Sevelamer

Umxholo

• Ngaphambi kokuba uthathe i-sevelamer,
• I-Sevelamer inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

I-Sevelamer isetyenziselwa ukulawula amanqanaba aphezulu egazi le-phosphorus kubantu abanesifo sezintso esinganyangekiyo abakwi-dialysis (unyango lokucoca igazi xa izintso zingasebenzi kakuhle). I-Sevelamer ikudidi lwamayeza abizwa ngokuba yi-phosphate binders. Iyabopha i-phosphorus oyifumana ekutyeni okutyayo kwaye iyithintele ukuba ingangeni kwigazi lakho.

I-Sevelamer iza njengethebhulethi nanjengomgubo wokunqunyanyiswa ukuthatha ngomlomo. Ihlala ithathwa kathathu ngemini ngokutya. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-sevelamer ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Musa ukuwaphula okanye ukuwaphula amacwecwe.

Ugqirha wakho uya kuthi ahlengahlengise idosi yakho ngokusekwe kumanqanaba egazi lakho le-phosphorus, hayi rhoqo rhoqo kube kanye kwiiveki ezi-2.

Ukuba uthatha umgubo wokumiswa, funda ngononophelo imiyalelo yomenzi yokusetyenziswa eza nonyango. Le miyalelo ichaza indlela yokulungiselela kunye nokulinganisa idosi yakho. Hlanganisa umgubo kunye nenani elinconywayo lamanzi kwiqondo lakho kwaye uvuselele umxube ngamandla. Umxube uya kuba namafu njengoko umgubo unganyibiliki. Ngenye indlela, ungaxuba umgubo kunye nokutya okanye isiselo. Sukufaka imicrowave kumxube okanye wongeze umgubo kukutya okufudumeleyo okanye ulwelo. Thatha umxube kwangoko emva kokulungiswa (kwimizuzu engama-30), njengenxalenye yesidlo sakho. Ukuba umxube awuthathwanga kwisithuba semizuzu engama-30 uwulungisile, lahla loo mxube.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-sevelamer,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-sevelamer, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-sevelamer okanye umgubo wokumiswa. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Ugqirha wakho unokukuxelela ukuba uthathe amayeza akho ngamaxesha athile ngaphambi okanye emva kokuba uthathe i-sevelamer, utshintshe amayeza akho, okanye ujonge ngononophelo kwiziphumo ebezingalindelekanga. Ukuba uthatha i-cyclosporine (Gengraf, Neoral, Sandimmune), levothyroxine (Levo-T, Synthroid, Tirosint, abanye), okanye itacrolimus (Astagraf, Prograf, Protopic), kuya kufuneka ubathathe okungenani iyure enye ngaphambi okanye kwiiyure ezi-3 emva kwakho uthathe i-sevelamer. Thatha i-ciprofloxacin (Cipro) ubuncinci iiyure ezi-2 ngaphambi okanye iiyure ezi-6 emva kokuthatha i-sevelamer. Thatha kwakhona i-mycophenolate (Cellcept) ubuncinci iiyure ezi-2 ngaphambi kokuba uthathe i-sevelamer. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba unesithintelo sesisu sakho okanye amathumbu. Ugqirha wakho uya kukuxelela ukuba ungathathi i-sevelamer.
• xelela ugqirha wakho ukuba unobunzima bokuginya, okanye ukhe wanengxaki yesisu okanye yamathumbu kubandakanya izilonda (izilonda kwimbombo yesisu okanye amathumbu), isifo sokuqaqamba kwamathumbu, ukuqunjelwa, okanye uqhaqho esiswini okanye emathunjini.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa uthatha i-sevelamer, tsalela ugqirha wakho.
• Kuya kufuneka uyazi ukuba i-sevelamer inokunciphisa amanqanaba eevithamini kunye ne-folic acid emzimbeni. Thetha nogqirha wakho ukuze ubone ukuba ufuna ukuthatha inani elongezelelekileyo lezi vithamini ngexesha lonyango lwakho nge-sevelamer.

Ugqirha unokukuyalela ukuba ulandele ukutya okuphantsi kwe-phosphorus. Landela le miyalelo ngononophelo. Thetha nogqirha wakho malunga nokutya okunexabiso eliphezulu le-phosphorus.

Tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yokulinganisa Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Sevelamer inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• urhudo
• ukugabha
• isicaphucaphu
• isisu esibuhlungu
• irhasi
• isilungulela
• ukuqunjelwa okutsha okanye okuba mandundu

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• izitulo ezimnyama kunye nokulinda
• Igazi elibomvu ilindle

I-Sevelamer inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zelebhu ukumisela impendulo yakho kwi-sevelamer.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

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