Sevelamer
Zvemukati
- Usati watora sevelamer,
- Sevelamer inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
Sevelamer inoshandiswa kudzora huwandu hweropa hwe phosphorus muvanhu vane chirwere chetsvo chisingaperi vari pa dialysis (kurapwa kwekuchenesa ropa kana itsvo dzisiri kushanda nemazvo). Sevelamer iri mukirasi yemishonga inonzi phosphate binders. Inosunga phosphorus yaunowana kubva muzvikafu mukudya kwako uye inodzivirira kuti isapinda muropa rako.
Sevelamer inouya sehwendefa uye sehupfu hwekumiswa kutora nemuromo. Inowanzo kutorwa katatu pazuva nekudya. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora sevelamer chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Usatyora kana kupwanya mahwendefa.
Chiremba wako anogona kugadzirisa dhizaini yako zvichibva pane yako phosphorus ropa mazinga, kwete kazhinji kanopfuura kamwe chete kwevhiki mbiri.
Kana iwe uri kutora iyo poda yekumisa, nyatsoverenga mirairo yekugadzira yekushandisa iyo inouya nemushonga. Iyi mirayiridzo inotsanangura maitiro ekugadzirira uye kuyera dosi yako. Sanganisa hupfu neuwandu hwemvura inokurudzirwa yedosi yako uye fambisa musanganiswa nesimba. Iko kusanganiswa kuchave nemakore sezvo hupfu husinga nyungudike. Neimwe nzira, unogona kusanganisa hupfu nechikafu kana chinwiwa. Usaisa microwave musanganiswa kana kuwedzera hupfu kuchikafu chinopisa kana zvinwiwa. Tora musanganiswa ipapo mushure mekugadzirira (mukati memaminitsi makumi matatu), sechikamu chekudya kwako. Kana iwo musanganiswa usina kutorwa mukati memaminitsi makumi matatu ekuugadzirira, rasa musanganiswa.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati watora sevelamer,
- udza chiremba wako uye wemishonga kana uri weergoria kune sevelamer, chero mimwe mishonga, kana chero chinhu chinogadzirwa mumapiritsi e sevelamer kana poda yekumiswa. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
- udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Chiremba wako anogona kukuudza kuti utore mishonga yako pane dzimwe nguva usati kana mushure mekutora sevelamer, chinja dosi yemishonga yako, kana kukutarisisa nokungwarira mhedzisiro. Kana iwe uri kutora cyclosporine (Gengraf, Neoral, Sandimmune), levothyroxine (Levo-T, Synthroid, Tirosint, vamwe), kana tacrolimus (Astagraf, Prograf, Protopic), iwe unofanirwa kuvatora kweinenge 1 awa usati kana maawa matatu mushure mako vatora sevelamer. Tora ciprofloxacin (Cipro) kanenge maawa maviri pamberi kana maawa matanhatu mushure mekutora sevelamer. Uyezve, tora mycophenolate (Cellcept) kanenge maawa maviri usati watora sevelamer. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
- udza chiremba wako kana iwe uine blockage yedumbu rako kana ura. Chiremba wako anogona kukuudza iwe kuti usatora sevelamer.
- udza chiremba wako kana iwe uchinetseka kumedza, kana kuti kana wakambove nedambudziko remudumbu kana ura kusanganisira maronda (maronda ari mukati memudumbu kana ura), chirwere chinoputira ura, kuzvimbirwa, kana kuvhiyiwa mudumbu kana ura.
- udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora sevelamer, fonera chiremba wako.
- iwe unofanirwa kuziva kuti sevelamer inogona kudzikira mazinga evitamini uye folic acid mumuviri. Taura nachiremba wako kuti uone kana iwe uchida kutora yakawedzera huwandu hweaya mavitamini panguva yekurapwa kwako nesevelamer.
Chiremba wako anogona kukuraira iwe kuti utevere yakaderera-phosphorus kudya. Tevera mazano aya zvakanyatsonaka. Taura nachiremba wako nezve zvekudya zvine yakawanda phosphorus.
Darika iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.
Sevelamer inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- manyoka
- kurutsa
- kusvotwa
- kurwadziwa nemudumbu
- gasi
- chirungurira
- nyowani kana kuwedzera kudzimbikana
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
- nhema uye yekumhara zvituru
- ropa dzvuku muzvituru
Sevelamer inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.
Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).
Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).
Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org
Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.
Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari ekuongorora kuti uone mhinduro yako kune sevelamer.
Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.
Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.
- Renagel®
- Renvela®