Ebia wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no Cinacalcet. Eyi te saa titiriw sɛ woreyɛ dialysis esiane asaabo mu yare a enni sabea nti, anaasɛ sɛ wowɔ mogya mu calcium dodow a ɛkɔ soro esiane ɔhaw bi a ɛwɔ wo parathyroid ntini mu nti a. Enti, momma yɛnka nea aduru yi yɛ, sɛnea wɔde di dwuma, ne nea ɛsɛ sɛ wohwɛ yiye ho asɛm tiawa.
Aduru bɛn na Cinacalcet yɛ?
Sɛ yɛbɛka no tiawa a, Cinacalcet yɛ aduru a ɛboa ma yɛhwɛ calcium dodow a ɛwɔ yɛn nipadua mu no so. Parathyroid ntini a ɛwɔ yɛn kɔn mu no yɛ hormone bi a wɔfrɛ no parathyroid hormone. Saa hormone yi na ɛhwɛ calcium dodow a ɛwɔ yɛn mogya mu no so.
Fa no sɛ, wɔ aduruyɛ tebea horow bi mu, sɛ nhwɛso no, bere a asaabo no ntumi nyɛ adwuma yiye no, saa parathyroid ntini ahorow yi yɛ adwuma boro so, na calcium pii boaboa ano wɔ mogya no mu. Yɛfrɛ eyi Hypercalcemia. Eyi ne bere a aduru a wɔfrɛ no Cinacalcet no boa. Nea saa aduru yi yɛ ne sɛ ɛma parathyroid ntini no nkate yɛ kɛse, na ɛma wonya sɛnkyerɛnne bi a ɛka sɛ, "Okay, calcium a ɛdɔɔso wɔ nipadua no mu mprempren, mma bio." Ne saa nti, hormone a wɔyɛ no so tew, na calcium dodow a ɛwɔ mogya no mu no san kɔ sɛnea na ɛte kan no. Saa aduru yi na wɔtaa nya wɔ brand din `(Sensipar)` ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Eyi ho hia paa. Ansa na wɔbɛkyerɛw saa aduru yi ama wo no, ɛho hia sɛ woka w’akwahosan ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo. Mfa biribiara nsie. Hwɛ hu sɛ wobɛka saa nneɛma yi ho asɛm titiriw akyerɛ wɔn:
- Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ komayare anaa koma a ɛbɔ daa a.
- Sɛ wowɔ mmerɛbo mu yare a .
- Sɛ wɔadi kan ahu sɛ calcium dodow a ɛwɔ wo mogya mu no sua a.
- Sɛ woanya akisikuru pɛn a.
- Sɛ wowɔ ɔhaw biara wɔ wo yafunu anaa wo dwensɔtwaa ho (e.g. akuru).
- Sɛ woanya cinacalcet anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho adwene pɛn a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ woyɛ ɛna a ɔma nufu a .
Oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ebia saa aduru yi fata wo anaa, na sɛ ɛte saa a, dodow a ɛsɛ sɛ wode ma.
Ɔkwan pa a wɔfa so de nnuru di dwuma
Sɛ wopɛ sɛ wunya aduru bi so mfaso kɛse a, ɛsɛ sɛ wode di dwuma yiye.
- Fa nsu kuruwa mene aduru no.
- Nea ɛho hia sen biara: Fa saa aduru yi bere a woadi aduan anaasɛ bere a woadi akyi pɛɛ.Fa no. Mfa no bere a wo yafunu da mpan. Sɛ wɔde ka aduan ho a, nipadua no twe aduru no yiye.
- Mmu, nwe, anaa nbubu tablet no. Mene tablet no nyinaa.
- Fa dodow a wɔakyerɛw ama wo no wɔ bere a oduruyɛfo no akyerɛ no no mu. Mma nntwa nnuru dodow a wɔde ma no so.
- Mma nnyae w’aduru no nom mpofirim a wo duruyɛfo mfa afotu mma wo esiane sɛ wo ho atɔ wo nti.
Sɛ wonom nnuru boro so a, dɛn na wobɛyɛ?
Sɛ wususuw sɛ woanom pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara . Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu. Mfa eyi nyɛ hwee, efisɛ calcium dodow a ɛkɔ fam mpofirim no betumi ayɛ asiane.
Na sɛ mepa nnuru dodow bi nso ɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no 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 abien prɛko pɛ mfa nsiesie dodow a woahwere no.
Nnuru afoforo a ebetumi de ɔhaw aba Cinacalcet ho
Eyi nti na ɛho hia sɛ woka nnuru a worenom nyinaa kyerɛ wo duruyɛfo no. Nnuru bi betumi ne Cinacalcet adi nkitaho na ɛde ɔhaw ahorow aba.
| Aduru / ade su | Nneɛma a ɛsɛ sɛ yɛde yɛn adwene si so titiriw |
|---|---|
| Thioridazine a wɔde ma | Eyi yɛ aduru a wɔde sa adwenemyare. Mfa eyi nni dwuma wɔ Cinacalcet ho esiane biribiara nti. |
| Nnuru a ekum fungal (sɛ nhwɛso no, ketoconazole, itraconazole) . | Ebia eyinom bɛsakra ɔkwan a Cinacalcet fa so yɛ adwuma. |
| Nnuru a ekum ɔyare mmoawa te sɛ Erythromycin | Eyi nso betumi aka sɛnea aduru no yɛ adwuma yiye. |
| Koma mu nnuru (sɛ nhwɛso no, flecainide) . | Ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ. |
| Nnuru a wɔde sa adwenemhaw ne dadwen | Ka saa nneɛma yi nso kyerɛ oduruyɛfo no . |
| Grapefruit nsu a wɔde yɛ | Kwati sɛ wubedi bobe aba anaasɛ wobɛnom ne nsu bere a worenom aduru yi. |
Saa list yi nwie pɛyɛ. Ka vitamin, nhabannuru, anaa nnuru a wɔde ka aduan ho a worenom ho asɛm kyerɛ wo duruyɛfo.
Nsunsuanso bɔne a ɛsɛ sɛ wohwɛ yiye bere a worenom nnuru no
Te sɛ aduru biara no, Cinacalcet betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, bere a afoforo nso abu so. Nea ɛho hia ne sɛ wubehu saa sɛnkyerɛnne ahorow yi na sɛ ɛho hia a, wobɛyɛ ho biribi ntɛm.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi ho yɛ no yaw | Wora mu akisikuru, ɛyaw, anofafa, tɛkrɛma anaa anim a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ calcium dodow sua | Akwaa a ɛyɛ mmerɛw anaa ano a atwa ho ahyia, ntini a ɛwosow, koma a ɛbɔ ntɛmntɛm, ne akisikuru. |
| Mogya mmoroso a ɛba fam ho sɛnkyerɛnne | Adwene a ɛyɛ basaa, ti a ɛyɛ hare, akisikuru, ahwease. |
| Mogya a ɛretu wɔ nipadua no mu ho sɛnkyerɛnne | Nsu tuntum, tarry, mogya a ɛrefe anaa biribi a ɛte sɛ kɔfe a wɔayam. |
| Adwene mu nsakrae | Adwenemhaw a emu yɛ den. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Nnuan a wɔyam no mu haw ahorow | Akisikuru, ɔfe, akisikuru, aduan ho akɔnnɔ a ɛyera. |
| Nipadua mu yaw | Nnompe mu yaw, nkwaa mu yaw. |
Ɔkwan bɛn so na wɔkora nnuru so dwoodwoo?
- Fa sie baabi a mmofra ntumi nkɔ.
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15-30 ntam). Bɔ ho ban fi ɔhyew ne nsu a ɛboro so ho.
- Mfa nnuru a ne bere atwam nni dwuma . Tow gu sɛnea ɛsɛ.
Saa aduru yi yɛ wo nkutoo dea. Mfa mma obi foforo esiane sɛ ɛyɛɛ adwuma maa wo nti. Ebetumi ayɛ nea asiane wom.
Nkrasɛm a Wɔde Kɔ Fie
- Cinacalcet yɛ aduru a wɔde hwɛ mogya mu calcium dodow so wɔ asaabo mu yare ne parathyroid ntini mu haw ahorow mu.
- Fa saa aduru yi ka aduan ho anaasɛ bere a woadi akyi bere nyinaa . Mmu anaasɛ nwe nnuru a wɔde yɛ aduru no.
- Ka nnuru afoforo a wonom nyinaa ne nyarewa foforo biara a wowɔ, titiriw komayare ne mmerɛbo mu yare ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wuhu sɛnkyerɛnne biara a ɛkyerɛ sɛ calcium sua wɔ wo nipadua mu (wo nsa ne wo nan a ɛyɛ mmerɛw, wo ntini a ɛyɛ wo yaw), mogya mmoroso a ɛba fam, anaasɛ wo ho yɛ wo hyew a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Nnyae aduru no nom anaasɛ nnsesa dodow a wode ma no a wunnya wo duruyɛfo afotu. Ma wɔnyɛ wo mogya mu nhwehwɛmu wɔ bere ano.
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