ʻO Sevelamer
![Sevelamer](https://i.ytimg.com/vi/lCGgDhNhN0E/hqdefault.jpg)
Anter
- Ma mua o ka lawe ʻana i sevelamer,
- Hoʻokumu ʻo Sevelamer i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
Hoʻohana ʻia ʻo Sevelamer e kaohi i nā kiʻekiʻe o ke koko kiʻekiʻe o ka phosphore i ka poʻe me nā maʻi puʻupuʻu mau e noho ana ma ka dialysis (lāʻau lapaʻau e hoʻomaʻemaʻe i ke koko ke hana ʻole nā puʻupaʻa). Aia ʻo Sevelamer i loko o ka papa o nā lāʻau i kapa ʻia nā phosphate binders. Hoʻopili ia i ka phosphor e loaʻa ai iā ʻoe mai nā meaʻai i kāu papaʻai a pale iā ia mai ke komo i loko o kāu kahawai koko.
Hele mai ʻo Sevelamer ma ke ʻano he papa ʻaila a me he pauka no ke kau ʻana e lawe ʻia e ka waha. Lawe ʻia ia i ʻekolu mau manawa i ka lā me nā meaʻai. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pono i ka sevelamer e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
Mai wāwahi a wāwahi paha i nā papa.
Hoʻololi paha kāu kauka i kāu kau ma muli o kāu pae pae phospor, ʻaʻole ʻoi aku ma mua o hoʻokahi manawa i kēlā me kēia 2 pule.
Inā ʻoe e lawe ana i ka pauka no ka hoʻomaha ʻana, e heluhelu pono i nā ʻōlelo aʻo a ka mea hana no ka hoʻohana ʻana me ka lāʻau. Hōʻike kēia mau ʻōkuhi pehea e hoʻomākaukau ai a ana i kāu kau. E kāwili i ka pauka me ka nui o ka wai i koi ʻia no kāu kauā a hoʻāla ikaika i ka hui. E ʻōpua ka hui ʻana ma ka pau ʻole o ka pala. ʻOkoʻa, hiki iā ʻoe ke kāwili i ka pauka me kahi meaʻai a mea inu paha. Mai mikomiko i ka hoʻohuihui a hoʻohui i ka pauka i nā meaʻai wela a i ʻole nā wai. E lawe i ka hui ma hope koke o ka hoʻomākaukau (ma loko o 30 mau minuke), ma ke ʻano he ʻāpana o kāu pāʻina. Inā ʻaʻole lawe ʻia ka hui ʻana i loko o 30 mau minuke o ka hoʻomākaukau ʻana iā ia, e hoʻolei i ka hui.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka lawe ʻana i sevelamer,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka sevelamer, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa sevelamer a i ʻole ka pauka no ka hoʻomaha. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E haʻi paha kāu kauka iā ʻoe e lawe i kāu mau lāʻau i kekahi mau manawa ma mua a ma hope paha o kou lawe ʻana i ka sevelamer, e hoʻololi i nā kaha o kāu mau lāʻau, a i ʻole e nānā pono iā ʻoe no nā hopena ʻaoʻao. Inā lawe ʻoe i ka cyclosporine (Gengraf, Neoral, Sandimmune), levothyroxine (Levo-T, Synthroid, Tirosint, a me nā mea ʻē aʻe), a i ʻole tacrolimus (Astagraf, Prograf, Protopic), pono ʻoe e lawe iā lākou ma kahi o 1 mau hola ma mua a i ʻole 3 mau hola ma hope ou. ua lawe i ka sevelamer. Lawe iā ciprofloxacin (Cipro) ma kahi o 2 mau hola ma mua a i ʻole 6 mau hola ma hope o ka lawe ʻana i ka sevelamer. Eia kekahi, e lawe i ka mycophenolate (Cellcept) ma ka liʻiliʻi he 2 mau hola ma mua o ka lawe ʻana i ka sevelamer. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka inā loaʻa iā ʻoe kahi ālai o kou ʻōpū a i ʻole nā ʻōpū. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka sevelamer.
- e haʻi i kāu kauka inā pilikia ʻoe i ka ale ʻana, a i ʻole loaʻa paha iā ʻoe kahi pilikia o ka ʻōpū a me ka ʻōpū e like me ka ulcer (ʻeha ma ka lining o ka ʻōpū a i ʻole ka ʻōpū), kahi maʻi ʻōpala, pākī, a i ʻoki ʻia i kou ʻōpū a i ʻole nā ʻōpū.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka sevelamer, e kāhea i kāu kauka.
- pono ʻoe e ʻike hiki i ka sevelamer ke hoʻemi i nā kiʻekiʻe o nā wikamina a me ka folic acid i ke kino. E kamaʻilio me kāu kauka e ʻike inā pono ʻoe e lawe i kahi nui o kēia mau huaora i kou wā e mālama ai me ka sevelamer.
Kauoha paha kāu kauka iā ʻoe e hāhai i ka papaʻai low-phosphorus. E hāhai pono i kēia mau ʻōkuhi. E kamaʻilio me kāu kauka e pili ana i nā meaʻai e loaʻa ana ka nui o ka phosphore.
E haʻalele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hoʻokumu ʻo Sevelamer i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- pāhoehoe
- ka luaʻi
- nausea
- ʻeha ka ʻōpū
- ʻenekini
- puʻuwai puʻuwai
- kūpilikiʻi hou a i ʻole worsening paha
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- pahu noho ʻeleʻele a lohi hoʻi
- koko ʻulaʻula i nā noho
Hoʻokumu paha ʻo Sevelamer i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e hoʻoholo i kāu pane iā sevelamer.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- ʻO Renagel®
- ʻO Renvela®