Uma wena noma othile emndenini wakho enesifo sezinso esingamahlalakhona, cishe uyazi ukuthi ezinye izinto okufanele zisuswe yizinso ziqoqana emzimbeni. Enye into enjalo "yi-phosphate". Le phosphate, esiyimunca ekudleni esikudlayo, ikhishwa ezinso ezinempilo emchameni. Kodwa lapho izinso zihluleka, ikakhulukazi lapho kufanele siye ku-dialysis, le phosphate iqala ukuqongelela egazini. Lokhu akukuhle nhlobo emzimbeni. Lokhu kungaholela ebuthakathakeni bamathambo, ubuhlungu bamalunga, ukuqubuka kwesikhumba, ngisho nesifo senhliziyo ngokuhamba kwesikhathi. Yingakho udokotela wakho ekunika imithi ehlukahlukene yokulawula izinga le-phosphate egazini. I-Sevelamer ingenye yemithi ebaluleke kakhulu.
Iyini iSevelamer? Isebenza kanjani?
Kalula nje, i-Sevelamer iyi-magnet ye-phosphate. Iza ngesimo sephilisi noma i-capsule. Uma uthatha lo muthi, unamathela ku-phosphate ekudleni okudlayo emathunjini akho futhi uvimbele umzimba ukuthi umunce leyo phosphate. Ngemuva kwalokho, i-phosphate eboshiwe ikhishwa emzimbeni wakho esitulweni sakho. Cabanga ngayo njengomuntu oqoqa udoti, engena emathunjini akho bese ethatha i-phosphate engafuneki bese eyilahla.
Into ebaluleke kakhulu ukuthi lo muthi awumuncwa egazini. Usebenza kuphela ohlelweni lokugaya ukudla, okungukuthi, ngaphakathi emathunjini. Yingakho lo umuthi uphephile kakhulu. Lo muthi ungaba ngaphansi kwamagama emikhiqizo efana neRenaGel neRenvela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokunikeza i-Sevelamer umuthi, kubalulekile ukuthi udokotela wakho azi kahle isimo sakho sempilo. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Ukuvaleka kwamathumbu: Uma wake waba nokuvaleka kwamathumbu ngaphambili.
- Ukuqunjelwa: Uma uqunjelwa njalo, lo muthi ungenza kube kubi kakhulu.
- Ubunzima bokugwinya: Uma unenkinga yokugwinya ngisho namaphilisi.
- Ezinye izifo zesisu noma zamathumbu: Uma uke wahlinzwa isisu noma amathumbu ngaphambilini, noma uma unesinye isimo sezokwelapha.
- Ukungezwani komzimba: Uma une-allergy ku-Sevelamer noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma ukuthi lo muthi ukulungele yini noma ukuthi umthamo udinga ukushintshwa.
Ungayisebenzisa kanjani i-Sevelamer ngendlela efanele?
Ukuze uthole okuningi ngomuthi, udinga ukuwusebenzisa kahle.
1. Thatha nokudla: Lokhu kuyinto ebaluleke kakhulu. Ngoba lo muthi usebenza ngokubopha i-phosphate ekudleni. Ngakho-ke, kubalulekile ukuthatha lo muthi ekudleni okuyinhloko (ekuseni, emini, nasebusuku) . Ukuthatha lo muthi ngaphandle kokudla ngeke kusebenze.
2. Gwinya ngengilazi yamanzi: Gwinya ithebhulethi noma i-capsule yonke ngengilazi yamanzi. Ungaliphuli, ulichoboze, noma ulihlafune. Cela iseluleko kudokotela wakho.
3. Yithathe ngesikhathi esifanele: Thatha umthamo ofanele ngesikhathi esifanele njengoba udokotela wakho ekuyalele. Ungayeki umthamo owodwa.
4. Ungayeki ukuwuthatha wedwa: Kungakhathaliseki ukuthi uzizwa kahle kangakanani, ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
5. Eminye imithi: Uma uthatha eminye imithi, kungadingeka ukuthi uyithathe ngezikhathi ezahlukene kuneSevelamer, kodwa yibeke eceleni ngehora elilodwa noma amabili. Lokhu kungenxa yokuthi iSevelamer ingaphazamisa ukumuncwa kweminye imithi. Ngakho-ke, khuluma nodokotela wakho ngayo yonke imithi oyithathayo bese uhlela isimiso semithi yakho ngokufanele.
Ingabe lokhu nikunikeza izingane ezincane?
Yebo, kwezinye izimo ezikhethekile, lo muthi unikezwa nezingane ezingaphezu kweminyaka engu-6. Kodwa wenziwa ngaphansi kokuqondisa okuqinile kukadokotela wezingane.
Kuthiwani uma ngiphuza umuthi omningi kakhulu noma ngiphuthelwa umthamo?
Ukweqisa umthamo: Uma usola ukuthi uthathe umuthi omningi kunalokho okucabangayo, iya esibhedlela esiseduze i-Emergency Treatment Unit (ETU) ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Umthamo ongawusebenzisi: Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isb., ngaphansi kwamahora amabili), yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ongawusebenzisi.
Eminye imithi nezinto ezingase zihlangane ne-Sevelamer
I-Sevelamer ingaphazamisa ukusebenza kweminye imithi. Ngakho-ke, kubalulekile ukwazisa udokotela wakho uma uthatha imithi elandelayo:
- Ama-antibiotic afana ne-Ciprofloxacin
- I-Cyclosporine
- I-Mycophenolate
- I-Levothyroxine - umuthi wezifo ze-thyroid
- I-Tacrolimus
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, imithi yendabuko, noma imikhiqizo yamakhambi oyithathayo. Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Imiphumela emibi engaba khona ngenkathi uthatha umuthi
Njengayo yonke imithi, i-Sevelamer ingabangela eminye imiphumela emibi, yize kungebona bonke abantu abayitholayo. Lokhu okulandelayo kungenye yemiphumela emibi engaba khona.
| Uhlobo lomphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Ukuqunjelwa okukhulu | Akukho ukuhamba kwamathumbu izinsuku eziningi, ubuhlungu obukhulu esiswini. |
| Imiphumela emibi evame ukungabi yingozi, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isisu esibuhlungu | Umoya, ubuhlungu besisu, isicanucanu, ukuhlanza, uhudo. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingekho kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Ezinye izinto okufanele uzikhumbule lapho uthatha umuthi
- Ukuhlolwa njalo kwezokwelapha: Ukuya emitholampilo njengoba kuhlelwe udokotela wakho kubalulekile ukuze ubone ukuthi isimo sakho siyathuthuka yini.
- Ukuhlolwa kwegazi: Udokotela wakho uvame uku-oda ukuhlolwa kwegazi ukuze ahlole izinto ezifana namazinga e-phosphate egazini lakho kanye namazinga e-calcium. Ungaziyeki.
- Amavithamini kanye nokudla okunempilo:I-Sevelamer ingase futhi iphazamise ukumuncwa kwamavithamini athile. Ngakho-ke khuluma nodokotela wakho noma isazi sokudla mayelana nokuthi udinga amavithamini engeziwe yini. Ukudla ukudla okulinganiselayo nakho kubaluleke kakhulu.
- Indawo yokugcina imithi: Gcina amaphilisi kude nezingane. Gcina ekamelweni lokushisa (phakathi kuka-15-30 Celsius), kude nomswakama kanye nokukhanya kwelanga okuqondile. Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Sevelamer umuthi obaluleke kakhulu wokulawula amazinga e-phosphate egazini ezigulini zezinso zesikhathi eside.
- Lo muthi kumele uthathwe kanye nokudla okuyinhloko , ngaphandle kwalokho ngeke usebenze kahle.
- Nikeza udokotela wakho incazelo ephelele yayo yonke eminye imithi, amavithamini, kanye nezinye izimo zezokwelapha ozithathayo.
- Uma uhlangabezana nezimpawu ezifana nokuqunjelwa okukhulu noma ukungezwani komzimba, funa iseluleko sezokwelapha ngokushesha.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Ukuya emitholampilo yezokwelapha ngesikhathi kanye nokuhlolwa kwegazi okudingekayo kubalulekile enhlalakahleni yakho.
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