Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi iParicalcitol ukwelapha inkinga yesifo sezinso? Ungase ube nemibuzo mayelana nokuthi uhlobo luni lomuthi, ukuthi ungawusebenzisa kanjani, nokuthi yiziphi izinyathelo zokuphepha ezikhethekile okudingeka uzithathe. Ungakhathazeki, sizoxoxa ngakho konke lokhu kalula nangokucacile namuhla.
Kalula nje, iyini iParicalcitol?
I-Paricalcitol umuthi owenziwe ngokukhethekile ofana ne-vitamin D. Ngokuvamile, uma isifo sezinso sikhona isikhathi eside, i-parathyroid gland emzimbeni wethu iba matasa kakhulu. Lesi simo sibizwa ngokuthi "i-hyperparathyroidism". Ngenxa yalokhu, izinga le-hormone ye-parathyroid emzimbeni liyakhuphuka, amathambo aba buthakathaka, futhi amazinga e-calcium ne-phosphorus aqala ukungalingani.
Ngakho-ke, okwenziwa yiParicalcitol ukulawula i-parathyroid gland esebenza ngokweqile nokubuyisela amazinga e-hormone esimweni esijwayelekile. Lokhu kusiza ukugcina amathambo akho eqinile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
- Isifo sesibindi: Uma unesifo sesibindi.
- Amazinga aphezulu e-calcium, i-phosphorus, noma i-vitamin D egazini: Uma amazinga akho e-calcium, i-phosphorus, noma i-vitamin D egazini ephakeme kunokuvamile.
- Ukungezwani komzimba: Uma une-allergies ku-Paricalcitol, i-vitamin D, eminye imithi, ukudla, udayi, noma izithasiselo.
- Ukukhulelwa: Uma ukhulelwe noma uzama ukukhulelwa.
- Ukuncelisa: Uma ungumama oncelisa ingane yakho.
Ukunikeza udokotela wakho lolu lwazi ngokunembile kubaluleke kakhulu ekuphepheni kwakho kanye nempumelelo yokwelashwa kwakho.
Ngingawusebenzisa kanjani umuthi ngqo?
Kubaluleke kakhulu ukuthatha lo muthi njengoba nje udokotela emyalile, ngesilinganiso esinqunyiwe, nangesikhathi esinqunyiwe.
- Gwinya lokhu ngengilazi yamanzi.
- Ungayithatha ngaphambi noma ngemva kokudla, kodwa uma uzwa ubuhlungu besisu, kungcono ukuyithatha kanye nokudla.
- Zijwayeze ukuphuza imithi yakho cishe ngesikhathi esifanayo nsuku zonke.
- Ungalokothi uthathe umuthi ongaphezu kwalokho udokotela wakho akutshele khona.
- Lo muthi ngezinye izikhathi unikezwa izingane (ezineminyaka engaphezu kweyi-10 ubudala), kodwa udinga izinyathelo zokuphepha ezikhethekile. Khuluma nodokotela wakho ngalokhu.
Ukweqisa umthamo
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungalibali. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Ezinye izinto ezingase zihlangane nalo muthi
I-Paricalcitol umuthi ongasebenzisana neminye imithi. Ngakho-ke, yazisa udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi emithi, kanye nezithasiselo).
| Isigaba sezidakamizwa | Incazelo nezibonelo |
|---|---|
| Imithi okungafanele ithathwe neParicalcitol | |
| Ezinye izinhlobo zevithamini D | Gwema ukuthatha noma yiziphi ezinye izithako eziqukethe i-vitamin D noma i-vitamin D. |
| I-Burosumab | Lona umuthi onikezwa isimo esithile sezokwelapha. |
| Eminye imithi nokudla okungase kuhlangane neParicalcitol | |
| Imithi yokulwa nesikhunta | Isibonelo: `(ketoconazole)`, `(itraconazole)` |
| Ama-antibiotic | Isib: `(clarithromycin)`, `(telithromycin)` |
| Imithi yokwehlisa i-cholesterol | Isibonelo: `(cholestyramine)`, `(colestipol)` |
| Ezinye izidakamizwa nezinto eziyingozi | Imithi ye-HIV/AIDS, i-Digoxin, i-Diuretics, umuthi we-Epilepsy, amavithamini athile kanye nemithi yokunciphisa i-acid. |
| Ukudla | Gwema ukuphuza ijusi le-grapefruit . |
Imiphumela emibi engaba khona ngenkathi uthatha umuthi
Njenganoma yimuphi umuthi, iParicalcitol ingabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela ingaba mibi kakhulu, ngakho-ke kubalulekile ukuyiqaphela.
| Umphumela ongemuhle | Okufanele ngikwenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. | Funa ukwelashwa ngokushesha. |
| Amazinga e-calcium egazini akhuphukile: ukoma ngokweqile, ukuchama njalo, isicanucanu, ukuhlanza, ukudideka kwengqondo, ubuthakathaka obungavamile, ubuhlungu bamathambo. | Yazisa udokotela ngokushesha. |
| Amazinga aphezulu e-phosphorus egazini: ukudikiza kwemisipha noma ubuhlungu, ubuhlungu bamathambo noma bamalunga, ukungazweli emlonyeni. | Yazisa udokotela ngokushesha. |
| Umfutho wegazi ophakeme. | Yazisa udokotela ngokushesha. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka: | |
| Ukuqunjelwa, isifo sohudo, isicanucanu, ukuhlanza | Tshela udokotela wakho uma kuqhubeka noma kuyakhathaza. |
| Isiyezi , ukuphelelwa yisifiso sokudla, ikhala eligobhozayo noma ikhala elicijile. | Tshela udokotela wakho uma kuqhubeka noma kuyakhathaza. |
Ezinye izinto ezibalulekile okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa okuvamile: Ngesikhathi uthatha lo muthi, kuzodingeka ukuthi uhlolwe igazi njalo (ukuhlolwa kwelebhu) njengoba kunqunywe udokotela wakho. Lokhu kuzoqapha amazinga e-calcium, i-phosphorus, kanye nama-hormone e-parathyroid emzimbeni wakho.
- Ukudla okukhethekile: Udokotela wakho angakutshela ukuthi ulandele ukudla okukhethekile. Angakutshela ukuthi unciphise ukudla okune-phosphorus eningi (isib. ubisi, ushizi, amantongomane, ubhontshisi). Landela leyo miyalelo kahle.
- Ezinye izithako: Ungathathi noma yiziphi izithako ezithengiswa ngaphandle kwemithi kadokotela noma izidakamizwa ezilwa ne-asidi eziqukethe i-vitamin D, i-calcium, i-phosphorus, noma i-magnesium ngaphandle kweseluleko sikadokotela wakho.
Ugcina kanjani imithi yakho iphephile?
- Gcina kude nezingane.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-15-30). Gcina kude nokushisa okukhulu kanye nomswakama.
- Lahla imithi ephelelwe yisikhathi ngaphandle kokuyisebenzisa.
Umlayezo Wokuya Nawe Ekhaya
- I-Paricalcitol umuthi obalulekile olawula ukungalingani kwama-hormone kanye namaminerali okwenzeka ngesifo sezinso.
- Njalo thatha lo muthi njengoba nje udokotela wakho ekuyalele, ngesilinganiso esifanele.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Qiniseka ukuthi uyaya ezivivinyweni zegazi kanye nemitholampilo enqunywe udokotela wakho.
- Uma uhlangabezana nanoma yiziphi izimpawu zomphumela omubi kakhulu (ukoma ngokweqile, ukudikiza kwemisipha, ukusabela komzimba), funa iseluleko sikadokotela ngokushesha.
- Uma uneminye imibuzo mayelana nalo muthi, ungesabi ukuxoxa ngawo nodokotela wakho.
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