"Levothyroxine": malangizo Buku, ndemanga, mafotokozedwe, analogs

Kodi prescribers 'Levothyroxine "? Malangizo ntchito, madokotala zenizeni za chida ichi Adzaperekedwa pansipa. Ifenso kukuuzani mawonekedwe imene kumasula mankhwala, ngati iye ali contraindications aliyense ndi mavuto, kuposa kuti akhoza m'malo, ndi zina zotero. D.

The zikuchokera mankhwala ndi mawonekedwe ake kumasulidwa

inu mukhoza kugula mankhwala "Levothyroxine" ndi thupi lotani? Malangizo ntchito, madokotala ndemanga kuti mankhwala amenewa akupezeka mapiritsi. Chogulitsa akufika mu mulingo zotsatirazi: 50, 25, 100,75, 150, 125, 200 kapena 175 mcg. pophika awo yogwira ndi levothyroxine ndi sodium.

Zida pharmacological mapangidwe

ndi chipangizo zachipatala "Levothyroxine" n'chiyani? Malangizo ntchito, izi ndemanga chida ali ndi mfundo zoti ndi mabele timadzi lomwe lili ndi chiyambi kupanga.

Mu Mlingo yaing'ono mankhwala akhoza kuchita khama zimakhudzanso anabolic (kutanthauza yotithandiza kupanga mapuloteni). Zikutanthauza mabuku medicament kumawonjezera ntchito za mantha ndi mtima dongosolo minofu kufunika chapakati mpweya, adamulowetsa mapuloteni kagayidwe komanso mafuta ndi chakudya.

Pankhani mlingo waukulu pa zimene mankhwala kumathandiza kuchepetsa kupanga timadzi wa pituitary ndi ubongo imene imalamulira kutentha kuti amapangidwa ndi zopangitsa endocrine (mu ubongo).

The pharmacokinetics wa mankhwala mankhwala

Kodi ndi nthawi yaitali bwanji mankhwala imatsala "Levothyroxine"? zikutanthauza malangizo limati m'kamwa mayamwidwe mankhwala lachokera ku intestine ndi pafupifupi 49-78%.

Kumwa mankhwala kudya kwambiri kumawonjezera mayamwidwe wa pophika yogwira. Zolemba malire mankhwala ndende anafika pambuyo pafupifupi 5-6 maola.

Communication plasma mapuloteni ndi oposa 98%.

Kufalitsa mankhwala kumachitika makamaka chiwindi ndi mu mnofu, ndi ubongo.

Hafu ya moyo wa sabata 1. Pafupifupi 15% ya mankhwala ndi excreted ndi ya ndulu ndi kudzera impso - mu mawonekedwe a conjugates mu mawonekedwe unmodified, motero.

Zikuonetsa ntchito mankhwala

Kodi kupatsidwa mankhwala "Levothyroxine"? Malangizo Ufumuyo njira iyi ikuonetsa zizindikiro zotsatirazi:

• wosanganiza Chotupa chija;
• zasekondale ndi hypothyroidism chachikulu;
• Kuphatikiza Therapy kwa khosi lotupa poizoni, autoimmune thyroiditis , ndi chithokomiro England hyperplasia euthyroid;
• cretinism;
• kupewa zisadzachitikenso pambuyo zikunena opaleshoni pa chithokomiro (pambuyo kuchotsa zotupa zilonda ndi nodal).

Komanso levothyroxine ndi sodium ntchito kwa masiyanidwe matenda mayeso chithokomiro yimitsira.

Contraindications kulandira

Inu simungakhoze kutenga mankhwala "Levothyroxine" pansi zolakwika iliyonse? Mapiritsi amaonedwa ndi ife, si ololedwa kugwiritsa ntchito ndi hyperthyroidism, m'mnyewa wamtima infarction (pachimake). Amagwiritsidwanso contraindicated ndi hypersensitivity zinthu m'munsi (i.e., levothyroxine ndi sodium) si anachiritsa adrenocortical insufficiency.

Mankhwala "Levothyroxine": malangizo ntchito

Reviews za mankhwala zili ndi mfundo zimene zotsatira zake zimaoneka maola pokhapokha 7-13 ukatha mwambo wa mankhwala. Koma izi zokha ngati mankhwala wasankhidwa ndi umboni ndi mulingo oyenerera.

Voliyumu ya mankhwala ankaona zochizira kupatuka ndi udzakhazikitsidwe padziko maziko munthu malinga ndi umboni womwe ulipo. Kawirikawiri pa chiyambi cha mankhwala yogwira medicament ntchito mlingo wa 12.5-25 mg ndi kamodzi patsiku (mphindi 25-30 musanadye). Komabe, monga mankhwala kukonza ndalamazo chingaopseze ndi 200 mcg patsiku.

Pa nthawi ya masiyanidwe matenda mayeso mankhwala kutumikiridwa singly kuchuluka kwa 3 mg kapena kwa masiku 14 200 ug kamodzi tsiku lililonse.

Zochizira kobadwa nako hypothyroidism chikhalidwe cha ana pansi miyezi 6, kupereka 25-50 mg wa ndalama kwa 1 chaka - 60 mg, ndi zapakati pa 1 mpaka zaka 5 - 100 mcg. Ana okulirapo (zaka 6 mpaka 12) wa levothyroxine ndi sodium ndi kutumikiridwa mu mlingo 150 micrograms. Ana patapita zaka 12 ndi 200 micrograms patsiku.

Akulu ndi matenda izi, monga hyperthyroidism, amalangiza kutenga 25-100 mg wa mankhwala patsiku. Pamene mlingo uwu pang'onopang'ono kuchuluka (pa masabata awiri kapena atatu, 25-50 g). Chifukwa cha zimenezi, buku la malire medicament ndi zogwiriziza ndi za 125-250 micrograms patsiku.

Pambuyo kuchotsa opaleshoni ya chotupa kutenga chotupa mankhwala ndi kuchuluka kwa 300 g.

Pamene euthyroid goitre, komanso kuteteza ake kukonzanso mapangidwe mankhwala Kwalamulidwa kwa akulu mu kuchuluka kwa 75-200 mg, ndi ana - 12.5-150 micrograms patsiku.

Zotsatira zoyipa atalandira medicament

Kodi ndingachite mankhwala "Levothyroxine" ndi mowa? Pakali pano, mogwirizana kwa chida ndi mowa ndi si okhazikika. Mnthawi ndi mankhwala m'thupi ali osavomerezeka nkhanza za mowa.

Monga mmene mbali atalandira mankhwala pansi review, odwala akhoza kuona zizindikiro za hyperthyroidism. Ena mwa iwo ndi mayiko otsatirawa: palpitations, tachycardia, arrhythmia, mutu, angina, kugwedeza, mantha, kumverera kwa m'chikaiko chowakaikitsa mkati, kugona zipolowe, omangana, kuwonda, kufooka kwa thupi, kutsegula m'mimba, kusanza, matenda kusamba.

zipangizo ambiri osokoneza zachipatala

Pankhaniyi cha mankhwala osokoneza bongo ndi mankhwala wodwala ali ndi zizindikiro zimene khalidwe la kwambiri kapena zolimbitsa hyperthyroidism. The mankhwala symptomatic ntchito ngati mankhwala zinthu zimenezi. Pankhaniyi, mankhwala yomweyo linathetsedwa.

N'zothekanso Ndinapereka ndi beta-blockers. Ntchito mlingo kwambiri plasmapheresis imagwiridwa. Sitingathe kunena kuti mu nkhani iyi, hemodialysis operewera.

Mogwirizana ndi mankhwala ena

Kodi ndingachite mankhwala "Levothyroxine" ndi calcium? mchitidwe uwu, komanso hydroxide zotayidwa ndi sucralfate kuchepetsa absorbability wa chinthu yogwira wa medicament koyamba kwa mundawo m'mimba.

Iwo ayenera kukumbukira kuti mbali yaikulu ya mankhwala potentiates zimene anticoagulants ndipo kumachepetsa Mwachangu wothandizila hypoglycemic (m'kamwa).

Odwala ndi shuga ndi hypothyroidism kumayambiriro M'MALO chithandizo cha mankhwala chithokomiro timadzi ndi zizichulukirachulukira kufunika wothandizila hypoglycemic (m'kamwa) kapena insulin.

Bishydroxycoumarin, salicylates, clofibrate ndi furosemide mosavuta ndithu aithamangitse levothyroxine ndi sodium za kucheza ake ndi mapuloteni plasma.

Cholestyramine kumachepetsa mayamwidwe yogwira kwa mundawo m'mimba.

Pamene ntchito "ritonavir" ndi Mwina mkulu wa kuchuluka kwa "levothyroxine".

Pa ntchito ya "sertraline" anthu ndi hypothyroidism amachepetsa zotsatira za levothyroxine ndi sodium.

Ngakhale chikuonetseratu "Chloroquine" ndi zizichulukirachulukira kagayidwe wa levothyroxine ndi TSH woipa.

Kuyamwitsa ndi mimba

Pa mkaka wa m'mawere ndi gestation ankaona mankhwala ayenera kugwiritsidwa ntchito moyang'aniridwa ndi dokotala. Ntchito molumikizana ndi wothandizila tireostaticheskimi pa mimba ndi contraindicated. Izi kugwirizana ndi chiopsezo cha hypothyroidism mu mwana wosabadwayo m'mimba.

malangizo Special kulandira mankhwala

N'chifukwa mankhwala "Levothyroxine" ndi tsitsi imfa zokhudzana ndi mzake? chakuti kuphwanya chithokomiro England odwala kungakhale ndithu kutaya tsitsi lake. Komabe, pa alandira umboni medicament m'thupi vutoli pafupifupi kwathunthu inathetsedwa.

Phunziro galimoto mosamala kwambiri Kwalamulidwa kwa anthu ndi matenda a mtima, kuphatikizapo matenda oopsa, inatsekeratu matenda mtsempha wamagazi ndi matenda a mtima. Mu milandu, mlingo wa mankhwala ayenera anakhalabe pa mlingo wochepa, kuwonjezeka pang'onopang'ono ndi kusiyana lalikulu.

odwala achikulire nthawi yaitali matenda monga hypothyroidism, mankhwala ayenera kuyamba pang'onopang'ono.

Pakuti M'MALO mankhwala a chithokomiro England anthu ndi osakwanira adrenal kotekisi ntchito popanda chithandizo chokwanira (yokonza) ndi corticosteroids pali kuthekera zamavuto adrenal (pachimake).

Izi mankhwala Kwalamulidwa mosamala odwala ndi shuga.

Nthawi zina, chithokomiro mahomoni chimachititsa kapena imathandiza myasthenic syndrome (yapita).

Mankhwala "Levothyroxine" ndi "Eutiroks": mosiyana, ndemanga

Ngakhale kuti onse a chiphunzitso chomwecho wasonyeza mchitidwe yogwira, aliyense wa iwo ali ndi makhalidwe yake. Ichi ndi chifukwa makamaka chakuti zigawo zina m'gulu formulations awo ndi osiyana kwambiri.

Komanso, pali kusiyana mu zochita za mankhwala. Malinga ndi mayankho odwala, chithandizo zotsatira za "Levothyroxine" mankhwala anaona atapita masiku 7-13, ndipo kudzera mwa "Eutiroks" - masabata awiri pambuyo pake.

Pamene ntchito moyenera mankhwala otsiriza mavuto palibe mbali. Monga woyamba, mu nthawi zina, komabe zimabweretsa zotsatira osafunika. Komanso, mavuto angayambe ngakhale ndi kusintha kwakung'ono mlingo.

Ana ndi khunyu kapena khunyu ntchito "Levothyroxine" mankhwala amachititsa kuwonongeka. Koma Eutiroks mankhwala ' ", pambuyo kugwiritsa ntchito kuwonongeka choterocho si anati.

Analogs chipangizo dokotala

Kodi m'malo mankhwala "Levothyroxine"? Analogs za mankhwala akupezeka pharmacies onse. Mwa mankhwala akhoza kutchulidwa zotsatirazi: «L-Thyroxine-Pharmak», «L-Thyroxine", "Bagotiroks", "A-Tirok" "Sodium levothyroxine», «L-Thyroxine hexane", "Eutiroks», «L- thyroxine okwana "," Tyro-4 "ndi zina zotero.

umboni

Malinga ndi maganizo a anthu amene anasankhidwa mankhwala anaitenga ndithu bwino kupirira ntchitoyo. Ngakhale nthawi zina, mankhwala akhoza kuyambitsa zotsatira zina zoyipa.

Akatswiri amanena kuti paokha ntchito m'thupi wothandizila "Levothyroxine" ndi koletsedwa. malamulo ake dokotala basi akhoza kumwedwa, malingana ndi thanzi la wodwala ndi ntchito yake payekha. Ichi ndi chifukwa chakuti mankhwala timadzi angakhale ndi mphamvu kwambiri pa thupi la munthu ndiponso mahomoni ambiri.

Iwo ayenera kukumbukira kuti mankhwala taphunzira ali osavomerezeka. Ndipotu mosavuta chifukwa kupotozedwa zotsatira za mankhwala.