Kana iwe kana mumwe munhu mumhuri yako ane chirwere cheitsvo chisingaperi, pamwe unoziva kuti zvimwe zvinhu zvinofanirwa kubviswa neitsvo zvinoungana mumuviri. Chimwe chezvinhu zvakadaro i "phosphate". Iyi phosphate, yatinotora kubva muchikafu chatinodya, inoburitswa muitsvo dzine hutano muweti. Asi kana itsvo dzikakundikana, kunyanya patinofanira kuenda ku dialysis, iyi phosphate inotanga kuungana muropa. Izvi hazvina kunaka kumuviri zvachose. Izvi zvinogona kukonzera kushaya simba kwemapfupa, kurwadziwa kwemajoini, mapundu eganda, uye kunyange chirwere chemwoyo nekufamba kwenguva. Ndosaka chiremba wako achikupa mishonga yakasiyana-siyana yekudzora huwandu hwe phosphate muropa. Sevelamer ndeimwe yemishonga yakakosha zvikuru.
Chii chinonzi Sevelamer? Inoshanda sei?
Zvichitaurwa zviri nyore, Sevelamer imagneti yephosphate. Inouya muchimiro chepiritsi kana kapisi. Paunotora mushonga uyu, unosungana nephosphate iri muchikafu chaunodya muura hwako uye unomisa muviri kuti usatore phosphate iyoyo. Zvadaro, phosphate yakasungwa inoburitswa mumuviri wako mutsvina yako. Funga nezvayo semuunganidzi wemarara, uchipinda muura hwako wotora phosphate isingadiwe woirasa.
Chinhu chakakosha ndechekuti mushonga uyu usapindwe muropa. Unoshanda chete mudumbu, ndiko kuti, muura. Ndosaka uyu uri mushonga wakachengeteka. Mushonga uyu unogona kutorwa nemazita emhando dzakadai seRenaGel neRenvela.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati wanyora mushonga weSevelamer, zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
- Kuvharika kwedumbu: Kana wakambovharika dumbu kare.
- Kuzvimbirwa: Kana uchigara uchizvimbirwa, mushonga uyu unogona kuwedzera kuipa kwedambudziko racho.
- Kuoma kwekumedza: Kana uchiomerwa nekumedza mapiritsi.
- Zvimwe zvirwere zvemudumbu kana zvemudumbu: Kana wakambovhiyiwa mudumbu kana mudumbu, kana kuti uine chimwe chirwere.
- Kurwara: Kana uine allergy kuSevelamer kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vari kuyamwisa.
Zvichibva paruzivo urwu, chiremba wako achasarudza kana mushonga uyu wakakunakira iwe kana kuti kana muyero wacho uchifanirwa kuchinjwa.
Ungashandisa sei Sevelamer nemazvo?
Kuti mushonga uwane pundutso yakakwana, unofanira kuushandisa nemazvo.
1. Tora pamwe chete nechikafu: Ichi ndicho chinhu chakakosha. Nekuti mushonga uyu unoshanda nekubatanidza phosphate muchikafu. Saka, zvakakosha kutora mushonga uyu panguva yekudya kukuru (mangwanani, masikati, uye husiku) . Kutora uyu usina chikafu hakushande.
2. Medza negirazi remvura: Medza piritsi kana kapisi rose negirazi remvura. Usapwanye, usapwanye, kana kutsenga piritsi. Bvunza chiremba wako kuti akupe mazano.
3. Inwa panguva yakakodzera: Inwa mushonga wakakodzera panguva yakakodzera sezvakarairwa nachiremba wako. Usapotsa mushonga mumwe chete.
4. Usarega kunwa mushonga uyu wega: Kunyangwe uchinzwa zvakanaka sei, usarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako.
5. Mimwe mishonga: Kana uri kutora mimwe mishonga, ungangoda kuitora panguva dzakasiyana neSevelamer, asi itore nguva imwe chete neawa imwe kana maviri. Izvi zvinodaro nekuti Sevelamer inogona kukanganisa kunwa kwemimwe mishonga. Saka, taura nachiremba wako nezvemishonga yese yauri kutora uye ronga purogiramu yemishonga yako zvinoenderana.
Munopa vana vadiki izvi here?
Ehe, mune dzimwe nguva dzakakosha, mushonga uyu unonyorerwawo vana vane makore anopfuura matanhatu. Asi unoitirwa pasi pekutarisirwa kwakasimba kwachiremba wevana.
Ko kana ndikatora mushonga wakawandisa kana kuti ndikatadza kutora mushonga wacho?
Kutora mushonga wakawandisa: Kana uchifungidzira kuti watora mushonga wakawanda kupfuura zvaunofunga, enda kuchipatara chiri pedyo cheEmergency Treatment Unit (ETU) nekukasika . Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Dosi yakarasika: Kana ukakanganwa kutora dosi, itore nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti utore dosi inotevera (semuenzaniso, isingasviki maawa maviri), siya dosi yakarasika wotora dosi inotevera panguva yakatarwa. Usambofa watora dosi mbiri panguva imwe chete kuti udzorere dosi yakarasika.
Mimwe mishonga nezvimwe zvinhu zvinogona kupindirana neSevelamer
Sevelamer inogona kukanganisa mashandiro emimwe mishonga. Saka, zvakakosha kuzivisa chiremba wako kana uri kutora mishonga inotevera:
- Mishonga inorwisa mabhakitiriya yakaita seCiprofloxacin
- Cyclosporine
- Mycophenolate
- Levothyroxine - mushonga wezvirwere zve thyroid
- Tacrolimus
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemimwe mishonga, mavhitamini, mishonga yechivanhu, kana mishonga yemiti yauri kutora. Zvakare, udza chiremba wako kana uchisvuta kana kunwa doro.
Migumisiro inogona kuitika panguva yekutora mushonga
Kufanana nemishonga yese, Sevelamer inogona kukonzera mimwe migumisiro yakaipa, kunyange hazvo vasiri vese vanoiwana. Izvi zvinotevera ndezvimwe zvemigumisiro yakaipa.
| Rudzi rwemhedzisiro yakaipa | Tsananguro uye zvekuita |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi, kuoma kufema. |
| Kuzvimba kwakanyanya | Kusafamba-famba kwetsvina kwemazuva, kurwadziwa kwakanyanya mudumbu. |
| Migumisiro isingawanzova nengozi, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Marwadzo emudumbu | Marwadzo emudumbu, kuda kurutsa, kurutsa, manyoka. |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisiri pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Zvimwe zvinhu zvekungwarira paunenge uchitora mushonga
- Kuongororwa nachiremba nguva dzose: Kuenda kukiriniki sezvakarongwa nachiremba wako kwakakosha kuti uone kana mamiriro ako ari kuvandudzika.
- Kuongororwa kweropa: Chiremba wako anowanzo kuraira kuongororwa kweropa kuti aone zvinhu zvakaita sehuwandu hwephosphate muropa rako uye huwandu hwecalcium. Usazvisiya.
- Mavhitamini uye zvinovaka muviri:Sevelamer inogonawo kukanganisa kunwa kwemamwe mavhitamini. Saka taura nachiremba wako kana nyanzvi yezvekudya kuti unoda mamwe mavhitamini here. Kudya chikafu chakakwana kwakakoshawo zvikuru.
- Kuchengeta mishonga: Chengeta mapiritsi kure nevana. Chengeta patembiricha yemukamuri (pakati pe15-30 Celsius), kure nehunyoro uye zuva rakananga. Rasa mushonga wapera.
Mharidzo Yekuenda Nayo Kumba
- Sevelamer mushonga unokosha zvikuru wekudzivirira huwandu hwephosphate muropa muvarwere veitsvo kwenguva refu.
- Mushonga uyu unofanira kutorwa panguva yekudya kukuru , zvikasadaro hauzoshandi.
- Ipa chiremba wako tsananguro yakazara yemimwe mishonga yese, mavhitamini, nezvimwe zvirwere zvauri kutora.
- Kana zviratidzo zvakaita sekuputirwa kwakanyanya kana kuti kusawirirana kwemuviri zvikaitika, tsvaga rubatsiro rwechiremba nekukasika.
- Usamborega kutora mishonga kana kuchinja mwero wemushonga usina kurairwa nachiremba wako.
- Kuenda kumakiriniki ekurapa nenguva uye kuongororwa ropa kwakakosha kuti uve neutano hwakanaka.
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