"L-thyroxine": nā kuhikuhi no ka ho'ohana'ana, nā māka'ika'i

"L-thyroxine" - kahi hormone synthetic e kāko'o i ka hana o ka lauroid thyroid. 'O ka lā'au lapa'au, e komo i loko o nā pu'upa'a a me ke ake, e lilo i ke'ano he triternothyronine, e ho'olapai i ka ulu'ana o nā mea a me ka ulu'ana o lākou, e ho'onui i ka hanu.

Ke'ano o ka ho'oku'u'ana i ka lā'au lapa'au, kona mau mea

Ho'oma'a'ia ka lā'au lapa'au ma ke kumu o ka sodium levothyroxine, a'o ka hopena o ia'ano he'ano like'ole - 50, 75, 100, 125 a me 150 μg. Hiki iā'oe ke kū'ai i kahi pō'ai o 25, 50 a me 100 papa. 'O nā mea'ae'a, he dextrin, he cellulose microcrystalline,'ano kānikiko starch glycolo A, hydrophosphate dihydrate calcium, glycerides partial long chain.

'O ka Pharmacodynamics o ka lā'au lapa'au "L-thyroxine"

Ma ke'ano he lā'au o ka lā'au lapa'au he levothyroxine synthetic, a like ka hopena like me ka homone thyroid, a'o ka hana'ana o ia mea e hana'ia ma muli o ka kawa o ka thyroid.

Aie i ka hapa huli ana o ka lāʻau ma ka hōmona T3 a me ka hāʻawi 'ana i loko o keena o ke kino ia e loli ai i ke ana a me ka ulu ana o keʻano o ka hanaʻana, e like me metabolic keʻano o ka hanaʻana.

'O ka ho'ololi'ia'ana o nā hormones thyroid i ke kumu o ka ho'omau'ia'ana o ka hanu'ana. Hiki i ka hana o ka lā'au lapa'au ke emi i ka cholesterol ma hypothyroidism.

Nā Pharmacokinetics o ka lā'au lapa'au "L-thyroxine"

'A'ole i'oi aku ka'ae'ana i ka 80% ma hope o ka lawe'ana i ka'ōpū o ka "L-thyroxine". 'O nā kuhikuhi no ka ho'ohana'ana e hō'ike ana i ka ho'onohonoho'ana o ka helu ho'omakaupala'ana i ke'ano o nā hua'ona o ka lā'au lapa'au. Hana'ia kēia hana ma kahi o ka'ōpū li'ili'i. 'O ka'ai'ana i ka mea'ai nui e hō'emi i ka inu o nā mea.

I ka plasma, hiki ke ki'eki'e ki'eki'e o ka mea nui ma kahi o'ekolu hola. Ho'olālā ka hopena ho'opau i ka lā'ekolu ai'ole ka lima ma hope o ka ho'oponopono waha mua. 'O ka pili'ana i nā protein plasma he aneane piha ('oi aku ma mua o 99%),'a'ole kēia he pilina pa'a, no laila, he loli wikiwiki i waena o nā hormones (pa'a a me ka'ole), a he mau loa. Hiki i ka Hemoperfusion a me ka hemodialysis ke ho'ololi i ka helu o nā mahele o ka lā'au "thyroxine" i loko o ke kino, ua ho'omaopopo ke a'o no ka ho'ohana'ana no ka pale pono i nā protein.

Lawe'ia ka wehe'ana o ka lā'au i loko o'ehiku mau lā, me ka hypothyroidism hiki ke hana i kēia mau lā he'umi mau lā. Me ka hyperthyroidism, hiki koke ke wehe'ana i ka lā'au lapa'au i ke kino - no nā lā'ekolu a'ehā. Ho'ohui kekahi o ka mea hana i loko o ke ake. Hana'ia nā hanana pūnaewele ma loko o nā'i'o, nā lolo, ka ate a me nā pu'upa'a, e hopena i ka hana'ana i nā metabolites e noho ana i ka feces a me ka mimi.

Hō'ike no ka ho'ohana'ana i ka lā'au lapa'au "L-thyroxine"

Hō'ike nā'ikepili i ka nui o ka mea hana i ka ho'ohui'ana o ka lā'au lapa'au.

No nā papa "Thyroxin 50" a me "Thyroxin 100" ke a'o no ka ho'ohana'ana e hō'ike i nā hō'ailona:

• Hypothyroidism (ho'oponopono hou);
• 'O kou thyroid ka ma'i o ke'ano maika'i;
• 'O ka Hyperthyroidism (ho'ohana'ia ka lā'au lapa'au ma ka ho'okō'ana o kāu keleostatic therapy ma ke'ano he kōkua, i ka manawa e ho'okomo'ia ai ke aupuni euthyroid);
• Goiter (ho'ohana'ia ka lā'au no ka pale hana, no laila,'a'ole kahi ho'ohuli o ia'ano pilikino e like me ka goitre ma hope o kona pūnaewele).

No kekahi lā'au lapa'au me kahi mea waihona waiwai o 100 μg, nā huahana'ē a'e:

• Ka ho'okō'ana i kahi hō'ailona hō'ailona;
• Cancer thyroid (hana i ka pani a ho'opau i ke kaohi, i ka nui o nā manawa ma hope o kāu thyroididomy).

Me nā lā'au'ē a'e o ka mea hana "L-thyroxine",'o ka'ōlelo a'o no ka ho'ohana'ana i ke koho i ka ho'onohonoho'ana i nā hihia i lalo:

• Ho'okumu i ka'ōlohelohe;
• 'O ka Hypothyroidism;
• 'O kahi kiko o ka lauroid thyroid o ke'ano'ino (ho'ohana'ia ka lā'au lapa'au no ke kumu o ka pani'ana i ka ho'okele a i'ole ka opticalrapy thystatic, ma muli o ka hopena o ka thyroidectomy);
• Pono pono e ho'oka'awale i ka ho'iho'i'ana o ka luna.

Nā kuhiakau i ka lawe'ana i ka lā'au "L-thyroxine"

'A'ole kūpono ka lā'au no ka ho'oma'ema'e i ka waiwai i hana'ia, ai'ole i nā mea kōkua. Aia kekahi mau hō'ai'ē no ka lawe'ana i ka lā'au "thyroxine" (papa). Nā kuhikuhi no ka ho'ohana'ana:

• Hō'ike i ka hō'ailona o ke kūpopo o ka myocardial;
• 'O kāu kīpona;
• IHD;
• Ka nui pancarditis;
• Ka li'ili'i o ka'alele pituitary i'ole i'ole i'ole ka hana'ino'ino;
• 'O ka myocarditis nui;
• Ho'oka'awale'ia ka Hyperthyroidism o nā'ano like'ole.

'A'ole pono nā wāhine'ele'ele e ho'ohana i ka "L-thyroxine" me kāu mau lā'au lapa'au -'a'ole e'ae'ia ka ho'ohana'ana i nā lā'au lapa'au.

Hana me "Levothyroxine", ke kāpena'ana o ka lā'au lapa'au

Hō'ike nā kuhikuhi i nā mea i ho'ohana'ia o ka lā'au lapa'au, pono ka kauka e ho'oholo i ka hō'emi kūpono. 'O ka mea mua, ua ho'onohonoho kahi mea lapa'au i kahi li'ili'i o ka lā'au lapa'au a ho'onui pinepine ia i ia, e nānā ana i ka manawa o 14-28 mau lā, a hiki i ka loa'a'ana o ka hopena ma'i. Ua ho'opiha'ia ka papa i ka wai a'a'ole i'ai'ia. E lawe i ka lā'au lā'au i ka hapalua hola ma mua o ka'ai'ana. Inā'a'ole hiki iā'oe ke inu i ka pulu i ka manawa,'o ka manawa e hana ai ka lā'au'ona, e like me ka mea ma'amau. 'O ke kumu o ka mea hana i loko o ka lā'au i ha'i'ia, e like me ka mea i'ōlelo mua'ia a'e nei, he'oko'a.

Lawe i ka lā'au lapa'au i ka helu 50, 100 μg

'O ka papa hana ho'olālā e pili ana i ka makahiki o ka mea ma'i.

Nā po'e mākua

No nā kumu palekana, i ka wā e pono ai ka wehe'ana i ka pilikia o ka ulu'ana o ke kai, a no nā ma'i'ole o "L-thyroxine 50", nā kuhikuhi no ka ho'ohana'ana i ka'ōlelo hō'ike e kau ana i kahi 75 a 200 mcg / lā. 'O ka po'e ma'i me ka hypothyroidism i ka ho'onohonoho'ana i ke'ano o ka ho'oponopono hou e'ōlelo'ia e lawe i ka 25 a 50 mcg, a me ka ho'onohonoho'ana i ka mālama mālama'ana - mai 100 mcg, akā,'a'ole i'oi aku i 200.'O ka Hyperthyroidism, i ka manawa i ho'olālā'ia ai e hana i ka hopena, ke mālama'ia me ka lā'au i 50 to 100 mcg. I ke kanesa, i ka wā e pono ai ke ho'ololi a ho'opau paha i ka lā'au, 150 a 300 micrograms i kēlā lā i kēia lā. No ka hō'oia'ana i ka hō'ailona, pono'oe e lawe i 200 ug o ka lā'au i loko o'elua pule ma mua o ke ka'ina hana.

Nā keiki i loa'a ka hypothyroidism (i loa'a, pili'ole)

Inā loa'a ka ma'i kūpono'ole, nā keiki a me nā kamali'i i ka ho'okō'ana i ke kaulike o ka ho'ololi'ana, e kau mua'ia ia mai 10 μg i kilo kilokilo. Ho'omaopopo kēia'ano lā'au lapa'au "Thyroxin 50" a'o no ka ho'ohana ho'ohana no'ekolu mahina. I ka wā e hiki mai ana, ua ho'ololi'ia ka dose i ka pau'ana o nā noi kūpono.

'O nā keiki i loa'a iā lākou ka hypothyroidism, ua kau'ia ka lā'au lapa'au ma kahi o 12.5 a 50 mcg no ka ho'okipa'ana ma mua o ka'ō kakahiaka. Ho'onui iki'ia ka pā'ani, lawe'ia i ka mea maika'i loa no ka ho'okō'ana o ke kaulike. 'O nā keiki ma lalo o'ekolu mau makahiki e ho'onui i ka lā'au i 30 mau minuke ma mua o ka lā mua e'ai ai. I ka 10-15 mau wai o ka wai, ua ho'opau'ia nā papa, a ma hope iho ua ho'onui'ia ka wai, kahi 5-10 ml. Ka nui hoʻopili like me ka kela la i keia malama mahele lāʻau o 100-150 mg no 1 m ² o ke kino wahi.

Nā ma'i ma'i

"L-thyroxin 50" a'o no ka ho'ohana'ana o nā ma'i i ka mālama'ana me ka mālama'ana i ke kau'ana o ka ma'i ma kahi o ka wā ma'amau, i ka nui o ka ma'i'ana o ka ma'i ischemic, ka ho'ēmi iki o ka hana thyroid a i kona hana hypo ma ke'ano ko'iko'i. 'O ka palena palena o 12.5 μg ka pono o kēlā me kēia lā. Ho'onui i ka lā'au no kekahi manawa lō'ihi, ma ka li'ili'i. Me ka ho'omau ho'omalu'ana, e ho'ohui i 12.5 μg o ka lā'au lapa'au, e pili ana i kahi o 14 mau lā. Ma waho a'e o kāu "thyroxine", ua kau'ia nā lā'au'ē i nā mea ma'i. Pono nā kānaka'elemakule e nānā i ke koko no ka TSH pinepine. Pono e no'ono'o'ia he'awa maika'i'ole ka hopena i'ole e kūpono i ka ho'oponopono kūpono o ka pae TSH. Ka palena iki mahele lāʻau Ua lawa ma ke alo o nodular goiter, a he nui Ana, a me ka haahaa kino ke kaumaha.

Lawe i ka lā'au lapa'au me kahi hua'ōlelo pa'a waiwai 75, 125 a me 150 μg

E no'ono'o hou i ke kumu no ka mālama'ana i nā keiki a me nā mākua ma ka ho'omākaukau'ana iā "L-thyroxine" e pili ana i ka hilina'i i loko o ka mea waiwai.

'O nā mākua

Ke ho'omaopopo mua'ia ka hypothyroidism mai 25 mcg o ka lā'au lapa'au,'a'ole'oi aku ma mua o 50. Me kēia ma'i mālama, ua ho'onui'ia he 100 mcg a 200, ua ho'onui'ia i nā manawa o 14-28 mau lā ma 25-50 mcg. "L-thyroxine Berlin-Chemie" i nā'ōlelo a'o no ka ho'ohana'ana inā pono ke kāohi i ka ho'iho'i'ana o ka goiter e ho'ohana i 75 mcg a 200 i loko o ke kanaka. Inā lawelawe'ia ka hyperthyroidism me kāu mau hua'ōlelo a ua ho'onohonoho'ia e hana me ka ho'ohana'ana i kāu "thyroxine", he mea pono e mālama i kahi 50 μg a 100. Ma hope o ka hana'ana o kāu thyroidide i mua o kahi ma'i'ino, 150 a 300 μg o kahi mea hānai e pono ai.

'O nā keiki i piha i'ekolu makahiki

Inā loa'a ka hypothyroidism, e lawe mua mai ka 12.5 mcg i ka 50, e ho'onui mau i ka hō'ailona i kēlā me kēia'elua a'ehā pule, e no'ono'o ana i nā hopena o nā ho'ā'o'ana.

'O ka po'e'elemakule

"Ke mana o ka thyroxine" no ka ho'ohana'ana i kēia makahiki i mea e ho'ohana me ka mālama, ho'omaka me ka palena palena he 12.5 mcg. 'O ka nui o ke lā'au i makemake'ia no ke komo'ana e ho'onui mālie'ia.

'O ka lō'ihi o ka hana'ana me L-thyroxine?

I ka ho'ohana'ana o ka hypothyroidism, mahalo mau'ia ka "'ōlelo L-thyroxine-acry". Ma ke'ano o ka pale'ana, e ho'oiho ana i ke komo hou'ana o ke kahu,'o kona lō'ihi ka lō'ihi he mau mahina a hiki ke ho'onui'ia i kekahi mau makahiki, i kekahi mau mea me ka pahuhopu hana o ka pila i ke ola. 'O ka ma'i me ka euthyroid goiter ma ke'ano'olu'olu e mau ana no nā malama'eono, akā'a'ole'oi aku ma mua o'elua makahiki, inā'a'ole ka hopena i makemake'ia, koho i kekahi koho koho'ē a'e. Ma nā'ano ko'iko'i o ke lā'au lapa'au e mālama i kekahi mau mahina ai'ole no kekahi mau makahiki, i kekahi manawa e pono ai kēlā'ano i kēlā me kēia ola. Ke hele ka mea i loa'a ka ma'i o ka ma'i kolohe i kāu thyroidectomy, e ho'ohana pinepine'ia ka lā'au lapa'au no ke ola. Inā ho'ohana'ia kou thytoxin me he lā'au lapa'au no hyperthyroidism,'o ke a'o'ana no nā'ōlelo a'o e ho'ohana iā ia ma ke'ano like me ka ho'ohana'ana i nā papa i loko o kou theoreostatic therapy.

'O ka'ōpū, mālama hānai

I kēia manawa he mea nui i ka ho'okō'ana i ka ho'ohālike me ka ho'ohana'ana i nā hormones thyroid,'a'ole hiki ke keake. 'Oiai me ka ho'ohana ikaika o ka lā'au lapa'au,'a'ohe pilikia i ka'ōpiopio, akā na'e,'a'ole pono e'oi aku ka nui o ka uku i'ōlelo'ia e ke kauka. I loko o ka waiū waiū he lā'au li'ili'i loa, no laila'a'ohe pilikia.

No ka mea, i ka manawa o ke keiki ma ke kino, ua ho'onui'ia ka estrogen, pono ka ho'onui'ana i ka lā'au "L-thyroxine". 'O nā kuhikuhi'ana no ka hō'ike hō'ike'ana i ka wā e pono ai ka hypothyroidism e nānā i ke'ano o ka moeone thyroid a i ka wā'ōpū a ma hope o ka pau'ana o kēia wā. Eia kekahi, inā pono, pono'oe e ho'oponopono i ka hua'ōlelo o ka lā'au lapa'au, e pili ana i nā pono o ke kino.

Inā ho'ohana ka wahine hāpai i kāu mau hana ho'ohālike e hana i ka thyroid o ka hyperroid, he pono loa ka lō'ihi. 'A'ole i hā'awi'ia nā hō'ailona ma'amau i kahi ho'ā'o e pili ana i ka ho'opau'ana i ka hana hana thyroid.

'O ke kaumaha o ke kaumaha me "L-thyroxine"

No ka ho'emi'ana i ke kaumaha o ke kino, ua lawe'ia he 1.8 kilokani o ka lā'au lapa'au i kilo kilokolo o ke kaumaha. Hiki ke loli ke kau o ka lā'au lapa'au i kekahi mau mea. 'O ka nui o "Tyroxin" i ho'ohana'ia no ka ho'ohana'ana inā he na'au a he ma'i ma'i paha. I kēlā mau'ano,'o ka helu o ka lā'au lapa'au i kilo kilokilo he 0.9 μg. Me ka momona, ma ke'ano'ē a'e, ua ho'onui'ia, ua'ōlelo'ia e noi aku i 2 μg o ka lā'au ma ka kilokika o ke kaumaha.

I ka ho'omaka'ana, i ka wā e lilo ai ke kaumaha,'a'ole pono e lawe'ia kekahi mea e'oi aku ma mua o 100 micrograms i ka lā. Inā mālama'ia ka lā'au i loko o ho'okahi hebedoma,'a'ole i'ike'ia nā hō'ailona maika'i'ole o ke kino, ua'ae'ia ka ho'onui'ana i ka hana'ana a hiki i 300 micrograms. No nā hana ho'omalu a no ka pohō kaumaha, ua pāpā'ia ka lawe'ana aku i ka nui o nā'ōlelo lapa'au "L-thyroxine" e ho'ohana ai. No ka ho'oma'ema'e kaumaha, ho'ohana'ia kekahi lā'au lapa'au me 50 μg o ka mea ho'ohana a 100 paha. Ke ho'ohana'ia nā papa i loa'a 50 μg o ka mea nui, ho'okahi paukū i pau no nā lā'ehā me ka hapalua hora ma mua o ke kakahiaka nui, ma ka lā 5 a hiki i ka lā'ehiku -'elua papa. I ka wā e hiki mai ana, hiki iā'oe ke lawe i nā papa'ehā i kēlā me kēia lā,'a'ole'oi aku. Ho'opau'ia ka papahana ma hope o 21 mau lā ma ka ho'ēmi pinepine'ana i ka hua'ōlelo o ka lā'au lapa'au.

Ma kekahi mahele lāʻau o ka levothyroxine paʻakai 100 g. A hiki i ka hiku o ka lā, a me kona lawe ana i ka lāʻau 'produces ka e like me ia ma ka mua hihia. Mai ka walu o ka lā,'ekolu mau papa e inu mau ana. Pono e ho'olālā nā papa he'ehiku pule. Ma ke kūlana ma'amau o ka manawa kawa o kouroid e'ōlelo'ole e'ae i kāu "kouroxine" i ke a'o'ana ma ka noi. No ka poho kaumaha, ua ho'ohana maika'i'ia ka lā'au lapa'au i loko o ka li'ili'i, i ho'emi'ia ka hopena o ka hō'eha i ka olakino. Akā, ma lalo o kēlā'ano kūlana, hiki ke ho'opau'ia ka hope hormonal. 'O ka loa'a'ana o ka kaumaha, ma muli o ke komo'ana o "thyroxine", pono'oe e hō'oia i kēia pilikia. Eia hou, pono e pili i ka mea'ai'ai'ai.

'A'ole i'āpono nā kauka i ka ho'ohana'ana i nā lā'au lapa'au no nā kumu'ē a'e. He mea pono e ho'omana'o i ka lawe'ana i kāu "thyroxine" i ka manawa ma'amau o ka moeone thyroid a me ka nīnau'ole'ana i ka mea lapa'au e hiki ke pilikia. Akā, pono pono ka lilo'ana o ka kaumaha i ke ala kūpono, me ka ho'ohana'ana i nā kaumaha a me nā mea'ai,'a'ole nā lā'au lapa'au.

Nā hopena o ka "L-thyroxine"

Me ka ho'ohana'ana i 50 a 100 μg o nā lā'au lapa'au "L-thyroxine" no ka ho'ohana'ana i nā hopena o nā hopena e pili ana i nā hanana maika'i'ole i ka hana ma'amau, i ka hana a nā pū'ali, nā mea'eha a me nā papa hānau. 'O ka pilikia nui o ke kino a me nā loli o nā'ili o ke kino, ka'ili. 'O ka ma'amau,'o nā hopena i makemake'ole'ia ma ke kino e hana'ia inā'a'ole kūpono ka hopena o ka lā'au lapa'au, a pili'ole paha i ka nui o ke lā'au lapa'au i ho'ohana'ia ma ka pae mua o ka lā'au.

Ke ho'ēmi'ia nā hō'ailona o ka loiloi'ana o ke kau lā'au o ka lā'au lā'au a i'ole i kekahi mau lā'a'ole e lawe i ka lā'au lapa'au. Ua'ike'ia e pili ana i nā hihia o ka make e hā'ule koke ana no ka hewa o ka pu'uwai. Ua komo ka make i loko o nā po'e i lō'ihi ka papa inu inu i loko o nā kau nui o ka mea waiwai.

Inā ua nalo ke kino o ka kino ma hope o ka wehe'ana o ke lā'au "Thyroxin Berlin-Chemie", hiki i ke a'o ma ka noi ke hā'awi i ka hō'ailona. Eia nō na'e, pono e koho'ia ka hopena me ka mālama. Inā'ike'ia nā hopena'eha,'a'ole ho'ohana'ia ka lā'au lapa'au hou.

No ka laʻau heluna oʻeleu waiwai 75, 125 a me 150 ug, i ka i kēia kāna hana.

• menstrual pilikia;
• hiamoe ka haunaele;
• nawaliwali;
• tachycardia;
• ke ano e ana o ka maʻamau kino mahana;
• naau palpitations;
• headache;
• diarrhea;
• nausea, a me ka luaʻi;
• ka iini;
• convulsive moku'āina;
• kuni;
• Brain pseudotumor;
• tremor;
• ke kaupaona poho;
• angina;
• arrhythmia;
• sweating;
• allergic reactions.

hana o ka ia me ia ma ka hihia mua i loko o overdose.

Special ao i ka lāʻau "L-thyroxine"

'Aʻole me ka emi ma ke kino paona loaa hou pili' o ia hoʻi "L-thyroxine" manual. Ai 'no ke kaupaona poho nae, mamua o keia, he nui kanaka hana, a me kekahi, a hiki hoʻokaʻaʻike maikaʻi hopena.

Ma mua o ka lawe i kēia ka lapaʻauʻia contraindications preclude kona hoʻohana mea hiki hope o normalization o ke ahonui o kaʻano, akā,ʻaʻole i loko o nā hihia. oi pinepine kekahi nā mea maʻi i, e kaha i ke kūlana o ka thyroid gland, ina ia he mea e pono ole, i ke kauka, e hai aku ia oe.

I Ina o kakahiaka hoopau wale o ka lapaau ana o na symptoms o ka maʻi i hele mai hoʻi, no laila, e pono e hele ma ka papa holoʻokoʻa. Ma ka manawa kūpono o ka hoʻohuiʻia i ka lāʻau a me nā ai 'ia mea e pono ke ike i ka kauka. Inā ka mea, ua papa ka hoʻohana o "Thyroxine" hoʻohana Noi analogs ( "Bagotiroks", "L-Tirok" "Eutiroks" listen'ōlelo.) Discusses ka hoʻomalu, a like me ke ano o ka hoomanawanui, nāʻikepili, contraindications.

Reviews no ka lāʻau lapaʻau huahana "L-thyroxine"

Reviews paipai i "L-thyroxine" kōkua i ka thyroid gland e hana kona kuleana pili i. He nui nā mea māʻona i ka uku, me ka laulā o ka lāʻau. People aku nei au i ka mea i pono i ka hana. Ka lapaʻauʻia normalizes thyroid hōmona pae, eliminates goiter, he nui loa nā mea maʻi ma hope o ka papa o ka lapaʻau, e hai nui? Ienoai, e like me ka mea e hoikeike ma ka ho'āʻo nā hualoaʻa. Reviews hōʻike i ka lāʻau 'ka poʻea pau i hana hou i loko o hypothyroidism, me ka goitre, a me nā hihia. Na olelo i oleloia i ka ka loaʻaʻana o kekahi olelo, a ma hope o kekahi mau hana lawe ka lapaʻauʻia no ke ola, akā,ʻaʻole manao palekana kanaka a pau i kēia Inc ma muli ma ka hoʻohana 'ana o ke dala "L-thyroxine". Na Ke Kumu no ka hoʻohana 'ana, pane ka hōʻike i ka lāʻau a pau i kaumaha ka lapaʻauʻia a me kona hoʻohana me kūpono nāʻikepili, e like me ka ke kaupaona poho, ia mea i pono. I mau, e ole e lawe ole ai 'ina o ka mea no i ka lāʻau ua hoʻohana' ia, ua i helu i loko o kāuʻikepili, a ia i ole, ua hoakaka ia e ke kauka. E like me ka hooponopono ana o ai 'e ola kanaka, a lawe ia lakou me kekahi mau pilikia me ka hoʻomalu'ōlelo aʻo, pinepine i ole pono e alakai mai. Ma kekahi ano, ka mea e e pono e kipa i kekahi kauka.

Reviews hōʻike i loko o ka hapanui hihia a pau, ka mea makemake ia ua makana ma hope o lapaʻau hoolaia "Thyroxine". Na Ke Kumu no ka hoʻohana 'ana, lākiō i olelo ia, ma muli o ai i na ano kanaka o kela a me keia meaola kanawai o ka medicament mea,ʻaʻole e mau ana ka ia, aole hoi i heluia ma ka hopena i loaa mai ma hope o ka manaʻo o ka Inc, nui ole o ka oolea o ka hoʻomanawanui ka kulana. Ke hōʻike i ka 'ike e pili ana i kaʻaoʻao waiwai, i mea kekahi manawa kokoke i ka puu. "Thyroxine" hiki ke lawe wale ma hope o koʻu hele e ho'āʻo ai, a me ka wale ma ia mau hihia, kahi i hoonohoia oia i kauka. He nui e alii ai maluna o mai contraindications, mālama '-ike lea i ka haku mele' ana o ka lāʻau, adverse reactions, ka mea e alakai i ka i hiki. He pono, e lawe mai i ke kauka o ka hoike, a hoonui i ka mahele lāʻau i nā,ʻaʻole ho opa ao haʻalele i ka huaale.