Sevelamer

-Delile

• Ngaphambi kokuthatha i-sevelamer,
• I-Sevelamer ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

I-Sevelamer isetshenziselwa ukulawula amazinga aphezulu egazi e-phosphorus kubantu abanesifo esingapheliyo sezinso abase-dialysis (ukwelashwa ukuhlanza igazi lapho izinso zingasebenzi kahle). USevelamer usesigabeni semithi ebizwa nge-phosphate binders. Ibopha i-phosphorus oyithola ekudleni ekudleni kwakho futhi iyivimbele ukuthi ingangeni egazini lakho.

ISevelamer iza njengethebhulethi nanjengempuphu yokumiswa okuzothathwa ngomlomo. Imvamisa kuthathwa kathathu ngosuku nokudla. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-sevelamer njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Ungawaphuli noma uwaphule amaphilisi.

Udokotela wakho mhlawumbe uzolungisa umthamo wakho ngokuya ngamazinga wegazi lakho le-phosphorus, hhayi kaningi ngaphezu kwesisodwa njalo emavikini amabili.

Uma uthatha i-powder ukumiswa, funda ngokucophelela imiyalo yokusetshenziswa komenzi eza nomuthi. Le miyalo ichaza ukuthi ungalungiselela kanjani futhi ulinganise umthamo wakho. Hlanganisa i-powder nenani lamanzi anconyelwe umthamo wakho bese ugovuza ingxube ngamandla. Ingxube izoguqubala njengoba impuphu ingancibiliki. Ngaphandle kwalokho, ungaxuba i-powder nokudla noma isiphuzo. Ungayifaki i-microwave ingxube noma ungeze impuphu ekudleni okushisayo noma oketshezi. Thatha ingxube ngokushesha emva kokulungiselela (kungakapheli imizuzu engama-30), njengengxenye yokudla kwakho. Uma ingxube ingathathiwe kungakapheli imizuzu engama-30 uyilungisile, lahla leyo ngxube.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-sevelamer,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-sevelamer, noma imiphi eminye imithi, noma iziphi izithako ezikumaphilisi we-sevelamer noma i-powder yokumiswa. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Udokotela wakho angakutshela ukuthi uthathe imithi yakho ngezikhathi ezithile ngaphambi noma ngemuva kokuthatha i-sevelamer, ushintshe imithamo yemithi yakho, noma akuqaphele ngokucophelela ngemiphumela emibi. Uma uthatha i-cyclosporine (Gengraf, Neoral, Sandimmune), levothyroxine (Levo-T, Synthroid, Tirosint, abanye), noma i-tacrolimus (i-Astagraf, Prograf, Protopic), kufanele ubathathe okungenani ihora elilodwa ngaphambi noma amahora amathathu ngemuva kwakho uthathe i-sevelamer. Thatha i-ciprofloxacin (Cipro) okungenani amahora amabili ngaphambi noma amahora ayisithupha ngemuva kokuthatha i-sevelamer. Futhi, thatha i-mycophenolate (Cellcept) okungenani amahora ama-2 ngaphambi kokuthatha i-sevelamer. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uvinjelwe isisu noma amathumbu akho. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-sevelamer.
• Tshela udokotela wakho uma unenkinga yokugwinya, noma uke waba nezinkinga zesisu noma zamathumbu kubandakanya izilonda (izilonda kulolwelwesi lwesisu noma amathumbu), isifo sokuvuvukala, ukuqunjelwa, noma ukuhlinzwa esiswini noma emathunjini.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-sevelamer, shayela udokotela wakho.
• kufanele wazi ukuthi i-sevelamer inganciphisa amazinga wamavithamini ne-folic acid emzimbeni. Khuluma nodokotela wakho ukuze ubone ukuthi ngabe udinga ukuthatha inani elengeziwe lalawa mavithamini ngesikhathi sokwelashwa kwakho nge-sevelamer.

Udokotela wakho angakuyala ukuthi ulandele ukudla okuphansi kwe-phosphorus. Landela lezi zinkomba ngokucophelela. Khuluma nodokotela wakho ngokudla okuqukethe inani eliphakeme le-phosphorus.

Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Sevelamer ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isifo sohudo
• ukuhlanza
• isicanucanu
• ubuhlungu besisu
• igesi
• isilungulela
• ukuqunjelwa okusha noma okuba kubi kakhulu

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• indle emnyama neyokulinda
• igazi elibomvu endle

I-Sevelamer ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuthola impendulo yakho ku-sevelamer.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

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