Koob tshuaj "Thyroxine": kws kho mob cov tshuaj, nta ntawm kev tswj hwm, ntau npaum, muaj pes tsawg leeg, indications thiab contraindications

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Cov thyroid caj pas nyob rau hauv cov txheej txheem ntawm kev ua nws lub luag haujlwm tsim ntau yam kab mob lom neeg ntawm cov organic keeb kwm, uas tau tsim nyob rau hauv qee lub hlwb ntawm cov qog endocrine uas nkag mus rau hauv cov ntshav. Thyroxine yog ib qho tseem ceeb tshaj plaws ntawm cov thyroid hormones, uas cuam tshuam rau tag nrho cov txheej txheem ntawm tib neeg lub neej. Cov khoom muaj feem xyuam nrog kev tswj hwm ntawm cov metabolism hauv cov kab mob thiab cuam tshuam rau kev loj hlob thiab kev loj hlob ntawm lub cev.

Thyroxine yog ib yam tshuaj uas muaj feem cuam tshuam rau ntshav siab, ua rau nws nce. Lub hlwb lub xeev ntawm ib tug neeg, lub zog kuj nyob ntawm seb nws cov ntsiab lus nyob rau hauv lub cev. Thyroxine feem ntau cuam tshuam rau cov txheej txheem metabolic thiab kev xav ceev. Nws kuj cuam tshuam rau lub plawv dhia.

Nrog ib txwm muaj cov ntsiab lus ntawm thyroxine hauv plasma, ib tus neeg tsis raug hem nrog kev rog yog tias nws tsis muaj kab mob uas ua rau hnyav nce. Qhov no tshwm sim vim qhov tseeb tias cov tshuaj hormones cuam tshuam rau cov metabolism.tshuaj nyob rau hauv lub cev. Thaum ib tus neeg uas muaj cov ntsiab lus ntawm thyroxin hauv lub cev noj ntau dua li cov qauv, cov tshuaj lom neeg lom neeg ntawm cov organic tsim tau ua kom nrawm, yog li ua kom cov metabolism thiab hlawv rog sai dua.

Yuav ua li cas hem qhov tsis muaj cov tshuaj hormones?

Qhov tsis muaj thyroxin tam sim ntawd cuam tshuam rau tib neeg kev noj qab haus huv. Thaum cov thyroid caj pas tsim ib qho me me ntawm cov tshuaj hormones tsim nyog, ib tus neeg tsim cov tshuaj hypothyroidism (ib yam kab mob uas tshwm sim los ntawm kev txo qis hauv kev ua haujlwm ntawm cov qog endocrine thiab cov tshuaj hormones tsis txaus). Qhov hnyav ntawm tus kab mob no yog hu ua myxedema (ib kab mob tshwm sim los ntawm kev tsis txaus ntawm cov khoom nruab nrog cev thiab cov ntaub so ntswg nrog cov thyroid hormones). Ntawm nws cov yam ntxwv tseem ceeb, koj tuaj yeem xyuam xim rau cov hauv qab no:

• tib neeg daim tawv nqaij flakes tawm, nplai tshwm;
• tus neeg mob tsaug zog thiab nquag ntxhov siab;
• lawv cov plaub hau nkig, muag ntsia thawv phaj;
• cov neeg mob no yuav muaj ntshav siab;
• o tshwm rau ntawm lub ntsej muag, lub puab tsaig ua ruddy;
• yuav muaj teeb meem xeeb;
• overweight tshwm sim.

Thyroxine deficiency yog ib txwm muaj, tshwj xeeb tshaj yog nyob rau hauv cov poj niam hnub nyoog so haujlwm. Kev tshem tawm hypothyroidism yog qhov yooj yim - cov neeg mob raug qhia kom noj cov tshuaj uas muaj cov tshuaj no hloov pauv hauv lawv cov tshuaj, thaum tus neeg rov ua haujlwm dua nws qhov tseem ceeb. Cov neeg zoo li no kuj tau sau tshuaj nrog qhov siab tshaj plawsQhov concentration ntawm iodine.

Tseem muaj ib daim ntawv uas tsis muaj xwm txheej ntawm tus kab mob no. Hauv qhov no, tus neeg mob yuav tsum noj tshuaj tag nrho nws lub neej los kho tus nqi ntawm thyroxine hauv lub cev. Nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj xyuas lub sij hawm muaj cov kab mob congenital uas tshwm sim nrog cov thyroid cov tshuaj hormones tsawg, yog li ntawd, kev soj ntsuam rau tus kab mob no yog coj los ntawm cov me nyuam mos tsib hnub tom qab yug me nyuam. "L-thyroxine" yog cov tshuaj ntawm cov thyroid hormones. Qhov koob tshuaj thyroxine yog dab tsi? Peb yuav tham txog qhov no hauv qab no.

Composition

Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm kaum daim nyob rau hauv contour hlwb, ob, peb, plaub, tsib, rau, yim, kaum hlwv ib pob. Nees nkaum lossis tsib caug daim hauv cov thawv polymer. Tsib caug daim nyob rau hauv blister packs, tsuas yog ib blister pob. Ib ntsiav tshuaj ntawm cov tshuaj "L-thyroxine" muaj cov tshuaj nquag - levothyroxine sodium.

Cov tshuaj yog tsim los ntawm Berlin-Chemie nrog ntau qhov sib txawv ntawm cov kab mob nquag hauv cov koob tshuaj - tsib caug, xya caum-tsib, ib puas, ib puas nees nkaum-tsib, ib puas thiab tsib caug micrograms. Txij li thaum cov chav kawm yuav tsum tau pib nrog tsib caug micrograms ib hnub twg, faib cov koob tshuaj thyroxin (raws li cov lus qhia) ua ob koob, rau kev siv yooj yim nws yog qhov zoo dua los yuav cov tshuaj uas muaj cov ntsiab lus tseem ceeb - tsib caug micrograms. Cov ntsiav tshuaj no yooj yim dua rau faib ua ob ntu.

tshuaj muaj txiaj ntsig

Levothyroxine yog suav tias yog cov khoom tseem ceeb ntawm "L-Thyroxine"sodium yog ib qho tshuaj enantiomer ntawm thyroxin, uas yog hloov nyob rau hauv lub siab nyob rau hauv ib tug me me npaum li cas mus rau hauv triiodothyronine, ces nkag mus rau hauv lub hlwb ntawm lub cev thiab cuam tshuam cov metabolism, nrog rau cov ntaub so ntswg loj hlob.

Hauv cov koob me me, cov tshuaj muaj peev xwm ua kom muaj cov nyhuv anabolic ntawm cov rog thiab cov protein metabolism. Hauv cov koob tshuaj nruab nrab, nws nce qhov xav tau ntawm cov pa oxygen hauv cov ntaub so ntswg, nce kev ua haujlwm ntawm lub paj hlwb, nrog rau lub plawv thiab cov hlab ntsha, ua kom muaj kev loj hlob thiab kev loj hlob, los ntawm kev txhim kho cov metabolism ntawm cov rog, carbohydrates thiab cov proteins. Hauv cov koob tshuaj ntau dua, cov tshuaj nquag inhibits kev tsim cov thyroid-stimulating hormone los ntawm lub caj pas pituitary.

Pharmacological kev txiav txim yog tshwm sim li ntawm xya mus rau kaum ob hnub tom qab siv cov tshuaj. Tib lub sijhawm tom qab nws txiav tawm, cov txiaj ntsig tseem nyob.

Nyob rau hauv hypothyroidism, cov nyhuv kho tau tshwm sim tom qab peb mus rau tsib hnub. Cov ntaub so ntswg loj hlob thoob plaws hauv lub cev endocrine txo qis lossis ploj tag nrho tom qab rau lub hlis.

Tom qab nkag mus rau hauv lub cev, cov kab mob tseem ceeb yog absorbed yuav luag tag rau hauv cov hnyuv loj. Kev nqus ntawm cov tshuaj yog kwv yees li yim caum feem pua ntawm cov tshuaj tau txais. Nrog rau kev sib koom ua ke ntawm kev siv cov khoom noj, qhov nqus ntawm cov khoom txo qis. Cov ntsiab lus siab tshaj plaws hauv plasma tau mus txog kwv yees li tsib mus rau rau teev tom qab siv "L-thyroxine".

Cov tshuaj nquag yog tus cwj pwm los ntawm kev sib cog lus siab nrog albumin, thyroxine-binding prealbumin, thiab thyroxine-binding globulin. Kev sib pauv ntawm cov thyroid hormones tshwm simfeem ntau nyob rau hauv lub raum, lub siab thiab lub hlwb. Ib qho me me ntawm cov kab tseem ceeb dhau los ua cov txheej txheem ntawm kev faib cov pa roj carbon dioxide los ntawm cov organic acids lossis amino acids thiab tshem tawm cov amino pawg los ntawm cov molecule.

Ntxiv rau, muaj ntxiv rau sulfuric thiab glucuronic acids, feem ntau hauv daim siab. Txoj kev ntawm excretion ntawm metabolites yog los ntawm txoj hnyuv thiab ob lub raum nrog zis. Ib nrab-lub neej txawv ntawm rau mus rau xya hnub, nyob rau hauv cov neeg uas muaj thyrotoxicosis txheej txheem no yuav siv sij hawm peb mus rau plaub hnub, nyob rau hauv cov neeg mob hypothyroidism - los ntawm cuaj mus rau kaum hnub.

Kev qhia

L-thyroxine ntsiav tshuaj tau pom zoo siv thaum muaj cov kab mob hauv qab no:

1. Euthyroid goiter (kev them nyiaj loj ntawm cov thyroid caj pas nrog tsis muaj iodine hauv lub cev).
2. Hypothyroidism (ib kab mob tshwm sim los ntawm kev txo qis hauv cov thyroid ua haujlwm thiab tsim cov tshuaj hormones tsis txaus).
3. Lub Sijhawm tomqab phais thyroid.
4. Malignant tsim nyob rau hauv lub nruab nrog cev ntawm endocrine system.
5. Tus kab mob thyroid, nrog rau nws qhov loj thiab nce cov thyroid hormones.
6. Kev kuaj mob qog noj ntshav.

YContraindications

"L-thyroxine" tsis pom zoo siv thaum muaj cov kab mob hauv qab no:

1. mob myocardial infarction (qhov chaw ntawm necrosis ntawm cov leeg plawv, uas yog tsim los ntawm kev mob plawv tsis zoo).
2. mob myocarditis(ib kab mob uas muaj focal los yog diffuse o ntawm lub plawv cov leeg).
3. YLactase deficiency.
4. Impaired absorption of glucose thiab galactose.
5. nce rhiab heev rau levothyroxine.
6. Hypertension (siab ntshav siab siab dua li qub).
7. Arrhythmia (pathological mob, cuam tshuam ntawm lub atherosclerosis thiab contraction ntawm lub plawv).
8. Ischemia ntawm lub plawv (tsis muaj ntshav txaus rau myocardium).
9. Atherosclerosis (ib kab mob ntev ntawm cov hlab ntsha uas tshwm sim los ntawm cov kab mob lipid metabolism thiab nrog los ntawm kev tso cov roj cholesterol hauv cov hlab ntsha sab hauv).
10. Angina (ib qho chaw kho mob uas tshwm sim los ntawm kev hnov mob lossis tsis xis nyob hauv siab).
11. Mob ntshav qab zib mellitus (ib kab mob endocrine tshwm sim los ntawm qhov tsis txaus hauv lub cev ntawm cov tshuaj insulin lossis nws cov kev ua haujlwm lom neeg tsawg).
12. Malabsorption syndrome (ib yam mob uas muaj kev ua txhaum ntawm kev nqus hauv cov hnyuv).

Kev txais tos

"L-thyroxine" yog noj thaum sawv ntxov ntawm lub plab khoob, tsawg kawg ib mus rau ob teev ua ntej noj tshais, tsis zom thiab haus dej. Cov tshuaj "L-thyroxine" yog dab tsi?

Rau kev siv cov tshuaj hloov pauv tshuaj los tiv thaiv hypothyroidism hauv cov neeg hnub nyoog qis dua tsib caug-tsib xyoo thaum tsis muaj kab mob plawv thiab vascular, qhov xav tau ntawm cov tshuaj txhua hnub yog 1.6-1.8 micrograms ib kilogram ntawm lub cev. luj.

Kev Siv Txhua HnubCov ntsiav tshuaj "L-thyroxine" yog txiav txim los ntawm tus kws kho mob uas tuaj koom ib leeg nkaus xwb thiab nyob ntawm kev teem caij.

Cov neeg muaj hnub nyoog tsib caug-tsib xyoos lossis nyob rau hauv muaj cov kab mob ntawm lub plawv thiab cov hlab ntsha kev noj tshuaj yog muab rau ntawm tus nqi ntawm 0.9 micrograms ib kilogram ntawm lub cev qhov hnyav.

Cov neeg mob rog rog hnyav raug xam ntawm "qhov hnyav hnyav". Thaum thawj theem ntawm kev kho mob rau hypothyroidism, qhov ntau npaum ntawm thyroxine yog raws li hauv qab no:

1. Cov neeg tsis muaj kab mob plawv hauv hnub nyoog qis dua tsib caug tsib yog: rau cov txiv neej ntawm ib puas mus rau ib puas thiab tsib caug micrograms ib hnub twg, rau cov poj niam ntawm xya caum-tsib rau ib puas micrograms ib hnub twg.
2. Cov neeg mob hnub nyoog tsib caug-tsib xyoos lossis cov neeg mob uas muaj kab mob plawv, tsis hais poj niam los txiv neej, yuav tsum noj thyroxine ntawm qhov ntau npaum li 25 micrograms ib hnub twg nrog cov tshuaj maj mam nce ntxiv (peb caug-tsib micrograms nrog rau ntu ntawm rau caum. lub hlis) kom txog rau thaum normalization plasma thyroid stimulating hormone.

Yog tias cov tsos mob tsis zoo ntawm lub plawv thiab cov hlab ntsha tshwm sim lossis ua rau mob hnyav, nws yuav tsum tau kho cov kab mob plawv. Qhov pom zoo noj txhua hnub ntawm cov ntsiav tshuaj L-thyroxine txhawm rau tshem tawm hypothyroidism, nyob ntawm lub hnub nyoog ntawm tus menyuam, yog raws li hauv qab no:

1. Txij thaum yug txog rau lub hlis, kaum txog tsib caug micrograms.
2. Txij li rau lub hlis ntawm lub xyoo, koob tshuaj txhua hnub yog tsib caug txog xya caum tsib micrograms.
3. Txij li ib xyoos mus rau tsib xyoos tau sau xya caum-tsib rau ib puas micrograms ib hnub.
4. Rau rau kaum obxyoo, qhov ntau npaum li cas txawv ntawm ib puas mus rau ib puas thiab tsib caug micrograms ib hnub twg.
5. Cov tub ntxhais hluas hnub nyoog kaum ob xyoos thiab laus dua yuav tsum noj ib puas mus rau ob puas micrograms ib hnub.

Tsis tas li ntawd, tseem muaj cov tshuaj noj txhua hnub ntawm "L-thyroxine" ntsiav tshuaj nyob ntawm tus kab mob, piv txwv li:

1. Txhawm rau tshem tawm euthyroid goiter, xya caum-tsib rau ob puas micrograms ib hnub twg yuav tsum tau noj.
2. Rau kev tiv thaiv rov tshwm sim tom qab phais rau euthyroid goiter, noj ntawm xya caum tsib mus rau ob puas micrograms.
3. Raws li ib feem ntawm txoj kev kho mob rau thyrotoxicosis, tsib caug mus rau ib puas micrograms tau noj.
4. Rau malignant thiab benign neoplasms nyob rau hauv cov thyroid caj pas, ib puas thiab tsib caug mus rau peb puas micrograms yog siv.
5. Thaum ua qhov kev sim tshuaj tiv thaiv thyroid ib hlis ua ntej cov txheej txheem, xya caum tsib micrograms raug sau tseg, kaum plaub hnub ua ntej qhov kev sim, pom zoo kom noj ntau npaum li ob puas micrograms.
6. Rau cov neeg mob me txij li yug mus txog peb xyoos, kev noj tshuaj levothyroxine txhua hnub yog muab ib thiab ib nrab teev ua ntej pub mis. Raws li txoj cai, ua ntej siv, L-thyroxine ntsiav tshuaj yuav tsum tau yaj hauv cov kua kom txog thaum muaj kev ncua zoo.
7. Nrog hypothyroidism, cov tshuaj siv thoob plaws lub neej. Txhawm rau tshem tawm thyrotoxicosis, cov tshuaj yog siv rau hauv txoj kev kho mob nrog cov tshuaj antithyroid tom qab mus txog theem euthyroid. Lub sijhawm ntawm kev kho mob nrog cov kab mob tseem ceeb rau ntau yam kab mob yog txiav txim siab los ntawm tus kws kho mob tuaj koom.

Kev siv "L-thyroxine" hauv kev tsim lub cev

Cov tshuaj hormones ntawm cov qog endocrine yog qhov txaus siab rau kev tsim lub cev. Cov thyroid caj pas yog ib qho tseem ceeb tshaj plaws hauv tib neeg lub cev. Kev noj qab haus huv ntawm tib neeg nyob ntawm qhov ua haujlwm raug, vim nws tsim cov tshuaj hormones triiodothyronine thiab thyroxine, uas cuam tshuam ncaj qha rau cov metabolism.

Feem ntau, cov neeg ncaws pob uas noj zaub mov thiab feem ntau ua si kis las, cov rog rog ploj mus qeeb qeeb. Yog vim li cas qhov no yog qhov ua haujlwm tsis muaj zog ntawm endocrine system.

Tam sim no, tsis muaj cov tshuaj uas muaj triiodothyronine hauv tebchaws Russia. Thiab "L-thyroxine" tau nthuav dav hauv Lavxias Federation, raws li nws tau muab los ntawm kws kho mob rau cov neeg mob uas raug kev txom nyem los ntawm hypothyroidism los kho cov tshuaj hormones.

Cov tshuaj muaj cov haujlwm qis, tab sis ua ke nrog cov kab mob tshwj xeeb nws hloov mus rau hauv cov tshuaj lom neeg cov tshuaj hormones ntawm cov thyroid caj pas. Cov tshuaj hormones feem ntau siv los ntawm cov neeg ncaws pob hauv kev npaj rau kev sib tw. Feem ntau, nws txoj kev siv tuaj yeem ua rau cov txiaj ntsig tsis zoo uas cuam tshuam nrog kev siv tsis raug, qee zaum txawm tias tsis xav. Qhov no yog vim lub fact tias novice bodybuilders uas tab tom nrhiav rau cov khawv koob tshuaj siv "L-thyroxine", tom qab uas nws los txog rau kev hloov kho nyob rau hauv lub neej. Yog li ntawd, kev siv cov tshuaj tsis zoo ua rau muaj qhov tsis zookev tshwm sim.

Yuav ua li cas noj "L-thyroxine" hauv kev tsim lub cev?

Koj yuav tsum siv "L-thyroxine" hauv "swb" ib yam li triiodothyronine. Qhov txawv tsuas yog nyob rau hauv lub concentration ntawm microelement noj: los ntawm nees nkaum tsib mus rau ib puas micrograms ntawm triiodothyronine yog los ntawm ib puas mus rau peb puas micrograms ntawm thyroxine. Txawm li cas los xij, ntau tshaj li ob puas micrograms ntawm thyroxine yuav tsum tsis txhob noj. Yuav xam npaum li cas ntawm thyroxine?

Kev txais tos:

1. Hnub Ib - nees nkaum tsib micrograms.
2. Hnub Ob - tsib caug micrograms.
3. Hnub Peb - xya caum tsib micrograms.
4. Hnub Plaub - ib puas micrograms.
5. Hnub Tsib - ib puas nees nkaum tsib micrograms.
6. Hnub Rau - ib puas thiab tsib caug micrograms.

Koj tsis tuaj yeem tsis kam siv cov tshuaj yam tsis tau ua raws li qee txoj kev - kev tshem tawm ntawm txoj kev kho yog tib yam, tab sis rov qab txiav txim.

Qhov txawv ntawm cov tshuaj hormones "Thyroxine" thiab "Triiodothyronine"

Thyroxin nws tus kheej tsis qhia kev ua haujlwm, tab sis ua ke nrog selenium nws tuaj yeem hloov mus ua ib qho muaj zog triiodothyronine. Hauv qhov no, qee zaum cov tshuaj hormones piv nrog prosteroid. Qee cov kws kho mob ntseeg tias kev npaj triiodothyronine zoo dua rau cov uas muaj thyroxine, tab sis qhov no tsis yog.

Thawj yam koj yuav tsum tau ua tib zoo saib yog tias triiodothyronine tuaj yeem ua rau muaj kev cuam tshuam hormonal loj, uas tuaj yeem ua rau tsis zoo.cuam tshuam rau cov thyroid caj pas.

Nrog kev nce qib ntawm cov thyroid hormones, cov qog endocrine tuaj yeem poob nws txoj haujlwm ntev. Yog li ntawd, kev siv cov thyroid biologically active tshuaj ntawm cov organic xwm yuav tsum tau ib tug maj mam nce nyob rau hauv koob.

Ntxiv rau, qhov ntau npaum li cas yuav tsum sib haum rau kev ua haujlwm ntawm lub cev ntawm tus neeg ncaws pob. Ntau dhau ntawm cov tshuaj hormones ua rau thyrotoxicosis, uas cuam tshuam nrog qhov tshwm sim tsis zoo.

Thib ob, cov tshuaj hormone thyroxine tau yooj yim dua. Niaj hnub no, "L-thyroxine" tau muab tso rau hauv cov khw muag tshuaj yam tsis muaj tshuaj, txawm tias qhov no tsis tuaj yeem ua raws li txoj cai. Triiodothyronine tsis tuaj yeem yuav hauv khw muag tshuaj txhua, txawm hais tias kom txog thaum tsis ntev los no nws tuaj yeem yuav los ntawm lub npe Triakana.

Dhau li ntawm no, cov nqi ntawm cov tshuaj no sib txawv heev. Qhov no txhais tau hais tias L-thyroxine yog ib qho tshuaj pheej yig dua Triakana.

Thiab qhov nthuav tshaj plaws yog tias, raws li cov neeg ncaws pob, cov tshuaj hormones tsis muaj xim tsis zoo. Yog tias koj tsis kam siv nws, qhov hnyav poob yuav luag tsis pom.

Txoj kev siv tshuaj kom poob phaus

Siv "L-thyroxine" yuav tsum yog ob teev tom qab noj mov lossis rau caum feeb ua ntej noj mov. Qhov no yog vim lub fact tias cov khoom txo cov bioavailability ntawm cov tshuaj "L-thyroxine". Raws li cov lus qhia rau kev siv rau kev poob phaus, kev noj ntau npaum li cas hauv qab no:

1. Lub sijhawm tag nrho ntawm chav kawm txawv ntawm plaub mus rau xya lub lis piam. Ntsej muagtshem tawm txoj kev kho tsis tsim nyog, qhov ntau npaum li cas yuav tsum tau txo qis rau me me.

2. Nws yog ib qho tsim nyog yuav tau pib siv cov tshuaj nrog tsib caug micrograms. Qhov koob tshuaj no yuav tsum muab faib ua ob koob tshuaj nees nkaum tsib micrograms thaum sawv ntxov thiab yav tsaus ntuj txog rau thaum yav tsaus ntuj. Txhawm rau zam qhov ua tsis tiav ntawm lub plawv thaum sawv ntxov, koj yuav tsum noj nees nkaum tsib micrograms ntawm metoprolol. Kev siv ntxiv ntawm nees nkaum tsib micrograms ntawm metoprolol yog qhov tsim nyog yog tias, thaum ntsuas cov mem tes thaum so thaum yav tsaus ntuj, nws yog ntau tshaj xya caum tus neeg ntaus ib feeb.

3. Qhov ntau npaum ntawm thyroxine rau kev poob phaus yog ib qho tseem ceeb kom coj mus txog peb puas micrograms ib hnub twg. Tus naj npawb ntawm cov tshuaj no tau muab faib ua peb daim ntawv thov, thaum siv zaum kawg yuav tsum tsis pub dhau rau rau yav tsaus ntuj. Tsis tas li ntawd, txuas ntxiv noj cov tshuaj beta-blocker metoprolol. Nyob rau tib lub sijhawm, nws qhov ntau npaum li cas yog nce mus rau ib puas micrograms ib hnub twg, muab faib ua ob koob tshuaj tsib caug micrograms. Yog tias cov mem tes siab tshaj xya caum tus neeg ntaus ib feeb, koj yuav tsum xaiv cov koob tshuaj ib leeg zuj zus, maj mam nce mus rau qhov xav tau.

5. Ntshav siab yuav tsum yog ib puas thiab plaub caug mus rau ib puas millimeters mercury. Thaum nws nce siab tshaj tus qauv, nws yog ib qho tsim nyog yuav tsum tau nce koob tshuaj metoprolol.

6. So ntawm kev kho mob yuav tsum yog tsawg kawg peb mus rau plaub lub lis piam.

Thaum noj "L-thyroxine" rau kev poob phaus, nws yog ib qho tseem ceeb rau kev soj ntsuam qhov piv ntawm cov txiaj ntsig zoo thiab qhov tshwm sim tsis zoo. Kev tsis xav siv "L-thyroxine" tuaj yeem ua rau muaj ntau yam tsis zoo.thiab yuav tas yuav kom koj noj tshuaj txhua hnub mus tas koj lub neej.

txwv tsis pub siv yuav tsum tau ua tib zoo xav thaum siv cov tshuaj kom poob phaus. Raws li kev txheeb xyuas, qhov ntau npaum ntawm thyroxine rau kev poob phaus (kom ua tiav qhov xav tau) yuav tsum siab heev, yog li cov tshuaj yuav tsum tau tswj los ntawm kws kho mob.

Nws yuav txhim kho cov txiaj ntsig thiab ua kom poob phaus sai

txhawm rau txhim kho cov txiaj ntsig thaum noj "L-thyroxine" kom poob phaus koj xav tau:

1. Tsawg calorie zaub mov. Koj tuaj yeem siv cov khoom noj uas ua raws li kev suav cov calories uas muaj nyob hauv cov khoom noj. Koj yuav tsum noj 1200 calories ib hnub twg.

2. Kev tawm dag zog txhua hnub thiab kev tawm dag zog yog qhov tseem ceeb. Nws tuaj yeem yog taug kev, ua haujlwm thaum sawv ntxov, jogging. Kev ua kis las yuav muaj txiaj ntsig tshwj xeeb, uas yuav pab tshem tawm cov rog hauv lub cev thiab ua kom cov leeg nqaij.

Side effects

Thaum siv "L-thyroxine" ua raws li txhua daim ntawv tshuaj thiab nyob rau hauv kev saib xyuas ntawm tus kws kho mob tshwj xeeb, tsis muaj qhov tshwm sim tsis zoo. Nrog nce rhiab heev rau cov nquag microelement, kev ua xua tuaj yeem tshwm sim.

Lwm yam tsis zoo tsuas yog tshwm sim nrog tshuaj lom.

Ntau tshaj

Thaum muaj kev quav yeeb tshuaj, cov tsos mob tshwm sim uas yog yam ntxwv ntawm thyrotoxicosis, piv txwv li:

• saw;
• mob siab;
• kev ua txhaumlub plawv dhia;
• nrawm nrawm;
• tshee tshee;
• mob plab;
• poob pw;
• xov xwm;
• poob phaus.

Txawm li cas los xij, nyob ntawm cov tsos mob ntawm kev lom, tus kws kho mob yuav qhia kom txo qis cov tshuaj "L-thyroxine". Tom qab tus mob rov zoo li qub, kev siv tshuaj yuav tsum tau pib nrog ceev faj heev los ntawm qhov tsawg kawg nkaus.

Ntse

Thaum hypothyroidism tshwm sim, uas yog tshwm sim los ntawm kev puas tsuaj rau lub caj pas pituitary, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas thiab txiav txim siab seb puas tseem muaj qhov tsis txaus ntawm adrenal cortex.

Yog tias qhov zoo, kev kho mob nrog glucocorticosteroids yuav tsum pib ua ntej siv cov thyroid hormones los kho hypothyroidism kom tsis txhob mob qog adrenal tsis txaus.

Qee lub sij hawm nws yog ib qho tsim nyog los tswj cov ntsiab lus ntawm cov tshuaj lom neeg lom neeg nyob hauv cov ntshav plasma, qhov nce ntawm qhov ntsuas no qhia txog qhov tsis txaus. lub ntsiab kab hauv qab tsis cuam tshuam rau kev mloog thiab ceev ntawm cov tshuaj tiv thaiv psychomotor, uas yog qhov tseem ceeb rau kev tsav tsheb.

Siv thaum cev xeeb tub thiab lactation

Kev kho mob hypothyroidism thaum lub sijhawm "txoj haujlwm txaus nyiam" thiab kev pub niam mis yuav tsum txuas ntxiv mus. Thaum cev xeeb tub, qib ntawm thyroxin-binding globulin nce, yog li nws yog ib qho tsim nyog yuav tsum tau nce qib ntawm "L-Thyroxine" nyob rau hauv cov ntaub ntawv ntawm hypothyroidism.

Txawm li cas los xij, cov niam uas pub niam mis yuav tsum tau txais kev kho mob raws li tus kws kho mob saib xyuas, nruj me ntsisua raws li nws tej lus txib. Raws li cov lus qhia rau kev siv, "L-Thyroxine" tuaj yeem siv rau hauv kev kho menyuam yaus raws li kev siv tshuaj.

Qhov siab ntawm cov thyroid hormone, uas tau tawm hauv cov kua mis (txawm tias siv cov tshuaj thyroxine siab thaum cev xeeb tub), me me, yog li nws tsis tuaj yeem ua rau muaj kev cuam tshuam hauv tus menyuam.

Kev xav

Kev tshuaj xyuas txog "L-Thyroxine" feem ntau tsuas yog qhov zoo. Cov neeg mob paub tseeb tias cov tshuaj normalizes qhov sib npaug ntawm cov tshuaj hormones ntawm endocrine system, thiab qhov no muaj txiaj ntsig zoo rau kev noj qab haus huv tag nrho.

Cov lus teb tsis zoo muaj cov lus tsis txaus siab txog qhov tshwm sim ntawm cov kev mob tshwm sim. "L-Thyroxine" yog npaj los tshem tawm cov kab mob endocrinological, nws cov tshuaj steroid feem ntau siv los tshem tawm qhov hnyav dhau. Cov neeg thov tias cov tshuaj pab kho lub cev qhov hnyav, tshwj xeeb tshaj yog thaum ntxiv nrog kev noj haus.

Cov kws kho mob hauv kev tshuaj xyuas tau hais tias levothyroxine sodium tsuas tuaj yeem noj nrog txo cov thyroid ua haujlwm. Kev rog dhau feem ntau yog ib qho ntawm cov tsos mob ntawm kev ua haujlwm tsis zoo ntawm lub cev, yog li qhov txo qis hauv lub cev rog tuaj yeem suav tias yog hom kev phiv ntawm cov tshuaj.

Siv "El-Thyroxine" nyob rau hauv ntau npaum li cas rau kev poob phaus yog nruj me ntsis txwv tsis pub, vim qhov no yog fraught nrog cov tsos ntawm ntau yam teeb meem kev noj qab haus huv. Hauv qhov no, cov tshuaj yuav tsum tau muab los ntawm kws kho mob nkaus xwb tom qab kev kuaj mob tau tsim.

Nyiaj"L-Thyroxine" nyob ntawm qhov ntau npaum li cas:

• tsib caug ntsiav tshuaj ntawm tsib caug micrograms - los ntawm yim caum rubles;
• tsib caug ntsiav tshuaj ntawm ib puas micrograms - los ntawm ib puas rubles;
• ib puas ntsiav tshuaj ntawm ib puas micrograms - los ntawm ib puas thiab nees nkaum rubles.