"Levothyroxine": ntụziaka ntuziaka, reviews, nkọwa, analogs

Gịnị prescribers 'Levothyroxine "? Ntuziaka maka ojiji, ezigbo dọkịta banyere ngwá ọrụ a ga-ọkọnọ n'okpuru. Anyị na-agwa gị banyere ụdị nke hapụ a ọgwụ, ma ọ bụrụ na o nwere ọ bụla contraindications na mmetụta, ka o nwere ike-anọchi, na na. D.

The mejupụtara nke ọgwụ na ya ntọhapụ ụdị

ị pụrụ ịzụta ọgwụ "Levothyroxine" Olee ụdị? Ntuziaka maka ojiji, dọkịta reviews na-ekwu na nke a na nkà mmụta ọgwụ dị na mbadamba. Na ire ha na-abata na-eso ichekwa: 50, 25, 100,75, 150, 125, 200 ma ọ bụ 175 mcg. Ha n'ọrụ mgwa ihe bụ levothyroxine sodium.

Pharmacological akparamagwa ngwaọrụ

Gịnị bụ a na ngwaọrụ ụlọọgwụ "Levothyroxine"? Ntuziaka maka ojiji, ngwá ọrụ a reviews nwere ihe ọmụma banyere eziokwu ahụ bụ na ọ bụ thyroid hormone, nke nwere a bụghị.

Na obere doses ọgwụ bụ ike na-akpa ihe anabolic mmetụta (ya bụ, na-akpali protein mmepụta). Pụtara mpịakọta agwọ ọrịa enwekwu ọrụ nke Central ụjọ na obi usoro anụ ahụ oxygen ina, rụọ ọrụ protein metabolism nakwa dị ka abụba na carbohydrates.

Banyere elu doses na nke ọgwụ na-enyere aka belata mmepụta nke homonụ nke pituitary na hypothalamus na-emepụta site na endocrine glands (na ụbụrụ).

The pharmacokinetics nke ọgwụ ngwaahịa

Ebe na otú ogologo ọgwụ na-etinye obi gị dum "Levothyroxine"? pụtara ntụziaka-ekwu na mgbe onu absorption nke ọgwụ na-ewepụtara eriri afọ na bụ mkpokọta 49-78%.

Na-ewere ọgwụ na-ebu ọnụ budata enwekwu ndị absorption nke nọ n'ọrụ mgwa. Oke ngwaahịa ịta ruru mgbe ihe dị ka 5-6 awa.

Communication plasma protein bụ karịa 98%.

Nkesa nke ọgwụ na-ewe ebe tumadi na imeju na-na na muscle, na ụbụrụ.

The ọkara ndụ nke 1 izu. Odika 15% nke ọgwụ na-anyụpụ na bile na site akụrụ - n'ụdị conjugates na unmodified ụdị, karị.

Egosi maka ojiji nke a na nkà mmụta ọgwụ

Gịnị nwere ike na-kenyere ọgwụ "Levothyroxine"? Ntuziaka mmasị usoro a na-egosi ndị na-esonụ na-egosi:

• mbuaha goiter;
• sekọndrị na isi hypothyroidism;
• Nchikota Agwọ of goiter, autoimmune thyroiditis , na thyroid gland hyperplasia euthyroid;
• cretinism;
• mgbochi nke nlọghachite mgbe ịwa ahụ adọ na thyroid (mgbe mwepụ nke ịza etuto ahụ na nodal).

Ọzọkwa levothyroxine sodium na-eji maka esi achọpụta ọrịa ule thyroid suppression.

Contraindications anata

Ị gaghị na-ọgwụ "Levothyroxine" n'okpuru ọ bụla deviations? Mbadamba na-atụle site anyị, a machibidoro iwu iji na hyperthyroidism, myocardial infarction (nnukwu). Ọ na-contraindicated na hypersensitivity isi ihe onwunwe (i.e., levothyroxine sodium) anaghị gwọrọ adrenocortical insufficiency.

Drug "Levothyroxine": ntuziaka maka ojiji

Nyocha banyere nke a ọgwụ ọjọọ nwere ozi ndị na mmetụta ya nke ọma, a hụrụ nanị mgbe 7-13 awa mgbe mmalite nke ọgwụ. Ma, nke a bụ nanị bụrụ na ọ bụrụ na ọgwụ, a họpụtara site na àmà ahụ na na nri onunu ogwu.

Olu nke ewere ọgwụ maka ọgwụgwọ nke a ndiiche na-guzosie ike na n'otu n'otu dabere na àmà ndị e nwere. Na-emekarị ná mmalite nke usoro ọgwụgwọ ifịk agwọ ọrịa na-eji na a onunu ogwu nke 12.5-25 mg otu ugboro n'ụbọchị (25-30 nkeji tupu nri). Otú ọ dị, dị ka a na-arụzi ọgwụgwọ, a ego nwere ike iru na 200 mcg kwa ụbọchị.

Mgbe oge nke esi na-achọpụta ọrịa ule ọgwụ ndinọ singly na ego nke 3 mg ma ọ bụ maka 14 ụbọchị na 200 ug ugboro kwa ụbọchị.

Maka ọgwụgwọ nke congenital hypothyroidism ọdịdị nke ụmụ ọhụrụ n'okpuru 6 ọnwa, nye 25-50 mg ego ruo 1 afọ - 60 mg, na n'agbata afọ 1 5 afọ - 100 mcg. Older ụmụaka (6 isua 12) nke sodium levothyroxine na-ndinọ na a dose nke 150 micrograms. -Eto eto ruo afọ 12 na-200 micrograms kwa ụbọchị.

Ndị okenye na a nchoputa, dị ka hyperthyroidism, nwere ike ikwu na-ewere 25-100 mg nke ọgwụ kwa ụbọchị. Mgbe a onunu ogwu na-eji nwayọọ nwayọọ na ụba (ọ bụla abụọ ma ọ bụ atọ na izu, 25-50 g). N'ihi ya, olu nke agwọ ọrịa esịmde na-akwado bụ banyere 125-250 micrograms kwa ụbọchị.

Mgbe ịwa ahụ mwepụ nke a ajọ akpụ ịṅụ ọgwụ ọjọọ na ego nke 300 g.

Mgbe euthyroid goitre, nakwa dị ka iji gbochie ya re-guzobe nke ọgwụ kenyere okenye ke ichekwa 75-200 mg, na ụmụaka - 12.5-150 micrograms kwa ụbọchị.

Mmetụta mgbe na-anata agwọ ọrịa

Enwere m ike na-ọgwụ ọjọọ, "Levothyroxine" na-aba n'anya? Iji ụbọchị, na mmekọrịta nke ngwá ọrụ na ihe na-aba n'anya na-adịghị ike. Otú ọ dị, n'oge ọgwụgwọ na mmiri ọgwụ ọgwụ ọjọọ na-atụ aro ka ókè nke na-aba n'anya.

Ma mmetụta mgbe na-anata ọgwụ n'okpuru nyochaa, ọrịa nwere ike na-enwe mgbanwe nke hyperthyroidism. N'etiti ha bụ ndị na-esonụ na-ekwu: palpitations, tachycardia, arrhythmia, isi ọwụwa, rịaworo, tremor, ịma jijiji, mmetụta nke obi erughị ala, ụra n'ọgba aghara, cramps, arọ ọnwụ, muscle adịghị ike, afọ ọsịsa, vomiting, ịhụ nsọ ọrịa.

Ovadozu ngwaọrụ ahụike

Bụrụ na nke ovadozu na a ọgwụ ọrịa nwere mgbaàmà ndị a na e ji mara oké ma ọ bụ agafeghị oke hyperthyroidism. The symptomatic ọgwụ a na-eji dị ka a ọgwụgwọ maka ọnọdụ ndị dị otú. Na nke a, ọgwụ ozugbo agbanwe.

Ọ dịkwa ike ekenye beta-blockers. Mgbe na-eji oké doses plasmapheresis a rụrụ. Anyị nwere ike ikwu na nke a, hemodialysis adighi ike.

Mmekọrịta ndị ọzọ ọgwụ ọjọọ eme ihe

Enwere m ike na-ọgwụ ọjọọ, "Levothyroxine" na calcium? Nke a mmewere, nakwa dị ka aluminum hydroxide na sucralfate belata absorbability nke nọ n'ọrụ umi nke mbụ agwọ ọrịa si eriri afọ tract.

Ọ kwesịkwara kwuru na isi mmewere nke ọgwụ potentiates ihe nke anticoagulants na-ebelata arụmọrụ hypoglycemic elekọta mmadụ (onu).

Na ọrịa na-arịa ọrịa shuga mellitus na hypothyroidism n'oge nnọchi ọgwụgwọ thyroid hormone ọgwụ yiri ka dịkwuo mkpa hypoglycemic elekọta mmadụ (onu) ma ọ bụ insulin.

Bishydroxycoumarin, salicylates, clofibrate na furosemide pụrụ nnọọ mfe chụpụ levothyroxine sodium nke ya mkpakọrịta na plasma-edozi.

Cholestyramine ebelata absorption nke nọ n'ọrụ bekee site na eriri afọ tract.

Mgbe iji "ritonavir" nwere a elu puru nke na-amụba ina "levothyroxine".

N'oge ngwa nke "sertraline" na ndị mmadụ na hypothyroidism mbelata mmetụta nke levothyroxine sodium.

Mgbe mbanye "Chloroquine" yiri ka dịkwuo metabolism nke levothyroxine na TSH kasịnụ.

Ara na ime

N'oge lactation na gestation atụle ọgwụ ga-eji nanị n'okpuru a dọkịta na-elekọta. Iji na njikọ na tireostaticheskimi mmadụ n'oge ime na-contraindicated. Nke a na-ejikọta ya na ihe ize ndụ nke hypothyroidism na nwa ebu n'afọ nọ n'afọ.

Special ntuziaka maka inweta ọgwụ

Mere ọgwụ "Levothyroxine" na ntutu isi ọnwụ metụtara onye ọ bụla ọzọ? The eziokwu na a mebiri nke thyroid gland na ọrịa nwere ike ịbụ nnọọ adịkwa ya ntutu isi. Otú ọ dị, mgbe ọ natara a na-egosi agwọ ọrịa mmiri ọgwụ ahaghị nhata fọrọ nke nta kpamkpam tutu amama.

Isiokwu ụgbọala na oké ịkpachara anya kenyere ndị na ọrịa obi, gụnyere ọbara mgbali elu, akwara akwara ọrịa na obi ọdịda. Na ndị a, ndị dose nke ọgwụ ga-nọgidere na-enwe a ala onunu ogwu, na-amụba ya ji nwayọọ nwayọọ na na a nnukwu ọdịiche.

Agadi ọrịa na ogologo oge nke ọrịa ndị dị ka hypothyroidism, ọgwụ ga na-amalite nwayọọ nwayọọ.

Maka nnọchi ọgwụgwọ nke thyroid gland na ndị mmadụ na-ezughi oke adrenal cortex ọrụ enweghị ezigbo omume (mmezi) na corticosteroids e a-ekwe omume nke adrenal nsogbu (nnukwu).

A ọgwụ na-kenyere na ịkpachara anya na ọrịa na-arịa ọrịa shuga mellitus.

Mgbe ụfọdụ, thyroid homonụ ime ka ọ bụ exacerbate myasthenic syndrome (gara aga).

Drugs "Levothyroxine" na "Eutiroks": n'adịghị, reviews

N'agbanyeghị eziokwu na ha abụọ bụ ndị nke otu Nwa gosiri ifịk mmewere, ọ bụla n'ime ha nwere ya e ji mara. Nke a bụ n'ihi bụ isi eziokwu na ndị ọzọ components gụnyere ha formulations bụ nnọọ iche.

Ọzọkwa, e nwere ụfọdụ iche na ihe nke ọgwụ ọjọọ. Dị ka Ibọrọ nke ọrịa, ọgwụgwọ mmetụta nke "Levothyroxine" ọgwụ hụrụ mgbe 7-13 ụbọchị, na site na nke "Eutiroks" - izu abụọ mgbe e mesịrị.

Mgbe e ji n'ụzọ ziri ezi, na nke ikpeazụ na nkà mmụta ọgwụ nwere dịghị mmetụta. Dị ka nke mbụ, na obere okwu, ọ ka na-eduga ná ekwesighi pụta. Ọzọkwa, mmetụta nwere ike ime ọbụna na obere mgbanwe onunu ogwu.

Na ụmụaka na Akwụkwụ na-adọ, ma ọ bụ ihe ọdịdọ ngwa "Levothyroxine" ọgwụ ọjọọ na-eme na-arịa ọrịa. Ma ọgwụ ọjọọ eme ihe 'Eutiroks ", mgbe ya ojiji nke ndị dị otú ahụ na-arịa ọrịa na-adịghị hụrụ.

Analogs nke a na ngwaọrụ ụlọọgwụ

Gịnị nwere ike dochie ọgwụ "Levothyroxine"? Analogs nke a ọgwụ ndị dị na niile pharmacies. N'etiti ndị dị otú ọgwụ nwere ike kwuru na-esonụ: «L-Thyroxine-Pharmak», «L-Thyroxine", "Bagotiroks", "A-Tirok" "sodium levothyroxine», «L-Thyroxine hexane", "Eutiroks», «L- thyroxine-Acre "," Tyro-4 "na na.

nleba

Dị ka nzaghachi nke ndị ahụ a kara aka ọgwụ na-ewere ya nnọọ irè ịnagide ọrụ. Ọ bụ ezie na mgbe ụfọdụ, ọgwụ nwere ike ime ka ụfọdụ mmetụta.

Dị ka ndị ọkachamara, na onwe ha na-eji a mmiri ọgwụ gị n'ụlọnga "Levothyroxine" na-nditịm ajuru aju. Ya dị nnọọ na dọkịta iwu e nwere ike iwere, dabere na ahụ ike nke onye ọrịa na ya onye arụmọrụ. Nke a bụ n'ihi na eziokwu na hormone ọgwụ ọjọọ nwere ike a nnọọ mmetụta dị ike ahụ mmadụ na ya homonụ n'ozuzu.

Ọ kwesịkwara kwuru na ọzọ ọgwụ adịghị atụ aro. Mgbe niile, ọ nwere ike mfe ime ka distortion nke pụta ọgwụ.