Sevelamer

Zamkati

• Musanatenge sevelamer,
• Sevelamer itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

Sevelamer imagwiritsidwa ntchito poletsa phosphorous m'magazi mwa anthu omwe ali ndi matenda a impso omwe ali ndi dialysis (chithandizo chamankhwala chotsuka magazi impso zikugwira ntchito bwino). Sevelamer ali mgulu la mankhwala otchedwa phosphate binders. Amamangirira phosphorous yomwe mumapeza kuchokera m'zakudya zomwe mumadya ndikuziletsa kuti zisalowerere m'magazi anu.

Sevelamer imabwera ngati piritsi komanso ngati ufa woti kuyimitsidwa kutenge pakamwa. Nthawi zambiri amatengedwa katatu patsiku ndi chakudya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani sevelamer ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Osaswa kapena kuphwanya mapiritsi.

Dokotala wanu mwina angasinthe mlingo wanu kutengera magazi anu a phosphorous, osati kangapo kamodzi pamasabata awiri alionse.

Ngati mukumwa ufa kuti uimitsidwe, werengani mosamala malangizo a wopanga kuti agwiritse ntchito omwe amabwera ndi mankhwalawa. Malangizowa amafotokoza momwe mungakonzekerere ndikuyeza mlingo wanu. Sakanizani ufa ndi kuchuluka kwa madzi pamiyeso yanu ndikuyambitsa chisakanizo mwamphamvu. Kusakaniza kudzakhala mitambo chifukwa ufa sungasungunuke. Kapenanso, mutha kusakaniza ufa ndi chakudya kapena chakumwa. Osasungunulira mayikirowevu osakaniza kapena kuwonjezera ufawo ku zakudya zotentha kapena zakumwa. Tengani chisakanizocho mukangokonzekera (pasanathe mphindi 30), ngati gawo la chakudya chanu. Ngati osakaniza satengedwa mkati mwa mphindi 30 mutakonzekera, tulutsani chisakanizocho.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge sevelamer,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la sevelamer, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a sevelamer kapena ufa wodziyimitsa. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Dokotala wanu angakuuzeni kuti muzimwa mankhwala anu nthawi zina musanatenge kapena mutalandira sevelamer, kusintha mlingo wa mankhwala anu, kapena kukuyang'anirani mosamala zotsatira zake. Ngati mukumwa cyclosporine (Gengraf, Neoral, Sandimmune), levothyroxine (Levo-T, Synthroid, Tirosint, ena), kapena tacrolimus (Astagraf, Prograf, Protopic), muyenera kuwamwa osachepera ola limodzi musanathe kapena maola atatu mutadutsa atenga sevelamer. Tengani ciprofloxacin (Cipro) osachepera maola 2 kapena 6 mutatenga sevelamer. Komanso, tengani mycophenolate (Cellcept) osachepera maola 2 musanatenge sevelamer. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi chotupa m'mimba kapena m'matumbo. Dokotala wanu angakuuzeni kuti musatenge sevelamer.
• Uzani dokotala wanu ngati mukuvutika kumeza, kapena mwakhalapo ndi vuto la m'mimba kapena matumbo kuphatikiza zilonda zam'mimba (zilonda zamkati mwa m'mimba kapena m'matumbo), matenda otupa, kudzimbidwa, kapena kuchitidwa opaleshoni m'mimba kapena m'matumbo.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga sevelamer, itanani dokotala wanu.
• muyenera kudziwa kuti sevelamer imachepetsa mavitamini ndi folic acid mthupi. Lankhulani ndi dokotala wanu kuti muwone ngati mukufunikira kumwa mavitamini ochulukirapo mukamalandira chithandizo cha sevelamer.

Dokotala wanu akhoza kukuphunzitsani kuti muzidya zakudya zochepa za phosphorous. Tsatirani malangizowa mosamala. Lankhulani ndi dokotala wanu za zakudya zomwe zili ndi phosphorous yambiri.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Sevelamer itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• kusanza
• nseru
• kupweteka m'mimba
• mpweya
• kutentha pa chifuwa
• kudzimbidwa kwatsopano kapena kukulira

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• mipando yakuda ndi yodikira
• magazi ofiira m'mipando

Sevelamer ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzaitanitsa mayeso ena a labu kuti mudziwe yankho lanu kwa sevelamer.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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