Ingabe unesifo sezinso esingamahlalakhona? Futhi ingabe uyahlinzwa nge-dialysis? Khona-ke udokotela wakho kumele ukuthi ukutshelile ukuthi kubaluleke kangakanani ukulawula izinga le-phosphate egazini lakho. Ngakho-ke, omunye wemithi odokotela abavame ukuyincoma ukulawula leli zinga le-phosphate yi-Sevelamer. Namuhla, sizokhuluma kafushane ngalo muthi, ukuthi wenzani emzimbeni, ukuthi uwusebenzisa kanjani, nokuthi yini okufanele uyiqaphele.
Iyini iSevelamer? Yini ngempela eyenzayo?
Kalula nje, i-Sevelamer iyisidakamizwa esikhethekile esibopha i-phosphate emathunjini ethu. Cabanga ngayo njengesiponji. Lesi sidakamizwa sibopha i-phosphate ekudleni esikudlayo ngaphambi kokuba imuncwe emizimbeni yethu. Bese kuthi i-phosphate eboshiwe ikhishwe emzimbeni esitulweni.
Manje ungase uzibuze ukuthi kungani kudingeka uyeke ukumunca le phosphate. Nasi isizathu. Uma izinso zakho zingasebenzi kahle, azikwazi ukususa i-phosphate eyengeziwe enqwabelana emzimbeni wakho. Khona-ke amazinga e-phosphate egazini lakho angaba phezulu kakhulu. Lokhu kungenza amathambo akho abe buthaka, kubangele izifo zenhliziyo, futhi kubangele ezinye izinkinga ezinkulu zempilo. Ngakho-ke lo muthi usebenza ukunciphisa leyo ngozi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi kahle isimo sakho sempilo ngaphambi kokukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezingezansi, qiniseka ukuthi uyamtshela udokotela wakho.
- Uma unesifo sokuqunjelwa (ngoba lo muthi ngezinye izikhathi ungenza kube kubi nakakhulu).
- Uma unesivimbe emathunjini akho noma ezinye izinkinga zesisu noma zamathumbu.
- Uma une-allergy ku-Sevelamer noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Ngokutshela lezi zinto kusenesikhathi, kuzoba lula ngodokotela ukukunikeza ukwelashwa okufanele nokuphephile kakhulu.
Ngingawusebenzisa kanjani umuthi ngqo?
Ukuze uthole okuningi kulo muthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Yithathe kanye nokudla: Lona umuthi okufanele uthathwe kanye nokudla . Ngaleyo ndlela, ungakwazi ukumunca kahle i-phosphate ekudleni.
- Shukumisa kahle: Uma lokhu kunikezwa njengoketshezi (ukumiswa ngomlomo), ungakhohlwa ukushukumisa kahle ibhodlela ngaphambi kokulisebenzisa.
- Gcina isikhala neminye imithi:Lokhu kubaluleke kakhulu. Uma uthatha eminye imithi, kungadingeka ushiye igebe lamahora amaningana phakathi kwayo. I-Sevelamer ingaphazamisa ukumuncwa kweminye imithi. Ngakho-ke, tshela udokotela wakho ngayo yonke eminye imithi oyithathayo bese umbuza ukuthi udinga ukushiya igebe isikhathi esingakanani.
- Yithathe ngesikhathi: Thatha umthamo owunikeziwe njengoba nje udokotela wakho ewushilo. Ungawandisi umthamo noma uyeke ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa nganoma yisiphi isizathu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, ungesabi. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
I-Sevelamer ingasebenzisana neminye imithi. Lokhu kusho ukuthi ingaphazamisa indlela leyo mithi esebenza ngayo. Ngezansi kuneminye yemithi engasebenzisana nayo.
| Uhlobo lomuthi | Inothi |
|---|---|
| I-Ciprofloxacin | I-antibiotic |
| I-Cyclosporine | Umuthi ocindezela amasosha omzimba |
| I-Mycophenolate | Umuthi ocindezela amasosha omzimba |
| I-Levothyroxine | Umuthi we-hormone ye-thyroid |
| I-Tacrolimus | Umuthi ocindezela amasosha omzimba |
Lolu akulona uhlu oluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yamakhambi, kanye netiye lamakhambi).
Yimiphi imiphumela emibi engaba khona yokuphuza umuthi?
Njenganoma yimuphi umuthi, i-Sevelamer ingabangela imiphumela emibi kwabanye abantu. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye yale miphumela ingaba mibi futhi kufanele ibikwe kudokotela wakho ngokushesha okukhulu. Eminye ayibi mibi kangako.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Uma uhlangabezana nalezi zimpawu, bona udokotela ngokushesha. | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ukuqunjelwa | Ukuqunjelwa okukhulu noma okusha. |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Uhudo | Ukuqunjelwa. |
| Igesi | Ukuvuza komoya. |
| Isicanucanu nokuhlanza | Ubuhlungu besisu, ukuhlanza. |
| Ubuhlungu besisu | Ubuhlungu besisu. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingekho kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Yini enye okufanele ukhathazeke ngayo?
- Ukuhlolwa okuvamile: Qiniseka ukuthi uya emihlanganweni kadokotela wakho. Kubalulekile ukubona intuthuko yakho.
- Ukuhlolwa kwegazi: Ngesikhathi uthatha lo muthi, ungase ucelwe ukuthi uhlolwe igazi ukuze kuhlolwe amazinga akho e-phosphate nezinye izinto. Ungakweqi.
- Amavithamini: Lo muthi ungase futhi unciphise ukumuncwa kwamavithamini athile, ngakho-ke khuluma nodokotela wakho mayelana nokuthi uyawadinga yini amavithamini engeziwe.
- Indawo yokugcina imithi: Gcina ibhodlela lemithi kude nezingane, ezingeni lokushisa legumbi (phakathi kuka-15-30 degrees Celsius), futhi kude nomswakama. Ungasebenzisi umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Sevelamer iwumuthi obalulekile weziguli zezinso ukulawula amazinga e-phosphate egazini.
- Lomuthi kufanele uthathwe njalo kanye nokudla .
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi ye-Ayurvedic).
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Uma uhlangabezana nanoma yiziphi izimpawu zokungezwani komzimba noma ukuqunjelwa okukhulu, yazisa udokotela wakho ngokushesha .
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