Ukuba wena okanye umntu kusapho lwakho unesifo sezintso esinganyangekiyo, mhlawumbi uyazi ukuba ezinye izinto ekufuneka zisuswe zizintso ziqokelelana emzimbeni. Enye yezinto ezinjalo yi "phosphate". Le phosphate, esiyifunxayo ekutyeni esikutyayo, ikhutshwa kwizintso ezisempilweni kumchamo. Kodwa xa izintso zingaphumeleli, ingakumbi xa kufuneka siye kwi-dialysis, le phosphate iqala ukuqokelelana egazini. Oku akulunganga emzimbeni konke konke. Oku kunokukhokelela kubuthathaka bamathambo, iintlungu zamalungu, ukurhawuzelela kolusu, kwanesifo sentliziyo ngokuhamba kwexesha. Yiyo loo nto ugqirha wakho ekunika amayeza ahlukeneyo okulawula inqanaba le-phosphate egazini. I-Sevelamer yenye yemithi ebaluleke kakhulu.
Yintoni iSevelamer? Isebenza njani?
Ngamafutshane, iSevelamer yimagnethi yephosphate. Iza ngohlobo lwepilisi okanye icapsule. Xa usela eli yeza, linamathela kwiphosphate ekutyeni okutyayo emathunjini akho kwaye lithintele umzimba ekufunxeni loo phosphate. Emva koko, iphosphate ebotshelelweyo ikhutshwa emzimbeni wakho esitulweni sakho. Cinga ngayo njengomntu oqokelela inkunkuma, engena emathunjini akho aze athathe iphosphate engafunekiyo aze ayilahle.
Eyona nto ibalulekileyo kukuba eli yeza alingeniswa egazini. Lisebenza kuphela kwinkqubo yokwetyisa, oko kukuthi, ngaphakathi emathunjini. Yiyo loo nto eli liyeza likhuselekileyo. Eli yeza linokuba phantsi kwamagama eempawu ezifana neRenaGel kunye neRenvela.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba unike iSevelamer, kubalulekile ukuba ugqirha wakho azi kakuhle imeko yakho yempilo. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zilandelayo:
- Ukuvaleka kwamathumbu: Ukuba ukhe wavaleka amathumbu ngaphambili.
- Ukuqhinwa: Ukuba uqhinwa rhoqo, eli yeza lingenza imeko ibe mandundu.
- Ubunzima bokuginya: Ukuba unengxaki yokuginya iipilisi.
- Ezinye izifo zesisu okanye zamathumbu: Ukuba ukhe watyandwa isisu okanye amathumbu ngaphambili, okanye ukuba unenye ingxaki yempilo.
- Ii-Allergies: Ukuba une-allergy kwi-Sevelamer okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisayo.
Ngokusekelwe kolu lwazi, ugqirha wakho uya kugqiba ukuba eli yeza lifanelekile na kuwe okanye ukuba kufuneka kutshintshwe idosi.
Uyisebenzisa njani iSevelamer ngokuchanekileyo?
Ukuze ufumane amayeza angcono, kufuneka uwasebenzise ngokufanelekileyo.
1. Yithathe nokutya: Le yeyona nto ibalulekileyo. Kuba eli yeza lisebenza ngokubopha i-phosphate ekutyeni. Ngoko ke, kubalulekile ukulithatha eli yeza kwizidlo eziphambili (kusasa, emini, nasebusuku) . Ukulithatha ngaphandle kokutya akuyi kusebenza.
2. Ginya ngeglasi yamanzi: Ginya ithebhulethi okanye ikhaphu yonke ngeglasi yamanzi. Musa ukuphula, ukutyumza, okanye ukuhlafuna ithebhulethi. Cela ingcebiso kugqirha wakho.
3. Yithathe ngexesha elifanelekileyo: Thatha idosi efanelekileyo ngexesha elifanelekileyo njengoko ugqirha wakho ekuyalele. Musa ukutsiba idosi enye.
4. Musa ukuyeka ukuyisebenzisa wedwa: Nokuba uziva uphilile kangakanani na, musa ukuyeka ukuyisebenzisa ngequbuliso le mithi ngaphandle kwengcebiso kagqirha wakho.
5. Amanye amayeza: Ukuba usebenzisa amanye amayeza, ungadinga ukuwasebenzisa ngamaxesha ahlukeneyo kuneSevelamer, kodwa uwasebenzise ngeyure enye okanye ezimbini. Oku kungenxa yokuba iSevelamer inokuphazamisa ukufunxwa kwamanye amayeza. Ngoko ke, thetha nogqirha wakho malunga nawo onke amayeza owasebenzisayo kwaye ucwangcise ishedyuli yakho yamayeza ngokufanelekileyo.
Ingaba ninika abantwana abancinci oku?
Ewe, kwezinye iimeko ezikhethekileyo, eli yeza linikwa abantwana abangaphezu kweminyaka emi-6 ubudala. Kodwa lenziwa phantsi kweliso elibukhali likagqirha wezingane.
Kuthekani ukuba ndisela amayeza amaninzi kakhulu okanye ndiphoswe yidosi?
Ukugqithisa amayeza: Ukuba ukrokrela ukuba uthathe amayeza amaninzi kunokuba ucinga, yiya kwisibhedlele esikufutshane neCandelo loNyango oluNgxamisekileyo (ETU) ngoko nangoko . Okanye utsalele umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Idosi ephosiweyo: Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo (umz., ngaphantsi kweeyure ezimbini), yeka idosi ephosiweyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi ephosiweyo.
Amanye amayeza nezinto ezinokusebenzisana neSevelamer
I-Sevelamer inokuphazamisana nokusebenza kwamanye amayeza. Ngoko ke, kubalulekile ukwazisa ugqirha wakho ukuba usebenzisa la mayeza alandelayo:
- Ii-antibiotics ezifana neCiprofloxacin
- I-Cyclosporine
- I-Mycophenolate
- I-Levothyroxine - iyeza lezifo ze-thyroid
- I-Tacrolimus
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngamanye amayeza, iivithamini, amayeza esintu, okanye iimveliso zezityalo ozithathayo. Kwakhona, xelela ugqirha wakho ukuba uyatshaya okanye usela utywala.
Iziphumo ebezingalindelekanga ezinokubakho ngelixa usela iyeza
Njengazo zonke iziyobisi, iSevelamer inokubangela ezinye iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo. Ezi zilandelayo zezinye zeziphumo ebezingalindelekanga ezinokubakho.
| Uhlobo lwesiphumo esibi | Inkcazo kunye nento omawuyenze |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Ukuqhinwa okukhulu | Akukho ntshukumo yamathumbu kangangeentsuku, iintlungu eziqatha zesisu. |
| Iziphumo ebezingalindelekanga ezihlala zingeyongozi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Isisu esibuhlungu | Igesi, iintlungu zesisu, isicaphucaphu, ukuhlanza, urhudo. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingekho kolu luhlu, thetha nogqirha wakho ngazo.
Ezinye izinto ekufuneka uzilumkele xa usebenzisa iyeza
- Ukuhlolwa rhoqo kwezonyango: Ukuya kwiikliniki njengoko kucwangcisiwe ngugqirha wakho kubalulekile ukuze ubone ukuba imeko yakho iyaphucuka na.
- Uvavanyo lwegazi: Ugqirha wakho uhlala eyalela uvavanyo lwegazi ukujonga izinto ezifana namanqanaba e-phosphate egazini lakho kunye namanqanaba e-calcium. Musa ukuziphosa.
- Iivithamini kunye nesondlo:ISevelamer inokuphazamisa ukufunxwa kwezinye iivithamini. Ngoko ke thetha nogqirha wakho okanye ingcali yesondlo malunga nokuba ufuna iivithamini ezongezelelweyo na. Ukutya ukutya okunesondlo nako kubaluleke kakhulu.
- Ukugcinwa kwamayeza: Gcina iipilisi kude nokufikelela kwabantwana. Gcina kubushushu begumbi (phakathi kwe-15-30 Celsius), kude nokufuma kunye nelanga elithe ngqo. Lahla amayeza aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Sevelamer liyeza elibaluleke kakhulu lokulawula amanqanaba e-phosphate egazini kwizigulana zezintso ezihlala ixesha elide.
- Eli yeza kufuneka lithathwe kunye nokutya okuphambili , kungenjalo aliyi kusebenza.
- Nika ugqirha wakho inkcazo epheleleyo ngayo yonke eminye imithi, iivithamini, kunye nezinye iimeko zempilo ozisebenzisayo.
- Ukuba kuvela iimpawu ezinje ngokuqhinwa kakhulu okanye ukunganyamezelani komzimba, funa ingcebiso kagqirha ngoko nangoko.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
- Ukuya kwiikliniki zonyango ngexesha kunye nokuvavanywa kwegazi okufunekayo kubalulekile kwimpilo-ntle yakho.
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