Created at:1/13/2025
I-Ferric citrate iyimithi esekelwe ngensimbi esiza ukuphatha izimo ezimbili ezibalulekile zezempilo ngesikhathi esisodwa. Isebenza njengesithasiselo sensimbi kubantu abanokuswela kwensimbi kanye nesibopho se-phosphate kulabo abanezifo ezingamahlala-khona zezinso.
Le mithi esebenza kabili inikeza indlela eyingqayizivele yokwelapha, ikakhulukazi kubantu ababhekene nezinkinga zezinso abavame ukubhekana nokuncipha kwensimbi kanye ne-phosphate ephezulu egazini labo. Ukuqonda ukuthi i-ferric citrate isebenza kanjani kungakusiza ukuthi uzizwe uqiniseka kakhulu ngohlelo lwakho lokwelapha.
I-Ferric citrate iyimithi kadokotela equkethe insimbi ngendlela ekhethekile engamuncwa futhi isetshenziswe ngempumelelo ngumzimba wakho. Ngokungafani nezithasiselo zensimbi ezivamile ongazithola ekhemisi, le mithi yenzelwe ngokuqondile ukwenza imisebenzi emibili ngasikhathi sinye.
Le mithi iza ngamaphilisi omlomo ancibilika esiswini sakho. Lapho ichitheka, ikhipha insimbi engamuncwa umzimba wakho ngenkathi futhi ibopha ku-phosphate ohlelweni lwakho lokugaya ukudla. Lokhu kuyenza ibaluleke kakhulu kubantu abanezifo ezingamahlala-khona zezinso abadinga kokubili ukwengezwa kwensimbi nokulawulwa kwe-phosphate.
I-Ferric citrate iphatha ukuntuleka kwegazi kwensimbi kubantu abadala abanezifo ezingamahlala-khona zezinso abangahambeli ukuhlanjululwa kwegazi. Futhi isiza ukulawula amazinga e-phosphate kubantu abanezifo ezingamahlala-khona zezinso abahambela ukuhlanjululwa kwegazi.
Izinso zakho ngokuvamile zisiza ukulawula amazinga e-phosphate egazini lakho, kodwa uma zingasebenzi kahle, i-phosphate ingakha amazinga ayingozi. Ngesikhathi esifanayo, izifo ezingamahlala-khona zezinso zivame ukuholela ekusweleni kwensimbi ngoba umzimba wakho unzima ukwenza amaseli abomvu egazi anempilo.
Lo muthi ubhekana nezinkinga zombili ngokuhlinzeka ngensimbi umzimba wakho oyidingayo ngenkathi uvimbela i-phosphate eyeqile ukuthi ingangeni egazini lakho. Le nzuzo ephindwe kabili yenza kube yindlela yokwelapha esebenzayo kubantu abalawula isifo sezinso.
I-Ferric citrate isebenza ngenqubo ekhohlisayo yezinyathelo ezimbili ohlelweni lwakho lokugaya ukudla. Okokuqala, ibopha ku-phosphate esiswini sakho nasemathunjini, ivimbela le mineral ukuthi ingangeni egazini lakho lapho ingadala khona izinkinga.
Okwesibili, njengoba umuthi uhlakazeka, ukhulula insimbi engamuncwa umzimba wakho futhi uyisebenzisele ukwenza amaseli abomvu egazi anempilo. Le nsimbi isefomini evame ukubekezeleleka kahle futhi isebenza kahle kubantu abanesifo sezinso.
Umuthi uthathwa njengomuthi oqinile futhi osebenzayo ezinhlosweni zawo ezihloswe ngazo. Awunzima njengezinye izithasiselo zensimbi, kodwa uqondiwe kakhulu kunezibhebhe zensimbi ezingaphezu kwe-counter. Udokotela wakho ukhethe lo muthi othile ngoba ubhekana nezidingo zakho zempilo ngempumelelo.
Thatha i-ferric citrate ngendlela udokotela wakho ayeyale ngayo, ngokuvamile ngesikhathi sokudla ukuze usize umzimba wakho ukuyimunca kangcono futhi unciphise isisu esibuhlungu. Amaphilisi kufanele athathwe nokudla, hhayi esiswini esingenalutho.
Ungawuthatha umuthi ngamanzi, ijusi, noma ubisi. Ukuba nokudla okuthile esiswini sakho kusiza umuthi ukuthi usebenze kahle futhi kuwenza athambe ohlelweni lwakho lokugaya ukudla. Zama ukuwuthatha ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo emzimbeni wakho.
Gwema ukuthatha i-ferric citrate ngama-antacids, izithasiselo ze-calcium, noma eminye imithi engase iphazamise ukumuncwa. Uma udinga ukuthatha eminye imithi, yihlukanise okungenani ngamahora amabili ukusuka emthozini wakho we-ferric citrate uma kungenzeka.
Ubude besikhathi sokwelashwa nge-ferric citrate buxhomeke esimweni sakho esithile nokuthi usabela kanjani emuthini. Ngokuqina kwegazi ngenxa yokuntuleka kwensimbi, ngokuvamile uzodinga ukuwuthatha kuze kube yilapho amazinga akho ensimbi ethuthuka futhi azinza.
Uma uwusebenzisela ukulawula amazinga e-phosphate ngenxa yesifo sezinso, ungase udinge ukuwuthatha isikhathi eside njengengxenye yohlelo lwakho lokuqhubeka nokwelashwa. Udokotela wakho uzoqapha amazinga egazi lakho njalo ukuze anqume ukuthi udinga ukuqhubeka isikhathi esingakanani ukuthatha umuthi.
Ungayeki ukuthatha i-ferric citrate ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Umhlinzeki wakho wezempilo uzofuna ukuhlola amazinga akho ensimbi ne-phosphate ngaphambi kokwenza noma yiziphi izinguquko ukuze aqinisekise ukuthi ukwelashwa kwakho kusebenza kahle.
Njengemithi eminingi, i-ferric citrate ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela emibi evame kakhulu ihlobene nesistimu yakho yokugaya ukudla futhi ivame ukuba buthaka kuya kokulingene.
Nansi imiphumela emibi ongase uyithole, iqala ngaleyo evame kakhulu:
Izitulo ezinombala omnyama zivamile futhi kulindeleke uma uthatha imithi equkethe insimbi. Lokhu kwenzeka ngoba umzimba wakho awuyithathi yonke insimbi, futhi okweqile kudlula ohlelweni lwakho lokugaya ukudla.
Imiphumela emibi engavamile kodwa ebucayi ingabandakanya ubuhlungu obukhulu besisu, ukuphalaza okuqhubekayo, noma izimpawu zokungezwani komzimba nezinto ezithile njengokuqubuka, ukuvuvukala, noma ubunzima bokuphefumula. Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezikhathazayo.
I-Ferric citrate ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Abanye abantu kufanele bagweme lo muthi ngenxa yokukhathazeka ngokuphepha.
Akufanele uthathe i-ferric citrate uma unezifo zokugcwala kwensimbi ezinjenge-hemochromatosis noma i-hemosiderosis. Lezi zimo zenza umzimba wakho ugcine insimbi eningi kakhulu, futhi ukwengeza insimbi eningi kungaba yingozi.
Abantu abanezinhlobo ezithile ze-anemia ezingabangelwa ukuntuleka kwensimbi kufanele futhi bagweme lo muthi. Uma unezinto ezingezwani nezinsimbi noma yiziphi izithako ku-ferric citrate, uzodinga enye indlela yokwelashwa.
Udokotela wakho uzophinda aqaphele ngokunquma i-ferric citrate uma unezilonda ze-peptic ezisebenzayo, isifo samathumbu esivuvukalayo, noma ezinye izimo ezingathi sína zokugaya ukudla ezingase zibe zimbi ngokwengezwa kwensimbi.
Igama eliyinhloko lomkhiqizo we-ferric citrate yi-Auryxia, ekhiqizwa yi-Akebia Therapeutics. Lena inguqulo evame kakhulu ukunqunywa yezokwelapha e-United States.
Ikhemisi lakho lingase futhi lithwale izinguqulo ezivamile ze-ferric citrate, eziqulathe isithako esifanayo esisebenzayo kodwa zingabiza kancane. Zombili izinguqulo zomkhiqizo negama elivamile zisebenza ngokulinganayo uma zithathwa njengoba kunqunyiwe.
Uma i-ferric citrate ingasebenzi kahle kuwe noma idala imiphumela emibi, udokotela wakho unezinye izindlela zokwelapha okufanele azicabangele. Ukukhetha kuncike ekutheni ngabe udinga ukwengezwa kwensimbi, ukulawulwa kwe-phosphate, noma kokubili.
Ngokuntuleka kwensimbi, ezinye izindlela zifaka i-ferrous sulfate, i-ferrous gluconate, noma imijovo ye-iron dextran. Ukuze kulawulwe i-phosphate, izinketho zifaka i-calcium carbonate, i-sevelamer, noma i-lanthanum carbonate.
Abanye abantu bangazuza emithini ehlukene yokubhekana nokuntuleka kwensimbi nokulawulwa kwe-phosphate ngabanye, kunokusebenzisa umuthi ohlanganisiwe njenge-ferric citrate. Udokotela wakho uzosiza ekunqumeni indlela engcono kakhulu esekelwe ezidingweni zakho ezithile nokuthi usabela kanjani ekwelashweni.
I-Ferric citrate ne-ferrous sulfate zombili zinikeza insimbi, kodwa zisebenza ngendlela ehlukile futhi zisetshenziselwa izimo ezihlukene. I-Ferrous sulfate iyisithasiselo sensimbi esivamile esisetshenziswa kakhulu ukwelapha i-anemia yokuntuleka kwensimbi.
I-Ferric citrate inenzuzo yokulawula amazinga e-phosphate, okuyenza ibe wusizo ikakhulukazi kubantu abanezifo ezingamahlalakhona zezinso. Kungase futhi kubangele imiphumela emibi yokugaya ukudla embalwa kune-ferrous sulfate kwabanye abantu.
Nokho, i-ferrous sulfate ivame ukuba ngentengo ephansi futhi itholakala kabanzi. Udokotela wakho uzokhetha phakathi kwale mithi ngokusekelwe esimweni sakho esithile, ukusebenza kwezinso, nokuthi ngabe udinga ukulawulwa kwe-phosphate ngaphezu kokwengezwa kwensimbi.
I-Ferric citrate ngokuvamile ithathwa njengephephile kubantu abanezifo zenhliziyo, kodwa udokotela wakho uzokuqapha ngokucophelela. Ukuntuleka kwensimbi kungase kubhebhethekise izinkinga zenhliziyo, ngakho ukulungisa amazinga aphansi ensimbi kungase kuzuzise impilo yenhliziyo yakho.
Nokho, uma unezimo zenhliziyo ezithile noma usebenzisa imithi ethile yenhliziyo, udokotela wakho kungase kudingeke alungise uhlelo lwakho lokwelapha. Njalo yazisa umhlinzeki wakho wezempilo ngazo zonke izimo zakho zezokwelapha nemithi ngaphambi kokuqala i-ferric citrate.
Uma ngengozi uphuze i-ferric citrate eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukweqisa kwensimbi kungaba kubi futhi kudinga ukunakekelwa kwezokwelapha okusheshayo.
Izimpawu zokweqisa kwensimbi zingabandakanya isicanucanu esibi, ukuhlanza, ubuhlungu besisu, isifo sohudo, futhi ezimweni ezinzima, izinkinga ezingathi sína. Ungalindi ukubona ukuthi ngabe izimpawu ziyavela yini - funa iseluleko sezokwelapha ngokushesha uma uphuze okuningi.
Uma uphuthelwa umthamo we-ferric citrate, yithathe ngokushesha lapho ukhumbula uma iseduze nesikhathi sakho esivamile sokuthatha imithi. Uma sekuseduze isikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale emgqeni.
Kufanele uyeke kuphela ukuthatha i-ferric citrate ngaphansi kwesiqondiso sikadokotela wakho ngemuva kokuthi baqinisekisile ukuthi amazinga akho ensimbi alungile futhi amazinga akho e-phosphate alawulwa kahle. Ukuyeka ngaphambi kwesikhathi kungabangela ukuthi izimpawu zakho zibuye.
Udkt wakho cishe uzofuna ukwenza izivivinyo zegazi ukuze ahlolisise izitolo zakho zensimbi namazinga e-phosphate ngaphambi kokunquma ukuthi kuphephile yini ukuyeka imithi. Abanye abantu bangase badinge ukuyithatha isikhathi eside njengengxenye yokulawula isifo sezinso esingapheli.
Kufanele uhlole nodokotela wakho ngaphambi kokuthatha i-ferric citrate nezinye izithasiselo, ikakhulukazi lezo eziqukethe i-calcium, i-magnesium, noma i-zinc. Lawa amaminerali angaphazamisa ukumuncwa kwensimbi futhi anciphise ukusebenza kahle kwemithi yakho.
Uma udinga ukuthatha ezinye izithasiselo, udokotela wakho angase ancome ukuzihlukanisa usuku lonke noma ukulungisa isikhathi semithamo yakho ye-ferric citrate. Nqamula njalo umhlinzeki wakho wezempilo ngohlu olugcwele lwazo zonke izithasiselo nemithi oyithathayo.