W’asaabo a Wobɛboa: Nea Ɛsɛ sɛ Wuhu Fa Sevelamer Ho

Sɛ wo anaa w’abusua mu bi wɔ asaabo mu yare a enni sabea a, ebia wunim sɛ nneɛma bi a ɛsɛ sɛ asaabo no yi fi hɔ no boaboa ano wɔ nipadua no mu. Adeɛ baako a ɛte saa ne "phosphate". Saa phosphate yi a yɛtwe fi aduan a yedi mu no fi asaabo a ɛte apɔw mu wɔ nsu mu. Nanso sɛ asaabo no nyɛ adwuma yiye, titiriw bere a ɛfa dialysis ho a, saa phosphate yi fi ase boaboa ano wɔ mogya no mu. Eyi nyɛ papa mma nipadua no koraa. Eyi betumi ama nnompe ayɛ mmerɛw, nkwaa ayɛ no yaw, honam ani akisikuru, ne komayare mpo bere a bere kɔ so no. Ɛno nti na wo duruyɛfo kyerɛw nnuru ahorow a ɛbɛma woatumi asiw phosphate dodow a ɛwɔ mogya no mu ano no. Sevelamer yɛ nnuru a ɛho hia yiye a ɛte saa no mu biako.

Dɛn ne Sevelamer? Ɔkwan bɛn so na ɛyɛ adwuma?

Sɛ yɛbɛka no tiawa a, Sevelamer yɛ phosphate magnet. Ɛba wɔ ɔkwan a ɛyɛ pill anaa capsule so. Sɛ wonom saa aduru yi a, ɛkyekyere phosphate a ɛwɔ aduan a wudi wɔ wo dwensɔtwaa mu no mu na ɛmma nipadua no ntumi nnye saa phosphate no. Afei, wɔde phosphate a wɔakyekyere no fi wo nipadua mu wɔ wo nsu mu. Fa no sɛ obi a ɔboaboa nwura ano, kɔ wo dwensɔtwaa mu na ɔfa phosphate a wompɛ na ɔtow gu.

Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi

Ansa na wobɛkyerɛw Sevelamer no, ɛho hia sɛ wo duruyɛfo no hu w’akwahosan tebea no yiye. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:

• Dwonku a asiw: Sɛ wo dwensɔtwaa asiw pɛn a.
• Akisikuru: Sɛ wotaa nya akisikuru a, saa aduru yi betumi ama ayɛ kɛse.
• Nsɛnnennen a ɛwɔ sɛ wobɛmene: Sɛ ɛyɛ den ma wo sɛ wobɛmene nnuru mpo a.
• Yafunu anaa dwensɔtwaa mu nyarewa afoforo: Sɛ woadi kan ayɛ wo yafunu anaa wo dwensɔtwaa oprehyɛn, anaa sɛ wowɔ ayaresa tebea foforo a.
• Allergies: Sɛ wowɔ allergy wɔ Sevelamer anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a.
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
• Sɛ woyɛ ɛna a worema nufu a.

Wo duruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ebia aduru yi fata wo anaasɛ ɛsɛ sɛ wɔsesa dodow a wɔde ma no.

Ɔkwan bɛn so na wɔde Sevelamer bedi dwuma yiye?

Sɛ wopɛ sɛ wunya aduru bi so mfaso kɛse a, ɛsɛ sɛ wode di dwuma yiye.

1. Fa ka aduan ho: Eyi ne ade a ɛho hia sen biara. Efisɛ saa aduru yi yɛ adwuma denam phosphate a ɛkyekyere wɔ aduan mu no so. Enti, ɛho hia sɛ wode saa aduru yi ka aduan titiriw no ho (anɔpa, awia, ne anadwo) . Sɛ wofa eyi a wunni aduan a, ɛrenyɛ adwuma.

2. Fa nsu kuruwa mene: Fa nsu kuruwa mene tablet anaa capsule no nyinaa. Mmu, nbubu, anaa nwe tablet no. Bisa wo duruyɛfo ma ɔmma no afotu.

3. Fa no bere a ɛfata mu: Fa dodow a ɛfata wɔ bere a ɛfata mu sɛnea wo duruyɛfo akyerɛ wo no. Mma nntwa dose biako pɛ so.

4. Mma w’ankasa nnnyae sɛ wobɛnom: Ɛmfa ho sɛnea wote nka sɛ wo ho ye no, nnyae saa aduru yi nom mpofirim a wunnya wo duruyɛfo afotu.

5. Nnuru afoforo: Sɛ worenom nnuru afoforo a, ebia ebehia sɛ wonom wɔ mmere soronko mu sen Sevelamer, nanso ɛda ntam dɔnhwerew biako anaa abien. Eyi te saa efisɛ Sevelamer tumi siw nnuru afoforo a wɔtwe no kwan. Enti, wo ne wo duruyɛfo nkasa fa nnuru a worenom nyinaa ho na yɛ wo nnuru nhyehyɛe ho nhyehyɛe sɛnea ɛfata.

So wode eyi ma mmofra nkumaa?

Yiw, wɔ nsɛm titiriw bi mu no, wɔkyerɛw saa aduru yi nso ma mmofra a wɔadi boro mfe 6. Nanso wɔyɛ no wɔ mmofra oduruyɛfo hwɛ a emu yɛ den ase.

Na sɛ menom nnuru pii anaasɛ mepa dodow bi nso ɛ?

Nnuru a wɔnom boro so: Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Treatment Unit (ETU) a ɛbɛn wo ntɛm ara . Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.

Dose a woayera: Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a wokae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ (sɛ nhwɛso no, ennu nnɔnhwerew abien) 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 da mfa nsiesie dodow a woayera no.

Nnuru afoforo ne nneɛma a ebetumi ne Sevelamer adi nkitaho

Ebia sevelamer besiw nnuru bi dwumadi kwan. Enti, sɛ worenom nnuru a edidi so yi a, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ:

• Nnuru a ekum ɔyare mmoawa te sɛ Ciprofloxacin
• Cyclosporine a wɔde di dwuma
• Mycophenolate a wɔde yɛ aduru
• Levothyroxine - aduru a wode sa thyroid nyarewa
• Tacrolimus a wɔde di dwuma

Saa list yi nwie pɛyɛ. Enti ka nnuru foforo biara, vitamin, nnuru a wɔde di dwuma wɔ amanne kwan so, anaa nhabannuru a wonom ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wo duruyɛfo.

Nneɛma bɔne a ebetumi afi mu aba bere a wɔrenom aduru no

Te sɛ nnuru nyinaa no, Sevelamer betumi de ɔhaw ahorow bi aba, ɛwom sɛ ɛnyɛ obiara na onya bi de. Nea edidi so yi yɛ nneɛma bɔne a ebetumi afi mu aba no bi.

Sɛ wuhu sɛnkyerɛnne foforo biara a ɛyɛ soronko a enni saa din yi mu a, wo ne wo duruyɛfo nkasa mfa ho nso.

Nneɛma afoforo a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru no

• Aduruyɛ mu nhwehwɛmu a wobɛkɔ daa: Ayaresabea ahorow a wobɛkɔ sɛnea wo duruyɛfo ayɛ nhyehyɛe no ho hia na ama woahu sɛ wo tebea no retu mpɔn anaa.
• Mogya mu nhwehwɛmu: Wo duruyɛfo bɛtaa ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ nneɛma te sɛ wo mogya mu phosphate dodow ne calcium dodow. Mma nntwa wɔn so.
• Vitamin ne aduannuru a wɔde ma:Ebia sevelamer nso besiw vitamin ahorow bi a wɔtwe no kwan. Enti wo ne wo duruyɛfo anaa aduannuru ho ɔbenfo nkasa mfa nkyerɛ sɛ ebia wuhia vitamin foforo anaa. Aduan a ɛkari pɛ a wubedi nso ho hia yiye.
• Nnuru a wɔde sie: Fa nnuru a wɔde sa yare no sie baabi a mmofra ntumi nkɔ. Fa sie wɔ dan mu hyew (ɛyɛ Celsius 15-30 ntam), baabi a nsu ne owia hann tẽẽ nkɔ hɔ. Tow nnuru a ne bere atwam gu.