Pamidronate jekeseni

Zamkati

• Musanalandire jekeseni wa pamidronate,
• Jekeseni wa Pamidronate ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Pamidronate imagwiritsidwa ntchito pochiza calcium yambiri m'magazi yomwe imatha kuyambitsidwa ndi mitundu ina ya khansa. Pamidronate imagwiritsidwanso ntchito ndi chemotherapy ya khansa pochiza kuwonongeka kwa mafupa komwe kumayambitsidwa ndi ma myeloma angapo (khansa yomwe imayambira m'maselo am'magazi [mtundu wa khungu loyera la magazi lomwe limatulutsa zinthu zofunika kuthana ndi matenda] kapena khansa ya m'mawere yomwe yafalikira m'mafupa . Pamidronate imagwiritsidwanso ntchito pochiza matenda a Paget (mkhalidwe womwe mafupa amakhala ofewa komanso ofooka ndipo amatha kupunduka, opweteka, kapena osweka mosavuta). Jekeseni wa Pamidronate uli mgulu la mankhwala otchedwa bisphosphonates. Imagwira pakuchepetsa mafupa, kuwonjezeka kwa mafupa (makulidwe) ndikuchepetsa calcium yomwe imatulutsidwa m'mafupa kulowa m'magazi.

Jakisoni wa Pamidronate amabwera ngati yankho (madzi) kuti alowetse mtsempha pang'onopang'ono, kupitirira maola 2 mpaka 24. Nthawi zambiri amabayidwa ndi wothandizira zaumoyo kuofesi ya dokotala, kuchipatala, kapena kuchipatala. Itha kuperekedwa kamodzi pamasabata atatu kapena anayi, kamodzi patsiku masiku atatu motsatizana, kapena ngati mlingo umodzi womwe ungabwerezedwe pakatha sabata limodzi kapena kupitilira apo. Ndondomeko ya chithandizo imadalira matenda anu.

Dokotala wanu akhoza kukupatsani mankhwala owonjezera a calcium ndi multivitamin yokhala ndi vitamini D yomwe mungamwe mukamamwa mankhwala. Muyenera kumwa mankhwalawa tsiku lililonse malinga ndi malangizo a dokotala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanalandire jekeseni wa pamidronate,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi jakisoni wa pamidronate, alendronate (Fosamax), etidronate (Didronel), risedronate (Actonel), tiludronate (Skelid), zoledronic acid (Zometa), mankhwala ena aliwonse, kapena chilichonse chosakaniza pamidronate jakisoni. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: Mankhwala a khansa; Steroids wamlomo monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone); ndi thalidomide (Thalomid). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi jakisoni wa pamidronate, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati mukumenyedwa ndi radiation komanso ngati mudachitidwapo opaleshoni ya chithokomiro, khunyu, kapena chiwindi kapena matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Muyenera kugwiritsa ntchito njira yodalirika yolerera popewa kutenga pakati mukalandira pamidronate. Mukakhala ndi pakati mukalandira pamidronate, itanani dokotala wanu mwachangu. Lankhulani ndi dokotala ngati mukufuna kukhala ndi pakati nthawi iliyonse mtsogolo chifukwa pamidronate imatha kukhala mthupi lanu kwazaka zambiri mutasiya kuigwiritsa ntchito.
• muyenera kudziwa kuti pamidronate imatha kubweretsa mavuto akulu ndi nsagwada, makamaka ngati mwachita opaleshoni yamano kapena chithandizo mukamamwa mankhwalawa. Dokotala wamano ayenera kuwerengera mano anu ndikuchita chithandizo chilichonse chofunikira musanalandire pamidronate. Onetsetsani kutsuka mano ndikutsuka mkamwa mwanu moyenera mukalandira pamidronate. Lankhulani ndi dokotala musanalandire chithandizo chilichonse cha mano mukalandira mankhwalawa.
• muyenera kudziwa kuti jakisoni wa pamidronate amatha kupweteketsa mafupa, minofu, kapena mafupa. Mutha kuyamba kumva kuwawa pasanathe masiku, miyezi, kapena zaka mutalandira jakisoni wa pamidronate. Ngakhale kupweteka kwamtunduwu kumatha kuyamba mutalandira jakisoni wa pamidronate kwakanthawi, ndikofunikira kuti inu ndi dokotala muzindikire kuti mwina zimayambitsidwa ndi pamidronate. Itanani dokotala wanu nthawi yomweyo ngati mukumva kuwawa kwambiri nthawi iliyonse mukamachiza pamidronate. Dokotala wanu akhoza kusiya kukupatsani jakisoni wa pamidronate ndipo ululu wanu ukhoza kutha mukasiya mankhwala ndi mankhwalawa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya

Itanani dokotala wanu ngati mwaphonya mlingo wa pamidronate kapena nthawi yoti mulandire pamidronate.

Jekeseni wa Pamidronate ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufiira, kutupa, kapena kupweteka pamalo obayira
• kupweteka m'mimba
• kusowa chilakolako
• kudzimbidwa
• nseru
• kusanza
• kutentha pa chifuwa
• kusintha kwa kulawa chakudya
• zilonda mkamwa
• malungo
• mutu
• chizungulire
• kutopa kwambiri
• kuvuta kugona kapena kugona
• kukhosomola
• kuvuta kukodza kapena kukodza kowawa
• kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• nkhama zopweteka kapena zotupa
• kumasula mano
• dzanzi kapena kumverera kolemetsa pachibwano
• kuchiritsa koyipa kwa nsagwada
• masanzi omwe ali magazi kapena amaoneka ngati malo a khofi
• chimbudzi chamagazi kapena chakuda komanso chochedwa
• kupuma movutikira
• kugunda kwamtima mwachangu
• kukomoka
• kulimbitsa mwadzidzidzi kwa minofu
• dzanzi kapena kumva kulasalasa moyamwa
• kupweteka kwa diso kapena kung'ambika

Jekeseni wa Pamidronate ungayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

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).

Ngati mukupereka mankhwalawa kunyumba, wothandizira zaumoyo wanu adzakuuzani momwe mungasungire mankhwalawa. Tsatirani malangizowa mosamala.

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.

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.

Zizindikiro za bongo zingaphatikizepo:

• malungo
• kusintha kwa kulawa chakudya
• kulimbitsa mwadzidzidzi kwa minofu
• dzanzi kapena kumva kulasalasa moyamwa

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti aone momwe thupi lanu lingayankhire jekeseni wa pamidronate.

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.

• Aredia^®

• ADP Sodium
• AHPrBP Sodium