Ne ayikudɔ le fu ɖem na wò la, ɖewohĩ ènya tso nuteƒekpɔkpɔ me be nɔnɔmea ate ŋu akpɔ ŋusẽ ɖe ŋutilãa ƒe ɖoɖo bubuwo dzi. Esia ate ŋu agblẽ nu le míaƒe ƒunukpeƒewo ƒe lãmesẽ ŋu vevietɔ. Le nɔnɔme sia tɔgbe me la, wò ɖɔkta ateŋu aŋlɔ atike si woyɔna be `Paricalcitol` na wò. Eyata, esi ŋkɔ sia nye nu yeye vie na ame geɖe ta la, egbea míaƒo nu tso atike sia ŋu, nusi wòwɔna ŋutɔŋutɔ, kple nusiwo ŋu wòle be míakpɔ nyuie le ne ele ezãm.
Atike ka ƒomevie nye Paricalcitol?
Kpuie ko la, Paricalcitol nye vitamin D ƒomevi tɔxɛ aɖe.Gake esia mele abe vitamin D ƒe atikekui si míenona zi geɖe ene o. Eƒe dɔ vevitɔe nye be wòakpɔ ŋusẽ ɖe parathyroid gland siwo le míaƒe ŋutilã me ƒe dɔwɔwɔ dzi.
Le amesiwo ŋu ayikudɔ le, vevietɔ amesiwo le ʋumenugbagbeviɣidɔ wɔm gome la, parathyroid glands wɔa dɔ akpa ɣeaɖewoɣi. Míeyɔa nɔnɔme sia le atikewɔwɔ me be ``hyperparathyroidism.`` Ne lãkusiawo va le dɔ wɔm akpa la, woɖea parathyroid hormone ``parathyroid hormone`` si sɔ gbɔ ɖe ʋua me. Ne lãmetsi sia dzi ɖe edzi la, eɖea calcium le míaƒe ƒuwo me hetsɔnɛ dea ʋua me. Le ɣeyiɣi aɖe megbe la, esia ate ŋu ana ƒuwo nagbɔdzɔ, woagbã, eye woagbã bɔbɔe gɔ̃ hã.
Eyata, nusi `Paricalcitol` ƒe atikekui la wɔna enye be eɖea parathyroid hormone ƒe agbɔsɔsɔ si sɔ gbɔ akpa dzi kpɔtɔna eye wòkpɔa edzi, eye wòkpɔa wò ƒunukpeƒewo ta.
Nusiwo wòle be nàgblɔ na wò ɖɔkta hafi ano atike
Hafi wòana atike sia wò la, ahiã be wò ɖɔkta nanya wò lãmesẽ ŋutinya bliboa. Eya ta, kpɔ egbɔ be yena enya nu tso nu siwo gbɔna ŋu. Ðeko nu siawo ɣla agblẽ nu le ŋuwò.
| Nɔnɔme si ŋu wòle be nàka nya ta le | Nuɖᴐɖᴐ |
|---|---|
| Ʋu ƒe agbɔsɔsɔ | Ne wò ɖɔkta gblɔ na wò be calcium, phosphorus, alo vitamin D ƒe agbɔsɔsɔ le wò ʋu me sɔ gbɔ xoxo la, gblɔe na wo. |
| Nusiwo ŋu nulɔdɔ le | Kpɔ egbɔ be yegblɔe na mí ne Paricalcitol-tike sia, vitamin D, atike bubu ɖesiaɖe, nuɖuɖu, nusi wotsɔ dzraa nu ɖo, alo amadede ƒe nulɔdɔ aɖe le ŋuwò. |
| Fufɔfɔ kple no nana | Ele vevie ŋutɔ be nàna wò ɖɔkta nanya ne èfɔ fu fifia, nèle agbagba dzem be yeafɔ fu, alo nèle no nam. |
Aleke nèzãa atike siae?
Paricalcitol menye atike si nàte ŋu atsɔ ayi aƒemee o. Enye atike si wodona ɖe ʋuka me. Eyata atikewɔla siwo xɔ hehe le kɔdzi alo atikewɔƒe koe naae . Zi geɖe la, wodoa atike sia le ʋumenugbagbeviɣidɔdada me.
Vevietɔ: Wò ɖeɖekoe atike sia nye. Mègagblɔe na ame bubu aɖeke alo kafui na ame bubu aɖeke gbeɖe o.
Nukae nàwɔ ne èno atike wògbɔ eme?
Wowɔa esia le kɔdzi, eyata mɔnukpɔkpɔ si li be esia nadzɔ la le sue ŋutɔ. Gake ne èsusu be ɖewohĩ yeno atike sia fũ alo ne èkpɔ dzesi aɖewo siwo do ƒome kplii la, na dɔwɔlawo nanya enumake. Alo, ƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi . Ne nɔnɔme kpata aɖe dzɔ la, anyo wu be nàyi kɔdzi si te ɖe ŋuwò wu ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) .
Nu bubu siwo ate ŋu awɔ dɔ kple atike sia
Atike aɖewo, nuɖuɖuwo, kple kpeɖeŋutɔ ate ŋu awɔ dɔ kple Paricalcitol. Eyata ele vevie be nàna wò ɖɔkta naŋlɔ atike siwo katã nèzãna (siwo dometɔ aɖewoe nye atike siwo wozãna na dɔléle bubuwo, vitaminwo, gbetikewo, kple Ayurveda-tikewo).
| Atike/nuɖuɖu ƒomevi | Nya si ŋu woatsi dzi ɖo |
|---|---|
| Burosumab, atike bubu siwo me vitamin D le | Esiawo nono ɖekae ate ŋu ana calcium kple vitamin D nasɔ gbɔ ɖe ŋutilãa me wòade afɔku me. |
| Atike aɖewo na HIV/AIDS, fungi dɔlékuiwo, ʋumemi, kple alɔ̃madɔmadɔ | Esiawo ate ŋu akpɔ ŋusẽ ɖe alesi Paricalcitol wɔa dɔe dzi, eyata ahiã be woatrɔ asi le wò agbɔsɔsɔme ŋu alo ahiã be woado wò kpɔ enuenu. |
| Digoxin, tsinyegoe me atikewo (tsitikewo), dɔlékuiwutike aɖewo (abe clarithromycin ene) . | Ehiã be ɖɔkta nalé ŋku ɖe eŋu nyuie elabena atike siawo ƒe nuwɔna ate ŋu adzɔ. |
| Weintsetse ƒe detsiƒonu | Ƒo asa na jambola detsi nono, elabena ate ŋu ana atike sia ƒe agbɔsɔsɔ nadzi ɖe edzi le ŋutilã me. |
| Atike siwo wua acid kple vitamin aɖewo | Ƒo asa na esiawo nono atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee. Calcium, magnesium, alo phosphorus ate ŋu anɔ wo me. |
Nusiwo ŋu wòle be nàɖɔ ŋu ɖo etɔxɛe ne èle atike nom
1. Atikewɔlawo ƒe dodokpɔ edziedzi: Wò ɖɔkta alé ŋku ɖe ŋuwò edziedzi be yeakpɔ ale si nèle. Ahiã hã be woado wò ʋu kpɔ edziedzi (dɔdamɔnu dodokpɔwo) be nàlé ŋku ɖe wò calcium, phosphorus, kple parathyroid hormone ƒe agbɔsɔsɔ ŋu . Mègadzo le dodokpɔ siawo dzi o.
2. Nuɖuɖu tɔxɛ: Woabia tso asiwò be nàwɔ ɖe nuɖuɖu tɔxɛ aɖe dzi esime nèle atike sia nom. Woate ŋu abia tso asiwò be nàɖo seɖoƒe na nuɖuɖu siwo me phosphorus (notsi, cheese, nukuwo, gbewo, kple aha siwo le abe cola ene) le. Wɔ ɖe wò ɖɔkta alo nuɖuɖuŋutinunyala ƒe mɔfiamewo dzi pɛpɛpɛ.
3. Ƒo asa na atike bubuwo nono: Ðɔkta ƒe mɔɖeɖe manɔmee.Mègano atike siwo kpena ɖe ame ŋu alo esiwo tsia acid nu siwo me vitamin D, phosphorus, magnesium, alo calcium le o. Esia wɔwɔ ate ŋu ana nusiawo nasɔ gbɔ ɖe ŋutilã me si me afɔku le eye wòahe nugbegblẽ le ame ŋu vevie.
Nukawoe nye nusiwo ate ŋu ado tso eme?
Abe atike ɖesiaɖe ene la, Paricalcitol ate ŋu ahe nugbegblẽ le ame aɖewo ŋu. Esiawo dometɔ aɖewo nye nya veviwo, evɔ bubuwo ya mefa o. Nu vevitɔe nye be nànya dzesi siawo eye nàwɔ afɔɖeɖe kaba ne ehiã.
| Nu gbegblẽ sesẽ siwo wòle be woagblɔ na ɖɔkta enumake | |
|---|---|
| Nulɔdɔ ƒe Nuwɔnawo | Ŋutilã ƒe ʋuʋu, ʋuʋudedi sesẽ, mo, nuyi, aɖe alo ŋɔti ƒe vuvu, gbɔgbɔ sesẽ. |
| Calcium ƒe agbɔsɔsɔ si dzi ɖe edzi ƒe dzesiwo | Tsikɔwuame si gbɔ eme, aɖuɖɔɖɔɖɔ enuenu, lãmetutudɔ, ʋuʋudedi, tɔtɔ, ɖeɖiteameŋu si mebɔ o, kple ƒu ƒe vevesese. |
| Dzesi siwo fia be phosphorus ƒe agbɔsɔsɔ dzi ɖe edzi | Lãmetsiwo ƒe vevesese alo woƒe sesẽ, ƒu alo ƒunukpeƒewo ƒe vevesese, nu me ƒe ʋuʋu. |
| Nugbegblẽ le ame ŋu si bɔ siwo wòle be woagblɔ na ɖɔkta ne woyi edzi | |
| Nuɖuɖumeŋusẽ ƒe kuxiwo | Aɖuɖɔtoe, ʋuʋudedi, dɔmeɖui, dɔgbo ƒe dɔmawɔmawɔ nyuie, nuɖuɖu ƒe dzodzro. |
| Nɔnɔme bubuwo | Taɖuame, afɔkpodzi, asiwo, alo afɔwo ƒe vuvu. |
Gbedasi si Wotsɔ Yi Aƒeme
- Paricalcitol nye vitamin D dodo tɔxɛ aɖe si wodona tsɔ léa ayikudɔlélawo ƒe hyperparathyroidism nu.
- Kɔdzi alo atikewɔƒe koe wonaa atike sia.
- Hafi nàdze atike la nono gɔme la, gblɔ wò nulɔdɔwo katã, atike bubu siwo zãm nèle, kple nenye be èfɔ fu/le no nam viwò la na wò ɖɔkta.
- Ele vevie be woado ʋu kpɔ ɖe game dzi eye woawɔ ɖe nuɖuɖu si ɖɔktaa gblɔ na wo dzi.
- Ne èkpɔ nulɔdɔ ƒe dzesi aɖe alo calcium alo phosphorus ƒe agbɔsɔsɔ si sɔ gbɔ ƒe dzesi aɖewo (abe tsikɔwuame fũ, ƒu ƒe vevesese ene) la, na wò ɖɔkta nanya enumake.
- Ƒo asa na kpeɖeŋutɔ ɖesiaɖe si me calcium, vitamin D, alo phosphorus le nono atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee.
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