Sevelamer ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Sevelamer ni umuti wandikirwa na muganga ufasha kugenzura urugero rwo hejuru rwa fosifore mu maraso yawe, cyane cyane niba urwaye indwara y'impyiko. Ikora nk'igishishwa gifasha mu igogora ryawe, ikifatira kuri fosifore iva mu biryo urya kugira ngo umubiri wawe utayisangamo nyinshi.

Uyu muti uba uw'ingenzi cyane iyo impyiko zawe zitagikora neza bihagije kugira ngo zivanemo fosifore nyinshi mu buryo busanzwe. Mu kugumisha urugero rwa fosifore ruringaniye, sevelamer ifasha kurengera amagufwa yawe, umutima, n'imitsi y'amaraso ku bibazo bishobora kuvuka.

Sevelamer ni iki?

Sevelamer ni umuti ufatira fosifate, ukaba ubarirwa mu cyiciro cy'imiti yitwa bile acid sequestrants. Bitandukanye n'indi miti ifatira fosifate, ntirimo kalisiyumu cyangwa aluminiyumu, ibyo bikaba biyigira umuti mwiza wo gukoreshwa igihe kirekire ku bantu benshi bafite ibibazo by'impyiko.

Uyu muti uza mu buryo bubiri bukuru: sevelamer carbonate na sevelamer hydrochloride. Byombi bikora kimwe, ariko sevelamer carbonate akenshi irahabwa agaciro kuko idashobora gutera aside nyinshi mu mubiri wawe. Muganga wawe azahitamo uburyo bukwiye bushingiye ku byo umubiri wawe ukeneye.

Sevelamer ikoreshwa mu iki?

Sevelamer ahanini yandikirwa kuvura urugero rwo hejuru rwa fosifore ku bantu barwaye indwara y'impyiko ihoraho bari ku muyoboro. Iyo impyiko zawe zitashoboye gukuramo fosifore mu maraso yawe, iyi minele iriyongera kandi ishobora gutera ibibazo bikomeye by'ubuzima.

Urugero rwo hejuru rwa fosifore rushobora gutera indwara y'amagufwa, bigatuma amagufwa yawe acika intege kandi akarwara. Bishobora kandi gutera ibice bya kalisiyumu gukora mu mitsi yawe y'amaraso, umutima, n'izindi nyama zoroshye, ibyo bikongera ibyago byo kurwara umutima no guhagarara kw'umutima.

Mu bindi bihe, abaganga bashobora kwandikira sevelamer abantu barwaye indwara y'impyiko batari ku muyoboro ariko bafite urugero rwo hejuru rwa fosifore. Uyu muti ufasha kwirinda ibibazo mbere y'uko biba bikomeye.

Sevelamer ikora ite?

Sevelamer ikora yifatanya na fosifore mu nzira yawe yo gutunganya ibyo kurya, ikabuza umubiri wawe kuyimira. Bitekereze nk'imbaraga ikurura fosifore mu biryo urya, hanyuma ikayikura mu mubiri wawe binyuze mu mwanda wawe.

Ibi bifatwa nk'umuti ukomeye wo kugenzura fosifore. Ufite akamaro kanini mu byo ukora, ariko si wo muti ukomeye cyane uboneka. Imbaraga yawo ni ingenzi kuko ituma habaho kugenzura neza kandi n'ingaruka mbi nke ugereranyije n'izindi nzira zikomeye.

Uyu muti ntwinjira mu maraso yawe, bivuze ko ukora gusa mu nzira yawe yo gutunganya ibyo kurya. Iyi ngaruka y'ahantu hamwe ituma iba nziza gukoreshwa igihe kirekire, cyane cyane ku bantu bafite imikorere y'impyiko idahagije.

Nkwiriye gufata Sevelamer nte?

Fata sevelamer nk'uko umuganga wawe abitegeka, akenshi hamwe n'ibiryo. Igihe cyo gufata n'ibiryo ni ingenzi kuko uyu muti ukeneye kuba mu gifu cyawe igihe fosifore iva mu ifunguro ryawe igera.

Mimina ibinini byose hamwe n'ikirahure cyuzuye cy'amazi. Ntugasenya, utahe cyangwa ubimenagure, kuko ibi bishobora kubuza umuti gukora neza. Niba ugira ingorane zo kumira ibinini, ganira n'umuganga wawe ku zindi nzira.

Urashobora gufata sevelamer hamwe cyangwa utari kumwe n'indi miti, ariko uyitandukanye byibuze isaha imwe. Ibi birinda sevelamer kwifatanya n'indi miti yawe no kugabanya imikorere yayo. Umufarumasiti wawe ashobora kugufasha gukora gahunda ikora neza ku miti yawe.

Muri rusange ni byiza gufata hamwe n'ibiryo byinshi, ariko gerageza kugira imyifatire imwe yo kurya. Kugira amasaha asanzwe yo kurya bifasha kumenya ko umuti ukora neza umunsi ku wundi.

Nkwiriye kumara igihe kingana iki mfata Sevelamer?

Abantu benshi barwaye indwara ya kronike y’impyiko bakeneye gufata sevelamer igihe kirekire, akenshi imyaka myinshi cyangwa ubuzima bwabo bwose. Igihe bifata biterwa n'imikorere y'impyiko zawe n'uburyo umubiri wawe witwara ku buvuzi.

Muganga wawe azajya akurikirana urwego rwa fosiforusi mu maraso yawe buri gihe binyuze mu bipimo by'amaraso, akenshi buri kwezi mbere na mbere, hanyuma bikajya bikorwa kenshi iyo urwego rwawe rumaze kugaragara. Bitewe n'ibi bisubizo, ashobora guhindura urugero rwawe cyangwa akaganira niba ushobora kugabanya cyangwa guhagarika imiti.

Niba uri kuri diyarese, birashoboka ko uzakenera gukomeza gufata sevelamer igihe cyose uri mu buvuzi bwa diyarese. Abantu bamwe bakira impyiko bashobora guhagarika gufata imiti ifunga fosifati, ariko ibi biterwa n'uburyo impyiko zabo nshya zikora.

Ni Ibihe Bikorwa Bigaragara bya Sevelamer?

Kimwe n'indi miti yose, sevelamer ishobora gutera ibikorwa bigaragara, nubwo atari buri wese ubyumva. Ibikorwa bigaragara cyane bigira ingaruka ku igogora ryawe kuko ariho umuti ukorera.

Dore ibikorwa bigaragara ushobora guhura nabyo, wibuka ko abantu benshi bafata uyu muti neza:

• Urugimbu no kuruka, cyane cyane iyo utangiye kuwufata
• Urubu mu nda cyangwa kuribwa bikunze gukira uko igihe kigenda
• Impiswi, akenshi zikiza uko umubiri wawe wimenyereza
• Guhora, cyane cyane niba utanywa amazi ahagije
• Gasi no kubyimba, bishobora kutaba byiza ariko akenshi bikaba bike
• Urugimbu cyangwa kutagira igogora ryiza nyuma yo kurya

Ibi bikorwa bigaragara bisanzwe bikunze gukira mu byumweru bike uko igogora ryawe ryimenyereza umuti. Kunywa amazi menshi no kurya amafunguro mato, akenshi bishobora gufasha kugabanya kutumva neza.

Ingaruka zidakunze kubaho ariko zikomeye zirashobora kubaho, nubwo zifata abantu bake cyane. Izi zikubiyemo kubura umwanya bikomeye bishobora gutuma umwanya w'amara uziba, cyane cyane niba usanzwe ufite ibibazo byo mu gifu. Abantu bamwe bashobora kugira ingorane zo kumira cyangwa kuribwa mu gifu bikomeye bitagira icyo bitanga.

Gahoro cyane, sevelamer ishobora gutera indwara yitwa metabolic acidosis, aho amaraso yawe ahinduka aside cyane. Ibi bishobora kubaho cyane hamwe n'ubwoko bwa hydrochloride bw'umuti kandi akenshi bigaragara nk'umunaniro udasanzwe, urujijo, cyangwa guhumeka vuba.

Ninde utagomba gufata Sevelamer?

Sevelamer ntabwo ikwiriye kuri buri wese, kandi indwara zimwe na zimwe zishobora kubigira ibyago. Abantu bafite ibibazo bikomeye byo mu gifu bagomba kwirinda uyu muti kuko ushobora gukomeza ibimenyetso byabo.

Ntabwo ugomba gufata sevelamer niba ufite inzitizi mu mara cyangwa kubura umwanya bikomeye, kuko umuti ushobora gukomeza izi ndwara. Abantu bafite amateka yo kubagwa mu gifu cyangwa indwara y'amara ikomeye bakeneye isuzuma ryitondewe mbere yo gutangira uyu muti.

Abafite ingorane zo kumira bagomba kwitonda, kuko ibinini bishobora gutera guhagarara cyangwa kuguma mu muhogo. Niba ugira ingorane zo kumira ibinini, ganira n'abaganga bawe ku bindi bishobora gufasha mu gufata phosphate.

Abagore batwite kandi bonka bagomba gufata sevelamer gusa niba inyungu ziruta ibyago. Nubwo umuti utinjira mu maraso, ushobora kugira ingaruka ku gufata vitamine n'intungamubiri zingenzi umubyeyi n'umwana bakeneye.

Amazina y'ubwoko bwa Sevelamer

Izina risanzwe rya sevelamer ni Renagel, irimo sevelamer hydrochloride. Ubundi bwoko buhari cyane ni Renvela, irimo sevelamer carbonate kandi akenshi ikundwa n'abaganga.

Ubundi bwoko bwa sevelamer buraboneka kandi bukora neza nk'ubwoko bw'izina ry'ubucuruzi. Ubuvuzi bwawe bushobora gukunda ubwoko bwa rusange, bushobora kugufasha kugabanya ibiciro by'imiti yawe cyane.

Ubwo bwoko bwombi bw'izina ry'ubucuruzi n'ubwa rusange busaba uruhushya kandi buza mu mbaraga zitandukanye. Muganga wawe azagena ubwoko n'imbaraga bikora neza kubera imiterere yawe yihariye.

Izindi mbaraga za Sevelamer

Izindi mbaraga nyinshi zifatanya na phosphate ziraboneka niba sevelamer itagukorera neza cyangwa ikaba itera ingaruka nyinshi. Buri yindi mbaraga ifite inyungu zayo n'ibitekerezo byayo.

Ibifatanya na phosphate bishingiye kuri kalisiyumu nk'acetate ya kalisiyumu cyangwa carbonate ya kalisiyumu akenshi bigeragezwa mbere kuko bihendutse. Ariko, birashobora gutera kalisiyumu mu muyoboro wawe w'amaraso, ibyo bikaba bituma bitakwiriye gukoreshwa igihe kirekire.

Lanthanum carbonate ni indi mbaraga itari iya kalisiyumu ikora kimwe na sevelamer. Akenshi yihanganirwa neza ariko irashobora guhenda kandi ikaba itera ingaruka zitandukanye nk'igifu cyangwa uburyohe bwa metallic.

Ibifatanya na phosphate bishingiye ku cyuma nk'icyuma cya ferrique bitanga inyungu yongerewe yo kuvura anemia yo kubura icyuma, ibisanzwe mu bantu barwaye indwara z'impyiko. Muganga wawe ashobora gufasha kumenya izindi mbaraga zishobora gukora neza kubera ibyifuzo byawe byihariye by'ubuzima.

Ese Sevelamer iruta acetate ya kalisiyumu?

Zombi sevelamer na acetate ya kalisiyumu bigenzura neza urwego rwa fosiforusi, ariko bikora mu buryo butandukanye kandi bifite inyungu zitandukanye. Guhitamo hagati yabyo biterwa n'imiterere yawe y'ubuzima bwite n'intego z'ubuvuzi bw'igihe kirekire.

Sevelamer akenshi ifatwa nk'iyiza gukoreshwa igihe kirekire kuko itongerera kalisiyumu mu mubiri wawe. Ibi bituma biba byiza ku miyoboro yawe y'amaraso n'umutima, ibitekerezo by'ingenzi cyane cyane ku bantu barwaye indwara z'impyiko basanzwe bafite ibyago byinshi byo kugira ibibazo by'umutima.

Calcium acetate, ku rundi ruhande, akenshi iraboneka kandi irashobora kwishyurwa neza n'ubwishingizi. Irashobora kandi gufasha niba ufite urwego rwa kalisiyumu ruto, nubwo iyi nyungu iba ikibazo niba urwego rwa kalisiyumu rwawe rumeze neza cyangwa ruri hejuru.

Muganga wawe azatekereza ibintu nk'urwego rwa kalisiyumu yawe, ubuzima bw'umutima, impungenge z'ikiguzi, n'uburyo wihanganira buri muti mugihe utanga inama. Abantu benshi bagerageza calcium acetate mbere hanyuma bagahindukirira sevelamer niba urwego rwa kalisiyumu ruzamutse cyane.

Ibibazo Bikunze Kubazwa Kuri Sevelamer

Ese Sevelamer iratekanye kubarwayi ba diyabete?

Yego, sevelamer muri rusange iratekanye kubantu barwaye diyabete kandi irashobora no gutanga inyungu zimwe. Uyu muti ntugira ingaruka kumiterere y'isukari mu maraso, ibyo bituma bikwiriye abarwayi ba diyabete bakunze kugira ibibazo by'impyiko.

Ubushakashatsi bumwe buvuga ko sevelamer ishobora gufasha kunoza urwego rwa kolesteroli no kugabanya umuvumo, ibyo bikaba byagirira akamaro abantu barwaye diyabete bafite ibyago byinshi byo kurwara umutima. Ariko, ugomba gukurikirana isukari yawe mumaraso buri gihe kandi ukamenyesha muganga wawe imiti yose urimo gufata.

Nigute nagomba gukora niba mfashe sevelamer nyinshi bitunguranye?

Gufata sevelamer nyinshi ntibishoboka ko byateza ibibazo byica ubuzima kuko uyu muti ntabwo winjira mumaraso yawe. Ariko, urashobora guhura n'ingaruka zikomeye zo mu gifu nk'ukwigunga gukabije, kuribwa munda, cyangwa isesemi.

Niba ubonye ko wafashe nyinshi, vugana na muganga wawe cyangwa umufarumasiti kugirango baguhe ubuyobozi. Bashobora kugusaba kongera kunywa amazi menshi no gukurikirana ibimenyetso byo kwigunga gukabije. Ntukagerageze kwisuka, kuko ibyo ntibizafasha gukuraho umuti kandi bishobora guteza ibindi bibazo.

Nigute nagomba gukora niba nciwe doze ya sevelamer?

Niba wibagiwe urugero, urufate uko wibukije, ariko gusa niba ugiye kurya ifunguro. Sevelamer igomba gufatwa hamwe n'ibiryo kugira ngo ikore neza, bityo ntukagire urugero wibagiwe ku gifu cyambaye ubusa.

Niba igihe cyo gufata urugero rwawe ruteganyijwe rwegereje, reka urugero wibagiwe ukomeze gahunda yawe isanzwe. Ntukagire urugero ebyiri icyarimwe kugira ngo usubize urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka mbi zitagira akamaro.

Nshobora Kureka Gufata Sevelamer Ryari?

Ugomba kureka gufata sevelamer gusa ukurikiza ubuyobozi bwa muganga wawe. Guhagarika ako kanya bishobora gutuma urwego rwa fosifore ruzamuka vuba, ibyo bishobora gutera ibibazo nk'ibibazo by'amagufa cyangwa kwishyira kwa kalisiyumu mu miyoboro yawe y'amaraso.

Muganga wawe azagenzura urwego rwa fosifore yawe buri gihe kandi ashobora kugabanya buhoro buhoro urugero rwawe mbere yo guhagarika imiti burundu. Ibi bikunda kuba gusa niba imikorere y'impyiko yawe yongereye cyane cyangwa niba wakiriye impyiko yimuwe ikora neza.

Nshobora Gufata Sevelamer Hamwe n'Ibindi Bivura?

Sevelamer ishobora kubangamira imikorere y'ibindi bivura, bityo igihe ni ingenzi. Fata ibindi bivura byawe byibuze isaha imwe mbere cyangwa amasaha atatu nyuma yo gufata sevelamer kugira ngo wemeze ko bikora neza.

Imiti imwe isaba kwitabwaho by'umwihariko irimo imisemburo ya tiroyide, imiti ivura ibibazo byo gufatwa n'indwara, n'imiti imwe ya antibiyotike. Umufarimasi wawe ashobora kugufasha gukora gahunda y'imiti yemeza ko imiti yawe yose ikora neza mugihe wirinda guhura n'ibibazo byangiza.