Ibandronate

Zvemukati

• Ibandronate inogona kusashanda nemazvo uye inogona kukuvadza ezophagus (chubhu iri pakati pemuromo nedumbu) kana kukonzera maronda mumuromo kana ikasatorwa maererano nemirairo inotevera. Udza chiremba wako kana iwe usinganzwisise, haufunge kuti uchayeuka, kana kuti haugone kutevedzera iyi mirairo.
• Usati watora ibandronate,
• Ibandronate inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, dana chiremba wako nekukurumidza usati watora chero rimwe ibandronate:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Ibandronate inoshandiswa kudzivirira uye kurapa osteoporosis (mamiriro ayo mapfupa anoonda uye kupera simba nekutyoka zviri nyore) mumadzimai akaguma kuenda kumwedzi ('' shanduko yehupenyu, '' kupera kwemazuva ekuenda kumwedzi). Ibandronate iri mukirasi yemishonga inonzi bisphosphonates. Inoshanda nekudzivirira kuputsika kwemapfupa uye kuwedzera kuwedzera kwefupa (ukobvu).

Ibandronate inouya sehwendefa kutora nemuromo. Iyo 2.5-mg piritsi inowanzo kutorwa kamwe chete pazuva mangwanani padumbu risina chinhu uye iyo 150-mg piritsi inowanzo kutorwa kamwe pamwedzi mangwanani pane isina chinhu mudumbu. Iyo 150-mg piritsi inofanirwa kutorwa pazuva rakafanana mwedzi wega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora ibandronate chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Ibandronate inogona kusashanda nemazvo uye inogona kukuvadza ezophagus (chubhu iri pakati pemuromo nedumbu) kana kukonzera maronda mumuromo kana ikasatorwa maererano nemirairo inotevera. Udza chiremba wako kana iwe usinganzwisise, haufunge kuti uchayeuka, kana kuti haugone kutevedzera iyi mirairo.

• Iwe unofanirwa kutora ibandronate uchangobuda mumubhedha mangwanani, usati wadya kana kunwa chero chinhu. Usambofa wakatora ibandronate panguva yekurara kana usati wamuka uye kumuka pamubhedha kwezuva racho.
• Medza mahwendefa negirazi rizere (matanhatu kusvika 8 maawundi (180 kusvika 240 mL) emvura isina mvura. Usambofa wakatora ibandronate netii, kofi, muto, mukaka, maminera emvura, mvura inopenya, kana chero chinhu chemvura kunze kwemvura yakajeka
• Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya. Usayamwa mapiritsi.
• Mushure mekutora ibandronate, usadya, kunwa, kana kutora chero mimwe mishonga (inosanganisira mavitamini kana maantacids) kwemaminitsi makumi matanhatu. Usarara pasi kweinenge makumi matanhatu maminetsi mushure mekutora ibandronate. Gara wakamira kana kumira wakamira kwemaminitsi makumi matanhatu.

Ibandronate inodzora osteoporosis asi hairape. Ibandronate inobatsira kurapa uye kudzivirira osteoporosis chete chero bedzi ichitorwa nguva dzose. Ramba uchitora ibandronate kunyangwe iwe uchinzwa zvakanaka. Usarega kutora ibandronate usina kutaura nachiremba wako, asi taura nachiremba wako nguva nenguva nezve kana uchiri kuda kutora ibandronate.

Chiremba wako kana wemishonga anokupa iro gwaro reruzivo rwevarwere (reMedicine Gwara) paunotanga kurapwa nebandronate uye pese paunozadza mushonga wako. 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 watora ibandronate,

• udza chiremba wako uye wemishonga kana uri weergoria kune ibandronate, chero mimwe mishonga, kana chero chinhu chinowanikwa mumabwendefa ebandronate. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• 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: angiogenesis inhibitors senge bevacizumab (Avastin), everolimus (Afinitor, Zortress), pazopanib (Votrient), sorafenib (Nexavar), kana sunitinib (Sutent); asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Ibu-Tab, Motrin, vamwe) uye naproxen (Aleve, Naprelan, Naprosyn, vamwe); kenza chemotherapy; uye oral steroids senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• kana iwe uri kutora chero mishonga yemumuromo, inosanganisira zvinowedzera, mavitamini, kana maantacids, tora iwo angangoita 60 maminetsi mushure mekutora ibandronate.
• udza chiremba wako kana iwe usingakwanise kugara wakamira kana kumira wakamira kweinenge maminetsi makumi matanhatu uye kana iwe kana wakambove uine yakaderera mwero wecalcium muropa rako. Chiremba wako anogona kukuudza kuti usatora ibandronate.
• udza chiremba wako kana uchirapwa nemwaranzi uye kana iwe kana wakamboshaya ropa (mamiriro ayo masero matsvuku eropa asingaunze oxygen yakakwana kunhengo dzese dzemuviri); kunetsa kumedza; chirungurira; maronda kana zvimwe zvinetso nedumbu rako kana yegurokuro (chubhu inobatanidza huro nedumbu); gomarara; chero mhando yehutachiona, kunyanya mumuromo mako; matambudziko nemuromo wako, mazino, kana matadza; chero mamiriro anomisa ropa rako kubva pakuvhara kazhinji; kana chirwere cheitsvo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Uyezve udza chiremba wako kana iwe uronga kuve nepamuviri chero nguva mune ramangwana, nekuti ibandronate inogona kuramba iri mumuviri wako kwemakore mushure mekurega kuitora. Dana chiremba wako kana iwe ukava nepamuviri panguva kana mushure mekurapa kwako.
• iwe unofanirwa kuziva kuti ibandronate inogona kukonzera osteonecrosis yeshaya (ONJ, yakakomba mamiriro ejaya pfupa), kunyanya kana iwe ukavhiyiwa mazino kana kurapwa paunenge uchitora mushonga. Chiremba wemazino anofanira kuongorora mazino ako uye aite chero marapirwo anodikanwa, kusanganisira kuchenesa kana kugadzirisa mazino asina kukodzera, usati watanga kutora ibandronate. Ive neshuwa yekugeza mazino nekuchenesa muromo wako zvakanaka paunenge uchitora ibandronate. Taura nachiremba wako usati wawana chero kurapwa kwemazino iwe paunenge uchinwa mushonga uyu.
• iwe unofanirwa kuziva kuti ibandronate inogona kukonzeresa kurwadziwa kwepfupa, mhasuru, kana kubatana. Unogona kutanga kunzwa kurwadziwa uku mukati memazuva, mwedzi, kana makore mushure mekunge iwe watora ibandronate. Kunyangwe rudzi urwu rwekurwadziwa rungangotanga mushure mekutora ibandronate kwenguva yakati, zvakakosha kuti iwe nachiremba wako muone kuti inogona kukonzerwa nebandronate. Fonera chiremba wako ipapo kana iwe uchinge uchinzwa kurwadziwa kwakanyanya chero nguva panguva yekurapa kwako neibandronate. Chiremba wako anogona kukuudza kuti rega kutora ibandronate uye kurwadziwa kwako kunogona kupera mushure mekumira kutora mushonga.
• taura nachiremba wako nezve zvimwe zvinhu zvaunogona kuita kudzivirira osteoporosis kubva mukukura kana kuwedzera. Chiremba wako angangokuudza kuti usapute uye usanwa doro rakawanda uye kuti uteedzere chirongwa chenguva dzose chekutakura huremu.

Iwe unofanirwa kudya nekunwa zvekudya zvakawanda uye zvinwiwa zvakapfuma mucalcium uye vhitamini D paunenge uchitora ibandronate. Chiremba wako anokuudza iwe kuti ndezvipi zvekudya uye zvinwiwa zvakanaka zviwanikwa zveizvi zvinovaka muviri uye kuti mangani masevhisi aunoda zuva rega rega. Kana iwe uchiona zvichinetsa kudya zvakakwana zveizvi zvekudya, udza chiremba wako. Muchiitiko ichocho, chiremba wako anogona kupa kana kukurudzira kuwedzera.

Kana iwe ukakanganwa kutora yezuva nezuva 2.5-mg piritsi, usazvitore gare masikati. Darika iro rakarasika dhizaini uye enderera yako yenguva dzose dosing purogiramu mangwanani anotevera. Usatore mahwendefa maviri ebandronate pazuva rimwe chete.

Kana iwe ukakanganwa kutora kamwe-pamwedzi 150-mg piritsi, uye rako rinotevera rakarongwa zuva rekutora ibandronate iri anopfuura mazuva manomwe kubva, tora piritsi rimwe chete mangwanani iwe mushure mekurangarira. Wobva wadzokera pakutora piritsi rimwe chete pamwedzi pane zuva rakagara rakarongwa. Kana iwe ukakanganwa kutora iyo kamwe-pamwedzi 150-mg piritsi uye rako rinotevera rakarongwa zuva kutora ibandronate ndeye 7 kana mashoma mazuva kure, svetuka muyero uye mirira rako rinotevera rakarongwa zuva Iwe haufanire kutora maviri-150-mg mapiritsi ebandronate mukati mevhiki rimwe.

Kana iwe usina chokwadi chekuita kana ukarasikirwa neiyo ibandronate, fonera chiremba wako.

Ibandronate inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kurwadziwa nemudumbu
• manyoka
• kuvimbiswa
• kushaya simba
• dzungu
• musoro
• fivha, huro, chironda, chikosoro, uye zvimwe zviratidzo zvehutachiona
• kazhinji kana kuda kukurumidza kuita weti
• kunorwadza weti

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, dana chiremba wako nekukurumidza usati watora chero rimwe ibandronate:

• nyowani kana kuwedzera kuora kwemoyo
• kunetseka kumedza
• kurwadziwa pakumedza
• kurwadziwa kwepamusoro kwepfupa
• mapundu
• marini anorwadza kana kuzvimba
• kusununguka kwemeno
• chiveve kana kunzwa kunorema mushaya
• kurapa kwakashata kwesaya
• kugwinha, kurwadziwa kurwadziwa muhudyu, kugomera, kana zvidya

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

Kutora bisphosphonate mishonga yakadai sebandronate yeosteoporosis kunogona kuwedzera njodzi yekuti iwe uchatyora chidya chako bone (s). Unogona kunzwa kurwadziwa muhudyu mako, kugomera, kana zvidya kwemavhiki akati wandei kana mwedzi bvupa risati ratsemuka, uye iwe unogona kuona kuti rimwe kana ako maviri mapfupa emapfupa atyoka kunyangwe iwe usina kudonha kana kusangana nekumwe kushungurudzika. Hazvishamise kuti pfupa rehudyu riputse muvanhu vane hutano, asi vanhu vane osteoporosis vanogona kutyora pfupa iri kunyangwe vasingatore ibandronate. Taura nachiremba wako nezve njodzi dzekutora ibandronate.

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).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

Kana paine ovhadhozi, ipa akabata girazi rizere remukaka uye fonera nzvimbo yako yekudzora chepfu pa1-800-222-1222. Kana munhu wacho akadonha kana kuti asiri kufema, fonera vekubazi nechimbichimbi panhamba 911. Usabvumire munhu akuvata pasi uye usaedze kumanikidza munhu kurutsa.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kusvotwa
• kurwadziwa nemudumbu
• chirungurira

Chengetedza zvese zvakagadzwa nachiremba wako. Chiremba wako anogona kuraira mimwe bvunzo kuti utarise mhinduro yemuviri wako kuibandronate.

Usati waita chero pfupa rekufungidzira kudzidza, udza chiremba wako uye vashandi vezvehutano kuti urikutora ibandronate.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

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.

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