euTiroqsi tabletebi, 100 µg Zvirfaso paciento, yuradRebiT waikiTxeT ...
euTiroqsi tabletebi, 100 µg Zvirfaso paciento, yuradRebiT waikiTxeT ...
euTiroqsi tabletebi, 100 µg Zvirfaso paciento, yuradRebiT waikiTxeT ...
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<strong>tabletebi</strong>, <strong>100</strong> <strong>µg</strong><br />
<strong>euTiroqsi</strong><br />
<strong>Zvirfaso</strong> <strong>paciento</strong>,<br />
<strong>yuradRebiT</strong> <strong>waikiTxeT</strong> es instruqcia, vinaidan igi preparatis gamoyenebis Sesaxeb mniSvnelovan informacias Seicavs. damatebiTi<br />
kiTxvebis SemTxvevaSi, mimarTeT Tqvens eqims an farmacevts.<br />
Semadgenloba:<br />
yoveli tableti Seicavs <strong>100</strong> <strong>µg</strong> natriumis levoTiroqsins da damxmare nivTierebebs: simindis saxamebels, natriumis<br />
kroskarmelozas, Jelatins, laqtozis monohidrats, magniumis stearats.<br />
farmakoTerapiuli jgufi: farisebri jirkvlis hormonebi.<br />
Terapiuli Cvenebebi:<br />
- keTilTvisebiani Ciyvis mkurnaloba, gansakuTrebiT mozrdilebSi, rodesac iodiT mkurnaloba ar aris naCvenebi;<br />
- Ciyvis recidivis prevencia miqsedemis operaciis Semdeg (morecidive Ciyvis profilaqtika), postoperaciuli hormonuli<br />
statusis mixedviT, farisebri jirkvlis normaluri funqciis mqone pacientebSi;<br />
- hipoTireozis dros farisebri jirkvlis bunebrivi hormonebis Canacvleba (hormonebis deficitis Sevseba);<br />
- (avTvisebiani) simsivnis dros, neoplazmuri proliferaciis daTrgunva;<br />
- hiperTireozis Tirostatikuri mkurnalobis adiuvanturi mkurnaloba;<br />
- diagnostikuri mizniT, Tiroiduli funqciis supresiis testSi.<br />
ukuCvenebebi:<br />
rodis ar unda miiRoT <strong>euTiroqsi</strong> <strong>100</strong><br />
- <strong>euTiroqsi</strong> <strong>100</strong> ar unda gamoiyenoT natriumis levoTiroqsinis an produqtis romelime sxva ingredientis mimarT<br />
hipersensitiurobis SemTxvevaSi.<br />
- farisebri jirkvlis nebismieri warmoSobis hiperfunqciis dros. gamonaklisi: sinTezur antiTireoidul preparatebTan<br />
kombinirebuli Terapia hiperTireozis dros, euTireoiduli statusis miRwevis Semdeg. es kombinacia ar aris naCvenebi<br />
orsulobis periodSi.<br />
- Tirkmelzeda jirkvlis da hipofizis aranamkurnalevi disfunqciis SemTxvevaSi.<br />
- <strong>euTiroqsi</strong>T mkurnaloba ar unda daiwyos miokardiumis infarqtis, gulis anTebis da mwvave pankarditis (gulis kedlebis<br />
yvela Sris anTeba).<br />
- laqtozis Semcvelobis gamo, pacientebma, romelTac iseTi iSviaTi Tandayolili daavadebebi aqvT, rogoricaa<br />
galaqtozis autanloba laqtazis deficiti (Lapp) an glukoza-galaqtozis malabsorbcia, ar unda gamoiyenon preparati.<br />
sifrTxilis zomebi:<br />
sifrTilis ra zomebi unda miiRoT?<br />
farisebri jirkvlis hormonebiT mkurnalobis dawyebamde, saWiroa Semdegi daavadebebis gamoricxva: gulis iSemiuri daavadeba<br />
(gulis sisxlZarRvebis funqciuri deficiti), gulis angina, aTerosklerozi, hipertenzia, hipofizis da Tirkmelzeda jirkvlis<br />
disfunqcia, farisebri jirkvlis avtonomiuri adenoma.<br />
hipoTireozis SemTxvevaSi, romelic hipofizis daavadebiT aris gamowveuli (meoradi hipoTireozi), farisebri jirkvlis<br />
hormonebiT mkurnalobis dawyebamde, saWiroa misi identificireba, da Tirkmelzeda jirkvlis SesaZlo kompensirebuli<br />
daavadebis erTdrouli arsebobis SemTxvevaSi, saWiroa saTanado mkurnalobis dawyeba.<br />
Tu avtonomiur daavadebazea eWvi, saWiroa TRH (Tireotropin-rilizing hormonis) testis an supresiuli scintigrafiis<br />
(radiologiuri gamokvleva) Catareba.<br />
menopauzis dros hipoTireozis mqone pacientebSi, romelTaTvisac osteoporozis (Zvlovani masis Semcireba) maRali riski<br />
arsebobs, sisxlSi <strong>euTiroqsi</strong>s donis momatebis Tavidan asacileblad saWiroa farisebri jirkvlis funqciis mkacri kontroli.<br />
levoTiroqsini ar unda gamoiyenoT hiperTireoidul mdgomareobaSi, garda im SemTxvevisa, roca hiperTireozis Tireostatikuri<br />
mkurnalobisas adiuvants warmoadgens.<br />
Tu <strong>euTiroqsi</strong>T mkurnalobis ganmavlobaSi, produqti Seicvala, saWiroa laboratoriul parametrebze da mkurnalobaze<br />
reagirebaze dakvirveba, saWiroebis SemTxvevaSi dozebis koreqciiT.<br />
urTierTqmedebebi:<br />
romeli preparatebi axdens gavlenas <strong>euTiroqsi</strong>s efeqtze?<br />
qolestiramini da qolestipoli (preparatebi, romlebic qolesterinis donis dasawevad gamoiyeneba) Trgunavs organizmis mier<br />
levoTiroqsinis Sewovas. amitom <strong>euTiroqsi</strong> <strong>100</strong> qolestiraminis an qolestipolis gamoyenebidan 4-5 saaTis Semdeg unda miiRoT.<br />
literaturuli monacemebi aCvenebs, rom aluminis Semcvelma preparatebma (antacidebi, sukralfati), rkinis Semcvelma<br />
preparatebma da kalciumis karbonatma, SesaZlebelia, <strong>euTiroqsi</strong>s efeqti daasustos. amitom, <strong>euTiroqsi</strong> <strong>100</strong> am preparatebamde,<br />
sul mcire, 2 saaTiT adre unda miiRoT.<br />
Semdegi preparatebidan romelimes miRebam, SesaZlebelia, <strong>euTiroqsi</strong>s efeqti gaaZlieros: salicilatebi (preparatebi, romlebic<br />
tkivilis gasayuCeblad da sicxis dasawevad gamoiyeneba), dikumaroli (preparati, romelic sisxlis Sededebis sawinaaRmdegod<br />
gamoiyeneba), klofibrati (sisxlSi lipidebis Semcvelobis damwevi preparati) da fenitoini (antiepilefsiuri preparati).<br />
Semdegi preparatebidan romelimes miRebam, SesaZlebelia, <strong>euTiroqsi</strong>s efeqti Seasustos: propilTiouracili (antiTireoiduli<br />
preparati), glukokortikoidebi (alergiis da anTebis sawinaaRmdego preparatebi), beta-blokatorebi (sisxlis wnevis damwevi<br />
preparatebi, romlebic, agreTve, gulis daavadebebis samkurnalod gamoiyeneba) da amiodaroni (preparati, romelic gulis<br />
araregularuli ritmis samkurnalod gamoiyeneba).<br />
iodis maRali Semcvelobis gamo, amiodaronma (preparati, romelic gulis araregularuli ritmis samkurnalod gamoiyeneba)<br />
SeiZleba rogorc hiperTireozi, ise hipoTireozi gamoiwvios. gansakuTrebuli sifrTxilea saWiro kvanZovani Ciyvis SemTxvevaSi,<br />
roca SesaZlebelia arakontrolirebadi avtonomiuri ubnebis warmoqmna.<br />
sertralinma (antidepresanti), aseve, qloroqinma an proguanilma (malariis prevenciis an mkurnalobisTvis gamoyenebuli<br />
preparatebi) SesaZlebelia levoTiroqsinis efeqtis daqveiTeba da TSH-is (Tiroid-mastimulirebeli hormoni) donis momateba<br />
gamoiwvios.<br />
barbituratebma (sedatiuri, saZile <strong>tabletebi</strong>) da sxva fermentTa induqtorebma, SeiZleba RviZlSi levoTiroqsinis metabolizmi<br />
gaaZlieros, rac misi efeqtis Semcirebas gamoiwvevs.<br />
ra gavlenas axdens <strong>euTiroqsi</strong> <strong>100</strong> sxva preparatebis efeqtze?<br />
euTiroqsma SeiZleba gaaZlieros sisxlis Sededebis prevenciisTvis gamoyenebuli preparatebis (kumarinis warmoebulebi) efeqti<br />
da daasustos insulinis da diabetis sawinaaRmdego oraluri saSualebebis efeqti. am nivTierebebiT da levoTiroqsiniT<br />
erTdrouli mkurnalobis SemTxvevaSi, eqimma unda akontrolos sisxlSi Saqris done da sisxlis Sededebis maCveneblebi,<br />
gansakuTrebiT, <strong>euTiroqsi</strong>T mkurnalobis dasawyisSi da saWiroebis SemTxvevaSi, diabetis sawinaaRmdego da kumarinuli<br />
preparatebis doza daareguliros.<br />
gaiTvaliswineT, rom es specifikaciebi ZalaSia maSinac ki, Tu aRniSnuli preparatebiT mkurnaloba cota xniT SewyviteT.<br />
gansakuTrebuli sifrTxile<br />
iSemiuri kardiopaTiis, (sisxlis daqveiTebuli miwodeba), gulis funqciis darRvevis an taqikardiis SemTxvevaSi, saWiroa<br />
levoTiroqsiniT gamowveuli nebismieri saxis Tiroiduli hiperfunqciis (maT Soris, msubuqis) prevencia.<br />
ra unda gaiTvaliswinoT xandazmulebSi an bavSvebSi gamoyenebisas?<br />
xandazmulebSi <strong>euTiroqsi</strong> <strong>100</strong>-is dozireba sifrTxiliT unda moxdes. dasawyisSi maqsimalurad dabali doza unda SeirCes,<br />
romelic SemdgomSi, farisebri jirkvlis hormonebis ganmeorebadi kontrolis fonze, drois didi intervalebiT unda gaizardos.<br />
ra unda gaiTvaliswinoT orsulobis da laqtaciis periodSi?<br />
orsulobis da laqtaciis periodSi mniSvnelovania farisebri jirkvlis hormonebis Tanmimdevruli gamoyeneba. orsulobis<br />
ganmavlobaSi, hiperTireozis samkurnalod ar aris naCvenebi farisebri jirkvlis hormonebis sinTezur antiTireoidul
preparatebTan erTad gamoyeneba, vinaidan levoTiroqsinma, SesaZlebelia, sinTezuri antiTireoiduli hormonebis dozis gazrdis<br />
saWiroeba gamoiwvios. levoTiroqsinis meSveobiT sinTezuri antiTireoiduli hormonebi aRweven placentis barierSi da nayofis<br />
farisebri jirkvlis hipofunqciis gamowveva SeuZliaT.<br />
ra gansakuTrebuli sifrTxile unda daicvaT avtomanqanis da meqanizmebis marTvisas?<br />
<strong>euTiroqsi</strong> ar moqmedebs avtomanqanis da meqanizmebis marTvis unarze.<br />
dozebi da gamoyenebis wesi<br />
Semdegi miTiTebebi im SemTxvevisTvis aris gankuTvnili, Tu Tqvenma eqimma <strong>euTiroqsi</strong> <strong>100</strong> sxvagvarad ar daginiSnaT. daicaviT<br />
Semdegi miTiTebebi, Tundac <strong>euTiroqsi</strong> <strong>100</strong> sworad ar moqmedebdes.<br />
<strong>euTiroqsi</strong> <strong>100</strong> Seicavs <strong>100</strong> <strong>µg</strong> natriumis levoTiroqsins. mkurnalobis individualizebisTvis arsebobs natriumis levoTiroqsinis<br />
25 <strong>µg</strong>, 50 <strong>µg</strong>, <strong>100</strong> <strong>µg</strong>, 150 <strong>µg</strong> da 200 <strong>µg</strong> Semcvelobis <strong>tabletebi</strong>, ise, rom Cveulebriv sakmarisia dReSi erTi tabletis miReba.<br />
ramdenad xSirad da ra raodenobiT unda gamoiyenoT <strong>euTiroqsi</strong> <strong>100</strong>?<br />
dRiuri erTeuli doza klinikuri da laboratoriuli gamokvlevebis safuZvelze unda ganisazRvros. xandazmul, aseve, iSemiuri<br />
kardiopaTiis da mZime an xangrZlivi hipoTireozis mqone pacientebSi, farisebri jirkvlis hormonebiT mkurnalobis dawyebisas<br />
sifrTxilea saWiro. mkurnaloba dabali doziT unda daiwyos (magaliTad, 12,5 <strong>µg</strong> natriumis levoTiroqsini dReSi erTxel),<br />
romelic Semdeg TandaTanobiT, drois didi intervalebiT gaizrdeba (mag., 12,5 <strong>µg</strong> natriumis levoTiroqsini yovel 14 dReSi),<br />
farisebri jirkvlis hormonebis Semcvelobis xSiri Semowmebis fonze.<br />
gamocdilebam aCvena, rom dabali dozebi sakmarisia sxeulis mcire masis mqone, aseve, gadidebuli difuzuri CiyviT daavadebuli<br />
pacientebisTvis.<br />
Tu eqimma sxvagvarad ar daginiSnaT, Cveulebriv, dozebis gansazRvrisTvis Semdegi wesebi arsebobs:<br />
Terapiuli Cveneba<br />
rekomendebuli doza (<strong>µg</strong> natriumis levoTiroqsini<br />
dReSi)<br />
keTilTvisebiani Ciyvi farisebri jirkvlis<br />
normaluri funqciis mqone pacientebSi<br />
Ciyvis recidivis prevencia miqsedemis operaciis<br />
Semdeg (morecidive Ciyvis profilaqtika) farisebri<br />
jirkvlis normaluri funqciis mqone pacientebSi<br />
75-200 (mag., 1-2 tableti <strong>euTiroqsi</strong> <strong>100</strong> dReSi)<br />
75-200 (mag., 1-2 tableti <strong>euTiroqsi</strong> <strong>100</strong> dReSi)<br />
hipoTireozis dros farisebri jirkvlis bunebrivi<br />
hormonebis Canacvleba (hormonebis deficitis Sevseba)<br />
mozrdilebi:<br />
- sawyisi doza 25-50 (mag., ¼-½ tableti <strong>euTiroqsi</strong> <strong>100</strong> dReSi)<br />
- SemanarCunebeli doza <strong>100</strong>-200 (mag., 1-2 tableti <strong>euTiroqsi</strong> <strong>100</strong> dReSi)<br />
bavSvebi:<br />
- sawyisi doza 12,5-50 (mag., ½ tableti <strong>euTiroqsi</strong> <strong>100</strong> dReSi)<br />
- SemanarCunebeli doza <strong>100</strong>-150 <strong>µg</strong>/m 3<br />
avTvisebiani simsivnis dros, neoplazmis<br />
proliferaciis daTrgunvisTvis<br />
hiperTireozis Tireostatikuri mkurnalobis<br />
adiuvantis saxiT<br />
150-300 (1-3 tableti <strong>euTiroqsi</strong> <strong>100</strong> dReSi)<br />
50-<strong>100</strong> (mag., ½-1 tableti <strong>euTiroqsi</strong> <strong>100</strong> dReSi)<br />
diagnostikuri mizniT, farisebri jirkvlis funqciis<br />
supresiuli testis SemTxvevaSi<br />
meoTxe kvira testis win -<br />
mesame kvira testis win -<br />
meore kvira testis win<br />
2 tableti <strong>euTiroqsi</strong> <strong>100</strong> dReSi<br />
testis wina kvira<br />
2 tableti <strong>euTiroqsi</strong> <strong>100</strong> dReSi<br />
mkurnalobis dasawyisSi, mdgomareobis mixedviT, rekomendebulia aqtiuri nivTierebis dabali Semcvelobis gamoyeneba.<br />
rodis da rogor unda gamoiyenoT <strong>euTiroqsi</strong> <strong>100</strong>?<br />
mTliani dRiuri doza miiReba diliT, uzmoze, sauzmemde, sul mcire, naxevari saaTiT adre; <strong>tabletebi</strong> mTlianad unda<br />
gadaiylapos, sakmarisi raodenobiT siTxis (naxevari Wiqa wyali) miyolebiT.<br />
Cvilebs, mTliani dRiuri doza unda mieceT sul mcire, naxevari saaTiT adre dRis pirvel kvebamde. <strong>tabletebi</strong> unda dafxvnaT da<br />
mcire raodenobiT wyalSi SeurioT, unda miiRoT wminda suspenzia (moamzadeT yoveli ineqciis win), Semdeg kidev mcire<br />
raodenobiT siTxiT ganazaveT.<br />
ramdeni xnis ganmavlobaSi unda gamoiyenoT <strong>euTiroqsi</strong> <strong>100</strong>?<br />
gamoyenebis xangrZlioba: hipoTireozis mkurnaloba, Cveulebriv, sicocxlis manZilze, farisebri jirkvlis avTvisebiani<br />
warmonaqmnis moSorebis Semdeg da Ciyvis recidivis prevenciisTvis miqsedemis operaciis Semdeg (morecidive Ciyvis<br />
profilaqtikisTvis) farisebri jirkvlis normaluri funqciis mqone pacientebSi.<br />
hiperTireozis adiuvanturi Terapiis xangrZlioba ganpirobebulia Tireostatikuri mkurnalobis xangrZliobiT.<br />
euTireoiduli keTilTvisebiani Ciyvis dros, saWiroa mkurnaloba 6 Tvidan 2 wlamde. Ciyvis recidivis Tavidan asacileblad,<br />
Ciyvis moculobis Semcirebis Semdeg, rekomendebulia iodis dabali dozebiT (<strong>100</strong>-200 <strong>µg</strong>) profilaqtika.<br />
mkurnalobis xangrZliobas Tqveni eqimi gansazRvravs.<br />
arasasurveli reaqciebi<br />
ra gverdiTi efeqtebi SeiZleba ganviTardes <strong>euTiroqsi</strong> <strong>100</strong>-iT mkurnalobisas?<br />
rekomendaciis mixedviT gamoyenebis pirobebSi, <strong>euTiroqsi</strong> <strong>100</strong>-iT mkurnalobis ganmavlobaSi gverdiTi efeqtebi ar aris<br />
mosalodneli.<br />
individualur SemTxvevebSi, dozis autanlobis an misi gadaWarbebis dros, gansakuTrebiT, Tu mkurnalobis dasawyisSi dozis<br />
swrafad gazrda moxda, SesaZlebelia farisebri jirkvlis hiperfunqciis niSnebis ganviTareba, magaliTad, guliscemis gaxSireba,<br />
palpitacia, gulis ariTmia, gulis anginis msgavsi retrosternuli tkivilebi, Tavis tkivili, sisuste da kunTebis spazmebi,<br />
sicxis autanloba, cxeleba, Rebineba, menstruaciis darRvevebi, tremori, mousvenroba, uZiloba, Warbi oflianoba, wonis dakleba,<br />
diarea.<br />
Tu SeniSneT raime gverdiTi reaqcia, maT Soris iseTi, romelic am instruqciaSi ar aris mocemuli, acnobeT Tqvens eqims an<br />
farmacevts.<br />
ra zomebis miReba SeiZleba gverdiT efeqtebTan sabrZolvelad<br />
eqimisTvis Setyobinebis Semdeg, SeiZleba dRiuri dozis Semcireba an ramdenime dRiT miRebis Sewyveta. gverdiTi efeqtebis<br />
gavlisTanave, SesaZlebelia mkurnalobis aRdgena, dozebis mkacri kontroliT.
dozis gadaWarbeba<br />
rogor unda moiqceT Tu ganzrax an uneblied <strong>euTiroqsi</strong> <strong>100</strong>-is Warbi doza miiReT<br />
dozis gadaWarbebis SemTxvevaSi, SesaZlebelia farisebri jirkvlis hiperfunqciis tipiuri niSnebis da simptomebis ganviTareba:<br />
palpitacia, SfoTva, mousvenroba da uneblie moZraobebi (hiperkinezia).<br />
Tuki es simptomebi ganviTarda, dauyovnebliv mimarTeT eqims.<br />
rogor unda moiqceT Tu <strong>euTiroqsi</strong> <strong>100</strong>-is Zalian mcire doza miiReT an dagaviwydaT misi miReba<br />
Tu <strong>euTiroqsi</strong> <strong>100</strong>-is <strong>tabletebi</strong> saWiroze naklebi raodenobiT miiReT an dagaviwydaT dozis miReba, nu miiRebT gamotovebul<br />
dozas Semdeg jerze, xolo mkurnaloba Cveulebriv ganagrZeT. nebismier SemTxvevaSi, eqimis mier dadgenili mkurnaloba ar unda<br />
Seicvalos an Sewydes mis gareSe.<br />
rogor unda moiqceT mkurnalobis Sewyvetis an Tavis naadrevad danebebis SemTxvevaSi<br />
warmatebuli mkurnalobisTvis saWiroa <strong>euTiroqsi</strong> <strong>100</strong> regularulad, daniSnulebisamebr miiRoT. Sewyvetam an Tavis naadrevad<br />
danebebam SeiZleba daavadebis simptomebis xelaxali ganviTareba gamowvios, yoveli winaswar arsebuli mdgomareobis specifikaze<br />
damokidebulebiT.<br />
Senaxva<br />
rogor unda SeinaxoT <strong>euTiroqsi</strong> <strong>100</strong><br />
<strong>euTiroqsi</strong> <strong>100</strong> originalur SefuTvaSi, 25°C-ze dabal temperaturaze SeinaxeT.<br />
blisterebi, sinaTlisgan dasacavad, muyaos kolofSi SeinaxeT.<br />
ar gamoiyenoT SefuTvaze miTiTebuli vargisianobis vadis amowurvis Semdeg.<br />
SeinaxeT bavSvebisaTvis miuwvdomel adgilze.<br />
SefuTva<br />
kolofi PP/Al-is 4 blisteriT, TiToeulSi 25 tabletiT.<br />
kolofi PVC/Al-is 4 blisteriT, TiToeulSi 25 tabletiT.<br />
mwarmoebeli<br />
merk kgaa, germania<br />
savaWro licenziis mflobeli<br />
merk kgaa<br />
frankfurter Strase 250, D-64293 darmStadti, germania
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