Created at:1/13/2025
Question on this topic? Get an instant answer from August.
He rongoā whakahau a Ibandronate e āwhina ana ki te whakakaha i ō wheua mā te whakaiti i te ngaronga o te wheua. No te rōpū rongoā e kīia nei ko te bisphosphonates, e mahi ana hei whakangungu rakau mō tō pūnaha koiwi. Ki te tukuna mā te IV (ara i roto i te uaua), ka tukuna e tēnei rongoā te kaha whakakaha wheua ki roto tonu i tō toto, e tino whai hua ana mō te hunga e hiahia ana ki te whakamarumaru wheua kaha ake.
He rongoā hanga wheua a Ibandronate e mahi ana mā te aukati i ngā pūtau e wawahi ana i te kiko wheua. Whakaarohia ō wheua e whakahou tonu ana i a rātou anō - ka wawahi ētahi pūtau i te wheua tawhito, ā, ka hanga ētahi atu i te wheua hou. Ko tēnei rongoā e whai ana i ngā pūtau wawahi, e kīia nei ko te osteoclasts, me te kī atu ki a rātou kia whakaiti i ā rātou mahi.
Ko te āhua i roto i te uaua te tikanga ka haere te rongoā ki roto tonu i tō uaua mā te ngira iti, i te nuinga o te wā i tō ringa. Mā tēnei tikanga tuku e taea ai e tō tinana te tango i te horopeta katoa me te kore he pokanoa mai i te kai, i te waikawa puku rānei. Ka hoatu e tō kaiwhakarato hauora tēnei rongoā ki a koe i roto i tā rātou tari, i te pokapū rānei, ka taea e koe te okioki i te wā e mahi ana te rongoā.
Ka rongoā a Ibandronate i te osteoporosis, he āhua ka ngoikore ngā wheua, ā, ka māmā ake te whati. Ka tūtohu pea tō tākuta i tēnei rongoā mēnā he wahine i muri i te paheketanga koe e tūpono ana ki te whati, mēnā rānei he osteoporosis tōu i pā mai i te whakamahi steroid mō te wā roa.
He tino āwhina te rongoā mō te hunga kua pā kē i te whati mai i ngā wheua ngoikore, pēnei i te hope whati, te tuarā, te ringaringa rānei mai i te hinga iti. Ka ārai hoki i te ngaronga wheua i te hunga e tango ana i ngā rongoā pēnei i te prednisone, ka ngoikore ai ngā wheua i te wā.
E tohutohu ana etahi tākuta i te ibandronate mō te hunga e pā ana ki ētahi momo mate pukupuku e pā ana ki ngā wheua, ahakoa me mātakitaki tēnei whakamahinga. Ka āwhina te rongoā ki te whakaiti i te tūponotanga o ngā raruraru e pā ana ki ngā wheua i ēnei āhuatanga.
E kiia ana he rongoā wheua kaha te ibandronate e mahi ana mā te uru ki roto i ō kiko wheua. Kia tae ki reira, ka mahi pēnei i te paninga whakamarumaru e aukati ana i ngā pūtau pakaru wheua mai i te nui rawa o te kino.
Kei te pakaru tonu ō wheua, kei te hanga anō i a rātou i roto i te tukanga e kiia nei ko te whakahou wheua. Ki te whai koe i te osteoporosis, ka tere ake te tukanga pakaru i te tukanga hanga. Ka āwhina te Ibandronate ki te whakahoki i tēnei taurite mā te whakaiti i te taha pakaru o te whārite.
Ka noho te rongoā ki ō wheua mō ngā marama i muri i ia horopeta, e whakarato ana i te whakamarumaru roa. Koinei te take e hoatu ana te momo IV i ngā wā katoa e toru marama, kaua i ia rā pēnei i ētahi atu rongoā wheua.
Ka hoatu te momo intravenous o te ibandronate e tētahi tohunga hauora i roto i te taiao rongoā. Ka whiwhi koe i te rongoā mā tētahi raina IV iti, i te nuinga o te wā i tō ringa, i roto i te 15 ki te 30 meneti.
I mua i tō whakaurunga, ka taea e koe te kai noa me te tango i ō rongoā auau ki te kore e kī mai tō tākuta. Heoi, me mōhio kia pai te wai mā te inu nui i te wai i ngā rā e tata ana ki tō maimoatanga.
I te wā o te whakaurunga, ka noho koe i te noho pai i te wā e maturuturu ana te rongoā ki tō uaua. He maha ngā tāngata e kawe ana i te pukapuka, i te papa rānei hei whakapau i te wā. Ka mātakitaki te kaimahi hauora i a koe puta noa i te tukanga kia mōhio kei te pai koe, kāore hoki e pā ana ki ētahi urupare kino.
I muri i te whakaurunga, ka taea e koe te hoki ki ō mahi noa tonu. E pōuri ana ētahi tāngata, he tohu rewharewha ngawari rānei mō te rā, e rua rānei, he mea noa tēnei.
Ko te nuinga o nga tangata ka whiwhi i nga werohanga ibandronate ia toru marama, engari he rereke te roa katoa o te maimoatanga i runga i o hiahia takitahi. Ko te tikanga ka tohutohu to taakuta kia haere tonu te maimoatanga mo etahi tau kia kite i nga painga pai rawa atu mo te whakakaha i te wheua.
I muri i te rima tau pea o te maimoatanga, ka kii pea to taakuta kia okioki mai i te rongoa, e kiia nei ko te
He pānga taha tino onge engari he nui te kino ko te osteonecrosis o te kauae, e mate ana tētahi wāhi o te wheua kauae. He nui ake tēnei i roto i ngā tāngata e whai ana i ngā tikanga niho, i te hunga rānei e kore e pai te hauora o te niho. Mā te tirotiro niho i ngā wā katoa me te akuaku waha pai e āwhina i te ārai i tēnei raruraru.
Kāore a Ibandronate e tika ana mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau. Kāore koe e tika kia whiwhi i tēnei rongoā mēnā he iti te konupūmā i roto i te toto kāore anō i rongoatia, nā te mea ka tūpono he kino.
Ko ngā tāngata e whai ana i te mate tākihi nui e kore e taea te tango ibandronate nā te mea kāore pea ō rātou tākihi e āhei ki te tukatuka tika i te rongoā. Ka tirohia e tō tākuta te mahi o tō tākihi mā ngā whakamātautau toto i mua i te tīmatanga o te rongoā.
Mēnā kei te hapū koe, kei te whakamahere rānei koe kia hapū, kāore a ibandronate i te tūtohutia nā te mea ka tūpono ka pā kino ki te pēpi e tipu ana. Me karo hoki e ngā wāhine e whāngai ana i te u te tango i tēnei rongoā.
Ko ngā tāngata e whai ana i ētahi raruraru kūnatu, i te hunga rānei e kore e taea te noho tika mō ngā wā roa, kāore pea he kaitono pai mō tēnei rongoā. Ka whakaarohia e tō tākuta ēnei mea katoa i te wā e whakatau ana mēnā he tika a ibandronate mōu.
Ko te ingoa waitohu tino noa mō te ibandronate i roto i te uaua ko Boniva. Ka tūtaki pea koe ki tēnei i raro i ētahi atu ingoa waitohu i runga i tō wāhi me te whare rongoā.
Kei te wātea hoki ngā putanga whānui o te ibandronate, e mau ana i te mea kaha kotahi engari he iti ake pea te utu. Ahakoa ka whiwhi koe i te ingoa waitohu, i te putanga whānui rānei, he rite tonu te mahi o te rongoā me te whakarato i ngā painga whakakaha wheua kotahi.
Ka pā pea tō inihua ki te momo rongoā ka whiwhi koe, engari he rite tonu te whai hua o ngā momo e rua mō te rongoā i te osteoporosis me te ārai i ngā whati.
Mēnā kāore te ibandronate e tika ana mōu, he maha atu ngā rongoā whakakaha i te wheua e wātea ana. Ka whakaaro pea tō tākuta ki ētahi atu bisphosphonates pēnei i te alendronate (Fosamax), risedronate (Actonel), rānei zoledronic acid (Reclast).
Ko ngā rongoā hou pēnei i te denosumab (Prolia) e mahi rerekē ana mā te aro ki ngā pūtau pakaru wheua kotahi engari mā tētahi tikanga rerekē. E kitea ana e ētahi tāngata he pai ake, he ngāwari ake rānei ēnei kōwhiringa kē.
Mō ngā tāngata e kore e taea te tango bisphosphonates i te katoa, ko ngā rongoā e pā ana ki te homoni, ko ngā rongoā hou rānei e hanga ana i te wheua pēnei i te teriparatide pea ngā kōwhiringa. Mā tō tākuta e āwhina ki te whakatau ko tēhea kōwhiringa kē e pai ana mō tō āhuatanga motuhake.
He bisphosphonates whai hua te ibandronate me te alendronate, engari he rerekē ngā painga i runga i ō hiahia. Ko te Ibandronate e tukuna ana mā te uaua ia toru marama pea he pai ake mēnā he uaua ki a koe te mahara ki ngā rongoā o ia rā, he raruraru puku rānei ki ngā rongoā waha.
Ko te Alendronate, e tangohia ana i te waha kotahi i te wiki, kua roa te ako, ā, he nui ake ngā rangahau e tautoko ana i tōna whakamahinga. Heoi, e hiahia ana ki te wā tika, ā, ka pā pea te puku ki ētahi tāngata.
Ko te whiriwhiri i waenga i ēnei rongoā ka heke iho ki tō oranga, ētahi atu āhuatanga hauora, me ngā hiahia whaiaro. Ka whakaaro tō tākuta ki ngā āhuatanga pēnei i tō tūponotanga whati, te mahi tākihi, me te kaha ki te whai i ngā tohutohu inenga i te wā e whakatau ana i tēnei whakatau.
Āe, he pai te ibandronate mō te hunga e mate ana i te ngākau. Kāore te rongoā e pā tika ana ki tō ngākau, ki tō toto rānei, ā, ka taea e te nuinga o te hunga e pāngia ana e te mate ngākau te tango marie.
Heoi anō, ka hiahia tō tākuta ki te aroturuki i te mahi o ō tākihi mō te tata ake mēnā he ngoikore tō ngākau, nā te mea ka pā te rongoā ngākau ki te āhua o te tukatuka a ō tākihi i te ibandronate. Me mōhio ki te kōrero ki tō kaiwhakarato hauora mō ngā rongoā katoa mō tō ngākau i mua i te tīmatanga o te rongoā.
Mēnā ka ngaro tō whakaritenga werohanga, whakapā atu ki te tari o tō tākuta i te wā e taea ai ki te whakarite anō. Kāore te ngaro i tētahi horopeta e pā ana ki ngā raruraru tonu, engari he mea nui kia noho i runga i te wātea mō te tiaki pai i te wheua.
Whakamātau ki te whakarite anō i tō whakaritenga i roto i ngā wiki e rua o te rā i ngaro ai mēnā ka taea. Ka whakatika pea tō tākuta i tō whakaritenga ā muri ake nei kia hoki anō koe ki te wātea o ia toru marama.
Ko te whakatau ki te whakamutu i te ibandronate me mahi tonu me tō tākuta, i muri i ngā tau maha o te rongoā. E taunaki ana te nuinga o ngā tākuta kia haere tonu te rongoā mō te toru ki te rima tau kia kite i ngā painga nui rawa atu mō te whakakaha i te wheua.
Ka tono pea tō tākuta i ngā whakamātautau kiato wheua me te aromatawai i tō tūponotanga whati i mua i te whakatau mēnā ka taea e koe te whakamutu marie i te rongoā. Ka hiahia pea ētahi tāngata ki te haere tonu i te rongoā mō te roa ake mēnā kei te nui tonu te tūponotanga whati, i te wā e taea ai e ētahi atu te okioki.
Āe, ka taea e koe te mahi niho i te wā e tango ana i te ibandronate, engari he mea nui kia whakamōhio ki tō tākuta me tō tākuta niho mō tō rongoā. Mō ngā horoi me ngā whakakī i te wātea, kāore he whakatūpato motuhake e hiahiatia ana.
Mō ngā tikanga niho whānui ake pēnei i te tango niho, i ngā whakaurunga niho rānei, tō tākuta pea e tūtohu kia āta whakatakoto wā mō ēnei tikanga e pā ana ki ō rongoā. He mea nui te akuaku waha pai me ngā arotake niho i te wā e tango ana i tēnei rongoā.
He iti noa ngā pāhekoheko rongoā a Ibandronate, engari he mea nui kia kōrero ki tō tākuta mō ngā rongoā katoa me ngā tāpiringa e tango ana koe. Ka taea e ngā tāpiringa konupūmā me ngā waikawa te whakararu i te āhua o tō tinana e tukatuka ana i te rongoā, engari he iti ake tēnei take mō te momo IV.
Ko ētahi rongoā e pā ana ki te mahi tākihi pea e hiahia ana ki te whakatikatika i te horopeta i te wā e whakamahia ana me te ibandronate. Ka arotake tō tākuta i tō rārangi rongoā katoa kia mōhio ai he haumaru, he whai hua hoki te rongoā.