If yu ɔ sɔmbɔdi na yu famili gɛt krɛse sik, yu go mɔs no se sɔm tin dɛn we di kidni fɔ pul kin gɛda na di bɔdi. Wan pan dɛn kayn tin ya na "fɔsfɛt". dis fכsfεt we wi de tek frכm di it we wi de it, de kכmכt frכm di kidni dεm we gεt hεlth insay di urine. Bɔt we di kidni dɛn nɔ de wok fayn, mɔ we i kam pan dayalaysis, dis fɔsfɛt kin bigin fɔ gɛda na di blɔd. Dis nɔ fayn fɔ di bɔdi atɔl. Dis kin mek yu bon dɛn wik, yu jɔyn dɛn kin pen, yu skin kin rɔsh, ɛn ivin at sik as tɛm de go. Na dat mek yu dɔktɔ kin gi yu difrɛn mɛrɛsin dɛn fɔ kɔntrol di lɛvɛl we di fɔsfɛt de na di blɔd. Sevelamer na wan pan dɛn kayn mɛrɛsin ya we rili impɔtant.
Wetin na Sevelamer? Aw i kin wok?
Fɔ tɔk am simpul wan, Sevelamer na fosfɛt magnet. I kin kam lɛk pil ɔ kapsul. We yu tek dis mɛrɛsin, i kin tay di fɔsfɛt we de na di it we yu de it na yu insay ɛn i kin stɔp di bɔdi fɔ tek da fɔsfɛt de. Dɔn, di fɔsfɛt we dɛn tay de pas kɔmɔt na yu bɔdi na yu stɔl. Tink bɔt am lɛk pɔsin we de gɛda dɔti, we de go insay yu insay ɛn pik fɔsfɛt we yu nɔ want ɛn trowe am na do.
Di tin we impɔtant pas ɔl na dat dis mɛrɛsin nɔ de go insay di blɔd. i de wok nכmכ na di dijestiv sistεm, dat na insay di intestines. Na dat mek dis na mɛrɛsin we rili sef. Dis mɛrɛsin kin kam ɔnda brand nem dɛn lɛk RenaGel ɛn Renvela.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu gi yu Sevelamer, i impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi prɔblɛm. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
- Bɔwel blɔk: If yu dɔn gɛt bɔdi blɔk bifo.
- Kɔnstipɛshɔn: If yu kin gɛt kɔnstipɛshɔn ɔltɛm, dis mɛrɛsin kin mek i wɔs.
- I nɔ izi fɔ swɛla: If yu gɛt prɔblɛm fɔ swɛla ivin pils.
- Ɔda sik dɛn na yu bɛlɛ ɔ yu intestinal: If yu bin dɔn du ɔpreshɔn pan yu bɛlɛ ɔ yu intestinal bifo, ɔ if yu gɛt ɔda sik.
- Alɛji: If yu gɛt alɛji to Sevelamer ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
- If yu na mama we de gi pikin in bɛlɛ.
Bay dis infɔmeshɔn, yu dɔktɔ go disayd if dis mɛrɛsin fayn fɔ yu ɔ if dɛn nid fɔ chenj di doz.
Aw fɔ yuz Sevelamer kɔrɛkt wan?
Fɔ mek yu go gɛt di bɛst pan di mɛrɛsin, yu nid fɔ yuz am fayn fayn wan.
1. Tek wit it: Dis na di tin we impɔtant pas ɔl. Bikɔs dis mɛrɛsin de wok bay we i de tay di fɔsfɛt we de insay it. So, i impɔtant fɔ tek dis mɛrɛsin wit di men it dɛn (mɔnin, midde, ɛn nɛt) . If yu tek dis we yu nɔ it, i nɔ go wok.
2. Swɛla wit wan glas wata: Swɛla di tablɛt ɔ kapsul ɔl wit wan glas wata. Nɔ brok, krɔs, ɔ chew di tablɛt. Aks yu dɔktɔ fɔ advays.
3. Tek am di rayt tɛm: Tek di rayt doz di rayt tɛm lɛk aw yu dɔktɔ tɛl yu fɔ tek am. Nɔ skip wan doz.
4. Nɔ stɔp fɔ tek am fɔ yusɛf: Ilɛk aw yu fil fayn, nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
5. Ɔda mɛrɛsin dɛn: If yu de tek ɔda mɛrɛsin, yu kin nid fɔ tek dɛn difrɛn tɛm pas Sevelamer, bɔt spɛshal dɛn fɔ wan ɔ tu awa. Dis na bikɔs Sevelamer kin ambɔg di absɔpshɔn fɔ ɔda mɛrɛsin dɛn. So, tɔk to yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek ɛn plan yu mɛrɛsin schedule akɔdin to dat.
Yu kin gi dis to smɔl pikin dɛn?
Yɛs, insay sɔm spɛshal kes dɛn, dɛn kin gi dis mɛrɛsin bak to pikin dɛn we dɔn pas 6. Bɔt dɛn kin du am ɔnda di strikt sɔpɔtishɔn fɔ pikin dɛn.
Wetin a go du if a tek bɔku mɛrɛsin ɔ mis wan doz?
Ɔvados: If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, go na di ɔspitul Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu wantɛm wantɛm . Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Mis doz: If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz (e.g., i nɔ rich tu awa), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we dɛn dɔn sɛtul. Nɔ ɛva tek tu doz wan tɛm fɔ mek di doz we yu mis.
Ɔda mɛrɛsin ɛn tin dɛm wae kin intarakt wit Sevelamer
Sevelamer kin ambɔg di akshɔn fɔ sɔm mɛrɛsin dɛn. So, i impɔtant fɔ tɛl yu dɔktɔ if yu de tek dɛn mɛrɛsin ya:
- Antibayɔtik dɛn lɛk Ciprofloxacin
- Sayklɔspɔrin we dɛn kɔl
- Maykofenolayt we dɛn kɔl
- Levothyroxine - na mɛrɛsin fɔ tayroyd sik dɛn
- Takrɔlimus we dɛn kɔl
Dis list nɔ kɔmplit. So tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin, vaytamɛn, tradishɔnal mɛrɛsin, ɔ ɛbul prɔdak we yu de tek. Dɔn bak, tɛl yu dɔktɔ if yu de smok ɔ drink rɔm.
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt we yu de tek di mɛrɛsin
Lɛk ɔl mɛrɛsin, Sevelamer kin mek sɔm sayd ɛfɛkt, pan ɔl we nɔto ɔlman kin gɛt dɛn. Dis na sɔm pan di sayd ɛfɛkt dɛm we pɔsin kin gɛt.
| Tayp fɔ di sayd ɛfɛkt | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na yu fes, lip ɔ tong, i nɔ izi fɔ blo. |
| Sivɛri kɔnstipɛshɔn | Nɔ bowel muvmɛnt fɔ sɔm dez, bad bad bɛlɛ pen. |
| Sayd ɛfɛkt dɛm wae nɔr kin denja, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Bɛlɛ de at | Gas, bɛlɛ pen, nɔs, vɔmit, dayarɛa. |
If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we nɔ de na dis list, tɔk to yu dɔktɔ bɔt dɛn bak.
Ɔda tin dɛn we yu fɔ tek tɛm wit we yu de tek di mɛrɛsin
- Fɔ chɛk yu dɔktɔ ɔltɛm: Fɔ go na di klinik dɛn lɛk aw yu dɔktɔ dɔn plan fɔ du am, rili impɔtant fɔ si if yu sik de go bifo.
- Blɔd tɛst: Bɔku tɛm yu dɔktɔ go ɔda fɔ mek dɛn du blɔd tɛst fɔ chɛk tin dɛn lɛk yu blɔd fɔsfɛt lɛvɛl ɛn kalsiɔm lɛvɛl. Nɔ skip dɛn.
- Vitamin ɛn it we dɛn kin gi:Sevelamer kin ambɔg bak di absɔpshɔn fɔ sɔm vaytamɛn dɛn. So tɔk to yu dɔktɔ ɔ pɔsin we sabi bɔt it fɔ no if yu nid ɔda vaytamɛn dɛn. Fɔ it tin dɛn we gɛt balans bak rili impɔtant.
- Fɔ kip mɛrɛsin: Kip di pils usay pikin dɛn nɔ go ebul fɔ rich. Stɔr am na rum tɛmpracha (bitwin 15-30 sɛlshiɔs), fa frɔm mɔstɔ ɛn dairekt san layt. Trowe di mɛrɛsin we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Sevelamer na wan impɔtant mɛrɛsin fɔ kɔntrol di blɔd fɔsfɛt lɛvɛl na di wan dɛn we gɛt lɔng tɛm kidni.
- Dis mɛrɛsin fɔ tek wit men it , ɔdasay i nɔ go wok.
- Gi yu dɔktɔ kɔmplit diskripshɔn bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɔda mɛrɛsin dɛn we yu de tek.
- If yu gɛt sɔm kayn sik lɛk fɔ gɛt siriɔs kɔnstipɛshɔn ɔ alɛji, go to dɔktɔ wantɛm wantɛm.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
- Fɔ go na di mɛdikal klinik dɛn di rayt tɛm ɛn fɔ du di blɔd tɛst we yu nid, rili impɔtant fɔ mek yu gɛt wɛlbɔdi.
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