Nangmah emaw, i chhungte zinga tu emaw hian kal natna khirh tak i neih chuan kal (kidney)-in a paih chhuah tur thil thenkhat chu taksaah a pung khawm tih i hre ngei ang. Chutiang thil pakhat chu "phosphate" a ni. He phosphate, kan ei leh in atanga kan lakluh hi zun (kidney) hrisel atang hian zun atanga chhuak a ni. Mahse kal (kidney) a chhiat chuan, a bik takin dialysis kan tih a ngaih hunah chuan he phosphate hi thisenah a awm tan thin. Hei hi taksa tan a tha lo tak zet a ni. Hei hian hun kal zelah ruh chak lohna, ruh na, vun natna, leh thinlung natna thlengin a thlen thei a ni. Chuvangin i doctor chuan thisena phosphate level control nan damdawi chi hrang hrang a pe thin. Chutiang damdawi pawimawh tak pakhat chu Sevelamer hi a ni.
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Sevelamer chu eng nge ni? Engtin nge a thawh?
A awlsam zawngin sawi ila, Sevelamer hi phosphate magnet a ni. Pill emaw capsule emaw angin a awm thin. He damdawi hi i ei hian i intestines-a i ei tur phosphate chu a binding a, chu phosphate chu taksain a hip lut thei lo. Tichuan, phosphate bound chu i taksa atangin i stool-ah a kal chhuak ta a ni. Bawlhhlawh khawlkhawmtu ang maiin ngaihtuah la, i chhungril chhungah lutin phosphate duh loh zawng chu la chhuakin paih chhuak rawh.
A pawimawh ber chu he damdawi hi thisenah a lut lo. Digestive system-ah chauh a thawk a, chu chu intestine chhungah chauh a thawk a ni. Chuvang chuan hei hi damdawi him tak a ni. He damdawi hi RenaGel leh Renvela ang chi brand hming hnuaiah a awm thei a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Sevelamer i pek hmain i doctor hian i hriselna dinhmun a hriat chian a pawimawh. A hnuaia natna te hi i neih chuan doctor hnenah hrilh ngei ang che:
- Bowel blockage: A hmaa bowel blockage i neih tawh chuan.
- Constipation: Constipation i neih fo chuan he damdawi hian a ti na zual thei.
- Chaw ei harsatna: Pill pawh ei harsa i tih chuan.
- Pum emaw, intestinal natna dang: Tun hmaa pum emaw, intestinal surgery i neih tawh chuan, emaw, damdawi lam natna dang i neih chuan.
- Allergy: Sevelamer emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan.
- Naupai emaw, nau pai tum emaw i nih chuan.
- Nu hnute pe mek i nih chuan.
Heng thute a\ang hian i doctor chuan he damdawi hi i tan a tha em tih emaw, a dose thlak a ngai em tih emaw a rel ang.
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Damdawi pakhat atanga hlawkna tam ber hmuh tur chuan a hman dan tur dik tak i hman a ngai a ni.
1. Chaw nen la rawh: Hei hi a pawimawh ber a ni. A chhan chu he damdawi hian ei tur a phosphate awm chu a binding a, hna a thawk a ni. Chuvangin, he damdawi hi chaw ei ber (zing, chawhnu, leh zan) nen ei a pawimawh hle . Hei hi ei tur tel lova ei chuan a ti thei lovang.
2. Tui glass khat nen ei: Tablet emaw capsule emaw chu tui glass khat nen a pumin ei rawh. Tablet chu tichhia suh, tikehsawm suh, chew suh. I doctor hnenah thurawn zawt rawh.
3. A hun takah ei rawh: Dose dik tak chu doctor-in a tih angin a hun takah ei rawh. Dose khat pawh skip suh.
4. Mahni chauha ei kha bansan suh: Engtiang pawhin i rilru a hahdam a, i doctor thurawn tel lo chuan he damdawi hi ei nghal vat suh.
5. Damdawi dang: Damdawi dang i ei a nih chuan Sevelamer aiin hun hrang hrangah i ei a ngai mai thei a, mahse darkar khat emaw darkar hnih emaw vel space out tur a ni. Hei hi a chhan chu Sevelamer hian damdawi dang lakluhna a tibuai thei a ni. Chuvangin i damdawi ei zawng zawng chungchang hi i doctor nen sawiho la, chumi ang chuan i damdawi ei hun tur ruahman rawh.
Hei hi naupang tê tête hnenah i pe em?
Ni e, thil bik thenkhatah chuan he damdawi hi naupang kum 6 chunglam tan pawh pek a ni a, mahse naupang enkawltu enkawltu khauh tak hnuaiah tih a ni.
Damdawi ka ei tam lutuk emaw, dose ka ei loh emaw chuan engtin nge ni ang?
Overdose: I ngaihtuah aia tam damdawi i ei nia i rinhlelh chuan damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh . A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
Missed dose: Dose i ei theihnghilh chuan i hriatreng veleh ei nghal tur a ni. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan (e.g., darkar hnih aia rei lo) dose hloh chu skip la, i dose leh tur chu a hun ruatah ei rawh. Dose hloh tawh chu vawi khatah vawi hnih ei ngai suh.
Damdawi dang leh Sevelamer nena inzawm thei thil
Sevelamer hian damdawi thenkhat hnathawh a tibuai thei. Chuvangin, a hnuaia damdawi te hi i ei a nih chuan i doctor hriattir a pawimawh hle.
- Antibiotics chi hrang hrang Ciprofloxacin ang chi te
- Cyclosporine a ni
- Mycophenolate a ni
- Levothyroxine - Thyroid natna damdawi a ni
- Tacrolimus tih hi a ni
He list hi a kim lo. Chuvângin , damdawi dang, vitamin, hnam damdawi, emaw, thinghnah emaw i ei lai chu i doctor hnênah hrilh rawh. Tin, zu i in emaw, zu i in emaw chuan doctor hnenah hrilh bawk ang che.
Damdawi ei laiin side effect awm thei
Damdawi zawng zawng ang bawkin Sevelamer hian side effect engemaw zat a nei thei a, mahse mi zawng zawngin an nei vek lo. A hnuaia tarlan te hi a side effect awm thei thenkhat te an ni.
| Side effect chi hrang hrang | Description leh tih tur |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring, thawk harsa. |
| Constipation na tak a awm | Ni tam tak chhung chu chaw ei loh, pum na tak. |
| Side effects hlauhawm lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Pum a na | Gas, pum na, luak chhuak, luak chhuak, luak chhuak. |
He list-a tel lo symptom dang danglam tak i neih chuan i doctor nen pawh chutiang lam chu sawipui rawh.
Damdawi ei laia thil dang ngaihtuah tur
- Damdawi lam enfiah fo: I dinhmun a ṭhat leh ṭhat loh hriat nan doctor-in a ruahman angin clinic-a kal hi a pawimawh hle.
- Thisen test: I doctor chuan i thisen phosphate level leh calcium level ang chi thil te enfiah turin thisen test a ti fo ang. Anni chu skip suh.
- Vitamin leh ei leh in: 1.1.Sevelamer hian vitamin thenkhat lakluhna a tibuai thei bawk. Chuvangin i doctor emaw, nutritionist emaw nen vitamin dang i mamawh leh mamawh loh chungchang sawipui rawh. Ei leh in inthlau tak ei hi a pawimawh hle bawk.
- Damdawi dahkhawmna: Pill hi naupangte hmuh theih lohna hmunah dah tur a ni. Room temperature (15-30 Celsius inkar), tui lum leh ni êng direct atanga hlaah dah tur a ni. Damdawi expire tawh chu paih vek rawh.
Take-Home Thuchah a ni
- Sevelamer hi hun rei tak chhunga kal damlote thisen phosphate level control nana damdawi pawimawh tak a ni.
- He damdawi hi main meals nen ei tur a ni , chuti lo chuan a hlawk dawn lo.
- I doctor hnenah damdawi dang zawng zawng, vitamin leh damdawi dang i ei zawng zawngte chu kimchang takin pe rawh.
- Constipation na tak emaw allergy emaw ang chi symptoms i neih chuan doctor rawn la nghal rawh.
- Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh la, a dose pawh thlak ngai suh.
- Medical clinic-a a hun taka kal leh thisen test tul tak tak neih hi i hriselna atan a pawimawh hle.
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