"Levothyroxine": umyalelo manual, ncomo, iinkcazelo, analogs

Yintoni prescribers 'Levothyroxine "? Imiyalelo yokusebenzisa, oogqirha yokwenene ngale sixhobo iza thaca ngezantsi. Siya kunixelela ukuba malunga nendlela ukukhulula apho olu nyango, ukuba unazo naziphi na Izimo kunye neziphumo ebezingalindelekanga, kunokuba umntu kutshintshwa, njalo njalo. D.

Ukubunjwa ichiza kunye nefomu yayo ukukhululwa

ungathenga ichiza "Levothyroxine" Ngayiphi indlela? Imiyalelo yokusebenzisa, oogqirha ncomo bathi eli yeza ifumaneka emacwecweni. Xa kuthengiswa zifika kule mali zilandelayo: 50, 25, 100,75, 150, 125, 200 okanye 175 mcg. isithako lwabo esebenzayo i levothyroxine sodium.

izixhobo achaza kwemithi

Yintoni isixhobo yezonyango "Levothyroxine"? Imiyalelo ukusetyenziswa, oku ncomo sixhobo eziqulathe ulwazi malunga nento ukuba hormone lengqula, nto leyo iba imvelaphi zokwenziwa.

Ngeedosi ezincinane ichiza iyakwazi ekuphembeleleni nempembelelo steroid (oko kukuthi, ukuba ukukhuthaza imveliso protein). Mean nemiqulu medicament kwandisa umsebenzi we-luvo kunye sentliziyo inkqubo izihlunu ioksijini imfuno, ziyasebenza yokucolwa iiproteins kunye otyebileyo carbohydrate.

Ngokumalunga ngeedosi eziphezulu apho ichiza inceda ukunciphisa ukuvelisa hormone of yebhinqa kunye yobuchopho ukuba ziveliswa amadlala yonyango (engqondweni).

Le pharmacokinetics wemveliso amayeza

Phi kwaye iyeza ako elide kangakanani "Levothyroxine"? kuthetha imfundo uthi emva kukufakwa yomlomo beziyobisi livela emathunjini kunye nama-49-78%.

Ukuthatha amayeza ukudla kuphula kukufakwa isithako esebenzayo. xi imveliso lininzi kuso emva malunga 5-6 kweeyure.

Unxibelelwano plasma protein ingaphezulu kwe-98%.

Ukusasazwa ichiza kwenzeka ubukhulu becala esibindini kwaye esihlunwini, nobuchopho.

Isiqingatha-ubomi ngeveki 1. Malunga nama-15% beziyobisi salawo kunye enyongweni ngokusebenzisa kwezintso - ngokohlobo conjugates kwifomu unmodified, ngokulandelelana.

Iimpawu zibonisa ukuba ukusetyenziswa kwale amayeza

Yintoni linokukwenziwa amayeza "Levothyroxine"? Imiyalelo eziqhotyoshelwe kule ndlela ibonisa okukhomba zilandelayo:

• goiter mixed;
• zamabanga kunye hypothyroidism yokuqala;
• Combination Therapy of goiter ityhefu, thyroiditis samathambo , kwaye lengqula nobubovu hyperplasia euthyroid;
• cretinism;
• uthintelo ukwenzeka emva kokuba ungenelelo zotyando kwi ndlala (emva ukususwa yamathumba okubulalayo nakwiindawo).

Kwakhona sodium levothyroxine isetyenziselwa umahluko diagnostic test lengqula ingcinezelo.

Izimo ukuba kokufumana

Awukwazi ukuthatha amayeza "Levothyroxine" phantsi naluphi na utyeshelo? Iipilisi zithathwa sithi, oko Akuvunyelwe ukusebenzisa ne hyperthyroidism, iposi engabalulekanga (yondele). Kwakhona contraindicated kunye hypersensitivity ukuya izinto isiseko (ngamanye amazwi, levothyroxine sodium) akukho wabaphilisa insufficiency adrenocortical.

Drug "Levothyroxine": imiyalelo yokusebenzisa

Reviews ngalo eli chiza zigcina iinkcukacha ukusebenza yayo ibonakala kuphela emva 7-13 emva unyango. Kodwa ke kuphela ukuba ngaba iyeza sele oqeshwe yesingqino kwi balawule.

Umthamo we ichiza ingqalelo ngenxa yonyango unxaxho lusekiwe qho ngamnye ngokuxhomekeke ubungqina. Ngokuqhelekileyo ekuqaleni unyango medicament esebenzayo lisetyenziswa umthamo 12.5-25 mg kanye ngosuku (25-30 imizuzu phambi izidlo). Noko ke, njengokuba unyango isondlo, esi sixa unako ukufikelela kunye 200 mcg ngosuku.

Ngelo xesha ezohlukileyo isiyobisi diagnostic test elawulwa zibangele-mali ka-3 mg okanye iintsuku ezili-14 kwi-200 ug kanye yonke imihla.

Kuba unyango naso hypothyroidism uhlobo abantwana abangaphantsi kweenyanga ezi-6, nika 25-50 imali mg ukuya kunyaka-1 - 60 mg, yaye phakathi kweminyaka eli-1 ukuya kwiminyaka emi-5 - 100 mcg. abantwana abadala (kweminyaka 6 ukuya kwi-12) sodium levothyroxine ibhalwa umthamo we micrograms 150. Abafikisayo emva kweminyaka eli-12 micrograms 200 ngosuku.

Abantu abadala kunye nale sifo, njengoko hyperthyroidism, sincoma ukuthatha 25-100 mg beziyobisi ngosuku. Xa oku oyidlayo ebegqwese ukwanda (rhoqo emva kweeveki ezimbini okanye ezintathu, 25-50 g). Ngenxa yoko, umthamo we efikelela medicament yaye usekela imalunga 125-250 micrograms ngosuku.

Emva kokususa abulalayo yokuthatha ithumba kweziyobisi mali ka-300 g.

Xa goitre euthyroid, kwakunye nokuthintela yayo kwakhona lokusekwa iyeza emiselweyo abadala-mali ka 75-200 mg, nabantwana - 12.5-150 micrograms ngosuku.

ziziphumo ebezingalindelekanga emva kokufumana medicament

Xana ndzi nga wu ichiza "Levothyroxine 'utywala? Ukuza kuthi ga ngoku, impefumlelwano isixhobo kunye utywala akukho lusekiwe. Nangona kunjalo, ngexesha yonyango ngamachiza hormone akukhuthazwa ukuba kakubi iziselo ezinxilisayo.

Ke ziziphumo ebezingalindelekanga emva kokufumana ichiza phantsi kovavanyo, izigulane zinokuba iimpawu hyperthyroidism. Phakathi kwazo kukho ezi ithi zilandelayo: iyangongoza, tachycardia, arrhythmia, intloko ebuhlungu, angina, lafa, uvalo, imvakalelo Mzoli engaphakathi, ukuphazamiseka kokulala, amahlaba, ukwehla kobunzima, buthathaka kwezihlunu, urhudo, ukugabha, ukuphazamiseka exesheni.

Izixhobo zonyango libanda

Kwimeko libanda, nalo eli chiza isigulane uneempawu ukuba uphawu hyperthyroidism kakhulu okanye ukumodareyitha. Uthomalaliso lingaze isetyenziswa njengonyango lwe iimeko ezinjalo. Kulo mzekelo, amayeza ngoko nangoko yabhukuqa.

Kungenzeka kwakhona ukuba unikeze beta-blocker. Xa usebenzisa amathamo kakhulu plasmapheresis olwenziweyo. Asikwazi ukuba kulo mzekelo, ihaemodialysis angasebenzi.

Intsebenziswano kunye namanye amachiza

Xana ndzi nga wu ichiza "Levothyroxine" kunye calcium? Le element, kwakunye aluminiyamu hayidroksayidi kunye sucralfate ukunciphisa absorbability ukwimo esebenzayo ye medicament yokuqala ukusuka phecana zesisu.

Kufuneka kuqatshelwe ukuba element iphambili ichiza potentiates sisenzo anticoagulants kwaye kunciphise ukusebenza arhente hypoglycemic (ngomlomo).

Xa izigulane seswekile sinwenwa kunye hypothyroidism kunyango endaweni yokuqala amayeza ihomoni kungenzeka ukwandisa imfuno arhente hypoglycemic (ngomlomo) okanye insulin.

Bishydroxycoumarin, salicylates, clofibrate kunye furosemide kungaba lula asuse levothyroxine sodium yokunxulumana kwayo iiproteni plasma.

Cholestyramine kunciphisa nokufunxwa kwezinto esebenzayo evela phecana zesisu.

Xa usebenzisa 'ritonavir "babe namathuba eziphezulu ukwanda kwemfuno" levothyroxine ".

Ngexesha isicelo i "sertraline 'kubantu hypothyroidism unciphisa ifuthe levothyroxine sodium.

Nangona ukungena "Chloroquine" Kusenokwenzeka ukuba kukwandisa ukutya of levothyroxine kunye TSH lamanani.

Ibele nokukhulelwa

Ngexesha zisanyisa kunye kokumitha ingqalelo ichiza kufuneka isetyenziswe kuphela phantsi kweliso kagqirha. Sebenzisa ngokudibene ne-arhente tireostaticheskimi ngexesha lokukhulelwa into contraindicated. Oku esidityaniswe nengozi eyonyukileyo hypothyroidism kwi Umbungu esibelekweni.

imiyalelo ezikhethekileyo ngokufumana ichiza

iziyobisi "Levothyroxine" kunye nelahleko iinwele Kutheni ezinxulumene omnye komnye? Into yokuba ukugxojwa esinobubovu ndlala izigulane kuba kakhulu ephelelwa iinwele zakhe. Noko ke, emva kokufumana le ebonisa medicament kungalingani kwamadlala phantse lupheliswe ngokupheleleyo.

Isithuthi subject ngononophelo kakhulu emiselweyo kubantu abane sisifo sentliziyo, kuquka lwegazi, isifo kwemithambo kunye nokungaphumeleli intliziyo. Kule meko, ithamo amayeza kufuneka zigcinwe kwindawo umthamo ephantsi, ukwanda ngayo ngokucotha yaye kukho isikhewu esikhulu.

izigulane abadala kunye ixesha elide izifo ezifana hypothyroidism, unyango kufuneka uqale kancinci.

Kuba unyango endaweni yendlala nobubovu kubantu ngezwi umsebenzi neuron adrenal ngaphandle unyango ezaneleyo (maintenance) kunye corticosteroids kukho amathuba lobunzima adrenal (yondele).

Eli chiza kumiselwe ngobunono izigulane seswekile sinwenwa.

Kwezinye iimeko, hormone kubangela okanye ekuthobeni myasthenic syndrome (wangaphambili).

Iziyobisi "Levothyroxine" yaye "Eutiroks": ngokungafaniyo, ncomo

Ngaphandle kokuba zombini ezo nto esebenzayo kuqulunqo efanayo eboniswe, ngamnye kubo uneempawu zawo. Oku kubangelwa ubukhulu becala ngenxa yenyaniso yokuba izakhi ezongezelelweyo ifakiwe nemixube zabo zahlukile kakhulu.

Kwakhona, kukho ezinye umahluko kwi intshukumo iziyobisi. Ngokutsho iimpendulo yezigulane, isiphumo sonyango "Levothyroxine" iziyobisi yathi emva kweentsuku 7-13, kwaye esebenzisa "Eutiroks" - iiveki ezimbini kamva.

Xa zisetyenziswa ngokuchanekileyo, iyeza yokugqibela akukho iziphumo ebezingalindelekanga. Njengoko kowokuqala, kwiimeko ezinqabileyo, nangoku ikhokelela nemiphumo engathandekiyo. Ngaphezu koko, iziphumo ebezingalindelekanga kungenzeka nkqu utshintsho ezincinane balawule.

Xa abantwana sokuwa, okanye isicelo ukuxhuzula "Levothyroxine" iziyobisi ibangela kubola. Njengoko for Eutiroks amachiza ' ", emva ukusetyenziswa kwayo imandundu loo anayenza.

Analogs kwisixhobo yezonyango

Yintoni indawo ichiza "Levothyroxine"? Analogs kweli chiza ziyafumaneka kuzo zonke kwiikhemesti. Phakathi ezinjalo iziyobisi ukuze zikhankanyiwe ezi zinto zilandelayo: «L-Thyroxine-Pharmak», «L-Thyroxine", "Bagotiroks", "A-Tirok" "Sodium levothyroxine», «L-Thyroxine hexane", "Eutiroks», «L- thyroxine-Acre "," Tyro-4 "njalo njalo.

baqinisekiswa

Ngokutsho ingxelo abo obemiswe iziyobisi ingqalelo kuyo kakhulu ngempumelelo ukumelana msebenzi. Nangona kwezinye iimeko, iyeza kungabangela ezinye iziphumo ebezingalindelekanga.

Ngokutsho kweengcali, ukuba usebenzise ngokuzimeleyo i arhente hormone "Levothyroxine" akuvumelekanga ngokungqongqo. singathathwa nemiyalelo yayo nje kagqirha, kuxhomekeke kwimpilo yomguli kunye nokusebenza ayo. Oku kungenxa yokuba iziyobisi traps kunokuba nempembelelo enamandla kakhulu emzimbeni womntu kwaye wayo iihomoni ngokubanzi.

Kufuneka kuqatshelwe ukuba amayeza enye ayikhuthazwa. Ngapha koko, kulula ukuba uhlaba iziphumo unyango.