ICinacalcet

Umxholo

• Ngaphambi kokuba uthathe i-cinacalcet,
• ICinacalcet inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo, tsalela ugqirha ngokukhawuleza:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

ICinacalcet isetyenziswa yodwa okanye namanye amayeza ukunyanga i-hyperparathyroidism yesibini (imeko apho umzimba uvelisa kakhulu ihomoni yeparathyroid [into yendalo efunekayo ukulawula ubungakanani becalcium egazini] enokubangela iingxaki ezinkulu emathanjeni, entliziyweni, imithambo yegazi, nemiphunga) kwizigulana ezinesifo sezintso esinganyangekiyo (imeko apho izintso ziyeke ukusebenza kancinci kancinci) ezinyangwa nge-dialysis (unyango lokucoca igazi xa izintso zingasebenzi kakuhle). ICinacalcet ikwasetyenziselwa ukunyanga amanqanaba aphezulu e-calcium egazini lezigulana ezinomhlaza weparathyroid (umhlaza wamadlala asentanyeni enza i-parathyroid hormone). I-Cinacalcet ikudidi lwamayeza abizwa ngokuba yi-calcimimetics. Isebenza ngokusayina umzimba ukuba uvelise i-hormone encinci ye-parathyroid ukwenzela ukunciphisa inani le-calcium egazini.

ICinacalcet iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye ngemini ngokutya okanye kungekudala emva kwesidlo. Ukukunceda ukhumbule ukuthatha i-cinacalcet, yithathe ngexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-cinacalcet ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya iipilisi ngokupheleleyo; ungahluleli, ungahlaleli, okanye uzityumze.

Ugqirha wakho uya kukuqala ngethamo eliphantsi le-cinacalcet kwaye ngokuthe ngcembe andise idosi yakho, hayi ngaphezulu kwesinye kwiiveki ezi-2-4.

ICinacalcet inokunceda ukulawula imeko yakho kodwa ayizukuyinyanga. Qhubeka nokuthatha i-cinacalcet nokuba uziva uphilile. Sukuyeka ukuthatha i-cinacalcet ngaphandle kokuthetha nogqirha wakho.

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

Ngaphambi kokuba uthathe i-cinacalcet,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-cinacalcet okanye nawaphi na amanye amayeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza owathathayo. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-antidepressants (i-elevator elevator) ezinje nge-amitriptyline (Elavil), clomipramine (Anafranil), desipramine (Norpramin), fluoxetine (Prozac, Sarafem), imipramine (Tofranil), nefazodone, nortriptyline (Aventyl, Pamelor ), i-paroxetine (Paxil), iprotextline (Vivactil) kunye ne-trimipramine (Surmontil); ii-antifungals ezifana ne-fluconazole (Diflucan), itraconazole (Sporanox), kunye ne-ketoconazole (Nizoral); cimetidine (iTagamet); i-cyclosporine (iNeoral, iSandimmune); iDanazol (iDanocrine); delavirdine (Umshicileli); I-diltiazem (iCardizem, iDilacor, iTiazac); i-erythromycin (i-EES, i-E-Mycin, i-Erythrocin); i-flecainide (iTambocor); I-HIV protease inhibitors efana ne-indinavir (Crixivan) kunye ne-ritonavir (Norvir); isoniazid (INH, Nydrazid); iMetronidazole (Flagyl); izinto zokucwangcisa ngomlomo (iipilisi zolawulo lokuzalwa); thioridazine (Mellaril); troleandomycin (TAO); i-verapamil (Calan, Covera, Isoptin, Verelan); vinblastine (Velban); kunye ne-zafirlukast (eyiyo). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wahlaselwa okanye wahlaselwa sisifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-cinacalcet, tsalela ugqirha wakho.

Thetha nogqirha wakho malunga nokusela ijusi yamagilebhisi ngelixa uthatha eli yeza.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

ICinacalcet inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isisu esimoshakele
• ukugabha
• urhudo
• isiyezi
• ubuthathaka
• iintlungu zesifuba

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo, tsalela ugqirha ngokukhawuleza:

• ukutshisa, ukurhawuzelela, okanye iimvakalelo ezingaqhelekanga zomlomo, ulwimi, iminwe, okanye iinyawo
• iintlungu zezihlunu okanye iicramps
• Ukuqinisa ngesiquphe kwezihlunu ezandleni, iinyawo, ubuso, okanye umqala
• ukuxhuzula
• Usulelo lokufikelela kwi-dialysis (umthambo wegazi owenziwe ngotyando apho igazi lishiya kwaye lingena emzimbeni ngexesha le-dialysis)

ICinacalcet 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).

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.

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

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• ukutshisa, ukurhawuzelela, okanye iimvakalelo ezingaqhelekanga zomlomo, ulwimi, iminwe, okanye iinyawo
• iintlungu zezihlunu okanye iicramps
• Ukuqinisa ngesiquphe kwezihlunu ezandleni, iinyawo, ubuso, okanye umqala
• ukuxhuzula

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-cinacalcet.

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.

• I-Sensipar^®