So worehu amane wɔ Asaabo mu Yare a Enni sabea ho? Na so wɔreyɛ wo dialysis? Afei ɛbɛyɛ sɛ wo duruyɛfo no aka sɛnea ɛho hia sɛ wohwɛ phosphate dodow a ɛwɔ wo mogya mu no so akyerɛ wo. Enti, nnuru a nnuruyɛfo taa kamfo kyerɛ sɛ wɔmfa nsiw phosphate dodow yi ano no mu biako ne Sevelamer. Ɛnnɛ, yɛbɛka saa aduru yi ho asɛm tiawa, nea ɛyɛ nipadua no, sɛnea wɔde di dwuma, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho.
Dɛn ne Sevelamer? Dɛn na ɛyɛ ankasa?
Sɛ yɛbɛka no tiawa a, Sevelamer yɛ aduru titiriw bi a ɛkyekyere phosphate wɔ yɛn dwensɔtwaa mu. Fa no sɛ ɛte sɛ ɔponkɛse. Saa aduru yi kyekyere phosphate a ɛwɔ aduan a yedi mu no ansa na akɔ yɛn nipadua mu. Afei, wɔde phosphate a wɔakyekyere no fi nipadua no mu wɔ nsu no mu.
Seesei ebia woresusuw nea enti a ɛsɛ sɛ wugyae phosphate yi a wobɛtwe no ho. Nea enti a ɛte saa ni. Sɛ w’asaabo ntumi nyɛ adwuma yiye a, entumi nyi phosphate a ɛboro so a ɛboaboa ano wɔ wo nipadua mu no mfi hɔ. Afei phosphate dodow a ɛwɔ wo mogya mu no betumi akɔ soro wɔ ɔkwan a asiane wom so. Eyi betumi ama wo nnompe ayɛ mmerɛw, ama woanya komayare, na ɛde akwahosan ho haw afoforo a emu yɛ den aba. Enti saa aduru yi yɛ adwuma de tew saa asiane no so.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ɛho hia paa sɛ wo duruyɛfo no hu w’akwahosan tebea no yiye ansa na wama wo saa aduru yi. Enti, sɛ wowɔ tebea horow a ɛwɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
- Sɛ wowɔ akisikuru (efisɛ ɛtɔ mmere bi a saa aduru yi betumi ama ayɛ kɛse).
- Sɛ wo dwensɔtwaa asiw anaasɛ yafunu anaa dwensɔtwaa mu haw afoforo a.
- Sɛ wowɔ akisikuru wɔ Sevelamer anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a.
- Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a.
Sɛ wodi kan ka saa nneɛma yi kyerɛ a, ɛbɛyɛ mmerɛw ama oduruyɛfo no sɛ ɔbɛma wo ayaresa a ɛfata na ahobammɔ wom sen biara.
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma pɛpɛɛpɛ?
Sɛnea ɛbɛyɛ na woanya aduru yi so mfaso kɛse no, ɛho hia yiye sɛ wode di dwuma yiye.
- Fa ka aduan ho: Eyi yɛ aduru a ɛsɛ sɛ wɔnom ka aduan ho . Saa kwan no so no, wubetumi atwe phosphate a ɛwɔ aduan no mu no yiye.
- Wosow yiye: Sɛ wɔde eyi ma wo sɛ nsu (anom suspension) a, mma wo werɛ mmfi sɛ wobɛwosow toa no yiye ansa na wode adi dwuma.
- Ma wo ne nnuru afoforo ntam kwan:Eyi ho hia paa. Sɛ worenom nnuru afoforo a, ebia ebehia sɛ wugyaw nnɔnhwerew pii kwan wɔ wɔn ntam. Sevelamer betumi asiw nnuru afoforo a wɔtwetwe no kwan. Enti, ka nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo na bisa wɔn bere tenten a ɛsɛ sɛ wugyaw kwan pɔtee bi.
- Fa no bere ano: Fa dodow a wɔakyerɛw ama wo no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Mma nnuru no dodow nkɔ soro anaasɛ nnyae aduru no nom a wunnyaa wo duruyɛfo afotu.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom 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 esiane biribiara nti.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii a, mma wo ho nnyɛ wo hu. 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.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Sevelamer tumi ne nnuru afoforo bi di nkitaho. Eyi kyerɛ sɛ ebetumi asiw ɔkwan a saa nnuru no fa so yɛ adwuma no kwan. Nnuru a ebetumi ne no adi nkitaho no bi wɔ ase ha.
| Aduru ko a wɔde yɛ | Hyɛ nso |
|---|---|
| Ciprofloxacin a wɔde yɛ nnuru | Aduru a ekum ɔyare mmoawa |
| Cyclosporine a wɔde di dwuma | Aduru a ɛma nipadua no tumi ko tia nyarewa |
| Mycophenolate a wɔde yɛ aduru | Aduru a ɛma nipadua no tumi ko tia nyarewa |
| Levothyroxine a wɔde ma | Aduru bi a ɛma obi nya thyroid hormone |
| Tacrolimus a wɔde di dwuma | Aduru a ɛma nipadua no tumi ko tia nyarewa |
Eyi nyɛ nsɛm a wɔahyehyɛ a edi mũ, enti ɛho hia yiye sɛ woka nnuru a worenom nyinaa (a vitamin, nhabannuru, ne nhabannuru tii ka ho) kyerɛ wo duruyɛfo.
Nneɛma bɔne bɛn na ebetumi afi aduru no a wɔnom mu aba?
Te sɛ aduru biara no, Sevelamer betumi de ɔhaw ahorow aba nnipa binom so. Nanso, ɛnyɛ obiara na onya bi. Eyinom bi betumi ayɛ aniberesɛm na ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara sɛnea wubetumi. Ebinom nyɛ aniberesɛm saa.
| Nsunsuanso bɔne no su | Nkyerɛmu |
|---|---|
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn ntɛm ara. | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Ayamtim | Akisikuru a emu yɛ den anaasɛ efi ase foforo. |
| Sɛ saa sɛnkyerɛnne ahorow yi kɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. | |
| Ayamtuo | Akisikuru a ɛma obi ho yɛ hyew. |
| Gas a wɔde yɛ adwuma | Mframa a ɛretu. |
| Akisikuru ne ɔfe | Yafunu a ɛyɛ yaw, ɔfe. |
| Yafunu mu yaw | Yafunu mu yaw. |
Sɛ wuhu sɛnkyerɛnne foforo biara a ɛyɛ soronko a enni saa din yi mu a, wo ne wo duruyɛfo nkasa mfa ho nso.
Dɛn bio na ɛsɛ sɛ wodwen ho?
- Hwɛ a wobɛkɔ akɔhwɛ wo daa: Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn. Ɛho hia sɛ wuhu wo nkɔso.
- Mogya mu nhwehwɛmu: Bere a worenom aduru yi no, ebia wɔbɛka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu mfa nhwɛ sɛnea wo phosphate ne nneɛma afoforo te. Mma nntwa wɔn so.
- Vitamin: Ebia saa aduru yi nso bɛtew vitamin ahorow bi a ɛkɔ nipadua mu no so, enti wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia wuhia vitamin foforo anaa.
- Nnuru a wɔde sie: Fa nnuru toa no sie baabi a mmofra ntumi nkɔ, baabi a ɛhɔ yɛ hyew (ɛyɛ digrii Celsius 15-30), na fa baabi a nsu ntumi nkɔ mu. Mfa nnuru a ne bere atwam nni dwuma.
Nkrasɛm a Wɔde Kɔ Fie
- Sevelamer yɛ aduru a ɛho hia ma asaabo ayarefo de hwɛ phosphate dodow a ɛwɔ mogya mu no so.
- Ɛsɛ sɛ wɔde saa aduru yi ka aduan ho bere nyinaa .
- Ka nnuru afoforo a worenom nyinaa (a vitamin ne Ayurvedic nnuru ka ho) ho asɛm kyerɛ wo duruyɛfo.
- Nnyae nnuru nom anaasɛ ɛnsesa dodow a wode ma no da a wunnya wo duruyɛfo afotu.
- Sɛ wuhu sɛnkyerɛnne biara a ɛma wo ho yɛ wo hyew anaasɛ wo ho yɛ wo yaw kɛse a, bɔ wo duruyɛfo amanneɛ ntɛm ara .
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