Etidronate
Zvemukati
- Etidronate inogona kusashanda nemazvo uye inogona kukuvadza ezophagus (chubhu inobatanidza muromo 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 etidronate,
- Etidronate inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
Etidronate inoshandiswa kurapa chirwere chePaget chepfupa (mamiriro ayo mapfupa akapfava uye asina kusimba uye anogona kunge akaremara, anorwadza, kana kuputswa zviri nyore) uye kudzivirira nekubata heterotopic ossification (kukura kwemapfupa tishu mune imwe nzvimbo yemuviri kupfuura marangwanda) muvanhu vakave nekuvhiyiwa kwechiuno kwakazara (kuvhiyiwa kutsiva mubatanidzwa wechiuno nejoinhi yekugadzira) kana kune vanhu vakakuvara kumuzongoza. Etidronate iri mukirasi yemishonga inonzi bisphosphonates. Inoshanda nekudzora kuputsika kwepfupa rekare uye kuumbwa kwepfupa idzva.
Etidronate inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva pazuva risina chinhu. Kurapa kwechirwere chePaget kunogona kudzokororwa kana zviratidzo zvikadzoka kana kuwedzera kana imwe nguva yapfuura. Tora etidronate kwakatenderedza nguva imwechete (ma) mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora etidronate chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kazhinji kana kwenguva yakareba kupfuura zvakatemwa nachiremba wako.
Etidronate inogona kusashanda nemazvo uye inogona kukuvadza ezophagus (chubhu inobatanidza muromo 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.
- Medza mahwendefa negirazi rizere (mazana matanhatu kusvika masere emamiriyoni emamiriyoni kusvika mazana mana nemakumi mana) emvura isina mvura paunenge ugere kana kuti wakamira.
- Gara kana kumira wakamira mushure mekutora etidronate.
- Usadya, kunwa, kana kutora chero mimwe mishonga (inosanganisira mavitamini kana maantacid) kwemaawa maviri zvisati zvaitika uye maawa maviri watora etidronate.
Kana iwe uri kutora etidronate kurapa chirwere chePaget chepfupa kana kudzivirira kana kurapa heterotopic ossification, zvinogona kutora nguva kuti mamiriro ako ave nani. Usarega kutora etidronate usina kutaura nachiremba wako.
Etidronate inoshandiswawo dzimwe nguva kurapa uye kudzivirira osteoporosis (mamiriro umo mapfupa anoonda uye asina kusimba uye anogona kutyoka nyore) zvichikonzerwa necorticosteroids (rudzi rwemishonga inogona kukonzera osteoporosis). Taura nachiremba wako nezve njodzi dzinogona kuitika dzekushandisa mushonga uyu kune ako mamiriro.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati watora etidronate,
- udza chiremba wako uye wemishonga kana uri weergergic kune etidronate, chero mimwe mishonga, kana chero yezvinhu zviri mumatafura etidronate. 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); anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); 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 vitamini uye zvicherwa zvinowedzera simbi, kana kana iwe uri kutora antacids ine calcium, magnesium, kana aluminium (Maalox, Mylanta, Tums, vamwe), tora iwo maawa maviri pamberi kana maviri maawa mushure mekutora etidronate.
- udza chiremba wako kana iwe kana wakambove nematambudziko nesophagus yako senge esophageal solidure (kudzikisira kwesopu inokonzeresa kumedza matambudziko) kana achalasia (kusagadzikana kunokanganisa kugona kwesopu yekufambisa chikafu kuenda mudumbu), kana osteomalacia (kupfava kwemapfupa nekuda kwekushaikwa kwemaminerari). Chiremba wako anogona kukuudza kuti usatora etidronate.
- udza chiremba wako kana iwe usingakwanise kugara kana kumira wakamira uye kana uine kana wakambove neropa (mamiriro ayo masero matsvuku eropa asingaunze oxygen yakakwana kunhengo dzese dzemuviri); yakaderera mwero wecalcium muropa rako; kunetseka kumedza, kutsamwa, maronda, kana zvimwe zvinetso zvemudumbu; gomarara; enterocolitis (kuzvimba mumatumbu); chero mhando yehutachiona, kunyanya mumuromo mako; matambudziko nemuromo wako, mazino, kana matadza; chero mamiriro anomisa ropa rako kubva pakuvhara kazhinji; kana chirwere cheitsvo. Chiremba wako angangoda kuchinja muyero wemishonga yako kana kukutarisisa nokungwarira mhedzisiro.
- 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 etidronate inogona kuramba iri mumuviri wako kwemakore mushure mekurega kuitora. Dana chiremba wako kana iwe ukava nepamuviri panguva kana mushure mekurapa kwako neetidronate.
- iwe unofanirwa kuziva kuti etidronate 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 etidronate. Ive neshuwa yekugeza mazino nekuchenesa muromo wako zvakanaka paunenge uchitora etidronate. Taura nachiremba wako usati wawana chero kurapwa kwemazino iwe paunenge uchinwa mushonga uyu.
- iwe unofanirwa kuziva kuti etidronate inogona kukonzeresa kurwadziwa kwepfupa, mhasuru, kana kwekubatana. Unogona kutanga kunzwa kurwadziwa uku mukati memazuva, mwedzi, kana makore mushure mekunge iwe watanga kutora etidronate. Kunyangwe rudzi urwu rwekurwadziwa rungatanga mushure mekutora etidronate kwenguva yakati, zvakakosha kuti iwe nachiremba wako muone kuti inogona kukonzerwa neetidronate. Fonera chiremba wako ipapo kana iwe uchinge uchirwadziwa zvakanyanya chero nguva panguva yekurapwa kwako neetidronate. Chiremba wako anogona kukuudza kuti rega kutora etidronate uye kurwadziwa kwako kunogona kupera mushure mekumira kutora mushonga.
Izvo zvakakosha kuti iwe uwane yakakwana calcium uye vhitamini D uye udye zvine mwero kudya paunenge uchitora etidronate. Chiremba wako anokuudza iwe kuti ndezvipi zvekudya 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 usati watodya, tora dhosi rakarasika nekukurumidza kana uchinge warangarira. Kana watodya kare, tora dhosi rakarasika maawa maviri mushure mekupedzisira kudya. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.
Etidronate inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- kusvotwa
- manyoka
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
- nyowani kana kuwedzera kuora kwemoyo
- kurwadziwa kana kumedza
- kurwadziwa pachipfuva
- kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
- hoarseness
- kunetseka kumedza
- mhoni paganda
Etidronate inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.
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. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-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 nekusvikwa 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 wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org
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:
- kurutsa
- kurwadziwa nemudumbu
- manyoka
- kurwadziwa, kupisa, chiveve, kana kugwinha mumaoko kana tsoka
- mhasuru uye mhasuru
Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira kumwe kuongorora kwebazi kuti atarise mhinduro yemuviri wako kune etidronate.
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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