Yu dɔktɔ dɔn tɛl yu fɔ tek wan mɛrɛsin we dɛn kɔl ‘Phosphate Binders’? Ɔ yu dɔn notis se di fosfɛt we de na yu blɔd bɔku? Dis nem kin tan lɛk se i strenj smɔl to yu. Bɔt nɔ wɔri. Dis na mɛrɛsin wae dɛn kin gi pipul dɛm wae gɛt sik na dɛn kidni. Tide, wi go tɔk bɔt am insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na dɛn fɔsfɛt binder ya?
I rili simpul. Fɔsfɛt binder na wan kayn mɛrɛsin we dɛn kin gi fɔ mek di lɛvul fɔ fosfɛt na yu bɔdi go dɔŋ. Fɔsfɛt na wan minral we wi bɔdi nid. Bɔt jɔs lɛk ɛnitin, if yu du am tumɔs, dat kin mek wi gɛt prɔblɛm. Na da tɛm de dɔktɔ go gi yu dis mɛrɛsin.
Pan ɔl we yu kin bay sɔm pan dɛn mɛrɛsin ya na kɔwnta, yu nɔ fɔ ɛva yuz dɛn if yu nɔ tɔk to yu dɔktɔ. Dis rili impɔtant.
Wetin mek wi bɔdi nid fɔsfɛt?
Fɔsfɛt na ilɛktrɔlayt we de na wi bɔdi. Fɔ tɔk am simpul wan, na minral we rili impɔtant fɔ mek wi bɔdi wok. Tink bɔt am, fɔsfɛt de ɛp fɔ mek wi bon ɛn tit dɛn strɔng. nכto dat nכmכ, bכt fכsfεt implεnt bak fכ mek wi bכdi in sεl dεm prodyuz enεji, fכ mek sεl mεmbran dεm, εn fכ fכm DNA (Deoxyribonucleic acid), we gεt wi jεnεtik infכmeshכn.
Wi kin gɛt dis fɔsfɛt frɔm di it we wi de it ɛn drink. Pɔsin we gɛt wɛlbɔdi in bɔdi kin tek di tin nɔmɔ we i nid, ɛn di ɔda wan dɛn kin kɔmɔt na in urine ɛn fes. Bɔt fɔ sɔm rizin, mɔ we di kidni dɛn nɔ de wok fayn, di bɔdi nɔ kin ebul fɔ pul di ɛkstra fɔsfɛt dis we. Na da tɛm de di fɔsfɛt kin gɛda na di blɔd ɛn mek prɔblɛm.
Udat nid dis fɔsfɛt binder?
Bɔku tɛm, dɔktɔ go gi yu dis mɛrɛsin if di fɔsfɛt we de na yu blɔd bɔku pas aw i kin bi. Dɛn kɔl dis sik we dɛn kɔl hyperphosphatemia .
Dis kכndyushכn kin apin mכst pan pipul dεm wae gεt krεse sik (CKD) εn dεn wan dεm wae gεt kכmplit kidni fεil εn dεn de du dayalaysis.
Wetin mek dɛn kin gi dis mɛrɛsin to pipul dɛn we gɛt dayalaysis?
i nכmal fכ fכsfεt kכmכt na di bכdi as di kidni dεm de fεl. we di fכsfεt lεvεl inkrεs, i de bigin fכ pul kalsiכm frכm di bon dεm. As tɛm de go, dis kin mek di bon dɛn wik ɛn i kin mek di bon dɛn brok mɔ ɛn mɔ. Dɛn kin gi fɔsfɛt binder to di wan dɛn we gɛt dayalaysis fɔ mek dɛn nɔ gɛt sik dɛn we gɛt fɔ du wit bon.
Wetin na di fayn fayn fosfɛt lɛvɛl na di blɔd?
di nכmal bכdi fכsfεt lεvεl fכ hεlty big man de bitwin 2.8 εn 4.5 miligram pan wan dεsilita (mg/dL) . fכ yכŋ pikin dεm, dis valyu hכy sכmtεm, bitwin 4.0 εn 7.0 mg/dL .
Bɔt mɛmba se dɛn valyu ya kin difrɛn smɔl dipen pan di ikwipmɛnt ɛn di we aw dɛn de yuz na ɛni lab. So, i go fayn fɔ aks yu dɔktɔ fɔ di bɛst ɛksplen bɔt di valyu we de na yu ripɔt.
Us it ɛn drink dɛn we gɛt bɔku fosfɛt?
If yu gɛt sik na yu kidni, yu nid fɔ tek tɛm mɔ bɔt wetin yu de it ɛn drink, bikɔs jɔs lɛk aw yu de tek mɛrɛsin, fɔ kɔntrol di it dɛn bak rili impɔtant.
| Di kayn it we dɛn kin it | Ɛgzampul dɛn |
|---|---|
| Milk ɛn it dɛn we dɛn mek wit milk | Milk, yogɔt, chiz (espɛshali chiz we dɛn dɔn prosɛs) . |
| Sɔm drink dɛn | Drink dɛn we gɛt kabon lɛk kola (Soda pop) . |
| Instant ɛn pripia it dɛn | Fast fud, prosɛs mit (sosish, mitbɔl), tin fish |
| Nat ɛn flɛks dɛn | Pinat, kash, bins, chikip, lentil |
| Sirial wit bran | Bran bred, oats, bran rays (rɛd rays) . |
Aw dis mɛrɛsin we dɛn kɔl fɔsfɛt binder de wok?
Di we aw dis de wok rili wɔndaful. We wi de it it, di fosfɛt we de insay da it de de go insay wi bɔdi tru di midul pat na di smɔl intestinal, we wi kɔl di jejunum .
we yu tek dis fכsfεt binder wit it, di mεdisin de go insay yu bεlε εn "baynd" wit di εkstra fכsfεt we de insay yu it. I tan lɛk magnet. We i stik, i nɔ kin ebul fɔ absɔb insay yu blɔd. Dɔn, di ɛkstra fɔsfɛt de pas kɔmɔt na yu bɔdi na yu stɔl. I rili simpul, nɔto so?
Di kayn tin dɛn we dɛn kin yuz fɔ mek fɔsfɛt ɛn aw fɔ gɛt dɛn?
Difrɛn kayn tin dɛn de we dɛn kin yuz fɔ tay di fɔsfɛt. Dipen pan yu sik, yu dɔktɔ go pik di kayn we we go fayn fɔ yu.
- Kalsiɔm kabɔnɛt - (e.g. Tums®, Alka-Seltzer®) .
- Sevelamer - (e.g. Rεnvεla®, Rεnagel®) .
- Lantanam kabɔnɛt - (e.g. Fosrenol®) .
- Kalsiכm asetεt - (e.g. PhosLo®, Phoslyra®) .
- Sukrofεrik כksihaydroksayd - (e.g. Velphoro®) .
Uswan na di bɛst kayn?
Bɔku tɛm, dɛn kin gi pɔsin sɔm tin dɛn we gɛt kalsiɔm (lɛk kalsiɔm kabɔnɛt). Bɔt sɔm stɔdi dɛn dɔn sho se we dɛn tek dɛn supamakit ya we gɛt kalsiɔm fɔ lɔng tɛm, di ɛkstra kalsiɔm kin gɛda na di blɔd vesel dɛn. Dɛn kɔl dis vaskul kalsifikeshɔn . Dis kin mek yu gɛt mɔ blɔd klot ɔ strok. Fɔ dis rizin, sɔntɛnde yu dɔktɔ kin tɛl yu fɔ tek wan supamakit we nɔ gɛt kalsiɔm (lɛk Sevelamer).
Aw a fɔ tek dis mɛrɛsin?
Dis na di tin we impɔtant pas ɔl. Fɔ mek dis mɛrɛsin wok fayn, di tɛm we yu tek am rili impɔtant. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin), bikɔs sɔm mɛrɛsin kin miks wit dis wan.
- Di kayn mɛrɛsin we dɛn fɔ tek kin difrɛn:
- Sɔm pan dɛn nid fɔ chew ɛn swɛla 10-15 minit bifo yu it .
- Sɔm pan dɛn nid fɔ chew ɛn swɛla jɔs afta yu bigin it .
- Sɔm pan dɛn nid fɔ swɛla ɔl , wit di fɔs tu ɔ tri mɔt dɛn we yu de it .
- Sɔm kin kam insay paoda fɔm. Dɛn fɔ sɔlv dɛn insay wata ɛn tek dɛn wit di fɔs tu ɔ tri mɔt we yu de it .
- Sɔm pan dɛn fɔ chew ɛn swɛla wantɛm wantɛm afta yu dɔn it .
Di tin we impɔtant pas ɔl na dat, dɛn fɔ tek dis mɛrɛsin wit it. Na da tɛm de i go absɔb di fɔsfɛt we de insay di it. If yu tek dis mɛrɛsin we yu nɔ it, dat nɔ go du natin.
Ɛni sayd ɛfɛkt de fɔ dis mɛrɛsin?
Lɛk ɛni mɛrɛsin, dis kayn mɛrɛsin kin mek yu gɛt smɔl smɔl sayd ɛfɛkt, bɔt nɔto ɔlman kin gɛt am.
| Kɔmɔn sayd ɛfɛkt dɛn |
|---|
| - Bɛlɛ de pen |
| - Nɔs ɛn vɔmit |
| - Prɔblɛm fɔ blo/dijestiv |
| - Dayarɛa ɔ kɔnstipɛshɔn |
| - Fɔ blo |
| - Chenj in stɔl kɔlɔ |
| - sכm (we gεt kalsiכm) tכp dεm kin inkrεs di kalsiכm lεvεl na di bכdi. |
If dɛn sayn ya de mɔna yu, tɔk to yu dɔktɔ. Dɛn kin ebul fɔ chenj di mɛrɛsin we yu de tek.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt siriɔs sayd ɛfɛkt, mek shɔ se yu tɛl yu dɔktɔ. כlso, sכmtεm we di fכsfεt de bכku na di bכdi kin mek di kalsiכm lεvεl na di bכdi dכn. Dɛn kɔl dis haypokalsimia . If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
- Di mɔsul dɛn we de shek shek
- Prɔblɛm fɔ mɛmba tin dɛn
- Fɔ vɛks we nɔ gɛt rizin
- Di lip, tɔŋ, finga, ɔ fut we nɔ gɛt natin
- Di sik dɛn we kin mek pɔsin sik
- Di at bit we nɔ de bit (Aritmia) .
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
We yu go na yu nɛks dɔktɔ apɔntinmɛnt, mɛmba dɛn kwɛstyɔn ya. We yu aks dɛn, dat go ɛp yu fɔ ɔndastand yu sik gud gud wan.
- "Us kain fosfet binder yu rekomend fo mi?"
- "Wetin na di poshubul sayd effekt dem?"
- "Aw a fɔ tek dis mɛrɛsin? Bifo ɔ afta it?"
- "Aw many taims fo de a shud tek am?"
- "Aw many pils a fɔ tek fɔ men it? Ɔmɔs pils a fɔ tek fɔ snek?"
- "Ɛni ɔda mɛrɛsin de we a fɔ stɔp fɔ tek we a de tek dis mɛrɛsin?"
- "Aw lɔŋ a go gɛt fɔ tek dis mɛrɛsin?"
- "Us kain test dem de du to si if dis medisin de wok?"
- "A nid fɔ go to pɔsin we sabi bɔt it?"
Mɛsej we dɛn kin kɛr go na os
- Fɔsfɛt binder na mɛrɛsin dɛn we de ɛp fɔ kɔntrol di fɔsfɛt lɛvɛl na di blɔd. Dis impɔtant mɔ fɔ pipul dɛn we gɛt sik na dɛn kidni.
- Fɔ mek dis mɛrɛsin wok fayn, dɛn fɔ tek am jɔs lɛk aw di dɔktɔ tɛl am, di rayt tɛm, ɛn wit it .
- Nɔ stɔp fɔ tek dis mɛrɛsin fɔ ɛni rizin if yu dɔktɔ nɔ advays yu.
- Apat frɔm we yu de tek mɛrɛsin, i rili impɔtant bak fɔ kɔntrol di it we yu de it we gɛt bɔku fosfɛt. Tɔk to yu dɔktɔ bɔt dis.
- If yu gɛt siriɔs sayd ɛfɛkt ɔ yu sho sayn dɛn fɔ se yu nɔ gɛt bɛtɛ kalsiɔm, go to dɔktɔ wantɛm wantɛm.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt