Ni iki cyitwa Lanthanum Carbonate: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Lanthanum carbonate ni umuti wandikirwa ugufasha kugenzura urugero rwo hejuru rwa fosifore mu bantu barwaye indwara y'impyiko. Niba urwaye indwara y'impyiko ihoraho cyangwa uri kuri diyarese, muganga wawe ashobora kukwandikira uyu muti kugira ngo afashe kurengera amagufa yawe n'umutima wawe ku ngaruka mbi zo kugira fosifore nyinshi mu maraso yawe.

Uyu muti ukora nk'igishishwa mu gihe cyo gukora ibyo kurya, ukurura fosifore nyinshi mu byo urya mbere yuko yinjira mu maraso yawe. Tekereza nk'aho uha impyiko zawe zamaze kuremererwa ubufasha mu mirimo yazo y'ingenzi.

Lanthanum Carbonate ni iki?

Lanthanum carbonate ni umuti ufatana na fosifate ugizwe n'icyiciro cy'imiti yitwa ibintu bidasanzwe byo ku isi. Yagenewe by'umwihariko kugabanya imitsi ya fosifore mu mara yawe, ibyo bikaba by'ingenzi iyo impyiko zawe zitabasha gukora isuku ya fosifore neza.

Bitandukanye n'indi miti ifatana na fosifate, lanthanum carbonate ntirimo kalisiyumu cyangwa aluminiyumu, bigatuma iba uburyo bwizewe bwo gukoresha igihe kirekire ku bantu benshi. Uyu muti uza mu nini zishobora kumizwa ukoresha hamwe n'ibiryo, kandi umaze gufasha abantu kugenzura urugero rwa fosifore yabo mu myaka irenga makumyabiri.

Umubiri wawe ntabwo ukurura cyane uyu muti mu maraso yawe. Ahubwo, ukora akazi kayo neza mu gihe cyo gukora ibyo kurya, ifatana na fosifore ikagufasha kuyikuramo binyuze mu mwanda wawe.

Lanthanum Carbonate ikoreshwa mu iki?

Lanthanum carbonate ikoreshwa cyane cyane mu kuvura urugero rwo hejuru rwa fosifore (hyperphosphatemia) mu bantu barwaye indwara y'impyiko ihoraho bari kuri diyarese. Iyo impyiko zawe zitagikora neza, ntizishobora gukuramo fosifore nyinshi mu maraso yawe neza, bigatuma habaho kwiyongera kw'ibintu biteje akaga.

Ubukana bwinshi bwa fosifore bushobora gutera ibibazo bikomeye uko imyaka igenda yicuma. Umubiri wawe ushobora gutangira gukurura kalisiyumu mu magufa yawe kugira ngo unganize fosifore, bigatuma amagufa acika intege, agacika vuba. Fosifore nyinshi ishobora kandi kwishyira hamwe na kalisiyumu mu maraso yawe, igakora ibice mu mutima wawe, mu miyoboro y'amaraso, no mu tundi duce tworoshye.

Muganga wawe ashobora kugutera uyu muti niba umaze gukurikiza imirire ifite fosifore nkeya ariko urwego rwawe rukaba rukiri rwo hejuru. Bifasha cyane abantu bakeneye umuti ufatanya fosifore utazongera kalisiyumu cyangwa aluminiyumu mu mubiri wabo, ibyo bishobora gutera izindi ngorane z'ubuzima.

Lanthanum carbonate ikora ite?

Lanthanum carbonate ikora ifatanya na fosifore mu gifu cyawe no mu mara, ikabuza ko yinjira mu maraso yawe. Ubu ni uburyo bworoheje ariko bufite akamaro bugamije ikibazo nyirizina aho fosifore yinjirira mu mubiri wawe ivuye mu biryo.

Iyo urumye urupapuro hamwe n'ifunguro ryawe, lanthanum isenyuka mu misemburo yo mu gifu cyawe ikaba yabonetse kugira ngo ifatanye na molekile za fosifore ziva mu biryo byawe. Ibi bituma habaho ikinyabutabana umubiri wawe utabasha kwinjiza, bityo fosifore ikanyura mu nzira yo mu gifu cyawe igasohoka mu mubiri wawe mu buryo busanzwe.

Uyu muti ufatwa nk'ukomeye ku rugero rwo hagati mu miti ifatanya fosifore. Ufite akamaro kurusha ubundi buryo bwa kera nka kalisiyumu carbonate, ariko ukora mu buryo bworoshye kurusha ubundi buryo bushya. Abantu benshi basanga bitanga ubugenzuzi buhamye kandi bwizewe bwa fosifore hatabayeho impinduka zikomeye mu rwego rwabo.

Nkwiriye gufata nte Lanthanum carbonate?

Ukwiriye gufata lanthanum carbonate nk'uko muganga wawe abitegeka, akenshi hamwe cyangwa nyuma y'ifunguro. Idupapuro dukeneye kurumwa neza mbere yo kumeza, ntugahondagurwe cyangwa kumezwa byose, kuko kuruma bifasha umuti kuvangirwa neza n'ibiryo byawe.

Fata umuti hamwe n'amazi, amata, cyangwa ikindi kinyobwa wihitiyemo. Nta kinyobwa na kimwe ugomba kwirinda, ariko kuguma ufite amazi ahagije bifasha igifu cyawe gutunganya umuti neza. Niba ugira ikibazo cy'uburyohe, urashobora kunywa ikintu gifite uburyohe nyuma yo kumira urupapuro.

Gushyira imiti mu gihe cy'ifunguro ni ingenzi kuko umuti ukeneye kuba mu gifu cyawe igihe fosifore ivuye mu biryo igera. Niba ufata amafunguro menshi umunsi wose, muganga wawe ashobora kugusaba kugabanya doze yawe yose y'umunsi mu mafunguro yawe aho kuyifata yose icyarimwe.

Nzamara igihe kingana iki mfata Lanthanum Carbonate?

Abantu benshi barwaye indwara ya impyiko ya kronike bakeneye gufata lanthanum carbonate mu mezi cyangwa imyaka, akenshi nk'ubuvuzi burambye. Urwego rwa fosifore rwawe rushobora gusubira hejuru niba uhagaritse gufata umuti, kuko ikibazo cy'impyiko cyateye ikibazo mu ntangiriro gikunze kutazima.

Muganga wawe azagenzura urwego rwa fosifore yawe buri gihe binyuze mu igeragezwa ry'amaraso, akenshi buri mezi make igihe urwego rwawe ruhagaze. Bitewe n'ibi b results, barashobora guhindura doze yawe cyangwa bakaguherereza ikindi kintu gifata fosifate niba bikenewe.

Abantu bamwe bashobora kugabanya doze yabo cyangwa guhagarika umuti niba imikorere y'impyiko zabo yongera cyane, nk'igihe nyuma yo guhindura impyiko neza. Ariko, iki cyemezo kigomba gufatwa buri gihe hamwe n'ikipe yawe y'ubuvuzi, ntabwo wenyine.

Ni izihe ngaruka ziterwa na Lanthanum Carbonate?

Kimwe n'imiti yose, lanthanum carbonate irashobora gutera ingaruka, nubwo abantu benshi bayihanganira neza. Ingaruka zisanzwe zikora ku igifu cyawe, ibyo bigaragara kuko ariho umuti ukora akazi kawo.

Dore ingaruka ushobora guhura nazo, kandi ni byiza kumenya ko nyinshi muri izi zikunda gukira igihe umubiri wawe wimenyereza umuti:

• Uburwayi bwo kuruka no kuribwa mu nda, cyane cyane mu byumweru bya mbere
• Kuruka, akenshi bigabanuka uko igihe kigenda
• Impiswi cyangwa imyanda yoroshye
• Gufungana ku bantu bamwe
• Uburibwe mu nda cyangwa guhinda umushyitsi
• Umutwe
• Urugero

Ibyo bibazo byinshi byo mu rwungano rw'igogora ni bike kandi ntibiramba. Muganga wawe ashobora gutanga igitekerezo cyo gutangira urugero ruto hanyuma ukagenda urwongera buhoro buhoro kugira ngo bifashe umubiri wawe kwihanganira neza.

Hariho kandi ibindi bibazo bitamenyerewe ariko bikomeye bisaba ubufasha bwihuse bwa muganga. Nubwo bidasanzwe, ni ngombwa kumenya icyo ugomba kwitondera kugira ngo ubone ubufasha bwihuse niba bibaye ngombwa:

• Uburibwe bukomeye mu nda butajya bucika
• Ibimenyetso byo guhagarara kw'amara, nk'ukugufungana gukabije, kuruka, no kutabasha gukura umwuka
• Umunaniro udasanzwe cyangwa intege nke
• Umutima utera nabi
• Urugero rukabije rwo kwivumbura ku bintu, harimo imvuvu, kubyimba, cyangwa guhumeka nabi

Mu buryo butamenyerewe cyane, abantu bamwe bashobora gukora ibice bya lanthanum mu mitsi yabo nyuma y'imyaka myinshi yo gukoresha, nubwo ibi akenshi ntibitera ibimenyetso. Muganga wawe azakugenzura ibimenyetso byose byabyo binyuze mu kugenzura buri gihe.

Ninde utagomba gufata Lanthanum Carbonate?

Lanthanum carbonate ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kuyandika. Imiti akenshi ntisabwa ku bantu bafite indwara zimwe na zimwe zo mu rwungano rw'igogora cyangwa abashobora kugira ikibazo cyo kuyikoresha neza.

Ntabwo ugomba gufata lanthanum carbonate niba ufite allergie izwi kuri lanthanum cyangwa izindi ngingo zose ziri muri iyo miti. Abantu bafite indwara zikomeye z'umwijima bashobora kandi gukenera kwirinda iyi miti, kuko imibiri yabo ishobora kugira ikibazo cyo kuyikoresha neza.

Indwara zimwe zo mu gifu zirashobora gutuma carbonate ya lanthanum itaba nziza cyangwa idakora neza. Izo ndwara zirimo ibisebe bikomeye byo mu gifu, indwara ikomeye yo mu mara itera umubyimbirwe, cyangwa amateka yo guhagarara kw'amara. Uyu muti ushobora gukomeza izo ndwara cyangwa ntugire akamaro.

Muganga wawe azitonda cyane mu gutanga uyu muti niba utwite cyangwa wonka, kuko nta bushakashatsi buhagije bugaragaza umutekano wawo muri ibyo bihe. Niba utwite ukoresha carbonate ya lanthanum, vugana n'umuganga wawe ako kanya kugira ngo muganire ku byo wakora.

Amazina y'ubwoko bwa Lanthanum Carbonate

Izina risanzwe rya carbonate ya lanthanum ni Fosrenol, ikorwa na Takeda Pharmaceuticals. Iri ni ryo bwoko rya mbere ryemewe na FDA kandi rikoreshwa cyane kugeza ubu.

Hariho n'ubwoko bwa carbonate ya lanthanum butagira izina ry'ubwoko, bukoresha ibintu bikora kimwe ariko bushobora kuba butahenze. Farumasi yawe ishobora guhita ikugurira ubwoko butagira izina ry'ubwoko keretse muganga wawe asabye izina ry'ubwoko bwihariye.

Uko waba ukoresha izina ry'ubwoko cyangwa ubwoko butagira izina ry'ubwoko, umuti ugomba gukora kimwe. Ariko, abantu bamwe basanga bakira ubwoko bumwe neza kurusha ubundi, bityo menyesha muganga wawe niba ubonye itandukaniro iryo ariryo ryose iyo uhinduye ubwoko.

Uburyo bwo gusimbuza Lanthanum Carbonate

Niba carbonate ya lanthanum itagukundiye cyangwa ikagutera ingaruka nyinshi, hariho izindi nzira nyinshi muganga wawe ashobora gutekereza zo kugufasha. Buri imwe ifite ibyiza byayo n'ibibi bishobora kuvukamo, bityo guhitamo biterwa n'uko ubuzima bwawe bumeze.

Imiti ifata phosphate ikoresha calcium nka calcium carbonate cyangwa calcium acetate akenshi igeragezwa mbere kuko ihendutse. Ariko, bishobora gutera calcium nyinshi mu bantu bamwe, cyane cyane abafata n'ibiyobyabwenge bya vitamine D.

Sevelamer (Renagel cyangwa Renvela) ni ubundi buryo butarimo kalisiyumu, butarimo aluminiyumu bukora kimwe na lanthanum carbonate. Abantu bamwe barabona ko byoroshye kwihanganira, nubwo bisaba gufata ibinini byinshi kandi bishobora guhenda.

Ibindi bifata fosifati bishingiye ku cyuma nka ferric citrate (Auryxia) bishobora gufasha mu kugenzura fosifore no gukurwamo icyuma, ibyo bikaba bisanzwe ku bantu barwaye indwara z'impyiko. Muganga wawe ashobora kubikugiraho inama niba ukeneye izo nyungu zombi.

Ese Lanthanum Carbonate iruta Sevelamer?

Zombi lanthanum carbonate na sevelamer ni ibifata fosifati bikora neza, ariko bifite inyungu zitandukanye zishobora gutuma kimwe kiruta ikindi kubera uko ubuzima bwawe buteye. Nta na kimwe kiba

Yego, carbonate ya lanthanum muri rusange ifatwa nk'igifitiye umutekano abantu barwaye indwara z'umutima kandi ishobora no gufasha kurinda umutima wawe. Bitandukanye n'ibinyabutabazi bya phosphate bishingiye kuri calcium, carbonate ya lanthanum ntishyira calcium yinyongera mu mubiri wawe, ibi bikagabanya ibyago byo gukora calcium mu mutima wawe no mu miyoboro y'amaraso.

Uduce twinshi twa phosphorus dushobora gutuma umuntu agira ibibazo by'umutima uko igihe kigenda gihita, bityo kugenzura uru rwego rwa carbonate ya lanthanum rushobora rwose guteza imbere ubuzima bw'umutima wawe. Nyamara, muganga wawe azagukurikiranira hafi niba ufite indwara z'umutima zisanzwe, nkuko babikora ku muti uwo ariwo wose.

Q2. Nkwiriye gukora iki niba nanyweye carbonate ya lanthanum nyinshi ku buryo butunganye?

Niba unyweye carbonate ya lanthanum nyinshi ku buryo butunganye, vugana na muganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya, kabone niyo utiyumva urwaye ako kanya. Kunywa nyinshi bishobora gutera ibibazo bikomeye byo mu gifu ndetse n'imihindagurikire iteye akaga mu rwego rw'imyunyu ngugu yawe.

Ntugerageze kwisuka amavunja keretse niba wabitegetswe na umuganga. Aho kubikora, nywa amazi menshi kandi usabe inama ya muganga ako kanya. Bika icupa ry'umuti hamwe nawe kugirango abaganga babone neza icyo wanyoye n'ingano yacyo.

Q3. Nkwiriye gukora iki niba nciwe urugero rwa carbonate ya lanthanum?

Niba ucitswe urugero rwa carbonate ya lanthanum, unywe ako kanya wibuka, ariko niba ugiye kurya cyangwa umaze kurya. Uyu muti ugomba kunyobwa hamwe n'ibiryo kugirango ukore neza, bityo ntukanywe ku gifu cyambaye ubusa.

Niba hashize amasaha menshi utariye kandi utateganya kongera kurya vuba, reka urugero wacitswe ukoreshe urugero rwawe rukurikira hamwe n'ifunguro ryawe rukurikira nkuko byateganyijwe. Ntukongereho urugero kugirango wuzuze urwo wacitswe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti.

Q4. Ni ryari nshobora kureka kunywa carbonate ya lanthanum?

Ugomba kureka gufata lanthanum carbonate gusa igihe muganga wawe akubwiye ko byemewe. Abantu benshi barwaye indwara ya kronike y'impyiko bagomba gukomeza gufata imiti igabanya phosphate igihe kirekire, kuko kubihagarika bishobora gutuma urwego rwa phosphorus ruzamuka mu minsi cyangwa mu byumweru.

Muganga wawe ashobora gutekereza kugabanya urugero rwawe cyangwa guhagarika umuti niba imikorere y'impyiko yawe yongera cyane, nk'igihe nyuma yo gukora transplant yatsinze, cyangwa niba ugize ingaruka zikomeye zirenze akamaro. Ariko, iki cyemezo kigomba gufatwa buri gihe hamwe n'ikipe yawe y'ubuzima ishingiye ku ngaruka za laboratori yawe y'ubu n'ubuzima bwawe muri rusange.

Q5. Nshobora gufata Lanthanum Carbonate hamwe n'indi miti?

Lanthanum carbonate irashobora guhura n'indi miti imwe n'imwe igira ingaruka ku buryo umubiri wawe uyimira. Ugomba gufata indi miti myinshi byibuze amasaha abiri mbere cyangwa nyuma yo gufata lanthanum carbonate kugirango wirinde izi ngaruka.

Imiti imwe n'imwe igirwaho ingaruka zikomeye harimo imiti irwanya mikorobe nka quinolones na tetracyclines, imiti ya thyroid, n'indi miti imwe n'imwe y'umutima. Buri gihe bwire muganga wawe na farumasiye ku miti yose, ibyongerera, na vitamine ufata kugirango babashe kugufasha gutegura ibintu neza no kureba ibibazo byose.