If yu de sɔfa wit Chronic Kidney Disease (CKD), ɔ yu de du dayalaysis tritmɛnt, yu dɔktɔ kin dɔn gi yu wan mɛrɛsin we dɛn kɔl ‘Phosphate Binders’. Yu kin de wɔnda, "Wetin na dis mɛrɛsin? Wetin mek a nid fɔ tek dis?" Nɔ fred. Tide, wi go tɔk bɔt dis insay wan we we rili simpul, we wi go ɔndastand, ɛn we go mek wi gɛt padi biznɛs wit ɔda pipul dɛn.
Lɛ wi si fɔs, wetin na dis ‘fɔsfɛt’?
Fɔ tɔk am simpul wan, fɔsfɛt na impɔtant tin fɔ wi bɔdi. Jɔs lɛk aw wi nid simen ɛn brik fɔ bil os, na so wi nid fɔsfɛt bak fɔ bil bon ɛn tit dɛn we gɛt wɛlbɔdi, fɔ mek wi sɛl dɛn gɛt ɛnaji, ɛn fɔ mek di DNA mɔlyul dɛn we gɛt wi jɛnɛtik infɔmeshɔn. Wi kin gɛt dɛn tin ya frɔm di tin dɛn we wi kin it ɛn drink.
Insay pɔsin we gɛt wɛlbɔdi, di kidni dɛn kin wok lɛk filta. dεn de tek di כmכnt כf fכsfεt we di bכdi nid εn dεn de kכl di εksεs insay di urine. Bɔt pan pɔsin we gɛt krɛse sik na in kidni, dis wok we di kidni dɛn de du nɔ kin wok fayn. Dɔn , di fɔs fɔstɛm we pasmak kin bigin fɔ gɛda na di blɔd instead fɔ kɔmɔt na di bɔdi. Wi kin kɔl dis kɔndishɔn haypafɔsfɛtemia.
So wetin na dɛn fɔsfɛt binder ya?
Okay, naw di impɔtant pat de kam. Fɔsfɛt binder na spɛshal kayn mɛrɛsin we de stɔp di bɔku bɔku fosfɛt we de na di it we wi de it fɔ mek i nɔ go insay wi blɔd frɔm wi intestin.
Tink bɔt am dis we. We yu tek dis mɛrɛsin we yu de it, i de go insay yu bɛlɛ ɛn stik to di fɔsfɛt patikyula dɛn we de insay yu it. I tan lɛk magnet we de pik ayɛn paoda. dis "bound" fכsfεt, biכs i nכ kin ebul fכ abzכp di bכdi, de pas kכmכt na yu bכdi dayrekt insay yu stכl. Dis kin ɛp fɔ kɔntrol di bɔku bɔku fɔsfɛt we kin gɛda na yu blɔd.
We di fɔsfɛt we de na di blɔd go ɔp, i kin kam togɛda wit di kalsiɔm we de na di bɔdi ɛn i kin mek wi bon dɛn wik. Wetin denja pas ɔl na dat dɛn kin put na di wɔl na di blɔd vesel ɛn blok dɛn. Dis kin mek yu gɛt siriɔs sik lɛk at sik ɛn strok.
Us it dɛn we gɛt bɔku fosfɛt? Lɛ wi no bɔt dɛn tin ya bak!
Jɔs lɛk aw yu de tek mɛrɛsin, i impɔtant bak fɔ no ɛn kɔntrol it dɛn we gɛt bɔku fosfɛt. Di tebul we de dɔŋ ya sho sɔm it dɛn we gɛt bɔku fosfɛt. Yu nɔ nid fɔ avɔyd dɛn tin ya ɔltogɛda, bɔt i impɔtant fɔ kɔntrol di kayn we aw yu de it, wit di advays we yu dɔktɔ ɔ pɔsin we sabi bɔt it go gi yu.
| Kategori fɔ it | Ɛgzampul dɛn |
|---|---|
| Milk ɛn tin dɛn we dɛn mek wit milk | Milk, yogɔt, chiz (espɛshali chiz we dɛn dɔn prosɛs) . |
| Fɔd dɛn we dɛn dɔn prosɛs ɛn fast fud dɛn | Sosish, mitbol, ham, bekin, instant nuts |
| Nat ɛn ligɛm | Kash, pinat, lentil, chikip, grɛn bins |
| Drink dɛn we gɛt kabon lɛk soda | Sɔft drink dɛn we gɛt dak kɔlɔ lɛk kola |
| Sirial dɛn we gɛt flawa | Buckwheat, oats, rays wit bran |
Aw fɔ yuz dis mɛrɛsin?
Dis na di impɔtant tin we yu fɔ wɔri bɔt. I rili impɔtant fɔ mek yu fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du.
Dɛn mɛrɛsin ya fɔ tek wit it. dis na biכs di fכsfεt we de insay it nid fכ abzכp insay di bεlε bifo i go rich di intestinal dεm. Dipen pan di kayn mɛrɛsin we yu de tek, yu dɔktɔ kin advays yu fɔ:
- Chew ɛn swɛla it 10-15 minit bifo yu it.
- Chew ɛn swɛla jɔs lɛk aw yu bigin fɔ it.
- Swɛla di tablɛt ɔl wit di fɔs tu ɔ tri mɔtful it dɛn.
- If na paoda, sɔlv am insay wata ɛn drink am wit di fɔs tu ɔ tri mɔtful it.
- Chew ɛn swɛla jɔs afta yu dɔn it.
Yu fɔ rili tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek (vitamin, mɛrɛsin fɔ ɔda sik), bikɔs sɔm mɛrɛsin kin miks wit dɛn fɔsfɛt binder ya.
Fɔsfɛt binder dɛn gɛt sayd ɛfɛkt?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt smɔl smɔl sayd ɛfɛkt dɛn. Bɔku tɛm, dɛn tin ya nɔ kin rili siriɔs. Afta sɔm tɛm, yu bɔdi kin yus to am.
- Bɛlɛ de at
- Nɔs ɛn vɔmit
- Fɔ ful-ɔp di bɛlɛ, fɔ ful-ɔp wit gas
- Banbɛlɛ
- Rɔnbɛlɛ
- Chenj in stɔl kɔlɔ (dis na nɔmal tin, nɔ wɔri) .
- Sɔm tin dɛn we gɛt kalsiɔm we gɛt kalsiɔm kin mek di kalsiɔm we de na di blɔd go ɔp.
If dɛn sayd ɛfɛkt ya kin rili mɔna yu ɔ i at fɔ bia wit, mek shɔ se yu tɔk to yu dɔktɔ bɔt am.
Wetin go apin if yu stɔp fɔ tek mɛrɛsin we yu nɔ gɛt dɔktɔ advays?
Nɔ ɛva du dis. If yu stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm we yu nɔ gi yu dɔktɔ advays, yu blɔd fɔsfɛt go go ɔp bak kwik kwik wan. Yu kin gɛt sɔm kayn sik lɛk dis:
- I de it ɔlsay na di bɔdi
- Di lip ɛn finga dɛn we de swɛla
- Bɔn pen, mɔ na di hip ɛn sholda
- Bɔdi we nɔ gɛt layf
- Di yay dɛn we de rɛd
- Di risk fɔ gɛt at sik ɛn bon dɛn we brok kin bɔku
Ustɛm a fɔ go to di dɔktɔ bak?
If di sayd ɛfɛkt dɛn bad ɔ nɔr de bɛtɛ as tɛm de go, mek shɔ se yu go to yu dɔktɔ. apat frכm dat, sכmtεm we di fכsfεt bכku na di bכdi kin mek di kכlsyכm we de na di bכdi dכn sכmtεm. Dɛn kɔl dis haypokalsimia. Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sik ya:
- Mɔsul dɛn we kin kramp
- Prɔblɛm fɔ mɛmba tin dɛn
- Fɔ fil lɛk yu vɛks (Irritability) .
- di lip, di tכng, di finga dεm, εn/כ di fut dεm we de sכl dεm nכm
- Di at bit we nɔ de bit (Aritmia) .
Mɛsej we dɛn kin kɛr go na os
- Fɔsfɛt binder na impɔtant mɛrɛsin we de kɔntrol di fɔsfɛt lɛvɛl na di blɔd fɔ di wan dɛn we gɛt kidni.
- Tek dis mɛrɛsin ɔltɛm wit it, lɛk aw yu dɔktɔ tɛl yu .
- Nɔ stɔp fɔ tek di mɛrɛsin we yu nɔ gɛt dɔktɔ advays fɔ ɛni rizin.
- If di sayd ɛfɛkt dɛn rili bad ɔ if yu gɛt sayn dɛn we de sho se yu nɔ gɛt kalsiɔm (we yu de twitch, yu nɔ de fil fayn), tɛl yu dɔktɔ wantɛm wantɛm.
- Apat frɔm mɛrɛsin, fɔ kɔntrol yu it we gɛt bɔku fosfɛt impɔtant bak. Tɔk to yu dɔktɔ bɔt dis.
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