, asi izvi hazviwanikwe muchimiro cheIV.

Sarudzo inoenderana nekuti kurapwa kunodiwa nekukurumidza sei uye chii chiripo. IV liothyronine inoramba iri iyo inokurumidza-kuita sarudzo yechokwadi thyroid emergencies, nepo mishonga yemuromo iri nani pakurapa kwakagadzikana, kwenguva refu.

Liothyronine iri nani pane Levothyroxine?

IV liothyronine uye levothyroxine vanoshanda zvinangwa zvakasiyana, saka kuvafananidza hakusi kufanana nekufananidza maapuro nemaapuro. Liothyronine inoshanda nekukurumidza asi zvakare ine simba uye inogona kuva nenjodzi.

Pazviitiko zvekukurumidza zvakaita se myxedema coma, IV liothyronine yakanyanya kukosha nekuti inogona kuponesa hupenyu kana kumhanya kwakakosha. Zvisinei, pakutsiva mahomoni e thyroid ezuva nezuva, oral levothyroxine yakachengeteka uye inofungidzika.

Funga nezve IV liothyronine semushonga wekununura wekukurumidza, nepo levothyroxine yakaita semushonga wezuva nezuva wakagadzikana, unovimbika. Vanhu vazhinji vanogamuchira IV liothyronine vanozopedzisira vachichinjira ku oral levothyroxine yekutarisira kwenguva refu.

Sarudzo

Q3. Zvichaitika Sei Kana Ndikakundikana Kutora Mushonga weLiothyronine?

Sezvo liothyronine yeIV ichipiwa muchipatara nevashandi vehutano, iwe pachako hauzokundikani kutora mishonga. Chikwata chako chekurapa chinotevera chirongwa chakadzama uye chinokutarisa nguva dzose.

Kana paine kunonoka mukupiwa kwemushonga wako wakarongeka nekuda kwezvikonzero zvekurapa, vanachiremba vako vachachinja nguva zvichienderana nemamiriro ako azvino uye mazinga emahormone. Vanogona kutarisa basa rako reropa vasati vaenderera mberi nekupa mushonga unotevera.

Q4. Ndingamira Rini Kutora Liothyronine?

Chikwata chako chekurapa chichasarudza kuti ungamira rini kutora liothyronine yeIV zvichienderana nemazinga ako emahormone ethyroid uye kuvandudzwa kwako kwese. Izvi zvinowanzoitika mukati memazuva mashoma sezvo mamiriro ako achigadzikana.

Kuchinja kunowanzo sanganisira kuchinja kumishonga yethyroid yemuromo pane kumisa zvachose kutsiva mahormone ethyroid. Vanachiremba vako vachatarisa basa rako reropa nguva dzose kuti vave nechokwadi chekuti mazinga ako emahormone anoramba akagadzikana panguva yekuchinja uku.

Q5. Ndingatora Mimwe Mishonga Nguva Yandinenge Ndichipiwa Liothyronine yeIV?

Mishonga yakawanda inogona kutorwa zvakachengeteka ne liothyronine yeIV, asi mimwe inogona kuda kugadziriswa kwemadosi. Zvinoderedza ropa, mishonga yechirwere cheshuga, uye mishonga yemoyo zvinowanzo kuda kutarisa uye kuchinja kunogoneka.

Chikwata chako chekurapa chichaongorora mishonga yako yese uye chigadzirisa chero zvakakosha. Vachatarisawo kuita kwemishonga kunogona kukanganisa mashandiro e liothyronine kana kuwedzera njodzi yako yemigumisiro. Nguva dzose udza chikwata chako chehutano nezvemishonga yese uye zvinowedzera zvauri kutora.