"L-thyroxine" yog cov tshuaj hormones hluavtaws uas txhawb kev ua haujlwm ntawm cov thyroid caj pas. Cov tshuaj, nkag mus rau hauv lub raum thiab daim siab, ib nrab hloov mus rau hauv triiodothyronine, txhawb kev loj hlob ntawm cov ntaub so ntswg thiab lawv txoj kev loj hlob, txhim kho metabolism.
daim ntawv tso tshuaj, nws cov khoom
Cov tshuaj yog tsim los ntawm levothyroxine sodium, qhov ntau npaum li cas tuaj yeem sib txawv - 50, 75, 100, 125 thiab 150 mcg. Muaj nyob rau hauv pob ntawm 25, 50 thiab 100 ntsiav tshuaj. Excipients yog sawv cev los ntawm dextrin, microcrystalline cellulose, sodium starch glycolate hom A, calcium hydrogen phosphate dihydrate, ib nrab ntev saw glycerides.
Pharmacodynamics ntawm cov tshuaj "L-Thyroxine"
Cov tshuaj muaj pes tsawg leeg muaj cov hluavtaws levothyroxine, uas muaj cov txiaj ntsig zoo ib yam li cov thyroid hormones, uas yog tsim los ntawm cov thyroid caj pas.
Vim qhov hloov pauv ib nrab ntawm cov tshuaj mus rau hauv cov tshuaj hormone T3 thiab kev faib tawm hauv cov hlwb ntawm lub cev, muaj qhov cuam tshuam.ntawm cov txheej txheem ntawm kev loj hlob thiab kev loj hlob, nrog rau cov txheej txheem metabolic.
Hloov cov thyroid hormones yog lub hauv paus rau normalization ntawm metabolism. Qhov kev txiav txim ntawm cov tshuaj tuaj yeem txo cov roj cholesterol hauv hypothyroidism.
Pharmacokinetics ntawm cov tshuaj "L-Thyroxine"
Kev nqus tsis ntau tshaj 80% tom qab noj L-Thyroxine ntawm lub plab khoob. Cov lus qhia rau kev siv qhia tau hais tias tus nqi nqus tau txiav txim los ntawm daim ntawv galenic ntawm cov tshuaj. Cov txheej txheem no tshwm sim feem ntau hauv cov hnyuv. Kev noj zaub mov kom txo tau qhov nqus ntawm cov khoom xyaw.
Nyob rau hauv cov ntshav plasma, qhov siab tshaj plaws ntawm cov khoom tseem ceeb tau mus txog li ntawm peb teev. Cov txiaj ntsig kho mob tshwm sim nyob rau hnub thib peb lossis thib tsib tom qab thawj zaug kev tswj hwm qhov ncauj. Kev sib txuas lus nrog cov plasma proteins yuav luag tiav (ntau dua 99%), qhov no tsis yog covalent kev sib cuam tshuam, yog li ntawd, kev sib pauv sai sai tshwm sim ntawm cov tshuaj hormones (kho thiab dawb), uas yog tas li. Hemoperfusion thiab hemodialysis tsis cuam tshuam rau cov ntsiab lus ntawm cov tshuaj "Thyroxine" hauv lub cev, cov lus qhia rau kev siv hais tias qhov no yog vim muaj cov protein zoo.
Kev tshem tawm ib feem ntawm cov tshuaj tshwm sim nyob rau hauv li ntawm xya hnub, nrog rau kev mob hypothyroidism txheej txheem no tuaj yeem siv sijhawm kaum hnub. Nrog hyperthyroidism, kev tshem tawm ib feem ntawm cov tshuaj los ntawm lub cev tshwm sim sai sai - hauv peb mus rau plaub hnub. Qee qhov active ingredient accumulates nyob rau hauv daim siab. Cov txheej txheem metabolic tshwm sim feem ntau hauvcov leeg, cov ntaub so ntswg hlwb, daim siab thiab ob lub raum, ua tiav hauv kev tsim cov metabolites uas muaj nyob hauv quav thiab zis.
Cov lus qhia rau kev siv tshuaj "L-Thyroxine"
Cov lus qhia nyob ntawm tus nqi ntawm cov tshuaj nquag hauv cov tshuaj.
Rau cov ntsiav tshuaj "Thyroxin 50" thiab "Thyroxin 100" cov lus qhia rau kev siv qhia cov lus qhia hauv qab no:
- hypothyroidism (kev hloov kho);
- kab mob benign thyroid;
- hyperthyroidism (cov tshuaj yog siv rau hauv kev siv thyreostatic therapy raws li ib tug adjuvant thaum lub functional euthyroid xeev tiav);
- goiter (cov tshuaj yog siv los tiv thaiv lub hom phiaj, kom tsis txhob rov muaj tus kab mob xws li goiter tom qab nws qhov kev txiav tawm).
Rau tshuaj muaj 100 mcg ntawm cov khoom tseem ceeb, cov lus qhia ntxiv yog raws li hauv qab no:
- ua qhov kev kuaj mob;
- mob qog noj ntshav qog noj ntshav (hloov kho thiab kev kho mob yog ua tiav, feem ntau tom qab thyroidectomy).
Nrog rau lwm cov tshuaj ntawm cov tshuaj nquag "L-Thyroxine", cov lus qhia rau kev siv pom zoo kom sau rau hauv cov xwm txheej hauv qab no:
- euthyroid goiter;
- hypothyroidism;
- malignant thyroid qog (cov tshuaj yog siv los hloov lossis kho thyrostatic, feem ntau yog los ntawm thyroidectomy);
- yuav tsum tau txiav tawm cov kab mob goiter rov tshwm sim.
Contraindications rau noj tshuaj"L-Thyroxine"
Cov tshuaj tsis raug sau tseg rau qhov ua rau muaj qhov tsis haum rau cov tshuaj vim nws tau tsim, lossis rau nws cov khoom pabcuam. Muaj lwm yam contraindications rau noj cov tshuaj "Thyroxin" (ntsiav tshuaj). Cov lus qhia rau kev siv xa mus rau lawv:
- tshwm sim mob myocardial infarction;
- Ythyrotoxicosis;
- IHD;
- mob pancarditis;
- deficiency decompensated pituitary lossis adrenal cortex;
- mob myocarditis;
- decompensated hyperthyroidism ntawm ntau lub hauv paus chiv keeb.
Cov poj niam cev xeeb tub yuav tsum tsis txhob siv "L-thyroxine" ua ke nrog cov tshuaj thyreostatic - nws tsis tsim nyog los muab cov tshuaj no.
Kev kho nrog Levothyroxine, koob tshuaj
Cov lus qhia qhia txog qhov pom zoo npaum li cas ntawm cov tshuaj, tus kws kho mob yuav tsum txiav txim siab qhov xav tau koob tshuaj rau cov neeg mob. Ua ntej, tus kws kho mob tshwj xeeb tshaj tawm cov tshuaj qis thiab maj mam nce nws, saib lub sijhawm ntawm 14-28 hnub, kom txog thaum tau txais cov txiaj ntsig kho. Cov ntsiav tshuaj yog nqos nrog dej, tsis txhob zom. Cov tshuaj noj tsawg kawg yog ib nrab teev ua ntej noj mov. Yog tias nws tsis tuaj yeem noj cov tshuaj kom raws sijhawm, lub sijhawm tom ntej cov tshuaj yog qaug cawv li niaj zaus. Qhov koob tshuaj ntawm cov tshuaj nquag hauv cov tshuaj tau piav qhia, raws li tau hais los saum no, txawv.
Noj tshuaj ntawm koob tshuaj 50, 100 mcg
Txoj kev kho mob nyob ntawm lub hnub nyoog ntawm tus neeg mob.
cov neeg laus
Rau lub hom phiaj tiv thaiv,Thaum nws yog ib qho tsim nyog los tshem tawm qhov kev pheej hmoo ntawm kev rov tsim kho goiter, thiab nyob rau hauv cov ntaub ntawv ntawm benign kab mob, "L-Thyroxin 50" cov lus qhia rau kev siv pom zoo kom muab tshuaj nyob rau hauv ib tug npaum li ntawm 75 mus rau 200 mcg / hnub. Cov neeg mob hypothyroidism raug qhia kom noj los ntawm 25 mus rau 50 mcg thaum muab tshuaj hloov kho, thiab los ntawm 100 mcg, tab sis tsis ntau tshaj 200, thaum sau tshuaj kho mob. 50-100 mcg. Hauv kev mob qog noj ntshav, thaum yuav tsum tau hloov kho lossis txo qis kev kho mob, los ntawm 150 mus rau 300 mcg ib hnub. Txhawm rau ua qhov kev kuaj mob, nws yuav tsum tau noj 200 mcg ntawm cov tshuaj hauv qhov ncauj thaum nruab hnub ob lub lis piam ua ntej txheej txheem.
Cov menyuam yaus kuaj pom tias muaj cov thyroid hypothyroidism (kuj, congenital)
Nyob rau hauv cov ntaub ntawv ntawm ib tug congenital kab mob, cov me nyuam thiab cov me nyuam mos thaum lub sij hawm siv cov kev hloov kho yog thawj zaug los ntawm 10 mcg ib kilogram ntawm qhov hnyav. Cov tshuaj no "Thyroxin 50" cov lus qhia rau kev siv pom zoo siv rau peb lub hlis. Nyob rau hauv lub neej yav tom ntej, koob tshuaj hloov tom qab kev kawm tsim nyog.
Cov menyuam yaus uas nws qhov hypothyroidism tau txais, cov tshuaj tau muab rau hauv qhov nyiaj ntawm 12.5 mus rau 50 mcg yuav tsum tau noj ua ntej noj tshais. Maj mam nce qhov koob tshuaj, nws yog coj mus rau qhov zoo tshaj plaws rau kev siv cov kev hloov kho. Cov menyuam yaus hnub nyoog qis dua peb xyoos yuav tsum tau nce koob tshuaj tsawg kawg 30 feeb ua ntej noj mov thawj hnub. Cov ntsiav tshuaj yog yaj hauv 10-15 ml dej, tom qab ntawd ntxiv dej me ntsis ntxiv, kwv yees li 5-10 ml. Qhov lojkoob tshuaj tu txhua hnub sib raug rau 100-150 mcg ib 1 m22 lub cev cheeb tsam.
Cov neeg mob laus
"L-Thyroxine 50" cov lus qhia rau kev siv rau cov neeg mob zoo li no tau qhia kom coj nws nrog kev ceev faj thaum kev kho mob nyob rau theem pib, tshwj xeeb tshaj yog thaum muaj kab mob hauv cov hlab ntsha, lub sij hawm ntev ntawm cov thyroid ua haujlwm lossis nws hnyav hypofunction. Qhov tsawg kawg nkaus koob tshuaj txhua hnub ntawm cov tshuaj yog xav tau, sib xws rau 12.5 mcg. Ua kom cov koob tshuaj kom ntev ntev, me ntsis. Nrog kev saib xyuas kev kho mob, ntxiv 12.5 μg ntawm cov tshuaj, adhering rau lub caij nyoog ntawm 14 hnub. Ntxiv nrog rau "Thyroxin", cov neeg mob tau muab lwm yam tshuaj. Cov neeg laus yuav tsum tau kuaj lawv cov ntshav rau TSH ntau zaus. Nws yuav tsum tau yug los hauv lub siab tias koob tshuaj uas tsis zoo yuav tsis ua rau qhov tsim nyog kho ntawm TSH qib. Qhov tsawg kawg nkaus koob yog txaus nyob rau hauv lub xub ntiag ntawm nodular goiter, uas yog loj, thiab nrog tsawg lub cev hnyav.
Kev noj tshuaj nrog koob tshuaj 75, 125 thiab 150 mcg
Cia peb xav txog cov txheej txheem ntawm kev kho cov menyuam yaus thiab cov neeg laus nrog cov tshuaj "L-Thyroxine", nyob ntawm seb qhov concentration ntawm cov tshuaj nquag hauv nws.
Tus neeg laus
Nyob rau hauv cov ntaub ntawv ntawm hypothyroidism, thawj zaug tshuaj los ntawm 25 mcg ntawm cov tshuaj, tsis ntau tshaj 50. Nyob rau hauv tus kab mob no, ib tug noj koob tshuaj yog txiav txim los ntawm 100 mcg mus rau 200, qhov nce yog ua nyob rau hauv lub sij hawm ntawm 14-28. hnub los ntawm 25-50 mcg. "L-Thyroxine Berlin-Chemie" cov lus qhia rau kev siv, yog tias tsim nyog, kom tsis txhob rov tshwm sim ntawm goiter pom zoo siv ntawm ib koob ntawm 75 mus rau 200 mcg. Nrog goiter.benign thiab euthyroid xeev, cov tshuaj pom zoo yog tib yam. Yog tias hyperthyroidism raug kho nrog thyreostatics thiab nws tau npaj los ua kom tiav kev kho mob nrog kev siv "Thyroxine", nws yog ib qho tsim nyog yuav tsum ua raws li cov koob tshuaj ntawm 50 mus rau 100 mcg.
Cov me nyuam muaj hnub nyoog peb xyoos
Yog tias hypothyroidism tau txais, thawj zaug noj ntawm 12.5 mcg mus rau 50, maj mam nce koob txhua ob mus rau plaub lub lis piam, suav nrog cov txiaj ntsig ntawm kev sim.
cov neeg laus
"Thyroxin" cov lus qhia rau kev siv thaum muaj hnub nyoog no qhia kom siv nrog ceev faj, pib nrog qhov tsawg kawg nkaus ntawm 12.5 mcg. Tus nqi ntawm cov tshuaj yuav tsum tau noj yog nce maj mam.
Kev kho L-Thyroxine ntev npaum li cas?
Nyob rau hauv rooj plaub ntawm hypothyroidism, cov lus qhia rau kev siv pom zoo siv "L-Thyroxine-Acre" txhua lub sijhawm. Thaum nqa tawm prophylaxis tsom tsis suav nrog kev rov tshwm sim ntawm goiter, nws lub sijhawm tsawg kawg yog ob peb lub hlis thiab tuaj yeem nce mus rau ntau xyoo, qee zaum, cov ntsiav tshuaj tau noj rau lub hom phiaj tiv thaiv lub neej. Kev kho mob me me euthyroid goiter kav rau lub hlis, tab sis tsis pub ntau tshaj ob xyoos, yog tias tsis muaj qhov xav tau, xaiv lwm txoj kev kho mob. Nyob rau hauv cov ntaub ntawv hnyav, cov tshuaj tau noj rau ob peb lub hlis lossis ntau xyoo, qee zaum qhov kev xav tau muaj nyob hauv lub neej. Thaum ib tug neeg tau kuaj pom muaj qogmalignant, muaj thyroidectomy, feem ntau cov tshuaj yuav tsum tau siv rau lub neej. Yog tias "Thyroxine" yog siv los ua cov tshuaj pab rau hyperthyroidism, cov lus qhia rau kev siv qhia rau kev noj ib yam li thaum siv cov ntsiav tshuaj thaum lub sij hawm kho thyrostatic.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Lub sijhawm no, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li kev hloov kho nrog kev siv cov thyroid hormones, nws yuav tsum tsis txhob cuam tshuam. Txawm hais tias siv cov tshuaj hnyav, tsis muaj kev pheej hmoo rau tus menyuam hauv plab, tab sis koj yuav tsum tsis txhob tshaj cov koob tshuaj uas koj tus kws kho mob pom zoo. Cov tshuaj me me dhau mus rau hauv cov kua mis, yog li tsis muaj kev phom sij.
Txij li thaum qib tshuaj estrogen hauv lub cev nce ntxiv thaum lub sijhawm yug menyuam, qhov xav tau ntawm kev siv L-thyroxine kuj nce ntxiv. Cov lus qhia rau kev siv qhia tau hais tias nrog hypofunction nws yog tsim nyog los xyuas lub xeev ntawm cov thyroid caj pas ob lub sij hawm cev xeeb tub thiab tom qab kawg ntawm lub sij hawm no. Tsis tas li ntawd, yog tias tsim nyog, koj yuav tsum tau kho cov koob tshuaj raws li qhov xav tau ntawm lub cev.
Yog tus poj niam cev xeeb tub siv thyreostatics los kho hyperthyroidism, lawv cov koob tshuaj yuav tsum tsawg. Cov neeg mob cev xeeb tub tsis tau txais kev kuaj mob thyroid.
Slimming nrog "L-Thyroxine"
Txhawm rau txo lub cev hnyav, 1.8 mcg ntawm cov tshuaj tau noj rau 1 kg ntawm qhov hnyav. Cov koob tshuaj ntawm cov tshuaj nyob rau hauv qee kis yuav txawv. Tus nqi ntawm cov khoom siv"Thyroxine" cov lus qhia rau kev siv pom zoo kom txo yog tias ib tug neeg muaj kab mob plawv lossis vascular. Hauv cov xwm txheej zoo li no, koob tshuaj ntawm cov tshuaj ib kilogram yog 0.9 mcg. Nyob rau hauv cov ntaub ntawv ntawm kev rog, ntawm qhov tsis tooj, nws yog nce, nws raug nquahu kom siv 2 mcg ntawm cov tshuaj ib kilogram ntawm qhov hnyav.
Thaum pib, thaum poob phaus, tsis muaj leej twg yuav tsum noj ntau dua 100 mcg ib hnub. Yog tias cov tshuaj tau noj nyob rau hauv ib lub lis piam, thaum tsis pom qhov tshwm sim tsis zoo ntawm lub cev, nws raug tso cai kom nce qhov ntau npaum li 300 mcg. Ob qho tib si rau kev kho mob thiab txhawm rau txo qhov hnyav, nws raug txwv tsis pub noj ntau dua L-Thyroxin txhais tau tias siv. Rau kev poob phaus, cov tshuaj uas muaj 50 mcg ntawm cov khoom xyaw nquag lossis 100 yog siv. Thaum siv cov ntsiav tshuaj uas muaj 50 mcg ntawm cov khoom tseem ceeb, haus ib ntsiav tshuaj ib nrab teev ua ntej noj tshais rau plaub hnub, txij hnub thib tsib txog rau hnub xya - ob. ntsiav tshuaj. Yav tom ntej, koj tuaj yeem noj txog plaub ntsiav tshuaj ib hnub, tsis muaj ntxiv lawm. Cov chav kawm tiav tom qab 21 hnub los ntawm kev maj mam txo cov tshuaj.
Nrog ib koob ntawm levothyroxine sodium 100 mcg kom txog rau thaum hnub xya suav nrog, cov tshuaj tau noj tib yam li hauv rooj plaub dhau los. Txij hnub yim, lawv pheej haus peb ntsiav tshuaj. Hoob no yuav tsum kav xya lub lis piam. Nyob rau hauv lub cev ntawm cov thyroid caj pas, cov lus qhia rau kev siv tsis pom zoo kom noj "Thyroxin" ntev. Rau kev poob phaus, nws yog qhov zoo dua los siv cov tshuaj hauv qhov tsawg kawg nkaus kom qhov kev pheej hmoo ntawm kev puas tsuaj rau kev noj qab haus huv raug txo. Tab sis txawm nyob rau hauv cov xwm txheej zoo li no, qib hormonal tuaj yeem cuam tshuam. Pib pibKev poob phaus, raws li kev noj tshuaj "Thyroxine", yuav tsum coj mus rau hauv tus account xws li kev pheej hmoo. Tsis tas li ntawd, koj yuav tsum ua raws li kev noj zaub mov noj.
Cov kws kho mob feem ntau tsis pom zoo rau kev siv tshuaj tiv thaiv. Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias noj "Thyroxin" nyob rau hauv ib txwm lub xeev ntawm cov thyroid caj pas thiab tsis tau sab laj nrog ib tug kws tshwj xeeb yuav ua tau txaus ntshai. Txawm li cas los xij, koj yuav tsum tau poob phaus raws li txoj hauv kev, nrog rau kev siv lub cev thiab kev noj haus, thiab tsis yog tshuaj.
Cov teebmeem ntawm "L-Thyroxine"
Thaum siv 50 thiab 100 mcg ntawm L-Thyroxin, cov lus qhia rau kev siv suav nrog kev tshwm sim tsis zoo hauv kev ua haujlwm ntawm lub plawv, hauv kev ua haujlwm ntawm lub paj hlwb, plab zom mov thiab kev ua me nyuam raws li qhov ua tau tshwm sim. Tej zaum yuav muaj kev cuam tshuam dav dav hauv lub xeev ntawm lub cev thiab kev hloov pauv hauv cov ntaub so ntswg subcutaneous, tawv nqaij. Feem ntau, cov kev phiv tshwm sim hauv lub cev tshwm sim thaum cov koob tshuaj ntawm cov tshuaj tsis haum lossis kev noj ntau dhau tau tshwm sim cuam tshuam nrog kev nce ntxiv ntawm cov tshuaj siv thaum pib ntawm kev kho mob.
Thaum muaj cov tsos mob tshwm sim ntau dhau, cov tshuaj noj tshuaj txo qis lossis tsis noj tshuaj rau ob peb hnub. Muaj kev paub txog kev tuag tshwm sim tam sim ntawd vim kev ua txhaum ntawm lub plawv. Kev tuag tshwm sim rau cov neeg uas haus cov tshuaj uas muaj cov tshuaj nquag tau ntev.
Yog tias qhov kev hloov pauv tsis zoo hauv lub cev ploj tom qab tshem tawm cov tshuaj "Thyroxin Berlin-Chemie", cov lus qhia rau kev siv tso cai rau koj rov qab los.kev kho mob. Txawm li cas los xij, cov koob tshuaj yuav tsum tau xaiv nrog ceev faj. Yog pom tias muaj kev tsis haum tshuaj, cov tshuaj tsis siv lawm.
Rau ntau npaum li cas ntawm cov tshuaj nquag 75, 125 thiab 150 mcg, muaj kev ua txhaum cai hauv qab no:
- teeb meem nrog kev coj khaub ncaws;
- pw tsis tsaug zog;
- tsis muaj zog;
- tachycardia;
- hloov pauv ntawm lub cev kub ib txwm;
- mob siab;
- mob taub hau;
- mob plab;
- xeev siab nrog ntuav;
- xov xwm;
- convulsive xeev;
- heat;
- pseudotumor ntawm lub hlwb;
- tremor;
- poob phaus;
- angina;
- arrhythmia;
- tawm hws ntau dhau;
- tshuaj tsis haum.
Thaum noj tshuaj ntau dhau, ua tib yam li hauv rooj plaub dhau los.
Cov lus qhia tshwj xeeb rau cov tshuaj "L-Thyroxine"
Tsis koom nrog kev siv "L-Thyroxine" nrog kev txo qis hauv lub cev hnyav cov lus qhia rau kev siv. Txawm li cas los xij, ntau tus siv cov tshuaj kom poob phaus, thiab qee qhov qhia tau zoo.
Ua ntej noj cov tshuaj, qhov pom ntawm contraindications tsis suav nrog, nws tuaj yeem siv tau tom qab tus neeg mob tus mob zoo li qub, tab sis tsis yog txhua tus neeg mob. Qee tus neeg mob yuav tsum tau kuaj lawv cov thyroid ntau zaus, yog tias xav tau, tus kws kho mob yuav qhia.
Yog tias kev kho tsis tau ntxov, cov tsos mob ntawm tus kab mob yuav rov qab los, yog li koj yuav tsum ua kom tiav tag nrho cov kev kawm. Qhov muaj peev xwm ntawm kev sib txuas cov tshuaj nrog lwm cov tshuaj yuav tsum raug pom los ntawm tus kws kho mob. Yog tias cov lus qhia rau kev siv txwv tsis pub siv "Thyroxin", analogues ("Bagotirox", "L-Tyrok", "Eutiroks", thiab lwm yam) raug txiav txim siab los ntawm tus kws tshaj lij thiab raug xaiv los ntawm tus neeg mob tus mob, qhia, contraindications..
Tshuaj xyuas txog cov tshuaj "L-Thyroxine"
Kev tshuaj xyuas qhia tias "L-Thyroxine" pab cov thyroid caj pas ua nws txoj haujlwm. Ntau tus txaus siab rau tus nqi, kev ua tau zoo ntawm cov tshuaj. Cov neeg sau tseg tias nws yooj yim siv. Cov tshuaj normalizes qib ntawm cov thyroid hormones, tshem tawm goiter, ntau tus neeg mob pom kev txhim kho tseem ceeb tom qab kev kho mob nrog ib chav kawm, uas tau lees paub los ntawm cov txiaj ntsig ntawm kev ntsuam xyuas. Kev tshuaj xyuas qhia tau hais tias cov tshuaj pab txhawb kev txhim kho hauv hypothyroidism, muaj goiter thiab lwm yam. Cov lus qhia qhia tias thaum qee qhov xwm txheej raug txheeb xyuas thiab tom qab ua tiav qee qhov kev ua haujlwm, cov tshuaj raug coj mus rau lub neej, tab sis tsis yog txhua tus neeg xav txog kev kho mob raws li kev siv L-Thyroxine kom nyab xeeb. Cov lus qhia rau kev siv, kev tshuaj xyuas qhia tau hais tias cov tshuaj yog ib qho tshuaj loj thiab nws tsis tsim nyog siv nws yam tsis muaj kev qhia tsim nyog, piv txwv li, rau kev poob phaus. Feem ntau, tsis muaj tshuaj yuav tsum tau noj yog tias lub hom phiaj ntawm kev siv tshuaj tsis tau qhia hauv cov lus qhia thiab nws tsis tau muab los ntawm kws kho mob. Ob leeg noj tshuaj los ntawm cov neeg noj qab haus huv thiab noj lawv thaum muaj qee yam teeb meem yam tsis tau sab laj nrog tus kws kho mob tshwj xeeb feem ntau tsis ua rau muaj dab tsi zoo. Txawm li cas los xij, nws yuav pab tau mus ntsib kws kho mob.
Kev tshuaj xyuas qhia tau tias feem ntau cov txiaj ntsig xav tau tshwm sim tom qab kev kho mob nrog tshuaj "Thyroxin". Cov lus qhia rau kev siv, kev tshuaj xyuas qhia tau hais tias, vim yog tus yam ntxwv ntawm txhua tus kabmob, cov txiaj ntsig ntawm kev siv tshuaj tsis zoo ib yam, ntxiv rau, qhov mob hnyav ntawm tus neeg mob muaj kev cuam tshuam loj heev rau cov txiaj ntsig tau txais tom qab kev siv tshuaj. kev siv txoj kev kho. Hauv kev tshuaj xyuas muaj cov ntaub ntawv hais txog kev mob tshwm sim, uas qee zaum muaj ntau heev. "Thyroxin" tuaj yeem noj tau tsuas yog tom qab dhau qhov kev sim, thiab tsuas yog nyob rau hauv cov xwm txheej uas tau muab los ntawm kws kho mob. Nws yog ib qho tseem ceeb kom tsis txhob suav nrog contraindications, paub koj tus kheej ua ntej nrog cov muaj pes tsawg leeg ntawm cov tshuaj, qhov tsis zoo tshwm sim uas nws tuaj yeem ua tau. Koj yuav tsum ua raws li txhua tus kws kho mob cov lus pom zoo thiab nce koob tshuaj maj mam, koj yuav tsum tsis txhob tso tshuaj sai sai.
