Auryxia
I-ferric citrate isetshenziswa ukulawula amazinga e-phosphorus egazini labantu abane-Chronic Kidney Disease (CKD) abasebenzisa i-dialysis. I-ferric citrate isetshenziswa futhi ukwelapha ukushoda kwama-iron kubantu abane-CKD abangasebenzisi i-dialysis. Lolu dokotela lutholakala kuphela ngomyalelo wodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ekwahluleni kokusebenzisa imithi, imingcipheko yokuthatha imithi kufanele iqhathaniswe nezinzuzo ezizoyiletha. Lo ngumqululo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nokuthile okungavamile noma ukuqabuka okungokwe-alergi kule mithi noma kwezinye izidakamizwa. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela ye-ferric citrate kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-ferric citrate kubantu abadala. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuqabukana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungadingeka. Uma uthatha le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yiziphi izidakamizwa ezibalwe ngezansi. Ukuqabukana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yiziphi izidakamizwa ezilandelayo ngokuvamile akunconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili izidakamizwa kulotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ukusebenzisa le mithi nanoma yiziphi izidakamizwa ezilandelayo kungabangela ukwanda komngcipheko wemiphumela emibi ethile, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili izidakamizwa kulotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba kungenzeka ukuqabukana. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukuqabukana. Ukuqabukana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ukwanda komngcipheko wemiphumela emibi ethile kodwa kungaphepheki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Thatha leli leyeza ngqo njengoba kunqunyiwe udokotela wakho. Ungathathi okuningi kwalokhu, ungalithathi kaningi, futhi ungalithathi isikhathi eside kunalokho udokotela wakho akuqondile. Ukwenza kanjalo kungandisa amathuba ezingozi ezihambisana naleli leyeza. Thatha leli leyeza ngesikhathi sokudla. Ungalulimi noma uliceqe ithebulethi ngoba ukwenza kanjalo kungabangela ukushintsha kombala womlomo namazinyo akho. Uma uthatha i-doxycycline, yithathe okungenani ihora eli-1 ngaphambi kokuthatha i-ferric citrate. Uma usebenzisa i-ciprofloxacin, yithathe okungenani amahora ama-2 ngaphambi noma ngemva kokuthatha leli leyeza. Inani leli leyeza lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esembolekweni. Ulwazi olulandelayo luhlanganisa kuphela amanani ajwayelekile aleli leyeza. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondile ukwenza kanjalo. Inani leyeza olithathayo lixhomeke emandleni leyeza. Futhi, inani lezinani olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwezinani, nobude besikhathi olithatha leli leyeza kuya ngenkinga yezokwelapha oyisebenzisela leli leyeza. Uma uphuthelwa yisilinganiso saleli leyeza, silithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sesilinganiso sakho esilandelayo, susa isilinganiso esiphuthelwe bese ubuyela esimweni sakho esivamile sokuthatha leli leyeza. Ungawandisi amanani. Gcina leli leyeza esitsheni esivaliwe ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungalwi. Gcina ungafinyeleleki kubantwana. Ungagcini leyeza eliphelile noma leyeza elingasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma yiliphi leyeza ongeke ulithathe.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.