Niba urwaye impyiko, ushobora kuba uzi neza ko iyo ndwara ishobora kugira ingaruka ku zindi ngingo mu mubiri. Ibi bishobora kugira ingaruka cyane cyane ku buzima bw'imitsi yacu. Muri icyo gihe, muganga wawe ashobora kukwandikira urushinge rwitwa 'Paricalcitol'. Kubera ko iri zina ari rishya ku bantu benshi, uyu munsi turaganira kuri uyu muti, icyo ukora, n'ibintu ugomba kwitondera mu gihe uwukoresha.
Ni ubuhe bwoko bw'umuti Paricalcitol?
Mu magambo make, Paricalcitol ni ubwoko bwihariye bwa vitamine D. Ariko ibi ntabwo bimeze nk'ibinini bya vitamine D dusanzwe dufata. Inshingano yabyo nyamukuru ni ukugenzura imikorere y'uturemangingo twa parathyroid mu mubiri wacu.
Ku bantu bafite indwara z'impyiko, cyane cyane abakoresha dialyse, imisemburo ya parathyroid rimwe na rimwe ikora cyane. Ubuganga butwita "hyperparathyroidism." Iyo imisemburo ikora cyane, isohora imisemburo ya parathyroid "parathyroid hormone" mu maraso. Iyo iyi misemburo yiyongera, ifata kalisiyumu mu magufwa yacu ikayishyira mu maraso. Uko igihe kigenda gihita, ibi bishobora gutuma amagufwa acika intege, acika intege, ndetse akanavunika byoroshye.
Rero, icyo urushinge rwa `Paricalcitol` rukora ni ukugabanya no kugenzura urugero rw'imisemburo ya parathyroid iri hejuru cyane, no kurinda uturemangingo tw'amagufwa yawe.
Ibintu ugomba kubwira muganga wawe mbere yo gufata umuti
Mbere yo kuguha uyu muti, muganga wawe azakenera kumenya amateka y’ubuzima bwawe. Kubwibyo, menya neza ko umumenyesheje ibi bikurikira. Guhisha ibi bintu bizakugirira nabi gusa.
| Ikibazo ugomba gutangaza | Ibisobanuro |
|---|---|
| Urugero rw'amaraso | Niba muganga wawe yarakubwiye ko urugero rwa kalisiyumu, fosifore, cyangwa vitamine D mu maraso yawe rwamaze kuba hejuru, mubwire. |
| Allergie | Menya neza ko utubwire niba ufite ubwivumbure kuri uyu muti wa Paricalcitol, vitamine D, undi muti uwo ari wo wose, ibiryo, imiti irinda ubushyuhe cyangwa irangi. |
| Gutwita no konsa | Ni ingenzi cyane kumenyesha muganga wawe niba utwite, ugerageza gutwita, cyangwa wonsa. |
Ukoresha uyu muti ute?
Paricalcitol si umuti ushobora kujyana mu rugo. Ni urushinge mu mitsi. Kubwibyo, rutangwa gusa n'abaganga bahuguwe mu bitaro cyangwa ivuriro . Uru rushinge rukunze gutangwa mu gihe cyo kuvurwa dialyse.
Icy'ingenzi: Uyu muti ni uwawe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese cyangwa ngo uwugire undi muntu uwo ari we wese.
Wakora iki niba urenze urugero rw'imiti?
Ibi bitangwa mu bitaro, bityo amahirwe yo kuba ibi bibaho ni make cyane. Ariko, niba utekereza ko wafashe uyu muti urenze urugero cyangwa niba ubonye ibimenyetso bifitanye isano nawo, menyesha abakozi ako kanya. Ubundi buryo, hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo . Mu gihe cyihutirwa, ni byiza kujya mu Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) ry'ibitaro biri hafi.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Imiti imwe, ibiryo, n'inyongeramusaruro bishobora kugira ingaruka kuri Paricalcitol. Kubwibyo, ni ngombwa guha muganga wawe urutonde rwuzuye rw'imiti yose ufata (harimo imiti ivura izindi ndwara, vitamine, imiti y'ibimera, n'imiti ya Ayurvedic).
| Ubwoko bw'imiti/ibiryo | Ikibazo gihangayikishije |
|---|---|
| Burosumab, indi miti irimo vitamine D | Kubirya hamwe bishobora gutera urugero rukabije rwa kalisiyumu na vitamine D mu mubiri. |
| Imiti imwe n'imwe ivura VIH/SIDA, indwara zandurira mu bihumyo, cholesterol, n'indwara zo mu mutwe | Ibi bishobora kugira ingaruka ku buryo Paricalcitol ikora, bityo ingano yawe ishobora gukenera guhindurwa cyangwa ushobora gukenera gupimwa kenshi. |
| Digoxin, imiti igabanya ubukana bw'amaraso (ibinini by'amazi), imiti imwe n'imwe igabanya ubukana bw'indwara (nk'umuti wa clarithromycin) | Gukurikiranirwa hafi na muganga ni ngombwa kuko ingaruka zishobora kubaho hagati y’iyi miti. |
| Umutobe w'imbuto z'imizabibu | Irinde kunywa umutobe wa jambola, kuko bishobora kongera urugero rw'uyu muti mu mubiri. |
| Amwe mu mavuta arwanya aside na vitamine | Irinde kubifata nta nama za muganga. Bishobora kuba birimo kalisiyumu, manyeziyumu, cyangwa fosifore. |
Ibintu ugomba kwitondera cyane cyane mu gihe ufata imiti
1. Kwisuzumisha kwa muganga buri gihe: Muganga wawe azagusuzumisha buri gihe kugira ngo arebe uko umeze. Uzakenera kandi gupimwa amaraso buri gihe (ibizamini byo muri laboratwari) kugira ngo urebe urugero rwa kalisiyumu, fosifore, na parathyroid . Ntugasimbuke ibi bizamini.
2. Indyo yihariye: Uzasabwa gukurikiza indyo yihariye mu gihe ufata uyu muti. Ushobora gusabwa kugabanya ibiryo birimo fosifore (amata, foromaje, imbuto, ibishyimbo, n'ibinyobwa nka cola). Kurikiza amabwiriza ya muganga wawe cyangwa inzobere mu mirire neza.
3. Irinde gufata indi miti: Utabanje kubyemererwa na muganga.Ntugafate imiti igabanya ubukana cyangwa imiti igabanya ubukana irimo vitamine D, fosifore, manyeziyumu, cyangwa kalisiyumu. Kubikora bishobora gutera urugero rukabije rw'ibi bintu mu mubiri ndetse bigatera ingaruka mbi zikomeye.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, Paricalcitol ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe muri zo ni mbi cyane, izindi zikaba zoroheje. Icy'ingenzi ni ukumenya ibi bimenyetso no gufata ingamba vuba bibaye ngombwa.
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
|---|---|
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa cyane, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka. |
| Ibimenyetso by'uko urugero rwa kalisiyumu ruri hejuru | Inyota ikabije, kwihagarika cyane, kugira isesemi, kuruka, urujijo, umunaniro udasanzwe, no kubabara amagufwa. |
| Ibimenyetso by'uko phosphorus iri hejuru | Kubabara imitsi cyangwa kugorama, kubabara amagufwa cyangwa ingingo, kugira ibisebe hafi y'umunwa. |
| Ingaruka mbi zisanzwe zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Ibibazo by'igogora | Isesemi, kuruka, kuribwa mu nda, kubura ubushake bwo kurya. |
| Ibindi bintu | Kuribwa umutwe, kubyimba utubuto, amaboko, cyangwa ibirenge. |
Ubutumwa bwo kujyana mu rugo
- Paricalcitol ni ubwoko bwihariye bw'inshinge za Vitamine D zitangwa kugira ngo zigenzure hyperparathyroidism mu barwayi b'impyiko.
- Uyu muti utangwa gusa mu bitaro cyangwa mu ivuriro.
- Mbere yo gutangira gufata umuti, bwira muganga wawe ibyerekeye ubwivumbure bwawe bwose, indi miti ufata, ndetse niba utwite cyangwa wonsa.
- Ni ngombwa gupimisha amaraso ku gihe no gukurikiza indyo yatanzwe na muganga.
- Niba ugize ibimenyetso by’ubwivumbure cyangwa ibimenyetso by’urugero rwa kalisiyumu cyangwa fosifore nyinshi (nk’inyota ikabije, ububabare bw’amagufwa), menyesha muganga wawe ako kanya.
- Irinde gufata inyongeramusaruro zirimo kalisiyumu, vitamine D, cyangwa fosifore utabanje kugirwa inama na muganga.
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