Koj tus kws kho mob puas tau hais kom koj noj tshuaj hu ua 'Phosphate Binders'? Los yog koj puas tau pom tias koj cov ntshav phosphate siab? Lub npe no yuav zoo li txawv me ntsis rau koj. Tab sis tsis txhob txhawj. Qhov no yog ib yam tshuaj uas feem ntau muab rau cov neeg uas muaj kab mob raum. Hnub no, peb yuav tham txog nws hauv txoj kev yooj yim heev uas koj tuaj yeem nkag siab.
Hais yooj yim xwb, cov phosphate binders no yog dab tsi?
Yooj yim heev. Cov tshuaj phosphate binders yog ib hom tshuaj uas muab los txo cov phosphate hauv koj lub cev. Phosphate yog ib yam minerals uas peb lub cev xav tau. Tab sis zoo li txhua yam, ntau dhau ntawm nws tuaj yeem ua rau muaj teeb meem. Thaum ntawd tus kws kho mob yuav sau ntawv rau cov tshuaj no.
Txawm hais tias qee cov tshuaj no tuaj yeem yuav tau yam tsis tas yuav muaj ntawv yuav tshuaj los xij, koj yuav tsum tsis txhob siv lawv yam tsis tau nrog koj tus kws kho mob tham. Qhov no tseem ceeb heev.
Vim li cas peb lub cev thiaj xav tau phosphate?
Phosphate yog ib qho electrolyte hauv peb lub cev. Hais yooj yim xwb, nws yog ib qho mineral uas tseem ceeb rau peb lub cev ua haujlwm. Xav txog nws, phosphate pab ua kom peb cov pob txha thiab cov hniav muaj zog. Tsis yog li ntawd xwb, tab sis phosphate kuj tseem ceeb rau kev tsim lub zog ntawm peb lub cev cov cell, kev tsim cov cell membranes, thiab kev tsim cov DNA (Deoxyribonucleic acid), uas muaj peb cov ntaub ntawv caj ces.
Peb tau txais cov phosphate no los ntawm cov khoom noj uas peb noj thiab haus. Lub cev ntawm ib tug neeg noj qab nyob zoo tsuas noj tau raws li qhov nws xav tau xwb, thiab cov seem ntawd raug tso tawm hauv cov zis thiab cov quav. Tab sis vim qee qhov laj thawj, tshwj xeeb tshaj yog thaum lub raum tsis ua haujlwm zoo, lub cev tsis tuaj yeem tso cov phosphate ntxiv tawm hauv txoj kev no. Thaum ntawd phosphate sib sau ua ke hauv cov ntshav thiab ua rau muaj teeb meem.
Leej twg xav tau cov phosphate binder no?
Feem ntau, tus kws kho mob yuav sau ntawv rau cov tshuaj no yog tias cov phosphate hauv koj cov ntshav siab dua li qub. Qhov mob no hu ua hyperphosphatemia .
Tus mob no feem ntau yuav tshwm sim rau cov neeg uas muaj kab mob raum ntev (CKD) thiab cov neeg uas muaj mob raum tsis ua haujlwm tag nrho thiab tab tom ntxuav ntshav.
Vim li cas cov tshuaj no thiaj muab rau cov neeg mob ntxuav ntshav?
Nws yog ib qho ib txwm muaj uas phosphate yuav sib sau ua ke hauv cov ntshav thaum lub raum tsis ua haujlwm. Thaum cov phosphate nce ntxiv, nws pib rub calcium tawm ntawm cov pob txha. Raws li lub sijhawm dhau mus, qhov no ua rau cov pob txha tsis muaj zog thiab ua rau muaj kev pheej hmoo ntawm kev tawg pob txha. Cov tshuaj khi phosphate raug muab rau cov neeg mob ntxuav ntshav kom tiv thaiv cov kab mob ntsig txog pob txha.
Tus nqi phosphate zoo tshaj plaws hauv cov ntshav yog dab tsi?
Tus nqi phosphate hauv cov ntshav rau ib tus neeg laus noj qab nyob zoo yog nruab nrab ntawm 2.8 thiab 4.5 milligrams ib deciliter (mg/dL) . Rau cov menyuam yaus, tus nqi no siab dua me ntsis, nruab nrab ntawm 4.0 thiab 7.0 mg/dL .
Tiam sis nco ntsoov tias cov nqi no yuav txawv me ntsis nyob ntawm cov khoom siv thiab cov txheej txheem siv hauv txhua lub chaw kuaj mob. Yog li ntawd, nws yog qhov zoo tshaj plaws los nug koj tus kws kho mob kom piav qhia qhov zoo tshaj plaws ntawm tus nqi hauv koj daim ntawv qhia.
Cov khoom noj thiab dej haus twg muaj phosphate ntau tshaj?
Yog koj muaj kab mob raum, koj yuav tsum ceev faj tshwj xeeb txog yam koj noj thiab haus, vim ib yam li kev noj tshuaj, kev tswj kev noj zaub mov kuj tseem ceeb heev.
| Hom zaub mov | Piv txwv |
|---|---|
| Mis nyuj thiab cov khoom noj mis nyuj | Mis nyuj, yogurt, cheese (tshwj xeeb yog cheese ua tiav) |
| Qee cov dej haus | Cov dej haus uas muaj cov pa roj carbon zoo li cola (Soda pop) |
| Cov khoom noj tam sim ntawd thiab cov khoom noj ua tiav lawm | Khoom noj ceev ceev, nqaij ua tiav (hnyuv, nqaij pob), ntses kaus poom |
| Cov txiv ntoo thiab cov flakes | Txiv laum huab xeeb, cashews, taum, chickpeas, lentils |
| Cov cereals nrog cov nplej zom | Qhob cij nplej, oats, mov nplej (mov liab) |
Cov tshuaj no hu ua phosphate binder ua haujlwm li cas?
Txoj kev ua haujlwm no zoo kawg nkaus. Thaum peb noj zaub mov, cov phosphate hauv cov zaub mov ntawd raug nqus mus rau hauv peb lub cev los ntawm nruab nrab ntawm txoj hnyuv me, uas peb hu ua jejunum .
Thaum koj noj cov phosphate binder no nrog pluas noj, cov tshuaj no mus rau hauv koj lub plab thiab "khi" nrog cov phosphate ntxiv hauv koj cov zaub mov. Nws zoo li lub hlau nplaum. Thaum nws lo, nws tsis tuaj yeem nqus mus rau hauv koj cov ntshav. Tom qab ntawd, cov phosphate ntxiv raug tso tawm ntawm koj lub cev hauv koj cov quav. Yooj yim heev, puas yog?
Cov hom phosphate binders thiab yuav ua li cas thiaj tau txais lawv?
Muaj ntau hom phosphate binders. Nyob ntawm koj tus mob, koj tus kws kho mob yuav xaiv hom uas haum rau koj tshaj plaws.
- Calcium carbonate - (piv txwv li Tums®, Alka-Seltzer®)
- Sevelamer - (xws li Renvela®, Renagel®)
- Lanthanum carbonate - (piv txwv li Fosrenol®)
- Calcium acetate - (piv txwv li PhosLo®, Phoslyra®)
- Sucroferric oxyhydroxide - (piv txwv li Velphoro®)
Hom twg zoo tshaj?
Cov tshuaj ntxiv uas muaj calcium (xws li calcium carbonate) feem ntau raug sau ntawv kom noj. Txawm li cas los xij, qee qhov kev tshawb fawb tau pom tias thaum cov tshuaj ntxiv uas muaj calcium no noj mus ntev, cov calcium ntxiv tuaj yeem sib sau ua ke hauv cov hlab ntsha. Qhov no hu ua vascular calcification . Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws lossis mob stroke. Vim li no, koj tus kws kho mob qee zaum yuav pom zoo kom noj cov tshuaj ntxiv uas tsis muaj calcium (xws li Sevelamer).
Kuv yuav tsum noj cov tshuaj no li cas?
Qhov no yog qhov tseem ceeb tshaj plaws. Yuav kom cov tshuaj no ua haujlwm tau zoo, lub sijhawm koj noj nws yog qhov tseem ceeb heev. Ua raws li koj tus kws kho mob cov lus qhia kom meej.
- Qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj (xws li cov vitamins thiab cov tshuaj ntsuab), vim tias qee cov tshuaj yuav cuam tshuam nrog cov tshuaj no.
- Nyob ntawm seb hom tshuaj twg, txoj kev uas yuav tsum noj yuav txawv:
- Ib txhia ntawm lawv yuav tsum tau zom thiab nqos 10-15 feeb ua ntej noj mov .
- Ib txhia ntawm lawv yuav tsum tau zom thiab nqos thaum koj pib noj mov .
- Ib txhia ntawm lawv yuav tsum tau nqos tag nrho , nrog rau ob lossis peb lub qhov ncauj thawj zaug ntawm pluas noj .
- Muaj ib txhia tuaj ua hmoov. Yuav tsum yaj rau hauv dej thiab noj nrog ob lossis peb lub qhov ncauj thawj zaug ntawm pluas noj .
- Ib txhia ntawm lawv yuav tsum tau zom thiab nqos tam sim ntawd tom qab noj mov .
Qhov tseem ceeb tshaj plaws yog tias cov tshuaj no yuav tsum tau noj nrog zaub mov. Thaum ntawd nws yuav nqus cov phosphate hauv cov zaub mov. Kev noj cov tshuaj no yam tsis muaj zaub mov yuav tsis ua dab tsi li.
Puas muaj tej yam tshwm sim tsis zoo rau cov tshuaj no?
Ib yam li lwm yam tshuaj, hom tshuaj no tuaj yeem ua rau muaj cov kev mob tshwm sim me me, tab sis tsis yog txhua tus neeg tau txais.
| Cov kev mob tshwm sim feem ntau |
|---|
| - Mob plab |
| - Xeev siab thiab ntuav |
| - Kev o/teeb meem zom zaub mov |
| - Mob raws plab los yog cem quav |
| - Kev o |
| - Hloov xim quav |
| - Qee hom (uas muaj calcium) yuav ua rau cov calcium ntau ntxiv hauv cov ntshav. |
Yog tias cov tsos mob no ua rau koj ntxhov siab, nrog koj tus kws kho mob tham. Tej zaum lawv yuav hloov tau koj cov tshuaj.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog tias koj muaj cov kev mob tshwm sim loj heev, nco ntsoov qhia rau koj tus kws kho mob. Tsis tas li ntawd, qee zaum qhov kev nce ntxiv ntawm phosphate hauv cov ntshav tuaj yeem ua rau cov calcium hauv lub cev txo qis. Qhov no hu ua hypocalcemia . Yog tias koj muaj cov tsos mob hauv qab no, nrhiav kev pab kho mob tam sim ntawd.
- Cov leeg nqaij ntswj
- Teeb meem nco qab
- Kev chim siab tsis muaj laj thawj
- Kev tsis muaj zog ntawm daim di ncauj, tus nplaig, cov ntiv tes, lossis cov taw
- Qaug dab peg
- Kev ua tsis taus ntawm lub plawv dhia (Arrhythmia)
Cov lus nug uas yuav tsum nug koj tus kws kho mob
Thaum koj mus ntsib kws kho mob tom ntej, nco ntsoov cov lus nug no. Kev nug lawv tuaj yeem pab koj nkag siab zoo dua txog koj tus mob.
- Koj xav kom kuv siv hom phosphate binder twg?
- Tej yam tshwm sim tsis zoo li cas?
- Kuv yuav tsum noj cov tshuaj no li cas? Ua ntej los yog tom qab noj mov?
- Kuv yuav tsum noj nws pes tsawg zaus hauv ib hnub?
- Kuv yuav tsum noj pes tsawg tshuaj rau pluas mov tseem ceeb? Kuv yuav tsum noj pes tsawg tshuaj rau khoom noj txom ncauj?
- "Puas muaj lwm yam tshuaj uas kuv yuav tsum tsis txhob noj thaum kuv noj cov tshuaj no?"
- Kuv yuav siv cov tshuaj no ntev npaum li cas?
- Yuav ua li cas thiaj kuaj tau seb cov tshuaj no puas ua haujlwm?
- Kuv puas yuav tsum mus ntsib kws kho mob kom noj qab haus huv?
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj khi phosphate yog cov tshuaj uas pab tswj cov phosphate hauv cov ntshav. Qhov no tseem ceeb heev rau cov neeg uas muaj kab mob raum.
- Yuav kom cov tshuaj no ua haujlwm tau zoo, yuav tsum noj raws nraim li tus kws kho mob tau sau tseg, raws sijhawm, thiab nrog pluas noj .
- Tsis txhob tsum noj cov tshuaj no rau txhua qhov laj thawj yam tsis tau koj tus kws kho mob qhia.
- Ntxiv rau kev noj tshuaj, nws tseem ceeb heev rau kev tswj koj cov zaub mov uas muaj phosphate ntau. Tham nrog koj tus kws kho mob txog qhov no.
- Yog tias koj muaj cov kev mob tshwm sim hnyav lossis qhia cov cim qhia tias koj tsis muaj calcium txaus, mus ntsib kws kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus