Zoledronic Acid Jekiseni

Zvemukati

• Usati wagamuchira zoledronic acid jekiseni,
• Zoledronic acid inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi, kana izvo zvakanyorwa muzvikamu ZVENYAYA kana ZVINONYANYA, zvakakomba kana kusaenda:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Zoledronic acid (Reclast) inoshandiswa kudzivirira kana kurapa osteoporosis (mamiriro ayo mapfupa anoonda uye kupera simba nekutyoka zviri nyore) mumadzimai akaguma kuenda kumwedzi ('shanduko yehupenyu,' kupera kwenguva yekuenda kumwedzi). Zoledronic acid (Reclast) inoshandiswawo kurapa osteoporosis muvarume, uye kudzivirira kana kurapa osteoporosis muvarume nevakadzi vari kutora glucocorticoids (rudzi rwecorticosteroid mishonga inogona kukonzera osteoporosis). Zoledronic acid (Reclast) inoshandiswawo kurapa chirwere chePaget chepfupa (mamiriro ayo mabhonzo akapfava uye asina kusimba uye anogona kunge akaremara, anorwadza, kana kupwanyika zviri nyore). Zoledronic acid (Zometa) inoshandiswa kurapa huwandu hwakawanda hwecalcium muropa iyo inogona kukonzerwa nemamwe marudzi ekenza. Zoledronic acid (Zometa) inoshandiswawo pamwe nekenza chemotherapy kurapa kukuvara kwemapfupa kunokonzerwa neakawanda myeloma [kenza inotangira mumasero eplasma (masero machena eropa anoburitsa zvinhu zvinodiwa kurwisa hutachiona)] kana nekenza yakatanga mune chimwe chikamu che muviri asi wakapararira kusvika kumapfupa. Zoledronic acid (Zometa) haisi cancer chemotherapy, uye haizononoke kana kumisa kupararira kwegomarara. Zvisinei, inogona kushandiswa kurapa chirwere chepfupa kune varwere vane kenza. Zoledronic acid iri mukirasi yemishonga inonzi bisphosphonates. Inoshanda nekudzora kuputsika kwemapfupa, kuwedzera kuwedzera kwefupa (ukobvu), uye kudzikisa huwandu hwecalcium yakaburitswa kubva mumapfupa kupinda muropa.

Zoledronic acid inouya semhinduro (mvura) kupinza mutsinga pamusoro pemaminitsi gumi nemashanu. Inowanzojowa neanopa hutano muhofisi yechiremba, chipatara, kana kiriniki. Kana zoledronic acid jekiseni inoshandiswa kurapa yakakwira ropa mazinga ecalcium anokonzerwa nekenza inowanzo kupihwa seyero imwechete. Chipiri chechipiri chinogona kupihwa angangoita mazuva manomwe mushure mekutanga muyero kana ropa calcium risingodonhe kune zvakajairwa masosi kana risingagare pamwero chaiwo. Kana zoledronic acid jekiseni inoshandiswa kurapa kukuvara kwemapfupa kunokonzerwa neakawanda myeloma kana gomarara rakapararira kumabhonzo, rinowanzo kupihwa kamwe chete pamasvondo matatu kusvika mana. Kana zoledronic acid jekiseni ichishandiswa kurapa osteoporosis mune vakadzi vakaguma kuenda kumwedzi, kana muvarume, kana kurapa kana kudzivirira osteoporosis muvanhu vari kutora glucocorticoids, inowanzo kupihwa kamwe pagore. Kana zoledronic acid inoshandiswa kudzivirira osteoporosis muvakadzi vakamboenda kumwedzi, inowanzopihwa kamwe chete makore maviri. Kana zoledronic acid inoshandiswa kurapa chirwere chePaget chepfupa, chinowanzo kupihwa seyadhi imwe chete, asi mimwe mibairo inogona kupihwa mushure menguva yakati yapfuura.

Ive neshuwa yekunwa ingangoita magirazi maviri emvura kana imwe mvura mukati maawa mashoma usati wagamuchira zoledronic acid.

Chiremba wako anogona kunyorera kana kukurudzira calcium supplement uye multivitamin ine vhitamini D yekutora panguva yekurapa kwako. Iwe unofanirwa kutora zvinowedzera izvi mazuva ese sekurairwa nachiremba wako. Udza chiremba wako kana paine chero chikonzero chekuti iwe haugone kutora izvi zvinowedzera panguva yekurapa kwako.

Iwe unogona kusangana nekuita mukati memazuva mashoma ekutanga mushure mekunge wagamuchira muyero wezoledronic acid jekiseni. Zviratidzo zvekuita uku zvinogona kusanganisira furu-kunge zviratidzo, fivha, kutemwa nemusoro, kutonhora, uye bone, kubatana kana musuru kurwadziwa. Zviratidzo izvi zvinogona kutanga mukati memazuva matatu ekutanga mushure mekunge mawana muyero wezoledronic acid jekiseni uye inogona kupedza mazuva matatu kusvika gumi nemana. Chiremba wako anogona kukuudza iwe kuti utore isinganyorerwe marwadzo reliever / fever yokuderedza mushure mekunge wagashira zoledronic acid jekiseni kudzivirira kana kubata izvi zviratidzo.

Kana iwe uri kugamuchira zoledronic acid jekiseni kudzivirira kana kurapa osteoporosis, iwe unofanirwa kuenderera mberi nekugamuchira iwo mushonga sezvakarongwa kunyangwe iwe uri kunzwa mushe. Iwe unofanirwa kutaura nachiremba wako nguva nenguva nezve kana uchiri kuda kurapwa nemushonga uyu.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Medication Guide) paunotanga kurapwa ne zoledronic acid jekiseni uye pese paunowana dosi. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri} kuti utore Gwaro reMishonga.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati wagamuchira zoledronic acid jekiseni,

• udza chiremba wako uye wemishonga kana uri weergoria kune zoledronic acid kana chero mimwe mishonga, kana chero chinhu chinosanganiswa mu zoledronic acid jekiseni. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• iwe unofanirwa kuziva kuti zoledronic acid jekiseni inowanikwa pasi pezita rezita Zometa uye Reclast. Iwe unofanirwa kurapwa chete nechimwe chezvigadzirwa izvi panguva.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: aminoglycoside antibiotics akadai seamikacin (Amikin), gentamicin (Garamycin), kanamycin (Kantrex), neomycin (Neo-Rx, Neo-Fradin), paromomycin (Humatin), streptomycin, uye tobramycin (Tobi , Nebcin); asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); kenza chemotherapy mishonga; digoxin (Lanoxin, muDigitek); diuretics ('mapiritsi emvura') akadai sebumetanide (Bumex), ethacrynic acid (Edecrin), uye furosemide (Lasix); uye oral steroids senge dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), uye prednisone (Deltasone). Mimwe mishonga yakawanda inogona kusangana ne zoledronic acid, saka udza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isingaonekwe pane ino runyorwa. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe kana wakambove nechirwere cheitsvo kana kana uine mukanwa wakaoma, weti yakasviba, yakadikitira dikita, ganda rakaoma, uye zvimwe zviratidzo zvekushaya mvura mumuviri kana munguva pfupi yapfuura wakaita manyoka, kurutsa, fivha, hutachiona, kudikitira zvakanyanya, kana ndatadza kunwa zvinwiwa zvakakwana. Chiremba wako anomirira kusvika iwe usisina kupera mvura usati wakupa zoledronic acid jekiseni kana kana uine mamwe marudzi eitsvo chirwere chingasakwanise kukupa kurapwa uku. Uyezve udza chiremba wako kana iwe wakambove uine yakaderera mwero wecalcium muropa rako. Chiremba wako angangotarisa huwandu hwecalcium muropa rako usati watanga kurapwa uye anogona kusapa mushonga uyu kana iwo mwero wakanyanya kuderera.
• udza chiremba wako kana iwe wakarapwa ne zoledronic acid kana mamwe bisphosphonates (Actonel, Actonel + Ca, Aredia, Boniva, Didronel, Fosamax, Fosamax + D, Reclast, Skelid, uye Zometa) munguva yakapfuura; kana iwe wakambove nekuvhiyiwa pane yako parathyroid gland (gland diki mumutsipa) kana thyroid gland kana kuvhiyiwa kubvisa zvikamu zvemukati dumbu rako; uye kana iwe uine kana wakambotadza moyo (mamiriro ayo moyo usingakwanise kupomba ropa rakakwana kune mamwe mativi emuviri); kupererwa neropa (mamiriro umo masero matsvuku eropa asingakwanise kuunza oxygen yakakwana kune mamwe mativi emuviri); chero mamiriro anomisa ropa rako kubva pakuvhara kazhinji; yakaderera mwero wecalcium, magnesium, kana potasium muropa rako; chero mamiriro ezvinhu anotadzisa muviri wako kubva kunotora zvinovaka muviri kubva muchikafu; kana matambudziko nemuromo wako, mazino, kana matadza; hutachiona, kunyanya mumuromo mako; asima kana kufema, kunyanya kana zvikaitwa zvakanyanya nekutora asipurini; kana chirwere cheparathyroid kana chiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Iwe unofanirwa kushandisa nzira yakatendeseka yekudzivirira kuberekwa kudzivirira nhumbu iwe uchinge uchinge uchinge uchinge uchinge uchizotora zoledronic acid. Kana iwe ukava nepamuviri iwe uchigamuchira zoledronic acid, fonera chiremba wako. Zoledronic acid inogona kukuvadza fetus. Taura nachiremba wako kana uchironga kubata pamuviri chero nguva mune ramangwana nekuti zoledronic acid inogona kuramba iri mumuviri wako kwemakore mushure mekumira kuigamuchira.
• iwe unofanirwa kuziva kuti zoledronic acid jekiseni inogona kukonzeresa zvakanyanya pfupa, mhasuru, kana kurwadziwa kwemajoini. Unogona kutanga kunzwa kurwadziwa uku mukati memazuva kana mwedzi mushure mekunge iwe watanga kugamuchira zoledronic acid jekiseni. Kunyangwe rudzi urwu rwekurwadziwa rungatanga mushure mekunge wagamuchira zoledronic acid jekiseni kwenguva yakati, zvakakosha kuti iwe nachiremba wako muone kuti zvinogona kukonzerwa ne zoledronic acid. Fonera chiremba wako ipapo kana iwe uchinge uchinzwa kurwadziwa kwakanyanya chero nguva panguva yekurapa kwako ne zoledronic acid jekiseni. Chiremba wako anogona kumira kukupa iwe zoledronic acid jekiseni uye kurwadziwa kwako kunogona kupera mushure mekumira kurapwa nemushonga uyu.
• iwe unofanirwa kuziva kuti zoledronic acid inogona kukonzera osteonecrosis yeshaya (ONJ, yakakomba mamiriro ejaya pfupa), kunyanya kana iwe ukavhiyiwa mazino kana kurapwa paunenge uchishandisa mushonga. Chiremba wemazino anofanira kuongorora mazino ako uye aite chero marapirwo anodikanwa, kusanganisira kuchenesa, usati watanga kushandisa zoledronic acid. Ive neshuwa yekugeza mazino nekuchenesa muromo wako zvakanaka paunenge uchishandisa zoledronic acid. Taura nachiremba wako usati wawana chero kurapwa kwemazino iwe uchiri kushandisa mushonga uyu.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Ukasuwa musangano wekugamuchira zoledronic acid infusion, fonera chiremba wako nekukurumidza sezvazvinogona.

Zoledronic acid inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi, kana izvo zvakanyorwa muzvikamu ZVENYAYA kana ZVINONYANYA, zvakakomba kana kusaenda:

• kuchenesa, kutsvuka, kurwadziwa, kana kuzvimba munzvimbo yawakagamuchira jekiseni rako
• kutsvuka, kuzvimba, kuvaviwa, kana kusvimha maziso kana kuzvimba kwakatenderedza maziso
• kuvimbiswa
• kusvotwa
• kurutsa
• manyoka
• kurwadziwa nemudumbu
• kurasikirwa nenzara
• kuonda
• chirungurira
• maronda emuromo
• kunyanya kunetseka
• kusagadzikana
• kuora mwoyo
• kunetseka kurara kana kuramba wakarara
• fivha, kutonhora, chikosoro, uye zvimwe zviratidzo zvehutachiona
• zvigamba zvichena mumuromo
• kuzvimba, kutsvuka, kutsamwa, kupisa, kana kuchenesa mukadzi
• chena kusangana nekutsi kwemukadzi kubuda
• chiveve kana kugwinha pamuromo kana nezvigunwe kana zvigunwe
• kurasikirwa nevhudzi

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:

• mapundu
• mikoko
• kuvava
• kuzvimba kwemaziso, kumeso, miromo, rurimi, huro, maoko, maoko, tsoka, makumbo, kana makumbo ezasi
• hoarseness
• kunetseka kufema kana kumedza
• kurwadziwa kwepamusoro kwepfupa
• zvisina kujairika moyo kurova
• mhasuru, mhasuru, kana kupwanya
• kupwanya kusingawanzo kana kubuda ropa
• marini anorwadza kana kuzvimba
• kusununguka kwemeno
• chiveve kana kunzwa kunorema mushaya
• inorwadza mumuromo kana shaya isingarape

Zoledronic acid inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kurapwa nemushonga we bisphosphonate senge zoledronic acid jekiseni re osteoporosis kunogona kuwedzera njodzi yekuti unotyora pfupa rako rehudyu. Unogona kunzwa kusviba, kurwadziwa kurwadziwa muhudyu mako, kugomera, kana zvidya kwemavhiki akati wandei kana mwedzi mwedzi mapfupa (e) asati atyoka, uye iwe unogona kuona kuti rimwe kana maviri emapfupa ako ezvidya atyoka kunyangwe iwe usina kudonha kana kuona kumwe kushungurudzika. Hazvishamise kuti pfupa rehudyu riputse muvanhu vane hutano, asi vanhu vane osteoporosis vanogona kutyora pfupa iri kunyangwe vasingagamuchire zoledronic acid jekiseni. Taura nachiremba wako nezve njodzi dzekugamuchira zoledronic acid jekiseni.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chiremba wako anozochengeta iyi mishonga muhofisi yake uye ndokupa iwe pazvinenge zvichidiwa.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kupindwa nechando
• kushaya simba
• kukasira kusimba kwemhasuru kana mhasuru
• kutsanya, kurova, kana kurova kwemoyo zvisina kujairika
• dzungu
• kufamba kusingadzoreki kwemaziso
• kuona kaviri
• kuora mwoyo
• kunetseka kufamba
• kusadzora kusadzora kwechikamu chemuviri wako
• pfari
• kuvhiringidzika
• mweya wekufema
• kurwadziwa, kupisa, chiveve kana kugwinha mumaoko kana tsoka
• kuoma kutaura
• kunetseka kumedza
• kuderera kwekuita weti

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari kuti atarise mhinduro yemuviri wako kune zoledronic acid.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Reclast^®
• Zometa^®