Malangizo
Zamkati
- Musanatenge tiludronate,
- Tiludronate imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
Tiludronate imagwiritsidwa ntchito pochiza matenda a Paget a mafupa (momwe mafupa amafewera komanso ofooka ndipo amatha kupunduka, kupweteka, kapena kusweka mosavuta). Tiludronate ali mgulu la mankhwala otchedwa bisphosphonates. Zimagwira ntchito popewa kuwonongeka kwa mafupa ndikuwonjezera kuchuluka kwa mafupa (makulidwe).
Tiludronate imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa m'mimba yopanda kanthu kamodzi patsiku kwa miyezi itatu. Mankhwalawa amatha kubwerezedwa ngati zizindikiro zibwereranso kapena zikuipiraipira pakapita nthawi. Tengani tiludronate mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani tiludronate chimodzimodzi monga mwalamulo. Osamamwa pafupipafupi kapena kwa nthawi yayitali kuposa momwe adanenera dokotala.
Tengani tiludronate ndi galasi lathunthu (mamililita 180 mpaka 240 a madzi wamba). Musatenge tiludronate ndi madzi ena aliwonse, kuphatikiza madzi amchere. Musadye kapena kumwa kwa maola 2 musanadye kapena maola awiri mutatenga tiludronate. Osagona kwa mphindi zosachepera 30 mutamwa mankhwalawa.
Tiludronate imayang'anira Matenda a Paget a mafupa pokhapokha atatengedwa monga momwe akufotokozera. Osasiya kumwa ma tiludronate osalankhula ndi dokotala.
Mankhwalawa amatha kupatsidwa ntchito zina. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge tiludronate,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la tiludronate, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a tiludronate. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: mankhwala a chemotherapy a khansa ndi ma oral steroids monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone). mosamala zotsatira zoyipa.
- ngati mukumwa aspirin, indomethacin (Indocin), kapena calcium kapena michere ya michere, imwani maola awiri musanadye kapena maola awiri mutatenga tiludronate. Ngati mukumwa maantacids okhala ndi calcium, magnesium, kapena aluminium (Maalox, Mylanta, Tums, ena), tengani osachepera maola 2 mutatenga tiludronate.
- uzani dokotala wanu ngati mukulephera kuyimirira kapena kukhala chilili kwa mphindi 30 mutatenga tiludronate. Dokotala wanu angakuuzeni kuti musatenge tiludronate.
- uzani dokotala wanu ngati mukumwa mankhwala a radiation ndipo ngati mwakhala mukuvutikapo kapena kumva kuwawa mukameza; kutentha pa chifuwa, zilonda zam'mimba, kapena mavuto ena m'mimba mwanu kapena m'mero (chubu cholumikiza pakamwa ndi m'mimba); kuchepa magazi (momwe maselo ofiira am'magazi samabweretsa mpweya wokwanira kumadera onse amthupi); khansa; matenda amtundu uliwonse, makamaka mkamwa mwanu; mavuto pakamwa panu, mano, kapena m'kamwa; vuto lililonse lomwe limaletsa magazi anu kuti asagundike bwino; kapena matenda a mano kapena impso.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Komanso muuzeni dokotala ngati mukufuna kukhala ndi pakati nthawi ina iliyonse m'tsogolo, chifukwa tiludronate imatha kukhala mthupi lanu kwa zaka zambiri mutasiya kuidya. Itanani dokotala wanu mukakhala ndi pakati mukamamwa kapena mukalandira chithandizo.
- Muyenera kudziwa kuti tiludronate imatha kubweretsa mavuto akulu ndi nsagwada, makamaka ngati mwachitidwa opareshoni yamankhwala kapena chithandizo mukamamwa mankhwalawa. Dokotala wamankhwala ayenera kuyesa mano anu ndikuchita chithandizo chilichonse chofunikira musanayambe kumwa tiludronate. Onetsetsani kutsuka mano ndikutsuka mkamwa mwanu moyenera mukamamwa tiludronate. Lankhulani ndi dokotala musanalandire chithandizo chilichonse cha mano mukamamwa mankhwalawa.
- muyenera kudziwa kuti tiludronate imatha kupweteketsa mafupa, minofu, kapena mafupa. Mutha kuyamba kumva kupweteka uku pasanathe masiku, miyezi, kapena zaka mutangoyamba kutenga tiludronate. Ngakhale kupweteka kwamtunduwu kumatha kuyamba mutatenga tiludronate kwakanthawi, ndikofunikira kuti inu ndi dokotala muzindikire kuti mwina imayambitsidwa ndi tiludronate. Itanani dokotala wanu nthawi yomweyo ngati mukumva kuwawa kwambiri nthawi iliyonse mukamachiritsidwa ndi tiludronate. Dokotala wanu angakuuzeni kuti musiye kumwa mankhwala osokoneza bongo ndipo ululu wanu ukhoza kutha mukasiya kumwa mankhwala.
Muyenera kudya ndi kumwa zakudya ndi zakumwa zambiri zomwe zili ndi calcium ndi vitamini D wochuluka pamene mukumwa mankhwalawa Dokotala wanu angakuuzeni zakudya ndi zakumwa zomwe zimapatsa thanzi komanso kuchuluka kwa zosowa zanu tsiku lililonse. Ngati zikukuvutani kudya zakudya zokwanira, uzani dokotala wanu. Zikatero, dokotala wanu akhoza kukupatsirani mankhwala kapena akuwonjezerani chowonjezera.
Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Tiludronate imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- nseru
- kusanza
- kutsegula m'mimba
- mpweya
- kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
- kupweteka, kuwotcha, kuchita dzanzi, kapena kumva kupweteka m'manja kapena m'mapazi
- maso ofiira kapena okwiya
- kusintha kwa masomphenya
- zidzolo
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
- kutentha pa chifuwa kwatsopano kapena kukulira
- zovuta kumeza
- kupweteka pakumeza
- kupweteka pachifuwa
Tiludronate ingayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi mavuto achilendo mukamamwa tiludronate.
Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).
Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Musachotse mapiritsi kuchokera pazithunzi zojambulazo mpaka mutakonzeka kuzitenga. Sungani mankhwalawa kutentha komanso kutentha pang'ono ndi chinyezi (osati kubafa).
Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.
Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org
Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labotale kuti muwone yankho lanu ku tiludronate.
Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.
Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.
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