Ngati inu kapena wina m'banja mwanu muli ndi matenda a impso osatha, mwina mukudziwa kuti zinthu zina zomwe impso ziyenera kuchotsa zimasonkhana m'thupi. Chimodzi mwa zinthu zimenezi ndi "phosphate". Phosphate iyi, yomwe timayamwa kuchokera ku chakudya chomwe timadya, imatuluka mu impso zathanzi mu mkodzo. Koma impso zikagwira ntchito molakwika, makamaka pankhani ya dialysis, phosphate iyi imayamba kusonkhana m'magazi. Izi sizothandiza thupi konse. Izi zingayambitse kufooka kwa mafupa, kupweteka kwa mafupa, ziphuphu pakhungu, komanso matenda a mtima pakapita nthawi. Ichi ndichifukwa chake dokotala wanu amakulemberani mankhwala osiyanasiyana kuti azitha kuwongolera kuchuluka kwa phosphate m'magazi. Sevelamer ndi imodzi mwa mankhwala ofunikira kwambiri.
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Kodi Sevelamer ndi chiyani? Imagwira ntchito bwanji?
Mwachidule, Sevelamer ndi maginito a phosphate. Amabwera ngati piritsi kapena kapisozi. Mukamwa mankhwalawa, amamangirira ku phosphate yomwe ili m'chakudya chomwe mumadya m'matumbo mwanu ndipo amaletsa thupi kuyamwa phosphate imeneyo. Kenako, phosphate yomangiriridwayo imatuluka m'thupi mwanu mu ndowe zanu. Taganizirani ngati munthu wosonkhanitsa zinyalala, akulowa m'matumbo mwanu ndikutenga phosphate yosafunikira ndikuyitaya.
Chofunika kwambiri ndichakuti mankhwalawa asalowe m'magazi. Amangogwira ntchito m'mimba, kutanthauza m'matumbo. Ichi ndichifukwa chake mankhwalawa ndi otetezeka kwambiri. Mankhwalawa amatha kuperekedwa ndi mayina otchuka monga RenaGel ndi Renvela.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanapereke mankhwala a Sevelamer, ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Kutsekeka kwa matumbo: Ngati munatsekekapo kale matumbo.
- Kudzimbidwa: Ngati mumamva kudzimbidwa pafupipafupi, mankhwalawa angapangitse kuti vutoli liwonjezeke.
- Kumeza mavuto: Ngati mukuvutika kumeza mapiritsi ngakhale pang'ono.
- Matenda ena a m'mimba kapena m'matumbo: Ngati mudachitidwapo opaleshoni ya m'mimba kapena m'matumbo kale, kapena ngati muli ndi vuto lina la matenda.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ku Sevelamer kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi amene akuyamwitsa.
Kutengera ndi izi, dokotala wanu adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ngati mlingo wake uyenera kusinthidwa.
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Check Availability →Kodi mungagwiritse ntchito bwanji Sevelamer moyenera?
Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito bwino.
1. Imwani ndi chakudya: Ichi ndiye chinthu chofunikira kwambiri. Chifukwa mankhwalawa amagwira ntchito pomangirira phosphate mu chakudya. Chifukwa chake, ndikofunikira kumwa mankhwalawa pa chakudya chachikulu (m'mawa, masana, ndi usiku) . Kumwa mankhwalawa popanda chakudya sikungathandize.
2. Mezani ndi kapule yamadzi: Mezani piritsi lonse ndi kapule yamadzi. Musaswe, kuphwanya, kapena kutafuna piritsilo. Funsani dokotala wanu kuti akupatseni upangiri.
3. Imwani panthawi yoyenera: Imwani mlingo woyenera panthawi yoyenera monga momwe dokotala wanu wanenera. Musadumphe mlingo umodzi.
4. Musasiye kumwa nokha: Kaya mukumva bwino bwanji, musasiye kumwa mankhwala awa mwadzidzidzi popanda upangiri wa dokotala.
5. Mankhwala Ena: Ngati mukumwa mankhwala ena, mungafunike kuwamwa nthawi zosiyana ndi Sevelamer, koma muwasiyanitse ndi ola limodzi kapena awiri. Izi zili choncho chifukwa Sevelamer ikhoza kusokoneza kuyamwa kwa mankhwala ena. Chifukwa chake, lankhulani ndi dokotala wanu za mankhwala onse omwe mukumwa ndipo konzani nthawi yanu ya mankhwala moyenerera.
Kodi mumapereka izi kwa ana aang'ono?
Inde, nthawi zina zapadera, mankhwalawa amaperekedwanso kwa ana opitirira zaka 6. Koma amachitidwa motsogozedwa ndi dokotala wa ana.
Nanga bwanji ngati ndamwa mankhwala ochulukirapo kapena ndaphonya mlingo?
Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa momwe mukuganizira, pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mlingo wolephera kumwa: Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira (monga, maola osakwana awiri), dumphani mlingo wotayika ndi kumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo umodzi nthawi imodzi kuti mubwezeretse mlingo womwe mwataya.
Mankhwala ena ndi zinthu zomwe zingagwirizane ndi Sevelamer
Sevelamer ingasokoneze momwe mankhwala ena amagwirira ntchito. Chifukwa chake, ndikofunikira kudziwitsa dokotala wanu ngati mukumwa mankhwala awa:
- Mankhwala opha tizilombo monga Ciprofloxacin
- Cyclosporine
- Mycophenolate
- Levothyroxine - mankhwala ochizira matenda a chithokomiro
- Tacrolimus
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, mankhwala achikhalidwe, kapena mankhwala azitsamba omwe mukumwa. Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Zotsatirapo zomwe zingakhalepo mukatenga mankhwala
Monga mankhwala ena onse, Sevelamer ingayambitse zotsatira zina zoyipa, ngakhale kuti si aliyense amene amalandira. Izi ndi zina mwa zotsatirapo zake.
| Mtundu wa zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Kudzimbidwa kwambiri | Kusayenda m'mimba kwa masiku ambiri, kupweteka kwambiri m'mimba. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kuwawa kwam'mimba | Mpweya, kupweteka m'mimba, nseru, kusanza, kutsegula m'mimba. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizili pamndandandawu, lankhulani ndi dokotala wanu za izo.
Zinthu zina zofunika kusamala nazo mukamamwa mankhwala
- Kupimidwa nthawi zonse ndi dokotala: Kupita kuzipatala monga momwe dokotala wanu wakonzera n'kofunika kuti muwone ngati vuto lanu likuyenda bwino.
- Kuyezetsa magazi: Dokotala wanu nthawi zambiri amalamula kuti ayese zinthu monga kuchuluka kwa phosphate m'magazi mwanu ndi kuchuluka kwa calcium. Musawasiye.
- Mavitamini ndi zakudya:Sevelamer ingasokonezenso kuyamwa kwa mavitamini ena. Choncho lankhulani ndi dokotala wanu kapena katswiri wa zakudya ngati mukufuna mavitamini ena. Kudya zakudya zopatsa thanzi n'kofunika kwambiri.
- Kusunga mankhwala: Sungani mapiritsi pamalo omwe ana sangafikire. Sungani kutentha kwa chipinda (pakati pa 15-30 Celsius), kutali ndi chinyezi ndi dzuwa. Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Sevelamer ndi mankhwala ofunikira kwambiri poletsa kuchuluka kwa phosphate m'magazi mwa odwala impso omwe ali ndi impso kwa nthawi yayitali.
- Mankhwalawa ayenera kumwedwa pamodzi ndi chakudya chachikulu , apo ayi sagwira ntchito.
- Uzani dokotala wanu tsatanetsatane wa mankhwala ena onse, mavitamini, ndi matenda ena omwe mukumwa.
- Ngati mukumva zizindikiro monga kudzimbidwa kwambiri kapena ziwengo, funsani upangiri wa dokotala nthawi yomweyo.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Kupita kuzipatala nthawi yake komanso kuyezetsa magazi n'kofunika kwambiri kuti mukhale ndi thanzi labwino.
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