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 ana i ka hoʻoikaika ʻana i kou mau iwi ma ka hoʻolohi ʻana i ka wāwahi ʻana o ka iwi. No ka pūʻulu o nā lāʻau lapaʻau i kapa ʻia ʻo bisphosphonates, e hana ana e like me nā kiaʻi pale no kāu ʻōnaehana skeletal. Hoʻohana pinepine ʻia kēia lāʻau lapaʻau e mālama a pale i ka osteoporosis, ʻoiai i nā wahine ma hope o ka menopause i ka wā e lilo ai nā iwi i palupalu.

He aha ka Ibandronate?

He lāʻau lapaʻau hoʻoikaika iwi ka Ibandronate no ka ʻohana bisphosphonate. E noʻonoʻo iā ia he limahana mālama no kou mau iwi - kōkua ia i ka pale ʻana i ka wāwahi maoli e hiki ke alakaʻi i nā iwi nāwaliwali a palupalu i ka manawa.

Ke kūkulu mau nei kou mau iwi iā lākou iho ma o ke kaʻina hana kahi e wehe ʻia ai nā ʻiʻo iwi kahiko a lawe nā ʻiʻo hou i ko lākou wahi. Hana ʻo Ibandronate ma ka hoʻolohi ʻana i ka ʻāpana wehe o kēia kaʻina hana, e ʻae ana i kou mau iwi e mālama i ko lākou ikaika a me ka paʻa. He mea waiwai nui kēia no ka poʻe i palupalu loa ko lākou mau iwi ma muli o ka ʻelemakule a i ʻole nā ​​hoʻololi hormonal.

Hele mai ka lāʻau lapaʻau ma ke ʻano papa a lawe ʻia e ka waha, e lilo ana i koho kūpono no ka mālama ʻana i ke olakino iwi lōʻihi. Ua hoʻohana palekana ʻia e nā miliona o ka poʻe ma ka honua holoʻokoʻa mai ka wā i ʻae mua ʻia ai no ka hoʻohana ʻana i ka lāʻau lapaʻau.

No ke aha e hoʻohana ʻia ai ka Ibandronate?

Hoʻohana mua ʻia ka Ibandronate e mālama a pale i ka osteoporosis i nā wahine postmenopausal. ʻO ka Osteoporosis kahi maʻi kahi e nāwaliwali ai nā iwi a porous i hiki ke haki maʻalahi mai nā hāʻule liʻiliʻi a i ʻole nā ​​hana o kēlā me kēia lā.

Hiki i kāu kauka ke ʻōlelo aku i ka ibandronate inā ua ʻike ʻia ʻoe me ka osteoporosis ma o ka hoʻāʻo ʻana i ka paʻa o ka iwi. Hoʻohana ʻia ka lāʻau lapaʻau e pale i ka osteoporosis i nā wahine i pilikia nui i ka hoʻomohala ʻana i ke kūlana ma muli o nā kumu e like me ka mōʻaukala ʻohana, ka menopause mua, a i ʻole ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau lapaʻau e like me nā steroids.

I kekahi mau hihia, hiki i nā kauka ke kuhikuhi i ka ibandronate no nā kāne me ka osteoporosis, ʻoiai ʻaʻole maʻamau kēia. Hiki nō ke hoʻohana ʻia ka lāʻau lapaʻau e mālama i nā pilikia iwi i hana ʻia e kekahi mau maʻi maʻi, akā pono kēia i ka nānā pono ʻana e kāu hui mālama ola.

Pehea e hana ai ʻo Ibandronate?

Hana ʻo Ibandronate ma ka ʻimi ʻana i nā pūnaewele kikoʻī i loko o kou mau iwi i kapa ʻia ʻo osteoclasts. ʻO kēia mau pūnaewele ke kuleana no ka wāwahi ʻana i nā ʻiʻo iwi kahiko ma ke ʻano o ke kaʻina hana hoʻohālike iwi maoli o kou kino.

Ke lawe ʻoe i ka ibandronate, komo ia i loko o kou ʻiʻo iwi a hoʻopaʻa i nā pūnaewele wāwahi iwi. ʻAe kēia i nā pūnaewele hana iwi, i kapa ʻia ʻo osteoblasts, e hana ʻoi aku ka maikaʻi me ka ʻole o ka hoʻokūkū me ka wāwahi iwi nui. ʻO ka hopena he mau iwi ikaika a paʻa i ka manawa.

Ua manaʻo ʻia kēia lāʻau lapaʻau he ikaika ma waena o nā lāʻau iwi. ʻAʻole ia e like me kekahi mau bisphosphonates intravenous, akā ʻoi aku ka maikaʻi ma mua o ka calcium maʻalahi a me nā mea hoʻohui vitamin D wale nō. ʻO ka hapa nui o nā kānaka e hoʻomaka e ʻike i nā hoʻomaikaʻi ʻana i ko lākou paʻa iwi i loko o 6 a 12 mau mahina o ka hoʻomaka ʻana i ka lāʻau lapaʻau.

Pehea wau e lawe ai i ka Ibandronate?

ʻO ka lawe ʻana i ka ibandronate me ka pololei he mea nui ia no kona pono a me kou palekana. Pono e lawe ʻia ka lāʻau lapaʻau ma ka ʻōpū ʻole, i ke kakahiaka, me ke aniani piha o ka wai maʻemaʻe.

Eia ke ʻano e lawe ai: E ala a lawe koke i kāu papa ibandronate me 6 a 8 auneke o ka wai maʻemaʻe. Mai ʻai, inu i kekahi mea ʻē aʻe, a i ʻole e lawe i nā lāʻau ʻē aʻe no ka liʻiliʻi o 60 mau minuke ma hope. I loko o kēia manawa kali, e noho kū pololei - e noho ana a kū paha - e kōkua i ka lāʻau lapaʻau e hiki i kou ʻōpū a pale i ka huhū i kou esophagus.

E hōʻalo i ka lawe ʻana i ka ibandronate me ke kofe, ke kī, ka wai huaʻai, a i ʻole ka waiū, no ka mea, hiki i kēia mau mea ke keakea i ka maikaʻi o ka omo ʻana o kou kino i ka lāʻau. Eia kekahi, mai moe i lalo no hoʻokahi hola ma hope o ka lawe ʻana, no ka mea, hiki i kēia ke hoʻonui i ka pilikia o ka huhū esophageal. Inā pono ʻoe e lawe i nā mea hoʻohui calcium a i ʻole nā antacids, e kali ma ka liʻiliʻi he ʻelua hola ma hope o ka lawe ʻana i ka ibandronate.

Pehea ka lōʻihi e lawe ai au i ka Ibandronate?

Lawe ka hapa nui o nā kānaka i ka ibandronate no kekahi mau makahiki, ma waena o 3 a 5 mau makahiki i ka wā mua. E nānā kāu kauka i kou holomua ma o nā hoʻokolohua density iwi maʻamau a me ka hana koko e hoʻoholo ai i ka lōʻihi maikaʻi loa no kou kūlana kikoʻī.

Ma hope o 3 a 5 mau makahiki o ka mālama ʻana, hiki i kāu kauka ke ʻōlelo aku i kahi

Eia nā hopena ʻaoʻao maʻamau e pili ana i kekahi poʻe:

• ʻEha ʻōpū a i ʻole ka ʻai ʻole
• Nausea a i ʻole ka luaʻi māmā
• Pāpaʻa a i ʻole ka paʻa ʻana
• ʻEha poʻo
• ʻEha ʻiʻo a i ʻole nā hui
• Pōniuniu
• Nā hōʻailona e like me ka maʻi flu

He māmā a he manawa pōkole kēia mau hōʻailona. Inā mau lākou a lilo i mea hoʻoluhi, hiki i kāu kauka ke hōʻike i nā ala e hōʻemi ai iā lākou a i ʻole e hoʻoponopono i kāu hoʻolālā lapaʻau.

Aia kekahi mau hopena ʻaoʻao laha akā ʻoi aku ka koʻikoʻi e koi ana i ka lāʻau lapaʻau koke. ʻOiai ʻaʻole kēia e hana i ka hapa nui o nā kānaka, he mea nui e ʻike iā lākou.

ʻO nā hopena ʻaoʻao koʻikoʻi e pono ai ka mālama olakino wikiwiki e komo pū ana:

• ʻEha umauma nui a i ʻole ka pilikia o ka ʻai ʻana
• Puʻuwai nui a i ʻole ka ʻeha ʻōpū
• ʻEha hou a ʻokoʻa paha o ka ʻūhā, ka pūhaka, a i ʻole ka ʻūhā
• ʻEha auwae a i ʻole ka ʻeha
• ʻEha nui o ka iwi, nā hui, a i ʻole nā ʻiʻo
• Nā hōʻailona o nā pae calcium haʻahaʻa (nā ʻiʻo ʻiʻo, ka ʻūlū ʻana i nā manamana lima)

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e kelepona koke i kāu mea mālama ola. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana inā pili nā hōʻailona i kāu lāʻau lapaʻau a hoʻoponopono i kāu lapaʻau inā pono.

ʻO wai ka mea ʻaʻole pono e lawe iā Ibandronate?

ʻAʻole kūpono ʻo Ibandronate no nā mea a pau, a aia kekahi mau kūlana a me nā kūlana e pono ai e pale ʻia kēia lāʻau. E nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana.

ʻAʻole pono ʻoe e lawe iā ibandronate inā he pilikia kou me kou esophagus, e like me ka ʻūlū ʻana a i ʻole ka pilikia o ka ʻai ʻana. Hiki i ka lāʻau lapaʻau ke hoʻonāukiuki i ka laina o kou esophagus, ʻoiai inā he pilikia mua kāu. Pono nō hoʻi ka poʻe i hiki ʻole ke noho a kū pololei no ka liʻiliʻi o 60 mau minuke e pale i kēia lāʻau.

ʻO nā kūlana ʻē aʻe e pale ai iā ʻoe mai ka lawe ʻana iā ibandronate e komo pū ana:

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• Maʻi kīkī koʻikoʻi
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• Haʻahaʻa loa nā pae calcium koko
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• ʻAʻole hiki ke komo pono i ka calcium
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• Nā ʻōpū a i ʻole nā ʻōpū duodenum hana
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• Nā maʻi esophageal
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• Hāpai a i ʻole hānai ʻana i ka waiū
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E akahele nō hoʻi kāu kauka i ka kuhikuhi ʻana i ka ibandronate inā he pilikia niho kou, lawe i kekahi mau lāʻau, a i ʻole he moʻolelo o nā pilikia iwi ā. ʻO ke kamaʻilio ākea me kāu mea mālama ola e pili ana i kāu moʻolelo olakino piha e kōkua i ka hōʻoia ʻana he palekana kēia lāʻau lapaʻau iā ʻoe.

Nā inoa inoa o Ibandronate

Loaʻa ka Ibandronate ma lalo o kekahi mau inoa inoa, ʻo Boniva ka mea i ʻike nui ʻia ma ʻAmelika Hui Pū ʻIa. Aia kēia mana inoa inoa i ka mea hana like me ke ʻano generic akā loaʻa paha nā mea hana ʻole like ʻole.

ʻO nā inoa inoa ʻē aʻe āu e hālāwai ai, ʻo ia ka Bondronat ma kekahi mau ʻāina a me nā mana generic like ʻole e hoʻohana wale i ka inoa

• Denosumab (Prolia) - hāʻawi ʻia ma ke ʻano he injection i kēlā me kēia ʻeono mahina
• Teriparatide (Forteo) - he injection i kēlā me kēia lā e kūkulu ana i ka iwi hou
• Raloxifene (Evista) - he pila i kēlā me kēia lā e hoʻohālike ana i nā hopena pale iwi o ka estrogen
• Calcitonin - loaʻa ma ke ʻano he spray nasal a i ʻole injection

E noʻonoʻo kāu kauka i nā mea e like me kou makahiki, ke olakino holoʻokoʻa, nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, a me kāu mau makemake pilikino i ka wā e ʻōlelo ai i nā koho ʻē aʻe. Loaʻa i kēlā me kēia koho kona mau pono a me nā mea e noʻonoʻo ai.

Ua ʻoi aku ka maikaʻi o Ibandronate ma mua o Alendronate?

He mau bisphosphonates maikaʻi ʻo Ibandronate a me Alendronate no ka mālama ʻana i ka osteoporosis, akā he mau ʻokoʻa nui ko lākou e hiki ai ke kūpono kekahi iā ʻoe ma mua o kekahi.

Lawe ʻia ʻo Ibandronate i hoʻokahi manawa i kēlā me kēia mahina, ʻoiai e lawe ʻia ʻo alendronate i hoʻokahi manawa i kēlā me kēia pule. Hiki i kēia papa hana dosing liʻiliʻi ke maʻalahi no kekahi poʻe a hiki ke hoʻomaikaʻi i ka hoʻopili ʻana i ka lāʻau lapaʻau. Eia naʻe, ua aʻo nui ʻia ʻo alendronate a he moʻolelo lōʻihi o ka hoʻohana ʻana.

Ma ke ʻano o ka pono, hoʻemi nui nā lāʻau lapaʻau ʻelua i ka pilikia o ka fracture a hoʻomaikaʻi i ka paʻa o ka iwi. Hōʻike kekahi mau haʻawina e loaʻa paha iā alendronate kahi liʻiliʻi i ka pale ʻana i nā fractures hip, ʻoiai ʻo ibandronate e like ka maikaʻi no nā fractures spine. Ua like loa nā ʻaoʻao hopena, ʻoiai e ʻae kekahi poʻe i kekahi ma mua o kekahi.

ʻO ke koho ma waena o kēia mau lāʻau lapaʻau e pili pinepine ana i nā mea pilikino e like me kāu makemake dosing, pehea ka maikaʻi o kāu ʻae ʻana i kēlā me kēia lāʻau lapaʻau, a me ka ʻike lapaʻau o kāu kauka. He mau koho maikaʻi ʻelua no ke olakino iwi ke hoʻohana pono ʻia.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Ibandronate

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

ʻAe, palekana ʻo ibandronate no ka poʻe me ka maʻi puʻuwai. ʻAʻole like me kekahi mau lāʻau lapaʻau ʻē aʻe, ʻaʻole pili nā bisphosphonates e like me ibandronate i ka hana o ka puʻuwai a i ʻole ke koko.

Akā, pono nō ʻoe e haʻi aku i kāu kauka e pili ana i nā maʻi o kou puʻuwai. Makemake lākou e hōʻoia ʻaʻole e launa pū kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei no kou puʻuwai me ka ibandronate. ʻO ka mea nui e noʻonoʻo ai, ʻo ia ka hōʻoia ʻana e hiki iā ʻoe ke noho pono no ka hola i koi ʻia ma hope o ka lawe ʻana i ka lāʻau lapaʻau.

He aha kaʻu e hana ai inā ua lawe hewa au i ka nui o ka Ibandronate?

Inā ua lawe hewa ʻoe i ka nui o ka ibandronate ma mua o ka mea i kauoha ʻia, mai hopohopo, akā e hana koke. E inu i ke aniani waiū piha a i ʻole e lawe i nā papa calcium i kēia manawa e kōkua i ka hoʻopaʻa ʻana i ka lāʻau lapaʻau keu i loko o kou ʻōpū.

E noho pono a e hoʻokaʻaʻike koke i kāu kauka a i ʻole ke kikowaena hoʻomalu lāʻau make. Mai hoʻāʻo e hoʻopuka, no ka mea, hiki i kēia ke hoʻonāukiuki i kou esophagus. ʻAʻole i hana ka hapa nui o nā overdoses i ka pōʻino nui, akā he mea nui ke alakaʻi lapaʻau e hōʻoia i kou palekana.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o ka Ibandronate?

Inā ua hala ʻoe i kāu mahele mahina o ka ibandronate, e lawe koke iā ia ke hoʻomanaʻo ʻoe, akā inā he liʻiliʻi ma mua o 7 mau lā mai kāu mahele i hoʻonohonoho ʻia. E hahai i nā ʻōlelo aʻoaʻo like e like me ka maʻamau: e lawe mua i ke kakahiaka ma ka ʻōpū ʻole me ka wai.

Inā ua hala ma mua o 7 mau lā mai kāu mahele i hala, e lele iā ia a e lawe i kāu mahele aʻe i ka lā i hoʻonohonoho mua ʻia. Mai lawe i ʻelua mahele kokoke i kekahi i kekahi e hoʻoponopono ai i kahi i hala. Hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao me ka ʻole e hāʻawi i nā pōmaikaʻi hou.

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

Pono e hana mau ʻia ka hoʻoholo e hooki i ka lawe ʻana i ka ibandronate me ke alakaʻi a kāu kauka. Lawe ka hapa nui o nā kānaka iā ia no 3 a 5 mau makahiki i ka mua, a ma hope e loiloi kāu kauka inā pono ʻoe e hoʻomau a i ʻole hiki ke hoʻomaha.

E noʻonoʻo ana kāu kauka i nā mea e like me kou paʻa iwi i kēia manawa, ka pilikia o ka haki, ka makahiki, a me ke olakino maʻamau i ka wā e hoʻoholo ai e pili ana i ka hoʻōki ʻana i ka lāʻau. Pono paha kekahi poʻe e hoʻomau i ka lōʻihi, aʻo nā mea ʻē aʻe e pōmaikaʻi mai ka hoʻomaha manawa. Kōkua nā hoʻokolohua paʻa iwi maʻamau i kēia hoʻoholo.

Hiki iaʻu ke lawe i ka Ibandronate me nā lāʻau ʻē aʻe?

Hiki i ka Ibandronate ke launa pū me kekahi mau lāʻau ʻē aʻe, no laila he mea nui e haʻi i kāu kauka i nā mea a pau āu e lawe nei. Hiki i nā mea hoʻohui calcium, nā antacids, a me nā mea hoʻohui hao ke hōʻemi nui i ka maikaʻi o kou kino e komo ai i ka ibandronate.

E lawe i kēia mau mea hoʻohui ma ka liʻiliʻi he 2 mau hola ma hope o kāu mahele ibandronate. ʻO nā lāʻau ʻē aʻe e launa pū ana me kekahi mau antibiotics, aspirin, a me kekahi mau mea hoʻomaha ʻeha. Hiki i kāu kauka a i ʻole ka mea kūʻai lāʻau lapaʻau ke hāʻawi i kahi papa inoa piha o nā lāʻau e pale ai a i ʻole ka manawa ʻokoʻa me kāu mahele ibandronate.