Udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Cinacalcet. Lokhu kuyiqiniso ikakhulukazi uma usebenzisa i-dialysis ngenxa yesifo sezinso esingamahlalakhona, noma uma unamazinga aphezulu e-calcium egazini ngenxa yenkinga ngezindlala zakho ze-parathyroid. Ngakho-ke, ake sixoxe kafushane ngokuthi uyini lo muthi, ukuthi uwusebenzisa kanjani, nokuthi yini okudingeka uyiqaphele.
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Uhlobo luni lomuthi i-Cinacalcet?
Kalula nje, i-Cinacalcet umuthi osiza ukulawula izinga le-calcium emzimbeni wethu. Izindlala ze-parathyroid entanyeni yethu zikhiqiza i-hormone ebizwa ngokuthi i-parathyroid hormone. Le hormone ilawula izinga le-calcium egazini lethu.
Cabanga nje, kwezinye izimo zezokwelapha, isibonelo, lapho izinso zingasebenzi kahle, lezi zindlala ze-parathyroid ziba zisebenza ngokweqile, bese i-calcium eningi iqoqana egazini. Lokhu sikubiza ngokuthi i-Hypercalcemia. Yilapho umuthi i-Cinacalcet usiza khona. Lokho okwenziwa yilo muthi ukwandisa ukuzwela kwezindlala ze-parathyroid, uzinike isignali ethi, "Kulungile, kune-calcium eyanele emzimbeni manje, ungabe usakhiqiza okunye." Ngenxa yalokho, ukukhiqizwa kwama-hormone kuyehla, futhi izinga le-calcium egazini libuyela esimweni esijwayelekile. Lo muthi uvame ukutholakala ngaphansi kwegama lomkhiqizo elithi (Sensipar).
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Lokhu kubaluleke kakhulu. Ngaphambi kokuba unikezwe lo muthi, kubalulekile ukuthi utshele udokotela wakho ngomlando wakho wezempilo ophelele. Ungafihli lutho. Qiniseka ukuthi ubatshela ngalezi zinto ikakhulukazi:
- Uma unomlando wesifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile.
- Uma unesifo sesibindi .
- Uma uke watholakala ukuthi unamazinga aphansi e-calcium egazini lakho ngaphambilini.
- Uma uke waba nesifo sokuwa ngaphambili.
- Uma unezinkinga ngesisu noma emathunjini akho (isib. izilonda).
- Uma wake waba nokusabela kokungezwani komzimba ne-cinacalcet noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo.
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini wena nokuthi, uma kunjalo, uzonikeza muphi umthamo.
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Check Availability →Indlela efanele yokusebenzisa umuthi
Ukuze uthole okuningi ngomuthi, udinga ukuwusebenzisa ngendlela efanele.
- Gwinya iphilisi ngengilazi yamanzi.
- Okubaluleke kakhulu: Thatha lo muthi kanye noma ngokushesha ngemva kokudla.Yithathe. Ungayithathi esiswini esingenalutho. Umuthi umuncwa kangcono ngumzimba uma uthathwa kanye nokudla.
- Ungaliphuli, ungalihlafuni, noma ulichoboze. Gwinya lonke iphilisi.
- Thatha umthamo onqunyiwe ngesikhathi onqunyiwe udokotela. Ungaweqi umthamo.
- Ungayeki ukuphuza imithi yakho ngokuzumayo ngaphandle kweseluleko sikadokotela wakho ngoba nje uzizwa ungcono.
Yini okufanele uyenze uma uphuza imithi ngokweqile?
Uma ucabanga ukuthi uthathe okungaphezu kwalokho okucabangayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko. Ungakuthathi kalula lokhu, njengoba ukwehla okungazelelwe kwamazinga e-calcium kungaba yingozi.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwe umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungaphuzi amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Eminye imithi engabangela izinkinga nge-Cinacalcet
Yingakho kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo. Eminye imithi ingasebenzisana ne-Cinacalcet futhi ibangele izinkinga.
| Uhlobo lomuthi/into ethile | Izinto okufanele uzinake ngokukhethekile |
|---|---|
| I-Thioridazine | Lona umuthi wesifo sengqondo. Ungawusebenzisi neCinacalcet nganoma yisiphi isizathu. |
| Ama-antifungal (isb. i-ketoconazole, i-itraconazole) | Lokhu kungashintsha indlela i-Cinacalcet esebenza ngayo. |
| Ama-antibiotic afana ne-Erythromycin | Lokhu kungathinta nokusebenza kahle komuthi. |
| Imithi yenhliziyo (isb. i-flecainide) | Kubalulekile ukwazisa udokotela. |
| Imithi yokucindezeleka nokukhathazeka | Tshela udokotela ngalezi zinto futhi. |
| Ijusi le-Grapefruit | Gwema ukudla i-grapefruit noma ukuphuza ujusi wayo ngenkathi uthatha lo muthi. |
Lolu hlu aluphelele. Tshela udokotela wakho nganoma yimaphi amavithamini, imikhiqizo yamakhambi, noma izithasiselo ozithathayo.
Imiphumela emibi okufanele uyiqaphele lapho uthatha imithi
Njenganoma yimuphi umuthi, i-Cinacalcet ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile. Into ebalulekile ukuqaphela lezi zimpawu bese uthatha isinyathelo ngokushesha uma kudingeka.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Izimpawu zokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ulimi noma ubuso, ubunzima bokuphefumula. |
| Izimpawu zamazinga aphansi e-calcium | Ukuba ndikindiki ezithweni noma eduze komlomo, ukunyakazisa imisipha, ukushaya kwenhliziyo okusheshayo, kanye 'nokuqina' (ukuquleka). |
| Izimpawu zomfutho wegazi ophansi | Ukuzungeza, ukuba nekhanda elikhanyayo, ukuquleka, ukuwa. |
| Izimpawu zokopha kwangaphakathi | Umnyama, indle ephuzile, ukuhlanza igazi noma into efana nekhofi. |
| Izinguquko zengqondo | Isimo sengqondo esinzima sokucindezeleka. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Isicanucanu, ukuhlanza, uhudo, ukulahlekelwa yisifiso sokudla. |
| Ubuhlungu bomzimba | Ubuhlungu bamathambo, ubuhlungu bamalunga. |
Ungawugcina kanjani umuthi ngokuphephile?
- Yigcine kude nezingane.
- Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15-30). Vikela ekushiseni okukhulu kanye nomswakama.
- Ungayisebenzisi imithi ephelelwe yisikhathi . Yilahle ngendlela efanele.
Lo muthi ungowakho wedwa. Ungawuniki omunye umuntu ngoba nje ukusebenzele. Ungaba yingozi.
Umlayezo Wokuya Nawe Ekhaya
- I-Cinacalcet umuthi osetshenziselwa ukulawula amazinga e-calcium egazini ezinkingeni zezinso kanye nezindlala ze-parathyroid.
- Njalo thatha lo muthi kanye noma ngemva kokudla . Ungawaphuli noma uwahlafune amaphilisi.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo, ikakhulukazi isifo senhliziyo nesifo sesibindi.
- Uma uhlangabezana nanoma yiziphi izimpawu zamazinga aphansi e-calcium emzimbeni wakho (ukuba ndikindiki ezandleni nasezinyaweni, ukudikiza kwemisipha), umfutho wegazi ophansi, noma ukungezwani komzimba, tshela udokotela wakho ngokushesha.
- Ungayeki ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho. Hlola igazi lakho ngesikhathi.
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