Yu de sɔfa wit kidni sik? If na so, yu dɔktɔ go dɔn tɔk to yu bɔt aw yu paratayrɔyd gland de wok. Doxercalciferol na spɛshal injɛkshɔn we dɛn kin gi fɔ trit wan kɔndishɔn we kin apin we dis gland kin wok pasmak. Pan ɔl we di nem go tan lɛk se i strenj smɔl, tide wi go tɔk simpul ɛn klia wan bɔt wetin i de du ɛn wetin yu fɔ tek tɛm wit we yu de yuz am.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, dis na wan kayn vaytamɛn D. Insay pipul dɛn we gɛt sik na dɛn kidni, sɔm tɛm dɛn de di paratayrɔyd gland dɛn kin bigin fɔ wok tumɔs. Tink bɔt am lɛk smɔl switch we de on ɔltɛm. Wi kin kɔl dis pan mɛrɛsin we dɛn kɔl haypaparatayroydism.
Dis mɛrɛsin de wok bay we i de kɔntrol di lɛvɛl dɛn na di paratayroyd ɔmon, we wan gland we de wok pasmak de pul. we dεn kכntrol dis כmon lεvεl, di lεvεl dεm fכ kalsiכm εn fכsfכr na yu bכdi de bεlε. Dis kin ɛp fɔ mek yu bon dɛn kɔntinyu fɔ gɛt wɛlbɔdi. Bikɔs we di paratayrɔyd ɔmon lɛvɛl go ɔp, di bon dɛn kin wik.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
I rili impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi istri bifo yu gi yu dis mɛrɛsin. So if ɛni wan pan dɛn tin ya apin to yu, mek shɔ se yu tɛl dɛn bɔt am.
- If yu gɛt ɛni sik na yu liva .
- If yu dɔktɔ dɔn tɛl yu se di kalsiɔm, fɔsfɔr, ɔ vaytamɛn D na yu blɔd dɔn ɔlrɛdi tu bɔku .
- If yu gɛt alɛji fɔ dɔksakalsifɛrɔl, vaytamɛn D, ɔda mɛrɛsin, it, tin dɛn we de mek yu nɔ pwɛl, ɔ day.
- If yu gɛt bɛlɛ, ɔ yu de tray fɔ gɛt bɛlɛ.
- If yu na mama we de gi pikin in bɛlɛ.
I rili impɔtant fɔ yu sef fɔ tɔk to di dɔktɔ we yu nɔ go ayd dis infɔmeshɔn.
Aw yu kin yuz dis mɛrɛsin?
Dɛn kin gi yu dis vaysin na ɔspitul ɔ klinik. Dɛn kin put am insay wan vein ɔ wan mɔsul. Bɔku tɛm dɛn kin gi am di sem tɛm we dɛn kin gi am dayalaysis.
Yu kin nid fɔ yuz dis na os. If na so i bi, nɔs ɔ dɔktɔ go tich yu aw fɔ pripia ɛn injɛkt am fayn fayn wan. Yuz am jɔs lɛk aw dɛn tɛl yu fɔ yuz am, ɛn na di tɛm dɛn nɔmɔ we dɛn dɔn tɛl yu fɔ yuz.Nɔ ɛva tek pas di doz we dɛn tɛl yu fɔ tek.
Ɛspɛshali mɛmba!
- Nidul ɛn sirinj: Nɔ ɛva trowe nidul ɛn sirinj we yu dɔn yuz na di dɔti. Bifo dat, put dɛn insay spɛshal kɔntena we gɛt shap tin dɛn. If yu nɔ gɛt wan, aks yu dɔktɔ ɔ klinik fɔ wan.
- If dɛn gi am to pikin dɛn: Pikin dɛn kin nid spɛshal kia we dɛn de gi dis mɛrɛsin, so tek tɛm tɔk bɔt dis wit yu pikin in dɔktɔ.
- If yu tek am pasmak: If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, nɔ panik. Wantɛm wantɛm, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital, ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu.
- Nɔ sheb: Dɛn dɔn gi dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb am wit ɛni ɔda pɔsin fɔ ɛni rizin.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Sɔm mɛrɛsin kin miks wit dis vaysin ɛn mek prɔblɛm, so i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
| Tin dɛm wae kin intarakt wit dis mɛrɛsin | |
|---|---|
| Nɔ tek dis wit dɛn mɛrɛsin ya: | |
| Burosumab we gɛt di sik | Ɔda kayn Vitamin D ɔ sɔpɔtmɛnt dɛn |
| Prɔblɛm kin apin bak wit dɛn tin ya (tɛl yu dɔktɔ): | |
| Di tin dɛn we dɛn kin yuz fɔ sɔpɔt di kalsiɔm | Digoxin we dɛn kin yuz |
| Ɛritromaysin we dɛn kɔl | Ketokonazɔl we dɛn kɔl |
| Magnesium supliment ɔ antiasid | Fɛnobarbital we dɛn kɔl |
| Fɛnitoin we dɛn kɔl | Sɔm diuretiks (Thiazide diuretics) . |
Dis list nɔto ɔltin we de insay di list. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, ɔyl dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Mek shɔ se yu tɛl yu dɔktɔ if yu de smok ɔ drink rɔm.
Ɔda tin dɛn we yu fɔ tink bɔt we yu de tek di mɛrɛsin
- Chek-ap ɔltɛm: Nɔ mis di tɛm we yu dɔn sɛtul fɔ go to dɔktɔ. We yu de tek dis mɛrɛsin, yu go nid fɔ du sɔm impɔtant lab wok fɔ chɛk yu blɔd lɛvɛl fɔ kalsiɔm, fɔsfɔr, ɛn paratayroyd ɔmon. Dis na aw yu dɔktɔ go no if yu doz fayn fɔ yu.
- Speshal it: Dɛn kin tɛl yu fɔ fala spɛshal it we yu de tek dis mɛrɛsin. Dɛn kin tɛl yu fɔ stɔp fɔ it tin dɛn we gɛt bɔku fɔsfɔr (lɛk milk, chiz, bins, nɛt). Nɔ tek ɛni ɔva-di-kɔnta mɛrɛsin we gɛt vaytamɛn D, fɔsfɔr, magnɛsiɔm, ɔ kalsiɔm (inklud sɔm antasid fɔ at bɔn) if yu dɔktɔ nɔ advays yu.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Jɔs lɛk ɛni ɔda mɛrɛsin, smɔl chans de fɔ mek yu gɛt sayd ɛfɛkt. Sɔm pan dɛn fɔ ripɔt wantɛm wantɛm, ɛn ɔda wan dɛn nɔ so siriɔs.
| Tayp fɔ di sayd ɛfɛkt | Karakta |
|---|---|
| If yu gɛt ɛni wan pan dɛn tin ya , tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| di hεy kalsiכm lεvεl na di bכdi | Tɔsti mɔ ɔ pis bɔku tɛm, nɔs, vɔmit, kɔnfyushɔn, wik we nɔ kɔmɔn, bon pen. |
| di ay fכsfכr lεvεl na di bכdi | di mכsul dεm de pen כ stiff, bon כ joyn de pen, sכmtεm we de rawnd di mכt. |
| If dɛn tin ya de kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ. | |
| Kɔmɔn sayd ɛfɛkt dɛn | Kɔnstipɛshɔn, diziz, yu mɔt we de dray, ed we de at, we yu nɔ de want fɔ it, we yu de te lɛk mɛtal na yu mɔt, we yu de nɔs, we yu de vɔmit. |
Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, duya kɔntak yu dɔktɔ fɔ advays.
Mɛsej we dɛn kin kɛr go na os
- Doxercalciferol na wan kayn vaytam in D injεkshכn we dεn kin gi fכ kכntrכl haypaparatayroydism pan pipul dεm we gεt kidni.
- Bifo yu tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt, alɛji, ɛn ɔl di mɛrɛsin dɛn we yu de tek.
- Fɔ fala di spɛshal it we di dɔktɔ tɛl yu fɔ it. Mek dɛn du yu blɔd tɛst di rayt tɛm.
- If yu tɔsti pasmak, yu de vɔmit, yu gɛt pen na yu bon, ɔ yu gɛt alɛji, go to dɔktɔ wantɛm wantɛm.
- If yu mis wan doz, nɔ ɛva tek tu doz wan tɛm. If yu gɛt dawt, aks yu dɔktɔ.
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