Ngati mukudwala matenda a impso, mwina mukudziwa kuchokera pa zomwe mwakumana nazo kuti vutoli lingakhudze ziwalo zina m'thupi. Izi zitha kukhudza makamaka thanzi la mafupa athu. Pachifukwa chotere, dokotala wanu angakulembereni jakisoni wotchedwa `Paricalcitol`. Chifukwa chake, popeza dzinali ndi latsopano kwa anthu ambiri, lero tikambirana za mankhwalawa, zomwe amachita, komanso zinthu zomwe muyenera kusamala nazo mukamagwiritsa ntchito.
Kodi Paricalcitol ndi mankhwala amtundu wanji?
Mwachidule, Paricalcitol ndi mtundu wapadera wa vitamini D. Koma izi sizili ngati mapiritsi a vitamini D omwe nthawi zambiri timamwa. Ntchito yake yayikulu ndikulamulira magwiridwe antchito a glands za parathyroid m'thupi lathu.
Kwa anthu omwe ali ndi matenda a impso, makamaka omwe amamwa dialysis, ma gland a parathyroid nthawi zina amakhala ndi mphamvu yochulukirapo. Malinga ndi zamankhwala timatcha vutoli kuti "hyperparathyroidism." Ma gland akamagwira ntchito mopitirira muyeso, amatulutsa hormone ya parathyroid "parathyroid hormone" yochulukirapo m'magazi. Homoni iyi ikachuluka, imatenga calcium m'mafupa athu ndikuiwonjezera m'magazi. Pakapita nthawi, izi zingayambitse mafupa kufooka, kusweka, komanso kusweka mosavuta.
Choncho, chomwe jakisoni wa `Paricalcitol` amachita ndi kuchepetsa ndikuwongolera kuchuluka kwa mahomoni a parathyroid omwe ndi okwera kwambiri, ndikuteteza dongosolo lanu la mafupa.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yonse ya thanzi lanu. Choncho, onetsetsani kuti mwamuuza za zinthu zotsatirazi. Kubisa zinthuzi kungokuvulazani.
| Nkhani yomwe muyenera kuifotokoza | Kufotokozera |
|---|---|
| Magazi ambiri | Ngati dokotala wanu wakuuzani kuti calcium, phosphorous, kapena vitamini D m'magazi mwanu ndi yokwera kale, muuzeni zimenezo. |
| Matenda a ziwengo | Onetsetsani kuti mwatiuza ngati muli ndi vuto la ziwengo ndi mankhwala a Paricalcitol awa, vitamini D, mankhwala ena aliwonse, chakudya, chosungira, kapena utoto. |
| Mimba ndi kuyamwitsa | Ndikofunikira kwambiri kudziwitsa dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukuyamwitsa. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Paricalcitol si mankhwala omwe mungapite nawo kunyumba. Ndi jakisoni wolowa m'mitsempha. Chifukwa chake, amaperekedwa ndi ogwira ntchito zachipatala ophunzitsidwa bwino kuchipatala kapena ku chipatala . Jakisoniyu nthawi zambiri amaperekedwa panthawi ya chithandizo cha dialysis.
Chofunika: Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense kapena kuwalangiza kwa wina aliyense.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kapena ngati mukuwona zizindikiro zilizonse zokhudzana ndi mankhwalawa, dziwitsani ogwira ntchito nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Colombo National Hospital . Pakagwa mwadzidzidzi, ndi bwino kupita ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwala ena, zakudya, ndi zowonjezera zimatha kuyanjana ndi Paricalcitol. Chifukwa chake, ndikofunikira kupatsa dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mukumwa (kuphatikizapo mankhwala a matenda ena, mavitamini, mankhwala azitsamba, ndi mankhwala a Ayurvedic).
| Mtundu wa mankhwala/chakudya | Nkhani yodetsa nkhawa |
|---|---|
| Burosumab, mankhwala ena okhala ndi vitamini D | Kutenga izi pamodzi kungayambitse kuchuluka kwa calcium ndi vitamini D m'thupi. |
| Mankhwala ena a HIV/AIDS, matenda a bowa, cholesterol, ndi khunyu | Izi zingakhudze momwe Paricalcitol imagwirira ntchito, kotero mlingo wanu ungafunike kusinthidwa kapena mungafunike kuyesedwa pafupipafupi. |
| Digoxin, mankhwala ochepetsa mphamvu ya okodzetsa (mapiritsi amadzi), maantibayotiki ena (monga clarithromycin) | Kuyang'aniridwa mosamala ndi dokotala n'kofunika chifukwa mankhwalawa amatha kuchitika. |
| Madzi a mphesa | Pewani kumwa madzi a jambola, chifukwa amatha kuwonjezera kuchuluka kwa mankhwalawa m'thupi. |
| Mankhwala ena oletsa asidi ndi mavitamini | Pewani kumwa izi popanda upangiri wa dokotala. Zingakhale ndi calcium, magnesium, kapena phosphorous. |
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
1. Kupimidwa nthawi zonse ndi dokotala: Dokotala wanu adzakuyang'anirani nthawi zonse kuti aone momwe zinthu zilili. Muyeneranso kuyesedwa magazi nthawi zonse (kuyesa labu) kuti muwone kuchuluka kwa calcium, phosphorus, ndi parathyroid hormone yanu . Musasiye mayeso awa.
2. Zakudya zapadera: Mudzapemphedwa kutsatira zakudya zapadera mukamamwa mankhwalawa. Mungapemphedwe kuchepetsa zakudya zomwe zili ndi phosphorous (mkaka, tchizi, mtedza, nyemba, ndi zakumwa monga cola). Tsatirani malangizo a dokotala wanu kapena katswiri wa zakudya moyenera.
3. Pewani kumwa mankhwala ena: Popanda chilolezo cha dokotala.Musamwe mankhwala ena aliwonse oletsa asidi okhala ndi vitamini D, phosphorous, magnesium, kapena calcium. Kuchita zimenezi kungayambitse kuchuluka kwa izi m'thupi komanso kungayambitse zotsatirapo zoyipa kwambiri.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Paricalcitol ingayambitse mavuto ena mwa anthu ena. Zina mwa izi ndi zazikulu, pomwe zina ndi zochepa. Chofunika kwambiri ndikudziwa zizindikiro izi ndikuchitapo kanthu mwachangu ngati pakufunika kutero.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Zizindikiro za kuchuluka kwa calcium m'thupi | Ludzu lochuluka, kukodza pafupipafupi, nseru, kusanza, kusokonezeka, kutopa kosazolowereka, ndi kupweteka kwa mafupa. |
| Zizindikiro za kuchuluka kwa phosphorous m'thupi | Kupweteka kapena kuuma kwa minofu, kupweteka kwa mafupa kapena mafupa, dzanzi kuzungulira pakamwa. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kusanza, kusanza, kudzimbidwa, kuvutika m'mimba, kusowa chilakolako cha chakudya. |
| Zina mwazinthu | Mutu, kutupa kwa akakolo, manja, kapena mapazi. |
Uthenga Wopita Nawo Kunyumba
- Paricalcitol ndi mtundu wapadera wa jakisoni wa vitamini D womwe umaperekedwa kuti uchepetse hyperparathyroidism mwa odwala impso.
- Mankhwalawa amaperekedwa kuchipatala kapena ku chipatala chokha.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za ziwengo zanu zonse, mankhwala ena omwe mukumwa, komanso ngati muli ndi pakati/mukuyamwitsa.
- Ndikofunikira kuyezetsa magazi nthawi yake ndikutsatira zakudya zomwe dokotala wakupatsani.
- Ngati mukukumana ndi zizindikiro zilizonse za ziwengo kapena zizindikiro za kuchuluka kwa calcium kapena phosphorous m'thupi (monga ludzu lopitirira muyeso, kupweteka kwa mafupa), dziwitsani dokotala wanu nthawi yomweyo.
- Pewani kumwa mankhwala ena aliwonse okhala ndi calcium, vitamini D, kapena phosphorous popanda upangiri wa dokotala.
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