So wowɔ asaabo mu haw bi? Anaasɛ wo duruyɛfo aka akyerɛ wo sɛ wo calcium dodow sua? Afei ebia wɔakyerɛw aduru yi a wɔfrɛ no ‘Calcitriol’ ama wo. Nnipa pii wɔ ɔhaw kakra bere a wɔte saa din yi, "Dɛn ne aduru yi? Adɛn nti na wɔama me eyi?" Enti momma yɛnkasa nnɛ mfa nnya wo nsɛmmisa yi ho mmuae. Ne tiawa mu no, yɛbɛka aduru yi ho biribiara ho asɛm wɔ ɔkwan a wubetumi ate ase so.
Dɛn ne saa Calcitriol yi?
Sɛ yɛbɛka no tiawa a, calcitriol yɛ vitamin D soronko bi a ɛyɛ adwuma.Vitamin D a yɛtaa nom no nipadua no ntumi mfa nni dwuma tẽẽ. Ɛsɛ sɛ yɛn asaabo dan no ma ɛyɛ nea ɛyɛ adwuma, calcitriol.
Nanso, wɔ obi a ɔwɔ asaabo mu yare mu no, esiane sɛ wɔn asaabo ntumi nyɛ adwuma yiye nti, saa adeyɛ yi nkɔ yiye. Afei calcium dodow a ɛwɔ nipadua no mu no so tew. Ɛno ne bere a nnuruyɛfo ma wo vitamin D a ɛyɛ adwuma yi tẽẽ, a ɛyɛ aduru bi a wɔfrɛ no calcitriol.
Nneɛma titiriw a ɛsakra fi eyi mu ne:
- Calcium a ɛba fam a ɛwɔ wo nipadua mu a wobɛma akɔ soro.
- Ɛboa nnipa a wɔwɔ parathyroid ntini mu yare. Saa aduru yi nso boa ma wodi hormone dodow a saa ntini ahorow yi yi fi mu no so.
Ebia wobɛtaa ahu saa aduru yi nso wɔ edin a wɔde frɛ no ‘Rocaltrol’ ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wubefi ase anom saa aduru yi no, ɛho hia yiye sɛ wobɛma wo duruyɛfo no w’akwahosan tebea ho nkyerɛkyerɛmu a edi mũ. Ɛsɛ sɛ woka nea edidi so yi ho asɛm titiriw.
| Tebea a ɛsɛ sɛ wobɔ ho amanneɛ | Dɛn nti na ɛno ho hia? |
|---|---|
| Wowɔ asaabo mu yare dedaw. | Esiane sɛ wɔde saa aduru yi ma asaabo mu nyarewa titiriw nti, ɛsɛ sɛ wogyina sɛnea wo yare no te so kyerɛ dodow a wɔde ma no. |
| Sɛ wowɔ yare bi a ɛfa parathyroid gland ho. | Esiane sɛ saa aduru yi ka parathyroid hormone dodow nti, ɛho hia sɛ wo duruyɛfo hu wo tebea no. |
| Sɛ worenya dialysis ayaresa a. | Esiane sɛ calcium ne phosphorus dodow a ɛwɔ ayarefo a wɔyɛ wɔn dialysis mu no taa sakra nti, ɛsɛ sɛ wɔyɛ nsakrae wɔ nnuru dodow a wɔde ma mu ma ɛne no hyia. |
| Sɛ obi nya biribi ho akisikuru. | Hwɛ hu sɛ wobɛka akyerɛ yɛn sɛ wo ho yɛ wo hyew wɔ calcitriol, vitamin D, nnuru afoforo, nnuan, nneɛma a wɔde siesie nneɛma, anaa kɔla ahorow ho a. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a. | Ɛsɛ sɛ wɔde ahwɛyiye kɛse nom aduru biara bere a wɔyem no. Enti, ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ wɔ eyi ho. |
| Sɛ woyɛ ɛna a ɔma nufu a. | Esiane sɛ nneɛma a ɛwɔ aduru no mu no betumi afa nufusu so akɔ akokoaa no nkyɛn nti, wo ne wo duruyɛfo nka eyi nso ho asɛm. |
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Ɔkwan a wɔfa so de eyi bedi dwuma no yɛ mmerɛw yiye.
- Fa nsu kuruwa mene saa aduru yi.
- Di akwankyerɛ a ɛwɔ aduru a wɔakyerɛw ama wo no din so no akyi pɛpɛɛpɛ .
- Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara. Eyi bɛtew hokwan a ɛwɔ hɔ sɛ wɔbɛyera dodow bi a wɔde ma no so.
- Mfa nea ɛboro dodow a wo duruyɛfo akyerɛ wo no da.
Sɛ wode saa aduru yi ma mmofra a...
Oduruyɛfo betumi akyerɛw saa aduru yi ama mmofra, titiriw wɔn a wɔadi boro afe biako, ama ayaresa tebea horow bi a wɔapaw. Nanso ɛsɛ sɛ wɔde ahwɛyiye kɛse na ɛyɛ na wɔde aduruyɛfo afotu nkutoo na ɛyɛ. Enti, sɛ wode saa aduru yi rema wo ba a, wo ne wo duruyɛfo nkasa yiye na hwehwɛ mu nsɛm nyinaa.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom aduru yi pii sen sɛnea ɛsɛ sɛ wonom a, nntwentwɛn wo nan ase . Nneɛma abien wɔ hɔ a ɛsɛ sɛ woyɛ ntɛm ara.
1. Frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
2. Kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nea ɛho hia sen biara: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa mma obi foforo a ɔwɔ yare no ho sɛnkyerɛnne te sɛ wo. Ebetumi ayɛ nea asiane wom.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Aduru dodow bi a wɔyera no betumi ato obiara. Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere adu sɛ wobɛma wo dodow a edi hɔ bere a wokae a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu . Mfa nnuru mmɔho abien esiane biribiara nti.
Nneɛma afoforo a ebetumi ne aduru yi adi nkitaho (Nkitahodi) .
Calcitriol yɛ aduru a ebetumi ne nnuru afoforo bi ne nnuru a wɔde ka ho, enti ɛho hia sɛ wohu eyi.
| Mfa Calcitriol nka eyinom ho. | |
|---|---|
| Burosumab a wɔde di dwuma | Vitamin D a wɔde ma |
| Sɛ worenom nnuru yi a, ka kyerɛ wo duruyɛfo. | |
|---|---|
| Calcium a wɔde ma | Cholestyramine a wɔde yɛ aduru |
| Corticosteroids - s.e. Prednisolone a wɔde ma | Digoxin a wɔde di dwuma |
| Ketoconazole a wɔde ma | Magnesium a wɔde ma |
| Phenobarbital, Phenytoin a wɔde yɛ aduru | Nneɛma a ɛkyekyere phosphate |
| Nnuru bi a ekum asikre | Thiazide diuretics - (nsuo aduru) . |
Ebia saa nsɛm a wɔahyehyɛ yi nni mũ, enti ka nnuru, vitamin, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo. Sɛ wonom sigaret anaa wonom nsa a, mma wo werɛ mmfi sɛ wobɛka akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Ɛho hia yiye sɛ wobɛkɔ wo duruyɛfo nkyɛn bere ne bere mu bere a worenom saa aduru yi no. Mpɛn pii no, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ sɛ calcium ne phosphorus dodow a ɛwɔ wo mogya mu no te. Mma nntwa sɔhwɛ ahorow yi so.
Wɔbɛtu wo fo nso sɛ di aduan titiriw bi akyi.
Mfa nnuru anaa nnuru foforo biara a vitamin D, phosphorus, magnesium, anaa calcium wom a wunnya wo duruyɛfo afotu. Ebia eyinom nso wɔ nnuru a ekum asikre (nnuru a wɔde sa komayare) bi. Saa a wɔbɛyɛ no betumi ama asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no ayɛ kɛse.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, calcitriol betumi de ɔhaw ahorow aba nnipa binom so. Eyinom bi hwehwɛ sɛ wodi ho dwuma ntɛm ara, bere a afoforo nso nyɛ aniberesɛm kɛse.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ka kyerɛ wo duruyɛfo ntɛm ara. | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, ɔtopae, koko mu yaw, ahome a ɛyɛ den. |
| Calcium dodow a ɛkɔ soro wɔ mogya no mu | Sɛ wote nka sɛ sukɔm de wo anaasɛ woto nsu sen sɛnea ɔtaa yɛ, akisikuru, ɔfe, adwenem naayɛ, ɔbrɛ a ɛyɛ soronko, ne nnompe mu yaw. |
| Phosphorus dodow a ɛkɔ soro wɔ mogya no mu | Ɛyaw a ɛba ntini anaa nkwaa mu, ano a atwa ho ahyia a ɛyɛ mmerɛw. |
| Mpɛn pii no, eyinom nyɛ nea asiane wom, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. | |
| Ano a ɛyɛ nwunu | Tipaeɛ |
| Akɔnnɔ | Dade dɛ a ɛwɔ anom |
| Yafunu mu a ɛyɛ mmerɛw | |
Ɔkwan bɛn so na wɔde aduru no sie?
- Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15 kosi 30 ntam).
- Bɔ ho ban fi hann ho.
- Fa aduru toa/tablet no to mu denneennen.
- Tow nnuru a ne bere atwam gu.
Saa nsɛm krataa yi yɛ nsɛm a wɔaboaboa ano kɛkɛ. Sɛ wowɔ nsɛmmisa foforo bi fa saa aduru yi ho a, yɛsrɛ wo ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa.
Nkrasɛm a Wɔde Kɔ Fie
- Calcitriol yɛ vitamin D a ɛyɛ adwuma.Wɔde ma nnipa a calcium dodow sua wɔ nipadua mu esiane asaabo mu yare anaa ɔhaw ahorow a ɛwɔ parathyroid ntini mu nti titiriw.
- Ansa na wubefi ase anom aduru no, ka nnuru afoforo, nnuru a wɔde ka ho, ne ayaresa tebea horow a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Fa dodow a wo duruyɛfo akyerɛ wo no sɛnea wɔakyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu. Mfa nnuru abien prɛko pɛ da.
- Hu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ calcium dɔɔso wɔ mogya mu (sukɔm dee dodo, akisikuru, ɔfe, nnompe mu yaw). Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Ɛho hia sɛ wɔyɛ mogya mu nhwehwɛmu daa. Afei nso, nnom calcium anaa vitamin D foforo biara a wunni aduruyɛfo afotu.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn na wɔde Calcitriol (Calcitriol / Rocaltrol) di dwuma?
Eyi nyɛ ‘Vitamin D’ biara a wubetumi atɔ wɔ nnurutɔnbea a wɔyɛ no daa kɛkɛ! Eyi ne ‘Active form of Vitamin D3’, a yɛn asaabo na ɛyɛ. Titiriw wɔn a wɔn asaabo asɛe kɛse (CKD/Dialysis) no, esiane sɛ asaabo no ntumi nyɛ vitamin D a ɛyɛ adwuma yi nti, ɛsɛ sɛ wɔnom saa calcitriol aduru yi na ama wɔatumi ayɛ calcium wɔ wɔn nipadua mu na wɔasiw nnompe a ɛbɛyera ano.
💬 Ɔkwan bɛn so na saa pill (Calcitriol) yi twe calcium fi dwensɔtwaa mu na ɛhyɛ nnompe mu den?
Mpɛn pii no, ɛyɛ den yiye ma nipadua no sɛ ɛbɛtwe calcium a ɛwɔ aduan a yedi mu afi dwensɔtwaa mu no. Nanso sɛ saa ‘vitamin D a ɛyɛ adwuma (Calcitriol)’ yi hyɛn dwensɔtwaa mu a, ɛhyɛ nkwammoaa a ɛwɔ dwensɔtwaa no mu no ma ‘bue apon a ɛma calcium kwan no nyinaa’ (Ɛkanyan calcium a wɔtwe). Afei, calcium pii a ɛwɔ aduan no mu kɔ mogya no mu, efi hɔ kɔ nnompe no mu na ɛyɛ den, na ɛma nnompe no mu yɛ den.
💬 Dɛn ne nsunsuanso bɔne (wuduru) a ɛyɛ kɛse na ɛyɛ hu sen biara a ɛwɔ vitamin D a wɔayɛ yi mu?
Ɛnte sɛ vitamin a wɔde di dwuma daa! Sɛ wɔma aduru yi (Calcitriol) dodow kɔ soro kakra mpo a, calcium dodow a ɛwɔ wo mogya mu no bɛkɔ soro akodu baabi a wuntumi nnyina ano (Hypercalcemia)! Afei saa calcium no bɛkɔ akɔto koma ne mogya ntini no mu na ayɛ abo (Vascular calcification), a ebetumi mpo akum ɔyarefo no mpofirim. Hokwan kɛse nso wɔ hɔ sɛ yafunu bɛhaw kɛse, akisikuru, abo a ɛbɛtɔ obi wɔ nsu mu, na n’adwene mu ayɛ no basaa.
💬 අදහස් (0)
තවමත් කිසිදු අදහසක් පළ කර නොමැත. ඔබේ අදහස පළමු වරට මෙහි එක් කරන්න.
ඔබේ අදහස එක් කරන්න