Dokotala wanu mwina anakupatsani mankhwala otchedwa Cinacalcet. Izi ndi zoona makamaka ngati muli pa dialysis chifukwa cha matenda a impso osatha, kapena ngati muli ndi calcium yambiri m'magazi chifukwa cha vuto la parathyroid glands yanu. Chifukwa chake, tiyeni tikambirane mwachidule za mankhwala awa, momwe angagwiritsire ntchito, komanso zomwe muyenera kudziwa.
Kodi Cinacalcet ndi mankhwala otani?
Mwachidule, Cinacalcet ndi mankhwala omwe amathandiza kuwongolera kuchuluka kwa calcium m'thupi lathu. Ma gland a parathyroid omwe ali m'khosi mwathu amapanga mahomoni otchedwa parathyroid hormone. Homoni iyi imayang'anira kuchuluka kwa calcium m'magazi mwathu.
Tangoganizirani, m'matenda ena, mwachitsanzo, pamene impso sizikugwira ntchito bwino, ma glands a parathyroid awa amakhala otanganidwa kwambiri, ndipo calcium yambiri imasonkhana m'magazi. Timatcha izi Hypercalcemia. Apa ndi pamene mankhwala a Cinacalcet amathandiza. Chomwe mankhwalawa amachita ndikuwonjezera mphamvu ya ma glands a parathyroid, ndikuwapatsa chizindikiro choti, "Chabwino, pali calcium yokwanira m'thupi tsopano, musapangenso ina." Zotsatira zake, kupanga mahomoni kumachepa, ndipo calcium m'magazi imabwerera mwakale. Mankhwalawa amapezeka kwambiri pansi pa dzina la `(Sensipar)`.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Izi ndizofunikira kwambiri. Musanapatsidwe mankhwala awa, ndikofunikira kuti muuze dokotala wanu mbiri yonse ya thanzi lanu. Musabise chilichonse. Onetsetsani kuti mwawauza makamaka za izi:
- Ngati muli ndi mbiri ya matenda a mtima kapena kugunda kwa mtima kosasinthasintha.
- Ngati muli ndi matenda a chiwindi .
- Ngati munapezekapo kale ndi calcium yochepa m'magazi anu.
- Ngati mudadwalapo khunyu kale.
- Ngati muli ndi vuto lililonse m'mimba kapena m'matumbo (monga zilonda zam'mimba).
- Ngati munakhalapo ndi vuto la chifuwa chifukwa cha cinacalcet kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu, ndipo ngati ndi choncho, mlingo woti mupereke.
Njira yolondola yogwiritsira ntchito mankhwala
Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito bwino.
- Mezani piritsi ndi kapu ya madzi.
- Chofunika kwambiri: Imwani mankhwalawa nthawi yomweyo mutadya kapena nthawi yomweyo mutadya.Imwani. Musamwe muli ndi njala. Mankhwalawa amalowa bwino m'thupi akamwedwa pamodzi ndi chakudya.
- Musamathyole, kutafuna, kapena kuphwanya piritsi. Mezani piritsi lonse.
- Imwani mlingo wolembedwa pa nthawi yomwe dokotala wakupatsani. Musadumphe mlingo.
- Musasiye kumwa mankhwala anu mwadzidzidzi popanda upangiri wa dokotala chifukwa choti mwamva bwino.
Kodi mungachite chiyani ngati mwamwa mankhwala mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi ya chipatala chapafupi (ETU) nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo. Musatenge izi mopepuka, chifukwa kuchepa mwadzidzidzi kwa calcium kungakhale koopsa.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mapiritsi awiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Mankhwala ena omwe angayambitse mavuto ndi Cinacalcet
Ichi ndichifukwa chake ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa. Mankhwala ena amatha kusokonezana ndi Cinacalcet ndikuyambitsa mavuto.
| Mtundu wa mankhwala / mankhwala | Zinthu zofunika kuziganizira kwambiri |
|---|---|
| Thioridazine | Iyi ndi mankhwala a matenda amisala. Musagwiritse ntchito iyi ndi Cinacalcet pazifukwa zilizonse. |
| Mankhwala oletsa bowa (monga ketoconazole, itraconazole) | Izi zitha kusintha momwe Cinacalcet imagwirira ntchito. |
| Mankhwala opha tizilombo monga Erythromycin | Izi zingakhudzenso mphamvu ya mankhwala. |
| Mankhwala a mtima (monga flecainide) | Ndikofunikira kudziwitsa dokotala. |
| Mankhwala ochizira kuvutika maganizo ndi nkhawa | Uzani dokotala za izi. |
| Madzi a mphesa | Pewani kudya mphesa kapena kumwa madzi ake mukamamwa mankhwalawa. |
Mndandandawu sunathe. Uzani dokotala wanu za mavitamini, mankhwala azitsamba, kapena zowonjezera zomwe mukumwa.
Zotsatirapo zoyipa zomwe muyenera kuzidziwa mukamamwa mankhwala
Monga mankhwala ena aliwonse, Cinacalcet ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala. Chofunika kwambiri ndikudziwa zizindikiro izi ndikuchitapo kanthu mwachangu ngati pakufunika kutero.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa milomo, lilime kapena nkhope, kuvutika kupuma. |
| Zizindikiro za kuchepa kwa calcium | Kusanza m'miyendo kapena m'kamwa, kugwedezeka kwa minofu, kugunda kwa mtima mofulumira, ndi khunyu. |
| Zizindikiro za kuthamanga kwa magazi kotsika | Chizungulire, mutu wopepuka, kukomoka, kugwa. |
| Zizindikiro za kutuluka magazi mkati | Zakuda, ndowe zokhazikika, kusanza magazi kapena china chake chooneka ngati khofi. |
| Kusintha kwa maganizo | Kuvutika maganizo kwambiri. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kusanza, kusanza, kutsegula m'mimba, kusowa chilakolako cha chakudya. |
| Kupweteka kwa thupi | Kupweteka kwa mafupa, kupweteka kwa mafupa. |
Kodi mungasunge bwanji mankhwala mosamala?
- Sungani pamalo omwe ana sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 15-30 Celsius). Tetezani ku kutentha kwambiri ndi chinyezi.
- Musagwiritse ntchito mankhwala otha ntchito . Tayani bwino.
Mankhwalawa ndi a inu nokha. Musapatse wina chifukwa choti akuthandizani. Akhoza kukhala oopsa.
Uthenga Wopita Nawo Kunyumba
- Cinacalcet ndi mankhwala omwe amagwiritsidwa ntchito poletsa kuchuluka kwa calcium m'magazi a matenda a impso ndi mavuto a parathyroid gland.
- Nthawi zonse imwani mankhwalawa mukadya kapena mutadya . Musamaswe kapena kutafuna mapiritsi.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena aliwonse omwe muli nawo, makamaka matenda a mtima ndi chiwindi.
- Ngati mukuona zizindikiro zilizonse za kusowa kwa calcium (kuzizira m'manja ndi m'mapazi, kugwedezeka kwa minofu), kuthamanga kwa magazi kochepa, kapena ziwengo, uzani dokotala wanu nthawi yomweyo.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala. Yesani magazi anu pa nthawi yake.
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