Inaliti ye-Pamidronate

-Delile

• Ngaphambi kokuthola umjovo we-pamidronate,
• Umjovo we-Pamidronate ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Pamidronate isetshenziselwa ukwelapha amazinga aphezulu e-calcium egazini angabangelwa izinhlobo ezithile zomdlavuza. I-Pamidronate iyasetshenziswa kanye nomdlavuza womdlavuza ukwelapha ukulimala kwamathambo okubangelwa i-myeloma eminingi (umdlavuza oqala kumaseli e-plasma [uhlobo lweseli elimhlophe legazi elikhiqiza izinto ezidingekayo ukulwa nokutheleleka] noma ngomdlavuza webele osabalalele emathanjeni . I-Pamidronate nayo isetshenziselwa ukwelapha isifo se-Paget (isimo lapho amathambo ethambile futhi ebuthakathaka futhi engahle akhubazeke, abe buhlungu, noma aphuke kalula). Umjovo wePamidronate usesigabeni semithi ebizwa ngama-bisphosphonates. Isebenza ngokunciphisa ukuwohloka kwamathambo, ukukhulisa ukuminyana kwethambo (ukushuba) nokunciphisa inani le-calcium ekhishwe emathanjeni iye egazini.

Umjovo wePamidronate uza njengesisombululo (uketshezi) ukujova emthanjeni kancane, ngaphezu kwamahora amabili kuya kwangu-24. Imvamisa ijojowe ngumhlinzeki wezempilo ehhovisi likadokotela, esibhedlela, noma emtholampilo. Inganikezwa kanye njalo emavikini ama-3 kuye kwayi-4, kanye ngosuku izinsuku ezi-3 zilandelana, noma njengomthamo owodwa ongaphindwa ngemuva kweviki elilodwa noma ngaphezulu. Isheduli yokwelashwa incike esimweni sakho.

Udokotela wakho angancoma i-calcium supplement kanye ne-multivitamin equkethe i-vitamin D ongayithatha ngesikhathi sokwelashwa kwakho. Kufanele uthathe lezi zithasiselo nsuku zonke njengoba uqondiswe ngudokotela wakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthola umjovo we-pamidronate,

• Tshela udokotela wakho kanye nosokhemisi uma une-aleji kumjovo we-pamidronate, i-alendronate (i-Fosamax), i-etidronate (i-Didronel), i-risedronate (i-Actonel), i-tiludronate (i-Skelid), i-zoledronic acid (i-Zometa), noma imiphi eminye imithi, noma iziphi izithako ezikhona ku-pamidronate umjovo. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: imithi yokwelashwa ngamakhemikhali yomdlavuza; i-steroids yomlomo efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (i-Medrol), ne-prednisone (i-Deltasone); ne-thalidomide (i-Thalomid). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana nomjovo we-pamidronate, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• Tshela udokotela wakho uma welashwa ngemisebe yokwelashwa ngemisebe nokuthi ngabe wake wahlinzwa noma wahlinzwa i-thyroid, waquleka, noma waba nesifo sesibindi noma sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Kufanele usebenzise indlela ethembekile yokulawula ukubeletha ukuvimbela ukukhulelwa ngenkathi uthola i-pamidronate. Uma ukhulelwa ngenkathi uthola i-pamidronate, shayela udokotela wakho ngokushesha. Khuluma nodokotela wakho uma uhlela ukukhulelwa nganoma yisiphi isikhathi ngokuzayo ngoba i-pamidronate ingahlala emzimbeni wakho iminyaka ngemuva kokuyeka ukuyisebenzisa.
• kufanele wazi ukuthi i-pamidronate ingadala izinkinga ezinkulu ngomhlathi wakho, ikakhulukazi uma uhlinzwa noma ukwelashwa ngenkathi uthatha umuthi. Udokotela wamazinyo kufanele ahlole amazinyo akho futhi enze noma yiziphi izindlela zokwelashwa ezidingekayo ngaphambi kokuba uqale ukuthola i-pamidronate. Qiniseka ukuthi uxubha amazinyo futhi uhlanze umlomo wakho kahle ngenkathi uthola i-pamidronate. Khuluma nodokotela wakho ngaphambi kokuthola noma yikuphi ukwelashwa kwamazinyo ngenkathi uthola lo muthi.
• kufanele wazi ukuthi umjovo we-pamidronate ungadala ubuhlungu obukhulu bethambo, imisipha, noma amalunga. Ungaqala ukuzwa lobu buhlungu kungakapheli izinsuku, izinyanga, noma iminyaka ngemuva kokuthola umjovo we-pamidronate. Yize lolu hlobo lobuhlungu lungaqala ngemuva kokuthola umjovo we-pamidronate isikhathi esithile, kubalulekile ukuthi wena nodokotela wakho nazi ukuthi kungabangelwa yi-pamidronate. Shayela udokotela wakho khona manjalo uma uzwa ubuhlungu obukhulu noma kunini ngesikhathi sokwelashwa kwakho nge-pamidronate inejction. Udokotela wakho angayeka ukukunika umjovo we-pamidronate futhi ubuhlungu bakho bungaphela ngemuva kokuyeka ukwelashwa ngalo muthi.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla kwakho okujwayelekile

Shayela udokotela wakho uma uphuthelwa umthamo we-pamidronate noma i-aphoyintimenti yokuthola umthamo we-pamidronate.

Umjovo we-Pamidronate ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ububomvu, ukuvuvukala, noma ubuhlungu endaweni yomjovo
• ubuhlungu besisu
• ukulahlekelwa isifiso sokudla
• ukuqunjelwa
• isicanucanu
• ukuhlanza
• isilungulela
• shintsha emandleni okunambitha ukudla
• izilonda emlonyeni
• imfiva
• ikhanda
• isiyezi
• ukukhathala ngokweqile
• ubunzima bokulala noma ukulala
• ukukhwehlela
• ubunzima bokuchama noma ukuchama kabuhlungu
• ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• izinsini ezibuhlungu noma ezivuvukele
• ukukhululeka kwamazinyo
• ukuba ndikindiki noma ukuzwa okusindayo emhlathini
• ukwelashwa kabi komhlathi
• uhlanza olunegazi noma olubukeka njengezizathu zekhofi
• indle enegazi noma emnyama neyokulinda
• ukuphelelwa umoya
• ukushaya kwenhliziyo okusheshayo
• ukuquleka
• ukuqina okungazelelwe kwemisipha
• ukuba ndikindiki noma ukuncinza emlonyeni
• ubuhlungu beso noma ukudabuka

Umjovo wePamidronate ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Uma unikeza lo muthi ekhaya, umhlinzeki wakho wokunakekelwa kwezempilo uzokutshela ukuthi uwugcina kanjani. Landela le miyalo ngokucophelela.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• imfiva
• shintsha emandleni okunambitha ukudla
• ukuqina okungazelelwe kwemisipha
• ukuba ndikindiki noma ukuncinza emlonyeni

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho kumjovo we-pamidronate.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Aredia^®

• I-ADP Sodium
• I-AHPrBP Sodium