Yu gɛt ɛni prɔblɛm wit yu kidni? Ɔ yu dɔktɔ dɔn tɛl yu se yu kalsiɔm lɛvɛl nɔ bɔku? Dɔn i go mɔs bi se dɛn dɔn gi yu dis mɛrɛsin we dɛn kɔl ‘Calcitriol’. Bɔku pipul dɛn kin gɛt smɔl prɔblɛm we dɛn yɛri dis nem, "Wetin na dis mɛrɛsin? Wetin mek dɛn dɔn gi mi dis?" So lɛ wi tɔk tide fɔ fɛn ansa to dɛn kwɛstyɔn ya we yu gɛt. Rili simpul wan, wi go tɔk bɔt ɔltin bɔt dis mɛrɛsin di we we yu go ɔndastand.
Wetin na dis Calcitriol?
Fɔ tɔk am simpul wan, kalsitriɔl na spɛshal, aktif we fɔ gɛt vaytamɛn D. Di vaytamɛn D we wi kin tek nɔmal wan, di bɔdi nɔ kin ebul fɔ yuz am dairekt wan. wi kidni dεm nid fכ kכnvכlt am to in aktv fכm, kalsitriol.
Bɔt pan pɔsin we gɛt sik na in kidni, bikɔs dɛn kidni nɔ de wok fayn, dis prɔses nɔ kin apin fayn fayn wan. afta dat di kalsiכm lεvεl na di bכdi de dכn. Na da tɛm de dɔktɔ dɛn kin gi yu dis aktif vaytamɛn D dairekt wan, we na wan mɛrɛsin we dɛn kɔl kalsitriɔl.
Di men tin dɛm wae kin chenj frɔm dis na:
- Fɔ mek di smɔl smɔl kalsiɔm lɛvɛl na yu bɔdi go ɔp.
- I kin ɛp pipul dɛm wae gɛt paratayroyd gland disɔda. Dis mεdisin de εp bak fכ kכntrכl di כmon dεm we dεn gland dεm ya de kכmכt.
Yu kin si dis mɛrɛsin bak bɔku tɛm ɔnda di brand nem ‘Rocaltrol’.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu bigin fɔ tek dis mɛrɛsin, i rili impɔtant fɔ gi yu dɔktɔ kɔmplit diskripshɔn bɔt yu wɛlbɔdi kɔndishɔn. Yu fɔ tɔk mɔ bɔt dɛn tin ya we de dɔŋ ya.
| Situeshɔn we yu nid fɔ ripɔt | Wetin mek dat impɔtant? |
|---|---|
| Yu dɔn ɔlrɛdi gɛt sik na yu kidni. | Bikɔs dɛn kin gi dis mɛrɛsin mɔ fɔ sik dɛn na di kidni, dɛn fɔ no di doz bay di kayn sik we yu gɛt. |
| Fɔ gɛt sik na di paratayrɔyd gland. | Bikɔs dis mɛrɛsin kin afɛkt di paratayroyd ɔmon lɛvɛl, i impɔtant fɔ mek yu dɔktɔ no bɔt yu sik. |
| If yu de gɛt dayalaysis tritmɛnt. | Bikɔs di kalsiɔm ɛn fɔsfɔr lɛvɛl na di wan dɛn we gɛt dayalaysis kin chenj bɔku tɛm, dɛn nid fɔ ajɔst di mɛrɛsin doz dɛn akɔdin to dat. |
| Fɔ gɛt alɛji to sɔntin. | Mek shɔ se yu tɛl wi if yu gɛt ɛni alɛji to kalsitriɔl, vaytamɛn D, ɔda mɛrɛsin, it, tin dɛn we de mek yu nɔ pwɛl, ɔ tin dɛn we yu kin yuz fɔ kɔla. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ. | Ɛni mɛrɛsin fɔ tek tɛm pasmak we yu gɛt bɛlɛ. So, i rili impɔtant fɔ tɛl di dɔktɔ bɔt dis. |
| If yu na mama we de gi pikin in bɛlɛ. | Bikɔs di tin dɛn we de insay di mɛrɛsin kin pas to di pikin tru in mama in milk, tɔk to yu dɔktɔ bɔt dis bak. |
Aw ɛksaktɔli yu kin yuz dis mɛrɛsin?
Di we aw fɔ yuz dis rili simpul.
- Swɛla dis mɛrɛsin wit wan glas wata.
- Fɔ fala di instrɔkshɔn dɛn we de na di lɛbl fɔ di mɛrɛsin we dɛn gi yu di rayt we .
- Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Dis go ridyus di chans fɔ mis wan doz.
- Nɔ ɛva tek pas di mɔni we yu dɔktɔ tɛl yu fɔ tek.
If yu giv dis mɛrɛsin to pikin dɛn...
Dɔktɔ kin gi dis mɛrɛsin fɔ pikin dɛn, mɔ di wan dɛn we dɔn pas wan ia, fɔ sɔm mɛrɛsin dɛn we dɛn dɔn pik. Bɔt dɛn fɔ tek tɛm du am ɛn na jɔs dɔktɔ advays dɛn fɔ du am. So, if yu de gi yu pikin dis mɛrɛsin, tek tɛm tɔk to yu dɔktɔ ɛn fɛn di ditil dɛm.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek dis mɛrɛsin pas aw yu fɔ tek am, nɔ delay . Tu tin de we yu fɔ du wantɛm wantɛm.
1. Kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
2. Go na di ɔspitul we de nia yu in Imejɛnsi Tritmɛnt Yunit (ETU) .
Di tin we impɔtant pas ɔl: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ gi am to ɔda pɔsin we gɛt di sem sayn lɛk yu. I kin bi se i denja.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu nɔ gɛt wan doz fɔ mɛrɛsin, dat kin apin to ɛnibɔdi. If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz we yu mɛmba, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul . Nɔ tek dabl doz fɔ ɛni rizin.
Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .
Calcitriol na mɛrɛsin wae kin intarakt wit sɔm ɔda mɛrɛsin ɛn supamakit, so i impɔtant fɔ no bɔt dis.
| Nɔ tek Calcitriol wit dɛn tin ya. | |
|---|---|
| Burosumab we gɛt di sik | Vitamin D sɔpɔtmɛnt dɛn |
| If yu de tek dɛn mɛrɛsin ya, tɛl yu dɔktɔ. | |
|---|---|
| Di tin dɛn we dɛn kin yuz fɔ sɔpɔt di kalsiɔm | Kɔlestayramin we dɛn kɔl |
| Kɔtikosterɔyd dɛn - ɛgz. Prɛdnisolon we dɛn kɔl | Digoxin we dɛn kin yuz |
| Ketokonazɔl we dɛn kɔl | Magnɛsiɔm sɔpɔtmɛnt dɛn |
| Fɛnobarbital, Fɛnitɔyn | Fɔsfɛt-binding ɛjɛn dɛn |
| Sɔm tin dɛn we de mek pɔsin nɔ gɛt asid | Thiazide diuretics - (wata pils) . |
Dis list nɔ go kɔmplit, so tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɔyl dɛn we yu de tek. Nɔ fɔgɛt fɔ tɛl yu dɔktɔ if yu de smok ɔ drink rɔm.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
I rili impɔtant fɔ go to yu dɔktɔ ɔltɛm we yu de tek dis mɛrɛsin. Bɔku tɛm, yu dɔktɔ go tɛl yu fɔ du blɔd tɛst fɔ chɛk di kalsiɔm ɛn fɔsfɔr we de na yu blɔd. Nɔ skip dɛn tɛst ya.
Dɛn go advays yu bak fɔ fala spɛshal it.
Nɔ tek ɛni ɔda mɛrɛsin ɔ sɔpɔtmɛnt we gɛt vaytamɛn D, fosfɔr, magnɛsiɔm, ɔ kalsiɔm if yu dɔktɔ nɔ advays yu. Sɔm antasid (mɛrɛsin fɔ at bɔn) kin gɛt dɛn tin ya bak. If yu du dat, dat kin mek yu gɛt mɔ sayd ɛfɛkt.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, kalsitriol kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya nid fɔ pe atɛnshɔn to dɛn wantɛm wantɛm, ɛn ɔda wan dɛn nɔ kin rili siriɔs.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di chenj dɛn we de apin na di at rit | Hat kin bit fast ɔ nɔ kin bit ɔltɛm, diziz, fɔdɔm, chɛst pen, i nɔ kin izi fɔ blo. |
| di hεy kalsiכm lεvεl na di bכdi | Fɔ fil tɔsti ɔ pis pas aw yu kin pis, nɔs, vɔmit, kɔnfyushɔn, fil taya we nɔ kɔmɔn, ɛn bon pen. |
| di ay fכsfכr lεvεl na di bכdi | Pen na di mכsul dεm כ di joyn dεm, yu de nכm arawnd di mכt. |
| Bɔku tɛm, dɛn tin ya nɔ kin denja, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
| Dray mɔt | Ed de at |
| Fil fɔ it | Wan mɛtal teys we de na di mɔt |
| Bɛlɛ nɔ kin fil fayn | |
Aw fɔ kip di mɛrɛsin?
- Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
- Stɔr am na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs).
- Protɛkt frɔm layt.
- Kip di mɛrɛsin bɔtul/tablɛt tayt tayt wan.
- Trowe di mɛrɛsin we dɔn pas.
Dis infɔmeshɔn pepa na jɔs sɔmari. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, duya nɔ shem fɔ tɔk to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Calcitriol na wan aktif fכm fכ vaytam in D. Dɛn kin gi am mɔ to pipul dɛm we gɛt smɔl kalsiɔm lɛvɛl na dɛn bɔdi bikɔs ɔf kidni sik ɔ prɔblɛm wit di paratayroyd gland dɛm.
- Bifo yu bigin fɔ tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, sɔpɔtmɛnt dɛn, ɛn di mɛrɛsin dɛn we yu de tek.
- Tek di doz we yu dɔktɔ tɛl yu jɔs lɛk aw dɛn tɛl yu, di rayt tɛm. Nɔ ɛva tek tu dos wan tɛm.
- Yu fɔ no di sayn dɛm we de sho se yu gɛt bɔku bɔku kalsiɔm na yu blɔd (we yu tɔsti pasmak, yu nɔs, yu de vɔmit, yu bon pen). If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm.
- I impɔtant fɔ mek dɛn du blɔd tɛst ɔltɛm. Dɔn bak, nɔ tek ɛni ɔda kalsiɔm ɔ vaytamɛn D sɔpɔt we yu nɔ gɛt dɔktɔ advays.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin dɛn kin yuz Calcitriol (Calcitriol / Rocaltrol) fɔ?
Dis nɔto jɔs ɛni ‘Vitamin D’ we yu kin bay na rɛgyula famasi! dis na di ‘Aktiv fכm fכ Vitamin D3', we wi kidni dεm de mek. Ɛspɛshali fɔ di wan dɛn we gɛt siriɔs kidni damej (CKD/Dialysis), bikɔs di kidni dɛn nɔ kin ebul fɔ mek dis aktif vaytamɛn D, dɛn fɔ tek dis kalsitriɔl pil fɔ bil kalsiɔm na dɛn bɔdi ɛn fɔ mek dɛn nɔ lɔs dɛn bon.
💬 Aw dis pil (Calcitriol) de absɔb kalsiɔm frɔm di intestin ɛn mek di bon dɛn strɔng?
Nɔmal wan, i kin rili at fɔ mek di bɔdi tek di kalsiɔm we de insay di it we wi de it frɔm di insay. bכt we dis ‘aktiv vaytam in D (Calcitriol)' go insay di intestinal dεm, i de fכs di sεl dεm na di intestכn fכ ‘opin כl di do dεm we de alaw kalsiכm’ (Stimulates calcium absorption). Dɔn, bɔku bɔku kalsiɔm we de na di it kin go insay di blɔd, frɔm de i kin go insay di bon dɛn ɛn at, ɛn dis kin mek di bon dɛn strɔng.
💬 Wetin na di big ɛn denja sayd ɛfɛkt (tɔksisiti) fɔ dis sɛntetik vaytamɛn D?
I nɔ tan lɛk vaytamɛn we pɔsin kin gɛt ɔltɛm! If dɛn inkrisayz di doz fɔ dis mɛrɛsin (Calcitriol) ivin smɔl, di amɔnt ɔf kalsiɔm na yu blɔd go inkrisayz to wan lɛvɛl we yu nɔ go ebul fɔ bia (Hypercalcemia)! Dɔn da kalsiɔm de go go ɛn put insay di at ɛn blɔd vesel ɛn mek ston (Vascular calcification), we kin ivin kil di pɔsin wantɛm wantɛm. Chans de bak fɔ mek yu bɛlɛ at pwɛl bad bad wan, yu nɔs, yu go gɛt ston na yu urinary, ɛn yu maynd kɔnfyus.
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