Ibandronate jekeseni

Zamkati

• Asanalandire jakisoni wa ibandronate,
• Jekeseni wa Ibandronate ungayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo musanalandire jakisoni wina wa ibandronate:

Jakisoni wa Ibandronate amagwiritsidwa ntchito pochiza kufooka kwa mafupa (vuto lomwe mafupa amafooka ndi kufooka ndikuphwanya mosavuta) mwa amayi omwe adayamba kusamba ('' kusintha kwa moyo; '' kutha kwa msambo). Ibandronate ali mgulu la mankhwala otchedwa bisphosphonates. Zimagwira ntchito popewa kuwonongeka kwa mafupa ndikuwonjezera kuchuluka kwa mafupa (makulidwe).

Jakisoni wa Ibandronate amabwera ngati yankho (madzi) olowetsedwa mumtsempha ndi dokotala kapena namwino kuofesi yazachipatala kapena kuchipatala. Jekeseni wa Ibandronate nthawi zambiri amaperekedwa kamodzi pa miyezi itatu iliyonse.

Dokotala wanu angakuuzeni kuti mutenge calcium ndi vitamini D wowonjezera mukamalandira jakisoni wa ibandronate. Tengani zowonjezera izi monga momwe mwalangizira.

Mutha kuyankha mukalandira gawo lanu loyamba la jakisoni wa ibandronate.Mwina simudzamva izi mutalandira mankhwala obaya a ibandronate. Zizindikiro za izi zimaphatikizaponso zizindikiro ngati chimfine, malungo, mutu, komanso kupweteka kwa mafupa kapena minofu. Dokotala wanu angakulimbikitseni kuti muthe kupweteka pang'ono kuti muteteze kapena kuchiza matendawa.

Ibandronate jakisoni amawongolera kufooka kwa mafupa koma samachiritsa. Jekeseni wa Ibandronate amathandizira kuchiza kufooka kwa mafupa pokhapokha mutalandira jakisoni wokhazikika. Ndikofunika kuti mulandire jakisoni wanu wa ibandronate kamodzi pa miyezi itatu iliyonse malinga ndi momwe dokotala wanena, koma muyenera kuyankhula ndi dokotala nthawi ndi nthawi ngati mukufunabe kulandira jekeseni wa ibandronate.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi jakisoni wa ibandronate ndipo nthawi iliyonse mukalandira mankhwala. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

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

Asanalandire jakisoni wa ibandronate,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la ibandronate, mankhwala ena aliwonse, kapena zina zilizonse zophatikizira jakisoni wa ibandronate. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze 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: angiogenesis inhibitors monga bevacizumab (Avastin), everolimus (Afinitor, Zortress), pazopanib (Votrient), sorafenib (Nexavar), kapena sunitinib (Sutent); khansa chemotherapy; ndi steroids amlomo monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi hypocalcemia (yotsika kuposa calcium yodziwika bwino m'magazi anu). Dokotala wanu angakuuzeni kuti musagwiritse ntchito jakisoni wa ibandronate.
• auzeni dokotala ngati mukumwa mankhwala a radiation komanso ngati mwakhalapo ndi kuchepa kwa magazi m'thupi (momwe maselo ofiira samabweretsa mpweya wokwanira kumadera onse amthupi); khansa; matenda ashuga; matenda amtundu uliwonse, makamaka mkamwa mwanu; mavuto pakamwa panu, mano, kapena m'kamwa; kuthamanga kwa magazi; vuto lililonse lomwe limaletsa magazi anu kuti asagundike bwino; mavitamini D ocheperako kuposa mavitamini D; kapena matenda a mtima 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 ibandronate imatha kukhala mthupi lanu kwazaka zambiri mutasiya kuigwiritsa ntchito. Itanani dokotala wanu mukakhala ndi pakati mukamamwa kapena mukalandira chithandizo.
• muyenera kudziwa kuti jakisoni wa ibandronate amatha kuyambitsa nsagwada (ONJ, vuto lalikulu la nsagwada), makamaka ngati mwachitidwa opareshoni yamazinyo kapena chithandizo mukalandira mankhwala. Dokotala wamano ayenera kuwerengetsa mano anu ndikuchita chithandizo chilichonse chofunikira, kuphatikiza kuyeretsa kapena kukonza mano oyenera, musanalandire ibandronate. Onetsetsani kutsuka mano ndikutsuka mkamwa mwanu moyenera mukalandira jakisoni wa ibandronate. Lankhulani ndi dokotala musanalandire chithandizo chilichonse cha mano mukalandira mankhwalawa.
• muyenera kudziwa kuti jakisoni wa ibandronate amatha kupweteka kwambiri mafupa, minofu, kapena mafupa. Mutha kuyamba kumva kuwawa pasanathe masiku, miyezi, kapena zaka mutangolowa jakisoni wa ibandronate. Ngakhale kupweteka kwamtunduwu kumatha kuyamba mutalandira jakisoni wa ibandronate kwakanthawi, ndikofunikira kuti inu ndi dokotala muzindikire kuti mwina zimayambitsidwa ndi ibandronate. Itanani dokotala wanu nthawi yomweyo ngati mukumva kuwawa kwambiri nthawi iliyonse mukamalandira jakisoni wa ibandronate. Dokotala wanu akhoza kusiya kukupatsani jakisoni wa ibandronate ndipo ululu wanu ukhoza kutha mukasiya kumwa mankhwalawa.
• lankhulani ndi dokotala wanu pazinthu zina zomwe mungachite kuti muteteze kufooka kwa mafupa kuti kukula kapena kukulira. Dokotala wanu angakuuzeni kuti mupewe kusuta fodya komanso kumwa mowa wambiri komanso kutsatira njira zolimbitsa thupi zolimbitsa thupi.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwaphonya nthawi yoti mulandire jakisoni wa ibandronate, muyenera kuyitanitsa omwe amakuthandizani posachedwa. Mlingo womwe umasowa uyenera kuperekedwa posachedwa pomwe ungakonzedwenso. Mukalandira mlingo womwe mwaphonya, jekeseni wanu wotsatira uyenera kukonzedwa miyezi itatu kuchokera tsiku lobadwa kumene. Simuyenera kulandira jakisoni wa ibandronate kangapo kamodzi pamiyezi itatu iliyonse.

Jekeseni wa Ibandronate ungayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kupweteka m'mimba
• nseru
• kudzimbidwa
• kutsegula m'mimba
• kutentha pa chifuwa
• kupweteka kwa msana
• zidzolo
• kupweteka kwa mikono kapena miyendo
• kufooka
• kutopa
• chizungulire
• mutu
• malungo, zilonda zapakhosi, kuzizira, chifuwa, ndi zizindikiro zina za matenda
• pafupipafupi kapena mwachangu kufunika kokodza
• pokodza kwambiri
• kufiira kapena kutupa pamalo obayira

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo musanalandire jakisoni wina wa ibandronate:

• nkhama zopweteka kapena zotupa
• kumasula mano
• dzanzi kapena kumverera kolemetsa pachibwano
• kuchiritsa koyipa kwa nsagwada
• kupweteka kwa diso kapena kutupa
• masomphenya amasintha
• kutengeka ndi kuwala
• kupweteka, kupweteka m'chiuno, kubuula, kapena ntchafu

Jekeseni wa Ibandronate ungayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira mankhwalawa.

Kuchiritsidwa ndi mankhwala a bisphosphonate monga jakisoni wa ibandronate wa kufooka kwa mafupa kumatha kuonjezera chiopsezo choti mungathyoke mafupa anu. Mutha kumva kupweteka m'chiuno mwanu, kubuula kwanu, kapena ntchafu zanu kwa milungu ingapo kapena miyezi isanaphwanye mafupa, ndipo mutha kupeza kuti limodzi kapena mafupa anu onse a ntchafu athyoledwa ngakhale simunagwe kapena kukumana ndi zoopsa zina. Ndizachilendo kuti fupa la ntchafu limathyoledwa mwa anthu athanzi, koma anthu omwe ali ndi matenda otupa mafupa amatha kuthyola fupa ngakhale sangalandire jakisoni wa ibandronate. Lankhulani ndi dokotala wanu za kuopsa kolandila jakisoni wa ibandronate

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).

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 amalamula mayeso ena kuti atsimikizire kuti zili bwino kuti mulandire jakisoni wa ibandronate ndikuwunika momwe thupi lanu likuyankhira jakisoni wa ibandronate.

Musanaphunzire za kulingalira za fupa, uzani adotolo ndi othandizira azaumoyo kuti mukulandira jekeseni wa ibandronate.

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.

• Boniva^® Jekeseni