Mea Kākau: Virginia Floyd
Lā O Ka Hana: 13 Aukake 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
Zoledronicʻakika ka pahu kui - Kino PaʻA
Zoledronicʻakika ka pahu kui - Kino PaʻA

Anter

Hoʻohana ʻia ka Zoledronic acid (Reclast) i mea e pale a mālama ai i ka osteoporosis (ke ʻano a lahilahi a nāwaliwali nā iwi a haki maʻalahi) i nā wahine i loaʻa i ka menopause ('hoʻololi o ke ola,' ka hopena o nā manawa maʻamau). Hoʻohana ʻia ʻo Zoledronic acid (Reclast) e mālama i ka osteoporosis i loko o nā kāne, a pale a mālama ʻana i ka osteoporosis i nā kāne a me nā wahine e lawe nei i nā glucocorticoids (kahi ʻano o ka lāʻau corticosteroid e kumu ai ka osteoporosis). Hoʻohana pū ʻia ʻo Zoledronic acid (Reclast) e mālama i ka maʻi o Paget o ka iwi (kahi ʻano palupalu a nāwaliwali nā iwi a hemahema paha, ʻeha, a haki ʻole ʻia paha). Hoʻohana ʻia ʻo Zoledronic acid (Zometa) e mālama i nā kiʻekiʻe o ka calcium i loko o ke koko i kumu ʻia e kekahi ʻano maʻi ʻaʻai. Hoʻohana pū ʻia ʻo Zoledronic acid (Zometa) me ka chemotherapy maʻi ʻaukā e mālama ai i ka iwi i hōʻino ʻia e ka myeloma he nui [ka maʻi ʻaʻa e hoʻomaka i nā hunaola plasma (nā keʻokeʻo koko keʻokeʻo e hana i nā mea e pono ai e hakakā i ka maʻi maʻi)] a i ʻole ke kanesa i hoʻomaka i kekahi ʻāpana o ke kino akā ua pālahalaha i nā iwi. ʻO Zoledronic acid (Zometa) ʻaʻole he chemotherapy maʻi ʻaʻai, a ʻaʻole ia e lohi a kū hoʻi i ka hoʻolaha ʻana o ka maʻi ʻaʻai. Eia nō naʻe, hiki ke hoʻohana ʻia e mālama i ka maʻi iwi i nā maʻi i loaʻa i ka maʻi ʻaʻai. Aia ʻo Zoledronic acid i ka papa o nā lāʻau i kapa ʻia bisphosphonates. Hana ia ma ka hoʻolōʻihi ʻana i ka haʻihaʻi iwi, ka hoʻonui ʻana i ka iwi iwi (mānoanoa), a me ka hoʻēmi ʻana i ka nui o ka calcium i hoʻokuʻu ʻia mai nā iwi i loko o ke koko.


Hele mai ʻo Zoledronic acid ma ke ʻano he hopena (wai) e hoʻokomo i loko o ke aa ma kahi o 15 mau minuke. Hoʻokomo pinepine ʻia ia e ka mea mālama ola i ke keʻena o ke kauka, haukapila, a i ʻole kahi haukapila. Ke hoʻohana ʻia ka zoledronic acid injection e mālama i nā kiʻekiʻe o ke koko o ka calcium i hāʻawi ʻia e ka maʻi ʻaʻai e hāʻawi pinepine ʻia ma ke ʻano he hoʻokahi mahele. Hāʻawi ʻia kahi mahele lāʻau ʻelua ma ka liʻiliʻi he 7 mau lā ma hope o ka mahele lāʻau mua inā ʻaʻole e hāʻule ke kōpaʻa o ke koko i nā pae maʻamau a i ʻole hoʻomau i nā pae maʻamau. Ke hoʻohana ʻia ka injection acid zoledronic e mālama i ka iwi i hōʻino ʻia ma muli o ka nui o ka myeloma a i ʻole ka maʻi ʻaʻai i hohola i nā iwi, hāʻawi pinepine ʻia kēlā me kēia 3 a 4 mau pule. Ke hoʻohana ʻia ka injection acid zoledronic e mālama i ka osteoporosis i nā wahine i loaʻa i ka menopause, a i ʻole i nā kāne, a i ʻole e mālama a pale aku paha i ka osteoporosis i ka poʻe e lawe nei i nā glucocorticoids, hāʻawi pinepine ʻia i hoʻokahi manawa i ka makahiki. Ke hoʻohana ʻia ka waikawa zoledronic e pale ai i ka osteoporosis i nā wahine i loaʻa i ka menopause, hāʻawi pinepine ʻia i kēlā me kēia 2 makahiki. Ke hoʻohana ʻia ka waikawa zoledronic e mālama i ka maʻi o Paget o ka iwi, hāʻawi pinepine ʻia ia ma ke ʻano he hoʻokahi mahele, akā hiki ke hāʻawi ʻia i nā mea hou aʻe ma hope o ka hala ʻana o kekahi manawa.


E inu pono ma ka liʻiliʻi he 2 mau aniani o ka wai a i ʻole kahi wai ʻē aʻe i loko o kekahi mau hola ma mua o ka loaʻa ʻana o ka waikawa zoledronic.

Hiki paha i kāu kauka ke kauoha a koi paha i kahi waihona kalima a me kahi multivitamin i loaʻa ka huaola D e lawe i kāu mālama ʻana. Lawe ʻoe i kēia mau mea hoʻopihapiha i kēlā me kēia lā e like me ke kuhikuhi a kāu kauka. E haʻi i kāu kauka inā loaʻa kekahi kumu ʻaʻole hiki iā ʻoe ke lawe i kēia mau mea hoʻopihapiha i kāu mālama ʻana.

Hiki iā ʻoe ke ʻike i kahi hopena i loko o nā lā mua ma hope o kou loaʻa ʻana i kahi lāʻau o ka zoledronic acid injection. Pākuʻi ʻia paha nā ʻōuli o kēia hopena me nā hōʻailona like flu, fever, headache, chills, a me ka iwi, ami a ʻehaʻeha paha. E hoʻomaka paha kēia mau ʻōuli ma loko o nā lā he 3 ma hope o kou loaʻa ʻana i kahi mahele o ka hoʻopili ʻana o ka waikawa zoledronic a he 3 a 14 paha mau lā. E ʻōlelo paha kāu kauka iā ʻoe e lawe i kahi mea hōʻemi ʻehaʻeha ʻole / fever reducer ma hope o kou loaʻa ʻana i ka injection acid zoledronic e pale a mālama paha i kēia mau ʻōuli.

Inā ʻoe e loaʻa ana i ka injection acid zoledronic e pale a mālama ʻana i ka osteoporosis, pono ʻoe e hoʻomau i ka loaʻa ʻana o ka lāʻau i hoʻonohonoho ʻia inā maikaʻi ʻoe. Pono ʻoe e kamaʻilio me kāu kauka mai kēlā manawa a kēia manawa e pili ana inā pono ʻoe e mālama ʻia me kēia lāʻau.


E hāʻawi aku kāu kauka a mea kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Kuhi) ke hoʻomaka ʻoe i ka lāʻau me ka injection acid zoledronic a i kēlā me kēia manawa ke loaʻa iā ʻoe kahi lāʻau. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole ka pūnaewele a ka mea hana} e loaʻa ai ke alakaʻi Medication.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka loaʻa ʻana o ka injection acid zoledronic,

  • e haʻi i kāu kauka a me ka kauka inā ua maʻi ʻoe i ka waikawa zoledronic a i ʻole nā ​​lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka injection zoledronic acid. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
  • pono ʻoe e ʻike i ka loaʻa ʻana o ka injection acid zoledronic ma lalo o nā inoa inoa ʻo Zometa a me Reclast. E mālama wale ʻia ʻoe me kekahi o kēia huahana i ka manawa.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻōlelo pono i kekahi o kēia mau mea: aminoglycoside antibiotics e like me amikacin (Amikin), gentamicin (Garamycin), kanamycin (Kantrex), neomycin (Neo-Rx, Neo-Fradin), paromomycin (Humatin), streptomycin, a me tobramycin (Tobi , Nebcin); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); nā lāʻau chemotherapy chemotherapy; digoxin (Lanoxin, ma Digitek); diuretics ('pills wai') e like me bumetanide (Bumex), ethacrynic acid (Edecrin), a me furosemide (Lasix); a me nā steroid oral e like me dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), a me prednisone (Deltasone). Nui paha nā lāʻau ʻē aʻe e launa pū me ka waikawa zoledronic, no laila e haʻi i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi puʻupaʻa a i ʻole inā he waha maloʻo kou, mimi ʻeleʻele, hoʻēmi i ka hou ʻana, ʻili maloʻo, a me nā ʻōuli ʻē aʻe o ka make wai ʻole a i loaʻa paha i ka palahī, ka luaʻi, ke kuni, ka maʻi, ka nui o ka hou, a i ʻole. ua hiki ʻole ke inu i ka wai i lawa. E kali kāu kauka a hiki i kou make wai ʻole ʻana ma mua o ka hāʻawi ʻana iā ʻoe i ka injection acid zoledronic a i ʻole inā loaʻa iā ʻoe kekahi ʻano o nā maʻi puʻupaʻa e kauoha ʻole paha i kēia lapaʻau iā ʻoe. E haʻi aku i kāu kauka inā loaʻa ʻoe i kahi pae haʻahaʻa o ka calcium i loko o kou koko. E nānā paha kāu kauka i ke kiʻekiʻe o ka calcium i loko o kou koko ma mua o kou hoʻomaka ʻana i ka lāʻau lapaʻau a ʻaʻole paha e kuhikuhi i kēia lāʻau inā haʻahaʻa loa ka pae.
  • e haʻi i kāu kauka inā ua mālama ʻia ʻoe me ka waika zoledronic a i ʻole nā ​​bisphosphonates ʻē aʻe (Actonel, Actonel + Ca, Aredia, Boniva, Didronel, Fosamax, Fosamax + D, Reclast, Skelid, a me Zometa) i ka wā i hala. inā ua hana ʻoki ʻia ʻoe ma kāu gland parathyroid (gland liʻiliʻi i ka ʻāʻī) a i ʻole ke kauka thyroid a i ʻole ke ʻoki ʻana e wehe i nā ʻāpana o kou ʻōpū liʻiliʻi; a inā ua loaʻa a i ʻole loaʻa paha ʻoe i ka puʻuwai puʻuwai (kahi e hiki ʻole ai i ka puʻuwai ke pauma i ke koko i nā ʻāpana ʻē aʻe o ke kino); anemia (ke ʻano a ʻaʻole hiki i nā huna koko ke lawe mai i ka nui o ka oxygen i nā ʻāpana ʻē aʻe o ke kino); i kekahi ʻano e hōʻoki i kou koko mai ka hoʻopili ʻana maʻamau; nā pae haʻahaʻa o ka calcium, magnesium, a i ʻole potassium i kou koko; i kēlā me kēia ʻano e pale ana i kou kino mai ke komo ʻana i ka momona mai ka meaʻai; a i ʻole nā ​​pilikia me kou waha, nā niho, a i ʻole nā ​​gum; he maʻi, ʻo ia hoʻi i kou waha; hānō a i ʻole wheezing, keu hoʻi inā hana ʻino ʻia e ka lawe ʻana i ka aspirin; aiʻole parathyroid a maʻi maʻi ake paha.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Pono ʻoe e hoʻohana i kahi ʻano hilinaʻi o ka kaohi hānau e pale i ka hāpai ʻana ʻoiai ʻoe e loaʻa ana i ka waikawa zoledronic. Inā hāpai ʻoe i ka loaʻa ʻana o ka waikawa zoledronic, e kāhea i kāu kauka. Hoʻopilikia paha ka Zoledronic acid i ka fetus. E kamaʻilio me kāu kauka inā ʻoe e hoʻolālā e hāpai i kēlā me kēia manawa i ka wā e hiki mai ana no ka mea e noho mau ka waikawa zoledronic i kou kino no nā makahiki he nui ma hope o ka pau ʻana o ka loaʻa.
  • pono ʻoe e ʻike ʻo ka inikū zoledronic acid ke kumu o ka iwi nui, nā mākala, a me nā ʻeha pū. E hoʻomaka paha ʻoe e ʻeha i kēia ʻeha i loko o nā mahina he mau lā ma hope o kou loaʻa mua ʻana i ka hoʻopili ʻana o ka waikawa zoledronic. ʻOiai ʻo kēia ʻano ʻeha e hoʻomaka paha ma hope o kou loaʻa ʻana o ka injection acid zoledronic no kekahi manawa, he mea nui nāu a me kāu kauka e hoʻomaopopo he kumu ia na ka waikawa zoledronic. Kāhea koke aku i kāu kauka inā ʻike ʻoe i ka ʻehaʻeha loa i kēlā me kēia manawa i ka wā o kāu mālama ʻana me ka injection zoledronic acid. Hiki paha i kāu kauka ke hōʻole i ka hāʻawi ʻana iā ʻoe i ka injection acid zoledronic a hele aku paha kou ʻeha ma hope o kou hōʻoki ʻana i ka lāʻau me kēia lāʻau.
  • pono ʻoe e ʻike he hiki i ka waikawa zoledronic ke kumu i ka osteonecrosis o ka ʻāʻī (ONJ, kahi kūlana koʻikoʻi o ka iwi ā), keu hoʻi inā he ʻoki niho ʻoe a i ʻole ke lapaʻau ʻana ke hoʻohana ʻoe i ka lāʻau. Pono kahi kauka niho e nānā i kou mau niho a hana i nā hana e pono ai, e like me ka hoʻomaʻemaʻe, ma mua o kou hoʻomaka ʻana e hoʻohana i ka waikawa zoledronic. E mālama pono i kou niho a hoʻomaʻemaʻe i kou waha pono ʻoiai ʻoe e hoʻohana ana i ka waikawa zoledronic. E kamaʻilio me kāu kauka ma mua o ka loaʻa ʻana o nā lāʻau lapaʻau iā ʻoe e hoʻohana ana i kēia lāʻau.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

Inā haʻalele ʻoe i kahi manawa e loaʻa ai kahi infusion acid zoledronic, e kāhea koke i kāu kauka.

Hiki i ka Zoledronic acid ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā loaʻa kekahi o kēia mau ʻōuli, a i ʻole i helu ʻia i nā ʻaoʻao HOW a i ʻole PRECAUTIONS, paʻakikī a mai hele aku paha:

  • ka ʻili, ʻulaʻula, ʻeha, a ʻōhū paha ma kahi āu i loaʻa ai kāu kuikui
  • ʻulaʻula, pehu, ʻāʻī, a i ʻole nā ​​maka leary a pehu paha a puni nā maka
  • kōpaʻa
  • nausea
  • ka luaʻi
  • pāhoehoe
  • ʻeha ka ʻōpū
  • nalo ʻai ʻole
  • Kaumaha emi
  • puʻuwai puʻuwai
  • ʻeha nā waha
  • hopohopo nui loa
  • hoohaunaele
  • kaumaha
  • paʻakikī e hiamoe a hiamoe paha
  • ke kuni, ke anu, ka puʻu, a me nā hōʻailona ʻē aʻe o ka maʻi
  • ʻāpana keʻokeʻo i ka waha
  • pehu, ʻulaʻula, hoʻonāukiuki, puhi ʻana, a i ʻole ʻāno o ka ʻōpū
  • hoʻokuʻu hoʻokuʻu keʻokeʻo
  • numbness a ʻūlū paha a puni ka waha a i nā manamana a i ʻole nā ​​manamana wāwae
  • poho lauoho

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

  • hūwī
  • hives
  • ʻūlili
  • ka pehu o nā maka, ka maka, ka lehelehe, ke alelo, ka ʻāʻī, nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • hulahula
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • ʻeha o ka umauma luna
  • kuʻi ka naʻau kaulele
  • spasms Muscle, twitches, a i ʻole ke ʻūlū
  • ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
  • gums ʻeha a pehu paha
  • ka hemo ʻana o nā niho
  • ʻōniu a kaumaha paha i ka ā ā
  • ʻeha ma ka waha a i ʻole ka ʻāʻī hoʻōla ʻole

Hiki i ka Zoledronic acid ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Mālama ʻia me kahi lāʻau lapaʻau bisphosphonate e like me ka hoʻopili ʻana o ka acid zoledronic no ka osteoporosis e hoʻonui ai i ka makaʻu e haki ʻoe i kou mau iwi ʻūhā. ʻIke paha ʻoe i ka ʻūlū, ʻehaʻeha i kou mau pūhaka, ka ʻūlū, a me nā ʻūhā i mau pule a i ʻole mau mahina ma mua o ka haki ʻana o ka iwi, a ʻike paha ʻoe ua haki hoʻokahi a ʻelua paha o kou mau iwi ʻūhā ʻoiai ʻaʻole ʻoe i hāʻule a i ʻole ʻike. trauma ʻē aʻe. He mea maʻamau ʻole ka haki ka iwi o ka ʻūhā i ka poʻe olakino, akā ʻo ka poʻe i loaʻa ka osteoporosis e haki paha i kēia iwi inā ʻaʻole lākou e loaʻa i ka ʻaila zoledronic acid. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka loaʻa ʻana o ka injection acid zoledronic.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama kāu kauka i kēia lāʻau i kona keʻena a hāʻawi iā ʻoe e like me ka mea e pono ai.

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • fiva
  • nāwaliwali
  • ka paʻa koke ʻana o nā mākala a i ʻole nā ​​puʻupuʻu puʻupuʻu
  • wikiwiki, kuʻi, a i ʻole kuʻi ka naʻau kūlohelohe
  • ʻūpā
  • neʻe ʻole o ka maka o ka maka
  • hihio pālua
  • kaumaha
  • paʻakikī i ka hele wāwae
  • ke hoʻoluliluli ʻole ʻole ʻana i kahi ʻāpana o kou kino
  • ka hopu ʻana
  • huikau
  • pokole o ka hanu
  • ʻeha, puhi ʻana, numbness a ʻūlū paha i nā lima a me nā wāwae
  • paʻakikī e ʻōlelo
  • paʻakikī i ka ale ʻana
  • hoʻemi urination

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka waikawa zoledronic.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

  • Noho hoʻomaha®
  • Zometa®
Nānā Hou - 11/15/2011

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Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana. Kūleʻa Men trual...