He aha ʻo Sevelamer: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau ʻo Sevelamer e kōkua ana i ka mālama ʻana i nā pae phosphorus kiʻekiʻe i loko o kou koko, ʻoiai inā he maʻi kīkī kou. Hana ia e like me ka huʻahuʻa kōkua i loko o kāu ʻōnaehana digestive, e hoʻopaʻa ana i ka phosphorus mai ka meaʻai āu e ʻai ai i ʻole e komo nui kou kino.

He mea nui kēia lāʻau lapaʻau ke hana ʻole kāu mau kīkī i ka kānana ʻana i ka phosphorus nui ma ke ʻano maoli. Ma ka mālama ʻana i nā pae phosphorus i ke kaulike, kōkua ʻo sevelamer i ka pale ʻana i kou mau iwi, ka puʻuwai, a me nā kīʻaha koko mai nā pilikia hiki ke loaʻa.

He aha ʻo Sevelamer?

ʻO Sevelamer kahi mea hoʻopaʻa phosphate e pili ana i kahi papa o nā lāʻau lapaʻau i kapa ʻia he bile acid sequestrants. ʻAʻole like me kekahi mau mea hoʻopaʻa phosphate ʻē aʻe, ʻaʻole i loaʻa ka calcium a i ʻole ka alumini, kahi e palekana ai i ka wā lōʻihi no ka poʻe he nui me nā pilikia kīkī.

Loaʻa ka lāʻau lapaʻau i ʻelua ʻano nui: sevelamer carbonate a me sevelamer hydrochloride. Hana like nā mea ʻelua, akā makemake pinepine ʻia ka sevelamer carbonate no ka mea ʻaʻole ia e hana i ka waikawa i loko o kou kino. E koho kāu kauka i ke ʻano kūpono e pili ana i kāu mau pono olakino.

No ke aha e hoʻohana ʻia ai ʻo Sevelamer?

Hoʻonohonoho mua ʻia ʻo Sevelamer e mālama i nā pae phosphorus kiʻekiʻe i ka poʻe me ka maʻi kīkī maʻi e hana ana i ka dialysis. Ke hiki ʻole i kāu mau kīkī ke kānana pono i ka phosphorus mai kou koko, e kūkulu ʻia kēia mineral a hiki ke hoʻopilikia i ke olakino.

Hiki i nā pae phosphorus kiʻekiʻe ke alakaʻi i ka maʻi iwi, e hoʻonāwaliwali a ʻeha hoʻi kou mau iwi. Hiki nō hoʻi ke hana i nā waihona calcium i loko o kou mau kīʻaha koko, ka puʻuwai, a me nā ʻiʻo palupalu ʻē aʻe, e hoʻonui ana i kou pilikia o nā pilikia o ka puʻuwai a me ka hahau.

I kekahi mau hihia, hiki i nā kauka ke kuhikuhi i ka sevelamer no ka poʻe me ka maʻi kīkī ʻaʻole i hana i ka dialysis akā he mau pae phosphorus kiʻekiʻe. Kōkua ka lāʻau lapaʻau i ka pale ʻana i nā pilikia ma mua o ka lilo ʻana i mea koʻikoʻi.

Pehea e Hana ai ʻo Sevelamer?

Hana ʻo Sevelamer ma ka hoʻopaʻa ʻana i ka phosphorus i loko o kou ʻōnaehana digestive, e pale ana i kou kino mai ka omo ʻana. E noʻonoʻo iā ia he magnet e huki ana i ka phosphorus mai ka meaʻai āu e ʻai ai, a laila lawe ia mai kou kino ma o kou ʻōpala.

Ua manaʻo ʻia he lāʻau lapaʻau ikaika no ka mālama ʻana i ka phosphorus. He mea maikaʻi loa ia i kāna hana, akā ʻaʻole ia ka koho ikaika loa i loaʻa. ʻO ka ikaika he mea maikaʻi ia no ka mea e hiki ai ke mālama maikaʻi a me ka liʻiliʻi o nā hopena ʻaoʻao koʻikoʻi i hoʻohālikelike ʻia me nā koho ikaika.

ʻAʻole e komo ka lāʻau lapaʻau i loko o kou kahe koko, ʻo ia hoʻi, hana wale ia i loko o kāu ʻōnaehana digestive. ʻO kēia hana kūloko e palekana ai no ka hoʻohana lōʻihi, ʻoiai no ka poʻe i loaʻa mua i ka hana kīkī i hoʻopilikia ʻia.

Pehea e Lawe ai au i ka Sevelamer?

E lawe i ka sevelamer e like me ke kauoha a kāu kauka, maʻamau me nā meaʻai. He mea nui ka manawa me ka meaʻai no ka mea pono ka lāʻau lapaʻau i loko o kou ʻōpū i ka wā e hōʻea ai ka phosphorus mai kāu ʻai.

E ale i nā papa holoʻokoʻa me ke aniani wai piha. Mai ʻoki, nau, a i ʻole e wāwahi iā lākou, no ka mea, hiki i kēia ke hoʻopilikia i ke ʻano o ka hana ʻana o ka lāʻau lapaʻau. Inā pilikia ʻoe i ka ale ʻana i nā papa, e kamaʻilio me kāu kauka e pili ana i nā koho ʻē aʻe.

Hiki iā ʻoe ke lawe i ka sevelamer me a i ʻole me nā lāʻau lapaʻau ʻē aʻe, akā e hoʻokaʻawale iā lākou ma ka liʻiliʻi o hoʻokahi hola. Pale kēia i ka sevelamer mai ka hoʻopaʻa ʻana i kāu mau lāʻau lapaʻau ʻē aʻe a me ka hoʻemi ʻana i ko lākou pono. Hiki i kāu kauka lapaʻau ke kōkua iā ʻoe e hana i kahi papa hana e hana maikaʻi loa no kāu hana lāʻau lapaʻau.

He palekana maʻamau ke lawe me ka hapa nui o nā meaʻai, akā e hoʻāʻo e mālama i nā ʻano ʻai mau. ʻO ka loaʻa ʻana o nā manawa ʻai maʻamau e kōkua i ka hōʻoia ʻana e hana mau ka lāʻau lapaʻau i kēlā me kēia lā.

Pehea ka lōʻihi e lawe ai au i ka Sevelamer?

ʻO ka hapa nui o nā kānaka me ka maʻi kīkī maʻi e pono e lawe i ka sevelamer no ka wā lōʻihi, pinepine no nā makahiki a i ʻole ke ola a pau. Aia ka lōʻihi i kāu hana kīkī a me ka maikaʻi o ka pane ʻana o kou kino i ka lāʻau lapaʻau.

E nānā kāu kauka i kāu pae phosphorus maʻamau ma o nā hoʻokolohua koko, maʻamau i kēlā me kēia mahina i ka wā mua, a laila ʻaʻole pinepine i ka wā e paʻa ai kou pae. Ma muli o kēia mau hopena, hiki iā lākou ke hoʻoponopono i kāu mahele a i ʻole e kūkākūkā inā hiki iā ʻoe ke hōʻemi a i ʻole ke kāpae ʻana i ka lāʻau.

Inā ʻoe ma ka dialysis, pono paha ʻoe e hoʻomau i ka lawe ʻana i ka sevelamer i ka wā e loaʻa ana iā ʻoe ka lāʻau dialysis. Hiki i kekahi poʻe i loaʻa i ka transplant kīkī ke hiki ke hooki i ka lawe ʻana i nā mea paʻa phosphate, akā pili kēia i ka maikaʻi o ka hana ʻana o kā lākou kīkī hou.

He aha nā hopena ʻaoʻao o Sevelamer?

E like me nā lāʻau lapaʻau a pau, hiki i ka sevelamer ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā mea a pau. ʻO nā hopena ʻaoʻao maʻamau e pili ana i kāu ʻōnaehana digestive no ka mea ma laila e hana ai ka lāʻau.

Eia nā hopena ʻaoʻao āu e hālāwai ai, me ka noʻonoʻo ʻana e ʻae maikaʻi ka hapa nui o nā kānaka i kēia lāʻau:

• Nausea a me ka luaʻi ʻana, ʻoi loa i ka wā e hoʻomaka ai ʻoe e lawe
• ʻEha ʻōpū a i ʻole ka ʻū ʻana e maikaʻi maʻamau i ka manawa
• Pāpaʻa, e maikaʻi pinepine ana i ka wā e hoʻoponopono ai kou kino
• Paʻa, ʻoi loa inā ʻaʻole ʻoe e inu i ka wai lawa
• Gas a me ka bloating, hiki ke hōʻoluʻolu ʻole akā maʻamau
• ʻO ka puʻuwai a i ʻole ka ʻai ʻana ma hope o nā meaʻai

Hoʻomaikaʻi maʻamau kēia mau hopena ʻaoʻao maʻamau i loko o kekahi mau pule i ka wā e hoʻopili ai kāu ʻōnaehana digestive i ka lāʻau. ʻO ka inu ʻana i ka wai nui a me ka ʻai ʻana i nā meaʻai liʻiliʻi a ʻoi aku ka pinepine hiki ke kōkua i ka hōʻemi ʻana i ka hōʻoluʻolu.

Hiki ke loaʻa nā hopena ʻaoʻao kakaʻikahi akā ʻoi aku ka koʻikoʻi, ʻoiai e pili ana lākou i ka liʻiliʻi o nā kānaka. Aia kēia mau mea i ka paʻa ʻana o ka ʻōpū e hiki ke alakaʻi i ka paʻa ʻana o ka ʻōpū, ʻoiai inā he pilikia ʻoe i ka ʻai ʻana. Hiki i kekahi poʻe ke pilikia i ka ale ʻana a i ʻole ka ʻeha nui o ka ʻōpū ʻaʻole e hoʻomaikaʻi.

I nā manawa kakaʻikahi loa, hiki i ka sevelamer ke hana i kahi maʻi i kapa ʻia ʻo metabolic acidosis, kahi e lilo ai kou koko i mea waikawa loa. ʻOi aku ka maikaʻi o kēia me ke ʻano hydrochloride o ka lāʻau a hōʻike pinepine ʻia e like me ka luhi maʻamau, ka huikau, a i ʻole ka hanu wikiwiki.

ʻO wai ka mea ʻaʻole pono e lawe i ka Sevelamer?

ʻAʻole kūpono ʻo Sevelamer no nā mea a pau, a ʻo kekahi mau maʻi olakino e lilo ia i mea weliweli. Pono ka poʻe me nā pilikia digestive koʻikoʻi e pale i kēia lāʻau no ka mea hiki iā ia ke hoʻonui i kā lākou mau hōʻailona.

ʻAʻole pono ʻoe e lawe i ka sevelamer inā he paʻa ʻōpū a i ʻole ka paʻa ʻana o ka ʻōpū, no ka mea, hiki i ka lāʻau ke hoʻonui i kēia mau maʻi. Pono ka poʻe me ka mōʻaukala o ke ʻoki ʻana i ka ʻai nui a i ʻole ka maʻi ʻōpū inflammatory e loiloi pono ma mua o ka hoʻomaka ʻana i kēia lāʻau.

Pono ka poʻe me nā pilikia ale e hoʻohana i ka akahele, no ka mea, hiki i nā papa ke hoʻoulu i ka ʻāʻī a i ʻole ke paʻa i ka ʻāʻī. Inā pilikia ʻoe i ka ale ʻana i nā pila, e kūkākūkā i nā mea hoʻopaʻa phosphate ʻē aʻe me kāu kauka.

Pono nā wahine hāpai a me nā wahine e hānai ana i ka waiū e lawe i ka sevelamer inā ʻoi aku ka maikaʻi ma mua o nā pilikia. ʻOiai ʻaʻole i komo ka lāʻau i loko o ke kahe koko, hiki iā ia ke hoʻopilikia i ka lawe ʻana i nā huaora a me nā meaʻai nui e pono ai ka makuahine a me ka pēpē.

Nā inoa inoa Sevelamer

ʻO ka inoa inoa maʻamau no ka sevelamer ʻo Renagel, aia i loko o ka sevelamer hydrochloride. ʻO kekahi inoa inoa i loaʻa nui ʻo Renvela, aia i loko o ka sevelamer carbonate a makemake pinepine ʻia e nā kauka.

Loaʻa nō hoʻi nā ʻano generic o sevelamer a hana like ka maikaʻi me nā ʻano inoa inoa. Hiki i kāu ʻinikua ke makemake i ke ʻano generic, hiki ke kōkua i ka hōʻemi nui ʻana i nā kumukūʻai lāʻau.

Pono nā ʻano inoa a me nā ʻano generic i ka palapala kauoha a loaʻa i nā ikaika like ʻole. Na kāu kauka e hoʻoholo i ke ʻano a me ka ikaika e hana maikaʻi loa no kou kūlana kikoʻī.

Nā Koho ʻē aʻe o Sevelamer

Loaʻa kekahi mau mea hoʻopaʻa phosphate ʻē aʻe inā ʻaʻole hana maikaʻi ʻo sevelamer iā ʻoe a i ʻole e hana i nā hopena ʻaoʻao he nui loa. Loaʻa i kēlā me kēia koho ʻē aʻe kona mau pono a me nā mea e noʻonoʻo ai.

Hoʻāʻo pinepine ʻia nā mea hoʻopaʻa phosphate i ka calcium e like me ka calcium acetate a i ʻole calcium carbonate no ka mea ʻaʻole lākou e pipiʻi. Eia naʻe, hiki iā lākou ke hana i ka calcium i loko o kou mau kīʻaha koko, kahi e kūpono ʻole ai lākou no ka hoʻohana lōʻihi.

ʻO Lanthanum carbonate kekahi koho non-calcium e hana like me sevelamer. Maʻa mau ia i ka maikaʻi akā hiki ke pipiʻi a hiki ke hana i nā hopena ʻaoʻao like ʻole e like me ka ʻōpū a i ʻole ka ʻono metala.

Hāʻawi nā mea hoʻopaʻa phosphate i ka hao e like me ka ferric citrate i ka pōmaikaʻi hou o ka mālama ʻana i ka anemia hemahema hao, he mea maʻamau i ka poʻe me ka maʻi kīkī. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana i ke koho ʻē aʻe e hana maikaʻi loa no kou pono olakino.

ʻOi aku ka maikaʻi o Sevelamer ma mua o Calcium Acetate?

Hoʻomalu maikaʻi ʻo Sevelamer a me calcium acetate i nā pae phosphorus, akā hana lākou i nā ʻano like ʻole a loaʻa nā pono like ʻole. Aia ke koho ma waena o lākou i kou kūlana olakino pilikino a me nā pahuhopu lapaʻau lōʻihi.

Manaʻo ʻia ʻo Sevelamer ʻoi aku ka maikaʻi no ka hoʻohana lōʻihi no ka mea ʻaʻole ia e hoʻohui i ka calcium i kāu ʻōnaehana. ʻO kēia ka mea e palekana ai no kou mau kīʻaha koko a me ka puʻuwai, he mea nui ia no ka poʻe me ka maʻi kīkī i pilikia mua i nā pilikia cardiovascular.

ʻO ka calcium acetate, ma kekahi ʻaoʻao, he mea kūʻai pinepine ʻia a hiki ke uhi maikaʻi ʻia e ka ʻinikua. Hiki nō hoʻi ke kōkua inā he haʻahaʻa kou pae calcium, akā lilo kēia pōmaikaʻi i mea hōʻemi inā maʻamau a kiʻekiʻe paha kou pae calcium.

E noʻonoʻo kāu kauka i nā mea e like me kāu pae calcium, ke olakino o ka naʻau, nā hopohopo e pili ana i ke kumukūʻai, a me ka maikaʻi o kou ʻae ʻana i kēlā me kēia lāʻau lapaʻau i ka wā e hana ai i nā ʻōlelo paipai. Nui ka poʻe e hoʻāʻo mua i ka calcium acetate a hoʻololi i ka sevelamer inā lilo ka pae calcium i mea kiʻekiʻe loa.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Sevelamer

He Palekana anei ʻo Sevelamer no ka poʻe maʻi maʻi maʻi?

ʻAe, palekana ʻo sevelamer no ka poʻe me ka maʻi maʻi a hiki ke hāʻawi i kekahi mau pōmaikaʻi. ʻAʻole pili pololei ka lāʻau lapaʻau i ka pae kōpaʻa koko, kahi e kūpono ai no nā maʻi maʻi maʻi e loaʻa pinepine ana i nā pilikia o ka puʻupaʻa.

Hōʻike kekahi mau haʻawina e hiki i ka sevelamer ke kōkua i ka hoʻomaikaʻi ʻana i ka pae cholesterol a hoʻemi i ka mumū, hiki ke maikaʻi loa no ka poʻe me ka maʻi maʻi e pilikia nui ana i ka maʻi puʻuwai. Eia naʻe, pono ʻoe e nānā mau i kāu kōpaʻa koko a e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei.

He aha kaʻu e hana ai inā lawe hewa au i ka nui o ka Sevelamer?

ʻAʻole paha e hoʻopilikia ka lawe ʻana i ka nui o ka sevelamer i nā pilikia e hoʻoweliweli ana i ke ola no ka mea ʻaʻole e komo ka lāʻau lapaʻau i loko o kou kahe koko. Eia naʻe, hiki iā ʻoe ke ʻike i nā hopena ʻaoʻao digestive ʻoi aku ka nui e like me ka paʻa ʻana o ka ʻōpū, ka ʻeha o ka ʻōpū, a i ʻole ka nausea.

Inā ʻike ʻoe ua lawe nui ʻoe, e hoʻokaʻaʻike i kāu kauka a i ʻole ka mea kūʻai lāʻau no ke alakaʻi. Hiki iā lākou ke paipai i ka hoʻonui ʻana i kāu inu wai a me ka nānā ʻana i nā hōʻailona o ka paʻa ʻana o ka ʻōpū. Mai ho'āʻo e hoʻopōʻino iā ʻoe iho, no ka mea, ʻaʻole ia e kōkua i ka wehe ʻana i ka lāʻau lapaʻau a hiki ke hoʻopilikia hou.

He aha kaʻu e hana ai inā haʻalele au i kahi mahele o Sevelamer?

Inā hala ʻoe i kahi lāʻau, e lawe koke ʻoe i ka wā e hoʻomanaʻo ai ʻoe, akā inā kokoke ʻoe e ʻai i ka meaʻai. Pono e lawe ʻia ʻo Sevelamer me ka meaʻai e hana pono ai, no laila mai lawe i kahi lāʻau i hala i ka ʻōpū ʻole.

Inā kokoke ka manawa no kāu lāʻau i hoʻonohonoho ʻia e hiki mai ana, e lele i ka lāʻau i hala a hoʻomau me kāu papa maʻamau. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao me ka hāʻawi ʻole ʻana i ka pōmaikaʻi hou.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Sevelamer?

Pono ʻoe e hooki i ka lawe ʻana iā sevelamer ma lalo o ka mālama ʻana a kāu kauka. ʻO ka hooki koke ʻana hiki ke hoʻonui koke i kāu pae phosphorus, hiki ke alakaʻi i nā pilikia e like me nā pilikia iwi a i ʻole nā waihona calcium i loko o kou mau kīʻaha koko.

E nānā mau kāu kauka i kāu pae phosphorus a hiki ke hoʻemi mālie i kāu lāʻau ma mua o ka hooki ʻana i ka lāʻau lapaʻau. Hana maʻamau kēia inā hoʻomaikaʻi nui kāu hana kīkī a i ʻole inā loaʻa iā ʻoe kahi transplant kīkī e hana maikaʻi ana.

Hiki iaʻu ke lawe iā Sevelamer me nā lāʻau lapaʻau ʻē aʻe?

Hiki i ka Sevelamer ke keakea i ka lawe ʻana i nā lāʻau lapaʻau ʻē aʻe, no laila he mea nui ka manawa. E lawe i kāu mau lāʻau lapaʻau ʻē aʻe ma ka liʻiliʻi hoʻokahi hola ma mua a i ʻole ʻekolu hola ma hope o ka lawe ʻana iā sevelamer e hōʻoia i ka hana pono ʻana.

ʻO kekahi mau lāʻau lapaʻau e pono ai ka nānā kūikawā e pili ana i nā hormones thyroid, nā lāʻau lapaʻau hopu, a me kekahi mau antibiotics. Hiki i kāu kauka lapaʻau ke kōkua iā ʻoe e hana i kahi papa hana lāʻau lapaʻau e hōʻoia i ka hana pono ʻana o kāu mau lāʻau lapaʻau a pau me ka pale ʻana i nā pilina pōʻino.