He aha te Etidronate: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Etidronate he rongoā whakakaha i te wheua e āwhina ana ki te ārai i ō wheua kia kore e pakaru wawe rawa. No roto i te rōpū rongoā e kīia ana ko bisphosphonates, e mahi ana hei whakangungu rakau mō ō wheua mā te whakaroa i te tukanga tūturu e whakawātea ana i a rātou i te wā.

E āwhina ana tēnei rongoā i te tangata ki te pupuri i ngā wheua kaha ake mō ngā tau tekau. Ka tūtohu pea tō tākuta i tēnei rongoā mēnā he mate wheua ōna, mēnā rānei kei te tūpono koe ki te whanake i ngā wheua ngoikore ka pakaru noa.

He aha te Etidronate e whakamahia ana mō?

E rongoā ana te Etidronate me te ārai i ētahi momo mate e pā ana ki te wheua, ka ngoikore ō wheua, ka pakaru wawe rānei i te mea e tika ana. Ko te take tino noa e tohutohu ana ngā tākuta i tēnei rongoā ko te āwhina i te tangata ki te mate o Paget, he mate e tipu ana ngā wheua i te āhua rereke, ka huri te āhua.

Ka tūtohu pea tō tākuta i te etidronate mēnā he osteoporosis tōna, ina koa ki te mea nā te whakamahi steroid mō te wā roa. Ka tango ētahi tangata i tēnei rongoā hei ārai i te ngaronga o te wheua i muri i ētahi rongoā rongoā, i ngā pokanga rānei ka ngoikore ai ngā wheua.

I te nuinga o te wā, ka tohutohu ngā tākuta i te etidronate mō te tangata e whanake ana i ngā putunga konupūmā anō i roto i ō rātou kiko ngawari, he mate e kīia ana ko te heterotopic ossification. Ka pā tēnei i muri i te pokanga whakakapi hope, i ngā wharanga rānei o te taurakira.

Me pēhea te mahi a te Etidronate?

E mahi ana te Etidronate mā te whakaroa i ngā pūtau e kīia ana ko osteoclasts, e whai wāhi ana ki te pakaru i te kiko wheua tawhito. Whakaarohia ō wheua e whakahou tonu ana i a rātou anō, me ētahi pūtau e pakaru ana i te wheua tawhito i te wā e hanga ana ētahi atu i te wheua hou.

I te wā e tango ana koe i te etidronate, ka piri tēnei ki ō wheua, ka uaua ake mō ngā pūtau pakaru ki te mahi i tā rātou mahi. Ka hoatu tēnei i te wā nui ake ki ō pūtau hanga wheua ki te waihanga i te kiko wheua hou, kaha ake.

E pā ana ki ngā rongoā mō ngā wheua, e whakaarohia ana he kōwhiringa kaha ngawari te etidronate. Kāore i te kaha pērā i ētahi bisphosphonates hou, engari kua whakamahia marie mō ngā tau maha, ā, e pai ana te mahi mō te nuinga o te tāngata.

Me pēhea taku tango i te Etidronate?

He mea nui te tango tika i te etidronate mō te whai huanga me te haumaru. Me tango e koe i runga i te puku kau, kia 2 haora i mua, i muri rānei i te kai.

Anei te mea e pai ana mō te nuinga o te tāngata i te wā e tango ana i te etidronate:

• Tangohia i te ata me te karaihe wai māori tonu
• Noho tika (e noho ana, e tū ana rānei) mō te 30 meneti i muri i te tango
• Kaua e kai, inu i tētahi atu mea i tua atu i te wai, tango rānei i ētahi atu rongoā mō te 2 haora
• Aukati i te miraka, te kawhe, te tī, te wai rānei i te mea ka raru ēnei i te urunga

E āwhina ana ēnei mahi i tō tinana ki te uru tika i te rongoā me te whakaiti i te tūponotanga o te riri o te puku. He rite tonu te wā, engari he rerekētanga tūturu i te pai o te mahi o te rongoā.

Kia pēhea te roa o taku tango i te Etidronate?

E whakawhirinaki ana te roa o tō maimoatanga etidronate ki tō āhuatanga motuhake me te pai o tō urupare ki te rongoā. Mō te mate o Paget, he maha ngā tāngata e tango ana mō te 6 marama i te wā, katahi ka okioki kia kite i te āhua o ō rātou wheua.

Ka aroturukihia e tō tākuta tō ahunga whakamua mā te whakamātautau toto i ngā wā katoa me te tirotiro wheua pea. Ko ētahi tāngata e hiahia ana ki te akoranga maimoatanga kotahi anake, i te mea ka hiahia ētahi atu ki ngā akoranga tukurua i roto i ngā tau maha.

Mō te aukati i te osteoporosis, ka taea te rerekē ngā wā maimoatanga. Ka whakaarohia e tō tākuta ngā āhuatanga pērā i tō tau, ētahi atu āhuatanga hauora, me te pēhea te urupare o ō wheua ki te whakatau i te roa pai mō koe.

He aha ngā pānga taha o te Etidronate?

He pai te manawanui o te nuinga o te tangata ki te etidronate, engari pērā i ngā rongoā katoa, ka pā ngā pānga taha. Ko te rongo pai he mea noa ngā pānga taha kino, ā, he tokomaha ngā tāngata kāore he pānga taha.

Ngā pānga taha noa ka kitea pea e koe ko:

• Te whakapairuaki, te pōpō rānei o te puku
• Te korere, te tūtae rānei he wewete
• He reka konganuku i tō waha
• Te ānini
• Te mamae o te wheua, te hononga, te uaua rānei

He ngawari noa ēnei tohumate, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā. Mā te tango i te etidronate kia rite ki te tohutohu ka āwhina i te whakaiti i ngā pānga taha e pā ana ki te puku.

He mea onge ngā pānga taha kino ake, engari he mea nui kia mōhio. Ka uru pea ēnei ki te mamae puku nui, te uaua ki te horo, te mamae wheua rānei hou kāore e ngaro. Ki te pā tētahi o ēnei ki a koe, whakapā atu ki tō tākuta tonu.

I ngā wā tino onge, ka whanake pea ētahi tāngata e tango ana i ngā bisphosphonates pērā i te etidronate mō ngā wā roa i ngā whati wheua huha rerekē, i ngā raruraru wheua kauae rānei. Ka aroturukihia koe e tō tākuta mō ēnei raruraru tino onge i ngā arowhai auau.

Ko wai kāore e tika kia tango Etidronate?

Kāore te Etidronate i te tika mō te katoa, ā, ka whakaaro tō tākuta i ētahi mea i mua i te whakahau. Kāore ngā tāngata e pā ana ki ētahi raruraru tākihi e tika kia tango i tēnei rongoā nā te mea kāore e taea e ō rātou tinana te tukatuka i te haumaru.

Me karo koe i te etidronate ki te uaua koe ki te horo, ki te raruraru rānei ki tō esophagus (te ngongo e hono ana i tō waha ki tō puku). Ka riri pea te rongoā i ēnei wāhi ki te piri.

Ētahi atu āhuatanga kāore pea te etidronate i te tika ko:

• Te mate tākihi nui
• Ngā taumata konupūmā tino iti i tō toto
• Te kore e taea te noho, te tū rānei i te tū tika mō te 30 meneti neke atu
• Ngā whewhe puku kaha, te ngākau wera rānei
• Te hapū, te whāngai u rānei

Mēnā he āhuatanga ōna koe, ka taea e tō tākuta te kōrero mō ngā rongoā kē atu e pai ake ana mō tō āhuatanga.

Ngā Ingoa Waitohu o Etidronate

E wātea ana a Etidronate i raro i ētahi ingoa waitohu, ko Didronel te mea e kitea nuitia ana e koe. Ko ētahi atu ingoa waitohu ko Didrocal, e whakakotahi ana i te etidronate me te konupūmā waro i roto i te huringa rongoā watea.

E wātea ana hoki ngā putanga whānui o te etidronate, ā, he pai tonu te mahi pērā i ngā putanga waitohu. Ka taea e tō kai rongoā te āwhina i a koe ki te mārama ko tēhea putanga e whiwhi ana koe, me te whakautu i ngā pātai mō tō rongoā motuhake.

Ngā Kōwhiringa kē atu mō Etidronate

Mēnā kāore te etidronate e pai ana mōu, e pā ana rānei ngā pānga taha, he maha atu ngā rongoā whakakaha i te koiwi e wātea ana. Ko ngā bisphosphonates hou pērā i te alendronate (Fosamax) rānei te risedronate (Actonel) e mahi ana i te rite, engari ka iti ake te auau o te tango.

Mō te hunga kāore e taea te tango rongoā waha, ko ngā kōwhiringa werohia pērā i te waikawa zoledronic (Reclast) ka hoatu kotahi i te tau mā te IV. E pai ana ētahi tāngata ki ngā rongoā pērā i te denosumab (Prolia), e hoatu ana hei pū i ngā marama e ono katoa.

Ka whakaaro pea tō tākuta ki te rongoā hormone, ngā kaiwhakawāhi i te kaiwhakawhiwhi estrogen whiriwhiri, rānei ngā rongoā hou pērā i te teriparatide mō ētahi āhuatanga. Ko te kōwhiringa pai rawa atu e whakawhirinaki ana ki tō āhuatanga motuhake, ētahi atu āhuatanga hauora, me ngā hiahia whaiaro.

He Pai Ake Anei te Etidronate i te Alendronate?

He rongoā koiwi whai hua te etidronate me te alendronate, engari he rerekētanga nui ō rāua. Ko te alendronate te mea e kiia ana he kaha ake, ā, ka nui ake te auau o te tango, i te mea ka whakamahia te etidronate i roto i ngā huringa me ngā wā whakatā i waenga i ngā rongoā.

Kua nui ake te rangahau i te alendronate mō te aukati me te rongoā i te osteoporosis, ina koa i ngā wāhine i muri i te menopause. Ko te tikanga ko te kōwhiringa tuatahi mō te nuinga o te hunga e pā ana ki te osteoporosis nā te tautoko rangahau kaha.

He pai pea te Etidronate mō ētahi āhuatanga pēnei i te mate o Paget, i te wā rānei e hiahia ana te tangata ki tētahi huarahi ngawari ake ki te rongoā i te wheua. Ka whakaarohia e tō tākuta tō āhuatanga motuhake, tae atu ki tō hītori hauora me te pai o tō whakamanawanui i ngā rongoā, hei whakatau ko tēhea te kōwhiringa pai mōu.

Ngā Pātai Auau mō Etidronate

He Haumaru te Etidronate mō te hunga e mate ana i te ngākau?

Ko te tikanga he haumaru te Etidronate mō te hunga e mate ana i te ngākau, nā te mea kāore e pā tika ana ki te mahi o te ngākau. Heoi anō, me kōrero tonu koe ki tō tākuta mō ō āhuatanga hauora katoa, tae atu ki ngā raruraru o te ngākau, i mua i te tīmatanga o tētahi rongoā hou.

Ko ētahi o te hunga e mate ana i te ngākau e tango ana i ngā rongoā ka pā pea ki te etidronate, ka pā rānei ki te pai o te urunga. Ka taea e tō tākuta te arotake i ō rongoā katoa kia mōhio ai kei te pai te mahi tahi, me te whakatika i te wā tika ki te hiahiatia.

Me aha au ki te tango pōhēhē au i te nui rawa o te Etidronate?

Ki te tango pōhēhē koe i te nui rawa o te etidronate i te mea i whakaritea, kaua e mataku, engari me mahi wawe. Inumia he karaihe miraka katoa, tango rānei i ngā papa konupūmā ki te wātea ana, nā te mea ka āwhina te konupūmā ki te whakakore i te rongoā nui.

Whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei i te wā tonu, ina koa i tango koe i te nui rawa atu i tō horopeta o mua. Ka taea e rātou te tohutohu i a koe mō ngā mea hei mātakitaki, me te hiahiatia e koe he āwhina hauora tonu.

Ko ngā tohu o te tango i te nui rawa pea ko te whakapairuaki nui, te ruaki, te mamae o te puku, te kōpiko rānei o te uaua. Kaua e ngana ki te ruaki i a koe anō ki te kore i kī mai tētahi tohunga hauora.

Me aha au ki te ngaro au i tētahi horopeta o Etidronate?

Ki te ngaro koe i tētahi horopeta o te etidronate, tangohia i te wā e mahara ana koe, engari ki te taea e koe te whai i ngā ture wā tika. Ko te tikanga tēnei me tango i runga i te puku kau, me te kaha ki te tū tika mō te 30 meneti i muri mai.

Mēnā tata ana te wā mō tō horopeta e whai ake nei, waiho te horopeta i ngaro, ka haere tonu ki tō hōtaka auau. Kaua rawa e tango e rua ngā horopeta i te wā kotahi hei utu mō te horopeta i ngaro, nā te mea ka piki ake tō tūponotanga ki ngā pānga taha.

Ko te ngaro i tētahi horopeta i ia wā, kāore e nui te kino ki tō rongoā, engari ngana ki te pupuri i tō hōtaka auau i te mea ka taea mō ngā hua pai rawa atu.

Āhea ka taea e au te whakamutu i te tango Etidronate?

Kaua rawa e whakamutu i te tango etidronate me te kore e kōrero tuatahi ki tō tākuta, ahakoa kei te pai koe. He maha ngā mate o te kōiwi e hiahia ana ki te whakahaere wā-roa, ā, ko te whakamutu i te rongoā i te wā wawe rawa ka taea e tō āhuatanga te kino ake.

Ka aroturuki tō tākuta i tō ahunga whakamua i ngā wā katoa mā ngā whakamātautau toto me te mātakitaki i te kiato o te kōiwi. Mā rātou koe e whakamōhio āhea te wā haumaru ki te whakamutu, ki te okioki rānei i te rongoā i runga i te pai o te urupare o ō kōiwi.

Ka taea e ētahi tāngata te whakamutu i muri i te whakaoti i tētahi akoranga rongoā motuhake, i te mea ka hiahia ētahi atu ki te rongoā tonu me ngā okiokinga i waenga. Mā tō āhuatanga takitahi e whakatau te huarahi pai mō koe.

Ka taea e au te tango i ngā tāpiringa konupūmā i te wā e tango ana i te Etidronate?

Āe, he maha ngā wā e tūtohu ana ngā tāpiringa konupūmā i te wā e tango ana i te etidronate, engari he mea nui te wā. Me wehe e koe tō horopeta etidronate mai i ngā tāpiringa konupūmā mō te iti rawa 2 hāora kia kore ai e pokanoa ki te urunga.

He maha ngā tākuta e tūtohu ana kia tango i ngā tāpiringa konupūmā i te pō mēnā ka tango koe i te etidronate i te ata. Mā tēnei e whakarite kia whai hua ngā rongoā e rua me te kore e pokanoa ki a rātou anō.

Ka tūtohu pea tō tākuta i ngā tāpiringa huaora D hei āwhina i tō tinana ki te whakamahi i te konupūmā i te huarahi whai hua ake. Me whai tonu i ā rātou tūtohutanga motuhake mō ngā tāpiringa hei tango me te wā hei tango.