Mea Kākau: Mark Sanchez
Lā O Ka Hana: 27 Ianuali 2021
HōʻAno Hou I Ka Lā: 22 Nowemapa 2024
Anonim
Management of secondary hyperparathyroidism in dialysis patients
Wikiō: Management of secondary hyperparathyroidism in dialysis patients

Anter

Hoʻohana ʻia ka injection Etelcalcetide e mālama ai i ka hyperparathyroidism kiʻekiʻe (ke ʻano e hana ai ke kino i ka nui o ka hormone parathyroid [PTH; nā mea kūlohelohe e pono ai e kaohi i ka nui o ka calcium i loko o ke koko]) i nā mākua me nā maʻi puʻuwai maʻi mau lohi a lohi hoʻi) ʻo ka mea e mālama ʻia me ka dialysis (lapaʻau lapaʻau e hoʻomaʻemaʻe i ke koko ke holo pono ʻole nā ​​puʻupaʻa. Hana ia ma ka hōʻailona ʻana i ke kino e hana i ka liʻiliʻi o ka hormone parathyroid i mea e hoʻemi ai i ka nui o ka calcium i loko o ke koko.

Hele mai ka injection Etelcalcetide ma ke ʻano he hopena (wai) e hoʻokomo i loko o ke aniani (i kahi aa). Hāʻawi pinepine ʻia ia i 3 mau manawa i ka pule ma ka hopena o kēlā me kēia kau dialysis e ke kauka a kahu wahine paha ma ke kikowaena dialysis.

E hoʻomaka paha kāu kauka iā ʻoe ma ka awelika o ka etelcalcetide injection a hoʻomaʻalahi iki i kāu lāʻau ma muli o ka pane o kou kino i ka lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia 4 pule.


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 loaʻa ʻana o ka injection etelcalcetide,

  • e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka etelcalcetide, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka injection etelcalcetide. 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 aku i kāu kauka a kauka paha inā ʻoe e lawe i ka cinacalcet (Sensipar) a i ʻole ua oki i ka lawe ʻana i loko o nā lā ʻehiku i hala. 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 a i ʻole kekahi o kou ʻohana ka lōʻihi o ka QT Syndrome (ke ʻano e hoʻonui i ka makaʻu o ka hoʻomohala ʻana i kahi puʻuwai kūpono ʻole e hiki ai ke lilo i ka ʻike a make paha. , maikaʻi ʻole o ka puʻuwai, nā pae haʻahaʻa o ka potassium a me ka magnesium i loko o ke koko, ka hopu ʻana, ka maʻi ʻōpū o ka ʻōpū, kēlā me kēia ʻano o ka huhū a i ʻole ka ʻōpū o ka ʻōpū a i ʻole ka esophagus (paipu e hoʻopili i ka waha a me ka ʻōpū), a i ka luaʻi nui paha.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka loaʻa ʻana o ka inikua etelcalcetide, e kāhea i kāu kauka.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e loaʻa ana iā ʻoe ka lāʻau etelcalcetide.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.


Hāʻawi wale ʻia kēia lāʻau me kāu lapaʻau dialysis. Inā ʻoe e nalo i kahi lāʻau dialysis i hoʻonohonoho ʻia, e lele i ka lāʻau i hala o ka lāʻau a hoʻomau i kāu papa hana maʻamau i ka wā dialysis aʻe.

Hiki i nā kuʻi Etelcalcetide ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • nausea
  • ka luaʻi
  • pāhoehoe
  • ʻeha poʻo

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.

  • hūwī
  • hives
  • ʻūlili
  • pehu o ka maka
  • ʻalalā, prickling, a i ʻole ʻā wela i ka ʻili
  • ʻehaʻeha a ʻeha paha
  • ka hopu ʻana
  • kuʻi puʻuwai ʻole
  • maule ana
  • pokole o ka hanu
  • nāwaliwali
  • loaʻa koke ke kaumaha
  • ʻo ka ʻōiwi hou a ʻinoʻino paha i nā kuʻekuʻe wāwae, nā wāwae, a me nā wāwae
  • koko ʻulaʻula i ka luaʻi
  • ka luaʻi e like me nā pā kope
  • ʻeleʻele, hoʻolōʻihi, a i ʻole nā ​​ʻulaʻula ʻulaʻula ʻōlinolino

Hiki i nā kuʻi Etelcalcetide ke kumu 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).

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab a ma mua a i kāu wā e mālama ai e nānā i ka pane o kou kino i ka inikopa etelcalcetide.

E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka injection etelcalcetide.

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.

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