Raloxifene

Zamkati

• Musanatenge raloxifene,
• Raloxifene imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zizindikiro za bongo zingaphatikizepo izi:

Kutenga raloxifene kungapangitse chiopsezo kuti mukhale ndi magazi m'miyendo kapena m'mapapu anu. Uzani dokotala wanu ngati mwakhalapo ndi magazi m'miyendo, m'mapapu, kapena m'maso mwanu. Dokotala wanu angakuuzeni kuti musatenge raloxifene. Lekani kumwa raloxifene ndipo itanani dokotala nthawi yomweyo ngati mukumane ndi izi: kupweteka kwa mwendo; kumverera kwa kutentha m'munsi mwendo; kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi; kupweteka pachifuwa mwadzidzidzi; kupuma movutikira; kutsokomola magazi; kapena kusintha kwadzidzidzi masomphenya, monga kutayika kwa masomphenya kapena kusawona bwino.

Kukhazikika kwa nthawi yayitali kumawonjezera mwayi woti mukhale ndi magazi. Dokotala wanu angakuuzeni kuti musiye kumwa raloxifene masiku atatu asanakonzekere opaleshoni komanso kuti musamwe mankhwalawa ngati mungapume nthawi yayitali pazifukwa zilizonse. Ngati mukuchita opaleshoni, onetsetsani kuti mwauza dokotala kuti mukumwa raloxifene. Ngati mukuyenda mukatenga raloxifene, pewani kukhala chete (monga kukhala mu ndege kapena mgalimoto) kwa nthawi yayitali paulendo wanu.

Ngati muli ndi matenda amitsempha (kuwuma kwa mitsempha yomwe imabweretsa mtima yomwe ingayambitse kupweteka pachifuwa kapena matenda amtima) kapena ngati muli pachiwopsezo chachikulu chodwala mtsempha wamagazi, kumwa raloxifene kungakulitse mwayi woti mukhale ndi vuto lalikulu kapena kupha koopsa. Uzani dokotala ngati mwadwalapo sitiroko kapena kupwetekedwa pang'ono, ngati mumasuta, komanso ngati mwakhalapo ndi kuthamanga kwa magazi kapena kugunda kwamtima mosasinthasintha.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi raloxifene ndipo nthawi iliyonse mukadzaza mankhwala anu. 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) kapena tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.

Raloxifene amagwiritsidwa ntchito popewa komanso kuchiza kufooka kwa mafupa (komwe mafupa amafooka ndi kufooka ndikuphwanya mosavuta) pambuyo pa kutha msinkhu (azimayi omwe asintha moyo, kumapeto kwa msambo) azimayi. Raloxifene amagwiritsidwanso ntchito pochepetsa chiopsezo chokhala ndi khansa ya m'mawere (khansa ya m'mawere yomwe yafalikira kunja kwa timadzi ta mkaka kapena zimbudzi m'matumba oyandikana nawo) mwa amayi omwe atha msambo omwe ali pachiwopsezo chachikulu chotenga khansa yamtunduwu kapena omwe ali ndi kufooka kwa mafupa . Raloxifene sangagwiritsidwe ntchito pochiza khansa ya m'mawere kapena kuteteza khansa ya m'mawere kuti isabwerere mwa amayi omwe ali ndi vutoli. Raloxifene singagwiritsidwenso ntchito pochepetsa chiopsezo chokhala ndi khansa ya m'mawere yosavutikira. Raloxifene ayenera ayi kugwiritsidwa ntchito mwa amayi omwe sanakumanepo ndi kusintha kwa thupi. Raloxifene ali mgulu la mankhwala omwe amatchedwa estrogen receptor modulators (SERMs). Raloxifene imaletsa ndikuchiza kufooka kwa mafupa poyerekeza zotsatira za estrogen (mahomoni achikazi omwe amapangidwa ndi thupi) kuti iwonjezere mafupa. Raloxifene amachepetsa chiopsezo chokhala ndi khansa ya m'mawere yoletsa poletsa zotsatira za estrogen paminyewa ya m'mawere. Izi zitha kuyimitsa kukula kwa zotupa zomwe zimafunikira estrogen kukula.

Raloxifene amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Tengani raloxifene mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani raloxifene ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Pitirizani kumwa raloxifene ngakhale mutakhala bwino. Osasiya kumwa raloxifene osalankhula ndi dokotala.

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

Musanatenge raloxifene,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la raloxifene, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a raloxifene. 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: anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin, Jantoven), cholestyramine (Prevalite), colestipol (Colestid), diazepam (Valium), diazoxide (Proglycem), mankhwala omwe ali ndi estrogen yotere monga mankhwala obwezeretsa mahomoni (ERT kapena HRT), ndi lidocaine (Akten, Lidoderm, Xylocaine). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi khansa yamtundu uliwonse ndipo ngati mwakhalapo ndi zotupa za m'mawere kapena khansa ya m'mawere; mtima kulephera; matenda a impso; kapena matenda a chiwindi. Ngati mudalandirapo estrogen, uzani dokotala ngati triglycerides yanu idakula mukamalandira chithandizo.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Musakhale ndi pakati mukatenga raloxifene. Mukakhala ndi pakati mukatenga raloxifene, itanani dokotala wanu mwachangu. Raloxifene ikhoza kuvulaza mwana wosabadwayo.
• muyenera kudziwa kuti raloxifene sichinapezeke chifukwa chothothoka kapena kutuluka magazi ngati msambo kapena kuwonjezera chiopsezo cha khansa m'mbali mwa chiberekero. Uzani dokotala wanu ngati mukudwala magazi kumaliseche kapena kuwona. Dokotala wanu akuyenera kukuyesani kapena kuyitanitsa mayeso kuti mupeze chomwe chimayambitsa magazi.
• muyenera kudziwa kuti ngakhale raloxifene imachepetsa mwayi woti mukhale ndi khansa ya m'mawere yowopsa, pali chiopsezo kuti mudzakhala ndi vutoli. Mudzafunikirabe mayeso am'mawere ndi mammograms nthawi zonse musanayambe kumwa raloxifene komanso mukamalandira raloxifene. Itanani dokotala wanu ngati muwona kukoma, kukulitsa, ziphuphu, kapena kusintha kulikonse m'mawere anu.
• ngati mukumwa raloxifene kuchiza kufooka kwa mafupa, lankhulani ndi adotolo pazinthu zina zomwe mungachite kuti muchepetse kufooka kwa mafupa kukula kapena kukulira. Dokotala wanu angakuuzeni kuti mupewe kusuta fodya komanso kumwa mowa wambiri komanso kutsatira njira zolimbitsa thupi zolimbitsa thupi.

Muyenera kudya ndi kumwa zakudya ndi zakumwa zambiri zomwe zili ndi calcium ndi vitamini D wochuluka mukamamwa raloxifene. Dokotala wanu angakuuzeni zakudya ndi zakumwa zabwino zomwe zimapatsa thanzi komanso kuchuluka kwa zosowa zanu tsiku lililonse. Ngati mukuvutika kudya zakudya zokwanira kapena ngati muli ndi vuto lomwe limalepheretsa thupi lanu kuyamwa zakudya zomwe mumadya, uzani dokotala wanu. Zikatero, dokotala wanu angakupatseni mankhwala kapena akuwonjezerani chowonjezera.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Raloxifene imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutentha kwambiri (kofala kwambiri m'miyezi 6 yoyambirira ya mankhwala a raloxifene)
• kukokana kwamiyendo
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• matenda ngati chimfine
• kupweteka pamodzi
• thukuta
• kuvuta kugona kapena kugona

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi zina mwazizindikiro zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu.

Raloxifene ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati mukukumana ndi zachilendo 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).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

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

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 izi:

• kukokana kwamiyendo
• chizungulire
• kutayika kwa mgwirizano
• kusanza
• zidzolo
• kutsegula m'mimba
• kunjenjemera
• kuchapa

Sungani maimidwe onse ndi dokotala wanu ndi labotale.

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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