Chii chinonzi Sevelamer: Zvazvinoshandiswa, Mishonga, Migumisiro Yemuviri, nezvimwe zvakawanda

Sevelamer mushonga unopiwa nachiremba unobatsira kudzora mazinga epamusoro e phosphorus muropa rako, kunyanya kana uine chirwere cheitsvo. Inoshanda sesiponji inobatsira mudumbu rako, ichisunga phosphorus kubva muzvokudya zvaunodya kuitira kuti muviri wako usakwanise kutora zvakawanda zvawo.

Mushonga uyu unova wakakosha kana itsvo dzako dzisingashande zvakanaka kuti dzisefa phosphorus yakawandisa zvakasikwa. Nekuchengeta mazinga e phosphorus akaringana, sevelamer inobatsira kuchengetedza mapfupa ako, moyo, uye midzi yeropa kubva kumatambudziko anogona kuitika.

Chii chinonzi Sevelamer?

Sevelamer is phosphate binder iyo iri muchikamu chemishonga inonzi bile acid sequestrants. Kusiyana nemamwe ma phosphate binders, haina calcium kana aluminum, izvo zvinoita kuti ive sarudzo yakachengeteka kwenguva refu kune vanhu vazhinji vane matambudziko eitsvo.

Mushonga uyu unouya mumhando mbiri huru: sevelamer carbonate uye sevelamer hydrochloride. Zvose zvinoshanda nenzira imwechete, asi sevelamer carbonate inowanzo sarudzwa nekuti haina kukonzera acid buildup mumuviri wako. Chiremba wako achasarudza fomu rakarurama zvichienderana nezvido zvako zveutano.

Chii chinonzi Sevelamer chinoshandiswa?

Sevelamer inonyanya kunyorerwa kurapa mazinga epamusoro e phosphorus muvanhu vane chronic kidney disease vari pa dialysis. Kana itsvo dzako dzisingakwanise kunyatsosefa phosphorus kubva muropa rako, mineral iyi inovaka uye inogona kukonzera matambudziko makuru ehutano.

Mazinga epamusoro e phosphorus anogona kutungamirira kuchirwere chemapfupa, zvichiita kuti mapfupa ako asakare uye ave nemarwadzo. Inogonawo kukonzera calcium deposits kuti iumbwe mumidzi yeropa rako, moyo, uye mamwe matishu akapfava, izvo zvinowedzera njodzi yako yematambudziko emoyo uye sitiroko.

Mune zvimwe zviitiko, vanachiremba vanogona kunyorera sevelamer kune vanhu vane chirwere cheitsvo vasati vaita dialysis asi vane mazinga epamusoro e phosphorus. Mushonga uyu unobatsira kudzivirira matambudziko asati ava akakomba.

Sevelamer Inoshanda Sei?

Sevelamer inoshanda nekubatanidza phosphorus mumugwagwa wako wekudya, ichidzivirira muviri wako kubva pakuiisa. Funga nezvayo semagineti inokwezva phosphorus kubva muzvokudya zvaunodya, wobva wazvibudisa mumuviri wako kuburikidza nemarara ako.

Iri rinotariswa semushonga wakati wakanaka wekudzora phosphorus. Inoshanda zvakanyanya pane zvaanoita, asi haisi iyo sarudzo ine simba zvakanyanya iripo. Simba racho rinonyatso kuva nemukurumbira nekuti rinobvumira kutonga kuri nani uye mashoma mativi akakomba kana achienzaniswa nezvimwe zvingasarudzwa zvakasimba.

Mushonga haupindi muropa rako, zvinoreva kuti unoshanda chete mudumbu rako. Iyi chiito chemuno inoita kuti ive yakachengeteka kushandiswa kwenguva refu, kunyanya kune vanhu vakatokanganiswa basa reitsvo.

Ndingatore Sei Sevelamer?

Tora sevelamer sezvinorayirwa nachiremba wako, kazhinji uine chikafu. Nguva yacho nechikafu yakakosha nekuti mushonga unofanirwa kunge uripo mudumbu rako kana phosphorus kubva mukudya kwako kwasvika.

Medza mahwendefa ese nemvura yakazara. Usapwanye, kutsenga, kana kuapwanya, sezvo izvi zvinogona kukanganisa mashandiro emushonga. Kana uine dambudziko rekumedza mahwendefa, taura nachiremba wako nezvesarudzo dzimwe.

Unogona kutora sevelamer uine kana usina mamwe mishonga, asi uaparadzire neawa imwe chete. Izvi zvinodzivirira sevelamer kubva pakubatanidza kune mamwe mishonga yako uye kuderedza kushanda kwavo. Murapi wako wemishonga anogona kukubatsira kugadzira chirongwa chinonyatso shanda kune yako mishonga.

Zvinowanzo chengeteka kutora nezvokudya zvakawanda, asi edza kuchengeta tsika dzekudya dzinoenderana. Kuva nenguva dzose dzekudya kunobatsira kuona kuti mushonga unoshanda nguva dzose zuva nezuva.

Ndingatore Sevelamer Kwenguva Yakareba Sei?

Vanhu vazhinji vane chirwere cheitsvo chisingaperi vanofanira kutora sevelamer kwenguva refu, kazhinji kwemakore kana kunyange kwemazuva ese ehupenyu hwavo. Kureba kunoenderana nekushanda kweitsvo dzako uye kuti muviri wako unopindura sei kurapwa.

Chiremba wako achatarisa mazinga ako ephosphorus nguva dzose kuburikidza nemiedzo yeropa, kazhinji mwedzi wega wega pakutanga, wobva wava kushoma kana mazinga ako agadzika. Zvichienderana nemigumisiro iyi, vanogona kugadzirisa mushonga wako kana kukurukura kana iwe unogona kuderedza kana kumisa mushonga wacho.

Kana uri pa dialysis, ungangoda kuramba uchitora sevelamer chero uchigamuchira kurapwa kwe dialysis. Vamwe vanhu vanogamuchira kutapurirwa kweitsvo vanogona kumira kutora phosphate binders, asi izvi zvinoenderana nekuti itsvo yavo itsva inoshanda sei.

Ndezvipi Zvakaipa ZveSevelamer?

Semishonga yese, sevelamer inogona kukonzera mhedzisiro, kunyangwe kwete munhu wese anozviwana. Mhedzisiro yakajairika inokanganisa hurongwa hwako hwekugaya chikafu sezvo ndiko kunoshanda mushonga.

Heano mhedzisiro yaungasangana nayo, uchifunga kuti vanhu vazhinji vanoshivirira mushonga uyu zvakanaka:

• Kunyara uye kurutsa, kunyanya paunotanga kutora
• Kurwadziwa mudumbu kana cramping izvo zvinowanzoita nani nekufamba kwenguva
• Dhiarrhea, iyo inowanzoita nani sezvo muviri wako uchigadzirisa
• Kuzvimbirwa, kunyanya kana usinganwi mvura yakakwana
• Gasi uye bloating, iyo inogona kusagadzikana asi kazhinji yakapfava
• Heartburn kana indigestion mushure mekudya

Izvi zvakajairika mhedzisiro zvinowanzoita nani mukati memavhiki mashoma sezvo hurongwa hwako hwekugaya chikafu huchigadzirisa kumushonga. Kunwa mvura yakawanda uye kudya zvidiki, zvikafu zvakawanda zvinogona kubatsira kuderedza kusagadzikana.

Zvisingawanzoitiki asi mhedzisiro yakakomba inogona kuitika, kunyangwe ichikanganisa vanhu vashoma. Izvi zvinosanganisira kuvharika kwakanyanya kunogona kukonzera kuvharika kwematumbo, kunyanya kana uine matambudziko ekugaya. Vamwe vanhu vanogona kuona kuoma kumedza kana kurwadziwa mudumbu kwakanyanya kusingavandudzi.

Kazhinji, sevelamer inogona kukonzera mamiriro anonzi metabolic acidosis, uko ropa rako rinova acidic zvakanyanya. Izvi zvinowanzoitika nemhando ye hydrochloride yemushonga uye zvinowanzoonekwa sekuneta kusinganzwisisike, kuvhiringidzika, kana kufema nekukurumidza.

Ndiani Asingafaniri Kutora Sevelamer?

Sevelamer haina kukodzera munhu wese, uye mamwe mamiriro ehutano anoita kuti zvive zvine njodzi. Vanhu vane matambudziko akakomba ekugaya vanofanira kudzivisa mushonga uyu nekuti unogona kuwedzera zviratidzo zvavo.

Haufaniri kutora sevelamer kana uine kuvharika kwematumbo kana kuvharika kwakanyanya, sezvo mushonga unogona kuita kuti mamiriro aya awedzere. Vanhu vane nhoroondo yekuvhiyiwa kukuru kwekugaya kana inflammatory bowel disease vanoda kuongororwa zvakanyatsonaka vasati vatanga mushonga uyu.

Avo vane matambudziko ekumedza vanofanira kungwarira, sezvo mahwendefa anogona kukonzera kudzika kana kunamatira muhuro. Kana uine dambudziko rekumedza mapiritsi, taura nezveimwe phosphate binders nachiremba wako.

Vakadzi vane pamuviri uye vanoyamwisa vanofanira chete kutora sevelamer kana mabhenefiti achipfuura njodzi. Kunyange mushonga usingapindi muropa, unogona kukanganisa kunyudzwa kwevhitamini dzakakosha uye zvinovaka muviri zvinodiwa naamai nemwana.

Mazita eSevelamer Brand

Zita rinowanzozivikanwa re sevelamer ndiRenagel, iyo ine sevelamer hydrochloride. Imwe mhando inowanikwa zvakanyanya iRenvela, iyo ine sevelamer carbonate uye inowanzo farirwa nachiremba.

Mhando dzese dze sevelamer dziripo uye dzinobata zvakanyanya semhando dzemazita. Inishuwarenzi yako inogona kuda fomu re generic, iro rinogona kubatsira kuderedza mari yako yemishonga zvakanyanya.

Mhando dzese dzemazita uye dzese dze generic dzinoda chiremba uye dzinouya nesimba rakasiyana. Chiremba wako achasarudza kuti ndeipi fomu nesimba zvinoshanda zvakanyanya kune mamiriro ako chaiwo.

Zvimwe Zvinhu Zviri Panzvimbo ye Sevelamer

Zvimwe zvakawanda zvinosunga phosphate zviripo kana sevelamer isingashande zvakanaka kwauri kana kukonzera matambudziko akawanda. Imwe neimwe nzira ine zvainobatsira uye zvainofanira kufungwa nezvazvo.

Zvinosunga phosphate zvine calcium zvakaita se calcium acetate kana calcium carbonate zvinowanzoedzwa kutanga nekuti hazvina kudhura. Zvisinei, zvinogona kukonzera calcium buildup mumidziyo yako yeropa, izvo zvinoita kuti zvisakodzere kushandiswa kwenguva refu.

Lanthanum carbonate imwe sarudzo isiri ye calcium inoshanda zvakafanana ne sevelamer. Inowanzo shandiswa zvakanaka asi inogona kudhura uye inogona kukonzera matambudziko akasiyana akadai sekugumbuka mudumbu kana kuravira kwesimbi.

Zvinosunga phosphate zvine iron zvakaita se ferric citrate zvinopa imwe mhinduro yekurapa kushaikwa kwesimbi anemia, iyo inowanzoitika muvanhu vane chirwere cheitsvo. Chiremba wako anogona kubatsira kusarudza kuti ndeipi imwe nzira ingashanda zvakanyanya kune zvaunoda zveutano.

Ko Sevelamer Ari Nani Pane Calcium Acetate?

Zvese sevelamer uye calcium acetate zvinodzora mazinga e phosphorus, asi zvinoshanda zvakasiyana uye zvine zvakanakira zvakasiyana. Sarudzo pakati pavo inoenderana nemamiriro ako ehutano uye zvinangwa zvekutarisirwa kwenguva refu.

Sevelamer inowanzoonekwa seiri nani kushandiswa kwenguva refu nekuti haisi kuwedzera calcium kune yako system. Izvi zvinoita kuti zvive zvakachengeteka kumidziyo yako yeropa nemoyo, kunyanya zvinhu zvakakosha kune vanhu vane chirwere cheitsvo avo vatove panjodzi huru yematambudziko emoyo.

Calcium acetate, kune rimwe divi, rinowanzoita rakachipa uye rinogona kuvharwa zviri nani neinishuwarenzi. Rinogonawo kubatsira kana uine mazinga ecalcium akaderera, kunyangwe iyi purofiti inova drawback kana mazinga ako ecalcium akatojairika kana akakwira.

Chiremba wako achatarisa zvinhu zvakaita semazinga ako ecalcium, hutano hwemoyo, matambudziko emutengo, uye kuti unotsungirira sei mushonga wega wega paunenge uchiita mazano. Vanhu vazhinji vanoedza calcium acetate kutanga uye vanochinjira ku sevelamer kana mazinga ecalcium akakwira zvakanyanya.

Mibvunzo Inowanzo Bvunzwa Nezve Sevelamer

Sevelamer Yakachengeteka Here Kune Vanorwara neDiabete?

Hongu, sevelamer inowanzova yakachengeteka kune vanhu vane chirwere cheshuga uye inogona kunyange kupa mamwe mabhenefiti. Mushonga haukanganisi mazinga eshuga yeropa zvakananga, izvo zvinoita kuti ive yakakodzera varwere vane chirwere cheshuga avo vanowanzoita matambudziko eitsvo.

Zvimwe zvidzidzo zvinoratidza kuti sevelamer inogona kubatsira kuvandudza mazinga echolesterol uye kuderedza kuzvimba, izvo zvinogona kubatsira zvikuru vanhu vane chirwere cheshuga avo vari panjodzi huru yechirwere chemoyo. Zvisinei, iwe unofanirwa kuramba uchitarisa shuga yako yeropa nguva dzose uye woudza chiremba wako nezve mishonga yese yaunotora.

Ndingaita Sei Kana Ndikatora Sevelamer Yakawandisa Netsaona?

Kutora sevelamer yakawandisa hazviite kuti zvikonzerese matambudziko anotyisa upenyu sezvo mushonga usingatorwi muropa rako. Zvisinei, unogona kusangana nemigumisiro yakakomba yekugaya zvokudya yakaita sekuzvimbirwa kwakanyanya, kurwadziwa mudumbu, kana kusvotwa.

Kana ukaona kuti watora zvakawandisa, taura nachiremba wako kana wemishonga kuti uwane gwara. Vanogona kukurudzira kuwedzera kunwa kwemvura yako uye kutarisa zviratidzo zvekuzvimbirwa kwakanyanya. Usaedze kuzviita kurutsa, sezvo izvi zvisingabatsiri kubvisa mushonga uye zvinogona kukonzera mamwe matambudziko.

Ndingaita Sei Kana Ndikakanganwa Dose yeSevelamer?

Kana ukakanganwa mushonga, tora paunorangarira, asi chete kana wava kuda kudya. Sevelamer inofanira kutorwa pamwe chete nechikafu kuti ishande zvakanaka, saka usatore mushonga wakakanganwa mudumbu risina chinhu.

Kana yava nguva yekutora mushonga wako unotevera, siya mushonga wakakanganwa uye uenderere mberi nechirongwa chako chemazuva ese. Usatore mishonga miviri panguva imwe chete kuti ugadzirise mushonga wakakanganwa, nekuti izvi zvinogona kuwedzera njodzi yako yemigumisiro isina kupa imwe mhinduro.

Ndingamira Rini Kutora Sevelamer?

Unofanira kungomira kutora sevelamer pasi pekutariswa kwachiremba wako. Kumira kamwe kamwe kunogona kukonzera kuti mazinga ako ephosphorus akwire nekukurumidza, izvo zvinogona kutungamira kumatambudziko akadai sematambudziko emapfupa kana calcium deposits mumidzi yeropa rako.

Chiremba wako achatarisa mazinga ako ephosphorus nguva dzose uye anogona zvishoma nezvishoma kuderedza mushonga wako usati wamira mushonga zvachose. Izvi zvinowanzoitika chete kana basa rako reitsvo richivandudza zvakanyanya kana kana ukagamuchira itsvo transplant inoshanda zvakanaka.

Ndingatora Sevelamer Nemimwe Mishonga Here?

Sevelamer inogona kukanganisa kunyudzwa kwemimwe mishonga, saka nguva yakakosha. Tora mimwe mishonga yako angangoita awa rimwe usati watora kana maawa matatu mushure mekutora sevelamer kuti uve nechokwadi chekuti inoshanda zvakanaka.

Mimwe mishonga inoda kutariswa kwakakosha inosanganisira mahomoni ethyroid, mishonga yekubata, uye mamwe maantibiotics. Murapi wako wemishonga anogona kukubatsira kugadzira chirongwa chemishonga chinovimbisa kuti mishonga yako yese inoshanda zvakanaka uchidzivirira kusangana kunokuvadza.