Ukuba unesifo sezintso, mhlawumbi uyazi ngokusuka kumava akho ukuba le meko inokuchaphazela ezinye iinkqubo emzimbeni. Oku kunokuchaphazela ngakumbi impilo yenkqubo yethu yamathambo. Kwimeko enjalo, ugqirha wakho unokukunika inaliti ebizwa ngokuba yi-'Paricalcitol'. Ngoko ke, ekubeni eli gama litsha kubantu abaninzi, namhlanje siza kuthetha ngeli yeza, ukuba lenza ntoni, kunye nezinto ekufuneka uzilumkele xa ulisebenzisa.
Luhlobo luni lonyango iParicalcitol?
Ngamafutshane, iParicalcitol luhlobo olukhethekileyo lwevithamini D. Kodwa oku akufani nepilisi yevithamini D esidla ngokuyithatha. Umsebenzi wayo ophambili kukulawula ukusebenza kwamadlala e-parathyroid emzimbeni wethu.
Kubantu abanesifo sezintso, ingakumbi abo bakwi-dialysis, amadlala e-parathyroid ngamanye amaxesha asebenza kakhulu. Ngokwezonyango le meko siyibiza ngokuba yi-"hyperparathyroidism." Xa amadlala esebenza kakhulu, akhupha i-hormone ye-parathyroid engaphezulu "ye-parathyroid hormone" egazini. Xa le hormone isanda, ithatha i-calcium emathanjeni ethu ize iyongeze egazini. Ekuhambeni kwexesha, oku kunokubangela ukuba amathambo abe buthathaka, aqhekeke, kwaye aphuke lula.
Ngoko ke, into eyenziwa yinaliti ye-`Paricalcitol` kukunciphisa nokulawula amanqanaba e-parathyroid hormone aphezulu kakhulu, kunye nokukhusela inkqubo yakho yamathambo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Ngaphambi kokuba akunike eli yeza, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yempilo. Ngoko ke, qiniseka ukuba umazisa ngezi zinto zilandelayo. Ukufihla ezi zinto kuya kukwenzakalisa.
| Imeko ekufuneka uyixele | Inkcazo |
|---|---|
| Amanqanaba egazi | Ukuba ugqirha wakho ukuxelele ukuba amanqanaba akho e-calcium, i-phosphorus, okanye i-vitamin D egazini sele ephezulu, mxelele. |
| Ii-aleji | Qiniseka ukuba uyasixelela ukuba une-allergy kule mithi yeParicalcitol, i-vitamin D, naluphi na olunye unyango, ukutya, isithinteli, okanye ukufaka imibala. |
| Ukukhulelwa kunye nokuncancisa | Kubaluleke kakhulu ukwazisa ugqirha wakho ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Ulisebenzisa njani eli yeza?
I-Paricalcitol ayiloyeza onokulithatha uye nalo ekhaya. Liyeza lokujova emthanjeni. Ke ngoko, linikwa kuphela ngabasebenzi bezonyango abaqeqeshiweyo esibhedlele okanye eklinikhi . Eli chiza lidla ngokunikezelwa ngexesha lonyango lwe-dialysis.
Kubalulekile: Eli yeza lelakho kuphela. Ungaze wabelane ngalo nabanye abantu okanye ulincomele nabani na.
Yintoni omawuyenze ukuba ugqithisile?
Oku kunikwa esibhedlele, ngoko ke amathuba okuba oku kwenzeke aphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba usenokuba usele kakhulu eli yeza okanye ukuba ufumana naziphi na iimpawu ezinxulumene nalo, yazisa abasebenzi ngoko nangoko. Okanye, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo . Kwimeko engxamisekileyo, kungcono ukuya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Ezinye izinto ezinokusebenzisana nale mithi
Amanye amayeza, ukutya, kunye nezongezo zinokusebenzisana neParicalcitol. Ngoko ke, kubalulekile ukunika ugqirha wakho uluhlu olupheleleyo lwamayeza owasebenzisayo (kuquka amayeza ezinye izifo, iivithamini, amayeza emifuno, kunye namayeza e-Ayurvedic).
| Uhlobo lwamayeza/lokutya | Umba oxhalabisayo |
|---|---|
| I-Burosumab, amanye amayeza aqulethe i-vitamin D | Ukuzithatha zonke ezi zinto kunokubangela amanqanaba aphezulu e-calcium kunye ne-vitamin D emzimbeni. |
| Amanye amayeza e-HIV/AIDS, usulelo lwefungus, i-cholesterol, kunye nokuxhuzula | Ezi zinokuchaphazela indlela esebenza ngayo iParicalcitol, ngoko ke umthamo wakho unokufuna ukulungiswa okanye unokufuna ukuvavanywa rhoqo. |
| I-Digoxin, ii-diuretics (iipilisi zamanzi), ezinye ii-antibiotics (ezifana ne-clarithromycin) | Ukuhlolwa ngokusondeleyo ngugqirha kuyimfuneko kuba kunokwenzeka ukuba kubekho ukusabela phakathi kwala mayeza. |
| Ijusi yegrapefruit | Kuphephe ukusela ijusi yejambola, kuba inokunyusa amanqanaba esi siyobisi emzimbeni. |
| Ezinye ii-antacids kunye neevithamini | Kuphephe ukuzithatha ezi zinto ngaphandle kwengcebiso kagqirha. Zisenokuba ne-calcium, i-magnesium, okanye i-phosphorus. |
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa amayeza
1. Ukuhlolwa rhoqo ngugqirha: Ugqirha wakho uza kukujonga rhoqo ukuze abone ukuba uqhuba njani. Kuya kufuneka wenze uvavanyo lwegazi rhoqo (uvavanyo lwelabhoratri) ukuze ujonge amanqanaba akho e-calcium, i-phosphorus, kunye ne-parathyroid hormone . Musa ukulibaleka eli vavanyo.
2. Ukutya okukhethekileyo: Uza kucelwa ukuba ulandele ukutya okukhethekileyo ngelixa usela eli yeza. Uza kucelwa ukuba unciphise ukutya okuqulethe i-phosphorus (ubisi, itshizi, amantongomane, iimbotyi, kunye neziselo ezifana ne-cola). Landela imiyalelo kagqirha wakho okanye yengcali yesondlo ngokuchanekileyo.
3. Kuphephe ukuthatha amayeza ongezelelweyo: Ngaphandle kwemvume kagqirha.Musa ukuthatha naziphi na izongezo okanye ii-antacids ezine-vitamin D, i-phosphorus, i-magnesium, okanye i-calcium. Ukwenza njalo kunokubangela amanqanaba aphezulu ayingozi ezi zinto emzimbeni kwaye kubangele iziphumo ebezingalindelekanga ezibi kakhulu.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, iParicalcitol inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zezi zimbi kakhulu, ngelixa ezinye zincinci. Into ebalulekileyo kukwazi ezi mpawu kwaye uthathe amanyathelo ngokukhawuleza ukuba kuyimfuneko.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela okukhulu, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Iimpawu zezinga eliphezulu le-calcium | Unxano olugqithisileyo, ukuchama rhoqo, isicaphucaphu, ukuhlanza, ukudideka, ukudinwa okungaqhelekanga, kunye nentlungu yamathambo. |
| Iimpawu zokuphakama kwamanqanaba e-phosphorus | Intlungu okanye ukuqina kwemisipha, intlungu yamathambo okanye amalungu, ukungaziva mnandi okujikeleze umlomo. |
| Iziphumo ebezingalindelekanga eziqhelekileyo ekufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Iingxaki zenkqubo yokugaya ukutya | Isicaphucaphu, ukuhlanza, ukuqhina, isisu esibuhlungu, ukungabi namdla wokutya. |
| Ezinye iimpawu | Intloko ebuhlungu, ukudumba kwamaqatha, izandla, okanye iinyawo. |
Umyalezo Wokuya Ekhaya
- I-Paricalcitol luhlobo olukhethekileyo lwe-vitamin D olunikwa ukulawula i-hyperparathyroidism kwizigulana zezintso.
- Eli yeza linikwa esibhedlele okanye ekliniki kuphela.
- Ngaphambi kokuba uqale ukusebenzisa amayeza, xelela ugqirha wakho ngazo zonke izinto ezikubangela ukuba ungabi naso isifo, amanye amayeza owasebenzisayo, nokuba ukhulelwe/uyancancisa na.
- Kubalulekile ukuba kwenziwe uvavanyo lwegazi ngexesha elifanelekileyo kwaye ulandele ukutya okuchazwe ngugqirha.
- Ukuba ufumana naziphi na iimpawu ze-allergy okanye iimpawu zamanqanaba aphezulu e-calcium okanye e-phosphorus (njengokomela kakhulu, iintlungu zamathambo), yazisa ugqirha wakho ngoko nangoko.
- Kuphephe ukuthatha naziphi na izongezo ezine-calcium, i-vitamin D, okanye i-phosphorus ngaphandle kwengcebiso kagqirha.
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