Ngaba unengxaki yezintso? Okanye ngaba ugqirha wakho ukuxelele ukuba inqanaba lakho le-calcium liphantsi? Ngoko mhlawumbi unikwe eli yeza libizwa ngokuba yi-'Calcitriol'. Abantu abaninzi baba nengxaki encinci xa besiva eli gama, "Lithini eli yeza? Kutheni ndinikwe eli?" Ngoko masithethe namhlanje ukuze sifumane iimpendulo kule mibuzo yakho. Kulula kakhulu, siza kuthetha ngayo yonke into malunga neli yeza ngendlela onokuyiqonda.
Yintoni le Calcitriol?
Ngamafutshane, i-calcitriol luhlobo olukhethekileyo nolusebenzayo lwe-vitamin D. I-vitamin D esiqhele ukuyisebenzisa ayinakusetyenziswa ngqo ngumzimba. Izintso zethu kufuneka ziyiguqule ibe yimo yayo esebenzayo, i-calcitriol.
Nangona kunjalo, kumntu onesifo sezintso, ngenxa yokuba izintso zakhe zingasebenzi kakuhle, le nkqubo ayisebenzi kakuhle. Emva koko inqanaba le-calcium emzimbeni liyehla. Kulapho oogqirha bakunika ngqo le vithamini D esebenzayo, eliyeza elibizwa ngokuba yi-calcitriol.
Izinto eziphambili ezitshintshayo koku zezi:
- Ukunyusa amanqanaba aphantsi e-calcium emzimbeni wakho.
- Inceda abantu abaneengxaki ze-parathyroid gland. Eli yeza likwanceda ekulawuleni amanqanaba eehomoni ezikhutshwa zezi gland.
Usenokulibona rhoqo eli yeza phantsi kwegama lophawu elithi 'Rocaltrol'.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqale ukusebenzisa eli yeza, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo yempilo yakho. Kufuneka ukhankanye oku kulandelayo.
| Imeko ekufuneka uyixele | Kutheni oko kubalulekile? |
|---|---|
| Sele unesifo sezintso. | Ekubeni eli yeza linikwa ikakhulu izifo zezintso, idosi kufuneka imiselwe ngokusekwe kuhlobo lwesifo sakho. |
| Ukuba nesifo se-parathyroid gland. | Ngenxa yokuba eli yeza lichaphazela amanqanaba e-hormone ye-parathyroid, kubalulekile ukuba ugqirha wakho azi imeko yakho. |
| Ukuba ufumana unyango lwe-dialysis. | Ekubeni amanqanaba e-calcium kunye ne-phosphorus kwizigulane ezixiliswayo etshintshatshintsha, imilinganiselo yamayeza kufuneka ilungiswe ngokufanelekileyo. |
| Ukuba ne-allergy kwinto ethile. | Qiniseka ukuba uxelela ugqirha wakho ukuba une-allergies kwi-calcitriol, i-vitamin D, amanye amayeza, ukutya, izithinteli, okanye imibala. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa. | Naliphi na iyeza kufuneka lithathwe ngononophelo olukhulu ngexesha lokukhulelwa. Kungoko ke, kubalulekile ukwazisa ugqirha ngale nto. |
| Ukuba ungumama oncancisayo. | Ekubeni izithako ezikweli yeza zinokudluliselwa kumntwana ngobisi lwebele, thetha nogqirha wakho ngale nto. |
Ulisebenzisa njani kanye kanye eli yeza?
Indlela yokusebenzisa oku ilula kakhulu.
- Ginya eli yeza ngeglasi yamanzi.
- Landela imiyalelo ekwileyibhile yeyeza olinikwe lona ngqo .
- Zama ukusela amayeza akho ngexesha elifanayo yonke imihla. Oku kuya kunciphisa amathuba okuphoswa yidosi.
- Ungaze uthathe ngaphezu komlinganiselo ochazwe ngugqirha wakho.
Ukuba unika abantwana eli yeza...
Eli yeza lingamiselwa ngugqirha kubantwana, ingakumbi abo baneminyaka engaphezu konyaka ubudala, kwiimeko ezithile zonyango. Kodwa kufuneka lenziwe ngononophelo olukhulu kwaye kuphela emva kwengcebiso kagqirha. Ke ngoko, ukuba unika umntwana wakho eli yeza, thetha nogqirha wakho ngononophelo kwaye ufumane iinkcukacha.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba usele eli yeza ngaphezu kokuba kufanele, musa ukulibazisa . Zimbini izinto ekufuneka uzenze ngoko nangoko.
1. Fowunela iZiko loLwazi lweZityhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo .
2. Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Okubaluleke kakhulu: Eli yeza limiselwe wena wedwa. Musa ukulinika nabani na oneempawu ezifana nezakho. Lisenokuba yingozi.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukungayithathi idosi yeyeza kunokwenzeka nakubani na. Ukuba uphosakele idosi, yithathe kwangoko wakuba ukhumbule. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo xa ukhumbula, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo . Musa ukuthatha idosi ephindwe kabini nangasiphi na isizathu.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
ICalcitriol liyeza elinokunxibelelana namanye amayeza kunye nezongezo, ngoko ke kubalulekile ukukwazi oku.
| Musa ukuthatha iCalcitriol kunye nezi. | |
|---|---|
| I-Burosumab | Izongezo zeVithamin D |
| Ukuba usela la mayeza, yazisa ugqirha wakho. | |
|---|---|
| Izongezo zeKhalsiyam | I-Cholestyramine |
| Ii-Corticosteroids - umz. i-Prednisolone | I-Digoxin |
| I-Ketoconazole | Izongezo zeMagnesium |
| I-Phenobarbital, i-Phenytoin | Iiarhente ezibopha i-phosphate |
| Ezinye ii-antacids | I-Thiazide diuretics - (iipilisi zamanzi) |
Olu luhlu lusenokungaphelelanga, ngoko ke xelela ugqirha wakho ngawo onke amayeza, iivithamini, kunye namayeza owasebenzisayo. Ungalibali ukuxelela ugqirha wakho ukuba uyatshaya okanye usela utywala.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Kubaluleke kakhulu ukubona ugqirha wakho rhoqo ngelixa usebenzisa eli yeza. Ugqirha wakho uhlala eyalela uvavanyo lwegazi ukujonga amanqanaba e-calcium kunye ne-phosphorus egazini lakho. Musa ukulibaleka eli vavanyo.
Baza kukucebisa ukuba ulandele ukutya okukhethekileyo.
Musa ukuthatha amanye amayeza okanye izongezo ezinevithamini D, iphosphorus, imagnesium, okanye icalcium ngaphandle kwengcebiso kagqirha wakho. Amanye amayeza alwa ne-asidi (amayeza e-heartburn) nawo anokuba nazo. Ukwenza njalo kunokunyusa umngcipheko weziphumo ebezingalindelekanga.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, i-calcitriol inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zezi zifuna ingqalelo ekhawulezileyo, ngelixa ezinye zingeyongozi kangako.
| Imiphumela | Inkcazo |
|---|---|
| Ukuba ufumana ezi mpawu, xelela ugqirha wakho ngoko nangoko. | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla. |
| Inqanaba eliphezulu le-calcium egazini | Ukuziva unxaniwe okanye uchama ngaphezu kwesiqhelo, isicaphucaphu, ukuhlanza, ukudideka, uzive udiniwe ngendlela engaqhelekanga, kunye nentlungu yamathambo. |
| Inqanaba eliphezulu le-phosphorus egazini | Intlungu kwizihlunu okanye kumalungu, ukungaziva mnandi emlonyeni. |
| Ezi azinabungozi, kodwa ukuba ziyaqhubeka, xelela ugqirha wakho. | |
| Umlomo owomileyo | Intloko ebuhlungu |
| Umnqweno wokutya | Incasa yesinyithi emlonyeni |
| Ukungonwabi kwesisu | |
Ungayigcina njani iyeza?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius).
- Zikhusele ekukhanyeni.
- Gcina ibhotile/ipilisi yamayeza ivaliwe kakuhle.
- Lahla amayeza aphelelwe lixesha.
Eli phepha lolwazi lisisishwankathelo nje. Ukuba unemibuzo engaphezulu malunga nale yeza, nceda ungathandabuzi ukuthetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- ICalcitriol luhlobo olusebenzayo lwevithamini D. Inikwa ikakhulu abantu abanamanqanaba aphantsi e-calcium emzimbeni ngenxa yesifo sezintso okanye iingxaki ze-parathyroid glands.
- Ngaphambi kokuba uqale amayeza, xelela ugqirha wakho ngawo onke amanye amayeza, izongezo, kunye neemeko zempilo ozisebenzisayo.
- Sela idosi echazwe ngugqirha wakho kanye njengoko iyalelwe, ngexesha elifanelekileyo. Ungaze uthathe idosi ezimbini ngaxeshanye.
- Qaphela iimpawu ze-calcium ephezulu egazini (ukoma kakhulu, isicaphucaphu, ukuhlanza, iintlungu zamathambo). Ukuba ufumana naziphi na kwezi mpawu, xelela ugqirha wakho ngoko nangoko.
- Kubalulekile ukuba kwenziwe uvavanyo lwegazi rhoqo. Kwakhona, musa ukuthatha naziphi na ezinye izongezo ze-calcium okanye i-vitamin D ngaphandle kwengcebiso kagqirha.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Isetyenziselwa ntoni iCalcitriol (Calcitriol / Rocaltrol)?
Le ayisiyonto nje 'iVitamin D' onokuyithenga kwikhemesti eqhelekileyo! Le 'yi-Active form yeVitamin D3', eveliswa zizintso zethu. Ingakumbi kwabo banomonakalo omkhulu wezintso (CKD/Dialysis), ekubeni izintso zingenakuvelisa le vitamin D esebenzayo, kufuneka zithathe le pilisi ye-calcitriol ukuze zakhe icalcium emizimbeni yazo kwaye zithintele ukulahleka kwamathambo.
💬 Le pilisi (iCalcitriol) iyifunxa njani icalcium emathunjini kwaye iqinise amathambo?
Ngokwesiqhelo, kunzima kakhulu ukuba umzimba ufunxe i-calcium ekutyeni esikutyayo emathunjini. Kodwa xa le 'vitamin D esebenzayo (Calcitriol)' ingena emathunjini, inyanzela iiseli emathunjini ukuba 'zivule zonke iingcango ezivumela i-calcium' (Ivuselela ukufunxwa kwe-calcium). Emva koko, isixa esikhulu se-calcium ekutyeni singena egazini, ukusuka apho singena emathanjeni size siqine, nto leyo eyenza amathambo abe namandla.
💬 Yeyiphi eyona miphumo mibini neyingozi (ubuthi) bale vithamini D yokwenziwa?
Akufani ne-vitamin eqhelekileyo! Ukuba umthamo wale mayeza (iCalcitriol) unyuswe kancinci, ubungakanani be-calcium egazini lakho buya kunyuka bufikelele kwinqanaba elinganyamezelekiyo (iHypercalcemia)! Emva koko loo calcium iya kuhamba ize ihlale entliziyweni nakwimithambo yegazi ize yenze amatye (iVascular calcification), anokubulala umguli ngequbuliso. Kukwakho nethuba elikhulu lokuphazamiseka kwesisu, isicaphucaphu, amatye omchamo, kunye nokudideka kwengqondo.
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