Here is the Original Posting.
A diabetic with personal experience on Dialysis and Kidney Transplant (个人经验有关透析和肾脏移植的一个糖尿病患者)
Showing posts with label mycophenolate mofetil. Show all posts
Showing posts with label mycophenolate mofetil. Show all posts
Saturday, 27 September 2014
5 WAYS TO INCREASE WHITE BLOOD CELL COUNT—NATURALLY (5种方式增加白细胞计数—自然地)
5 WAYS TO INCREASE
WHITE BLOOD CELL COUNT—NATURALLY (5种方式增加白细胞计数—自然地)
White blood cells are produced in the
bone marrow, and typically work as part of the immune system to fight off
bacterial and viral infections. (白细胞在骨髓导致和典型地工作作为免疫系统一部分与细菌和病毒感染战斗。)
There are a number of natural methods
available to increase WBC include:
(1). Take Zinc (采取锌)
Studies have shown that even a mild zinc deficiency can
increase risk of infection. Consume more
oysters, beef, lamb, wheat germ, and spinach.
(2). Take Folic Acid (采取叶酸)
One of the side effects of excess intake of folic acid is
an increase in WBCs. A deficiency of folic acid can also lead to anemia, which
is a low level of red blood cells. So if you’re low on either, increasing
intake of folic acid may help. Eat more spinach and beans
(3).
Take selenium (采取硒)
Selenium is required by the body for proper functioning of
the thyroid gland, and may help protect against free radical damage and cancer.
A deficiency in selenium can lead to pain in the muscles and joints, unhealthy
hair, and white spots on the fingernails. In long term cases it may even lead
to Hashimoto's disease, a condition in which the body's own immune system
attacks the thyroid. An excess of selenium can lead to bad breath, diarrhea,
and even hair loss (硒由身体是必需的对于适当起作用甲状腺,并且也许帮助防止受到自由基损伤和癌症。在硒的缺乏在肌肉可能带领痛苦和联接、不健康的头发和白色斑点在指甲盖。在长期案件它也许甚而导致桥本的疾病,身体的自己的免疫系统攻击甲状腺的情况。硒剩余可能导致口臭、腹泻和甚而掉头发)
Top 10
Foods Highest in Selenium (硒 - 高名列前茅10食物):
1)
Brazil
Nuts
2)
Seafood
(Oysters - Cooked)
3)
Fish
(Tuna - Cooked)
4)
Whole-Wheat
Bread
5)
Seeds
(Sunflower)
6)
Pork
(Lean Tenderloin - Cooked)
7)
Beef & Lamb (Lean Beef Steak - Cooked)
8)
Chicken and Turkey (Turkey, Back or Leg Meat Cooked)
9)
Mushrooms
(Crimini)
10) Whole Grains (Rye)
For further details on the Top 10 foods, here is the Original Article.
(4).
Eat more Yogurt (吃更多酸奶)
Some studies have shown that people taking probiotics had
stronger immune systems than those who didn’t take them. The probiotics also
seemed to boost the WBC. [Yogurt is not suitable for newly transplanted
patients]
(5).
Take Garlic (采取大蒜)
A 2002 animal study found that rats fed garlic showed a significant
increase in total white blood cell count. It also seems to promote the ability
of white blood cells to fight off infections, and also stimulates other immune
cells. [I prefer chopped raw garlics for
better effects]
For further
details, here is the Original
Article, courtesy of Colleen M. Story.
Matters to Note (应注义事项):
·
Please
note that diet should be adjusted in according to an individual’s
requirements.
·
Certain
foods are not suitable for early stage of post-transplant patients such as
Mushrooms and Yogurt.
·
Have
you tried using the “Lunch
Box” to cook oatmeal with spinach? I bet not many of you ever thought of
it. Give it a shot!!
·
Discuss
with your Dietitian to ensure that you are taking the right portion of all
foods. Taking excess portion of any
foods will give an undue burden to your kidney [VERY IMPORTANT]. (与您的营养师讨论确保您采取正确的分量的食物。采取额外分量的食物将给您的肾脏过度的负担
[非常重要].)
Wednesday, 17 September 2014
How to Cook Oatmeal in a Rice Cooker (Lunch Box) [如何利用电饭锅烹调燕麦粥(午餐盒)] & 【愛上燕麥片的理由】
How to Cook Oatmeal in a
Rice Cooker (Lunch Box) [如何利用电饭锅烹调燕麦粥(午餐盒)] & 【愛上燕麥片的理由】
Most people, including myself,
will cook oatmeal in a pot and thus have to stir it constantly. I was asking myself is there any way I can
make better use of my times while the oatmeal is being cooked. I found one.
Here is another great invention
by the Koreans – “Kessler
Multi-Function Electric Lunch Box”.
Using the aluminum pot inside Lunch Box, the whole cooking process will
take 30 minutes BUT I don’t have to stir the oatmeal constantly.
Here is my way of cooking
oatmeal:
· Add 200-300ml of water to the pot inside Lunch Box (adjust
to your preference)
· Add any vegetables such as onion, carrot, tomato, celery,
spinach, potato or any other vegetables to start the cooking process
· For dinner, I don’t add any meat (I don’t take meat
anyways) or fish as I took fish for lunch. You may add a portion of fish if you
didn’t consume fish (protein) during the day
· Let it cook for 20 minutes then add your oatmeal to the aluminum
pot
· I don’t add any salt during the process
· 30 minutes later, oatmeal and vegetables are cooked. I will add a table spoon of light soy sauce
to my oatmeal. I can afford so because
my sodium level is within range.
If you have an improved way to
cook oatmeal, your sharing is much appreciated.
Matters to Note
(应注义事项):
Please note that diet should be
adjusted in according to individual’s requirements.
My Phosphate test result has
been below the acceptable range, most of the times, since the surgery in May.
Consuming oatmeal has pushed my Phosphate result to the acceptable range.
【愛上燕麥片的理由】
燕麥含有豐富的維生素和礦物質,其中維生素E可以幫助身體擴張末梢血管,並改善血液迴圈,調整身體狀況。而鈣、磷、鐵、鋅等礦物質可以有預防骨質疏鬆、促進傷口癒合、防止貧血的功效。
改善免疫系統。燕麥中豐富的β葡聚糖能改善免疫系統,有效抗擊病毒、細菌和寄生蟲,從而提高人體免疫力。
改善免疫系統。燕麥中豐富的β葡聚糖能改善免疫系統,有效抗擊病毒、細菌和寄生蟲,從而提高人體免疫力。
有益減肥瘦身。燕麥片中膳食纖維豐富,可長時間保持飽腹感,防止攝入過多的油膩和鹹味食物,達到減肥瘦身的效果。
預防便秘。燕麥片猶如“天然腸道刷洗工”,能幫助預防便秘。
改善血糖。燕麥對血糖的影響較小,並且能減少胰島素依賴,提高胰島素敏感性。
降壓降脂。每天食用燕麥有助於降低收縮壓和舒張壓。燕麥富含可溶性膳食纖維,能大量吸收人體的膽固醇並排出體外,降低“壞膽固醇”水準
Labels:
calcium,
Cellcept,
creatinine,
cyclosporine,
diabetes,
diets,
glucose,
Insulin,
kidney organ transplant,
mycophenolate mofetil,
Neoral,
oatmeal,
osteoporosis,
phosphate,
Prednisolone,
steroids,
urine
Saturday, 6 September 2014
Post-Transplant Medications {Update#2} (移植之后疗程)
Finally August is gone! End of August
denotes the end of Valganciclovir for me. May be not a standard protocol but it
is common to take three months of Valcyte for newly transplanted patient.
Besides being one of the priciest medicine I ever came across, one of its side
effects is reducing White Blood Cell counts.
Rejection Prophylaxis
1.
Cyclosporine (Neoral®)
- You
may refer to my latest post on “Blood
Test Report & Creatinine” for my current dosage on Cyclosporine
2.
Mycophenolate mofetil (Cellcept®)
- Both
Neoral® & Cellcept® must be taken every 12 hours and
taken on time
- Cyclosporine
may cause potassium retention & increased blood pressure
3.
Prednisolone
- A
steroid being used to prevent rejection in organ transplantation
- To
be taken AFTER foods
The
above three drugs are to be taken for life.
Pantoprazole
- For
the treatment of GERD
Insulin
Aspart
- For
the treatment of Type 2 Diabetes
- Taking
12u (breakfast), 12u (lunch) and 9u (dinner)
Two methods to monitor
(监测)
the "Concentration”
(浓度) of Cyclosporine:
(A)
Cyclosporine Trough, also known as C0 (谷值), which is the
lowest concentration – To draw blood within one hour to half an hour before the
next dosage
(B)
Cyclosporine Peak, also known as C2 (峰值), which is the
highest concentration – To draw blood, two hours exactly, after taking (服用) taking the
dosage
It is important to monitor the concentration:
(A)
Insufficient dosage will cause rejection from the
new kidney
(B)
Taking too much of Cyclosporine may lead to
higher creatinine
Matters to Note (应注义事项):
1.
High dosage of Cellcept & Methylprednisolone
will reduce the immunization (免疫力). Doctor should reduce dosage from as early as
third week to forth week, the latest, subsequent to the surgery. I am taking the minimum dosage of Prednisolone
at the moment.
2.
Taking both Cyclosporine
& Cellcept with fresh milk will tend to give better absorption within the
system (用新鲜的牛奶进食将会更好的将Cyclosporine
& Cellcept吸收在系统内)
3.
Wear face mask for at
least three - six months whenever going out.
Avoid going to crowded places for at least one year due to low or no immunization
(每当出去, 戴着面罩至少三 - 六个月. 由于低或没有免疫, 不要去拥挤的地方至少一年)
Labels:
Anti-rejection drugs,
calcium,
Cellcept,
creatinine,
cyclosporine,
diabetes,
diets,
glucose,
Insulin,
kidney organ transplant,
mycophenolate mofetil,
Neoral,
osteoporosis,
phosphate,
Prednisolone,
steroids,
urine
Saturday, 9 August 2014
Blood Test Report & Creatinine {Update#7} (验血报告&肌氨酸酐)
I have mentioned in my “Update#6” that Nephrologist
(肾脏病学家) has reduced both the morning and
evening dosages of my Cyclosporine (Neoral®)
after a laboratory test on 30 August.
A laboratory test was carried out on 4
August to verify the appropriateness of the dosage and the result is within the
expectation of Nephrologist.
Most important – Creatinine is stable (肌氨酸酐是稳定的).
In my “Update#6” I mentioned that dosage
of Mycophenolate mofetil (Cellcept®)
is due for a review during this visit. Nephrologist (肾脏病学家) has decided to reduce the dosage from 1000mg to
750mg, to be taken twice daily.
Date
|
Peak (UG/L)
|
Creatinine
|
Cyclosporine Taking
|
4 August 2014
|
896
|
109
|
125 mg - OM
110 mg – ON
(No actions are required)
|
30 July 2014
|
1381
|
107
|
125 mg - OM
110 mg – ON
(reduction in OM & ON)
|
14 July 2014
|
1360
|
110
|
150 mg - OM
125 mg – ON
(reduction in ON)
|
30 June 2014
|
1695
|
103
|
150 mg - OM
150 mg – ON
(reduction in OM)
|
17 June 2014
|
1704
|
108
|
175 mg - OM
150 mg – ON
(reduction in ON)
|
13 June 2014
|
667
|
112
|
175 mg - OM
175 mg – ON
(No actions taken)
|
9 June 2014
|
1274
|
113
|
175 mg - OM
175 mg – ON
(reduction in ON)
|
3 June 2014
|
Not Tested
|
108
|
Existing Dosage:
200 mg - OM
175 mg – ON
|
I did not do
anything unusual in the manner of taking my drugs as compare to my earlier post
“Post-Transplant
Medications” (我没有做什么异常以服我的药方式):
1. I
always take my drugs on time (我总是准时服我的药)
2. I
take my drugs with HL milk for better absorption and for my daily calcium
intake (我使用HL牛奶服药达到更好的吸收和完成部分每日钙的需求)
Do take note that
renal doctor DID NOT adjust
the dosage on the basis of test results alone.
There are other indicators that he will review before making the final
and crucial decision. (注意à 肾脏医生没有根据单独测试结果调整剂量。他在做出最后和关键的决定前将回顾的其他显示。)
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