Uma unesifo sezinso, cishe uyazi ngokuhlangenwe nakho kwakho ukuthi lesi simo singathinta ezinye izinhlelo emzimbeni. Lokhu kungathinta kakhulu impilo yesistimu yethu yamathambo. Esimweni esinjalo, udokotela wakho angase akunike umjovo obizwa ngokuthi 'iParicalcitol'. Ngakho-ke, njengoba leli gama lisha kubantu abaningi, namuhla sizokhuluma ngalo muthi, ukuthi wenzani ngempela, nokuthi yiziphi izinto okufanele uziqaphele lapho uwusebenzisa.
Uhlobo luni lomuthi iParicalcitol?
Kalula nje, iParicalcitol iwuhlobo olukhethekile lwevithamini D. Kodwa lokhu akufani nephilisi levithamini D esivame ukuliphuza. Umsebenzi walo oyinhloko ukulawula ukusebenza kwezindlala ze-parathyroid emzimbeni wethu.
Kubantu abanesifo sezinso, ikakhulukazi labo abasebenzisa i-dialysis, izindlala ze-parathyroid ngezinye izikhathi ziba matasa kakhulu. Ngokwezokwelapha lesi simo sisibiza ngokuthi "i-hyperparathyroidism." Lapho izindlala zisebenza ngokweqile, zikhipha i-hormone ye-parathyroid "i-hormone ye-parathyroid" egazini. Lapho le hormone ikhula, ithatha i-calcium emathanjeni ethu bese iyinezela egazini. Ngokuhamba kwesikhathi, lokhu kungabangela ukuba amathambo abe buthakathaka, aqhekeke, futhi aze aphuke kalula.
Ngakho-ke, lokho okwenziwa umjovo we-'Paricalcitol' ukunciphisa nokulawula amazinga e-hormone ye-parathyroid ephezulu kakhulu, nokuvikela uhlelo lwakho lwamathambo.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokukunikeza lo muthi, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Ngakho-ke, qiniseka ukuthi uyamtshela ngezinto ezilandelayo. Ukufihla lezi zinto kuzokulimaza kuphela.
| Isimo okudingeka usibike | Incazelo |
|---|---|
| Amazinga egazi | Uma udokotela wakho ekutshelile ukuthi amazinga akho e-calcium, i-phosphorus, noma i-vitamin D egazini asephezulu kakade, mtshele kanjalo. |
| Ukungezwani komzimba | Qiniseka ukuthi usitshela uma une-allergy kulo muthi we-Paricalcitol, i-vitamin D, noma yimuphi omunye umuthi, ukudla, isilondolozi, noma ukufaka umbala. |
| Ukukhulelwa nokuncelisa | Kubaluleke kakhulu ukwazisa udokotela wakho uma ukhulelwe njengamanje, uzama ukukhulelwa, noma uncelisa. |
Uyisebenzisa kanjani le mithi?
I-Paricalcitol akuyona imithi ongayithatha uye nayo ekhaya. Ingumjovo emthanjeni. Ngakho-ke, inikezwa kuphela ngabasebenzi bezokwelapha abaqeqeshwe esibhedlela noma emtholampilo . Lo mjovo uvame ukunikezwa ngesikhathi sokwelashwa nge-dialysis.
Okubalulekile: Lo muthi ungowakho kuphela. Ungalokothi wabelane ngawo nanoma ubani noma uwuncome komunye umuntu.
Yini okufanele uyenze uma uphuza ngokweqile?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma ucabanga ukuthi kungenzeka ukuthi uphuze kakhulu lo muthi noma uma uhlangabezana nanoma yiziphi izimpawu ezihlobene nawo, yazisa abasebenzi ngokushesha. Ngaphandle kwalokho, shayela i-National Poisons Information Centre e-Colombo National Hospital . Esimweni esiphuthumayo, kungcono ukuya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi, ukudla, kanye nezithasiselo kungasebenzisana neParicalcitol. Ngakho-ke, kubalulekile ukunikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (kufaka phakathi imithi yezinye izimo, amavithamini, amakhambi, kanye nemithi ye-Ayurvedic).
| Uhlobo lomuthi/lokudla | Indaba ekhathazayo |
|---|---|
| I-Burosumab, eminye imithi equkethe i-vitamin D | Ukuthatha lokhu ndawonye kungabangela amazinga aphezulu e-calcium ne-vitamin D emzimbeni. |
| Eminye imithi ye-HIV/AIDS, izifo ezibangelwa yisikhunta, i-cholesterol, kanye nokuquleka | Lokhu kungathinta indlela esebenza ngayo iParicalcitol, ngakho-ke umthamo wakho kungadingeka ulungiswe noma kungadingeka ukuthi uhlolwe kaningi. |
| I-Digoxin, ama-diuretics (amaphilisi amanzi), amanye ama-antibiotic (njenge-clarithromycin) | Ukuqapha okuseduze ngudokotela kuyadingeka ngoba ukusabela phakathi kwale mithi kungenzeka. |
| Ijusi le-Grapefruit | Gwema ukuphuza ijusi le-jambola, ngoba lingakhuphula amazinga alo muthi emzimbeni. |
| Amanye ama-antacid namavithamini | Gwema ukuzithatha ngaphandle kweseluleko sikadokotela. Zingase zibe ne-calcium, i-magnesium, noma i-phosphorus. |
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
1. Ukuhlolwa njalo kwezokwelapha: Udokotela wakho uzokubheka njalo ukuze abone ukuthi unjani. Kuzodingeka futhi ukuthi uhlolwe igazi njalo (izivivinyo zelebhu) ukuze kuhlolwe amazinga akho e-calcium, phosphorus, kanye ne-parathyroid hormone . Ungayeki lezi zivivinyo.
2. Ukudla okukhethekile: Uzocelwa ukuthi ulandele ukudla okukhethekile ngenkathi uthatha lo muthi. Ungase ucelwe ukuthi unciphise ukudla okuqukethe i-phosphorus (ubisi, ushizi, amantongomane, ubhontshisi, neziphuzo ezifana ne-cola). Landela imiyalelo kadokotela wakho noma kachwepheshe wezokudla kahle.
3. Gwema ukuthatha imithi eyengeziwe: Ngaphandle kwemvume kadokotela.Ungathathi noma yiziphi izithasiselo noma ama-antacid aqukethe i-vitamin D, i-phosphorus, i-magnesium, noma i-calcium. Ukwenza kanjalo kungabangela amazinga aphezulu alokhu emzimbeni futhi kubangele imiphumela emibi kakhulu.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, iParicalcitol ingabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela imbi kakhulu, kanti eminye imnene. Into ebalulekile ukuqaphela lezi zimpawu bese uthatha isinyathelo ngokushesha uma kudingeka.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Izimpawu zamazinga aphezulu e-calcium | Ukoma ngokweqile, ukuchama njalo, isicanucanu, ukuhlanza, ukudideka, ukukhathala okungavamile, kanye nobuhlungu bamathambo. |
| Izimpawu zamazinga aphezulu e-phosphorus | Ubuhlungu noma ukuqina kwemisipha, ubuhlungu bamathambo noma bamalunga, ukungazweli emlonyeni. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Isicanucanu, ukuhlanza, ukuqunjelwa, isisu esibuhlungu, ukulahlekelwa yisifiso sokudla. |
| Ezinye izici | Ikhanda elibuhlungu, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Paricalcitol iwuhlobo olukhethekile lomjovo we-vitamin D olunikezwa ukulawula i-hyperparathyroidism ezigulini zezinso.
- Lomuthi unikezwa esibhedlela noma emtholampilo kuphela.
- Ngaphambi kokuthi uqale ukuthatha umuthi, tshela udokotela wakho ngakho konke ukungezwani komzimba kwakho, eminye imithi oyithathayo, nokuthi ukhulelwe/uyancelisa yini.
- Kubalulekile ukuthi kwenziwe ukuhlolwa kwegazi ngesikhathi futhi ulandele ukudla okunqunywe udokotela.
- Uma uhlangabezana nanoma yiziphi izimpawu zokungezwani komzimba noma izimpawu zamazinga aphezulu e-calcium noma e-phosphorus (njengokoma ngokweqile, ubuhlungu bamathambo), yazisa udokotela wakho ngokushesha.
- Gwema ukuthatha noma yiziphi izithasiselo eziqukethe i-calcium, i-vitamin D, noma i-phosphorus ngaphandle kweseluleko sikadokotela.
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