Kodi mukudwala matenda a impso? Ngati ndi choncho, dokotala wanu mwina adalankhula nanu za momwe parathyroid gland yanu imagwirira ntchito. Doxercalciferol ndi jakisoni wapadera womwe umaperekedwa pochiza vuto lomwe limachitika pamene gland iyi ikugwira ntchito mopitirira muyeso. Ngakhale dzinalo lingamveke lachilendo pang'ono, lero tikambirana mwachidule komanso momveka bwino za zomwe imachita komanso zomwe muyenera kusamala nazo mukamaigwiritsa ntchito.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, uwu ndi mtundu wa vitamini D. Mwa anthu omwe ali ndi matenda a impso, ma gland a parathyroid nthawi zina amayamba kugwira ntchito mopitirira muyeso. Taganizirani ngati kusintha pang'ono komwe kumakhala kogwira ntchito nthawi zonse. Malinga ndi azachipatala, izi timazitcha hyperparathyroidism.
Mankhwalawa amagwira ntchito powongolera kuchuluka kwa hormone ya parathyroid, yomwe imatulutsidwa ndi gland yomwe imagwira ntchito mopitirira muyeso. Pamene kuchuluka kwa hormone iyi kulamulidwa, kuchuluka kwa calcium ndi phosphorous m'magazi anu kumakhala koyenera. Izi zimathandiza kuti mafupa anu akhale ndi thanzi labwino. Chifukwa pamene kuchuluka kwa hormone ya parathyroid kumawonjezeka, mafupa amatha kufooka.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yonse ya thanzi lanu musanapereke mankhwala awa. Choncho ngati pali chilichonse mwa izi chomwe chikukukhudzani, onetsetsani kuti mwawauza za izi.
- Ngati muli ndi matenda aliwonse a chiwindi .
- Ngati dokotala wanu wakuuzani kuti calcium, phosphorous, kapena vitamini D m'magazi mwanu ndi yokwera kale ,
- Ngati muli ndi vuto la ziwengo chifukwa cha doxercalciferol, vitamini D, mankhwala ena, zakudya, zotetezera, kapena utoto.
- Ngati muli ndi pakati, kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Ndikofunikira kwambiri kuti mukhale otetezeka kulankhula ndi dokotala popanda kubisa izi.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Katemerayu nthawi zambiri amaperekedwa kwa inu kuchipatala kapena kuchipatala. Amabayidwa m'mitsempha kapena minofu. Nthawi zambiri amaperekedwa nthawi yomweyo ndi dialysis.
Mungafunike kugwiritsa ntchito izi kunyumba. Ngati ndi choncho, namwino kapena dokotala adzakuphunzitsani momwe mungakonzekerere ndikubayira jakisoni moyenera. Gwiritsani ntchito monga momwe mwalangizidwira, komanso panthawi zomwe zalembedwa.Musamwe mankhwala opitirira mlingo womwe walembedwa.
Makamaka kumbukirani!
- Singano ndi ma syringe: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. M'malo mwake, ziyikeni mu chidebe chapadera cha sharping. Ngati mulibe, funsani dokotala kapena chipatala chanu kuti akupatseni chimodzi.
- Ngati aperekedwa kwa ana: Ana angafunike chisamaliro chapadera popereka mankhwalawa, choncho kambiranani mosamala ndi dokotala wa mwana wanu.
- Ngati mwamwa mankhwala mopitirira muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) yapafupi.
- Musagawane: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwala ena amatha kusokonezana ndi katemerayu ndikuyambitsa mavuto, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Zinthu zomwe zingagwirizane ndi mankhwalawa | |
|---|---|
| Musamwe izi pamodzi ndi mankhwala otsatirawa: | |
| Burosumab | Mitundu ina ya Vitamini D kapena zowonjezera |
| Mavuto angabwerenso ndi zotsatirazi (uzani dokotala wanu): | |
| Zakudya zowonjezera za calcium | Digoxin |
| Erythromycin | Ketoconazole |
| Ma magnesium supplements kapena ma antacids | Phenobarbital |
| Phenytoin | Mankhwala ena ochepetsa mphamvu ya okodzetsa (Thiazide diuretics) |
Mndandandawu suli ndi zonse. Choncho uzani dokotala wanu za mankhwala onse, zitsamba, ndi zowonjezera zomwe mumamwa. Onetsetsani kuti mwadziwitsa dokotala wanu ngati mumasuta kapena kumwa mowa.
Zinthu zina zofunika kuziganizira mukamamwa mankhwala
- Kuyezetsa pafupipafupi: Musaphonye nthawi yokumana ndi dokotala. Mukamamwa mankhwalawa, muyenera kuchita ntchito yofunika kwambiri yoyezetsa kuti muwone kuchuluka kwa calcium, phosphorous, ndi parathyroid hormone m'magazi mwanu. Umu ndi momwe dokotala wanu adzadziwire ngati mlingo wanu ndi woyenera kwa inu.
- Zakudya Zapadera: Mungauzidwe kuti mutsatire zakudya zapadera mukamamwa mankhwalawa. Mungauzidwe kuti muchepetse zakudya zokhala ndi phosphorous yambiri (monga mkaka, tchizi, nyemba, mtedza). Musamwe mankhwala aliwonse omwe amagulitsidwa ndi dokotala omwe ali ndi vitamini D, phosphorous, magnesium, kapena calcium (kuphatikizapo mankhwala ena oletsa asidi pamtima) popanda upangiri wa dokotala.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, pali mwayi wochepa wa zotsatirapo zake. Zina mwa izo ziyenera kunenedwa nthawi yomweyo, pomwe zina sizowopsa kwenikweni.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Ngati muli ndi chilichonse mwa izi , uzani dokotala wanu nthawi yomweyo. | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kalisiamu wambiri m'magazi | Kuwonjezeka kwa ludzu kapena kukodza pafupipafupi, nseru, kusanza, kusokonezeka, kufooka kosazolowereka, kupweteka kwa mafupa. |
| Mulingo wambiri wa phosphorous m'magazi | Kupweteka kapena kuuma kwa minofu, kupweteka kwa mafupa kapena mafupa, dzanzi kuzungulira pakamwa. |
| Ngati izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Zotsatira zoyipa zofala | Kudzimbidwa, chizungulire, pakamwa pouma, mutu, kusowa chilakolako cha chakudya, kukoma kwachitsulo mkamwa, nseru, kusanza. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo kuwonjezera pa izi, chonde funsani dokotala wanu kuti akupatseni upangiri.
Uthenga Wopita Nawo Kunyumba
- Doxercalciferol ndi mtundu wa jakisoni wa vitamini D woperekedwa kuti achepetse hyperparathyroidism mwa odwala impso.
- Musanamwe mankhwala, uzani dokotala wanu za matenda ena aliwonse omwe muli nawo, ziwengo, ndi mankhwala onse omwe mukumwa.
- Tsatirani zakudya zapadera monga momwe dokotala wanenera. Yesani magazi anu pa nthawi yake.
- Ngati mukumva ludzu lochuluka, kusanza, kupweteka kwa mafupa, kapena zizindikiro za ziwengo, funsani dokotala nthawi yomweyo.
- Ngati mwaphonya mlingo, musamwe milingo iwiri nthawi imodzi. Ngati mukukayika, funsani dokotala wanu.
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