"Levothyroxine": mirayiridzo manual, ongororo, rondedzero, analogs

What prescribers 'Levothyroxine "? Mirayiridzo yokushandisa, vanachiremba chaiwo pamusoro chokushandisa ichi zvichakurukurwa pazasi. Nesuwo kukuudza pamusoro fomu iro kusunungura mishonga iyi, kana ane chero contraindications uye marwadzo, kupfuura zvinogona kutsiviwa, uye zvichingodaro. D.

The Kuronga zvinodhaka uye ayo kusunungurwa chimiro

unogona kutenga zvinodhaka "Levothyroxine" In ipi? Mirayiridzo yokushandisa, vanachiremba wongororo vanoti mushonga uyu rinowanika pamahwendefa. In Sale Vanosvika zvinotevera mari: 50, 25, 100,75, 150, 125, 200 kana 175 mcg. Ravo rinoita chirungiso ndiyo levothyroxine yavaibvisa.

Pharmacological characterization Ezvemutauro

Ndechipi zano wezvokurapa "Levothyroxine"? Mirayiridzo yokushandisa, ichi chokushandisa wongororo ane ruzivo nezvekuti ndiro thyroid kemikari, iro rine chakaita zvokugadzirwa mavambo.

In mishonga duku mushonga anokwanisa vanoshandisa anabolic mugumisiro (ndiko, kuti kukurudzira mapuroteni production). Ngaave Mavhoriyamu medicament kunowedzera basa nechepakati huta uye kumwoyo rinenge okisijeni kudiwa, kusashanda mapuroteni muviri uyewo mafuta uye makabhohaidhiretsi.

Panyaya yakakwirira mishonga panguva iyo mushonga kunobatsira kuderedza kugadzirwa hormone ose pituitary uye hypothalamus kuti anobudiswa neZvapupu kwemakemikari anobudiswa mumasero (muuropi).

The pharmacokinetics of somushonga chigadzirwa

Kupi uye sei refu mishonga wefodya 'Levothyroxine "? rinoreva kurayira inoti kuti pashure nomumukanwa Absorção de Água zvinodhaka rinobva ura uye anenge 49-78%.

Kunwa mushonga nokutsanya yekudyidzana anowedzera Absorção de Água yezviri chirungiso. Kunonyanyisa chigadzirwa wevasungwa yakasvika pashure maawa anenge 5-6.

Kukurukura yeplasma kunopfuura 98%.

Kuparadzira zvinodhaka kunoitika kunyanya chiropa uye tsandanyama, uye uropi.

The hafu-upenyu 1 vhiki. Inenge 15% of zvinodhaka riri yabudiswa pamwe bile uye kuburikidza itsvo - muchimiro verlauf mu unmodified chimiro, ukuwo.

Zvairatidza kuti kushandiswa mushonga uyu

Chii chinogona kupiwa mishonga "Levothyroxine"? Mirayiridzo kuda nzira iyi inoratidza zvinotevera zvairatidza:

• yakavhenganiswa goiter;
• yechipiri uye chikuru hypothyroidism;
• Combination Yokurapa chepfu goiter, autoimmune thyroiditis , uye thyroid shwanu hyperplasia isiri yekenza euthyroid;
• cretinism;
• kudzivirira dzokororo pashure zvomusejari kupindira pamusoro thyroid (mushure Kubviswa nyanyisa anomera uye nodal).

Uyewo levothyroxine yavaibvisa rinoshandiswa nokuda differential chirwere bvunzo thyroid kudzvinyirira.

Contraindications kugamuchira

Haukwanisi kutora mishonga "Levothyroxine" pasi chero zvarakasiya? Mahwendefa inokurukurwa nesu, nayo chinorambidzwa kushandisa pamwe hyperthyroidism, myocardial infarction (chenjera). Zvinonzi zvakare contraindicated pamwe hypersensitivity kuti nechepasi zvinhu (i.e., levothyroxine yavaibvisa) haina akaporesa adrenocortical insufficiency.

Drug "Levothyroxine": mirayiridzo kushandiswa

Reviews pamusoro mushonga uyu ane ruzivo kuti zvainoita kunoonekwa maawa chete pashure 7-13 pashure mharuro mushonga. Asi ichi ndicho chete zvazviri kana mishonga yave akagadzwa yechipupuriro uye zvakarurama chipimo chemushonga.

The Vhoriyamu vaiona zvinodhaka nokuda pakurapa yakatsauka chinosimbiswa nomunhu zvichienderana huripo. Kazhinji pakutanga kurapa vanoshingaira medicament rinoshandiswa nenzira chipimo chemushonga pamusoro 12.5-25 MG kamwe pazuva (25-30 maminitsi pamberi kudya). Zvisinei, somunhu Nokuraramisa kurapwa, mari iyi inogona kusvika uye 200 mcg pazuva.

Panguva differential chirwere bvunzo zvinodhaka raitongwa singly mu uwandu 3 MG kana mazuva 14 panguva 200 ug kamwe zuva.

Nokuti pakurapa vachiberekwa hypothyroidism hunhu vacheche pasi pemwedzi 6, ipai 25-50 MG mari kusvika 1 gore - 60 MG, uye pakati pemakore 1 kusvika 5 makore - 100 mcg. Vana vakura (6 kusvika 12 years) kuti yavaibvisa levothyroxine chinotarisirwa ari dose vana 150 micrograms. Kuyaruka pashure pemakore 12 vari micrograms 200 pazuva.

Vakuru vane chirwere ichi, sezvo hyperthyroidism urumbidze achitora 25-100 MG zvinodhaka pazuva. Kana chipimo chemushonga iri kuwedzera zvishoma nezvishoma (ose maviri kana nhatu, 25-50 g). Somugumisiro, bhuku racho medicament zvasvika uye zvitsigiso anenge 125-250 micrograms pazuva.

Pashure kuvhiya kubviswa munhu akaipa nebundu zvinodhaka kupinza mune imwe mari 300 g.

Kana euthyroid goitre, uyewo kuti asashandiswe apiwa paumbwe mishonga waakaudzwa kuti vakuru mune mari 75-200 MG, uye vana - 12.5-150 micrograms pazuva.

Side migumisiro pashure pakugamuchira medicament

Ndinogona kutora zvinodhaka "Levothyroxine" uye doro? Pari, kubata ari mudziyo ane doro haangasimbiswi. Zvisinei, panguva kurapwa pamwe hormone zvinodhaka zvisina varumbidzwa yokushungurudzwa doro.

Kana divi migumisiro mushure mekugamuchira mushonga pasi review, varwere vanogona kuona zviratidzo hyperthyroidism. Pakati pavo pane zvinotevera rinoti: palpitations, tachycardia, arrhythmia, nomusoro, angina, tremor, kutya, kunzwa kwomukati wokusagadzikana, hope nenyonganiso, chinyamunhari chinorwadza, uremu, tsandanyama simba, manyoka, kurutsa, kumwedzi zvirwere.

Ovhadhozi zvokurapa mano

Kana ovhadhozi pamwe zvinodhaka ichi murwere ane zviratidzo kuti vari yo zvakakomba kana mwero hyperthyroidism. The symptomatic kurapa rinoshandiswa sezvo kurapa nokuda ezvinhu akadaro. Panyaya iyi, mishonga pakarepo Akawisira.

Zvinogonekawo kuti kuvapa Beta-blockers. Kana kushandisa yokunyanyisa mishonga plasmapheresis rinoitwa. Hatigoni kutaura kuti iyi, hemodialysis isashande.

Kudyidzana nevamwe zvinodhaka

Ndinogona kutora zvinodhaka "Levothyroxine" uye calcium yakawanda? chaikosha ichi, uyewo aruminiyamu hydroxide uye sucralfate kuderedza absorbability yezviri fuma rokutanga medicament kubva nemudumbu.

Zvinofanira kucherechedzwa kuti huru vanzwe kuti zvinodhaka potentiates kuitwa anticoagulants uye kunoderedza kunyatsoshanda hypoglycemic yomuchipatara (nemumuromo).

In varwere cheshuga mellitus uye hypothyroidism mukutanga kuzvitsinhanisa mabatiro kurapwa thyroid kemikari chinowanzoitika kuwedzera kudiwa hypoglycemic yomuchipatara (nemukanwa) kana jekiseni.

Bishydroxycoumarin, salicylates, clofibrate uye furosemide anogona bvikinyidza zvikuru nyore levothyroxine yavaibvisa nokuwadzana raro mapuroteni eplasma.

Cholestyramine kunoderedza Absorção de Água kuti basa zvinhu kubva nemudumbu.

Kana tichishandisa "ritonavir" vane mukuru ndingangokuvara kuwedzera kudiwa "levothyroxine".

Munguva pokushandisa "sertraline" mune vanhu vane hypothyroidism zvinoderedza nezvaizoitwa levothyroxine yavaibvisa.

Nepo kubvuma "Chloroquine" chinowanzoitika kuwedzera muviri kuti levothyroxine uye TSH kuwanda.

Achiyamwa uye pamuviri

Panguva lactation uye gestation vaiona mushonga inofanira kushandiswa chete pasi yachiremba cherechedzo. Use pachiimbwa tireostaticheskimi nevasori panguva pamuviri iri contraindicated. Izvi chokuita mikana yakawanda hypothyroidism ari mudumbu mudumbu.

Mirayiridzo Special nokuti kugamuchira zvinodhaka

Sei zvinodhaka "Levothyroxine" uye kurasikirwa bvudzi chokuita mumwe? Chokwadi kuti kutyora thyroid shwanu pavarwere ingava yokurasikirwa bvudzi rake. Zvisinei, pamusoro pokugamuchira ichi chiratidzo medicament hormone kusaenzana inenge zvachose chose.

Nyaya motokari nokungwarira hwakanyanya ushandiswe kuvanhu zvemwoyo chirwere, kusanganisira neBP, coronary tsinga chirwere uye mwoyo nokukundikana. Muzviitiko izvi, kuti dose mishonga inofanira kuchengetedzwa yakaderera chipimo chemushonga, ichiwedzera nayo zvishoma nezvishoma uye ane hombe pakakoromoka.

Varwere vakwegura mazhinji nguva zvirwere zvakadai hypothyroidism, kurapa vanofanira kutanga zvishoma nezvishoma.

Nokuti kuzvitsinhanisa Mabatirwo thyroid shwanu mune vanhu vane kukwana adrenal cortex basa pasina zvakakwana kurapwa (Nokuraramisa) pamwe corticosteroids pane mukana adrenal dambudziko (chenjera).

mushonga iri ushandiswe nokungwaririra pavarwere vane cheshuga mellitus.

Mune zvimwe zviitiko, thyroid mahormone anokonzera kana kuwedzera myasthenic syndrome (yapfuura).

Zvinodhaka "Levothyroxine" uye "Eutiroks": kusiyana, wongororo

Pasinei chokwadi kuti zvose zviri zvakafanana Pfungwa varatidza kushingaira maatomu akafanana, mumwe nomumwe wavo ane pachake zvachiri. Izvi imhaka zvikurukuru chokwadi kuti zvimwe zvinoriumba akabatanidza Formulations yavo zvakasiyana.

Uyewo, pane kusiyana kuitwa zvinodhaka. Maererano mhinduro wevarwere, mishonga mugumisiro "Levothyroxine" chinodhaka aona mazuva 7-13, uye achishandisa "Eutiroks" - mavhiki maviri gare gare.

Kana kushandiswa nemazvo, mushonga wokupedzisira haana nemishonga. Sezvo kune wekutanga, ari zvisingawanzoitiki kacho achiri kunotungamirira kune varwadziwe. Uyezve, marwadzo anogona kuitika kunyange kuchinja vaduku chipimo chemushonga.

In vana nepfari, kana pfari kushanda "Levothyroxine" mushonga kunokonzera kudzikira. Kana mishonga 'Eutiroks ", pashure kushandiswa ayo kudzikira kwakadaro hakuna kuchengetwa.

Analogs ane zano wezvokurapa

Chii chinogona kutsiva zvinodhaka "Levothyroxine"? Analogs zvinodhaka izvi zvinowanikwa Pharmacies zvose. Pakati mishonga yakadaro inogona kutaurwa zvinotevera: «L-Thyroxine-Pharmak», «L-Thyroxine", "Bagotiroks", "A-Tirok" "Sodium levothyroxine», «L-Thyroxine hexane", "Eutiroks», «L- thyroxine-Acre "," Tyro-4 "uye zvichingodaro.

Testimonials

Maererano inofambiswa yevaya vakanga vagadzwa zvinodhaka nezvazvo zvikuru zvinobudirira kukurira basa. Kunyange zvazvo dzimwe nguva, mishonga zvingasafadza nemishonga.

Maererano nenyanzvi, kuti pasina kushandisa hormone mumiririri "Levothyroxine" iri zvachose wairambidza. Its chete chiremba wacho akarayira zvinogona kutorwa, zvichienderana utano murwere wake nomumwe unongotaura. Izvi imhaka yokuti kemikari madhiragi kunogona simba kwazvo womunhu muviri wayo mahormone zvavo.

Zvinofanira kucherechedzwa kuti mishonga humwewo haina inokurudzirwa. Pashure pezvose, zvinogona kukonzera nyore kukanganisa migumisiro mishonga.