ImpiloAmalungiselelo

Umuthi 'tirozol ": yokusetshenziswa, intengo, analogs nempendulo imithi. Ngingaba uhlanganise "tirozol" kanye notshwala?

Kuyini kwakusho izidakamizwa "tirozol"? Yokusetshenziswa zomuthi, imiphumela engemihle futhi izinkomba izokwethulwa ngokuningiliziwe kulesi sihloko. Ngaphezu kwalokho, thina uzokutshela mayelana yini noma cha lokhu kusho contraindications ukusetshenziswa, lapho akha ikhona, iyiphi analogue khona nokunye.

Khipha uhlobo imithi ngezithako zawo

Ngayiphi fomu akhangiswe izidakamizwa "tirozol"? Yokusetshenziswa kwaleli thuluzi njalo eziqukethwe iphakethe, kanye izidakamizwa.

Okwamanje, isidakamizwa ezikhishwe kuphela ethulwa ngesimo amaphilisi esiyindilinga umbala ukukhanya ophuzi (ifilimu-camera). Lokhu ukulungiselela inalokhu isithako ezifana methimazole. Ngaphandle-ke, izibhebhe aqukethe izakhi asizayo (i-sodium carboxymethyl isitashi, dimethicone 100, colloidal Silicon dioxide, hypromellose, monohydrate lactose, magnesium stearate, cellulose powder, talc, hypromellose, corn isitashi, ama-titanium dioxide, Macrogol 400, yensimbi oxide ophuzi).

I izakhiwo kwemithi zomuthi

Kanjani lesi sidakamizwa "tirozol"? Yokusetshenziswa iqukethe ulwazi oluningi ngale ndaba. Futhi sithola esihlokweni samanje.

Ingqikithi asebenzayo yalesi izidakamizwa uyakwazi kuthinta indlala yegilo, ezivimbela ekukhiqizweni kwama-hormone ayo by ekuvimbeni enzyme (isib, peroxidase, okuyinto uhlanganyela thyronine iodization).

Emva kokuthola nesineke izinguquko abalandelayo waphawula nokulungiselela:

  • ukusheshisa excretion kwehla iodide futhi yegilo umzimba basal;
  • okwandisa ukusebenza uketshezi kanye synthesis yegilo-inkanuko i-hormone i-ndlala pituitary (kungase kuhambisane ukukhuphuka kancane obonakalayo ngobukhulu yegilo).

Kufanele kuphawulwe ukuthi ngempumelelo kakhulu ekwelapheni i-hyperthyroidism "tirozol", ikakhulukazi uma ukwelashwa lingaze.

Ngemva umthamo owodwa we amaphilisi isikhathi sabo imayelana ngosuku olulodwa.

Izinkomba ukusetshenziswa zomuthi

Kwezinye izimo, kungase kube inikezwa imithi udokotela "tirozol"? Imiyalelo elafika nale izidakamizwa, iqukethe uhlu izimpawu ezilandelayo:

  • Amalungiselelo ekwelapheni i-hyperthyroidism usebenzisa i-iodine enemisebe;
  • i-hyperthyroidism isifo;
  • yokwelapha esikhathini esicashile iodine enemisebe (labetibambile ngaphambi isenzo wathi izidakamizwa phakathi kwezinyanga 4-6);
  • Amalungiselelo hyperthyroidism ukwelashwa kuhlinzwa (ukuhlinzwa);
  • Ukuvimbela lesi sifo ngemva kokuphathwa amalungiselelo iodine (kufaka ngemuva kokuthola iodinated-X-ray Ngokuphambene ejenti), uma isiguli thyrotoxicosis elele noma i-hyperthyroidism ezizimele adenoma umlando.

Omunye akufanele sikhohlwe ukuthi ezimweni ezehlukile kubhekwe yithi izidakamizwa isetshenziselwa eside yesondlo yokwelapha ka-hyperthyroidism. Ngokuvamile, lokhu kwenzeka uma kungekho kungenzeka ukwenza umuthi wokwelapha olukhulu isiguli (ngenxa yezizathu siqu noma ngenxa isimo jikelele isiguli).

Izimo ukusetshenziswa imithi

Ingabe kukhona izimo noma pathologies lapho kungavunyelwe ukuthatha imithi "tirozol"? Imiyalelo izidakamizwa unika lo mbuzo impendulo olunzulu. Ichaza Izimo ezilandelayo:

  • anda nozwela isiguli ejenti asebenzayo ezifana methimazole futhi thiourea nemikhiqizo;
  • granulocytopenia, ikakhulukazi emlandweni;
  • agranulocytosis ngesikhathi okwenzile ngokudlule ukwelashwa Thiamazolum noma carbimazole;
  • cholestasis wabonakaliswa ngaphambi empeleni ukuqala ukwelashwa;
  • ukwelashwa tiamozolom ngokuhlanganyela imithi "Levothyroxine" ngesikhathi sokukhulelwa.

Kufanele kuqashelwe ukuthi le kubhekwe futhi Izimo isihlobo. Lezi zinto zihlanganisa ngaphambilini waphawula isikhumba iguliswa ukuphendula phezu amagama ahlobene of thiourea.

Ngaphezu kwalokho, imithi kumele kusetshenziswe ngokuqapha okukhulu iziguli abe goiter esikhulu kakhulu, ephelezelwa ukuvaleka uqhoqhoqho. Kulokhu, isiguli ezinqunyiwe ukwelashwa yesikhathi esifushane belungiselela ukuhlinzwa. Kuyinto Kuyadingeka ukuba akhulume iqiniso lokuthi izibhebhe "tirozol" Kumele kuthathwe ngokuqapha in iziguli esingamahlalakhona hepatic. iziguli kufanele ngaso sonke isikhathi uxhumane nomuntu kudokotela onolwazi oluthé ngenjongo imithi esilinganisweni esiphephile.

Nomuthi "tirozol" nokukhulelwa

Bambalwa abantu bazi lokhu, kodwa ngesikhathi sokukhulelwa kungabangela ukukhubazeka abalutholayo wathi izidakamizwa. Nokho, lokhu kufanele kwenziwe ngokucophelela okukhulu futhi kuphela ngaphansi kweso lwezokwelapha.

Ngokusho ochwepheshe, ukuntuleka ukwelashwa okufanelekile sokusuka ezifana hyperthyroidism ngesikhathi sokukhulelwa kungaba nomthelela wokukhula kwengane esiswini. Ngaphezu kwalokho, indiva lesi sifo kuzoholela eziyingozi (wazalwa kungakabi isikhathi, kombungu ezahlukene ingane, nokunye.).

Abesifazane abaningi banesithakazelo: izindlela "tirozol" - izidakamizwa hormone noma cha? Impendulo yalo mbuzo isobala. Lo muthi kuyinto hormone. Kufanele kuqashelwe ukuthi ngokushesha kweqa isithiyo esinomhlapho. Ngaphezu kwalokho, egazini umbungu ke ongafinyelela emakamu esifana umama okhulelwe.

Ngenxa yokuthi umphumela isithako esebenzayo (methimazole) ku umzimba asathuthuka utero kungenakususwa ngokuphelele, i-hormone amaphilisi kwabesifazane abakhulelwe kufanele libekwe kuphela ngemva kokuhlola egcwele izingozi nezinzuzo ukusetshenziswa kwalo ngemithamo kancane ngempumelelo, ngaphandle ukusetshenziswa eyengeziwe imithi "Levothyroxine."

Ubungozi "tirozol" izidakamizwa ngesikhathi sokukhulelwa

On indlela yokwenza "tyrosol" esikhathini esesibelethweni, yilowo nalowo wesifazane kufanele wazi, lapho kukhona izinkinga sobala ne indlala yegilo. Leli qiniso kungenxa yokuthi umthamo zomuthi siphezulu kunamanye Kunconywa kungabangela hypothyroidism futhi goiter umntwana ongakazalwa, kodwa futhi nomthelela isisindo ongaphakeme ngesikhathi sokuzalwa.

lactation

Kungakhathaliseki kungenzeka ngesikhathi ukuncelisa ingane ukuthatha izidakamizwa "tirozol"? Analogue kwaleli thuluzi, kanye original kakhulu, ukusetshenziswa is hhayi Kunconywa ngesikhathi lactation. Kungani?

Ngoba asebenzayo izidakamizwa methimazole angabacwasi ngokushesha lingena singene ubisi lwebele futhi ingafinyelela lokuhlala ke oluhambisana ukuthi egazini umama osemncane nge usana angagcina kwezinso ezifana i-hypothyroidism. Kule ndaba, uma kudingekile ngoba waqhubeka yokwelapha thyrotoxicosis ngesikhathi uncelisa izidakamizwa okufakiwe kwakufanele sisetshenziswe ngaphandle eminye uya khona "Levothyroxine" nomuthi ngemithamo aphansi (10 mg eqinisweni).

Izidakamizwa "tirozol": yokusetshenziswa

Uma udokotela lunquma izidakamizwa isiguli, kumelwe eluleke isiguli mayelana izici uhlelo lwayo lokusebenza. Ngokuvamile, izidakamizwa esithathwayo kuphela emva ukusetshenziswa ukudla. Ekuqaleni yokwelapha, ochwepheshe batusa ukusetshenziswa imithi ngezikhathi ezithile.

Phakathi ukwelashwa, iziguli ngokuvamile zinikwa thyrotoxicosis 2-4 izibhebhe ukulungiselela ngelanga (10 mg). Isikhathi yokwelapha kumele kube okungenani amaviki 6.

Uma umsebenzi yegilo kungase ngokugcwele noma kancane alulame, odokotela batusa ukuya ku umthamo yesondlo. Kulokhu, iziguli kufanele uthathe 5-20 mg izidakamizwa ngelanga (ngesikhathi esifanayo "Levothyroxine" nomuthi).

Ekulungiseleleni yokwelapha i-hyperthyroidism iodine enemisebe, kanye kokungenela kuhlinzwa, iziguli iphathwa izilinganiso ezifanayo njengoba ukuthi ukwelashwa ezivamile lesi sifo (kufika ku isimo euthyroid). Ngemva kwalokho, iziguli ngaphezu kwalokho ebekiwe imithi "Levothyroxine", i-beta-blocker iodine amalungiselelo.

In the ukwelashwa, esiqhutshwa ngaphambi ukuchayeka iodine enemisebe, umthamo nesineke inikezwa, ilingana amaphilisi 1-4 (5 mg). Le ndlela yokusebenzisa kabi izidakamizwa kumele iqondiswa ingakapheli nenyanga.

Phakathi ukwelashwa eside (yesondlo) Isikali se-nomuthi ngokulandela imiyalelo, ivela 1.25 kuya ku-10 mg ngosuku. Ngesikhathi esifanayo inikezwa ukuthola umthamo elincane imithi "Levothyroxine."

Ngezinhloso prophylactic of thyrotoxicosis ngesikhathi reception nomuthi "tyrosol" iodine imithi ethile kuyaphumelela kakhulu umthamo ezilandelayo: 10 kuya ku-20 mg ngosuku.

Njengomthetho, izingane lokhu izidakamizwa kunikezwa ngesisekelo isisindo emzimbeni. Ngokuvamile, kokuqala Isikali enqunyiwe nomuthi e isamba 0.3-0.5 mg. Uma udinga ukwelashwa osekelayo, umntwana kufanele athathe 0.2-0.3 mg zomuthi. Kulokhu, kusho "Levothyroxine" inikezwa kuphela uma eziphuthumayo.

esiphezulu I umthamo owodwa abadala 10 ml, futhi nsuku zonke - 60 ml. Isikhathi kithi kubhekwe izidakamizwa kungase kukhule iminyaka engu 1.5-2 (kuye ngokuthi isifo). Uma yokwelapha iphazamisekile, size silulame ephelele isiguli kungenzeka ukuthuthukisa isifo Ukuphinda.

Ezimweni ezingavamile, ngemva kokuthatha izidakamizwa abantu singenzeka hypothyroidism ngasekupheleni, engesiyo side effect, futhi lihlotshaniswa kuphela izinqubo ukuvuvukala futhi elibhubhisayo izicubu indlala yegilo.

amacala ukweqisa izidakamizwa

Izidakamizwa "tirozol" futhi kwesisindo: yini ukuhlobana okukhona phakathi kwabo? Ngoba izidakamizwa esebenzayo hormone, kungase ngqo nomthelela isisindo lesiguli. Nokho, ochwepheshe abaningi bemi kwelokuthi kuzokwenzeka. Ngokusho kwabo, le nomuthi "tirozol" futhi kwesisindo - hhayi ezihlobene izinto. Phela, abantu abaningi babantu, sitholakale-hyperthyroidism, kukhuphuke kuphela ngenxa yokuba khona lesi sifo. Ngaphezu kwalokho, ukuphambuka uqobo lwayo ingaba imbangela ukuvuvukala okunzima ebusweni futhi emikhawulweni. Kulokhu, kufanele ubone onguchwepheshe futhi bahlolelwe hormone.

Uma isiguli okunikezwe wathi nomuthi, kumele wazi indlela elisebenza ngayo. Ngempela, endabeni ukweqisa izidakamizwa zomuthi ezigulini kungandisa indlala yegilo, kanye ukuthuthukisa ukuphambuka ezifana i-hypothyroidism. Kulezi zimo, umuthi ngokushesha amankeyane.

Phela, ebulilini (120 mg nsuku zonke), lokhu kusho lula futhi kuholela ukubonakala imiphumela myelotoxic.

imiphumela emibi ngemva kokwamukela nomuthi

Yini ukusabela kungenzeka ngemuva kokusebenzisa "tirozol" amaphilisi? Imiphumela engemihle yalesi izidakamizwa zichazwe umyalelo ngamunye. We uzokutshela ngazo kabanzi kulesi sigaba kwe-athikili.

Ezimweni eziningi, kusho ukuthi lo muthi ibekezelelwe kahle impela. Nokho, kufanele kuphawulwe ukuthi ngezinye izikhathi ngenkathi ethola izidakamizwa abantu bangase ukuthuthukisa komzimba esikhumbeni (ngesimo ukulunywa, ububomvu kanye ukuqubuka), arthralgia futhi, ngaphezu, isiyezi, ubuthakathaka kanye ukuhlanza kungenzeka ezimweni ezingajwayelekile.

Yiziphi ezinye imiphumela emibi izidakamizwa kungabangela "tirozol"? Imiphumela emibi lokhu Izibuyekezo nomuthi ethulwa kulesi sigaba kwe-athikili. Ngakho, sikhuluma ukusabela ezingemnandi ezifana:

  • lymphadenopathy generalized;
  • thrombocytopenia;
  • neuritis;
  • umkhuhlane;
  • jaundice cholestatic, isifo sokusha kwesibindi kohlobo anobuthi, kanye arthralgia (ekuthuthukiseni kancane kakhulu);
  • syndrome sokuhlasela kwamasosha omzimba ngokuhlanganyela kahle kungakhuphula izinga likashukela,
  • ukukhuphuka okuphawulekayo nezindlala salivary;
  • pancytopenia;
  • lupus-like ukuphendula;
  • ukushintsha ukunambitheka esethola;
  • agranulocytosis (wabonakaliswa ngokushesha noma ngemva kwezinyanga ezimbalwa ngemva Ukuqalwa yokwelapha, okuholela isidingo ukukhansela izindlela);
  • polyneuropathy.

Ngokwe Izibuyekezo kulezo ziguli ezidla noma abake ngamukela izidakamizwa, it kalula kuvuse ukwanda isisindo emzimbeni. Ngokuvamile, nomphumela omubi onjalo kwenzeka ngemuva kokuthola ebulilini ejenti.

Ngaphansi kwaziphi izimo kumele isuswe ngokuthatha izidakamizwa?

Manje uyazi, kungaba kanjani umzimba womuntu izidakamizwa "tirozol". Imiphumela engemihle ngoba okufanele ngokushesha ukukhansela izidakamizwa zimi kanje:

  • ubuthakathaka ngokuphawulekayo;
  • generalized ukuqubuka kwesikhumba futhi ukulunywa;
  • ukugwinya;
  • jaundice;
  • umphimbo obuhlungu;
  • nokunwetshiwe ukucanuzela kwenhliziyo noma ukuhlanza;
  • ukulimaza noma ukopha Lokudabuka engaziwa;
  • izimpawu imihuzuko noma unezilonda;
  • ezinzima ubuhlungu epigastric.

izidakamizwa ekuhlanganyeleni

Ukulungiselela "tyrosol" (intengo ngezansi) ukhiqiza inethonya elinamandla phezu ukuntuleka kwe-iodine, futhi ngesikhathi idili kanyekanye izidakamizwa ezifana "Li", "Gentamycin", "Rezerpi" "Amiodarone" ne-beta-blocker.

Lapho ukwelashwa nale ukulungiselela kwandisa ingozi leukopenia, uma ngokuhlanganyela ukuqhuba reception sulfonamides futhi Metamizole, futhi yehlise ngokusebenzisa i-folic acid kanye leucogen.

Ayikho idatha ku umphumela nezinye izidakamizwa pharmacokinetics futhi pharmacodynamics zomuthi eyethulwe usuku ayitholakali. Nokho, kufanele sikhumbule ukuthi thyrotoxicosis nesineke ngesivinini umzimba nokuqeda izinto. Kule ndaba, kwezinye izimo, it kudinga ukulungiswa esiyisibopho esenikwe nezinye izidakamizwa.

ukuphathwa ngesikhathi esisodwa utshwala izidakamizwa "tirozol"

Indlela uxhumane imithi "tirozol" kanye notshwala, zingabantu ehambisanayo noma cha? Ngemva kokubuza umbuzo komunye amakhono, uyobe ngokushesha uthole impendulo esiqondile.

Iqiniso lokuthi uphuzo oludakayo neqhaza excitation zobuchopho futhi uqondiswe isimiso sezinzwa esiyinhloko, kungakhathaliseki ukuthi umuntu ophilile noma ogulayo. Ngemva co-nokuphathwa a nomuthi kanye notshwala nomphumela synergistic, okuyinto enomthelela ithonya elibi izinto emzimbeni. Lokhu kuphakamisa ezengeziwe side effects kanye inkanuko yobulili izinqubo sokugembula.

Yingakho iziguli kufanele sikhumbule ukuthi kwaze kwaba sekupheleni zokwelapha izifo we indlala yegilo (njengoba ngempela iyiphi enye) futhi sifinyelele umphumela oyifunayo zonke izinhlobo zotshwala ayikwazi kubhekwe.

Analogue of medical kudivayisi Izibuyekezo mayelana izidakamizwa, amanani ayo kanye nemibandela isitoreji

Manje uyazi ukuthi kuyinto izidakamizwa "tirozol". Intengo zomuthi ungahluka kancane ngokuya ku ekhemisi amaketanga eziseceleni. Izindleko isilinganiso imithi imayelana 200 ruble Russian amaphilisi 50.

Kuthiwani uma ngasizathu simbe awukwazi ukuthenga imithi, "tirozol"? analogue yayo (of material esebenzayo) uhlale etholakala ekhemisi. Phakathi kwabo, ngithole sifuna ukugqamisa izidakamizwa ezilandelayo: "Merkazolil", "Tiamazol", "Metizol" futhi "Tiamazol-Filofarm". Idatha Intengo kufana izindlela ezibalwe ngenhla (kwezinye Pharmacy kungenzeka ukuhluka).

Okubalulekile! Ngokusho imiyalelo enamathiselwe, umuthi kungokwalabo uchungechunge kwemishanguzo elwa yegilo. Ngokuqondene nalokhu, i-izidakamizwa ikhishwe kuphela kwifomu kadokotela, okuyinto has a isitembu siqu udokotela enquma.

Ukwahlulela ngokubukeka ukubuyekezwa iziguli, leli thuluzi siyasebenza ngempela. Kodwa lokhu kuhlinzekwa kuphela uma ethathwe ngemithamo ababemiswe udokotela. Kunoma ikuphi engakathenjiswa umshado azethembe ukulungiswa kanye Ukweqiwa kwalo yedwa - igcwele izinkinga ezingathi sína. Hhayi ukuba okungenasisekelo, sikunikeza ezinye namazwana ajwayelekile iziguli abaye babhekana leli thuluzi ngokwakho.

Ngokuvamile abantu bakhononda nezinwele, ukungakhululeki endaweni kwamanyikwe, nokungezwani komzimba (ukulunywa ezinzima futhi soreness kwesikhumba), okuyinto avele emva kwamasonto ambalwa "tirozol" izidakamizwa. Ezinye iziguli yisho ukwanda kwenhliziyo. Baningi impela lwezikhalazo wasesemukela isicanucanu nezinhlungu endaweni esiswini. Nalapha futhi, ukuthi kufanele ayeke ukuthatha izidakamizwa kanye nodokotela uma ukuthuthukisa ukusabela ezingezinhle.

Gcina imithi okungcono endaweni emnyama, lapho bangaveziwe ukuqondisa elangeni. Impilo eshalofini amaphilisi - iminyaka engaphezu 4.

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