Zemplar
Isikhubekiso seParicalcitol sisetshenziswa ekwelapheni nasekuvimbeni i-hyperparathyroidism kubantu abane-chronic kidney disease abasebenzisa i-dialysis. I-Hyperparathyroidism yisimo esibangelwa ama-glands e-parathyroid akwi-neck lapho enza khona i-parathyroid hormone (PTH) eningi kakhulu. Loli hormone ulawula amazinga e-calcium ne-phosphorus egazini lakho. I-Paricalcitol iyasiza ekuphuculeni inani le-PTH eliphansi amazinga e-calcium ne-phosphorus. Lona umuthi utholakala kuphela ngomyalelo wochwepheshe wezokwelapha. Lo mkhiqizo utholakala ngezindlela zokulinganisela ezilandelayo:
Ekubeni kunqunywe ukuthi kusetshenziswe iyeza, izingozi zokuthatha leliyeza kufanele ziqhathaniswe nezinzuzo elizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kuleliyeza, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kuleliyeza 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 ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zezingane ezizobeka umkhawulo ekusetshenzisweni kokudubula iparicalcitol kubantwana abaneminyaka emi-5 nangaphezulu. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezizobeka umkhawulo ekusetshenzisweni kokudubula iparicalcitol kubantu abadala. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma kusetshenziswa leliyeza ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha leliyeza ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zibe yadingeka. Uma uthola leliyeza, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yiliphi lamayeza abalwe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa leliyeza nanoma yiliphi lamayeza alandelayo akunconywa. Udokotela wakho angase anqume ukungakwelaphi ngaleliyeza noma ashintshe amanye amayeza owawathatha. Ukusebenzisa leliyeza nanoma yiliphi lamayeza alandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili izidakamizwa kuqokiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi ulisebenzisa kangakanani okunye noma kokubili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nanoma yiziphi izidakamizwa kungase futhi kubangele ukusebenzisana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kweyeza lakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwaleliyeza. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Umshula wesibeletho noma omunye ochwepheshe bezempilo oqeqeshwe uzohlinzeka ngalolu hlobo lwemiyekezo esibhedlela noma esikhungweni sokucwengwa kwegazi. Lolu hlobo lwemiyekezo lunikezwa ngenhlanzi ebekwe kwenye yezinsimbi zakho. Landela imiyalo yodokotela wakho ngokucophelela mayelana nanoma iyiphi isikhathi sokudla ekhethekile. Ungasebenzisi izidakamizwa zokulwa nokuvuvukala noma izibophuli ze-phosphate eziqukethe i-aluminium noma izithasiselo eziqukethe i-vitamin D, i-phosphate, noma i-calcium ngaphandle kokubuza udokotela wakho. Udokotela wakho angase akutshele ukuba ubeke umkhawulo ekudleni kwakho kwe-phosphate. Ukudla okuphezulu kwe-phosphate kuhlanganisa ibinsi, ubhiya, i-chocolate, i-cheese, iziphuzo ezithambile ze-cola, i-ice cream, ubisi, amantongomane, amapisi, imikhiqizo yomgwaqo ophelele, kanye ne-yogurt.
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.