Risedronate ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Risedronate ni umuti wandikirwa na muganga ufasha gukomeza amagufa yawe no kwirinda kuvunika. Uyu muti ubarirwa mu itsinda ry'imiti yitwa bisphosphonates, ikora igabanya umuvuduko w'uburyo karemano umubiri usenya imitsi y'amagufa yawe.

Uyu muti akenshi wandikirwa abantu bafite indwara ya osteoporosis cyangwa abafite ibyago byinshi byo kurwara amagufa acika intege. Tekereza risedronate nk'umurinzi w'ubugwaneza w'imitsi yawe y'amagufa, ufasha gukomeza imbaraga n'ubucucike bw'amagufa yawe ukeneye kugufasha mu bikorwa byawe bya buri munsi.

Risedronate ikoreshwa mu kuvura iki?

Risedronate ahanini yandikirwa kuvura no kwirinda indwara ya osteoporosis ku bagore bamaze guca imbyaro n'abagabo. Osteoporosis ni indwara aho amagufa agabanyuka, agacika intege, kandi akaba ashobora kuvunika kubera kugwa guto cyangwa ndetse no mu bikorwa bya buri munsi nk'ukoze cyangwa kwunamira.

Muganga wawe ashobora kandi kugusaba risedronate niba ufata imiti ya corticosteroid igihe kirekire, kuko iyi miti ishobora guca intege amagufa yawe uko igihe kigenda gihita. Byongeye kandi, ikoreshwa mu kuvura indwara ya Paget, indwara aho amagufa akura mu buryo budasanzwe kandi akaba yoroshye.

Uyu muti ufasha cyane abantu bamaze kuvunika kubera amagufa acitse intege, kuko ushobora kugabanya cyane ibyago byo kuvunika mu gihe kizaza. Ikoreshwa kandi mu buryo bwo kwirinda ku bafite ibyago nk'amateka y'umuryango, kunywa itabi, cyangwa indwara zimwe na zimwe zigira ingaruka ku buzima bw'amagufa.

Risedronate ikora ite?

Risedronate ikora yibanda ku ngirangingo z'amagufa zifite inshingano zo gusenya imitsi ya kera y'amagufa. Mu kugabanya ubu buryo bwo gusenya, uyu muti wemerera ingirangingo zikora amagufa yawe gukora neza no gukomeza amagufa akomeye kandi afite ubucucike.

Ibi bifatwa nk'umuti ukomeye wo mu magufa ufata igihe kugira ngo werekane neza ingaruka zawo. Amagufa yawe ahora yongera kwiyubaka, kandi risedronate ifasha kurema aho gusenya urugingo rw'amagufa.

Uyu muti winjira mu miterere y'amagufa yawe kandi urashobora gukomeza gukora mu mezi cyangwa imyaka nyuma yo kuwuhagarika. Ibi bisobanura impamvu muganga wawe azagukurikiranira hafi kandi ashobora kugusaba guhagarika gufata uyu muti rimwe na rimwe.

Nkwiriye gufata risedronate nte?

Gufata risedronate neza ni ngombwa kugira ngo igire akamaro kandi no ku mutekano wawe. Ukwiriye kuyifata mu gitondo kare ku gifu kitarimo ikintu na kimwe hamwe n'ikirahure cyuzuye cy'amazi asanzwe - atari umutobe, ikawa, cyangwa amata.

Nyuma yo gufata uyu muti, uzakenera kuguma wicaye cyangwa uhagaze byibuze iminota 30 mbere yo kurya, kunywa ikindi kintu icyo aricyo cyose, cyangwa kuryama. Ibi bifasha kwirinda ko uyu muti utarakaza umuhogo wawe kandi bigatuma winjira neza mu mubiri.

Tegereza byibuze iminota 30 nyuma yo gufata risedronate mbere yo kurya ifunguro ryawe rya mbere ry'umunsi. Ibiryo bikungahaye kuri kalisiyumu, ibyongerera imbaraga, na antacids birashobora kubangamira imikorere yayo, bityo ni byiza kubitandukanya n'urugero rwawe.

Abantu benshi bafata risedronate rimwe mu cyumweru, nubwo hariho imiti imwe ifatwa buri munsi cyangwa buri kwezi. Jya ukurikiza amabwiriza yihariye ya muganga wawe, kuko igihe n'uburyo bwo kuyifata bishobora gutandukana bitewe n'ibyo ukeneye kandi n'imbaraga z'umuti wawe.

Nkwiriye gufata risedronate igihe kingana iki?

Abantu benshi bafata risedronate mu myaka 3 kugeza kuri 5 mbere na mbere, nubwo ibi bishobora gutandukana bitewe n'ibintu byihariye bigushyira mu kaga n'uburyo wakiriye ubuvuzi. Muganga wawe azagenzura buri gihe niba ukwiriye gukomeza, guhagarika, cyangwa guhindura umuti.

Nyuma y'imyaka myinshi uvurwa, muganga wawe ashobora kugusaba "kuruhuka imiti" - guhagarika imiti by'agateganyo. Ibi biterwa n'uko risedronate ishobora kuguma mu magufa yawe igihe kirekire, kandi guhagarika imiti byagufasha kwirinda ingaruka zidakunze kubaho ariko zikomeye.

Icyemezo cy'igihe cyo gukomeza kuvurwa gishingiye ku bintu nk'ibisubizo byo gupima ubucucike bw'amagufa yawe, ibyago byo kuvunika, imyaka yawe, n'ubuzima bwawe muri rusange. Muganga wawe azakurikiza uko urimo utera imbere akoresheje ibipimo by'ubucucike bw'amagufa buri gihe n'ibizamini by'amaraso kugira ngo amenye uburyo bwiza kuri wowe.

Ni izihe ngaruka ziterwa na Risedronate?

Kimwe n'imiti yose, risedronate ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza. Kumva icyo witegura bishobora kugufasha kumva ufite icyizere ku buvuzi bwawe kandi ukamenya igihe cyo kuvugana n'umuganga wawe.

Ingaruka zisanzwe ushobora guhura nazo muri rusange zoroheje kandi akenshi zikagenda zikemuka uko umubiri wawe wimenyereza umuti:

• Uburwayi bwo mu nda cyangwa isesemi
• Urubavu cyangwa acide reflux
• Impiswi cyangwa guhagarara k'umwanya
• Umutwe
• Urugero
• Urubavu cyangwa kubabara mu ngingo
• Ibimenyetso bisa n'ibicurane igihe utangiye kuvurwa

Izi ngaruka akenshi ziba iz'agateganyo kandi akenshi zishobora kugabanuka ukoresheje umuti nk'uko wategetswe hamwe n'amazi menshi.

Hariho n'izindi ngaruka zikomeye zisaba ubufasha bwihuse bw'abaganga, nubwo zitabaho cyane:

• Urubavu rukabije mu gituza cyangwa kugorana kumeza
• Urubavu rukabije rutagabanuka
• Kubabara cyangwa kubyimba mu ruhanga
• Urubavu rushya cyangwa ridasanzwe mu itako, ikibuno, cyangwa mu gice cy'umubiri cyegereye imyanya myibarukiro
• Urubavu rukabije mu magufa, mu ngingo, cyangwa mu misitsi

Indwara ebyiri zidakunze kubaho ariko zikomeye zikwiye kwitabwaho by'umwihariko. Osteonecrosis y'uruhanga ni indwara aho imitsi y'uruhanga ipfa, akenshi iterwa n'ibikorwa byo mu menyo. Iyi niyo mpamvu muganga wawe ashobora kugusaba kujya kwisuzumisha mu menyo mbere yo gutangira kuvurwa.

Kumeneka kw'amagufa atari ibisanzwe yo mu itako ni ugukomereka kutamenyerewe mu igufa ry'itako rishobora kubaho iyo umuntu amaze igihe kinini akoresha imiti. Uku kumeneka gushobora kubanzirizwa n'ububabare mu itako cyangwa mu gice cy'umukondo, ni yo mpamvu ari ngombwa kumenyesha muganga wawe vuba na bwangu ububabare bushya bwose bw'amagufa.

Ninde utagomba gufata Risedronate?

Risedronate ntikwiriye buri wese, kandi muganga wawe azasuzuma neza niba ikwiriye kuri wowe. Indwara zimwe na zimwe n'ibihe byihariye bituma uyu muti ushobora kuba mubi cyangwa utagira akamaro.

Ntabwo ukwiriye gufata risedronate niba ugira ikibazo cyo kumira, ibibazo bikomeye by'impyiko, cyangwa urugero ruto cyane rwa kalisiyumu mu maraso. Uyu muti kandi ushobora kuba mubi niba udashobora kwicara cyangwa guhagarara wunama byibura iminota 30 umaze kuwufata.

Abantu bafite indwara zimwe na zimwe zo mu gifu bakeneye kwitabwaho by'umwihariko. Niba ufite ibisebe bikora mu gifu, acide reflux ikomeye, cyangwa ibibazo byo mu muhogo, muganga wawe ashobora kugusaba uburyo bwo kuvurwa butandukanye.

Gusama no konsa nabyo ni ibintu by'ingenzi byo kwitaho. Risedronate ishobora gushobora kwangiza umwana ukura kandi ishobora kujya mu mata y'ibere, bityo imiti isimbura ikunze gukoreshwa ku bagore batwite cyangwa bonsa.

Amazina y'ubwoko bwa Risedronate

Risedronate iboneka mu mazina y'ubwoko butandukanye, Actonel ikaba ari yo ikoreshwa cyane. Andi mazina y'ubwoko arimo Actonel hamwe na kalisiyumu na Atelvia, ikaba ari uburyo bwo gutinda gusohoka.

Ubwoko bwa risedronate rusange buraboneka kandi burimo ibintu bikora kimwe n'ubwoko bw'amazina. Umufarumasiti wawe ashobora kugufasha gusobanukirwa ubwoko urimo guhabwa kandi akemeza ko uyifata neza.

Uburyo butandukanye bushobora kugira amabwiriza atandukanye yo gukoresha, bityo ujye usoma buri gihe icyo gitabo cy'imiti kiza hamwe n'urwandiko rwawe rw'umuti kandi ukurikize amabwiriza yihariye ya muganga wawe.

Uburyo bwo gusimbuza Risedronate

Niba risedronate itagukwiriye cyangwa itatanga ibisubizo wifuza, hari izindi nshuti zihari. Izindi bisphosphonates nka alendronate (Fosamax) na ibandronate (Boniva) zikora kimwe ariko zishobora kwihanganirwa neza n'abantu bamwe.

Imiti mishya nka denosumab (Prolia) ikora mu buryo butandukanye yerekeza kuri poroteyine yihariye igira uruhare mu gusenya amagufa. Urukingo rutangwa buri mezi atandatu kandi rushobora gukundwa niba ugira ibibazo byo kunywa imiti yo mu kanwa.

Ku bantu bafite osteoporosis ikaze, imiti yubaka amagufa nka teriparatide (Forteo) cyangwa abaloparatide (Tymlos) ishobora gushyirwaho. Urukingo rwa buri munsi ruzamura imikorere mishya y'amagufa aho kugabanya gusa igihombo cy'amagufa.

Ubuvuzi bwo gusimbuza imisemburo, ibishushanyo mbonera bya reseptor ya estrogen, na calcitonin ni izindi mpamvu muganga wawe ashobora kuzirikana bitewe n'imimerere yawe yihariye n'ibintu bigushyira mu kaga.

Ese Risedronate iruta Alendronate?

Risedronate na alendronate ni bisphosphonates zikora neza zikora kimwe kugirango zikomeze amagufa kandi zirinde kuvunika. Guhitamo hagati yabo akenshi biterwa n'ibintu by'umuntu ku giti cye nko kwihanganira, korohereza, n'ibikenewe by'ubuvuzi byihariye.

Risedronate irashobora kuba yoroshye ku gifu ku bantu bamwe, mugihe alendronate yigishijwe igihe kirekire kandi iboneka muburyo bwinshi rusange. Imiti yombi isaba ingamba zisa zijyanye nigihe n'imyanya nyuma yo kuyifata.

Muganga wawe azatekereza ibintu nk'amateka yawe y'ubuvuzi, izindi miti urimo gufata, n'imibereho yawe mugihe cyo gufata icyemezo cy'uburyo bushobora kugukorera neza. Imiti yombi yerekanye amateka yerekana kugabanya ibyago byo kuvunika ku bantu bafite osteoporosis.

Ibikunze Kubazwa Kuri Risedronate

Q1. Ese Risedronate irakwiriye ku bantu barwaye indwara y'impyiko?

Risedronate bisaba kwitonderwa cyane niba ufite ibibazo by'impyiko. Uyu muti ukoreshwa n'impyiko zawe, kandi indwara ikomeye y'impyiko irashobora gutuma umuti wiyongera mu mubiri wawe ku buryo bukomeye.

Niba ufite ibibazo by'impyiko byoroheje cyangwa byiringirwa, muganga wawe arashobora kugutera risedronate ariko ashobora gukurikirana imikorere y'impyiko zawe neza. Ku bantu bafite indwara ikomeye y'impyiko, imiti isimbura ubusanzwe irasabwa kugirango wirinde ingaruka zishobora kubaho.

Q2. Nkwiriye gukora iki niba nanyoye risedronate nyinshi ku buryo butunganye?

Niba unyoye risedronate nyinshi ku buryo butunganye, vugana na muganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya. Kunywa nyinshi birashobora gutera uburakari bukomeye mu nzira yawe yo mu gifu no kugabanya cyane urugero rwa kalisiyumu.

Ntugerageze kwisuka, kuko ibi bishobora gutera uburakari bwiyongera mu muhogo wawe. Ahubwo, nywa amata cyangwa ufate imiti igabanya aside kugirango ifashe guhagarika imiti, kandi usabe ubufasha bw'ubuvuzi ako kanya kugirango ukurikiranwe neza no kuvurwa.

Q3. Nkwiriye gukora iki niba nciwe doze ya risedronate?

Niba ucikanwe na doze yawe ya risedronate buri cyumweru, yifate mu gitondo gikurikira nyuma yo kwibuka, igihe cyose hashize byibuze amasaha 24 kuva ku ifunguro ryawe rya nyuma. Kurikiza amabwiriza amwe yo kuyifata ku gifu cyambaye ubusa hamwe n'amazi.

Nyuma yo gufata doze yabuze, garuka ku gahunda yawe isanzwe ya buri cyumweru. Ntukafate doze ebyiri ku munsi umwe cyangwa ufate imiti yinyongera kugirango usimbure doze yabuze, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti.

Q4. Nshobora guhagarika ryari gufata risedronate?

Umwanzuro wo guhagarika gufata risedronate ugomba gufatwa buri gihe hamwe na muganga wawe. Abantu benshi bayifata imyaka 3 kugeza kuri 5 mbere na mbere, nyuma ya muganga wawe azasuzuma niba kuvurwa bikomeje ari ngombwa.

Umuganga wawe azatekereza ku buryo amagufa yawe ameze ubu, uko ashobora kuvunika, imyaka yawe, n'ubuzima bwawe muri rusange igihe afata icyemezo cyo gukomeza, guhagarika, cyangwa guhindura umuti ukoresha. Ntukigere uhagarika gufata risedronate ako kanya utabanje kubisobanurira umuganga.

Q5. Mbese nshobora gufata imiti yongera kalisiyumu hamwe na Risedronate?

Yego, imiti yongera kalisiyumu akenshi irasabwa hamwe na risedronate, ariko igihe ni ingenzi. Ugomba gutegereza byibuze iminota 30 umaze gufata risedronate mbere yo gufata imiti yongera kalisiyumu, kuko kalisiyumu ishobora kubuza umubiri gukoresha neza uwo muti.

Abaganga benshi basaba gufata imiti yongera kalisiyumu nyuma y'umunsi cyangwa nimugoroba kugirango umubiri ukoreshe neza iyo miti yombi. Umuganga wawe azakuyobora ku gihe gikwiye n'urugero rwa kalisiyumu na vitamine D byongera ubuzima bw'amagufa yawe.