Calcitriol

Umxholo

• Ngaphambi kokuba uthathe i-calcitriol,
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo, tsalela ugqirha ngokukhawuleza:
• Iimpawu libanda kungaquka oku kulandelayo:

ICalcitriol isetyenziselwa ukunyanga nokukhusela amanqanaba asezantsi e-calcium kunye nesifo samathambo kwizigulana ezinezintso okanye amadlala e-parathyroid (amadlala asentanyeni akhupha izinto zendalo ukulawula ubungakanani becalcium egazini) ayisebenzi ngokwesiqhelo. Isetyenziselwa ukunyanga i-hyperparathyroidism yesibini (imeko apho umzimba uvelisa kakhulu ihomoni yeparathyroid [PTH; into yendalo efunekayo ukulawula ubungakanani becalcium egazini]) kunye nesifo samathambo esisifo kubantu abanezifo zezintso. I-Calcitriol ikudidi lwamayeza abizwa ngokuba zii-analogs ze-vitamin D. Isebenza ngokunceda umzimba ukuba usebenzise ngakumbi i-calcium efumaneka ekutyeni okanye kwizongezo kunye nokulawula ukuveliswa komzimba wehomoni yeparathyroid.

ICalcitriol iza njengecapsule kunye nesisombululo (ulwelo) ukuthatha ngomlomo. Ihlala ithathwa kanye ngemini okanye kanye yonke imihla kusasa kunye okanye ngaphandle kokutya. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-calcitriol ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho uya kukuqala ngethamo eliphantsi le-calcitriol kwaye unokunyusa ngokuthe ngcembe idosi yakho ngokuxhomekeke kwimpendulo yomzimba wakho kwi-calcitriol.

I-Calcitriol ngamanye amaxesha isetyenziselwa ukunyanga iirickets (ukuthambisa kunye nokwenza buthathaka kwamathambo ebantwaneni abangelwa kukungabikho kwe vithamin D), osteomalacia (ukuthambisa kunye nokwenza buthathaka kwamathambo kubantu abadala okubangelwa kukungabikho kwe vithamin D), kunye ne hypophosphatemia yosapho (iirickets okanye iosteomalacia ebangelwa ukunciphisa amandla okuphula ivithamini D emzimbeni). I-Calcitriol ngamanye amaxesha isetyenziselwa ukwandisa inani le-calcium egazini labantwana abazelwe ngaphambi kwexesha. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

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

Ngaphambi kokuba uthathe i-calcitriol,

• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza owathathayo, ngakumbi ikhalsiyam okanye imagnesium ene-antacids; izongezo zekhalsiyam; cholestyramine (Cholybar, Prevalite, Questran); idigoxin (Lanoxin); umchamo ('iipilisi zamanzi'); ketoconazole; ilanthanum (Fosrenol); i-laxatives ene-magnesium; i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); ezinye iintlobo zevithamini D; phenobarbital; phenytoin (iDilantin, iPhenytek); kunye ne-sevelamer (Renagel, Renvela). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha i-ergocalciferol (Deltalin, Drisdol) okanye uyekile ukuyithatha kwezi nyanga zimbalwa zidlulileyo Ugqirha wakho kungafuneka atshintshe amayeza akho okanye akuqwalasele ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba unamazinga aphezulu e-calcium. Ugqirha wakho uya kukuxelela ukuba ungathathi i-calcitriol.
• xelela ugqirha wakho ukuba usandula ukwenza utyando okanye awukwazi ukuhambahamba nangasiphi na isizathu kwaye ukuba ukhe unesifo sezintso okanye sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-calcitriol, biza ugqirha wakho. Akufanele uncelise ngelixa uthatha i-calcitriol.

ICalcitriol iya kusebenza kuphela ukuba ufumana inani elifanelekileyo le-calcium kukutya okutyayo. Ukuba ufumana i-calcium eninzi kukutya, unokufumana iziphumo ezibi kakhulu ze-calcitriol, kwaye ukuba awufumani calcium ngokwaneleyo kukutya, i-calcitriol ayizukulawula imeko yakho. Ugqirha wakho uya kukuxelela ukuba kukuphi ukutya okuyimithombo elungileyo yezi zondlo kunye nokuba zingaphi iinkonzo ozidingayo ngosuku ngalunye. Ukuba ukufumanisa kunzima ukutya oku kutya ngokwaneleyo, xelela ugqirha wakho. Kwimeko apho, ugqirha wakho unokumisela okanye acebise isongezelelo.

Ukuba uphathwa nge-dialysis (inkqubo yokucoca igazi ngokuyidlulisa ngomatshini), ugqirha wakho unokumisela ukutya okuphantsi kwe-phosphate. Landela le miyalelo ngononophelo.

Ukuba awunaso isifo sezintso, kuya kufuneka usele ulwelo oluninzi ngelixa uthatha i-calcitriol. Ukuba unesifo sezintso, thetha nogqirha wakho malunga nobungakanani bamanzi ekufuneka usele yonke imihla.

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.

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

• ukuziva udiniwe, kunzima ukucinga ngokucacileyo, ukulahleka kwesidlo, isicaphucaphu, ukugabha, ukuqhina, ukoma, ukwanda komchamo, okanye ukunciphisa umzimba
• ubuthathaka
• intloko ebuhlungu
• isisu esimoshakele
• umlomo owomileyo
• iintlungu zemisipha
• iintlungu zethambo
• incasa ebuntsimbi emlonyeni
• ukuchama kunzima okanye kubuhlungu
• utshintsho kumbono
• ukungabikho komdla kwizinto ezikungqongileyo
• i-hallucination (ukubona izinto okanye ukuva amazwi angabikho)
• umkhuhlane okanye ukubanda
• isisu esibuhlungu
• ezimthubi, izitulo ezinamafutha
• mthubi ulusu okanye amehlo
• impumlo enemifinya
• ukunciphisa umnqweno wesondo
• ukubetha kwentliziyo ngokungaqhelekanga
• irhashalala
• urhwebo
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya

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). Khusela la mayeza ekukhanyeni.

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 libanda kungaquka oku kulandelayo:

• ukuziva udiniwe, kunzima ukucinga ngokucacileyo, ukulahleka kwesidlo, isicaphucaphu, ukugabha, ukuqhina, ukoma, ukwanda komchamo, okanye ukunciphisa umzimba
• ubuthathaka
• intloko ebuhlungu
• isisu esimoshakele
• umlomo owomileyo
• iintlungu zemisipha okanye zethambo
• incasa ebuntsimbi emlonyeni
• ukuchama kunzima okanye kubuhlungu
• utshintsho kumbono
• i-hallucination (ukubona izinto okanye ukuva amazwi angabikho)
• umkhuhlane okanye ukubanda
• isisu esibuhlungu
• ezimthubi, izitulo ezinamafutha
• mthubi ulusu okanye amehlo
• impumlo enemifinya
• ukunciphisa umnqweno wesondo
• ukubetha kwentliziyo ngokungaqhelekanga

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

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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