Munyori: Gregory Harris
Zuva Rekusika: 12 Kubvumbi 2021
Gadziridza Zuva: 19 Mbudzi 2024
Anonim
Mayo Clinic Minute: Levothyroxine overload?
Vhidhiyo: Mayo Clinic Minute: Levothyroxine overload?

Zvemukati

Levothyroxine (utachiona kemikari) haifanire kushandiswa yoga kana pamwe chete nemamwe marapirwo ekurapa kufutisa kana kukonzera kuonda.

Levothyroxine inogona kukonzera matambudziko akakomba kana kutyisidzira hupenyu kana ikapihwa muhombe madhizaini, kunyanya kana ikatorwa nemaamphetamine akadai seamphetamine (Adzenys, Dyanavel XR, Evekeo), dextroamphetamine (Dexedrine), uye methamphetamine (Desoxyn). Udza chiremba wako kana uine chimwe chezviratidzo zvinotevera paunenge uchitora levothyroxine: kurwadziwa pachipfuva, kukurumidza kana kusarongeka kwemoyo kana kurova kwepfungwa, kuzunza kusingadzoreki kwechimwe chikamu chemuviri, kutya, kushushikana, kushatirwa, kunetseka kurara kana kuramba wakarara, kupfupika. wekufema, kana kudikitira zvakanyanya.

Taura nachiremba wako nezve njodzi dzinogona kusangana nemushonga uyu.

Levothyroxine inoshandiswa kurapa hypothyroidism (mamiriro apo iyo gland yegland haina kuburitsa yakakwana thyroid kemikari). Inoshandiswa zvakare nekuvhiya uye radioactive iodine therapy yekurapa cancer yegomarara. Levothyroxine iri mukirasi yemishonga inonzi mahormone. Inoshanda nekutsiva thyroid hormone iyo inowanzo kugadzirwa nemuviri.


Pasina utachiona hwehormone, muviri wako haugone kushanda nemazvo, izvo zvinogona kukonzeresa kukura, kutaura kunonoka, kushaya simba, kuneta zvakanyanya, kuzvimbirwa, kuwedzera huremu, kurasikirwa nevhudzi, kuoma, ganda gobvu, kuwedzera kwekunzwa kutonhora, kubatana pamwe nemhasuru kurwadziwa, zvinorema kana zvisina kujairika kumwedzi, uye kushushikana. Kana ikatorwa nemazvo, levothyroxine inodzosera izvi zviratidzo.

Levothyroxine inouya sehwendefa uye kapuleti kutora nemuromo. Kazhinji inotorwa kamwe pazuva pazuva risina chinhu, maminetsi makumi matatu kusvika paawa imwe usati wadya. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora levothyroxine chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Kumedza macapsule akazara; usatsvage kana kuapwanya. Usabvisa iyo capsule kubva mupakeji kusvikira wagadzirira kuitora.

Tora mapiritsi ane girazi remvura izere sezvo anogona kunamira muhuro mako kana kukonzera kudzipwa kana kuvhara muromo.


Kana iwe uri kupa levothyroxine kumucheche, mwana, kana munhu mukuru asingakwanise kumedza iyo piritsi, pwanya uye uisanganise mune 1 kusvika 2 maaspuni (5 kusvika 10 mL) emvura. Ingosanganisa mahwendefa akapwanyika nemvura; usazvisanganisa nechikafu kana mukaka wevacheche fomura. Ipa uyu musanganiswa nepuni kana kudonhedza ipapo ipapo. Usazvichengete kuti uzoshandisa gare gare.

Chiremba wako angangotanga iwe pamwero wakaderera welevothyroxine uye zvishoma nezvishoma uwedzere dhizaini yako.

Levothyroxine inodzora hypothyroidism asi hairape. Zvinogona kutora vhiki dzinoverengeka usati waona shanduko muzviratidzo zvako. Ramba uchitora levothyroxine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora levothyroxine usina kutaura nachiremba wako.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora levothyroxine,

  • udza chiremba wako uye wemishonga kana uri weergoria kune levothyroxine, utachiona kemikari, chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi e levothyroxine kana macapsule. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera kana ayo akanyorwa mune INOKOSHA YENYENZISO chikamu: amiodarone (Nexterone, Pacerone); androgens senge nandrolone uye testosterone (Androderm); mamwe maantacid ane aluminium kana magnesium (Maalox, Mylanta, mamwe); anticoagulants ('blood thinner') senge heparin kana warfarin (Coumadin, Jantoven); beta-blockers senge metoprolol (Lopressor), propranolol (Inderal, Innopran), kana timolol; mishonga yegomarara senge asparaginase, fluorouracil, uye mitotane (Lysodren); carbamazepine (Carbatrol, Equetro, Tegretol, kana Teril); clofibrate (Atromid); corticosteroids senge dexamethasone; mishonga yekukosora uye kutonhora zviratidzo kana yekuremerwa uremu digoxin (Lanoxin); mishonga ine estrogen yakadai sehormone kutsiva kurapa kana mahormone ekudzivirira kubata pamuviri (mapiritsi ekudzivirira kubereka, zvigamba, mhete, zvinomisikidzwa, kana majekiseni); furosemide (Lasix); insulin kana imwe mishonga yekurapa chirwere cheshuga; maprotiline; mefenamic acid (Ponstel); methadone (Methadose); niacin; orlistat (Alli, Xenical); phenobarbital; phenytoin (Dilantin, Phenytek); proton pump inhibitors senge esomeprazole (Nexium), lansoprazole (Prevacid), uye omeprazole (Prilosec); rifampin (Rifater, Rifamate, Rifadin); sertraline (Zoloft); simethicone (Phazyme, Gasi X); sucralfate (Carafate); tamoxifen (Soltamox); tyrosine kinase inhibitors senge cabozantinib (Cometriq) kana imatinib (Gleevac); uye tricyclic antidepressants senge amitriptyline (Elavil).Mimwe mishonga yakawanda inogona zvakare kusangana ne levothyroxine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • kana ukatora calcium carbonate (Tums) kana ferrous sulfate (iron supplement), tora kanenge maawa mana usati kana maawa mana watora levothyroxine. Kana iwe ukatora cholestyramine (Prevalite), colesevelam (Welchol), colestipol (Colestid), sevelamer (Renvela, Renagel), kana sodium polystyrene sulfonate (Kayexalate), tora kanenge maawa mana watora levothyroxine.
  • udza chiremba wako kana iwe uine adrenal insufficiency (mamiriro ezvinhu apo adrenal gland haigadziri zvakakwana mamwe mahomoni anodiwa kune zvakakosha muviri mashandiro). Chiremba wako anogona kukuudza kuti usatora levothyroxine.
  • udza chiremba wako kana iwe uchangobva kugamuchira radiation radiation kana kana iwe kana wakambove uine chirwere cheshuga; kuomarara kwetsinga (atherosclerosis); kubuda ropa matambudziko kana kupererwa neropa; porphyria (mamiriro umo zvinhu zvisina kujairika zvinowanda muropa uye zvinokonzeresa ganda kana neanjodzi system); osteoporosis (mamiriro umo mapfupa anoonda uye kupera simba uye kupwanya nyore); pituitary gland (gland diki muuropi) kusagadzikana; chero mamiriro ezvinhu anoita kuti zvikunetse kumedza; kana itsvo, moyo, kana chirwere chechiropa.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri kana kuyamwisa. Kana iwe ukava nepamuviri uchitora levothyroxine, fonera chiremba wako.
  • kana iwe uchivhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora levothyroxine.

Zvimwe zvekudya uye zvinwiwa, kunyanya izvo zvine ma soya, walnuts, uye fiber fiber, zvinogona kukanganisa mashandiro anoita levothyroxine. Taura nachiremba wako usati wadya kana kunwa izvi zvekudya.


Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Levothyroxine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kurema kana kurasikirwa
  • musoro
  • kurutsa
  • manyoka
  • kuchinja mukudya
  • kupindwa nechando
  • shanduko yekuenda kumwedzi
  • kunzwisisika pakupisa
  • kurasikirwa nevhudzi
  • kurwadza kwemajoini
  • makumbo makumbo

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

  • kupfupika kwekufema, kufema, mikoko, kuchenesa, kuputika, kupwanya, kurwadziwa mudumbu, kuda kurutsa, kana kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

  • kurwadziwa pachipfuva
  • kukurumidza kana kusajairika kurova kwemoyo kana kupomba
  • kuzunza kusingadzoreki nhengo yemuviri
  • huta
  • kushushikana
  • kugumbuka
  • kunetseka kurara kana kuramba wakarara
  • mweya wekufema
  • vangadikitira zvakanyanya
  • kuvhiringidzika
  • kurasikirwa kwekuziva
  • pfari

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti aongorore mhinduro yako kune levothyroxine.

Dzidza iro zita rezita uye rakajairika zita remushonga wako. Usashandise mabrands usina kutaura nachiremba wako kana wemishonga, sezvo yega yega levothyroxine iine imwe yakati siyanei mishonga.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

  • Levothroid®
  • Levo-T®
  • Levoxyl®
  • Synthroid®
  • Tirosint®
  • Unithroid®

Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.

Yekupedzisira Yakagadziridzwa - 02/15/2019

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