Lanthanum Carbonate vs. Machikhalidwe a phosphate, omwe ndi abwino?

Matenda a impso (ckd) nthawi zambiri amakhala ndi hyperphosphatemia, ndipo yperphosphatemia yayitali amatha kubweretsa zovuta zazikulu monga zachiwiri hypeamsytrophy, ndi matenda amtima. Kuwongolera magawo a phosphorous magazi ndi gawo lofunikira pakuwongolera odwala a CKD, ndipo ma phosphate womanga mankhwala osokoneza bongo pochiza hyperphosphatetemia. Mzaka zaposachedwa,Lanthanum Carbonate, ngati mtundu watsopano wa bilomium wa phoshemu komanso wosakhazikika wa phosphate pang'ono, pang'onopang'ono alowa m'munda wa anthu ndikuyamba "mpikisano" ndi miyambo ya phosphate.

"Zoyenera" ndi "makementi" a phosphate

Makina obiriwira a phosphate makamaka amaphatikizapo calcium-clubete zokhala ndi calbote (monga calcium acetate) ndi aluminium-okhala ndi phomphon hydroxide). Amaphatikizana ndi phosphates mu chakudya kuti apange mitundu yopanda zokongoletsera, potero kuchepetsa ma kuyamwa a phosphorous.

Calcium-cyphate wonga wa phosphate: mtengo wotsika komanso wochepetsera mawu a phosphorous, koma kugwiritsa ntchito nthawi yayitali ndikuwonjezera chiopsezo cha kuwerengetsa kwamitsempha.

Aluminium-okhala ndi mabanki a phosphoros: Kuchulukitsa kwa phosphorous phosphorous, koma kudzikundikira kwamphamvu kwambiri ndipo kumatha kupangitsa kuti matenda amphamvu a aluminium ndi encephalopathy, ndipo sakugwiritsidwa ntchito.

Lanthanum Carbonate: Kuukitsa mlendo, ndi maubwino otchuka

Lanthanum Carbonate ndi carbonate wa chitsulo chazitsulo padziko lapansi lanthenum, wokhala ndi makina apadera a phosphorous. Imatulutsa ma ions acidic malo acithunzi am'mimba ndikupanga kwambiri Lanthanum Phusphate ndi phosphate, potero kupewa kuyamwa kwa phosphorous.

Kuyambitsa mwachidule la Lanthanum Carbonate

Dzina lazogulitsa Lanthanum Carbonate
Fomyula LA2 (CO3) 3.xh2o
Cas No. 6487-39-4
Kulemera kwa maselo 457.85 (boy)
Kukula 2.6 g / cm3
Malo osungunuka N / A
Kaonekedwe Ufa woyera
Kusalola Sungunulani m'madzi, osungunuka pang'ono mu michere yamphamvu yamphamvu
Bata Mosavuta hygroscopic
Lanthanum Carbonate
Lanthanum Carbonate
Lanthanum Carbonate1

Poyerekeza ndi zikhalidwe za phosphorous zikhalidwe, Lantanum Carbonate ali ndi zotsatirazi:

Palibe calcium ndi aluminium, chitetezo chaposalo: kupewa chiopsezo cha hypercalcemia ndi ma aluminium poyizoni, makamaka kwa odwala omwe ali ndi chiwopsezo cha nthawi yayitali.

Kutha kwamphamvu kwa phosphorous kofunikira, kuchepa kwa phosphorous kofunikira: Canthanum Carbonate bwino pamanja phosphorous mu mitundu yonse, ndipo kuthekera kwake kolimba kumatha kuposa zingwe za phosphorous.

Zovuta zochepa zam'mimba, zodekha zabwino zodetsa: Canthanum Caboni imakondedwa, ndizosavuta kutenga, zimakhala ndi m'mimba pang'ono, ndipo odwala amakwiya kwambiri.

Umboni Wazachipatala: Lanthanum Carbonate amachita bwino

Kafukufuku wa mankhwala angapo atsimikizira kugwira ntchito ndi chitetezo cha lanthanum carbonate ku CKD odwala. Kafukufuku wawonetsa kuti Lanthanum Carbonate alibe kapena apamwamba kuposa azikhalidwe za phosphate pochepetsa kuchuluka kwa ma phosphoros, ndipo amatha kuwongolera kuchuluka kwa ipth ndikusintha mafupa. Kuphatikiza apo, chitetezo cha chithandizo cha nthawi yayitali ndi lanthanum carbonate ndichabwino, ndipo palibe zodziwikiratu zakunyumba ndi zomwe zimadziwika kuti zikuchitika.

Chithandizo chazomwe amapanga: sankhani dongosolo labwino kwambiri kwa wodwalayo

Ngakhale Lantanum Carbonate ili ndi zabwino zambiri, sizitanthauza kuti imatha kusintha mitundu yazikhalidwe ya phosphate. Mankhwala aliwonse ali ndi zisonyezo ndi contraindication, ndipo njira yochizirayo iyenera kulozereka malinga ndi zomwe wodwalayo ali nazo.

Lanthanum Carbonate ndioyenera kwambiri kwa odwala otsatirawa:

Odwala omwe ali ndi hypercalcemia kapena chiopsezo cha hypercalcemia

Odwala omwe ali ndi maluso kapena chiopsezo cha kuwerengetsa kwamitsempha

Odwala omwe ali ndi kulekerera kapena kuyenera kwabwino kwambiri

Chingwe cha phosphate chimatha kugwiritsidwabe ntchito kwa odwala zotsatirazi:

Odwala omwe ali ndi mavuto azachuma

Odwala omwe sagwirizana kapena osalolera a Lanthanum Carbonate

Kuyang'ana M'tsogolo: Lanthanum Carbonate ili ndi tsogolo labwino

Ndi zochulukirapo kafukufuku wazachipatala komanso kudzikundikira kwa zochitika zamankhwala, mawonekedwe a Carbonate wa Lanthanum mankhwalawa hyperphosphatetemia odwala a CKD apitilizabe kukonza. M'tsogolomu, a Canthanum Carbonate amayembekezeredwa kukhala mzere woyamba phosphate, akubweretsa uthenga wabwino kwa odwala a CKD.


Nthawi Yolemba: Mar-25-2025