Icyo Ibandronate Arimara: Ibikoreshwa, Uburyo Bwo Gufata, Ingaruka Zishobora Kugaragara n'Ibindi

Ibandronate ni umuti wandikirwa na muganga ufasha gukomeza amagufa yawe mu kugabanya igabanuka ryayo. Uyu muti ubarirwa mu itsinda ry'imiti yitwa bisphosphonates, ikora nk'ingabo zikingira amagufa yawe. Iyo utanzwe binyuze mu muyoboro w'amaraso (intravenous), uyu muti utanga imbaraga zikomeza amagufa zitaziguye mu maraso yawe, bigatuma bikora neza cyane ku bantu bakeneye kurengerwa amagufa yabo.

Icyo Ibandronate Arimara?

Ibandronate ni umuti wubaka amagufa ukora mu guhagarika selile zisenya imitsi y'amagufa. Tekereza amagufa yawe nk'aho ahora yisana - selile zimwe zisenya amagufa ashaje mu gihe izindi zubaka amagufa mashya. Uyu muti wibanda by'umwihariko ku selile zisenya, zizwi nka osteoclasts, ukazibwira kugabanya umurimo wazo.

Uburyo bwo kuyitera mu maraso bisobanura ko umuti ujya mu muyoboro w'amaraso yawe utaziguye binyuze mu rusinga ruto, akenshi mu kuboko kwawe. Ubu buryo bwo gutanga umuti butuma umubiri wawe wumva urugero rwose nta mbogamizi zituruka ku biryo cyangwa aside yo mu gifu. Umuvuzi wawe azaguha ubu buvuzi mu biro bye cyangwa ahantu ho guterwa imiti, aho ushobora kuruhuka mu gihe umuti ukora umurimo wawo.

Icyo Ibandronate Ikoreshwa?

Ibandronate ivura kandi ikarinda indwara ya osteoporosis, indwara aho amagufa agira intege nke kandi akaba ashobora kuvunika. Muganga wawe ashobora kugusaba uyu muti niba uri umugore umaze guca imbyaro ufite ibyago byo kuvunika, cyangwa niba ufite osteoporosis iterwa no gukoresha imiti ya steroid igihe kirekire.

Uyu muti ufasha cyane abantu bamaze kugira kuvunika biturutse ku magufa afite intege nke, nk'ukuguru kwavunitse, umugongo, cyangwa urushyi biturutse ku gushoka guto. Irashobora kandi gukumira igabanuka ry'amagufa ku bantu bafata imiti nka prednisone, ishobora guca intege amagufa uko igihe kigenda.

Abaganga bamwe bandika ibandronate ku bantu bafite kanseri zimwe na zimwe zifata amagufa, nubwo gukoresha ubu buryo bisaba gukurikiranwa neza. Uyu muti ufasha kugabanya ibibazo bifitanye isano n'amagufa muri ibi bihe.

Ibandronate ikora ite?

Ibandronate ifatwa nk'umuti ukomeye wo mu magufa ukora ukoresha kwisuka mu gice cy'amagufa yawe. Iyo igeze aho, ikora nk'igishushanyo kirinda ingirangingo zisenya amagufa gukora ibyangiza byinshi.

Amagufa yawe ahora asenyuka kandi yongera kwiyubaka mu buryo bita kongera amagufa. Iyo ufite umugogoro, uburyo bwo gusenyuka burihuta kuruta uburyo bwo kwiyubaka. Ibandronate ifasha kugarura iyi ngingo ituma igabanuka ku ruhande rwo gusenyuka.

Uyu muti uguma mu magufa yawe amezi menshi nyuma ya buri dose, utanga uburinzi burambye. Ibi nibyo bituma uburyo bwa IV butangwa gusa buri mezi atatu, aho gutangwa buri munsi nk'indi miti imwe n'imwe y'amagufa.

Nkwiriye gufata Ibandronate nte?

Uburyo bwa intravenous bwa ibandronate butangwa n'umuganga mu rwego rw'ubuvuzi. Uzahabwa umuti unyuze mu murongo muto wa IV, akenshi mu kuboko kwawe, mu gihe cy'iminota 15 kugeza kuri 30.

Mbere yo guterwa urushinge, urashobora kurya bisanzwe kandi ugafata imiti yawe isanzwe keretse muganga wawe akubwiye ibindi. Ariko, gerageza kuguma ufite amazi menshi unywa amazi menshi mu minsi ibanziriza ubuvuzi bwawe.

Mugihe cyo guterwa urushinge, uzicara neza mugihe umuti uvurugwa buhoro buhoro mu mujyana wawe. Abantu benshi bazana igitabo cyangwa tablet kugirango banyuze igihe. Abakozi bo mu buvuzi bazagukurikirana muri iki gikorwa kugirango barebe ko wumva umeze neza kandi udakoresha ibintu bibi.

Nyuma yo guterwa urushinge, mubisanzwe urashobora gusubira mu bikorwa byawe bisanzwe ako kanya. Abantu bamwe barumva bananiwe cyangwa bafite ibimenyetso byoroshye byo nk'ibicurane umunsi umwe cyangwa ibiri, ibyo bikaba bisanzwe.

Nzamara Ibandronate Mugihe Kingana Giki?

Abantu benshi bahabwa ibandronate buri mezi atatu, ariko igihe cyose cyo kuvurwa gitandukana bitewe n'ibyo ukeneye. Muganga wawe akenshi azagusaba gukomeza kuvurwa imyaka myinshi kugirango ubone inyungu nziza zo gukomeza amagufa.

Nyuma y'imyaka igera kuri itanu uvurwa, muganga wawe ashobora kugusaba guhagarika imiti, bita

• Uburibwe bukomeye mu ruhanga cyangwa kugorwa gufungura umunwa wawe
• Uburibwe bushya cyangwa budasanzwe mu itako, ikibuno, cyangwa mu gice cy'umukondo
• Uburibwe bukomeye mu magufa, mu ngingo, cyangwa mu misitsi
• Ibimenyetso byo kugabanuka kwa kalisiyumu (imitsi yikanyaga, ubucucu, kuribwa)
• Ibibazo by'impyiko (imihindukire mu kunyara, kubyimba)

Ingaruka mbi cyane ariko zikomeye ni osteonecrosis y'uruhanga, aho igice cy'igufa ry'uruhanga gipfa. Ibi bikunda kubaho cyane ku bantu bakorerwa imikorere yo mu menyo cyangwa abafite ubuzima bubi bw'amenyo. Kugenzura amenyo buri gihe no kugira isuku nziza yo mu kanwa bishobora gufasha kwirinda iyi ngorane.

Ninde utagomba gufata Ibandronate?

Ibandronate ntibereye buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyandika. Ntugomba guhabwa uyu muti niba ufite urugero rwa kalisiyumu ruto mu maraso rutavuwe, kuko ibi bishobora kuba byateza akaga.

Abantu bafite indwara zikomeye z'impyiko mubisanzwe ntibashobora gufata ibandronate kuko impyiko zabo zishobora kutabasha gutunganya neza uyu muti. Muganga wawe azagenzura imikorere y'impyiko zawe akoresheje ibizamini by'amaraso mbere yo gutangira kuvurwa.

Niba utwite cyangwa ufite gahunda yo gutwita, ibandronate ntisabwa kuko bishobora gushobora kwangiza umwana ukiri mu nda. Abagore bonsa nabo bagomba kwirinda uyu muti.

Abantu bafite ibibazo bimwe na bimwe byo mu nzira y'igogora cyangwa abatafashwe neza bashobora kutaba abakandida beza kuri ubu buvuzi. Muganga wawe azatekereza kuri ibi bintu byose mugihe afata icyemezo niba ibandronate ikwiriye kuri wowe.

Amazina y'ubwoko bwa Ibandronate

Izina risanzwe ry'ubwoko bwa ibandronate yo mu maraso ni Boniva. Ushobora kandi kuyisanga munsi y'andi mazina y'ubwoko bitewe n'aho uherereye na farumasi.

Ubwoko bwa ibandronate busanzwe buraboneka, bukaba burimo ikintu kimwe gikora ariko gishobora kugura make. Uko wakwakira izina ry'ubwoko cyangwa ubwoko busanzwe, umuti ukora kimwe kandi utanga inyungu zimwe zo gukomeza amagufa.

Ubwishingizi bwawe bushobora kugira uruhare mu guhitamo icyo wakira, ariko byombi bifite akamaro kamwe mu kuvura umugongo w'amagufa no gukumira imvune.

Izindi nzira zishobora gusimbura Ibandronate

Niba ibandronate itagukwiriye, hariho imiti myinshi ikomeza amagufa. Muganga wawe ashobora gutekereza ku bindi bisphosphonates nka alendronate (Fosamax), risedronate (Actonel), cyangwa aside ya zoledronic (Reclast).

Imiti mishya nka denosumab (Prolia) ikora mu buryo butandukanye yerekeza ku ngingo zimwe zisenya amagufa ariko binyuze mu buryo butandukanye. Abantu bamwe basanga izi nzira zishobora gusimbura zikwiriye cyangwa zikwiriye neza.

Ku bantu batabasha gufata bisphosphonates na gato, imiti ijyanye n'imisemburo cyangwa imiti mishya yubaka amagufa nka teriparatide ishobora kuba amahitamo. Muganga wawe azagufasha kumenya uburyo bushobora gukora neza kubera ibibazo byawe byihariye.

Ese Ibandronate iruta Alendronate?

Ibandronate na alendronate ni bisphosphonates bifite akamaro, ariko bifite inyungu zitandukanye bitewe n'ibyo ukeneye. Ibandronate itangwa mu maraso buri mezi atatu ishobora kuba ikwiriye niba ugira ikibazo cyo kwibuka imiti ya buri munsi cyangwa ufite ibibazo byo mu nda hamwe n'imiti yo mu kanwa.

Alendronate, akenshi ifatwa rimwe mu cyumweru mu kanwa, yigishijwe igihe kirekire kandi ifite ubushakashatsi bwinshi bushyigikira imikoreshereze yayo. Ariko, bisaba igihe cyihariye kandi bishobora gutera uburibwe bwo mu nda ku bantu bamwe.

Gu hitamo hagati yiyi miti akenshi biterwa n'imibereho yawe, izindi ndwara, n'ibyifuzo byawe bwite. Muganga wawe azatekereza ku bintu nk'akaga kawe ko kuvunika, imikorere y'impyiko, n'ubushobozi bwo gukurikiza amabwiriza yo gufata imiti mugihe afata iki cyemezo.

Ibikunze kubazwa kuri Ibandronate

Ese Ibandronate irakwiriye ku bantu barwaye indwara z'umutima?

Yego, ibandronate muri rusange ni umuti utagira ingaruka ku bantu barwaye indwara z'umutima. Uyu muti ntugira icyo uhindura ku mutima wawe cyangwa ku mitsi y'amaraso, kandi abantu benshi bafite ibibazo by'umutima barawufata neza.

Ariko, muganga wawe azashaka gukurikiranira hafi imikorere y'impyiko zawe niba ufite uburwayi bw'umutima, kuko imiti imwe ifasha umutima ishobora kugira icyo ihindura ku buryo impyiko zawe zikoresha ibandronate. Wibuke kubwira umuganga wawe imiti yose ufata ifasha umutima mbere yo gutangira kuvurwa.

Nkwiriye gukora iki niba nirengagije gufata ibandronate nk'uko byari byateganyijwe?

Niba wibagiwe gahunda yo gufata umuti, vugana n'ibitaro byawe vuba bishoboka kugira ngo wongere uteganye igihe cyo gufata umuti. Kwibagirwa urugero rumwe ntibizatera ibibazo ako kanya, ariko ni ngombwa gukurikiza gahunda kugira ngo ugire ubwirinzi bwiza bw'amagufa.

Gerageza kongera guteganya igihe cyo gufata umuti mu byumweru bike nyuma y'igihe wibagiwe niba bishoboka. Muganga wawe ashobora guhindura gahunda yawe y'igihe kizaza kugira ngo ugaruke ku gihe cyo gufata umuti buri mezi atatu.

Nshobora guhagarika gufata ibandronate ryari?

Umwanzuro wo guhagarika ibandronate ugomba gufatwa na muganga wawe, akenshi nyuma y'imyaka myinshi uvurwa. Abaganga benshi basaba gukomeza kuvurwa byibuze imyaka itatu cyangwa itanu kugira ngo babone inyungu nyinshi zo gukomera kw'amagufa.

Muganga wawe ashobora gutegeka ibizamini byo kureba ubucucye bw'amagufa no gusuzuma ibyago byo kuvunika mbere yo gufata umwanzuro niba ushobora guhagarika umuti mu buryo bwizewe. Abantu bamwe bashobora gukenera gukomeza kuvurwa igihe kirekire niba bagifite ibyago byinshi byo kuvunika, mu gihe abandi bashobora guhagarika.

Nshobora gukorerwa imirimo yo mu kanwa niba mfata ibandronate?

Yego, ushobora gukorerwa imirimo isanzwe yo mu kanwa niba ufata ibandronate, ariko ni ngombwa kumenyesha muganga wawe n'umuganga w'amenyo ibyerekeye ubuvuzi bwawe. Ku isuku isanzwe y'amenyo no kuziba, ubusanzwe nta ngamba zidasanzwe zikenewe.

Ku bijyanye n'ibikorwa byo mu kanwa bikomeye nk'ukuraho iryinyo cyangwa gushyiraho iryinyo ry'ubwoko bw'implant, muganga wawe ashobora kugusaba gutegereza igihe cyiza cyo gukora ibyo bikorwa bijyanye n'igihe ufata imiti. Isuku yo mu kanwa nziza no kugenzura amenyo buri gihe ni ibintu by'ingenzi cyane mugihe ufata uyu muti.

Ese Ibandronate izagira ingaruka ku yindi miti mfata?

Ibandronate ntigira ingaruka nyinshi ku yindi miti, ariko ni ngombwa kubwira muganga wawe imiti yose n'ibiyobyabwenge ufata. Imisemburo ya kalisiyumu n'imiti igabanya aside ishobora kubuza umubiri wawe gukora neza uyu muti, ariko ibi ntibigira ingaruka nyinshi ku miti iterwa mu urugingo rw'umubiri.

Imiti imwe ifite ingaruka ku mikorere y'impyiko ishobora gukenera guhindurwa igihe ikoreshejwe hamwe na ibandronate. Muganga wawe azareba urutonde rw'imiti yose ufata kugirango yemeze ko uvurwa neza kandi neza.