Chii chinonzi Tiludronate: Zvinoshandiswa, Madosi, Migumisiro Yakaipa uye Zvimwe

Tiludronate mushonga unopiwa nachiremba unobatsira kusimbisa mapfupa ako nekunonotsa kurasikirwa kwemapfupa. Iwo wechikwata chemishonga inonzi bisphosphonates, iyo inoshanda semidziviriro yemapfupa ako. Mushonga uyu unonyanya kushandiswa kurapa chirwere chePaget, chimiro uko mapfupa ako anokura nekukurumidza uye anova asina simba kana akashata.

Chii chinonzi Tiludronate?

Tiludronate mushonga unosimbisa mapfupa unobatsira kudzora maitiro emuviri wako anoputsa uye kuvakazve tishu remapfupa. Funga nezve mapfupa ako sekugara achizvigadzirisa - pfupa rekare rinobviswa apo pfupa idzva rinovakwa. Kana maitiro aya akarasika, matambudziko anogona kuitika.

Mushonga uyu unoshanda nekunonotsa maseru anoputsa tishu remapfupa, rinonzi osteoclasts. Nekumisa kuparara kwemapfupa akawandisa, tiludronate inobatsira kudzorera chiyero chine hutano mumaitiro ako ekugadzirisa mapfupa. Mhedzisiro yacho ndeyemapfupa akasimba, akagadzikana nekufamba kwenguva.

Tiludronate Inoshandiswa Kunei?

Tiludronate inonyanya kunyorerwa kurapa chirwere chePaget chemapfupa, chimiro chinokanganisa maitiro anokura mapfupa ako uye kuzvigadzirisa. Muchirwere chePaget, mapfupa ako anokura nekukurumidza uye nenzira isina kurongeka, zvichiita kuti ave mahombe asi asina simba kupfuura mapfupa akajairika.

Vanhu vane chirwere chePaget vanowanzoona kurwadziwa kwemapfupa, kusagadzikana, kana matambudziko senge fractures. Chirwere ichi chinowanzoita musana, pelvis, dehenya, uye mapfupa emakumbo. Kunyangwe isiri mushonga, tiludronate inogona kuderedza zvakanyanya kurwadziwa kwemapfupa uye kubatsira kudzivirira kumwe kukuvadzwa kwemapfupa.

Mune zvimwe zviitiko, vanachiremba vanogona kunyora tiludronate kune mamwe mamiriro emapfupa, kunyangwe izvi zvisingawanzoitiki. Mupi wako wehutano achasarudza kana mushonga uyu wakakodzera mamiriro ako chaiwo zvichibva pazviratidzo zvako uye mhedzisiro yebvunzo.

Tiludronate Inoshanda Sei?

Tiludronate inoshanda nekunangana nemaseru chaiwo mumapfupa ako anonzi osteoclasts, ayo ane basa rekuparadza tishu rekare remapfupa. Mushonga uyu unoonekwa sebisphosphonate yakasimba zvishoma inogona kunonotsa kuparara kwemapfupa zvakanyanya.

Paunotora tiludronate, inotorwa mumapfupa ako uye inogara ipapo kwenguva refu. Mushonga wacho unozokanganisa kugona kweosteoclasts kunyungudutsa mapfupa, zvichinyatsoisa mabhureki akapfava pakuparara kwemapfupa. Izvi zvinopa maseru ako anovaka mapfupa, anonzi osteoblasts, mukana wekubata uye kugadzira tishu remapfupa rine hutano hwakanaka.

Maitiro acho haasi ekukurumidza - zvinowanzo tora mavhiki akati wandei kusvika kumwedzi usati waona kuvandudzwa mukurwadziwa kwemapfupa kana kuona shanduko mumapfupa scans. Mapfupa ako anoda nguva yekuzvigadzirisa zvishoma nezvishoma kuti ave nemaitiro ane hutano hwakanaka.

Ndingatora Sei Tiludronate?

Kutora tiludronate nemazvo kwakakosha kune zvese kushanda kwayo uye kuchengeteka kwako. Mushonga unofanirwa kutorwa mudumbu risina chinhu, angangoita maawa maviri usati wadya chero chikafu. Izvi zvinodaro nekuti chikafu, kunyanya chikafu chine calcium yakawanda, chinogona kukanganisa kuti muviri wako unotora sei mushonga.

Heino nzira yekutevera iyo chiremba wako angangokurudzira:

1. Tora tiludronate mangwanani-ngwanani nemvura yakazara
2. Medza piritsi rose - usapwanye, kutsenga, kana kuputsa
3. Gara wakamira (wakagara kana kumira) kwemaminitsi angangoita 30 mushure mekutora
4. Mirira angangoita maawa maviri usati wadya chikafu chemangwanani kana kutora mamwe mishonga
5. Dzivisa kurara pasi kusvikira wapedza chikafu chako chekutanga chezuva

Dosi yakajairika inowanzoita 400mg kamwe pazuva, inotorwa kwemwedzi mitatu. Zvisinei, chiremba wako angachinja izvi zvichienderana nemamiriro ako chaiwo uye kuti unopindura sei kurapwa. Vamwe vanhu vangada kudzokorora nzira yekurapa mushure menguva yekuzorora.

Ndingatora Tiludronate Kwenguva Yakareba Sei?

Vanhu vazhinji vanotora tiludronate kwemwedzi mitatu senzira yekutanga yekurapa. Iri harisi mushonga waunowanzo tora nguva dzose - asi, zvakafanana nenguva yekurapa yakatarwa kubatsira kugadzirisa maitiro ako ekugadzirisa mapfupa.

Mushure mekupera kwemwedzi mitatu yekutanga, chiremba wako anogona kutarisa kufambira mberi kwako kuburikidza nemiedzo yeropa uye kuongororwa kwemapfupa. Miedzo iyi inobatsira kuona kana mushonga uri kushanda nemazvo uye kana iwe uchida imwe kurapwa. Vanhu vazhinji vanowana mabhenefiti anogara kwemwedzi kana kunyange makore mushure mekumisa mushonga.

Kana zviratidzo zvako zvikadzoka kana kana miedzo yekutevera ikaratidza kuti mamiriro ako emapfupa ari kuwedzera zvakare, chiremba wako anogona kukurudzira imwe nzira yekurapa. Nguva iri pakati pekurapa inosiyana kubva kumunhu nemunhu, zvichienderana nekuti muviri wako unopindura sei uye kuti chirwere chako chePaget chakasimba sei.

Ndezvipi Zvakaipa zveTiludronate?

Semishonga yese, tiludronate inogona kukonzera mhedzisiro, kunyangwe kwete munhu wese anozviwana. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye kuziva nguva yekubata chiremba wako.

Mhedzisiro yakajairika inowanzoita nyoro uye inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga:

• Kusagadzikana mudumbu, kusvotwa, kana kurwadziwa mudumbu
• Dhayareya kana shanduko mukufamba kwematumbo
• Musoro kana dzungu
• Kurwadziwa kwemhasuru kana majoini
• Mavanga eganda kana kukwenya

Izvi zvinowanzoitika mhedzisiro kazhinji hazvidi kumisa mushonga, asi unofanirwa kuzvikurukura nachiremba wako kana zvikatanga kukukanganisa kana kuramba.

Pane zvimwe zvisingawanzoitiki asi zvakanyanya kukomba mhedzisiro iyo inoda kutariswa kwekurapa nekukasira:

• Kurwadziwa kwakanyanya mudumbu kana kurwadziwa kwemoyo kunoramba kuripo
• Kutadza kumedza kana kurwadziwa muchipfuva kana uchimedza
• Kurwadziwa kwakanyanya mumapfupa, majoini, kana tsandanyama
• Kurwadziwa kwemapfupa echidya zvisinganzwisisike kana mapfupa akatsemuka
• Matambudziko emashaya kana nyaya dzemazino
• Zviratidzo zvehuwandu hushoma hwe calcium (muscle spasms, tingling, kana numbness)

Kunyange zvazviri zvisingawanzoitiki, vamwe vanhu vanogona kusangana ne osteonecrosis ye shaya, mamiriro apo tishu yemashaya inofa. Izvi zvinowanzoitika muvanhu vane maitiro emazino vachitora bisphosphonates, ndosaka zvakakosha kuchengetedza hutano hwakanaka hwemuromo uye kuzivisa chiremba wemazino nezve mushonga wako.

Ndiani Asingafaniri Kutora Tiludronate?

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

Haufaniri kutora tiludronate kana uine:

• Chirwere chakakomba cheitsvo kana kushanda kweitsvo kwakaderera zvakanyanya
• Mazinga mashoma e calcium yeropa (hypocalcemia)
• Matambudziko neesophagus yako, senge strictures kana kutadza kumedza
• Kutadza kugara kana kumira wakatwasuka kwemaminitsi angangoita 30
• Kuzivikanwa allergy ku tiludronate kana mamwe ma bisphosphonates

Kungwarira kwakakosha kunodiwa kana uine mamiriro akati wandei anogona kuwedzera njodzi yako yematambudziko:

• Matambudziko mudumbu kana mudumbu, kusanganisira maronda kana acid reflux
• Matambudziko emazino kana maitiro emazino ari kuuya
• Kushaikwa kweVitamin D
• Kutadza kuchengetedza calcium yakakwana
• Nhoroondo yematambudziko emapfupa emashaya

Vakadzi vane pamuviri uye vanoyamwisa vanofanirawo kudzivisa tiludronate, sezvo inogona kukuvadza mwana ari kukura. Kana uri kuronga kuva nepamuviri, kurukura izvi nachiremba wako kare, sezvo bisphosphonates inogona kuramba iri mumapfupa ako kwemakore.

Mazita eTiludronate Brand

Tiludronate inowanikwa pasi pezita rekuti Skelid munyika zhinji. Iri ndiro rudzi rwemushonga runonyanya kunyorerwa, kunyangwe kuwanikwa kungasiyana zvichienderana nenzvimbo yako.

Dzimwe nyika dzinogona kunge dziine mazita emhando dzakasiyana kana shanduro dzakajairika dziripo. Murapi wako wemishonga anogona kukubatsira kuziva zita chairo remhando kana shanduro yakajairika iripo munzvimbo yako. Zvisinei nezita remhando, chinhu chinoshanda uye mhedzisiro yacho zvinoramba zvakafanana.

Paunotora mushonga wako, gara uchiongorora kaviri nemurapi wako wemishonga kuti uri kuwana mushonga chaiwo uye muyero. Kana ukaona misiyano muchitarisiko chemapiritsi ako pakati pezvizadziso, usazeza kubvunza murapi wako wemishonga kuti aone kuti wakagamuchira mushonga wakarurama.

Zvimwe Zvinhu Zvokutsiva Tiludronate

Kana tiludronate isingakukodzere kana isingapi rubatsiro rwakakwana, pane dzimwe nzira dzekurapa dziripo dzechirwere chePaget. Chiremba wako anogona kubatsira kuona kuti ndechipi chisarudzo chingashanda zvakanyanya kune mamiriro ako chaiwo.

Mishonga mimwe ye bisphosphonate inoshanda zvakafanana ne tiludronate inosanganisira:

• Alendronate (Fosamax) - inogona kutorwa zuva nezuva kana vhiki nevhiki
• Risedronate (Actonel) - inowanikwa mumafomu ezuva nezuva kana emwedzi
• Zoledronic acid (Reclast) - inopiwa se infusion yegore negore ye intravenous
• Pamidronate - inotungamirirwa kuburikidza ne IV infusion

Kune vanhu vasingakwanise kutsungirira bisphosphonates, dzimwe nzira dzekurapa dzinogona kusanganisira:

• Calcitonin majekiseni kana nasal spray
• Mishonga yekurapa marwadzo ekubatsira zviratidzo
• Physical therapy yekuvandudza kufamba uye simba
• Kuvhiya kwekupindira kwezvinetso zvakakomba

Imwe neimwe nzira ine zvainobatsira uye zvinogona kukonzera mhedzisiro. Chiremba wako achafunga nezvezvinhu zvakaita sehutano hwako hwese, kuoma kwechirwere chako, uye zvaunofarira iwe pachako paunenge uchikurudzira nzira yakanakisa yekurapa iwe.

Ko Tiludronate Zviri Nani Kudarika Alendronate?

Zvese tiludronate ne alendronate zvinoshanda bisphosphonates, asi imwe neimwe ine hunhu hwayo hunogona kuita kuti imwe ive yakakodzera kune yako chaiyo mamiriro. Hapana imwe inogara iri "iri nani" - zvinoenderana nezvido zvako uye mamiriro ako.

Tiludronate inowanzo torwa kwenguva pfupi yekurapa (inenge mwedzi mitatu) uye inogona kuve nyore mudumbu kune vamwe vanhu. Yakanyatso dzidzwa yePaget's chirwere uye yakaratidza mhedzisiro yakanaka mukuderedza kurwadziwa kwemapfupa uye kujairika kwemapfupa ekuchinja mamaki mune iyi mamiriro.

Alendronate, kune rimwe divi, inowanzo shandiswa kune osteoporosis uye inogona kutorwa kwenguva refu. Inowanikwa mune dzimwe nzira dzekuyera, kusanganisira kamwe-vhiki formulation iyo vamwe vanhu vanoona kuti iri nyore. Zvisinei, inogona kuva nezvido zvakasimba zvekudya uye maitiro.

Chiremba wako achafunga zvinhu zvakati wandei paanenge achisarudza pakati pemishonga iyi, kusanganisira mamiriro ako chaiwo emapfupa, mamwe matambudziko ehutano, zvingaitika zvekudyidzana kwemishonga, uye kugona kwako kutevera mirairo yekuyera. Mishonga yese miviri inoda matanho akafanana maererano nekudya chikafu uye kugara wakamira mushure mekuitora.

Mibvunzo Inowanzo bvunzwa Pamusoro peTiludronate

Ko Tiludronate Yakachengeteka Kune Vanhu vane Chirwere cheItsvo?

Tiludronate inoda kufungwa zvakanyanya kana uine matambudziko eitsvo. Mushonga unogadziriswa kuburikidza neitsvo dzako, uye vanhu vane chirwere cheitsvo chakakomba havafaniri kuitora nekuti miviri yavo haigoni kubvisa mushonga nemazvo.

Kana uine kuderedzwa kwemabasa eitsvo zvishoma kusvika pakati nepakati, chiremba wako anogona kuraira tiludronate asi anozonyatso tarisa mabasa ako eitsvo panguva yekurapa. Vanogonawo kugadzirisa muyero wako kana kukurudzira bvunzo dzeropa dzakawanda kuti vaone kuti mushonga hausi kukonzera chero matambudziko ane chekuita neitsvo.

Gara uchizivisa chiremba wako nezvematambudziko ese eitsvo, kunyangwe akaita sediki. Vanogona kuita bvunzo dzeropa kuti vaongorore kushanda kweitsvo dzako uye kuti vaone kana tiludronate yakachengeteka kwauri kutora.

Ndoita Sei Kana Ndakatora Tiludronate Yakawandisa Netsaona?

Kana ukatora tiludronate yakawanda netsaona kupfuura yakarairwa, fonera chiremba wako kana nzvimbo yekudzora muchetura nekukasira. Kutora yakawanda kunogona kukonzera mhedzisiro yakakomba, kunyanya mazinga mashoma ecalcium yeropa, izvo zvinogona kukonzera spasms dzemhasuru, kunzwa kunyepedzera, kana kunyange kubatwa.

Usaedza kuzviita kuti urutse, sezvo izvi zvinogona kukonzera kutsamwa kwakawedzerwa kuhuro yako neesophagus. Pane kudaro, inwa mukaka kana tora zvinowedzera calcium kana chiremba wako kana nzvimbo yekudzora muchetura yakukurudzira kuti uite kudaro. Izvi zvinogona kubatsira kurwisa mhedzisiro yekutora bisphosphonate yakawanda mumuviri wako.

Tsvaga rubatsiro rwekurapa nekukasira kana ukaona kurwadziwa kwakanyanya mudumbu, kuoma kumedza, mhasuru dzemhasuru, kana chero zviratidzo zvemazinga mashoma ecalcium. Vanopa hutano vanogona kuongorora mazinga ako ecalcium uye kupa kurapwa kwakakodzera kana zvichidikanwa.

Ndoita Sei Kana Ndikakanganwa Dose yeTiludronate?

Kana ukakanganwa dose ye tiludronate, itore pakarepo paunorangarira, asi chete kana uchikwanisa kutevera mirairo yese yekutora. Izvi zvinoreva kuti uchiri kukwanisa kuitora mudumbu risina chinhu uye kuramba wakamira kwemaminitsi angangoita 30 mushure meizvozvo.

Kana yava nguva yechikamu chako chinotevera, kana ukasagona kusangana nezvinodiwa zvekutonga kwakakodzera, siya dose yakakanganwa uye dzokera kuchirongwa chako chese. Usambofa wakatora zvikamu zviviri panguva imwe chete kuti ugadzirise dose yakakanganwa, sezvo izvi zvinogona kuwedzera njodzi yako yemhedzisiro yakakomba.

Kukanganwa zvikamu dzimwe nguva kazhinji hakusi dambudziko rakakomba, asi edza kuchengetedza kuenderana kuti uwane mhedzisiro yakanaka. Kana ukawana uchikanganwa zvikamu kazhinji, funga kumisa zviyeuchidzo zvefoni kana kushandisa murongi wepiritsi kuti akubatsire kuti urambe uri munzira.

Ndingamira Rini Kutora Tiludronate?

Unofanira kungomira kutora tiludronate kana chiremba wako akuudza kuti zvakakodzera kuita kudaro. Vanhu vazhinji vanoitora kwemwedzi inenge mitatu sechinhu chekutanga chekurapa, mushure meizvozvo chiremba wako achatarisa kana uchida kuenderera mberi kana kuti unogona kuzorora kubva mukurapa.

Chiremba wako anogona kushandisa bvunzo dzeropa uye kuongororwa kwemapfupa kuti aone kana zvakachengeteka kumira mushonga. Bvunzo idzi dzinobatsira kuratidza kana mamiriro ako emapfupa akavandudzika uye kana kuputika kwemapfupa kwakanyanya kwadzorwa. Vamwe vanhu vangada mamwe makosi ekurapa kana mamiriro avo akaita basa zvakare.

Usamira kutora tiludronate kamwe kamwe nekuti unonzwa zviri nani kana nekuti uri kusangana nemigumisiro. Pane kudaro, kurukura chero zvaunonetseka nazvo nemupi wako wehutano, uyo anogona kukubatsira kuyera mabhenefiti nenjodzi dzekuenderera mberi vachipesana nekumisa kurapa.

Ndingatora Zvinhu Zvekutsigira Calcium Ndichiri paTiludronate?

Hongu, unogona uye kazhinji unofanira kutora zvinowedzera calcium uchiri pa tiludronate, asi nguva yakakosha. Zvinowedzera calcium zvinofanirwa kutorwa angangoita maawa maviri usati watora kana mushure meiyo tiludronate yako kuti usakanganisa kunyudzwa kwemushonga.

Vazhinji vanachiremba vanokurudzira zvechokwadi calcium uye vitamini D zvinowedzera panguva yekurapa tiludronate kutsigira hutano hwemapfupa hwese uye kudzivirira mazinga ecalcium akaderera. Zvinowedzera izvi zvinoshanda pamwe chete nemushonga kuti upe mapfupa ako zvivakwa zvaanoda pakugadzirisa kwakanaka.

Nzira yakanakisa inowanzo kuita kutora yako tiludronate mangwanani-ngwanani, kumirira maawa maviri anodiwa usati wadyisa, uye wozotora zvinowedzera calcium zvine chikafu gare gare muzuva. Chiremba wako anogona kupa gwara rakatarwa pamusoro pehuwandu hwakakodzera uye nguva yekutsigirwa kwecalcium kune zvaunoda iwe pachako.