Reka twige ku muti mushya w'ikibazo cy'impyiko zawe? (Etelcalcetide) inshinge

Niba ufite ibibazo by'impyiko, cyane cyane niba uri gukora dialyse, hari igihe umubiri wawe ushobora kugira urugero rw'imisemburo yitwa parathyroid hormone iri hejuru gato. Muri ibyo bihe, muganga wawe ashobora kukwandikira inshinge z'umuti witwa etelcalcetide kugira ngo bigufashe. Reka tuvuge kuri uyu muti mu buryo bworoshye uyu munsi.

Etelcalcetide ni iki? Ikoreshwa iki?

Muri make, Etelcalcetide ni umuti ufasha mu kugenzura urugero rw'imisemburo ya parathyroid mu mubiri wawe. Akenshi uza ku izina rya Parsabiv.

Noneho ushobora kuba uri kwibaza uti "Iyi hormone ya parathyroid ni iki?"

Biroroshye cyane. Dufite uturemangingo tune duto mu ijosi ryacu hafi y’uturemangingo twa tiroyide, twitwa parathyroid glands. Utwo turemangingo dukora imisemburo ya parathyroid. Akazi k’ingenzi k’iyi misemburo ni ukugenzura ingano ya kalisiyumu mu maraso yacu.

None se, kuki iyi misemburo yiyongera mu mubiri w'umuntu urwaye impyiko kandi akaba arimo kuvurwa dialyse?

Urabizi, impyiko zimeze nk'utuyunguruzo tw'umubiri wacu. Iyo impyiko zidakora neza, ari na yo mpamvu ufite "Indwara y'Impyiko Idakira", impyiko ntizishobora kugumana ibintu nka "calcium" na "phosphate" mu mubiri. Ntizishobora kandi gukora Vitamine D. Bityo izo ngirabuzimafatizo za parathyroid zitekereza ziti "Oh, nta calcium ihagije mu mubiri," maze zigakora cyane zigasohora imisemburo myinshi ya parathyroid mu maraso.

Bigenda bite iyo imisemburo ya parathyroid yiyongereye gutya?

Iyo ibi bibaye, amagufwa ashobora gucika intege, amagufwa ashobora kubabara, rimwe na rimwe hashobora kubaho ibintu nko kurira. Uyu muti, Etelcalcetide, ufasha kugabanya ibibazo nk'ibyo.

Icy'ingenzi: Uyu muti ushobora no gukoreshwa n'abaganga ku zindi ndwara. Niba rero ufite ikibazo, baza muganga wawe cyangwa umufarumasiye.

Ni ibihe bintu ugomba kubwira muganga wawe mbere yo gufata uyu muti?

Mbere yo gutangira gufata Etelcalcetide, ni ngombwa cyane guha itsinda ry’abaganga (ni ukuvuga umuganga n’umuforomo) amateka yuzuye y’ubuzima bwawe . Menya neza ko ubabwira ibi bikurikira:

• Ese wigeze ugira indwara y'umutima cyangwa ibibazo by'umutima?
• Ese wigeze ugira igisebe mu gifu cyangwa kuva amaraso (amateka yo kuva amaraso mu gifu) mbere?
• Ese abaganga bakubwiye ko ufite calcium nke mu maraso yawe ?
• Ese wigeze ugira ibisebe mbere?
• Ese ufite ikibazo cy'ubwivumbure kuri uyu muti witwa `Etelcalcetide`, undi muti, ibiryo, irangi, cyangwa imiti irinda indwara?
• Uratwite cyangwa utegereje umwana?
• Ese uri umubyeyi wonsa?

Mu gihe gusa usobanutse neza kuri ibi bintu, utabihishe, ni bwo muganga ashobora kuguvura neza kandi mu mutekano. Wibuke ko ibi ari inyungu zawe bwite.

Uyu muti uzawuhabwa ute?

Iyi 'Etelcalcetide' si umuti unywa nk'ikinini. Ni 'urushinge' rushyirwa mu mitsi . Ibyo bivuze ko iyo ugiye gukoresha 'Dialysis', akenshi iyo 'Dialysis' irangiye, uru rushinge ruratangwa.

Uru si urukingo ushobora kwiha ubwawe mu rugo. Rutangwa gusa na muganga, umuforomo wabyigiye, mu bitaro, cyangwa ku ivuriro aho urimo kwanduzwa dialyse.

Bite ho iyo mfashe imiti myinshi?

Wibuke ko niba utekereza ko wahawe uyu muti urenze urugero, cyangwa niba ukeka ko wafashe ikinini kirenze urugero ku bushake, ugomba guhita ujya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe. Cyangwa uhamagare ikigo gishinzwe kurwanya uburozi. Ibi si urwenya, bityo kora vuba.

Icyitonderwa gikomeye: Uyu muti wagenewe wowe gusa. Nubwo inshuti cyangwa umuntu wo mu muryango wawe yaba afite ikibazo nk'icyawe, ntuzigere umuha uyu muti. Umubiri wa buri wese ugira ingaruka zitandukanye ku miti itandukanye.

Nakora iki iyo ntabonye umuti n'umwe?

Kubera ko uyu muti uhabwa kwa muganga, ikintu cy'ingenzi ugomba gukora ni ukwitabira gahunda zawe zo kwa muganga wifashishije dialyse no gukingirwa ku gihe. Ni ngombwa cyane gufata iyi miti neza kandi ntusimbuze gahunda iyo ari yo yose.

Niba udashobora kuza ku gihe, hamagara muganga wawe cyangwa umuforomo wawe vuba umubwire. Bazakubwira icyo ugomba gukora nyuma.

Ni ibihe bintu bindi bidahuye n'uyu muti cyangwa bishobora gutera ingaruka mbi?

Hari imiti imwe n'imwe ishobora guteza ibibazo iyo ifashwe hamwe na Etelcalcetide. Ibi bivuze ko ubushobozi bw'uyu muti bushobora guhinduka cyangwa ingaruka mbi zikiyongera.

• `Cinacalcet` : Hari undi muti witwa iri zina, ukoreshwa no mu kugenzura urugero rw'imisemburo ya parathyroid. Niba ukoresha uyu muti `Cinacalcet`, ugomba kubimenyesha muganga wawe. Kuko bishobora kuba bidakwiye gufata iyi miti yombi hamwe.

Uru rutonde rushobora kuba atari rwo rwose. Kubwibyo, kuri buri muti urimo gufata (ni ukuvuga, wanditswe na muganga, waguzwe muri farumasi, imiti gakondo, imiti ya Ayurvedic), ugombaMenya neza ibintu byose ufata kwa muganga wawe, urugero nka vitamine, ibyatsi, n'inyongeramusaruro mu mirire.

Ni ngombwa kandi kubwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge bitemewe n'amategeko , kuko bimwe muri ibi bintu bishobora kugira ingaruka ku buryo etelcalcetide ikora.

Ni iki twagombye kwitondera cyane cyane mu gihe dufata imiti?

Mu gihe ufata uyu muti "Etelcalcetide", muganga wawe azakubwira gukora isuzuma ry'amaraso . Ibi bikorwa kugira ngo urebe urugero rwa kalisiyumu mu maraso yawe n'urugero rwa hormone ya parathyroid. Kubwibyo, ni ngombwa cyane ko ibi bizamini bikorwa buri gihe nk'uko muganga wawe abikubwira.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, uyu muti "Etelcalcetide" rimwe na rimwe ushobora gutera ingaruka mbi nto. Ariko ntugahangayikishwe n'ibi. Si buri wese ubona izi ngaruka mbi. Ariko, ni byiza kubimenya. Reka turebe ibyo ari byo.

Ingaruka mbi ugomba guhita umenyesha muganga wawe cyangwa umuganga wawe:

Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe cyangwa umuforomo ukuvura ako kanya, bidatinze .

• Ibimenyetso by'ingaruka mbi ku mubiri: uduheri ku ruhu, ibibyimba, kuribwa umubiri wose, kubyimba mu maso, ku minwa, cyangwa ku rurimi.
• Ibimenyetso by'impinduka zikomeye mu gutera k'umutima cyangwa umuvuduko w'umutima: kubabara mu gituza gitunguranye, kumva uzunguza umutwe, kumva umutima wawe utera cyane, mu buryo butunguranye, cyangwa utameze neza, kumva umutima wawe utera cyane (gutera cyane), kumva unaniwe, gucika intege, kumva ugiye kugwa, no kugorwa no guhumeka.
• Ibimenyetso by'uko amaraso make ya kalisiyumu birimo: umutima utera cyane, kuribwa mu mitsi, kubabara imitsi, kubabara mu biganza no mu birenge, kugira ibinya cyangwa kubura ibyiyumvo muri utwo duce, hamwe n'indwara zo mu mutwe.
• Ibimenyetso by'uko umutima unanirwa cyane: Kurushaho kugorwa no guhumeka, kubyimba amaguru n'ibirenge.

Nubona ikintu nk'iki, ntutinde. Bibwire muganga wawe ako kanya. Kuko ibi bintu bishobora kuba bikomeye cyane.

Ingaruka mbi akenshi zidasaba inama za muganga (ariko niba zikomeje cyangwa zikakubangamira, ugomba kubimenyesha muganga wawe ):

Ibi bintu akenshi ntabwo ari ibintu bikomeye cyane. Akenshi birashira mu minsi mike. Ariko, iyo bikomeje, kandi ukumva utameze neza kubera byo,Bwira muganga .

• Impiswi: Kuva mu mwenda.
• Umutwe: Umutwe.
• Isesemi: Kumva urwaye cyangwa urwaye.
• Kuruka

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba ubonye ibimenyetso bidasanzwe cyangwa bishya, bwira muganga wawe . Ushobora kandi gutanga raporo kuri FDA (Ikigo gishinzwe ibiribwa n'imiti) uhamagara kuri 1-800-FDA-1088.

Uyu muti uwubika ute?

Iki si ikintu ukwiye guhangayikishwa nacyo. Kuko, ntuzemererwa gufata uru rushinge rwa "Etelcalcetide" mu rugo. Rubikwa mu bitaro cyangwa mu ivuriro aho uvurirwa dialyse. Bityo ntugomba guhangayikishwa n'ibintu nko kumenya niba umuti uzangirika cyangwa aho uzabikwa.

Muri make, ibintu by'ingenzi cyane ugomba kwibuka

Sawa, reka dusubiremo ingingo z'ingenzi cyane mu byo twavuzeho:

• Etelcalcetide ni urushinge ruhabwa abantu bafite indwara zidakira z'impyiko bari kuri dialyse kugira ngo bagabanye imisemburo ya parathyroid irenze urugero mu mibiri yabo.
• Ibi bitangwa gusa na muganga, umuforomo wabyigiye, cyangwa mu bitaro cyangwa ivuriro.
• Bwira muganga wawe izindi ndwara zose ufite, indi miti ufata, hamwe n'ibindi byose ufite by'ubwivumbure.
• Uzaze kwa muganga kugira ngo uhabwe dialyse kandi uru rukingo ruzakugereho, ku minsi yagenwe. Ntugasimbuke.
• Menya ingaruka mbi. Bibwire muganga wawe ako kanya, cyane cyane niba uhuye n'ingaruka mbi zikomeye twavuze.
• Kora isuzuma ry'amaraso yawe nk'uko muganga wawe agusaba.
• Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese.

Iyi nkuru itanga incamake ya Etelcalcetide gusa. Ntabwo ikubiyemo ibisobanuro byose. Niba ufite ibindi bibazo, impungenge, cyangwa impungenge kuri uyu muti, nyamuneka ubaze muganga wawe, umufarumasiye, cyangwa undi mukozi w’ubuvuzi. Bazagufasha.

Ndakwifurije gukira vuba!

Etelcalcetide , imisemburo ya parathyroid, indwara idakira y'impyiko, dialyse, ingaruka mbi, imiti