Khalidwe

Zamkati

• Musanatenge calcitriol,
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Calcitriol imagwiritsidwa ntchito pochiza ndikupewa kuchepa kwa calcium ndi matenda am'mafupa mwa odwala omwe impso zawo kapena zotupa za parathyroid (zotupa m'khosi zomwe zimatulutsa zinthu zachilengedwe kuti ziwongolere kuchuluka kwa calcium m'magazi) sizigwira ntchito bwino. Amagwiritsidwanso ntchito pochiza hyperparathyroidism yachiwiri (mkhalidwe womwe thupi limatulutsa mahomoni ochulukirapo a parathyroid [PTH; chinthu chachilengedwe chofunikira kuwongolera kuchuluka kwa calcium m'magazi]) ndi matenda am'mafupa amtundu wa anthu omwe ali ndi matenda a impso. Calcitriol ali mgulu la mankhwala otchedwa ma analog a vitamini D. Zimagwira ntchito pothandiza thupi kugwiritsa ntchito calcium yambiri yomwe imapezeka muzakudya kapena zowonjezera ndikuwongolera kupangika kwa thupi kwa timadzi timene timayambitsa matenda.

Calcitriol imabwera ngati kapisozi ndi yankho (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena kamodzi tsiku lililonse m'mawa kapena osadya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani calcitriol ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu mwina angakuyambitseni pa mlingo wochepa wa calcitriol ndipo pang'onopang'ono akhoza kukulitsa mlingo wanu kutengera momwe thupi lanu limayankhira calcitriol.

Calcitriol nthawi zina amagwiritsidwanso ntchito kuthana ndi ma rickets (kufewetsa ndi kufooketsa mafupa mwa ana omwe amayamba chifukwa cha kusowa kwa vitamini D), osteomalacia (kufewetsa ndi kufooketsa mafupa mwa achikulire omwe amayamba chifukwa chosowa vitamini D), komanso hypophosphatemia ya mabanja (rickets kapena osteomalacia yoyambitsidwa ndi Kuchepetsa kutha kwa vitamini D mthupi). Calcitriol imagwiritsidwanso ntchito nthawi zina kuonjezera kuchuluka kwa calcium m'magazi a ana asanakwane. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Musanatenge calcitriol,

• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa, makamaka calcium kapena ma antiacid okhala ndi ma antiacids; zowonjezera calcium; cholestyramine (Cholybar, Prevalite, Questran); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi'); ketoconazole; lanthanum (Fosrenol); mankhwala ofewetsa mankhwala a laxatives; oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); mitundu ina ya vitamini D; phenobarbital; phenytoin (Dilantin, Phenytek); ndi sevelamer (Renagel, Renvela). Muuzeni dokotala kapena wazamankhwala ngati mukumwa ergocalciferol (Deltalin, Drisdol) kapena mwasiya kumwa m'miyezi yaposachedwa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi calcium yambiri. Dokotala wanu angakuuzeni kuti musatenge calcitriol.
• uzani dokotala wanu ngati mwangopanga kumene opaleshoni kapena simukutha kuyendayenda pazifukwa zilizonse ndipo ngati mwakhalapo ndi matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga calcitriol, itanani dokotala wanu. Simuyenera kuyamwa mukamamwa calcitriol.

Calcitriol imagwira ntchito pokhapokha mutapeza calcium yokwanira kuchokera pazakudya zomwe mumadya. Ngati mumalandira kashiamu wambiri kuchokera ku zakudya, mutha kukhala ndi zotsatirapo zoyipa za calcitriol, ndipo ngati simupeza calcium yokwanira kuchokera ku zakudya, calcitriol siziwongolera vuto lanu. Dokotala wanu angakuuzeni kuti ndi zakudya ziti zomwe zimapatsa thanzi komanso kuchuluka kwa zosowa zanu tsiku lililonse. Ngati zikukuvutani kudya zakudya zokwanira, uzani dokotala wanu. Zikatero, dokotala wanu angakupatseni mankhwala kapena akuwonjezerani chowonjezera.

Ngati mukuchiritsidwa ndi dialysis (njira yoyeretsera magazi poyiyika pamakina), dokotala wanu amathanso kukupatsani zakudya zochepa. Tsatirani malangizowa mosamala.

Ngati mulibe matenda a impso, muyenera kumwa madzi ambiri mukamamwa calcitriol. Ngati muli ndi matenda a impso, lankhulani ndi dokotala wanu za kuchuluka kwa madzi omwe muyenera kumwa tsiku lililonse.

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.

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

• kutopa, kulephera kuganiza bwino, kusowa njala, nseru, kusanza, kudzimbidwa, ludzu lowonjezeka, kukodza kwambiri, kapena kuonda
• kufooka
• mutu
• kukhumudwa m'mimba
• pakamwa pouma
• kupweteka kwa minofu
• kupweteka kwa mafupa
• Kukoma kwachitsulo mkamwa
• pokodza kovuta kapena kowawa
• kusintha kwa masomphenya
• kusachita chidwi ndi zinthu zokuzungulirani
• kuyerekezera zinthu m'maso (kuwona zinthu kapena kumva mawu omwe kulibe)
• malungo kapena kuzizira
• kupweteka m'mimba
• zotuwa, zotayira
• chikasu cha khungu kapena maso
• mphuno
• Kuchepetsa chilakolako chogonana
• kugunda kwamtima kosasintha
• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza

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). Tetezani mankhwalawa ku kuwala.

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 izi:

• kutopa, kulephera kuganiza bwino, kusowa njala, nseru, kusanza, kudzimbidwa, ludzu lowonjezeka, kukodza kwambiri, kapena kuonda
• kufooka
• mutu
• kukhumudwa m'mimba
• pakamwa pouma
• kupweteka kwa minofu kapena mafupa
• Kukoma kwachitsulo mkamwa
• pokodza kovuta kapena kowawa
• kusintha kwa masomphenya
• kuyerekezera zinthu m'maso (kuwona zinthu kapena kumva mawu omwe kulibe)
• malungo kapena kuzizira
• kupweteka m'mimba
• zotuwa, zotayira
• chikasu cha khungu kapena maso
• mphuno
• Kuchepetsa chilakolako chogonana
• kugunda kwamtima kosasintha

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone kuyankha kwanu ku calcitriol.

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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