Injection ye-Ibandronate
-Delile
- Ngaphambi kokuthola umjovo we-ibandronate,
- Umjovo we-Ibandronate ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha ngaphambi kokuthola umjovo we-ibandronate ngaphezulu:
Umjovo we-Ibandronate usetshenziselwa ukwelapha i-osteoporosis (isimo lapho amathambo eba mncane futhi abuthakathaka futhi aphuke kalula) kwabesifazane asebedlule esikhathini ('' ushintsho lwempilo; '' ukuphela kwezikhathi zokuya esikhathini). Ibandronate isekilasini lemithi ebizwa ngama-bisphosphonates. Isebenza ngokuvimbela ukuwohloka kwamathambo nokwandisa ukuminyana kwethambo (ukujiya).
Umjovo we-Ibandronate uza njengesisombululo (uketshezi) esizofakwa emthanjeni ngudokotela noma ngumhlengikazi ehhovisi lezokwelapha noma emtholampilo. Umjovo we-Ibandronate uvame ukunikezwa kanye ezinyangeni ezintathu.
Udokotela wakho uzokutshela ukuthi uthathe izithasiselo ze-calcium nevithamini D ngenkathi welashwa ngomjovo we-ibandronate. Thatha lezi zithako njengoba kuqondisiwe.
Ungase uthole ukusabela ngemuva kokuthola umthamo wakho wokuqala womjovo we-ibandronate.Cishe ngeke ukuthole lokhu kusabela ngemuva kokuthola imithamo elandelayo yomjovo we-ibandronate. Izimpawu zalokhu kusabela zingafaka izimpawu ezinjengomkhuhlane, umkhuhlane, ikhanda elibuhlungu, nobuhlungu bethambo noma bemisipha. Udokotela wakho angancoma ukuthi uthathe isidambisi sezinhlungu esincane ukuvimbela noma ukwelapha lezi zimpawu.
Ibandronate injection controls osteoporosis kepha ayiyelaphi. Umjovo we-Ibandronate usiza ukwelapha i-osteoporosis kuphela uma uthola imijovo ejwayelekile. Kubalulekile ukuthi uthole umjovo wakho we-ibandronate kanye ezinyangeni ezi-3 uma nje udokotela wakho ekuyalela, kepha kufanele ukhulume nodokotela wakho ngezikhathi ezithile mayelana nokuthi ngabe usadinga yini ukujova ibandronate.
Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa ngomjovo we-ibandronate futhi isikhathi ngasinye lapho uthola umthamo. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthola umjovo we-ibandronate,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-ibandronate, noma imiphi eminye imithi, noma yiziphi izithako zomjovo we-ibandronate. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi kokulandelayo: i-angiogenesis inhibitors efana ne-bevacizumab (Avastin), everolimus (Afinitor, Zortress), pazopanib (Votrient), sorafenib (Nexavar), noma sunitinib (Sutent); i-chemotherapy yomdlavuza; kanye ne-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- Tshela udokotela wakho uma une-hypocalcemia (ephansi kuneleveli ejwayelekile ye-calcium egazini lakho). Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi umjovo we-ibandronate.
- tshela udokotela wakho uma uthola ukwelashwa ngemisebe futhi uma uke waba nayo noma wake waba ne-anemia (isimo lapho amangqamuzana abomvu egazi engalethi umoya-mpilo owenele kuzo zonke izingxenye zomzimba); umdlavuza; isifo sikashukela; noma yiluphi uhlobo lokutheleleka, ikakhulukazi emlonyeni wakho; izinkinga ngomlomo wakho, ngamazinyo, noma ngezinsini; umfutho wegazi ophakeme; noma isiphi isimo esivimba igazi lakho ekunqandeni ngokujwayelekile; amazinga aphansi kunamavithamini D ajwayelekile; noma isifo senhliziyo noma sezinso.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Tshela nodokotela wakho uma uhlela ukukhulelwa nganoma yisiphi isikhathi ngokuzayo, ngoba ibandronate ingahlala emzimbeni wakho iminyaka ngemuva kokuyeka ukuyisebenzisa. Shayela udokotela wakho uma ukhulelwa ngesikhathi noma ngemuva kokwelashwa kwakho.
- kufanele wazi ukuthi umjovo we-ibandronate ungadala i-osteonecrosis yomhlathi (i-ONJ, isimo esibi sethambo lomhlathi), ikakhulukazi uma uhlinzekwa amazinyo noma ukwelashwa ngenkathi uthola lo muthi. Udokotela wamazinyo kufanele ahlole amazinyo akho futhi enze noma yiziphi izindlela zokwelashwa ezidingekayo, kufaka phakathi ukuhlanza noma ukulungisa amazinyo okufakelwa angalungile, ngaphambi kokuba uqale ukuthola ibandronate. Qiniseka ukuthi uxubha amazinyo futhi uhlanza umlomo wakho kahle ngenkathi uthola umjovo we-ibandronate. Khuluma nodokotela wakho ngaphambi kokuthola noma yikuphi ukwelashwa kwamazinyo ngenkathi uthola lo muthi.
- kufanele wazi ukuthi umjovo we-ibandronate ungadala ubuhlungu obukhulu bethambo, imisipha, noma amalunga. Ungaqala ukuzwa lobu buhlungu kungakapheli izinsuku, izinyanga, noma iminyaka ngemuva kokuthola umjovo we-ibandronate. Yize lolu hlobo lobuhlungu lungaqala ngemuva kokuthola umjovo we-ibandronate isikhashana, kubalulekile ukuthi wena nodokotela wakho nazi ukuthi kungabangelwa yi-ibandronate. Shayela udokotela wakho ngokushesha uma uzwa ubuhlungu obukhulu noma kunini ngesikhathi sokwelashwa kwakho ngomjovo we-ibandronate. Udokotela wakho angayeka ukujova ngebandronate futhi ubuhlungu bakho bungaphela ngemuva kokuyeka ukwelashwa ngalo muthi.
- khuluma nodokotela wakho ngezinye izinto ongazenza ukuvimbela ukukhumuzeka kwamathambo ekukhuleni noma ekukhuleni. Udokotela wakho mhlawumbe uzokutshela ukuthi ugweme ukubhema nokuphuza utshwala obuningi futhi ulandele uhlelo olujwayelekile lokuzivocavoca umzimba.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Uma uphuthelwa isikhathi sokuthola umjovo we-ibandronate, kufanele ushayele umhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha okukhulu. Umthamo ongabanjwanga kufanele unikezwe ngokushesha lapho ungahlelwa kabusha. Ngemuva kokuthola umthamo ongabanjwanga, umjovo wakho olandelayo kufanele uhlelelwe izinyanga ezi-3 kusukela ngosuku lomjovo wakho wokugcina. Akufanele uthole umjovo we-ibandronate kaningi ngaphezu kwesisodwa njalo ezinyangeni ezi-3.
Umjovo we-Ibandronate ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ubuhlungu besisu
- isicanucanu
- ukuqunjelwa
- isifo sohudo
- isilungulela
- ukuhlungu obusemhlane
- ukuqubuka
- ubuhlungu ezandleni noma emilenzeni
- ubuthakathaka
- ukukhathala
- isiyezi
- ikhanda
- umkhuhlane, umphimbo obuhlungu, amakhaza, ukukhwehlela, nezinye izimpawu zokutheleleka
- kaningi noma ngokuphuthumayo isidingo sokuchama
- ukuchama kabuhlungu
- ububomvu noma ukuvuvukala endaweni yomjovo
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha ngaphambi kokuthola umjovo we-ibandronate ngaphezulu:
- izinsini ezibuhlungu noma ezivuvukele
- ukukhululeka kwamazinyo
- ukuba ndikindiki noma ukuzwa okusindayo emhlathini
- ukwelashwa kabi komhlathi
- ubuhlungu beso noma ukuvuvukala
- umbono uyashintsha
- ukuzwela ekukhanyeni
- ubuhlungu obubuhlungu, obuhlungu ezinqulwini, emgodini, noma emathangeni
Umjovo we-Ibandronate ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthola lo muthi.
Ukwelashwa ngemithi ye-bisphosphonate efana nomjovo we-ibandronate we-osteoporosis kungakhuphula ubungozi bokuthi uzophula amathambo amathanga akho. Ungabuzwa ubuhlungu okhalweni lwakho, emgodini, noma emathangeni amasonto ambalwa noma izinyanga ngaphambi kokuphuka kwamathambo, futhi ungathola ukuthi elilodwa noma womabili amathambo akho ethanga aphukile yize ungazange uwe noma wehlelwe okunye ukuhlukumezeka. Akujwayelekile ukuthi ithambo lamathanga liphuke kubantu abaphilile, kepha abantu abane-osteoporosis bangalimaza leli thambo noma bengatholi umjovo we-ibandronate. Khuluma nodokotela wakho ngezingozi zokuthola umjovo we-ibandronate
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 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.
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile ukuze aqiniseke ukuthi kuphephile yini ukuthola umjovo we-ibandronate nokuhlola impendulo yomzimba wakho kumjovo we-ibandronate.
Ngaphambi kocwaningo lwethambo, tshela udokotela nabasebenzi bezempilo ukuthi uthola umjovo we-ibandronate.
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.
- UBoniva® Ukujova