Vadadustat (inorapwa nemumuromo)
Mhando dzinowanikwa
Vafseo
Nezve mushonga uyu
Vadadustat inoshandiswa kurapa anemia inokonzerwa nechirwere cheitsvo chisingaperi (CKD) muvarwere vakanga vachinge vakwanisa dialysis kweinenge mwedzi mitatu. Mushonga uyu unoshanda nekuwedzera erythropoietin (protein) kuti ubatsire muviri kugadzira masero matsvuku eropa akawanda. Inoshandiswawo kuderedza kana kudzivirira kudikanwa kweropa. Mushonga uyu unowanikwa chete neyechiremba wako. Chigadzirwa ichi chinowanikwa mumaitiro anotevera ekurapa:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, njodzi dzokutora mushonga iyeye dzinofanira kuyeranidzwa nenhambo yakanaka yaunozowana. Iyi sarudzo ichaitwa newe nechikamu chako. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero mhinduro isingawanzoitika kana chirwere cheallergy kumushonga uyu kana mimwe mishonga. Udzawo nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakeji kana zvinhu zvakanyatsojeka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera nemigumisiro ye vadadustat mune vechidiki. Kuvimbika uye kushanda zvakanaka hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo echirwere chevakwegura aizoita kuti kushandiswa kwevadadustat kuvanhu vakwegura kuve kwakaoma. Hapana ongororo dzakakwana muvakadzi dzekuona njodzi yemwana pakushandisa mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nenjodzi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mimwe mishonga isingafaniri kushandiswa pamwe chete, mune dzimwe nguva mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungangoitika. Mune izvi, chiremba wako angada kuchinja chiyero, kana kuti dzimwe nhau dzinogona kudiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi apa. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwazvo uye hazvisi zvese zvinogona kuitika. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakuzombofungidzirwi, asi kunogona kudiwa mune dzimwe nguva. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja chiyero kana kuti ungashandisa sei imwe kana mimwe mishonga yacho. Mimwe mishonga haifaniri kushandiswa panguva yekudya kana pedyo nenguva yekudya kana kudya marudzi akati wandei ezvokudya sezvo kuwirirana kungangoitika. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana. Kurukurai nechiremba wenyu nezvekushandisa mushonga wako nezvokudya, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Tora mushonga uyu chete sezvakarayirwa nachiremba wako. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva yakareba kupfuura yakarayirwa nachiremba wako. Kuita izvozvo kunogona kuwedzera mukana wezvinhu zvinokanganisa. Usashandise mushonga uyu panzvimbo pekurapwa kwekukurumidzira kweanemia (semuenzaniso, kuiswa ropa). Mushonga uyu unouya neGwara reMishonga. Verenga utevedzere mirairo iyi zvakanyatsonaka. Bvunza chiremba wako kana uine mibvunzo ipi neipi. Unogona kutora mushonga uyu uchidyisa kana usina kudya. Dya piritsi rose. Usacheke, usapwanyisa, kana kucheka. Kana uri kutora zvinowedzera simbi kana mishonga ine simbi (semuenzaniso, ferric citrate, sucroferric oxyhydroxide), tora mushonga uyu angangoita awa imwe usati watanga. Kana uri kutora phosphate binders dzisina simbi (semuenzaniso, calcium acetate, sevelamer carbonate), tora mushonga uyu angangoita awa imwe usati watanga kana maawa maviri mushure. Doses yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera runosanganisira chete avhareji doses yemushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kuti uite kudaro. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Kana wakanganwa dose yemushonga uyu, tora nekukurumidza sezvinobvira. Zvisinei, kana iri nguva yekutora dose yako inotevera, siya dose yakanganwika uye dzokera kune yako dosing schedule yakajairwa. Usatore doses kaviri. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chengetedza kuti urege kuomarara. Chengetedza kure nevana. Usachengetse mushonga wakapfuura zuva kana mushonga usingachadiwi. Bvunza nyanzvi yehutano maitiro aunofanira kubvisa mishonga ipi neipi yausati washandisa.