Ngaba ugqirha wakho ukuxelele ukuba uthathe iyeza elibizwa ngokuba yi-'Phosphate Binders'? Okanye ngaba uqaphele ukuba amanqanaba akho e-phosphate egazini aphezulu? Eli gama lisenokuvakala lingaqhelekanga kuwe. Kodwa ungakhathazeki. Eli liyeza elihlala linikwa abantu abanesifo sezintso. Namhlanje, siza kuthetha ngalo ngendlela elula kakhulu onokuyiqonda.
Ngamafutshane, zithini ezi zibophelelo ze-phosphate?
Kulula kakhulu. Iifosphate binders luhlobo lwamayeza anikwa ukunciphisa inqanaba le-phosphate emzimbeni wakho. I-phosphate yiminerali efunekayo emzimbeni wethu. Kodwa njengayo nayiphi na into, eninzi kakhulu inokubangela iingxaki. Kulapho ugqirha aza kukunika eli yeza.
Nangona amanye ala mayeza angathengwa ngaphandle kwekhawuntara, akufuneki uwasebenzise ngaphandle kokuthetha nogqirha wakho. Oku kubaluleke kakhulu.
Kutheni imizimba yethu ifuna i-phosphate?
I-phosphate yi-electrolyte emzimbeni wethu. Ngamafutshane, yiminerali ebalulekileyo ukuze umzimba wethu usebenze. Cinga ngayo, i-phosphate inceda ekwenzeni amathambo namazinyo ethu aqine. Ayipheleli apho, kodwa i-phosphate ikwabalulekile ekuveliseni amandla eeseli zomzimba wethu, ekwakhiweni kwee-membranes zeeseli, nasekwakheni i-DNA (i-Deoxyribonucleic acid), equlethe ulwazi lwethu lwemfuza.
Sifumana le phosphate ekutyeni esikutyayo nesikuselayo. Umzimba womntu ophilileyo uthatha kuphela ubungakanani obufunekayo, kwaye okuseleyo kukhutshwa kumchamo nakwindle. Kodwa ngesizathu esithile, ingakumbi xa izintso zingasebenzi kakuhle, umzimba awukwazi ukukhupha iphosphate eyongezelelweyo ngale ndlela. Kulapho iphosphate iqokelelana egazini ize ibangele iingxaki.
Ngubani ofuna le phosphate binder?
Amaxesha amaninzi, ugqirha uya kukunika eli yeza ukuba inqanaba le-phosphate egazini lakho liphezulu kakhulu kunesiqhelo. Esi simo saziwa ngokwezonyango njenge- hyperphosphatemia .
Le meko inokwenzeka kakhulu kubantu abanesifo sezintso esinganyangekiyo (CKD) kunye nabo bangasebenzi kakuhle kwizintso zabo kwaye besenza i-dialysis.
Kutheni le nto eli yeza linikwa izigulane ezisebenzisa i-dialysis?
Kuqhelekile ukuba i-phosphate iqokelele egazini njengoko izintso zingasebenzi. Xa amanqanaba e-phosphate enyuka, iqala ukutsala i-calcium emathanjeni. Ekuhambeni kwexesha, oku kwenza amathambo abe buthathaka kwaye kwandisa umngcipheko wokuqhekeka. Izibophelelo ze-phosphate zinikwa izigulane ze-dialysis ukuthintela izifo ezinxulumene namathambo.
Ingakanani inqanaba le-phosphate elifanelekileyo egazini?
Inqanaba eliqhelekileyo le-phosphate egazini kumntu omdala osempilweni liphakathi kwe -2.8 kunye ne-4.5 milligrams nge-deciliter (mg/dL) . Kubantwana abancinci, eli xabiso liphezulu kancinci, liphakathi kwe -4.0 kunye ne-7.0 mg/dL .
Kodwa khumbula ukuba la maxabiso anokwahluka kancinci ngokuxhomekeke kwizixhobo kunye neendlela ezisetyenziswa kwilabhoratri nganye. Ke ngoko, kungcono ubuze ugqirha wakho ingcaciso engcono kakhulu yexabiso elikwingxelo yakho.
Zeziphi ukutya neziselo ezifumaneka kakhulu kwi-phosphate?
Ukuba unesifo sezintso, kufuneka ulumke kakhulu ngento oyityayo noyiselayo, kuba njengokuba usela amayeza, ukulawula ukutya kubaluleke kakhulu.
| Uhlobo lokutya | Imizekelo |
|---|---|
| Ubisi kunye nokutya kobisi | Ubisi, iyogathi, itshizi (ingakumbi itshizi ecutshungulweyo) |
| Ezinye iziselo | Iziselo ezinekhabhoni ezifana ne-cola (i-Soda pop) |
| Ukutya okukhawulezileyo nokulungisiweyo | Ukutya okukhawulezayo, inyama elungisiweyo (isoseji, iibhola zenyama), intlanzi ekheniweyo |
| Amantongomane kunye neeflakes | Iipinati, iicashew, iimbotyi, iitships, iilentils |
| Iinkozo ezine-bran | Isonka sebran, i-oats, irayisi yebran (irayisi ebomvu) |
Lisebenza njani eli yeza libizwa ngokuba yi-phosphate binder?
Indlela esebenza ngayo le nto iyamangalisa. Xa sisitya ukutya, i-phosphate ekuloo nto yokutya ifunxwa emizimbeni yethu ngenxalenye ephakathi yamathumbu amancinci, esiyibiza ngokuba yi-jejunum .
Xa uthatha le phosphate binder kunye nokutya, iyeza lingena esiswini sakho lize "libophane" nephosphate eyongezelelweyo ekutyeni kwakho. Lifana nemagnethi. Xa linamathela, alinakutsalwa egazini lakho. Emva koko, iphosphate eyongezelelweyo ikhutshwa emzimbeni wakho kwi-stool yakho. Kulula kakhulu, akunjalo?
Iintlobo zee-phosphate binders kunye nendlela yokuzifumana?
Kukho iintlobo ezahlukeneyo ze-phosphate binders. Ngokuxhomekeke kwimeko yakho, ugqirha wakho uya kukhetha uhlobo olukufaneleyo.
- I-calcium carbonate - (umz. iTums®, iAlka-Seltzer®)
- Sevelamer - (umz. Renvela®, Renagel®)
- I-Lanthanum carbonate - (umz. iFosrenol®)
- I-calcium acetate - (umz. i-PhosLo®, i-Phoslyra®)
- I-oxyhydroxide ye-Sucroferric - (umz. iVelphoro®)
Loluphi uhlobo olungcono?
Izithako zokuncedisa ezine-calcium (ezifana ne-calcium carbonate) zihlala zinikwa. Nangona kunjalo, ezinye izifundo zifumanise ukuba xa ezi zithako zokuncedisa ezine-calcium zithathwa ixesha elide, i-calcium eyongezelelweyo inokuqokelelana kwimithambo yegazi. Oku kubizwa ngokuba yi -vascular calcification . Oku kunokunyusa umngcipheko wokuqhekeka kwegazi okanye isifo sohlangothi. Ngenxa yesi sizathu, ugqirha wakho ngamanye amaxesha unokucebisa isithako sokuncedisa esingenayo i-calcium (esifana ne-Sevelamer).
Ndingalithatha njani eli yeza?
Le yeyona nto ibalulekileyo. Ukuze eli yeza lisebenze kakuhle, ixesha olithathayo libaluleke kakhulu. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Xelela ugqirha wakho malunga neminye imithi oyithathayo (kuquka iivithamini kunye namayeza esintu), njengoko amanye amayeza enokuthi adibane nale.
- Ngokuxhomekeke kuhlobo lwamayeza, indlela afanele athathwe ngayo ingahluka:
- Ezinye zazo kufuneka zihlafunwe kwaye ziginywe imizuzu eli-10-15 ngaphambi kokuba zityiwe .
- Ezinye zazo kufuneka zihlafunwe kwaye ziginywe kwangoko nje ukuba uqale ukutya .
- Ezinye zazo kufuneka ziginywe ziphelele , kunye nemilomo emibini okanye emithathu yokuqala yesidlo .
- Ezinye ziza zikwimo yomgubo. Zifanele zinyibilikiswe emanzini zize zithathwe kunye nemilomo emibini okanye emithathu yokuqala yokutya .
- Ezinye zazo kufuneka zihlafunwe zize ziginywe kwangoko emva kokutya .
Eyona nto ibalulekileyo kukuba eli yeza lifanele lithathwe kunye nokutya. Kulapho liza kufunxa khona i-phosphate ekutyeni. Ukusela eli yeza ngaphandle kokutya akuyi kwenza nto.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga kweli yeza?
Njengayo nayiphi na imithi, olu hlobo lwamayeza lunokubangela iziphumo ebezingalindelekanga ezincinci, kodwa ayinguye wonke umntu ozifumanayo.
| Iziphumo ebezingalindelekanga eziqhelekileyo |
|---|
| - Intlungu yesisu |
| - Isicaphucaphu nokuhlanza |
| - Iingxaki zokudumba/zokugaya ukutya |
| - Urhudo okanye ukuqhinwa |
| - Ukudumba |
| - Utshintsho kumbala wesihlalo |
| - Ezinye iintlobo (ezine-calcium) zinokunyusa amanqanaba e-calcium egazini. |
Ukuba ezi mpawu ziyakukhathaza, thetha nogqirha wakho. Banokukwazi ukutshintsha amayeza akho.
Ufanele uye nini kugqirha?
Ukuba ufumana iziphumo ebezingalindelekanga ezibi kakhulu, qiniseka ukuba uxelela ugqirha wakho. Kwakhona, ngamanye amaxesha ukwanda kwe-phosphate egazini kunokubangela ukwehla kwamanqanaba e-calcium emzimbeni. Oku kubizwa ngokuba yi -hypocalcemia . Ukuba ufumana ezi mpawu zilandelayo, funa ingcebiso kagqirha ngokukhawuleza.
- Ukushukuma kwemisipha
- Iingxaki zememori
- Umsindo ngaphandle kwesizathu
- Ukungabi namandla kwemilebe, ulwimi, iminwe, okanye iinyawo
- Ukuxhuzula
- Ukungasebenzi kakuhle kwentliziyo (i-Arrhythmia)
Imibuzo omele uyibuze ugqirha wakho
Xa usiya kugqirha wakho olandelayo, khumbula le mibuzo. Ukubuza kuye kunokukunceda uqonde ngcono imeko yakho.
- "Luhlobo luni lwe-phosphate binder ondicebisayo?"
- "Zithini iziphumo ebezingalindelekanga ezinokubakho?"
- "Ndingalithatha njani eli yeza? Ngaphambi okanye emva kokutya?"
- "Ndifanele ndiyithathe kangaphi ngemini?"
- "Zingaphi iipilisi endifanele ndizithathe xa ndisitya isidlo esiphambili? Zingaphi iipilisi endifanele ndizithathe xa ndisitya?"
- "Ngaba kukho amanye amayeza endifanele ndiyeke ukuwasebenzisa ngelixa ndisela la mayeza?"
- "Ndiza kuthatha eli yeza ixesha elingakanani?"
- "Luhlobo luni lovavanyo oluqhutywayo ukuze kubonwe ukuba eli yeza liyasebenza na?"
- "Ngaba kufuneka ndidibane nogqirha wezondlo?"
Umyalezo Wokuya Ekhaya
- Izibopheleli ze-phosphate ngamayeza anceda ekulawuleni amanqanaba e-phosphate egazini. Oku kubaluleke kakhulu kubantu abanesifo sezintso.
- Ukuze eli yeza lisebenze kakuhle, kufuneka lithathwe kanye njengoko ugqirha eliyalele, ngexesha elifanelekileyo, nangokutya .
- Musa ukuyeka ukuthatha eli yeza nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho.
- Ukongeza ekuseleni amayeza, kubaluleke kakhulu ukulawula ukutya kwakho okune-phosphate eninzi. Thetha nogqirha wakho ngale nto.
- Ukuba ufumana iziphumo ebezingalindelekanga okanye ubonisa iimpawu zokunqongophala kwe-calcium, bonana nogqirha ngokukhawuleza.
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