Liothyronine

-Delile

• Ngaphambi kokuthatha i-liothyronine,
• I-Liothyronine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ihomoni ye-thyroid akufanele isetshenziselwe ukwelapha ukukhuluphala kweziguli ezinomsebenzi ojwayelekile we-thyroid. I-Liothyronine ayisebenzi ekwehliseni isisindo ezigulini ezijwayelekile ze-thyroid futhi ingadala ubuthi obukhulu noma obusongela impilo, ikakhulukazi uma ithathwa ngama-amphetamine. Khuluma nodokotela wakho ngezingozi ezingaba khona ezihambisana nalo muthi.

I-Liothyronine isetshenziselwa ukwelapha i-hypothyroidism (isimo lapho indlala yegilo ingakhiqizi i-hormone yegilo eyanele). I-Liothyronine isetshenziselwa ukwelapha i-goiter (indlala yegilo eyandisiwe) nokuhlola i-hyperthyroidism (isimo lapho indlala yegilo ikhiqiza khona i-hormone yegilo eningi kakhulu). I-Liothyronine isekilasini lemithi ebizwa ngama-thyroid agents. Isebenza ngokunikezela ngamahomoni wegilo evame ukukhiqizwa ngumzimba.

Njengamanje, abukho ubufakazi obenele obuvela ezifundweni zokwelashwa ukuxhasa ukusetshenziswa kwe-liothyronine, iyodwa noma ihlanganiswe neminye imithi, njengokhetho lokuqala lokwelapha ukwelapha i-hypothyroidism.

I-Liothyronine iza njenge-tablet ezothathwa ngomlomo. Imvamisa ithathwa kanye ngosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-liothyronine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho mhlawumbe uzoqala wena ngomthamo ophansi we-liothyronine futhi kancane kancane akhuphule umthamo wakho hhayi ngaphezu kwesisodwa njalo emavikini ayi-1 kuya kwangu-2.

Ukulawula izimpawu ze-hypothyroidism, kuzodingeka ukuthi uthathe le mithi impilo yakho yonke. Qhubeka uthathe i-liothyronine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-liothyronine ngaphandle kokukhuluma nodokotela wakho.

Lo muthi ungabekelwa ezinye izimo; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-liothyronine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-liothyronine, i-hormone yegilo, i-levothyroxine, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-liothyronine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); imithi yesifo sikashukela ethathwe ngomlomo; i-digoxin (i-Lanoxin); ama-estrogens; i-insulin; izinto zokuvimbela inzalo zomlomo eziqukethe i-estrogen; kanye ne-tricyclic antidepressants efana ne-amitriptyline (Elavil). Eminye imithi eminingi ingaxhumana ne-liothyronine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• uma uthatha i-cholestyramine (i-Questran), yithathe okungenani amahora angu-4 kuye kwangama-5 ngaphambi noma kumahora angu-4 kuye kwangama-5 ngemuva kokuthatha i-liothyronine.
• Tshela udokotela wakho uma une-insufficiency ye-adrenal (isimo lapho umzimba ungakhiqizi izinto ezanele zemvelo ezidingekayo emisebenzini ebalulekile efana nomfutho wegazi) noma i-thyrotoxicosis (isimo esivela ku-hormone yegilo eningi kakhulu noma i-hyperthyroidism). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-liothyronine.
• utshele udokotela wakho uma uke waba nesifo sikashukela noma wake waba naso; isifo senhliziyo nemithambo yegazi esifana nomfutho wegazi ophakeme, i-atherosclerosis (ukuqina kwemithambo yegazi), ubuhlungu besifuba (angina), noma ukushaya kwenhliziyo okungajwayelekile, noma owake wahlaselwa yisifo senhliziyo.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-liothyronine, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-liothyronine.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Liothyronine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuncipha komzimba
• uvalo
• ukujuluka okweqile
• ukuzwela ekushiseni
• ukulahleka kwezinwele okwesikhashana (ikakhulukazi ezinganeni ezinyangeni zokuqala zokwelashwa)

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile noma ukushaya kwenhliziyo

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ikhanda
• ukucasuka
• uvalo
• ukujuluka
• ukwanda kwamathumbu
• ukungahambi kahle esikhathini

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yakho ku-liothyronine.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-liothyronine.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Cytomel^®

• L-Triiodothyronine