Calcitriol

Zvemukati

• Usati watora calcitriol,
• Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvina kujairika, asi kana ukasangana nechimwe zvacho, dana chiremba wako nekukasika:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Calcitriol inoshandiswa kurapa uye kudzivirira yakaderera mwero wecalcium uye pfupa chirwere mune varwere vane itsvo kana parathyroid gland (gland mumutsipa inoburitsa zvakasikwa zvinhu kudzora huwandu hwecalcium muropa) hazvisi kushanda zvakajairika. Iyo inoshandiswawo kurapa yechipiri hyperparathyroidism (mamiriro umo muviri unoburitsa yakawandisa parathyroid hormone [PTH; chinhu chechisikigo chinodiwa kudzora huwandu hwecalcium muropa]) uye metabolic chirwere chepfupa kune vanhu vane chirwere cheitsvo. Calcitriol iri mukirasi yemishonga inonzi vhitamini D analogs. Inoshanda nekubatsira muviri kuti ushandise yakawanda yecalcium inowanikwa mune zvekudya kana zvinowedzera uye kugadzirisa kugadzirwa kwemuviri weparathyroid hormone.

Calcitriol inouya secapsule uye mhinduro (mvura) kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva kana kamwe kamwe zuva roga roga mangwanani kana kana pasina chikafu. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora calcitriol chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako angangotanga iwe padosi yakaderera yecalcitriol uye anogona zvishoma nezvishoma kuwedzera yako dosi zvichienderana nemhinduro yemuviri wako kune calcitriol.

Calcitriol dzimwe nguva inoshandiswa kurapa marickets (kupfava uye kupera simba kwemapfupa muvana anokonzerwa nekushaikwa kwevhitamini D), osteomalacia (kupfavisa uye kupera simba kwemapfupa muvanhu vakuru zvichikonzerwa nekushaya vhitamini D), uye mhuri hypophosphatemia (rickets kana osteomalacia inokonzerwa kuderera kugona kuputsa vhitamini D mumuviri). Calcitriol zvakare dzimwe nguva inoshandiswa kuwedzera huwandu hwecalcium muropa revana vasati vasvika. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora calcitriol,

• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora, kunyanya calcium kana magnesium ine maantacids; calcium zvinowedzera; cholestyramine (Cholybar, Prevalite, Questran); digoxin (Lanoxin); diuretics ('mapiritsi emvura'); ketoconazole; lanthanum (Fosrenol); laxatives ine magnesium; muromo steroid senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos); mamwe marudzi evhitamini D; phenobarbital; phenytoin (Dilantin, Phenytek); uye sevelamer (Renagel, Renvela). Uyezve udza chiremba wako kana wemishonga kana iwe uri kutora ergocalciferol (Deltalin, Drisdol) kana kuti warega kuitora mumwedzi mishoma yapfuura Chiremba wako angangoda kushandura kuyerwa kwemishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe uine huwandu hwakawanda hwecalcium. Chiremba wako angangokuudza kuti usatora calcitriol.
• udza chiremba wako kana iwe uchangobva kuvhiyiwa kana usingakwanise kufamba-famba chero chikonzero uye kana iwe wakambove kana wakambove neitsvo kana chiropa chirwere.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora calcitriol, fonera chiremba wako. Iwe haufanire kuyamwa paunenge uchitora calcitriol.

Calcitriol inoshanda chete kana iwe ukawana huwandu hwakaringana hwecalcium kubva pane izvo zvaunodya. Kana iwe ukawana yakawandisa calcium kubva kuzvikafu, unogona kusangana nemhedzisiro mhedzisiro yecalcitriol, uye kana iwe ukasawana yakakwana calcium kubva muzvikafu, calcitriol haigoni kudzora mamiriro ako. Chiremba wako anokuudza iwe kuti ndezvipi zvekudya zvakanaka zviwanikwa zveizvi zvinovaka muviri uye kuti mangani masevhisi aunoda zuva rega rega. Kana iwe uchiona zvichinetsa kudya zvakakwana zveizvi zvekudya, udza chiremba wako. Muchiitiko ichocho, chiremba wako anogona kupa kana kukurudzira kuwedzera.

Kana iwe uri kurapwa ne dialysis (maitiro ekuchenesa ropa nekupfuura nemuchina), chiremba wako anogona zvakare kupa yakaderera-phosphate chikafu. Tevera mazano aya zvakanyatsonaka.

Kana iwe usina chirwere cheitsvo, iwe unofanirwa kunwa zvinwiwa zvakawanda uchitora calcitriol. Kana uine chirwere cheitsvo, taura nachiremba wako nezvehuwandu hwemvura yaunofanira kunwa zuva rega rega.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvina kujairika, asi kana ukasangana nechimwe zvacho, dana chiremba wako nekukasika:

• kunzwa kuneta, kunetseka kufunga zvakajeka, kurasikirwa nechido, kuda kurutsa, kurutsa, kuzvimbirwa, kuwedzerwa nyota, kuwedzera kuita weti, kana kuonda
• kushaya simba
• musoro
• kugumbuka mudumbu
• muromo wakaoma
• kurwadziwa kwemhasuru
• kurwadziwa kwepfupa
• esimbi kuravira mumuromo
• weti yakaoma kana inorwadza
• shanduko pane zvakaratidzwa
• kushaikwa kwekufarira zvinhu zvakakukomberedza
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kupisa kana kutonhora
• kurwadziwa nemudumbu
• pale, zvituru zvine mafuta
• yero yeganda kana maziso
• dzihwa
• yakaderera chishuwo chepabonde
• kurova kwemoyo zvisina kujairika
• mapundu
• mikoko
• kuvava
• kunetseka kufema kana kumedza

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). Dzivirira mushonga uyu kubva pachiedza.

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-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.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa 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 wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kunzwa kuneta, kunetseka kufunga zvakajeka, kurasikirwa nechido, kuda kurutsa, kurutsa, kuzvimbirwa, kuwedzerwa nyota, kuwedzera kuita weti, kana kuonda
• kushaya simba
• musoro
• kugumbuka mudumbu
• muromo wakaoma
• mhasuru kana kurwadziwa kwepfupa
• esimbi kuravira mumuromo
• weti yakaoma kana inorwadza
• shanduko pane zvakaratidzwa
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kupisa kana kutonhora
• kurwadziwa nemudumbu
• pale, zvituru zvine mafuta
• yero yeganda kana maziso
• dzihwa
• yakaderera chishuwo chepabonde
• kurova kwemoyo zvisina kujairika

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti atarise mhinduro yako kune calcitriol.

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.

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