Ngaba unesifo seSifo sezintso esingapheliyo? Kwaye ngaba utyandwa nge-dialysis? Ngoko ke ugqirha wakho kumele ukuba ukuxelele ukubaluleka kokulawula inqanaba le-phosphate egazini lakho. Ngoko ke, elinye lamayeza adla ngokucetyiswa ngoogqirha ukulawula eli nqanaba le-phosphate yiSevelamer. Namhlanje, siza kuthetha ngokufutshane ngeli yeza, into eliyenzayo emzimbeni, indlela yokulisebenzisa, kunye nento ekufuneka uyilumkele.
Yintoni iSevelamer? Yintoni kanye kanye eyenzayo?
Ngamafutshane, iSevelamer liyeza elikhethekileyo elibopha i-phosphate emathunjini ethu. Cinga ngayo njengesiponji. Eli yeza libopha i-phosphate ekutyeni esikutyayo ngaphambi kokuba ifunxwe emizimbeni yethu. Emva koko, i-phosphate ebotshelelweyo ikhutshwa emzimbeni xa isesitulweni.
Ngoku usenokuba uzibuza ukuba kutheni kufuneka uyeke ukufunxa le phosphate. Nasi isizathu. Xa izintso zakho zingasebenzi kakuhle, azikwazi ukususa iphosphate eyongezelelweyo eqokeleleka emzimbeni wakho. Emva koko amanqanaba e-phosphate egazini lakho anokuba phezulu kakhulu. Oku kunokwenza buthathaka amathambo akho, kubangele isifo sentliziyo, kwaye kubangele nezinye iingxaki zempilo ezinzulu. Ngoko ke eli yeza lisebenza ukunciphisa loo mngcipheko.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubaluleke kakhulu ukuba ugqirha wakho azi kakuhle imeko yakho yempilo ngaphambi kokuba akunike eli yeza. Ngoko ke, ukuba unenye yezi meko zilandelayo, qiniseka ukuba uyamxelela ugqirha wakho.
- Ukuba unesisu (kuba eli yeza ngamanye amaxesha linokwenza ukuba sibe sibi kakhulu).
- Ukuba uvalekile amathumbu akho okanye ezinye iingxaki zesisu okanye amathumbu.
- Ukuba une-allergy kwiSevelamer okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa.
Ngokuxela ezi zinto kwangaphambili, kuya kuba lula kugqirha ukukunika unyango olufanelekileyo nolukhuselekileyo.
Ndingayisebenzisa njani kanye kanye le mithi?
Ukuze ufumane okuninzi kweli yeza, kubaluleke kakhulu ukulisebenzisa ngokuchanekileyo.
- Yithathe nokutya: Eli liyeza elifanele lithathwe kunye nokutya . Ngale ndlela, unokufunxa i-phosphate ekutyeni ngendlela efanelekileyo.
- Shukumisa kakuhle: Ukuba oku ukunikwe njengolwelo (umxube womlomo), ungalibali ukushukumisa ibhotile kakuhle ngaphambi kokuba uyisebenzise.
- Gcina isithuba kunye namanye amayeza:Oku kubaluleke kakhulu. Ukuba usebenzisa amanye amayeza, kunokufuneka ushiye isithuba seeyure ezininzi phakathi kwawo. I-Sevelamer inokuphazamisa ukufunxwa kwamanye amayeza. Ngoko ke, xelela ugqirha wakho malunga nawo onke amanye amayeza owasebenzisayo kwaye umbuze ukuba kufuneka ushiye isithuba ixesha elingakanani.
- Yithathe ngexesha: Thatha idosi emiselweyo kanye njengoko ugqirha wakho ekuyalele. Musa ukunyusa idosi okanye uyeke ukuthatha amayeza ngaphandle kwengcebiso kagqirha wakho.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha iidosi ezimbini ngaxeshanye nangasiphi na isizathu.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, ungoyiki. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)
I-Sevelamer inokusebenzisana namanye amayeza. Oku kuthetha ukuba inokuphazamisana nendlela esebenza ngayo loo mayeza. Apha ngezantsi kukho amanye amayeza anokusebenzisana nayo.
| Uhlobo lweyeza | Phawula |
|---|---|
| I-Ciprofloxacin | Isibulali-ntsholongwane |
| I-Cyclosporine | Iyeza elithintela amajoni omzimba |
| I-Mycophenolate | Iyeza elithintela amajoni omzimba |
| I-Levothyroxine | Iyeza le-hormone ye-thyroid |
| I-Tacrolimus | Iyeza elithintela amajoni omzimba |
Olu luhlu aluphelelanga, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini, amayeza ezityalo, kunye neti zezityalo).
Zithini iziphumo ebezingalindelekanga ezinokubakho xa usebenzisa amayeza?
Njengayo nayiphi na iyeza, iSevelamer inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ezinye zezi zinokuba yingozi kwaye kufuneka zixelwe kugqirha wakho ngokukhawuleza. Ezinye azibi yingozi kangako.
| Uhlobo lwesiphumo esibi | Inkcazo |
|---|---|
| Ukuba ufumana ezi mpawu, bonana nogqirha ngokukhawuleza. | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Ukuqhinwa | Ukuqhinwa okuqatha okanye okutsha. |
| Ukuba ezi mpawu ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho. | |
| Urhudo | Ukuqunjelwa. |
| Igesi | Ukuvuza komoya. |
| Isicaphucaphu nokuhlanza | Ukuphazamiseka kwesisu, ukuhlanza. |
| Intlungu yesisu | Intlungu zesisu. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingekho kolu luhlu, thetha nogqirha wakho ngazo.
Yintoni enye omele uyixhalabele?
- Ukuhlolwa rhoqo: Qiniseka ukuba uya kugqirha wakho. Kubalulekile ukubona inkqubela yakho.
- Uvavanyo lwegazi: Ngelixa usebenzisa eli yeza, ungacelwa ukuba wenze uvavanyo lwegazi ukujonga amanqanaba akho e-phosphate kunye nezinye izinto. Musa ukuzityeshela.
- Iivithamini: Eli yeza linokunciphisa ukufunxwa kwezinye iivithamini, ngoko ke thetha nogqirha wakho malunga nokuba ufuna iivithamini ezongezelelweyo na.
- Ukugcinwa kwamayeza: Gcina ibhotile yamayeza kude nokufikelela kwabantwana, kubushushu begumbi (phakathi kwe-15-30 degrees Celsius), kwaye kude nokufuma. Musa ukusebenzisa amayeza aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Sevelamer liyeza elibalulekileyo kwizigulana zezintso ukulawula amanqanaba e-phosphate egazini.
- Eli yeza lifanele lisetyenziswe rhoqo xa kutyiwa .
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (kuquka iivithamini kunye namayeza e-Ayurvedic).
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
- Ukuba ufumana naziphi na iimpawu zokunganyamezelani okanye ukuqhinwa okukhulu, yazisa ugqirha wakho ngoko nangoko .
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