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Is There a Role for Liothyronine (LT3) in the Treatment of Hypothyroidism?
Daim Duab: Is There a Role for Liothyronine (LT3) in the Treatment of Hypothyroidism?

Zoo Siab

Lub qog hormone yuav tsum tsis txhob siv los kho cov rog rog hauv cov neeg mob uas lub qog ua haujlwm tsis zoo. Liothyronine ua tsis muaj txiaj ntsig rau kev txo qhov hnyav hauv cov neeg mob qog ib txwm thiab tuaj yeem ua rau mob hnyav lossis tuag taus, tshwj xeeb tshaj yog thaum noj nrog amphetamines. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo uas cuam tshuam nrog cov tshuaj no.

Liothyronine yog siv los kho hypothyroidism (ib qho mob uas cov thyroid caj pas tsis tsim cov thyroid hormones txaus). Liothyronine kuj tseem siv los kho tus mob goiter (qhov ua rau cov thyroid caj pas loj) thiab kuaj ntshav hyperthyroidism (mob uas cov thyroid caj pas ua cov thyroid hormones ntau dhau). Liothyronine nyob hauv ib chav kawm ntawm cov tshuaj hu ua cov thyroid agents. Nws ua haujlwm los ntawm kev muab cov thyroid hormones ntau tsim hauv lub cev.

Tam sim no, tsis muaj pov thawj txaus los ntawm kev tshawb fawb soj ntsuam los txhawb kev siv liothyronine, ib leeg lossis ua ke nrog lwm cov tshuaj, yog qhov xaiv thawj txoj kev kho mob los kho hypothyroidism.

Liothyronine los ua ib ntsiav tshuaj noj ntawm qhov ncauj. Feem ntau nws yuav noj ib zaug ib hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj liothyronine raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.


Koj tus kws kho mob tej zaum yuav pib koj li koob tshuaj Liothyronine thiab maj mam nce koj li koob tshuaj tsis ntau tshaj ib zaug li 1 mus rau 2 lim tiam.

Txhawm rau tswj cov tsos mob ntawm hypothyroidism, koj yuav tau siv cov tshuaj no mus tas koj lub neej. Txuas ntxiv noj cov tshuaj Liothyronine txuas ntxiv txawm tias koj tus kheej xis neej. Tsis txhob tsum noj liothyronine yam tsis tau tham nrog koj tus kws kho mob.

Cov tshuaj no tuaj yeem tsim kho rau lwm yam mob; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj liothyronine,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau liothyronine, thyroid hormones, levothyroxine, lwm yam tshuaj, lossis lwm yam tshuaj hauv liothyronine ntsiav tshuaj. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj uas siv tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: anticoagulants ('ntshav thinners') xws li warfarin (Coumadin, Jantoven); cov tshuaj ntshav qab zib noj los ntawm qhov ncauj; digoxin (Lanoxin); estrogens; tshuaj insulin; qhov ncauj tshuaj tiv thaiv muaj estrogen; thiab tricyclic cov tshuaj tiv thaiv kab mob xws li amitriptyline (Elavil). Ntau lwm yam tshuaj kuj tseem tuaj yeem cuam tshuam nrog liothyronine, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob hauv daim ntawv no.
  • yog tias koj noj cholestyramine (Questran), noj tsawg kawg 4 rau 5 teev ua ntej lossis 4 mus rau 5 teev tom qab koj siv liothyronine.
  • qhia rau koj tus kws kho mob yog tias koj muaj adrenal tsis txaus (tus mob hauv lub cev tsis tsim cov khoom tshwj xeeb tsim nyog rau cov haujlwm tseem ceeb xws li ntshav siab) lossis thyrotoxicosis (mob uas tshwm sim los ntawm ntau dhau los cov thyroid hormones lossis hyperthyroidism). Koj tus kws kho mob yuav qhia koj kom tsis txhob noj tshuaj Liothyronine.
  • qhia rau koj tus kws kho mob yog tias koj tau ua lossis tau muaj mob ntshav qab zib; mob plawv xws li mob ntshav siab, mob atherosclerosis (mob hlab ntshav siab), mob hauv siab (angina), lossis lub plawv dhia tsis xwm yeem, lossis muaj mob plawv dua.
  • qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Yog tias koj cev xeeb tub thaum noj liothyronine, hu rau koj tus kws kho mob.
  • yog tias koj muaj kev phais mob, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj liothyronine.

Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.


Noj cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws yuav luag txog rau koob tshuaj txuas ntxiv, hla cov koob tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Liothyronine yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • poob phaus
  • kev tshee
  • tawm hws ntau dhau
  • rhiab siab rau tshav kub
  • cov plaub hau ib ntus (tshwj xeeb hauv cov menyuam thaum thawj lub hli ntawm kev kho)

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob li nram no, hu rau koj tus kws kho mob tam sim ntawd:

  • mob hauv siab
  • lub plawv dhia ceev lossis tsis khov

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).


Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:

  • mob taub hau
  • txob taus
  • kev tshee
  • hws
  • ntxiv plob tsis so tswj kom
  • coj khaub ncaws tsis xwm yeem

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj qee yam kev kuaj sim kuaj xyuas koj cov lus teb rau liothyronine.

Ua ntej muaj kev sim ntsuas, qhia rau koj tus kws kho mob thiab cov neeg ua haujlwm hauv chav kuaj pom tias koj noj liothyronine.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

  • Cytomel®
  • L-Triiodothyronine
Kawg Kho - 01/15/2018

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