He aha ka Ibandronate: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau i kauoha ʻia ka Ibandronate e kōkua i ka hoʻoikaika ʻana i kou mau iwi ma ka hoʻolohi ʻana i ka nalowale o ka iwi. No ka pūʻulu lāʻau lapaʻau i kapa ʻia ʻo bisphosphonates, e hana ana e like me nā pale pale no kāu ʻōnaehana skeletal. Ke hāʻawi ʻia ma o ka IV (intravenous route), hāʻawi kēia lāʻau lapaʻau i ka mana hoʻoikaika iwi i loko o kou kahe koko, e hana ana i mea kūpono no ka poʻe e pono ai i ka pale iwi ikaika.

He aha ka Ibandronate?

He lāʻau lapaʻau hoʻoikaika iwi ka Ibandronate e hana ana ma ka hoʻokomo ʻana i nā paleki ma nā keena e wāwahi ana i ka ʻiʻo iwi. E noʻonoʻo i kou mau iwi e hoʻololi mau ana iā lākou iho - wāwahi kekahi mau keena i ka iwi kahiko aʻo nā mea ʻē aʻe e kūkulu i ka iwi hou. Hoʻopā pololei kēia lāʻau lapaʻau i nā keena wāwahi, i kapa ʻia ʻo osteoclasts, a haʻi iā lākou e hoʻolohi i kā lākou hana.

ʻO ke ʻano intravenous ʻo ia ka lāʻau lapaʻau e hele pololei i loko o kou vein ma o kahi nila liʻiliʻi, maʻamau i kou lima. Hāʻawi kēia ʻano hana i kou kino e komo i ka nui piha me ka ʻole o ke keakea ʻana mai ka meaʻai a i ʻole ka waikawa ʻōpū. E hāʻawi kāu mea mālama ola iā ʻoe i kēia lapaʻau ma ko lākou keʻena a i ʻole kahi kikowaena infusion, kahi e hiki ai iā ʻoe ke hoʻomaha i ka wā e hana ana ka lāʻau lapaʻau.

No ke aha e hoʻohana ʻia ai ka Ibandronate?

Hoʻomaʻamaʻa ka Ibandronate a pale i ka osteoporosis, kahi maʻi e nāwaliwali ai nā iwi a ʻoi aku ka maʻalahi o ka haki. Hiki i kāu kauka ke ʻōlelo i kēia lāʻau lapaʻau inā he wahine postmenopausal ʻoe i ka pilikia o ka haki, a i ʻole inā loaʻa iā ʻoe ka osteoporosis i hana ʻia e ka hoʻohana ʻana i ka steroid lōʻihi.

He mea kōkua nui ka lāʻau lapaʻau no ka poʻe i loaʻa mua i ka haki mai nā iwi nāwaliwali, e like me ka pūhaka, ka iwi kuamoʻo, a i ʻole ka pulima mai kahi hāʻule liʻiliʻi. Hiki nō hoʻi ke pale i ka nalowale o ka iwi i ka poʻe e lawe ana i nā lāʻau lapaʻau e like me ka prednisone, hiki ke nāwaliwali i nā iwi i ka manawa.

Ke kauoha nei kekahi mau kauka i ka ibandronate no ka poʻe me kekahi mau ʻano maʻi maʻi e pili ana i nā iwi, akā pono kēia hoʻohana i ka nānā pono ʻana. Kōkua ka lāʻau lapaʻau i ka hōʻemi ʻana i ka pilikia o nā pilikia e pili ana i ka iwi i kēia mau kūlana.

Pehea e hana ai ʻo Ibandronate?

Ua manaʻo ʻia ʻo Ibandronate he lāʻau iwi ikaika e hana ana ma ka komo ʻana i loko o kou ʻiʻo iwi. I laila, hana ia e like me ka uhi pale e pale ai i nā cell-breaking iwi mai ka hana ʻana i ka pōʻino nui.

Ke wāwahi mau nei kou mau iwi a kūkulu hou iā lākou iho i kahi hana i kapa ʻia ʻo ka hoʻohālike iwi. Ke loaʻa iā ʻoe ka osteoporosis, hana wikiwiki ka hana wāwahi ma mua o ke kaʻina hana kūkulu. Kōkua ʻo Ibandronate i ka hoʻihoʻi ʻana i kēia kaulike ma ka hoʻolohi ʻana i ka ʻaoʻao wāwahi o ka hoohalike.

Noho ka lāʻau lapaʻau i loko o kou mau iwi no nā mahina ma hope o kēlā me kēia mahele, e hāʻawi ana i ka pale lōʻihi. ʻO ia ke kumu e hāʻawi pinepine ʻia ai ke ʻano IV i kēlā me kēia ʻekolu mahina, ma mua o kēlā me kēia lā e like me kekahi mau lāʻau iwi ʻē aʻe.

Pehea wau e lawe ai iā Ibandronate?

Hāʻawi ʻia ke ʻano intravenous o ka ibandronate e kekahi ʻoihana mālama ola i kahi hoʻonohonoho olakino. E loaʻa iā ʻoe ka lāʻau lapaʻau ma o kahi laina IV liʻiliʻi, maʻamau i kou lima, ma luna o 15 a 30 mau minuke.

Ma mua o kāu infusion, hiki iā ʻoe ke ʻai maʻamau a lawe i kāu mau lāʻau maʻamau ke ʻole e haʻi kāu kauka iā ʻoe. Eia naʻe, e hōʻoia e noho maikaʻi i ka wai ma ka inu ʻana i ka wai nui i nā lā e alakaʻi ana i kāu lapaʻau.

I ka wā o ka infusion, e noho ʻoe me ka ʻoluʻolu i ka wā e kulu mālie ai ka lāʻau lapaʻau i loko o kou vein. Nui ka poʻe e lawe mai i kahi puke a i ʻole papa e hala ai ka manawa. E nānā ke limahana mālama ola iā ʻoe i ke kaʻina hana e hōʻoia i ka ʻoluʻolu a ʻaʻole ʻoe e ʻike i nā hopena maikaʻi ʻole.

Ma hope o ka infusion, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i kēia manawa. Manaʻo kekahi poʻe i ka luhi a i ʻole nā ​​hōʻailona e like me ka maʻi flu no hoʻokahi a ʻelua paha lā, he mea maʻamau loa ia.

Pehea ka lōʻihi e lawe ai au i ka Ibandronate?

Loaʻa i ka hapa nui o nā kānaka nā infusions ibandronate i kēlā me kēia ʻekolu mahina, akā ʻokoʻa ka lōʻihi o ka mālama ʻana ma muli o kou pono pilikino. E ʻōlelo maʻamau kāu kauka e hoʻomau i ka mālama ʻana no kekahi mau makahiki e ʻike i nā pōmaikaʻi maikaʻi loa o ka hoʻoikaika ʻana i ka iwi.

Ma hope o ʻelima mau makahiki o ka mālama ʻana, hiki i kāu kauka ke ʻōlelo e hoʻomaha mai ka lāʻau lapaʻau, i kapa ʻia he

• He ʻeha nui o ka iwi ā a i ʻole ka paʻakikī o ka wehe ʻana i kou waha
• He ʻeha hou a ʻokoʻa paha o ka ʻūhā, ka pūhaka, a i ʻole ka ʻeha o ka ʻūhā
• He ʻeha nui o ka iwi, nā hono, a i ʻole nā ʻiʻo
• Nā hōʻailona o nā pae calcium haʻahaʻa (nā ʻiʻo ʻiʻo, ka ʻūlū, ka ʻūlū)
• Nā pilikia o ka puʻupaʻa (nā loli i ka mimi, ka pehu)

He hopena ʻaoʻao laha loa akā koʻikoʻi ka osteonecrosis o ka iwi ā, kahi e make ai kekahi ʻāpana o ka iwi ā. ʻOi aku ka maʻamau o kēia i ka poʻe e hana ana i nā hana niho a i ʻole ka poʻe me ke olakino niho maikaʻi ʻole. Hiki i nā loiloi niho maʻamau a me ka maʻemaʻe waha maikaʻi ke kōkua i ka pale ʻana i kēia pilikia.

ʻO wai ka mea pono ʻole e lawe iā Ibandronate?

ʻAʻole kūpono ʻo Ibandronate no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana. ʻAʻole pono ʻoe e loaʻa i kēia lāʻau lapaʻau inā he haʻahaʻa kou pae calcium koko i mālama ʻole ʻia, no ka mea, hiki ke lilo i mea weliweli.

ʻAʻole hiki i ka poʻe me ka maʻi puʻupaʻa koʻikoʻi ke lawe iā ibandronate no ka mea ʻaʻole hiki i ko lākou puʻupaʻa ke hana pono i ka lāʻau lapaʻau. E nānā kāu kauka i kāu hana puʻupaʻa me nā hoʻokolohua koko ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.

Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, ʻaʻole ʻōlelo ʻia ʻo ibandronate no ka mea hiki ke hōʻeha i kahi pēpē e ulu ana. Pono nā wahine e hānai ana i ka waiū e pale i kēia lāʻau lapaʻau.

ʻAʻole kūpono paha ka poʻe me kekahi mau pilikia digestive a i ʻole ka poʻe hiki ʻole ke noho pololei no nā manawa lōʻihi no kēia lāʻau lapaʻau. E noʻonoʻo kāu kauka i kēia mau mea a pau i ka wā e hoʻoholo ai inā kūpono ʻo ibandronate iā ʻoe.

Nā inoa inoa inoa o Ibandronate

ʻO ka inoa inoa inoa maʻamau no ka ibandronate intravenous ʻo Boniva. Hiki nō hoʻi iā ʻoe ke hālāwai me ia ma lalo o nā inoa inoa ʻē aʻe e pili ana i kou wahi a me ka hale kūʻai lāʻau lapaʻau.

Loaʻa nō hoʻi nā mana generic o ibandronate, aia ka mea hana like akā hiki ke emi ke kumukūʻai. Inā loaʻa iā ʻoe ka inoa inoa a i ʻole ka mana generic, hana ka lāʻau lapaʻau ma ke ʻano like a hāʻawi i nā pōmaikaʻi hoʻoikaika iwi like.

Hiki i kāu ʻinikua ke hoʻohuli i ke ʻano āu e loaʻa ai, akā ua like ka maikaʻi o nā mea ʻelua no ka mālama ʻana i ka osteoporosis a me ka pale ʻana i nā haʻihaʻi.

Nā Koho ʻē aʻe no Ibandronate

Inā ʻaʻole kūpono ka ibandronate iā ʻoe, aia kekahi mau lāʻau lapaʻau hoʻoikaika iwi. Hiki i kāu kauka ke noʻonoʻo i nā bisphosphonates ʻē aʻe e like me alendronate (Fosamax), risedronate (Actonel), a i ʻole zoledronic acid (Reclast).

Hana nā lāʻau lapaʻau hou e like me denosumab (Prolia) ma nā ʻano like ʻole ma ka ʻimi ʻana i nā pūnaewele haki iwi like akā ma o kahi ʻano hana ʻokoʻa. Manaʻo kekahi poʻe he ʻoi aku ka maʻalahi a i ʻole ka maikaʻi o kēia mau koho ʻē aʻe.

No ka poʻe i hiki ʻole ke lawe i nā bisphosphonates, hiki i nā lāʻau lapaʻau e pili ana i ka hormone a i ʻole nā lāʻau lapaʻau hoʻoikaika iwi hou e like me teriparatide ke koho. E kōkua kāu kauka e hoʻoholo i ke koho ʻē aʻe e hana maikaʻi loa no kāu kūlana.

ʻOi aku ka maikaʻi o Ibandronate ma mua o Alendronate?

He mau bisphosphonates maikaʻi ʻo Ibandronate a me alendronate, akā he mau pono like ʻole ko lākou e pili ana i kāu mau pono. ʻO Ibandronate i hāʻawi ʻia i loko o ka vein i kēlā me kēia mahina ʻekolu e ʻoi aku ka maʻalahi inā pilikia ʻoe i ka hoʻomanaʻo ʻana i nā lāʻau lapaʻau i kēlā me kēia lā a i ʻole nā pilikia o ka ʻōpū me nā lāʻau lapaʻau waha.

ʻO Alendronate, i lawe ʻia i hoʻokahi manawa i ka pule ma ka waha, ua aʻo ʻia no ka lōʻihi a ʻoi aku ka nui o ka noiʻi e kākoʻo ana i kāna hoʻohana. Eia naʻe, pono ia i ka manawa kikoʻī a hiki ke hoʻoulu i ka huhū o ka ʻōpū i kekahi poʻe.

ʻO ke koho ma waena o kēia mau lāʻau lapaʻau e pili pinepine ana i kou ola, nā kūlana olakino ʻē aʻe, a me nā makemake pilikino. E noʻonoʻo kāu kauka i nā mea e like me kou pilikia haʻihaʻi, ka hana ʻana o ka puʻupaʻa, a me ka hiki ke hahai i nā ʻōlelo kuhikuhi i ka wā e hana ai i kēia hoʻoholo.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Ibandronate

He palekana ʻo Ibandronate no ka poʻe me ka maʻi puʻuwai?

ʻAe, palekana maʻamau ka ibandronate no ka poʻe me ka maʻi puʻuwai. ʻAʻole pili pololei ka lāʻau i kou puʻuwai a i ʻole ke koko, a hiki i ka hapa nui o ka poʻe me nā maʻi cardiac ke loaʻa me ka palekana.

Eia naʻe, makemake kāu kauka e nānā pono i kāu hana kīkī inā loaʻa iā ʻoe ka maʻi puʻuwai, no ka mea, hiki i kekahi mau lāʻau puʻuwai ke hoʻopilikia i ke ʻano o ka hana ʻana o kou mau kīkī i ka ibandronate. E hōʻoia e haʻi i kāu mea mālama ola e pili ana i nā lāʻau lapaʻau puʻuwai a pau ma mua o ka hoʻomaka ʻana i ka lāʻau.

He aha kaʻu e hana ai inā ua hala au i kaʻu infusion ibandronate i hoʻonohonoho ʻia?

Inā hala ʻoe i kāu manawa infusion i hoʻonohonoho ʻia, e hoʻokaʻaʻike i ke keʻena o kāu kauka i ka hiki wawe e hoʻonohonoho hou. ʻAʻole e hoʻopilikia koke ka hala ʻana i hoʻokahi mahele, akā he mea nui e noho ma ka papa no ka pale iwi maikaʻi loa.

E hoʻāʻo e hoʻonohonoho hou i kāu manawa i loko o kekahi mau pule o ka lā i hala inā hiki. Hiki i kāu kauka ke hoʻoponopono i kāu hoʻonohonoho ʻana i ka wā e hiki mai ana e hoʻihoʻi iā ʻoe i ke ala me ka manawa i kēlā me kēia ʻekolu mahina.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Ibandronate?

Pono e hana mau ka hoʻoholo e hooki i ka ibandronate me kāu kauka, ma hope o kekahi mau makahiki o ka lāʻau. Manaʻo ka hapa nui o nā kauka e hoʻomau i ka lāʻau lapaʻau no ka liʻiliʻi o ʻekolu a ʻelima mau makahiki e ʻike i nā pōmaikaʻi hoʻoikaika iwi.

E kauoha paha kāu kauka i nā hoʻokolohua density iwi a loiloi i kou pilikia haʻi ma mua o ka hoʻoholo ʻana inā hiki iā ʻoe ke hooki i ka lāʻau me ka palekana. Pono paha kekahi poʻe e hoʻomau i ka lāʻau lapaʻau inā loaʻa iā lākou ka pilikia haʻi, aʻo nā mea ʻē aʻe e hiki ke hoʻomaha.

Hiki iaʻu ke hana i ka hana niho i ka wā e lawe ana i ka Ibandronate?

ʻAe, hiki iā ʻoe ke hana i ka hana niho maʻamau i ka wā e lawe ana i ka ibandronate, akā he mea nui e haʻi aku i kāu kauka a me ka dentist e pili ana i kāu lāʻau. No ka hoʻomaʻemaʻe maʻamau a me nā hoʻopiha, ʻaʻole pono nā hana kūikawā.

No ka hana niho nui e like me ka unuhi ʻana i nā niho a i ʻole nā mea kanu niho, hiki i kāu kauka ke ʻōlelo aku e hoʻonohonoho pono i kēia mau hana e pili ana i kāu mau infusions. He mea nui ka maʻemaʻe waha maikaʻi a me nā loiloi niho maʻamau i ka wā e lawe ana i kēia lāʻau.

E launa pū anei ʻo Ibandronate me kaʻu mau lāʻau ʻē aʻe?

He liʻiliʻi nā pilina lāʻau lapaʻau a Ibandronate, akā he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei. Hiki i nā mea hoʻohui calcium a me nā antacids ke keakea i ke ʻano o ka hana ʻana o kou kino i ka lāʻau, akā ʻaʻole kēia he mea e hopohopo ai me ke ʻano IV.

Pono paha kekahi mau lāʻau lapaʻau e pili ana i ka hana ʻana o ka puʻupaʻa i nā hoʻoponopono ʻana i ka nui ke hoʻohana ʻia me ka ibandronate. E nānā kāu kauka i kāu papa inoa lāʻau lapaʻau piha e hōʻoia i ka mālama palekana a me ka pono.