He aha te Sevelamer: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

He rongoā whakahau a Sevelamer e āwhina ana ki te whakahaere i ngā taumata pāhare pāporo tiketike i roto i tō toto, ina koa kei a koe te mate tākihi. E mahi ana pēnei i te hautai whai hua i roto i tō pūnaha kūnatu, e here ana ki te pāhare pāporo mai i te kai e kainga ana e koe kia kore ai tō tinana e ngongo rawa i te nui.

He mea nui rawa atu tēnei rongoā ina kore e pai ana ō tākihi ki te tātari i te pāhare pāporo nui. Mā te pupuri i ngā taumata pāhare pāporo kia taurite, ka āwhina a sevelamer ki te tiaki i ō wheua, te ngākau, me ngā oko toto mai i ngā raruraru pea.

He aha te Sevelamer?

He here pāhare pāporo a Sevelamer e noho ana ki tētahi rōpū rongoā e kiia ana ko ngā here waikawa pūtaiao. Kāore i rite ki ētahi atu here pāhare pāporo, kāore he konupūmā, he konumoana rānei, he mea haumaru ake mō te wā roa mō te hunga maha e raru ana i ngā tākihi.

E rua ngā momo matua o te rongoā: sevelamer carbonate me sevelamer hydrochloride. E mahi ana ngā mea e rua i te ara kotahi, engari ko te sevelamer carbonate te mea e pai ana te nuinga nā te mea he iti ake te tūpono ki te whakaputa waikawa i roto i tō tinana. Māu e whiriwhiri te momo tika i runga i ō hiahia hauora motuhake.

He aha te Sevelamer e whakamahia ana mō?

Ko te tuatahi, ka whakahaua a Sevelamer ki te rongoā i ngā taumata pāhare pāporo tiketike i roto i te hunga e mate tākihi mau tonu ana e haere ana i te tātai toto. Ina kore e taea e ō tākihi te tātari tika i te pāhare pāporo mai i tō toto, ka piki ake tēnei kohuke, ā, ka puta ngā raruraru hauora nui.

Ka taea e ngā taumata pāhare pāporo tiketike te arahi ki te mate wheua, e ngoikore ai ō wheua, e mamae ai. Ka taea hoki e ia te whakaputa i ngā putunga konupūmā ki roto i ō oko toto, te ngākau, me ētahi atu kiko ngawari, e whakanui ana i tō tūponotanga ki ngā raruraru ngākau me te whiu.

I ētahi wā, ka whakahau pea ngā tākuta i te sevelamer mō te hunga e mate tākihi ana kāore anō kia haere i te tātai toto engari he taumata pāhare pāporo tiketike tonu. Ka āwhina te rongoā ki te ārai i ngā raruraru i mua i te pūngao ake.

Me pēhea te mahi a te Sevelamer?

Ka mahi a Sevelamer mā te here ki te pāhau i roto i tō ara kūnatu, e ārai ana i tō tinana mai i te ngongo. Whakaarohia he mākeneti e kukume ana i te pāhau mai i te kai e kainga ana e koe, ka kawe atu i tō tinana mā tō kūtai.

E kiia ana he rongoā kaha ngawari tēnei mō te whakahaere pāhau. He tino whai hua ki tāna mahi, engari ehara i te kōwhiringa tino kaha e wātea ana. Ko te kaha he painga tonu nā te mea ka taea te whakahaere pai ake me te iti ake o ngā pānga taha kino ki te whakataurite ki ngā rongoā kaha ake.

Kāore te rongoā e ngongo ki roto i tō toto, ko te tikanga ka mahi anake i roto i tō pūnaha kūnatu. Ko tēnei mahi ā-rohe ka noho haumaru ake mō te whakamahi wā-roa, ina koa mō te hunga kua ngoikore kē te mahi tākihi.

Me pēhea taku tango i te Sevelamer?

Tangohia te sevelamer i runga i te tohutohu a tō tākuta, te tikanga me ngā kai. He mea nui te wā me te kai nā te mea me noho te rongoā i roto i tō puku i te taenga mai o te pāhau mai i tō kai.

Horomia ngā papa katoa me te karaihe wai katoa. Kaua e kuru, e ngaungau, e whati rānei, nā te mea ka raru tēnei i te mahi o te rongoā. Ki te uaua ki a koe te horomia i ngā papa, kōrero ki tō tākuta mō ētahi atu kōwhiringa.

Ka taea e koe te tango i te sevelamer me ētahi atu rongoā, engari me whakatakoto kia kotahi haora te wā i waenga. Mā tēnei e ārai ai te sevelamer i te here ki ō rongoā kē atu me te whakaiti i ō rātou whai huatanga. Ka taea e tō kaihākinakina te āwhina i a koe ki te hanga i tētahi hōtaka e pai ana mō tō tikanga rongoā.

He haumaru te tikanga ki te tango me te nuinga o ngā kai, engari ngana ki te pupuri i ngā tikanga kai rite tonu. Mā te whai wā kai auau ka āwhina i te rongoā ki te mahi rite tonu i ia rā.

Kia pēhea te roa e tango ai au i te Sevelamer?

Ko te nuinga o te tangata e mate ana i te mate whatukuhu tawhito me tango sevelamer mo te wa roa, he maha nga tau, ara, i te toenga o to ratau oranga. Kei te whakawhirinaki te roa ki te mahi o ou whatukuhu me te pai o te urupare o to tinana ki te rongoa.

Ka aroturukihia e to taakuta o taumata phosphorus i nga wa katoa ma nga whakamatautau toto, i te nuinga o te wa ia marama i te tuatahi, katahi ka iti ake te auau i te wa e pumau ana o taumata. I runga i enei hua, ka whakatika pea ratou i to horopeta, ka matapaki ranei mena ka taea e koe te whakaiti, te whakamutu ranei i te rongoa.

Mena kei te haere koe i te dialysis, ka hiahia pea koe ki te tango tonu i te sevelamer i te wa e whiwhi ana koe i te maimoatanga dialysis. Ko etahi tangata e whiwhi ana i te whakawhitinga whatukuhu ka taea te whakamutu i te tango i nga here phosphate, engari kei runga tenei i te pai o te mahi o o ratou whatukuhu hou.

He aha nga paanga taha o Sevelamer?

Pērā i ngā rongoā katoa, ka taea e te sevelamer te pānga taha, ahakoa kāore te katoa e pā ana ki a rātou. Ko nga paanga taha tino noa e pa ana ki to punaha nakunaku mai i te wahi e mahi ana te rongoa.

Anei nga paanga taha ka kitea e koe, me te mahara he pai te whakamanawanui o te nuinga o te tangata ki tenei rongoa:

• Te whakapairuaki me te ruaki, ina koa i te wa e timata ana koe ki te tango
• Te mamae o te puku, te kōpū rānei e pai ana i te roanga o te wā
• Te korere, he maha nga wa ka pai ake i te wa e urutau ana to tinana
• Te pāhoahoa, ina koa ki te kore koe e inu wai nui
• Te hau me te pupuhi, kaore e pai engari he ngawari tonu
• Te ngakau mamae, te kore ranei o te nakunaku i muri i nga kai

Ko enei paanga taha noa ka pai ake i roto i etahi wiki i te wa e urutau ana to punaha nakunaku ki te rongoa. Ko te inu i te wai nui me te kai i nga kai iti ake, i nga wa maha ka awhina i te whakaiti i te kore e pai.

He onge engari he kino ake pea nga pānga taha, ahakoa he tokoiti noa te hunga e pā ana. Kei roto i ēnei ko te pāpāpā nui rawa atu ka taea te arahi ki te aukati i te whekau, ina koa kei a koe kē ngā raruraru kūnatu. Ka pā pea te uaua ki te horomia, te mamae puku nui rānei e kore e pai ake ki ētahi tāngata.

He tino onge, ka taea e te sevelamer te whakaputa i tētahi āhuatanga e kīia nei ko te waikawa metabolic, ka waikawa rawa tō toto. He nui ake pea tēnei ki te puka hydrochloride o te rongoā, ā, ko te nuinga ka puta mai he ngenge rerekē, he rangirua, he hā nui rānei.

Ko wai e kore e tango i te Sevelamer?

Kāore te Sevelamer i te pai mō te katoa, ā, ko ētahi āhuatanga hauora ka tūpono he kino. Me karo te hunga e raru ana i te kūnatu i tēnei rongoā, nā te mea ka kino ake ā rātou tohumate.

Kāore koe e tango i te sevelamer mēnā he aukati whekau tō, he pāpāpā nui rānei, nā te mea ka kino ake pea tēnei rongoā i ēnei āhuatanga. Me tino arotake te hunga he hītori o te pokanga kūnatu nui, te mate whekau mumura rānei, i mua i te tīmatanga o tēnei rongoā.

Me tūpato te hunga e uaua ana ki te horomia, nā te mea ka tūpono ka pā te kōpī, ka piri rānei ki te korokoro. Mēnā he uaua ki a koe te horomia i ngā pire, kōrerohia ngā here phosphate kē atu ki tō tākuta.

Ko ngā wāhine hapū me te whāngai ū me tango anake te sevelamer mēnā ka nui ake ngā painga i ngā tūponotanga. Ahakoa kāore te rongoā e uru ki roto i te toto, ka pā pea ki te whakauru o ngā huaora me ngā matūkai nui e hiahia ana te whaea me te pēpi.

Ngā Ingoa Waitohu Sevelamer

Ko te ingoa waitohu mō te sevelamer ko Renagel, kei roto te sevelamer hydrochloride. Ko tētahi atu waitohu e wātea ana ko Renvela, kei roto te sevelamer carbonate, ā, he maha ngā tākuta e pai ana ki tēnei.

Kei te wātea hoki ngā momo rongoā whānui o te sevelamer, ā, he rite tonu te whai hua ki ngā momo waitohu. Ka pai pea tō inihua ki te momo whānui, ka taea te whakaiti i ō utu rongoā.

Me whai rēhitatanga ngā momo waitohu me ngā momo whānui, ā, he rerekē ngā kaha. Mā tō tākuta e whakatau ko tēhea momo me te kaha e pai ana mō tō āhuatanga motuhake.

Ngā Kōwhiringa kē mō te Sevelamer

He maha atu ngā here phosphate e wātea ana mēnā kāore te sevelamer e pai ana mōu, e pā ana rānei te nui o ngā pānga taha. He painga me ngā whakaaro tō ia kōwhiringa kē.

Ko ngā here phosphate i runga i te konupūmā pēnei i te calcium acetate, te calcium carbonate rānei, ka whakamātauhia i te tuatahi nā te mea he iti ake te utu. Heoi, ka taea e rātou te whakaputa i te konupūmā i roto i ō uaua toto, nā reira kāore i te pai mō te whakamahi wā roa.

Ko te lanthanum carbonate tētahi atu kōwhiringa kore-konupūmā e mahi ana i te rite ki te sevelamer. Ko te tikanga he pai te aro ki a ia, engari he nui ake te utu, ā, ka pā pea ngā pānga taha rerekē pēnei i te puku pōuri, te reka rino rānei.

Ko ngā here phosphate i runga i te rino pēnei i te ferric citrate e tuku ana i te painga tāpiri o te rongoā i te anemia ngoikore rino, he mea noa tēnei i roto i ngā tāngata e mate ana i te mate tākihi. Ka taea e tō tākuta te āwhina i te whakatau ko tēhea kōwhiringa kē e pai ana mō ō hiahia hauora motuhake.

He Pai Anei te Sevelamer i te Calcium Acetate?

Ko te sevelamer me te calcium acetate e whakahaere ana i ngā taumata phosphorus, engari he rerekē te mahi, ā, he painga motuhake. Ko te kōwhiri i waenga i a rātou e whakawhirinaki ana ki tō āhuatanga hauora takitahi me ngā whāinga rongoā wā roa.

Ko te sevelamer te nuinga e whakaarohia ana he pai ake mō te whakamahi wā roa nā te mea kāore e tāpiri konupūmā ki tō pūnaha. Mā tēnei e haumaru ai mō ō uaua toto me tō ngākau, he mea nui tēnei mō ngā tāngata e mate ana i te mate tākihi e tūpono ana ki ngā raruraru ngākau.

Heoi anō, he maha ngā wā ka māmā ake te hoko o te calcium acetate, ā, he pai ake pea te kapi e te inihua. Ka āwhina hoki ki te mea he iti ō taumata konupūmā, engari ka noho tēnei painga hei ngoikoretanga ki te mea kua noa, kua tiketike rānei ō taumata konupūmā.

Ka whakaaro tō tākuta ki ngā āhuatanga pēnei i ō taumata konupūmā, te hauora o te ngākau, ngā āwangawanga mō te utu, me te pai o tō tūpono ki ia rongoā i te wā e whakatakoto ana i ngā tūtohutanga. He maha ngā tāngata e whakamātau ana i te calcium acetate i te tuatahi, ā, ka huri ki te sevelamer ki te piki rawa ngā taumata konupūmā.

Ngā Pātai Auau mō te Sevelamer

He Haumaru te Sevelamer mō te hunga mate huka?

Āe, he haumaru te sevelamer mō te hunga mate huka, ā, he painga anō pea. Kāore te rongoā e pā tika ana ki ngā taumata huka toto, he mea e tika ana mō ngā tūroro mate huka e maha ana ngā raruraru tākihi.

E ai ki ētahi rangahau, ka āwhina pea te sevelamer ki te whakapai ake i ngā taumata cholesterol me te whakaiti i te mumura, he mea e whai hua ana mō te hunga mate huka e tūpono nui ana ki te mate ngākau. Heoi anō, me aroturuki tonu koe i tō huka toto, ā, me whakamōhio tō tākuta mō ngā rongoā katoa e tango ana koe.

Me pēhea ahau ki te mea he nui rawa taku tango i te Sevelamer?

Kāore pea te tango i te nui rawa o te sevelamer e pā ana ki ngā raruraru e mate ai te ora, nā te mea kāore te rongoā e uru ki roto i tō toto. Heoi anō, ka pā pea ki a koe ngā pānga taha o te kōhauhau pēnei i te pāhohe nui, te mamae puku, te whakapairuaki rānei.

Ki te mōhio koe kua nui rawa tāu tango, whakapā atu ki tō tākuta, ki tō kai rongoā rānei mō te ārahi. Ka tūtohu pea rātou kia whakanui i tō inu wai me te aroturuki mō ngā tohu o te pāhohe nui. Kaua e ngana ki te whakapairuaki i a koe anō, nā te mea kāore tēnei e āwhina i te tango i te rongoā, ā, ka pā pea ngā raruraru anō.

Me pēhea ahau ki te mea kua ngaro i ahau tētahi horopeta o te Sevelamer?

Mena ka ngaro koe i te horopeta, tangohia i te wa e mahara ana koe, engari mena kei te kai koe. Me tango a Sevelamer me te kai kia whai hua ai, no reira kaua e tango i te horopeta i ngaro i runga i te puku kau.

Mena kua tata te wa mo to horopeta e whai ake nei, waiho te horopeta i ngaro ka haere tonu ki to waarangi. Kaua e tango i nga horopeta e rua i te wa kotahi hei utu mo te horopeta i ngaro, na te mea ka piki ake pea to tupono ki nga paanga taha me te kore e whai hua ano.

Ahea Ka Taea e Au te Kati te Tango Sevelamer?

Me mutu noa koe ki te tango i te sevelamer i raro i te tirotiro a to taakuta. Ko te whakamutu ohorere ka piki wawe te taumata o te ūkuikui, ka raru pea nga raruraru penei i nga raru o te wheua, i nga putunga konupūmā ranei i roto i ou oko toto.

Ka aroturukihia e to taakuta o taumata ūkuikui i nga wa katoa, a tera pea ka whakaheke haere i to horopeta i mua i te whakamutu katoa i te rongoa. Ko te tikanga ka puta tenei mena ka pai ake te mahi o ou whatukuhu, mena ka whiwhi koe i te whakawhitinga whatukuhu e pai ana te mahi.

Ka Taea e Au te Tango Sevelamer me etahi atu rongoa?

Ka taea e Sevelamer te whakararu i te urunga mai o etahi atu rongoa, no reira he mea nui te wa. Tangohia o rongoa i te iti rawa i te haora i mua, i te toru haora ranei i muri i te tango i te sevelamer kia pai ai te mahi.

Ko etahi rongoa e hiahia ana kia aro nui ko nga homoni thyroid, nga rongoa hopu, me etahi paturopi. Ka taea e to kai rongoa te awhina i a koe ki te hanga i te waarangi rongoa e whakarite ana kia pai te mahi o au rongoa katoa i te wa e karo ana i nga taunekeneke kino.