Momma yensua phosphate binders a asaabo ayarefo fa no ho ade kɛkɛ.

So wo duruyɛfo aka akyerɛ wo sɛ fa aduru bi a wɔfrɛ no ‘Phosphate Binders’? Anaasɛ woahyɛ no nsow sɛ phosphate dodow a ɛwɔ wo mogya mu no dɔɔso? Ebia saa din yi bɛyɛ te sɛ nea ɛyɛ nwonwa kakra ma wo. Nanso mma ɛnhaw wo. Eyi yɛ aduru a wɔtaa kyerɛw ma nnipa a wɔwɔ asaabo mu yare. Ɛnnɛ, yɛbɛka ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw koraa a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne saa nneɛma a ɛkyekyere phosphate yi?

Ɛnyɛ den koraa. Phosphate binders yɛ nnuru bi a wɔde ma na ama phosphate dodow a ɛwɔ wo nipadua mu no so atew. Phosphate yɛ mineral a yɛn nipadua hia. Nanso te sɛ biribiara no, ɛdɔɔso dodo betumi de ɔhaw aba. Ɛno ne bere a oduruyɛfo bi bɛkyerɛw saa aduru yi.

Ɛwom sɛ wobetumi atɔ nnuru yi bi wɔ aduruyɛdan mu de, nanso ɛnsɛ sɛ wode di dwuma da a wo ne wo duruyɛfo nkasa. Eyi ho hia paa.

Dɛn nti na yɛn nipadua hia phosphate?

Phosphate yɛ anyinam ahoɔden a ɛwɔ yɛn nipadua mu. Sɛ yɛbɛka no tiawa a, ɛyɛ mineral a ɛho hia na ama yɛn nipadua no ayɛ adwuma. Susuw ho hwɛ, phosphate boa ma yɛn nnompe ne yɛn sẽ yɛ den. Ɛnyɛ ɛno nko, na mmom phosphate nso ho hia ma ahoɔden a yɛn nipadua mu nkwammoaa yɛ, nkwammoaa mu ntini a ɛyɛ, ne DNA (Deoxyribonucleic acid) a yɛn awosu mu nsɛm wom no yɛ.

Yenya saa phosphate yi fi aduan a yedi ne nea yɛnom mu. Obi a ɔwɔ apɔwmuden nipadua no gye dodow a ehia nkutoo, na nea aka no kɔ nsu ne nsu mu. Nanso biribi nti, titiriw bere a asaabo no ntumi nyɛ adwuma yiye no, nipadua no ntumi nyi phosphate a ɛboro so no mfi mu wɔ saa kwan yi so. Ɛno ne bere a phosphate boaboa ano wɔ mogya no mu na ɛde ɔhaw ahorow ba.

Hena na ohia saa phosphate binder yi?

Mpɛn pii no, oduruyɛfo bɛkyerɛw saa aduru yi sɛ phosphate dodow a ɛwɔ wo mogya mu no dɔɔso sen sɛnea ɛte daa a. Wɔfrɛ saa tebea yi wɔ aduruyɛ mu sɛ hyperphosphatemia .

Saa tebea yi taa ba nnipa a wɔwɔ asaabo mu yare a enni sabea (CKD) ne wɔn a wɔn asaabo ayɛ adwuma yiye koraa na wɔreyɛ wɔn dialysis no so.

Dɛn nti na wɔde saa aduru yi ma ayarefo a wɔreyɛ wɔn dialysis?

Ɛyɛ ade a ɛfata sɛ phosphate boaboa ano wɔ mogya no mu bere a asaabo no di nkogu no. Sɛ phosphate dodow kɔ soro a, efi ase twe calcium fi nnompe no mu. Bere kɔ so no, eyi ma nnompe no yɛ mmerɛw na ɛma asiane a ɛwɔ hɔ sɛ nnompe no bebubu no yɛ kɛse. Wɔde phosphate binders ma ayarefo a wɔyɛ wɔn dialysis de siw nyarewa a efi nnompe mu ba ano.

Phosphate dodow a ɛfata bɛn na ɛwɔ mogya no mu?

Phosphate dodow a ɛfata wɔ mogya mu ma ɔpanyin a ɔwɔ apɔwmuden no yɛ miligram 2.8 kosi 4.5 wɔ deciliter biara mu (mg/dL) . Wɔ mmofra nkumaa fam no, saa dodow yi korɔn kakra, efi 4.0 kosi 7.0 mg/dL .

Nnuan ne anonne bɛn na phosphate dɔɔso wom?

Sɛ wowɔ asaabo mu yare a, ɛsɛ sɛ wohwɛ yiye titiriw wɔ nea wudi ne nea wonom ho, efisɛ te sɛ nnuru a wonom no, aduan a wudi so nso ho hia yiye.

Ɔkwan bɛn so na aduru a wɔfrɛ no phosphate binder yi yɛ adwuma?

Ɔkwan a eyi fa so yɛ adwuma no yɛ nwonwa. Sɛ yedi aduan a, phosphate a ɛwɔ saa aduan no mu no fa dwensɔtwaa ketewaa no mfinimfini fã a yɛfrɛ no jejunum no mu kɔ yɛn nipadua mu.

Sɛ wofa saa phosphate binder pill yi ka aduan ho a, pill no kɔ wo yafunu mu na "ɛkyekyere" phosphate a ɛboro so a ɛwɔ w'aduan mu no. Ɛte sɛ magnet. Sɛ ɛbata ho a, entumi nkɔ wo mogya mu. Afei, phosphate a ɛboro so no fi wo nipadua mu wɔ wo nsu mu. Ɛyɛ mmerɛw yiye, ɛnte saa?

Phosphate binders ahorow ne ɔkwan a wɔfa so nya bi?

Nneɛma ahorow pii wɔ hɔ a wɔde kyekyere phosphate. Ɛdenam wo tebea so no, wo duruyɛfo bɛpaw nea ɛfata wo kɛse.

• Calcium carbonate - (sɛ nhwɛso no, Tums®, Alka-Seltzer®) .
• Sevelamer - (sɛ nhwɛso no, Renvela®, Renagel®) .
• Lanthanum carbonate - (sɛ nhwɛso no, Fosrenol®) .
• Calcium acetate - (sɛ nhwɛso no, PhosLo®, Phoslyra®) .
• Sucroferric oxyhydroxide - (sɛ nhwɛso no, Velphoro®) .

Emu nea ɛwɔ he na eye sen biara?

Wɔtaa kyerɛw nnuru a wɔde ka aduan ho a calcium wom (te sɛ calcium carbonate) ma. Nanso, nhwehwɛmu ahorow bi ada no adi sɛ sɛ wɔnom nnuru a calcium wom yi bere tenten a, calcium a ɛboro so no betumi ayɛ kɛse wɔ mogya ntini no mu. Wɔfrɛ eyi sɛ ntini mu calcification . Eyi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ anaa akisikuru no ayɛ kɛse. Esiane eyi nti, ɛtɔ mmere bi a wo duruyɛfo betumi akamfo aduru a calcium nnim (te sɛ Sevelamer) akyerɛ wo.

Ɔkwan bɛn so na ɛsɛ sɛ menom saa aduru yi?

Eyi ne ade a ɛho hia sen biara. Sɛ aduru yi bɛyɛ adwuma yiye a, bere a wobɛnom no ho hia yiye. Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

• Ka nnuru foforo biara a worenom (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo, efisɛ ebia nnuru bi ne eyi bedi nkitaho.
• Ɛdenam aduru ko a wɔfa so no so no, ɔkwan a ɛsɛ sɛ wɔfa so no betumi ayɛ soronko:
• Ɛsɛ sɛ wɔwe emu bi na wɔmene simma 10-15 ansa na wɔadi .
• Ɛsɛ sɛ wowe emu bi na womene bere a wufi ase didi ara pɛ .
• Ɛsɛ sɛ wɔmene emu bi nyinaa , na wɔde aduan no ano abien anaa abiɛsa a edi kan no ka ho .
• Ebinom ba wɔ powder kwan so. Ɛsɛ sɛ wɔde gu nsu mu na wɔde ka aduan bi ano abien anaa abiɛsa a edi kan no ho .
• Ɛsɛ sɛ wɔwe emu bi na wɔmene bere a wɔadi awie no ntɛm ara .

So aduru yi ho nsunsuanso bɔne bi wɔ hɔ?

Te sɛ nnuru biara no, saa aduru yi betumi de ɔhaw nketenkete aba, nanso ɛnyɛ obiara na onya bi.

Sɛ saa sɛnkyerɛnne ahorow yi haw wo a, wo ne wo duruyɛfo nkasa. Ebia wobetumi asesa w’aduru no.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wunya ɔhaw ahorow a emu yɛ den a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Afei nso, ɛtɔ mmere bi a phosphate a ɛkɔ soro wɔ mogya mu no betumi ama calcium dodow a ɛwɔ nipadua no mu no so atew. Wɔfrɛ eyi hypocalcemia . Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi a, hwehwɛ aduruyɛfo afotu ntɛm ara.

• Ntini a ɛtwetwe
• Nkae ho haw ahorow
• Abufuw a ntease nnim
• Anofafa, tɛkrɛma, nsateaa, anaa anan a ɛyɛ mmerɛw
• Akisikuru a ɛma obi ho kyere no
• Koma a ɛbɔ a ɛnyɛ ne kwan so (Arrhythmia) .

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ wokɔ wo duruyɛfo nkyɛn a, ma nsɛmmisa yi ntra w’adwenem. Sɛ wubisa wɔn a, ebetumi aboa wo ma woate wo tebea no ase yiye.

• "Fosfate binder bɛn na wokamfo kyerɛ me?"
• "Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?"
• "Ɛbɛyɛ dɛn na ɛsɛ sɛ menom saa aduru yi? Ansa na madi anaasɛ madi akyi?"
• "Mpɛn ahe na ɛsɛ sɛ mefa da biara?"
• "Nnuru ahe na ɛsɛ sɛ menom de yɛ aduan titiriw? Nnuru dodow ahe na ɛsɛ sɛ menom de di aduan a ɛyɛ mmerɛw?"
• "So nnuru foforo bi wɔ hɔ a ɛsɛ sɛ migyae nom bere a merenom saa aduru yi?"
• "Bere tenten ahe na ɛsɛ sɛ menom saa aduru yi?"
• "Nsɔhwɛ bɛn na wɔreyɛ de ahwɛ sɛ saa aduru yi yɛ adwuma anaa?"
• "So ɛsɛ sɛ mehu aduan ho ɔbenfo?"