Wachira

Zamkati

• Musanatenge cinacalcet,
• Cinacalcet ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Cinacalcet imagwiritsidwa ntchito payokha kapena ndi mankhwala ena kuchiza matenda a hyperparathyroidism (vuto lomwe thupi limapanga mahomoni ochulukirapo a parathyroid [chinthu chachilengedwe chofunikira kuwongolera kuchuluka kwa calcium m'magazi] zomwe zimatha kuyambitsa mavuto akulu ndi mafupa, mtima, Mitsempha yamagazi, ndi mapapo) mwa odwala omwe ali ndi matenda a impso (matenda omwe impso zimasiya kugwira ntchito pang'onopang'ono komanso pang'onopang'ono) omwe akuchiritsidwa ndi dialysis (chithandizo chamankhwala choyeretsera magazi impso sizikugwira ntchito moyenera). Cinacalcet imagwiritsidwanso ntchito kuthana ndi calcium yambiri m'magazi a odwala omwe ali ndi khansa ya parathyroid (khansa yamatenda m'khosi yomwe imapanga mahomoni otha msana). Cinacalcet ali mgulu la mankhwala otchedwa calcimimetics. Zimagwira ntchito posonyeza kuti thupi limatulutsa timadzi tating'onoting'ono tochepetsa calcium m'mwazi.

Cinacalcet imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku ndi chakudya kapena atangomaliza kudya. Kukuthandizani kukumbukira kukumbukira kutenga cinacalcet, tengani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani cinacalcet ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Dokotala wanu mwina akuyambitsani pa mlingo wochepa wa cinacalcet ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi milungu iwiri iliyonse.

Cinacalcet itha kuthandizira kuwongolera matenda anu koma sangakuchiritse. Pitilizani kumwa cinacalcet ngakhale mukumva bwino. Osasiya kumwa ma cinacalcet osalankhula ndi dokotala.

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

Musanatenge cinacalcet,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi cinacalcet kapena mankhwala aliwonse.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: antidepressants (elevator elevator) monga amitriptyline (Elavil), clomipramine (Anafranil), desipramine (Norpramin), fluoxetine (Prozac, Sarafem), imipramine (Tofranil), nefazodone, nortriptyline (Aventyl, Pamelor ), paroxetine (Paxil), protriptyline (Vivactil) ndi trimipramine (Surmontil); antifungals monga fluconazole (Diflucan), itraconazole (Sporanox), ndi ketoconazole (Nizoral); cimetidine (Tagamet); cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Wolemba) diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (EES, E-Mycin, Erythrocin); zachilengedwe (Tambocor); HIV protease inhibitors monga indinavir (Crixivan) ndi ritonavir (Norvir); isoniazid (INH, Nydrazid); metronidazole (Flagyl); njira zakulera zam'kamwa (mapiritsi olera); thioridazine (Mellaril); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); vinblastine (Velban); ndi zafirlukast (Wokwanira). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhala mukudwala kapena mukudwala matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga cinacalcet, itanani dokotala wanu.

Lankhulani ndi dokotala wanu za kumwa zakumwa zamadzimadzi mukamamwa mankhwalawa.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Cinacalcet ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kukhumudwa m'mimba
• kusanza
• kutsegula m'mimba
• chizungulire
• kufooka
• kupweteka pachifuwa

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:

• kutentha, kumva kulasalasa, kapena kumva milomo, lilime, zala, kapena mapazi
• kupweteka kwa minofu kapena kukokana
• kulimbitsa mwadzidzidzi kwa minofu m'manja, mapazi, nkhope, kapena pakhosi
• kugwidwa
• matenda opatsirana ndi dialysis (chotengera chamagazi chopanga opaleshoni komwe magazi amachoka ndikulowa m'thupi nthawi ya dialysis)

Cinacalcet 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).

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.

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

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• kutentha, kumva kulasalasa, kapena kumva milomo, lilime, zala, kapena mapazi
• kupweteka kwa minofu kapena kukokana
• kulimbitsa mwadzidzidzi kwa minofu m'manja, mapazi, nkhope, kapena pakhosi
• kugwidwa

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku cinacalcet.

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.

• Malingaliro^®