Cov thyroid, Desiccated

Cov thyroid, Desiccated

Tshuaj kho los ntawm Varixcare.cz. Hloov kho zaum kawg thaum Lub Kaum Hli 27, 2020.

Hais tawm

(THYE roid DES hauv kay sijhawm)



cov npe tshuaj maois

Cov ntsiab lus Index

  • Desiccated Cov thyroid
  • Levothyroxine thiab Liothyronine
  • Tetraiodothyronine thiab Triiodothyronine
  • Cov Thyroid Extract
  • Thyroid USP

Cov Tshuaj Ntau Lawm

Cov ntaub ntawv nthuav tawm nthuav tawm thaum muaj (txwv, tshwj xeeb rau cov laus); tham nrog cov khoom lag luam tshwj xeeb. [DSC] = Txiav cov khoom



Ntsiav tshuaj, Qhov ncauj:

Armor Thyroid: 15 mg, 30 mg, 60 mg, 90 mg, 120 mg



Armor Thyroid: 180 mg [tau qhab nia]

Armor Thyroid: 240 mg

Armor Thyroid: 300 mg [tau qhab nia]



Xwm-Throid: 16.25 mg, 32.5 mg

Xwm-Throid: 48.75 mg, 65 mg, 81.25 mg, 97.5 mg, 113.75 mg, 130 mg, 146.25 mg, 162.5 mg, 195 mg, 260 mg, 325 mg [tau qhab nia]

NP Thyroid: 15 mg, 30 mg, 60 mg, 90 mg, 120 mg

Sab hnub poob: 32.5 mg

Westhroid: 65 mg, 97.5 mg, 130 mg, 195 mg [tau qhab nia]

WP Cov Thyroid: 16.25 mg, 32.5 mg

WP Cov Thyroid: 48.75 mg, 65 mg [tau qhab nia]

WP Cov Thyroid: 81.25 mg

WP Cov Thyroid: 81.25 mg, 97.5 mg, 113.75 mg, 130 mg [tau qhab nia]

Generic: 15 mg [DSC], 30 mg [DSC], 60 mg [DSC], 90 mg [DSC], 120 mg [DSC]

Hom Npe: Tebchaws Asmeskas

  • Armor Thyroid Cov
  • Xwm-Throid
  • NP Thyroid
  • Westhroid
  • WP Thyroid

Kws Tshuaj

  • Cov Khoom Thyroid

Tshuaj

Thawj qhov sib xyaw ua ke yog T.3(triiodothyronine), uas tuaj yeem hloov pauv los ntawm T.4(thyroxine) thiab tom qab ntawd nthuav dav thoob plaws lub cev los cuam tshuam kev loj hlob thiab kev loj hlob ntawm ntau cov ntaub so ntswg; tsis meej mechanism ntawm kev txiav txim yog tsis paub; Txawm li cas los xij, nws ntseeg tias cov thyroid hormone ua rau nws muaj ntau yam cuam tshuam txog kev zom zaub mov los ntawm kev tswj ntawm DNA hloov pauv thiab ua kom muaj protein ntau; koom nrog hauv cov metabolism hauv ib txwm muaj, kev loj hlob, thiab kev txhim kho; txhawb nqa gluconeogenesis, nce kev siv thiab mobilization ntawm cov khw muag khoom glycogen thiab txhawb kev tsim cov protein ntau, ua rau cov txheej txheem hauv paus hauv paus

Kev nqus

Thyroxine (T.4): 40% txog 80%; T3: 95%; desiccated cov thyroid muaj T.4, T3, thiab iodine (feem ntau khi)

Metabolism

Hepatic rau triiodothyronine (nquag); ~ 80% T4deiodinated nyob rau hauv lub raum thiab ib ncig; glucuronidation/conjugation kuj tshwm sim; undergoes enterohepatic recirculation

Kev tshem tawm

Cov zis (txoj hauv kev tseem ceeb ntawm kev tshem tawm); ib nrab cov quav

Pib ntawm Kev Ua

Liothyronine (T.3): ~ 3 teev

Sijhawm Peak

Serum: T.4: 2 txog 4 teev; T3: 2 rau 3 hnub

Ib nrab-Lub Neej Tshem Tawm

T4: Euthyroid: 6 txog 7 hnub; Hyperthyroid: 3 txog 4 hnub; Hypothyroid: 9 txog 10 hnub

T3: 0.75 hnub (Brent, 2011)

Kev khi cov protein

T4:> 99% khi rau cov protein ntshav suav nrog thyroxine-khi globulin, thyroxine-binding prealbumin, thiab albumin

Siv: Cov Ntawv Qhia Qhia

Hypothyroidism: Hloov lossis kho ntxiv hauv hypothyroidism

Contraindications

Hypersensitivity rau ib feem ntawm kev tsim; tsis kho thyrotoxicosis; tsis kho adrenal tsis txaus

Dosing: Cov neeg laus

Nco tseg: American Thyroid Association/American Association of Clinical Endocrinologists tsis pom zoo siv cov tshuaj desiccated cov thyroid raws li hloov kho rau hypothyroidism (ATA [Jonklaas 2014]; ATA/AACE [Garber 2012]). Kev ua tau zoo ntawm cov ntsiav tshuaj tuaj yeem sib txawv los ntawm cov chaw tsim khoom hais txog cov nplej lossis mg; cov lus pom zoo noj tshuaj yog ua raws cov kev kho mob sib npaug sib npaug uas 1 khob = 60 mg lossis 65 mg;1/2nplej = 30 mg lossis 32.5 mg; thiab1/4grain = 15 mg lossis 16.25 mg.

Hypothyroidism: Qhov ncauj: Pib: 30 lossis 32.5 mg/hnub; tuaj yeem nce koob tshuaj hauv 15 lossis 16.25 mg nce ntxiv txhua txhua 2 txog 3 lub lis piam kom txog thaum hloov pauv qhov tshuaj txaus; pib nrog 15 lossis 16.25 mg/hnub hauv cov neeg mob uas muaj kab mob plawv lossis mob ntev myxedema. Kev siv ntau npaum li cas: 60 txog 130 mg/hnub. Cov lus teb tsis txaus rau koob tshuaj txog li 195 mg/hnub qhia tias tsis ua raws lossis ua tsis tau zoo.

Kev hloov kho tshuaj rau kev kho ua ke: Cov tshuaj tseem ceeb cuam tshuam nrog, xav tau koob tshuaj/zaus hloov lossis zam. Tham nrog cov tshuaj sib cuam tshuam cov ntaub ntawv kom paub ntau ntxiv.

Dosing: Geriatric

Zam kev siv (Beers Cov Qauv [AGS 2019]).

Dosing: Menyuam

Nco tseg: Cov koob tshuaj qhia raws li mg/kg/koob lossis mg/koob; ua tib zoo tshuaj xyuas cov khoom siv; kho cov tshuaj raws li cov lus teb kho mob thiab ntsuas ntsuas. Kev ua tau zoo ntawm cov ntsiav tshuaj tuaj yeem sib txawv los ntawm cov chaw tsim khoom hais txog cov nplej lossis mg; cov lus pom zoo noj tshuaj yog ua raws cov kev kho mob sib npaug sib npaug uas 1 khob = 60 mg lossis 65 mg;1/2nplej = 30 mg lossis 32.5 mg; thiab1/4grain = 15 mg lossis 16.25 mg.

Congenital hypothyroidism: Nco tseg: Cov lus qhia tsis pom zoo siv niaj hnub siv cov thyroid qhuav dhau levothyroxine monotherapy hauv kev tswj hwm hypothyroidism (AAP 2006; ATA [Jonklaas 2014]). Cov menyuam mos yuav tsum tau pib kho qhov koob tshuaj tag nrho; Qhov ncauj:

Cov menyuam mos 1 txog 6 hlis: 4.8 txog 6 mg/kg/koob tshuaj los yog 15 txog 32.5 mg/koob ib zaug ib hnub

Cov menyuam mos> 6 txog 12 hlis: 3.6 txog 4.8 mg/kg/koob tshuaj los yog 30 txog 48.75 mg/koob ib zaug ib hnub

Cov menyuam hnub nyoog 1 txog 5 xyoos: 3 txog 3.6 mg/kg/koob tshuaj los yog 45 txog 65 mg/koob ib zaug ib hnub

Cov menyuam hnub nyoog 6 txog 12 xyoos: 2.4 txog 3 mg/kg/koob lossis 60 txog 97.5 mg/koob ib zaug ib hnub

Cov Hluas: Cov koob tshuaj 1.2 txog 1.8 mg/kg/koob lossis> 90 mg/koob ib zaug ib hnub

Kev hloov kho tshuaj rau kev kho ua ke: Cov tshuaj tseem ceeb cuam tshuam nrog, xav tau koob tshuaj/zaus hloov lossis zam. Tham nrog cov tshuaj sib cuam tshuam cov ntaub ntawv kom paub ntau ntxiv.

Kev tswj hwm

Qhov ncauj: Muab rau ntawm lub plab khoob (piv txwv li, 30 txog 60 feeb ua ntej noj tshais) kom nce kev nqus.

Cia

Khaws ntawm 15 ° C txog 30 ° C (59 ° F txog 86 ° F).

phenazopyridine 200 mg ntsiav tshuaj

Kev Sib Tham Tshuaj

Amezinium: Cov Khoom Thyroid tuaj yeem txhim kho qhov ua kom muaj zog ntawm Amezinium. Saib xyuas kev kho mob

Amiodarone: Tej zaum yuav txo qis kev kho mob ntawm Cov Khoom Thyroid. Saib xyuas kev kho mob

Apalutamide: Tej zaum yuav txo qis kev kho mob ntawm Cov Khoom Thyroid. Saib xyuas kev kho mob

Bile Acid Sequestrants: Tej zaum yuav txo qis cov ntshav cov concentration ntawm cov khoom lag luam thyroid. Kev tswj hwm: Tswj cov khoom lag luam qhov ncauj tsawg kawg 4 teev ua ntej colesevelam, thiab tsawg kawg 1 teev ua ntej lossis 4-6 teev tom qab cholestyramine. Cov lus qhia tshwj xeeb rau colestipol tsis muaj. Saib xyuas kom qis dua/cuam tshuam ntawm cov khoom lag luam thyroid. Xav txog kev hloov kho

Calcium Polystyrene Sulfonate: Tej zaum yuav txo qis cov ntsiab lus ntawm cov thyroid cov khoom. Kev tswj hwm: Txhawm rau txo qis kev pheej hmoo ntawm kev cuam tshuam, cais cov tshuaj ntawm qhov ncauj calcium polystyrene sulfonate thiab cov khoom lag luam thyroid (piv txwv li, levothyroxine) lossis tswj hwm calcium polystyrene sulfonate ncaj qha. Saib xyuas cov cim/tsos mob ntawm hypothyroidism nrog kev siv ua ke (qhov ncauj). Xav txog kev hloov kho

Calcium Ntsev: Tej zaum yuav txo qis kev kho mob ntawm Cov Khoom Thyroid. Kev tswj hwm: cais cov koob tshuaj ntawm cov thyroid thiab cov tshuaj calcium ntxiv los ntawm qhov tsawg kawg 4 teev. Saib xyuas kom txo qis kev kho mob ntawm cov thyroid cov khoom lag luam yog tias pib qhov ncauj ntxiv calcium/koob tshuaj ntxiv. Xav txog kev hloov kho

CarBAMazepine: Tej zaum yuav txo qis cov ntsiab lus ntawm cov thyroid cov khoom. Saib xyuas kev kho mob

Cardiac Glycosides: Cov Khoom Thyroid tuaj yeem txo qis cov ntshav ntshav ntawm Cardiac Glycosides. Tshwj xeeb, rov qab mus rau lub xeev euthyroid los ntawm lub xeev hypothyroid tuaj yeem txo qis cov ntshav cov ntshav glycosides. Saib xyuas kev kho mob

Ciprofloxacin (Systemic): Tej zaum yuav txo qis cov ntsiab lus ntawm cov thyroid cov khoom. Saib xyuas kev kho mob

Estrogen Derivatives: Tej zaum yuav txo qis kev kho mob ntawm Cov Khoom Thyroid. Saib xyuas kev kho mob

Fosphenytoin: Tej zaum yuav txo qis cov ntshav cov concentration ntawm cov thyroid cov khoom. Phenytoin kuj tseem tuaj yeem tshem cov thyroid cov tshuaj hormones los ntawm qhov chaw khi cov protein. Saib xyuas kev kho mob

Furosemide: Tej zaum yuav txo cov protein khi ntawm cov khoom lag luam Thyroid. Qhov no tuaj yeem ua rau muaj kev nce ntxiv nyob rau hauv cov thyroid cov tshuaj dawb ntau ntau thiab tom qab txo qis hauv tag nrho cov thyroid hormone ntau ntau. Saib xyuas kev kho mob

Kev Loj Hlob Hormone Analogs: Tej zaum yuav txo qis kev kho mob ntawm Cov Khoom Thyroid. Saib xyuas kev kho mob

Lanthanum: Tej zaum yuav txo qis cov ntshav cov concentration ntawm cov khoom lag luam thyroid. Kev Tswj: Cais cov thawj coj ntawm cov khoom lag luam thyroid thiab lanthanum tsawg kawg 4 teev. Xav txog kev hloov kho

Phenytoin: Tej zaum yuav txo qis cov ntshav cov concentration ntawm cov thyroid khoom. Phenytoin kuj tseem tuaj yeem tshem cov thyroid cov tshuaj hormones los ntawm qhov chaw khi cov protein. Saib xyuas kev kho mob

Piracetam: Tej zaum yuav txhim kho qhov tsis zoo/tshuaj lom ntawm cov khoom lag luam thyroid. Tshwj xeeb, cov tsos mob suav nrog kev tsis meej pem, chim siab, thiab pw tsis tsaug zog tau piav qhia thaum siv ua ke. Saib xyuas kev kho mob

RifAMPin: Tej zaum yuav txo qis cov ntsiab lus ntawm cov thyroid cov khoom. Saib xyuas kev kho mob

Ritonavir: Tej zaum yuav txo qis kev kho mob ntawm Cov Khoom Thyroid. Saib xyuas kev kho mob

Selective Serotonin Reuptake Inhibitors: Tej zaum yuav txo qis kev kho mob ntawm Cov Khoom Thyroid. Thyroid cov khoom xav tau koob tshuaj yuav nce ntxiv. Saib xyuas kev kho mob

tsis vitamin c txo kam

Sodium Iodide I131: Cov Khoom Thyroid tuaj yeem txo qis kev kho mob ntawm Sodium Iodide I131. Kev Tswj: Txiav cov khoom lag luam thyroid ua ntej sodium iodide I-131 kev tswj hwm, thiab zam kev siv tib lub sijhawm. Nres triiodothyronine (T3) 2 lub lis piam ua ntej, thiab tso tseg thyroxine (T4) 4 lub lis piam ua ntej, kev tswj hwm sodium iodide I-131. Zam kev ua ke

Sodium Polystyrene Sulfonate: Tej zaum yuav txo qis cov ntsiab lus ntawm cov thyroid cov khoom. Kev tswj hwm: Txhawm rau txo qis kev pheej hmoo ntawm kev cuam tshuam, cais kev noj tshuaj ntawm qhov ncauj sodium polystyrene sulfonate thiab cov khoom lag luam thyroid (piv txwv li, levothyroxine) lossis tswj hwm sodium polystyrene sulfonate ncaj qha. Saib xyuas cov cim/tsos mob ntawm hypothyroidism nrog kev siv ua ke (qhov ncauj). Xav txog kev hloov kho

Theophylline Derivatives: Cov Khoom Thyroid tuaj yeem ua rau cov metabolism ntawm Theophylline Derivatives. Saib xyuas kev kho mob

Tricyclic Antidepressants: Cov Khoom Thyroid tuaj yeem txhim kho cov kev mob arrhythmogenic ntawm Tricyclic Antidepressants. Cov Khoom Thyroid tuaj yeem txhim kho qhov ua kom muaj zog ntawm Tricyclic Antidepressants. Saib xyuas kev kho mob

Vitamin K Antagonists (piv txwv li, warfarin): Cov Khoom Thyroid tuaj yeem txhim kho cov tshuaj anticoagulant ntawm Vitamin K Antagonists. Saib xyuas kev kho mob

Kuaj Kev Sib Tham

T4-binding globulin (TBG): Yam uas hloov pauv kev sib khi hauv ntshav (ATA/AACE [Garber 2012]):

Nco tseg: T4yog ~ 99.97% protein khi. Cov xwm txheej uas hloov pauv kev khi cov protein yuav cuam tshuam rau cov ntshav tag nrho T.4qib; txawm li cas los xij, ntsuas cov ntshav dawb T.4(cov tshuaj nquag ua kom lub cev muaj zog) tau hloov pauv ntau cov ntshav tag nrho T.4rau kev ntsuam xyuas cov xwm txheej ntawm cov thyroid.

Cov xwm txheej/xeev uas ua kom muaj kev sib tw TBG: cev xeeb tub, kab mob siab, porphyria, lub xeev tus menyuam yug tshiab

Cov tshuaj uas ua kom TBG khi: Estrogens, 5-fluorouracil, heroin, methadone, mitotane, perphenazine, xaiv cov tshuaj estrogen receptor modulators (piv txwv li, tamoxifen, raloxifene)

Cov xwm txheej/xeev uas txo qis kev sib tw TBG: Lub cev tsis ua haujlwm, mob nephrosis, mob hnyav

Cov tshuaj uas txo qis kev sib tw TBG: Androgens, anabolic steroids, glucocorticoids, L-asparaginase, nicotinic acid

Thyroxine (T.4) thiab Triiodothyronine (T.3): Serum binding inhibitors (ATA/AACE [Garber 2012]):

Cov tshuaj uas tiv thaiv T.4thiab T.3losis tswvyim dabtsi: Carbamazepine, furosemide, dawb fatty acids, heparin, NSAIDS (sib txawv, hloov pauv), phenytoin, salicylates

Cov thyroid hormone: Kev cuam tshuam nrog kev tsim khoom thiab tso tawm (ATA/AACE [Garber 2012]):

Cov tshuaj cuam tshuam rau kev nqus cov iodine: Amiodarone, cov tshuaj sib piv iodinated, iodine, ethionamide

Cov tshuaj cuam tshuam rau kev tsim cov tshuaj hormones: Amiodarone, ethionamide, cov tshuaj sib piv iodinated, iodine, sulfonylureas, sulfonamides, thionamides (carbimazole, methimazole, propylthiouracil)

Cov tshuaj cuam tshuam rau kev zais: Amiodarone, cov tshuaj sib piv iodinated, iodine, lithium

Cov tshuaj ua kom cov thyroiditis: Alemtuzumab, amiodarone, antiangiogenic agents (lenalidomide, thalidomide), denileukin diftitoxin, interferon alpha, interleukins, lithium, tyrosine kinase inhibitors (sunitinib, sorafenib)

Cov tshuaj muaj peev xwm ua rau kev txhim kho Graves ': Alemtuzumab, interferon alpha, kho tshuaj tiv thaiv kab mob

Cov tshuaj muaj peev xwm kho cov thyroiditis (yog autoimmune) lossis Graves ': Glucocorticoids

Hypothalamic-pituitary axis thiab TSH: Kev cuam tshuam nrog kev zais (ATA/AACE [Garber 2012]):

Cov tshuaj txo qis TSH tso zis: Bexarotene, dopamine, dopaminergic agonists (bromocriptine, cabergoline), glucocorticoids, interleukin-6, metformin, opiates, somatostatin analogues (octreotide, lanreotide), cov tshuaj hormones sib piv

Cov tshuaj nce TSH tso zis: Amphetamine, interleukin 2, metoclopramide, ritonavir, St John's wort

Cov tshuaj tuaj yeem ua rau mob hypophysitis: Ipilimumab

Cov Teeb Meem Tsis Zoo

Cov kev phom sij tsis zoo hauv qab no thiab xwm txheej tshwm sim los ntawm cov ntawv cim khoom tshwj tsis yog muaj qhov tshwj xeeb.

yuav ua li cas fentanyl tua koj

Cov kev tsis zoo feem ntau yog qhia txog kev hloov pauv cov thyroid ntau dhau thiab/lossis hyperthyroidism.

ALERT: US Boxed Warning

Qhov hnyav txo:

Cov tshuaj nrog cov thyroid cov dej num ua haujlwm, ib leeg lossis nrog lwm tus kws kho mob, tau siv los kho kev rog. Hauv cov neeg mob euthyroid, koob tshuaj hauv qhov ntau ntawm cov tshuaj hormones txhua hnub tsis muaj txiaj ntsig rau kev txo qhov hnyav. Cov koob tshuaj loj dua tuaj yeem ua rau hnyav lossis ua rau muaj kev phom sij rau lub neej ntawm kev muaj tshuaj lom, tshwj xeeb tshaj yog thaum muab nrog koom nrog kev mob siab rau amines xws li cov uas siv rau lawv cov kev mob tshwm sim.

Ceeb Toom/Ceev faj

Kev txhawj xeeb txog kab mob:

• Adrenal tsis txaus: Siv nrog ceev faj hauv cov neeg mob adrenal tsis txaus; cov tsos mob tuaj yeem ua rau exaggerated lossis hnyav dua; contraindicated hauv cov neeg mob uas tsis kho adrenal tsis txaus. Kev kho mob nrog glucocorticoids yuav tsum ua ntej kho cov thyroid hloov kho hauv cov neeg mob uas muaj adrenal tsis txaus (ATA/AACE [Garber 2012]).

• Kab mob hauv lub plawv: Siv txo thawj koob tshuaj thiab khaws cia cov tshuaj titration hauv cov neeg mob uas muaj kab mob plawv. Overtreatment yuav ua rau muaj kev pheej hmoo ntawm cov teeb meem plawv tsis zoo, suav nrog angina thiab arrhythmia; cov neeg mob uas muaj kev txhim kho lossis hnyav dua cov tsos mob ntawm lub plawv yuav tsum tau txo lawv cov tshuaj lossis kev kho mob tseg rau 7 hnub thiab tom qab ntawd rov pib kho dua. Kev kho mob hypothyroidism ntev ua rau cov neeg mob muaj kab mob plawv (ATA [Jonklaas 2014]; Razvi 2018).

• Ntshav Qab Zib: Siv nrog ceev faj hauv cov neeg mob ntshav qab zib mellitus thiab insipidus; cov tsos mob tuaj yeem ua rau hnyav dua lossis hnyav dua.

• Myxedema: Siv nrog ceev faj hauv cov neeg mob myxedema; cov tsos mob tuaj yeem ua rau exaggerated lossis hnyav dua; kev txo qis thawj zaug tau pom zoo hauv cov neeg mob uas mob ntev myxedema.

Dosage daim ntawv teeb meem tshwj xeeb:

• Desiccated thyroid: Muaj ntau qhov sib txawv ntawm T3, T4, thiab lwm yam triiodothyronine sib txuas uas muaj feem yuav ua rau mob plawv lossis cov tsos mob vim muaj qib sib txawv.

Lwm cov lus ceeb toom/kev ceev faj:

• Muaj menyuam tsis taus (tsis pom zoo siv): Cov tshuaj thyroid tsis pom zoo rau kev kho poj niam lossis txiv neej ntxiv lawm, tshwj tsis yog cuam tshuam nrog hypothyroidism.

• Porcine muab tau los: Qee cov khoom ua kom cov thyroid tau txais los ntawm cov qog nqaij hlav qog ua kua ntawm cov npua ua rau tib neeg noj; kev tsim khoom kuj tshwm sim ntawm ib lub chaw uas saib xyuas cov nqaij mos bovine los ntawm nyuj ua rau tib neeg noj. Kev sib kis nrog tus kab mob porcine lossis bovine, lossis lwm yam kab mob tshiab lossis tsis paub tus kab mob, yog qhov muaj feem yuav pheej hmoo; txawm li cas los xij, tseem tsis tau tshaj tawm tias muaj neeg kis tus kab mob sib kis.

• Kev txo qhov hnyav (tsis pom zoo siv): [US Boxed Warning]: Hauv cov neeg mob euthyroid, cov tshuaj thyroid kho nyob rau hauv qhov ntau ntawm cov tshuaj hormones niaj hnub yuav tsis muaj txiaj ntsig rau txo qhov hnyav. Kev siv tshuaj ntau dhau tuaj yeem ua rau hnyav lossis ua rau muaj kev phom sij rau lub neej tshwj xeeb thaum siv nrog qee yam tshuaj anorectic (piv txwv li, sympathomimetic amines).

Kev Ntsuas Xyuas Qhov Ntsuas

Thyroid-stimulating hormone (TSH) 4 txog 6 lub lis piam tom qab pib kho lossis hloov pauv koob tshuaj, 4 txog 6 lub hlis tom qab hloov pauv qhov tshuaj txaus, ua raws li txhua 12 lub hlis tom qab ntawd (lossis ntau zaus nyob ntawm qhov xwm txheej kho mob) (ATA [Jonklaas 2014]) ; T4; plawv dhia, BP; cov tsos mob plawv tshiab/tsis zoo (piv txwv li, mob hauv siab, palpitations, edema), cov tsos mob ntawm hypo- thiab hyperthyroidism; TSH yog cov lus qhia muaj txiaj ntsig tshaj plaws rau kev tshuaj xyuas qhov txaus ntawm cov thyroid hloov pauv hauv thawj cov thyroid tsis ua haujlwm. TSH tuaj yeem nce siab nyob rau thawj ob peb lub hlis ntawm kev hloov pauv cov thyroid txawm tias cov neeg mob tau kuaj mob euthyroid. Hauv cov xwm txheej twg T.4tseem qis thiab TSH nyob hauv ib txwm txwv, kev tshuaj xyuas dawb (tsis txwv) T.4xav tau los ntsuas kev nce ntxiv hauv ntau npaum li cas. Pub dawb T.4(tsis TSH) yuav tsum tau saib xyuas los qhia kev kho mob rau cov neeg mob plawv nruab nrab hypothyroidism (ATA/AACE [Garber 2012]).

Kev Xav Txog Kev Loj Hlob

Desiccated thyroid tsis yog qhov kev kho mob zoo rau hypothyroidism hauv cov poj niam cev xeeb tub. Cov poj niam raug kho nrog cov thyroid uas tau npaj tseg uas yuav xeeb tub yuav tsum tau hloov mus rau txoj kev kho dua thiab TSH yuav tsum tau saib xyuas (ACOG 2015; ATA/AACE [Garber 2012]).

Cev xeeb tub uas muaj feem cuam tshuam txog kev xeeb tub

Endogenous cov thyroid hormones tsawg hla hla lub tsho me nyuam. Desiccated thyroid tsis tau pom muaj kev cuam tshuam tsis zoo rau tus menyuam hauv plab tom qab siv niam thaum cev xeeb tub.

Niam tsis muaj kev tswj hwm tus mob hypothyroidism tuaj yeem ua rau muaj kev phom sij rau menyuam yaus thiab niam txiv (ACOG 2015). Kev txhim kho kev txawj ntse tsis txawv txav tuaj yeem tshwm sim hauv cov menyuam mos ntawm leej niam uas muaj cov ntshav thyroxine ntau nyob hauv qis dua feem pua ​​ntawm qhov kawg ntawm thawj peb lub hlis twg (ATA/AACE [Garber 2012]). Txhawm rau tiv thaiv cov xwm txheej tsis zoo, ib txwm muaj niam cov thyroid ua haujlwm yuav tsum tau tswj hwm ua ntej kev xeeb tub thiab thoob plaws lub sijhawm cev xeeb tub thiab hloov cov thyroid yuav tsum tsis tsum raug txiav tawm thaum cev xeeb tub (ACOG 2015). Txawm li cas los xij, cov thyroid qhuav yog tsis yog qhov kev kho mob zoo rau hypothyroidism hauv cov poj niam cev xeeb tub vim tias kev siv yuav ua rau txo qis hauv cov ntshav cov ntshav thyroxine. Cov poj niam raug kho nrog cov thyroid uas tau cev xeeb tub uas yuav xeeb tub yuav tsum tau hloov mus rau kev kho dua thiab TSH yuav tsum tau saib xyuas (ACOG 2015; ATA/AACE [Garber 2012]).

Kev Kawm Neeg Mob

Cov tshuaj no siv rau dab tsi?

• Nws yog siv los ntxiv cov thyroid hormone rau lub cev.

• Nws yog siv los kho lossis tiv thaiv cov thyroid loj dua.

• Nws tau siv los tswj cov qog nqaij hlav qog noj ntshav.

• Tej zaum nws yuav muab rau koj rau lwm yam laj thawj. Tham nrog kws kho mob.

Txhua yam tshuaj yuav ua rau muaj kev phiv. Txawm li cas los xij, coob leej neeg tsis muaj kev phiv los sis tsuas yog muaj kev phiv me me xwb. Hu rau koj tus kws kho mob lossis nrhiav kev pab kho mob yog tias ib qho ntawm cov kev mob tshwm sim no lossis lwm yam kev phom sij cuam tshuam koj lossis tsis ploj mus:

• Plaub hau poob

CEEB TOOM/CAUG: Txawm tias nws yuav tsis tshua muaj, qee tus neeg yuav muaj kev phom sij heev thiab qee zaum ua rau muaj kev phom sij thaum noj tshuaj. Qhia koj tus kws kho mob lossis nrhiav kev pab kho mob tam sim yog tias koj muaj ib qho ntawm cov cim qhia hauv qab no lossis cov tsos mob uas tuaj yeem cuam tshuam nrog rau cov kev mob tshwm sim tsis zoo heev:

• Mob hauv siab

• Lub plawv dhia ceev

• Lub plawv dhia txawv txav

• Mob taub hau

• Ua tsis taus pa

• Tuav caj npab lossis txhais ceg

• Tuav caj dab

• Kev ntxhov siab

• Kev tshee

• Teeb meem pw tsaug zog

• Rhuav rau cua sov

• Tawm hws ntau heev

• Tsis qab los noj mov

• Kev tshaib kev nqhis ntau ntxiv

• Qhov hnyav hnyav dhau

• Poob phaus

• Mob raws plab

• ntuav

• Kev chim siab

Kuv puas tuaj yeem noj benadryl nrog hydrocodone?

• Mob plab

• Cram quav

• Cov leeg tsis muaj zog

• Hloov kev coj khaub ncaws

• Cov cim ntawm kev tsis haum tshuaj, zoo li pob; khaus khaus; khaus; liab, o, ua rau tawv nqaij, lossis ua rau tawv nqaij los yog tsis kub taub hau; hawb pob; nruj hauv siab lossis caj pas; teeb meem ua pa, nqos, lossis tham; tsis hnov ​​lus txawv txawv; los yog lub qhov ncauj o, ntsej muag, daim di ncauj, tus nplaig, lossis caj pas.

Nco tseg: Qhov no tsis yog daim ntawv teev tag nrho cov kev mob tshwm sim. Tham nrog koj tus kws kho mob yog tias koj muaj lus nug.

Kev Siv Cov Ntaub Ntawv Cov Neeg Siv Khoom thiab Kev Tsis Txaus Siab: Cov ntaub ntawv no yuav tsum tsis txhob siv los txiav txim siab seb puas yuav noj cov tshuaj no lossis lwm yam tshuaj. Tsuas yog tus kws saib xyuas kev noj qab haus huv thiaj muaj kev paub thiab kev cob qhia los txiav txim seb hom tshuaj twg yog qhov zoo rau tus neeg mob tshwj xeeb. Cov ntaub ntawv no tsis lees paub ib yam tshuaj uas muaj kev nyab xeeb, muaj txiaj ntsig zoo, lossis pom zoo rau kev kho tus neeg mob lossis tus mob. Qhov no tsuas yog cov ntsiab lus txwv ntawm cov ntaub ntawv dav dav hais txog kev siv tshuaj los ntawm daim ntawv qhia kev kho mob rau tus neeg mob thiab tsis yog xav kom ua tiav. Cov ntsiab lus txwv no tsis suav nrog txhua cov ntaub ntawv muaj txog kev siv tau, cov lus qhia, lus ceeb toom, kev ceev faj, kev cuam tshuam, cuam tshuam tsis zoo, lossis kev pheej hmoo uas yuav siv rau cov tshuaj no. Cov ntaub ntawv no tsis yog npaj los muab tswv yim kho mob, kuaj mob lossis kho mob thiab tsis hloov cov ntaub ntawv uas koj tau txais los ntawm kws kho mob. Yog xav paub ntxaws ntxaws ntawm cov ntaub ntawv hais txog kev pheej hmoo thiab txiaj ntsig ntawm kev siv cov tshuaj no, thov nrog koj tus kws kho mob tham thiab tshuaj xyuas tag nrho cov ntawv qhia kev kho mob rau tus neeg mob.

Cov ntaub ntawv ntxiv

Ib txwm sab laj nrog koj tus kws kho mob kom ntseeg tau tias cov ntaub ntawv tso tawm ntawm nplooj ntawv no siv rau koj tus kheej li xwm txheej.

Kev Tsis Pom Zoo Kho Mob