Chiremba wako akakuudza here kuti utore mushonga unonzi 'Phosphate Binders'? Kana kuti wakaona here kuti mazinga ephosphate muropa rako akakwira? Zita iri ringanzwika serisinganzwisisike kwauri. Asi usazvidya mwoyo. Uyu mushonga unowanzo nyorerwa vanhu vane chirwere cheitsvo. Nhasi, tichataura nezvazvo nenzira iri nyore kwazvo yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi phosphate binders idzi?
Zviri nyore kwazvo. Mishonga inosunga phosphate imhando yemushonga unopiwa kuderedza huwandu hwephosphate mumuviri wako. Phosphate imineral inodiwa nemuviri wedu. Asi sezvimwe zvinhu, yakawandisa inogona kukonzera matambudziko. Ndipo panobva chiremba anyorera mushonga uyu.
Kunyange hazvo mimwe yemishonga iyi ichigona kutengwa pasina kunyorerwa chiremba, haufanirwe kuishandisa usina kutaura nachiremba wako. Izvi zvakakosha zvikuru.
Sei muviri wedu uchida phosphate?
Phosphate ielectrolyte mumuviri wedu. Zvichitaurwa zviri nyore, imineral inokosha kuti muviri wedu ushande zvakanaka. Funga nezvazvo, phosphate inobatsira kusimbisa mapfupa nemazino edu. Kwete izvozvo chete, asi phosphate inokoshawo pakugadzirwa kwesimba kwemasero emuviri wedu, kuumbwa kwemasero, uye kuumbwa kweDNA (Deoxyribonucleic acid), ine ruzivo rwemajini edu.
Tinowana phosphate iyi kubva muchikafu chatinodya nekunwa. Muviri wemunhu ane hutano unongotora huwandu hwaunoda chete, uye imwe yose inobuda muweti netsvina. Asi nekuda kwechimwe chikonzero, kunyanya kana itsvo dzisiri kushanda zvakanaka, muviri haugone kuburitsa phosphate yakawedzerwa nenzira iyi. Ndipo apo phosphate inoungana muropa uye inokonzera matambudziko.
Ndiani anoda phosphate binder iyi?
Kazhinji, chiremba anokupa mushonga uyu kana huwandu hwephosphate muropa rako hwakakwira zvakanyanya kupfuura zvakajairika. Chirwere ichi chinozivikanwa se hyperphosphatemia .
Dambudziko iri rinowanzoitika kuvanhu vane chirwere cheitsvo chisingaperi (CKD) uye avo vane dambudziko reitsvo zvachose uye vari kuvhiyiwa dialysis.
Sei mushonga uyu uchipihwa varwere vane dialysis?
Zvakajairika kuti phosphate iungane muropa sezvo itsvo dzichikundikana. Kana huwandu hwe phosphate hukawedzera, inotanga kudhonza calcium kubva mumapfupa. Nekufamba kwenguva, izvi zvinoderedza simba remapfupa uye zvinowedzera njodzi yekutyoka. Mishonga ye phosphate inopiwa varwere ve dialysis kudzivirira zvirwere zvine chekuita nemapfupa.
Ndeipi phosphate yakakwana muropa?
Huwandu hwephosphate muropa hwevanhu vakuru vane hutano huri pakati pe2.8 ne4.5 milligrams pa deciliter (mg/dL) . Kune vana vadiki, huwandu uhwu hwakakwira zvishoma, huri pakati pe4.0 ne7.0 mg/dL .
Asi yeuka kuti kukosha uku kunogona kusiyana zvishoma zvichienderana nemidziyo uye nzira dzinoshandiswa murabhoritari yega yega. Saka, zvakanaka kubvunza chiremba wako kuti akupe tsananguro yakanakisisa ye kukosha kuri mumushumo wako.
Ndezvipi zvekudya nezvinwiwa zvine phosphate yakawanda?
Kana uine chirwere cheitsvo, unofanirwa kungwarira zvakanyanya zvaunodya nezvaunonwa, nekuti kungofanana nekutora mishonga, kudzora kudya kwako kwakakoshawo.
| Rudzi rwechikafu | Mienzaniso |
|---|---|
| Mukaka nemukaka zvekudya | Mukaka, yogati, chizi (kunyanya chizi chakagadziriswa) |
| Zvimwe zvinwiwa | Zvinwiwa zvine kabhoni zvakaita seCola (Soda pop) |
| Zvekudya zvinogadzirwa ipapo ipapo | Chikafu chinobikwa nekukurumidza, nyama dzakagadzirwa (masoseji, nyama dzenyama), hove dzemumagaba |
| Nzungu neflakes | Nzungu, macashew, bhinzi, nyemba, nyemba |
| Zviyo zvine bran | Chingwa chebran, oats, mupunga webran (mupunga mutsvuku) |
Mushonga uyu unonzi phosphate binder unoshanda sei?
Mashandiro anoita izvi anoshamisa. Patinodya chikafu, phosphate iri muchikafu ichocho inonyudzwa mumiviri yedu kuburikidza nechikamu chepakati cheura hudiki, chatinodaidza kuti jejunum .
Kana ukatora mushonga uyu we phosphate binder uchidya, mushonga wacho unopinda mudumbu mako wobva "wabatana" ne phosphate iri muchikafu chako. Wakaita semagineti. Kana wanamatira, haugone kunyudzwa muropa rako. Zvadaro, phosphate yakawedzerwa inoburitswa mumuviri wako mutsvina yako. Zviri nyore, handiti?
Mhando dze phosphate binders uye kuti ungadziwana sei?
Kune mhando dzakasiyana dzefosfeti dzinosunga. Zvichienderana nemamiriro ako ezvinhu, chiremba wako achasarudza rudzi rwakakodzera iwe.
- Calcium carbonate - (semuenzaniso Tums®, Alka-Seltzer®)
- Sevelamer - (e.g. Renvela®, Renagel®)
- Lanthanum carbonate - (semuenzaniso Fosrenol®)
- Calcium acetate - (semuenzaniso PhosLo®, Phoslyra®)
- Sucroferric oxyhydroxide - (semuenzaniso Velphoro®)
Ndeipi mhando yakanakisisa?
Mishonga ine calcium (yakadai secalcium carbonate) inowanzo pihwa. Zvisinei, zvimwe zvidzidzo zvakawana kuti kana mishonga iyi ine calcium ikatorwa kwenguva refu, calcium yakawanda inogona kuungana mutsinga dzeropa. Izvi zvinonzi vascular calcification . Izvi zvinogona kuwedzera njodzi yekugwamba kweropa kana sitiroko. Nekuda kweizvi, chiremba wako dzimwe nguva angakurudzira mishonga isina calcium (yakadai seSevelamer).
Ndinofanira kutora mushonga uyu sei?
Ichi ndicho chinhu chakakosha. Kuti mushonga uyu ushande nemazvo, nguva yaunotora inokosha zvikuru. Tevedzera mirairo yachiremba wako nemazvo.
- Udza chiremba wako nezvemimwe mishonga yauri kutora (kusanganisira mavhitamini nemishonga yemishonga), sezvo mimwe mishonga inogona kukanganisa iyi.
- Zvichienderana nerudzi rwemushonga, nzira yaunofanira kutorwa nayo inogona kusiyana:
- Zvimwe zvacho zvinoda kutsengwa nekumedzwa maminetsi gumi kusvika gumi nemashanu usati wadya .
- Zvimwe zvacho zvinoda kutsengwa nekumedzwa nekukurumidza paunongotanga kudya .
- Zvimwe zvacho zvinoda kumedzwa zvese , nemuromo miviri kana mitatu yekutanga yekudya .
- Mamwe anouya ari muchimiro cheupfu. Anofanira kunyungudutswa mumvura uye anonwiwa nemidziyo miviri kana mitatu yekutanga yekudya .
- Zvimwe zvacho zvinofanira kutsengwa uye kumedzwa pakarepo mushure mekudya .
Chinhu chinonyanya kukosha ndechekuti mushonga uyu unofanira kutorwa pamwe chete nechikafu. Ndipo pauchatora phosphate iri muchikafu. Kutora mushonga uyu usina chikafu hakuna zvakunobatsira.
Pane mimwe migumisiro yakaipa pamushonga uyu here?
Kufanana nemishonga chero ipi zvayo, mhando iyi yemishonga inogona kukonzera migumisiro midiki, asi havasi vese vanoiwana.
| Migumisiro yakajairika |
|---|
| - Kurwadziwa kwemudumbu |
| - Kusvotwa nekurutsa |
| - Matambudziko ekuzvimba/kugaya chikafu |
| - Manyoka kana kuvimbiwa |
| - Kuzvimba |
| - Kuchinja kweruvara rwechitsiko |
| - Mamwe marudzi (ane calcium) anogona kuwedzera huwandu hwecalcium muropa. |
Kana zviratidzo izvi zvichikunetsa, taura nachiremba wako. Vanogona kuchinja mishonga yako.
Unofanira kuona chiremba rini?
Kana ukasangana nemigumisiro yakaipa, iva nechokwadi chekuudza chiremba wako. Zvakare, dzimwe nguva kuwedzera kwephosphate muropa kunogona kukonzera kudzikira kwemazinga ecalcium mumuviri. Izvi zvinonzi hypocalcemia . Kana ukaona zviratidzo zvinotevera, tsvaga rubatsiro rwechiremba nekukasika.
- Kugwinha kwetsandanyama
- Matambudziko ekurangarira
- Hasha dzisina chikonzero
- Kushaya simba kwemiromo, rurimi, minwe, kana tsoka
- Kubatwa nepfari
- Kusarongeka kwekurova kwemoyo (Arrhythmia)
Mibvunzo yekubvunza chiremba wako
Paunoenda kuna chiremba wako anotevera, yeuka mibvunzo iyi. Kuvabvunza kunogona kukubatsira kunzwisisa zviri nani mamiriro ako ezvinhu.
- "Ndeipi mhando yefosfeti binder yaunondikurudzira?"
- "Ndezvipi zvingakonzera migumisiro yakaipa?"
- "Ndinofanira kunwa mushonga uyu sei? Ndisati ndadya kana kuti ndapedza kudya?"
- "Ndinofanira kuinwa kangani pazuva?"
- "Ndinofanira kunwa mapiritsi mangani pakudya kukuru? Ndinofanira kunwa mapiritsi mangani pakudya kwemanheru?"
- "Pane mimwe mishonga yandinofanira kurega kunwa pandinenge ndichitora mushonga uyu here?"
- "Ndichatora mushonga uyu kwenguva yakareba sei?"
- "Ndedzipi mhando dzebvunzo dziri kuitwa kuti vaone kana mushonga uyu uchishanda?"
- "Ndinofanira kuona nyanzvi yezvekudya here?"
Mharidzo Yekuenda Nayo Kumba
- Mishonga inosunga phosphate inobatsira kudzora huwandu hwephosphate muropa. Izvi zvakakosha zvikuru kune vanhu vane chirwere cheitsvo.
- Kuti mushonga uyu ushande nemazvo, unofanira kutorwa sezvakarairwa nachiremba, panguva yakakodzera, uye panguva yekudya .
- Usarega kutora mushonga uyu chero chikonzero chipi zvacho usina kurairwa nachiremba wako.
- Pamusoro pekutora mishonga, zvakakoshawo kudzora kudya kwako kune phosphate yakawanda. Taura nachiremba wako nezveizvi.
- Kana ukasangana nemigumisiro yakaipa kana kuratidza zviratidzo zvekushaikwa kwecalcium mumuviri, enda kuna chiremba nekukasika.
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