Created at:1/13/2025
I-Palopegteriparatide iyimithi entsha eyenzelwe ukusiza ukuqinisa amathambo kubantu abane-osteoporosis eqinile. Kuyinguqulo yokwenziwa ye-parathyroid hormone esebenza ngokukhuthaza umzimba wakho ukwakha izicubu zamathambo ezintsha, okwenza amathambo akho aqine futhi angabi maningi amathuba okuphuka.
Le mithi ingeyeqembu lemithi ebizwa ngokuthi ama-ejenti akha amathambo, futhi inikezwa njengesijovo sansuku zonke ngaphansi kwesikhumba. Udokotela wakho angase acabangele lokhu kwelashwa uma unokuminyana kwamathambo okuphansi kakhulu noma usuvele uhlangabezane nokuphuka ngenxa ye-osteoporosis.
I-Palopegteriparatide isetshenziselwa ikakhulukazi ukwelapha i-osteoporosis eqinile kubantu abadala abasengozini enkulu yokuphuka kwamathambo. Udokotela wakho ngokuvamile uzoncoma le mithi uma ezinye izindlela zokwelapha i-osteoporosis zingasebenzanga kahle ngokwanele noma uma ukulahleka kwamathambo akho kuqine kakhulu.
Le mithi ilusizo ikakhulukazi kubantu asebevele behlangabezane nokuphuka ngenxa yamathambo abuthakathaka. Inganqunywa futhi kulabo abanamaphuzu amancane kakhulu okuminyana kwamathambo kuma-DEXA scans abo, alinganisa ukuthi amathambo akho aqine kangakanani.
Abanye odokotela bangase futhi bacabangele lokhu kwelashwa kubantu abane-osteoporosis ebangelwa ukusetshenziswa kwama-steroid isikhathi eside. Kodwa-ke, le yimithi ekhethekile egcinelwe amacala abucayi kakhulu okulahleka kwamathambo.
I-Palopegteriparatide isebenza ngokulingisa i-parathyroid hormone yomzimba wakho yemvelo, edlala indima ebalulekile empilweni yamathambo. Uma ujova le mithi, ikhomba amaseli akho akha amathambo (abizwa ngokuthi ama-osteoblasts) ukuthi asebenze kakhulu futhi akhe izicubu zamathambo ezintsha.
Cabanga ngayo njengokunika amathambo akho ukukhuthaza kwansuku zonke ukuze azakhele kabusha aqine. Ngokungafani neminye imithi ye-osteoporosis ehlisa kakhulu ukulahleka kwamathambo, le iyodwa empeleni ikhuthaza ukwakheka kwamathambo amasha.
Lo muthi ubhekwa njengomuthi oqinile wokwakha amathambo, yingakho ngokuvamile ugcinelwe abantu abane-osteoporosis eqinile. Ungakwazi ukwandisa ukuminyana kwamathambo ngendlela ebonakala ngokushesha kuneziningi zemithi ye-osteoporosis, kodwa futhi idinga ukuqashwa ngokucophelela.
Uzoyinika wena i-palopegteriparatide njengesijovo sansuku zonke ngaphansi kwesikhumba, ngokuvamile ethangeni lakho noma esiswini. Ithimba lakho lezempilo lizokufundisa indlela efanele yokujova futhi likusize uzizwe ukhululekile ngenqubo ngaphambi kokuthi uqale ukwelashwa ekhaya.
Umuthi uza ngepeni elizaliswe ngaphambili elenza ukujova kube lula futhi kube nembe ngaphezulu. Kufanele uyijove ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo emzimbeni wakho.
Ungawuthatha lo muthi ngaphandle noma ngaphandle kokudla, njengoba ukudla kungawuthinti ukuthi usebenza kahle kangakanani. Kodwa-ke, qiniseka ukuthi uhlala unamanzi kahle futhi ugcine ukudla okwanele kwe-calcium ne-vitamin D njengoba kunconywe udokotela wakho.
Gcina umuthi esiqandisini sakho futhi uwuvumele ukuthi ufike ezingeni lokushisa legumbi ngaphambi kokujova. Ungalishukunyisi ipeni, futhi njalo hlola ukuthi uketshezi lucacile ngaphambi kokujova ngakunye.
Abantu abaningi bathatha i-palopegteriparatide cishe izinyanga eziyi-18 kuya kwezingama-24, nakuba udokotela wakho ezonquma ubude obuqondile ngokusekelwe esimweni sakho ngasinye. Lokhu ngokuvamile akuyona imithi yokuphila konke, kodwa kunalokho kuyindlela yokwelapha eyenzelwe ukunikeza amathambo akho ukukhushulwa okukhulu.
Udokotela wakho uzoqapha inqubekela phambili yakho ngezivivinyo ezivamile zokuminyana kwamathambo nomsebenzi wegazi ukuze abone ukuthi umuthi usebenza kahle kangakanani. Bangase balungise ubude bokwelashwa ngokusekelwe ekutheni amathambo akho asabela kanjani kanye nanoma yimaphi imiphumela emibi oyitholayo.
Ngemva kokuqeda inkambo yakho ye-palopegteriparatide, udokotela wakho cishe uzoncoma ukushintshela emuthini ohlukile we-osteoporosis ukusiza ukugcina amandla amathambo owatholile. Lokhu kubalulekile ngoba izinzuzo zingancipha uma ungaqhubeki nohlobo oluthile lokuvikela amathambo.
Njengayo yonke imithi, i-palopegteriparatide ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda okungase kulindeleke kungakusiza ukuthi uzizwe ulungiselelwe kangcono futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.
Nansi imiphumela emibi evame kakhulu ongase uyithole:
Le miphumela emibi ejwayelekile ivame ukuthuthuka njengoba umzimba wakho uzivumela emuthini emasontweni ambalwa okuqala kokwelashwa.
Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Xhumana nodokotela wakho ngokushesha uma uhlangabezana:
Ngokungavamile kakhulu, abanye abantu bangase bathuthukise isimo esibizwa nge-osteosarcoma (umdlavuza wamathambo), nakuba lokhu kungavamile kakhulu futhi ingozi isafundwa.
I-Palopegteriparatide ayifanele wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Ezinye izimo zempilo nezimo zenza lo muthi ungafaneleki noma uyingozi.
Akufanele usebenzise i-palopegteriparatide uma une:
Udokotela wakho uzophinda aqaphele ngokunika lo muthi uma ukhulelwe, uncelisa, noma uhlela ukukhulelwa, njengoba imiphumela yawo ezinganeni ezisakhulayo ingaziwa ngokugcwele.
Abantu abanezimo ezithile zenhliziyo, izinkinga zesibindi, noma umlando wamatshe ezinso bangase badinge ukuqapha okukhethekile noma bangase bangabi ngabazali abafanelekayo balokhu kwelashwa.
I-Palopegteriparatide iyimithi entsha, futhi ukutholakala kwegama layo lomkhiqizo kungahluka ngokuya ngezwe nesifunda. Ezindaweni eziningi, isathuthukiswa noma ingase itholakale ngaphansi kwemithetho yocwaningo.
Udokotela wakho noma usokhemisi angakunikeza imininingwane yamanje ngamagama omkhiqizo nokutholakala endaweni yakho. Uma imithi ingakatholakali lapho uhlala khona, bangaxoxa ngezindlela zokwelapha ezingcono zokwakha amathambo ezingase zifanele isimo sakho.
Uma i-palopegteriparatide ingakulungele noma ingatholakali, ezinye izindlela zokwelapha eziphumelelayo zingasiza ekuqiniseni amathambo akho. Udokotela wakho uzokusiza ukhethe elinye elingcono kakhulu ngokusekelwe ezidingweni zakho ezithile nomlando wezokwelapha.
Eminye imithi yokwakha amathambo ihlanganisa:
Uma imithi yokwakha amathambo ingafanele, udokotela wakho angase ancome ukwelashwa okugcina amathambo njenge-bisphosphonates noma i-denosumab, esebenza ngokunciphisa ukulahleka kwamathambo kunokwakha amathambo amasha ngokuqondile.
Kokubili i-palopegteriparatide ne-teriparatide ziyimithi yokwakha amathambo esebenzayo, kodwa zinezingxenye ezibalulekile ezingafani. I-Palopegteriparatide intsha futhi yakhelwe ukusebenza isikhathi eside, kuyilapho i-teriparatide isetshenziswe ngempumelelo iminyaka eminingi.
Inzuzo enkulu ye-palopegteriparatide kungaba ukuthi ihlala isebenza emzimbeni wakho isikhathi eside, okungenzeka idinga ukulinganiswa okungavamile noma inikeze imiphumela yokwakha amathambo eqhubekayo. Kodwa-ke, ngenxa yokuthi intsha, sinemininingwane emincane yokuphepha yesikhathi eside uma iqhathaniswa ne-teriparatide.
Udokotela wakho uzocabangela izinto ezinjengohlobo lwakho oluthile lwe-osteoporosis, ezinye izimo zempilo, umshwalense, nezintandokazi zomuntu siqu lapho ekhetha phakathi kwale mithi. Zombili zingasebenza kahle kakhulu uma zisetshenziswa ngendlela efanele.
I-Palopegteriparatide idinga ukucatshangelwa ngokucophelela kubantu abanezinkinga ze-kidney. Njengoba izinso zakho zisiza ukucubungula lo muthi futhi zilawule amazinga e-calcium, i-kidney disease engathi sína ingenza ukwelashwa kungaphephi.
Uma unezinkinga ze-kidney eziphakathi nendawo, udokotela wakho angase akwazi ukukuyalela lo muthi kodwa uzokuqapha eduze ngezivivinyo zegazi ezivamile. Bazofuna ukuhlola ukusebenza kwezinso zakho namazinga e-calcium njalo ukuze baqinisekise ukuthi umuthi awubangeli izinkinga.
Uma ngengozi uzijova i-palopegteriparatide eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kakhulu kungabangela amazinga e-calcium aphezulu ngokuyingozi egazini lakho, okungaba yingozi.
Qaphela izimpawu ezinjengokucasuka okukhulu, ukuhlanza, ukudideka, ukoma ngokweqile, noma ukushaya kwenhliziyo okungajwayelekile, futhi funa ukunakekelwa kwezempilo okuphuthumayo uma lokhu kuvela. Ungalindi ukubona ukuthi izimpawu ziyavela yini - kungcono ukuhlolwa ngokushesha.
Uma weqa umthamo, wuthatha ngokushesha lapho ukhumbula, uma nje kungesona isikhathi esicishe sibe sesikhathini somthamo wakho olandelayo ohleliwe. Uma sekuseduze isikhathi sokujova kwakho okulandelayo, weqa umthamo oweqiwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo oweqiwe, ngoba lokhu kungabangela imiphumela emibi. Uma uvame ukukhohlwa imithamo, cabanga ukusetha i-alamu yansuku zonke noma usebenzise uhlelo lokusebenza lokukhumbuza imithi ukukusiza ukuthi uhlale emgqeni.
Kufanele uyeke kuphela ukuthatha i-palopegteriparatide ngaphansi kokuqondisa kukadokotela wakho. Abantu abaningi baqeda inkambo yabo ebekiwe yezinyanga eziyi-18 kuya kwezingama-24, kodwa udokotela wakho angase ancome ukuyeka ngaphambili uma uba nemiphumela emibi noma uma amathambo akho ethuthuke kakhulu.
Udokotela wakho cishe uzofuna ukukushintshela emuthini ohlukile we-osteoporosis lapho uqeda i-palopegteriparatide ukusiza ukugcina amandla amathambo owatholile. Ukuyeka yonke imithi yamathambo kungazelelwe kungaholela ekulahlekelweni kwamathambo okusheshayo.
Yebo, ungahamba ngenkathi uthatha i-palopegteriparatide, kodwa uzodinga ukuhlela kusengaphambili ukuze ugcine imithi yakho igcinwe kahle futhi ugcine ishejuli yakho yokujova yansuku zonke. Umuthi udinga ukuhlala efrijini, ngakho uzodinga i-cooler enama-ice pack ohambweni.
Uma uhamba ngamathayimu zoni, khuluma nodokotela wakho mayelana nendlela yokulungisa isikhathi sokujova kwakho. Letha imithi eyengeziwe uma kwenzeka ukubambezeleka, futhi uphethe incwadi evela kudokotela wakho echaza isidingo sakho somuthi ojovwayo uma udlula ezokuphepha esikhumulweni sezindiza.