Chii chinonzi Ibandronate: Zvazvinoshandiswa, Mishonga, Migumisiro, nezvimwe

Ibandronate mushonga unopiwa nachiremba unobatsira kusimbisa mapfupa ako nekunonotsa kuora kwemapfupa. Iwo wechikwata chemishonga inonzi bisphosphonates, iyo inoshanda semuchengeti wekudzivirira masisitimu ako e skeletal. Mushonga uyu unowanzo kurairwa kurapa nekudzivirira osteoporosis, kunyanya muvakadzi mushure mekuenda kumwedzi apo mapfupa anozviita ega kuve akapfava.

Chii chinonzi Ibandronate?

Ibandronate mushonga unosimbisa mapfupa wechikwata che bisphosphonate. Funga nezvazvo sechikwata chekugadzirisa mapfupa ako - inobatsira kudzivirira kuora kwemuviri kunogona kutungamira kumapfupa asina simba, anoputsika nekufamba kwenguva.

Mapfupa ako anogara achizvivakazve kuburikidza nemaitiro uko tishu yekare yemapfupa inobviswa uye tishu itsva inotora nzvimbo yayo. Ibandronate inoshanda nekunonotsa chikamu chekubvisa chemaitiro aya, ichibvumira mapfupa ako kuchengetedza simba ravo uye kuwanda. Izvi zvinoita kuti zvive zvakakosha kune vanhu vane mapfupa avo ave akapfava zvakanyanya nekuda kwekukwegura kana shanduko dzehomoni.

Mushonga uyu unouya muchimiro chepiritsi uye unotorwa nemuromo, zvichiita kuti ive sarudzo yakakodzera yekuchengetedza hutano hwemapfupa kwenguva refu. Yave ichishandiswa zvakachengeteka nemamiriyoni evanhu pasi rese kubvira payakatanga kubvumidzwa kushandiswa nemishonga.

Ibandronate Inoshandiswa Kunei?

Ibandronate inonyanya kurairwa kurapa nekudzivirira osteoporosis muvakadzi vakapfuura kumwedzi. Osteoporosis imamiriro apo mapfupa anova asina simba uye ane porous zvekuti anogona kuputika nyore nyore kubva mukudonha kudiki kana kunyangwe mabasa emazuva ese.

Chiremba wako angakuraira ibandronate kana wakaongororwa uine osteoporosis kuburikidza nekuyedzwa kwemapfupa. Mushonga uyu unoshandiswawo kudzivirira osteoporosis muvakadzi vari panjodzi huru yekuvandudza mamiriro acho nekuda kwezvinhu zvakaita semhuri, kuenda kumwedzi kare, kana kushandiswa kwenguva refu kwemishonga yakaita se steroids.

Mune dzimwe nguva, vanachiremba vanogona kupa ibandronate kuvarume vane osteoporosis, kunyangwe izvi zvisingawanzoitiki. Mushonga uyu unogona kushandiswawo kurapa matambudziko emapfupa anokonzerwa nemamwe marudzi ekenza, kunyangwe izvi zvichida kutariswa zvakanaka nechikwata chako chehutano.

Ibandronate Inoshanda Sei?

Ibandronate inoshanda nekunangana nemaseru chaiwo mumapfupa ako anonzi osteoclasts. Maseru aya ane basa rekuparadza tishu yekare yemapfupa sechikamu chemuviri wako wechisikigo wekugadzirisa mapfupa.

Paunotora ibandronate, inotorwa mumapfupa ako uye inonyatsoisa mabhureki pamaseru aya anoparadza mapfupa. Izvi zvinobvumira maseru anovaka mapfupa, anonzi osteoblasts, kushanda zvakanyanya pasina kukwikwidzana nekuparadzwa kwakanyanya kwemapfupa. Mhedzisiro yacho ndeyemapfupa akasimba, akakora nekufamba kwenguva.

Mushonga uyu unoonekwa sewakati simba pakati pemishonga yemapfupa. Haina simba semamwe ma intravenous bisphosphonates, asi inoshanda zvakanyanya kupfuura calcium yakapusa uye mavitamini D oga. Vanhu vazhinji vanotanga kuona kuvandudzwa mukukora kwemapfupa avo mukati memwedzi mitanhatu kusvika gumi nemiviri yekutanga kurapwa.

Ndinofanira Kutora Sei Ibandronate?

Kutora ibandronate nemazvo kwakakosha kune zvese kushanda kwayo uye kuchengeteka kwako. Mushonga unofanirwa kutorwa mudumbu risina chinhu, mangwanani-ngwanani, negirazi rizere remvura yakajeka.

Hezvino chaizvo kuti ungatore sei: Muka uye tora piritsi rako reibandronate nekukasira nemamwe maounces matanhatu kusvika masere emvura yakajeka. Usadya, usanwe chimwe chinhu, kana kutora mamwe mishonga kwemaminitsi makumi matanhatu mushure meizvozvo. Munguva iyi yekumirira, gara wakamira - ungave wakagara kana kumira - kubatsira mushonga kusvika mudumbu rako nemazvo uye kudzivirira kutsamwisa kune esophagus yako.

Dzivisa kutora ibandronate nekofi, tii, muto, kana mukaka, nekuti izvi zvinogona kukanganisa kuti muviri wako unotora sei mushonga. Zvakare, usavata pasi kwenguva isingasviki awa rimwe mushure mekuitora, nekuti izvi zvinogona kuwedzera njodzi yekutsamwa kweesophageal. Kana uchida kutora zvinowedzera calcium kana antacids, mirira angangoita maawa maviri mushure mekutora ibandronate.

Ndingatora Ibandronate Kwenguva Yakareba Sei?

Vanhu vazhinji vanotora ibandronate kwemakore akati wandei, kazhinji pakati pe3 kusvika ku5 makore pakutanga. Chiremba wako achatarisa kufambira mberi kwako kuburikidza nekuongororwa kwenguva dzose kwekuwanda kwemapfupa uye basa reropa kuti aone nguva yakanakisa yemamiriro ako chaiwo.

Mushure memakore angangoita 3 kusvika ku5 ekurapa, chiremba wako anogona kukurudzira "zororo remushonga" - zororo renguva pfupi kubva kumushonga. Izvi zvinodaro nekuti bisphosphonates inogona kugara mumapfupa ako kwenguva yakati rebei, ichiramba ichipa dziviriro kunyangwe iwe ukamira kuitora. Zvisinei, chisarudzo ichi chinoenderana nezvinhu zvako zverisiko uye kuti mapfupa ako akapindura sei kurapa.

Vamwe vanhu vangada kutora ibandronate kwenguva yakareba, kunyanya kana vaine osteoporosis yakanyanya kana vachiramba vaine njodzi yakakwira yekutyoka. Mupi wako wehutano achashanda newe kuti agadzire chirongwa chekurapa chakagadzirirwa munhu mumwe nemumwe chinoyera mabhenefiti ekurapa kwakaitwa nenjodzi ipi zvayo inogona kuitika.

Ndezvipi Zvakaipa ZveIbandronate?

Semishonga yese, ibandronate inogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vachizvigamuchira zvakanaka. Kunzwisisa zvekutarisa kunogona kukubatsira kuti unzwe wakavimbika nezvekurapa kwako.

Mhedzisiro yakajairika yaungasangana nayo inosanganisira dumbu rakatsamwa, kusvotwa, kana kusagadzikana kudiki kwekugaya. Izvi zvinowanzoitika mumavhiki mashoma ekutanga ekurapa uye zvinowanzoita nani sezvo muviri wako uchigadzirisa kumushonga. Vamwe vanhu vanoshumawo kurwadziwa nemusoro, dzungu, kana kurwadziwa kwemhasuru, kunyanya pakutanga kurapa.

Hezvino zvinowanzoitika zvinokonzeresa matambudziko kune vamwe vanhu:

• Kurwadziwa mudumbu kana kusagaya zvakanaka
• Kunzwa kuda kurutsa kana kurutsa zvishoma
• Manyoka kana kuvharika mudumbu
• Kurwadziwa nemusoro
• Kurwadziwa kwemhasuru kana majoini
• Kutenderera musoro
• Zviratidzo zvakaita sefuruwenza

Zviratidzo izvi zvinowanzoita zvishoma uye zvinogara kwenguva pfupi. Kana zvikaramba kana kuva zvinonetsa, chiremba wako anogona kukurudzira nzira dzekuzvideredza kana kugadzirisa chirongwa chako chekurapa.

Kune zvakare zvimwe zvisingawanzoitiki asi zvakanyanya kukomba zvinokonzeresa matambudziko zvinoda kutariswa kwechiremba nekukurumidza. Kunyange izvi zvisingaitike kune vanhu vazhinji, zvakakosha kuzviziva.

Zvinokonzeresa matambudziko akakomba anoda kutariswa kwechiremba nekukurumidza zvinosanganisira:

• Kurwadziwa kwakanyanya pachipfuva kana kuoma kumedza
• Kupisa kwemoyo kwakanyanya kana kurwadziwa mudumbu
• Kurwadziwa kutsva kana kusingaite muhudyu, chiuno, kana groin
• Kurwadziwa kwemumagumo kana kuoma mitezo
• Kurwadziwa kwakanyanya mumapfupa, majoini, kana mhasuru
• Zviratidzo zvehuwandu hushoma hwe calcium (mhasuru dzemhasuru, kunzwa kunzwa mumunwe)

Kana ukaona chero zviratidzo izvi, taura nechiremba wako nekukurumidza. Vanogona kubatsira kuona kana zviratidzo zvacho zvichikonzerwa nemushonga wako uye kugadzirisa kurapwa kwako kana zvichidikanwa.

Ndiani Asingafaniri Kutora Ibandronate?

Ibandronate haina kukodzera munhu wese, uye kune mamiriro akati wandei uye mamiriro apo mushonga uyu unofanirwa kudziviswa. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akupe.

Haufaniri kutora ibandronate kana uine matambudziko neesophagus yako, senge kuoma kana kuoma kumedza. Mushonga unogona kutsamwisa mutsara weesophagus yako, kunyanya kana uine matambudziko aripo. Vanhu vasingakwanise kugara kana kumira vakati twasu kwemaminitsi makumi matanhatu vanofanirwawo kudzivisa mushonga uyu.

Zvimwe zvirwere zvinogona kukutadzisa kutora ibandronate zvinosanganisira:

• Kurwara kwakanyanya kwematsvo
• Mazinga akaderera zvikuru ecalcium yeropa
• Kukundikana kutora calcium zvakanaka
• Maronda emudumbu kana duodenum ari kushanda
• Zvimwe zvirwere zveesophagus
• Kuzvitakura kana kuyamwisa

Chiremba wako achavawo akangwarira nezvekupa ibandronate kana uine matambudziko emazino, uchitora mishonga yakati wandei, kana uine nhoroondo yematambudziko emashaya. Kukurukurirana pachena nemupi wako wehutano nezve nhoroondo yako yese yekurapa kunobatsira kuona kuti mushonga uyu wakachengeteka kwauri.

Mazita eBrand eIbandronate

Ibandronate inowanikwa pasi pemazita akati wandei ebrand, neBoniva ndiyo inonyanya kuzivikanwa muUnited States. Iyi vhezheni yezita rebrand ine chinhu chimwe chete chinoshanda sefomu re generic asi inogona kuva nezvinhu zvakasiyana zvisingashandi.

Mamwe mazita ebrand aunogona kusangana nawo anosanganisira Bondronat mune dzimwe nyika uye akasiyana generic versions anongoshandisa zita rekuti "ibandronate sodium." Kunyangwe iwe ukagamuchira zita rebrand kana generic version, mushonga unoshanda ndewechimwe chete uye unoshanda zvakaenzana.

Pharmacy yako inogona kutsiva otomatiki vhezheni ye generic kunze kwekunge chiremba wako achinyatsokumbira zita rebrand. Izvi zvakajairika zvachose uye zvinogona kubatsira kuderedza mari yako yemishonga uchipawo mabhenefiti akafanana ekurapa.

Zvimwe zvingasarudzwa zveIbandronate

Kana ibandronate isiri yakakunakira iwe, pane dzimwe sarudzo dzakawanda dzinoshanda dzekurapa osteoporosis. Chiremba wako anogona kukubatsira kuwana imwe nzira yakanakisa zvichienderana nezvido zvako zvakakosha uye nhoroondo yekurapa.

Zvimwe zvinodhaka zvebisphosphonate zvinosanganisira alendronate (Fosamax), risedronate (Actonel), uye zoledronic acid (Reclast). Izvi zvinoshanda zvakafanana neibandronate asi zvinogona kuva nezvirongwa zvakasiyana zvekushandisa kana maitiro emhedzisiro. Vamwe vanhu vanowana imwe bisphosphonate ichigoneka kupfuura vamwe.

Zvimwe zvingasarudzwa zvisiri zvebisphosphonate zvinosanganisira:

• Denosumab (Prolia) - inopiwa semushonga wejekiseni mwedzi mitanhatu yega yega
• Teriparatide (Forteo) - jekiseni rezuva nezuva rinovaka mapfupa matsva
• Raloxifene (Evista) - piritsi rezuva nezuva rinotevedzera mhedzisiro yekudzivirira mapfupa e estrogen
• Calcitonin - inowanikwa semushonga wemumhino kana jekiseni

Chiremba wako achafunga nezvezvinhu zvakaita sezera rako, hutano hwako hwese, mamwe mishonga yaunotora, uye zvaunofarira iwe pachako paunenge uchikurudzira dzimwe nzira. Sarudzo imwe neimwe ine zvainobatsira uye zvainofungwa.

Ibandronate Zviri Nani Pane Alendronate Here?

Ibandronate ne alendronate zvese zvinoshanda bisphosphonates yekurapa osteoporosis, asi vane misiyano mikuru inogona kuita kuti imwe yakakodzera kwauri kupfuura imwe.

Ibandronate inowanzo torwa kamwe chete pamwedzi, nepo alendronate inowanzo torwa kamwechete pavhiki. Iyi nguva shoma yekushandisa inogona kuve yakasununguka kune vamwe vanhu uye inogona kuvandudza kutevedzera mishonga. Zvisinei, alendronate yakadzidzwa zvakanyanya uye ine nhoroondo yakareba yekushandisa.

Panyaya yekushanda, mishonga yese inoderedza zvakanyanya njodzi yekutyoka uye inovandudza kuwanda kwemapfupa. Zvimwe zvidzidzo zvinoratidza kuti alendronate inogona kuve nemukana mudiki mukudzivirira kutyoka muhudyu, nepo ibandronate ichioneka seyakanyatso shanda pakutyoka kwemuzongoza. Maprofiles emhedzisiro akanyatso fanana, kunyangwe vamwe vanhu vachigona kutsungirira imwe iri nani pane imwe.

Sarudzo pakati pemishonga iyi inowanzoenderana nezvinhu zvemunhu pachake zvakaita sekuda kwako dosing, kuti unotsungirira sei mishonga yega yega, uye ruzivo rwechiremba wako. Zvese zviri zvisarudzo zvakanaka kune hutano hwemapfupa kana zvichishandiswa zvakakodzera.

Mibvunzo Inowanzo bvunzwa Nezve Ibandronate

Ibandronate Yakachengeteka Kune Vanhu vane Chirwere Chemoyo Here?

Hongu, ibandronate inowanzo chengeteka kune vanhu vane chirwere chemoyo. Kusiyana nemamwe mishonga, bisphosphonates senge ibandronate haisi kazhinji kukanganisa basa remoyo kana ropa.

Asi, unofanira kuzivisa chiremba wako nezve chero matambudziko emoyo aunayo. Vachada kuona kuti chero mamwe mishonga yaunotora yemoyo wako haina kuwirirana neibandronate. Chinhu chikuru ndechokuona kuti unogona kugara wakasimuka zvakachengeteka kwenguva inodiwa yeawa imwe mushure mekutora mushonga.

Ndoita Sei Kana Ndikatadza Kutora Ibandronate Yakawanda?

Kana iwe ukangoerekana watora yakawanda kupfuura chiyero chako cheibandronate, usavhunduka, asi tora matanho nekukasira. Inwa girazi rizere remukaka kana tora mapiritsi ecalcium nekukasira kuti ubatsire kusunga mushonga wakawandisa mudumbu rako.

Gara wakasimuka uye taura nachiremba wako kana nzvimbo yekudzora muchetura nekukasira. Usaedze kuzviita kurutsa, sezvo izvi zvingaita kuti mushonga ugumbure esophagus yako zvakanyanya. Mazhinji ekuwandisa kwemishonga netsaona haakonzeri kukuvadza kwakanyanya, asi kutungamirirwa kwekurapa kwakakosha kuti uve nechokwadi chekuchengeteka kwako.

Ndoita Sei Kana Ndikakanganwa Dose yeIbandronate?

Kana iwe ukakanganwa dose yako yemwedzi nemwedzi yeibandronate, itore paunorangarira, asi chete kana zvave zvishoma pane mazuva manomwe kubva pazuva rakarongwa. Tevedza mirairo imwechete seyenguva dzose: itore mangwanani-ngwanani mudumbu risina chinhu nemvura.

Kana zvave mazuva anopfuura manomwe kubva padosi yako yakarasika, isvetuke uye tora dose yako inotevera pazuva rakarongwa pakutanga. Usatore madosi maviri pedyo pedyo kuti ugadzirise imwe yakarasika. Izvi zvinogona kuwedzera njodzi yako yemigumisiro isina kupa mamwe mabhenefiti.

Ndingamira Rini Kutora Ibandronate?

Sarudzo yekumira kutora ibandronate inofanira kugara ichiitwa nekutungamirirwa nachiremba wako. Vanhu vazhinji vanoitora kwemakore matatu kusvika mashanu pakutanga, mushure meizvozvo chiremba wako achatarisa kana uchida kuenderera mberi kana kuti unogona kuzorora.

Chiremba wako achafunga nezvezvinhu zvakaita sekuwanda kwemapfupa ako pari zvino, njodzi yekutyoka, zera rako, uye hutano hwako hwese paachifunga nezvekumisa kurapwa. Vamwe vanhu vangada kuramba vachirapwa kwenguva refu, asi vamwe vangabatsirwa nekuzorora kwenguva pfupi. Kuyedzwa kwemapfupa nguva dzose kunobatsira kutungamira sarudzo iyi.

Ndingatora Ibandronate nemimwe mishonga here?

Ibandronate inogona kuita zvakaipa nemimwe mishonga, saka zvakakosha kuti uudze chiremba wako nezvezvose zvauri kutora. Zvinhu zvinowedzera calcium, antacids, uye zvinowedzera iron zvinogona kuderedza zvakanyanya kuti muviri wako unotora sei ibandronate.

Tora zvinowedzera izvi maawa angangoita 2 mushure memushonga wako weibandronate. Mimwe mishonga inogona kuita zvakaipa inosanganisira mamwe maantibiotics, aspirin, uye mamwe marwadzo. Chiremba wako kana muzvinamutsi anogona kupa runyorwa rwakakwana rwemishonga yekudzivirira kana nguva zvakasiyana nemushonga wako weibandronate.