Evista ndi chiyani ?:
Evista (raloxifene hydrochloride) ndi selerogen receptor modulator (SERM). Amagwiritsidwa ntchito pochizira matenda a m'mimba komanso si homoni.
Evista Amagwira Mitsempha Yambiri Ndi Kutsika Kwambiri kwa Khansa ya M'mawere:
Evista amagwiritsidwa ntchito popewera ndi kuchiza matenda otupa mafupa m'mimba mwa amayi omwe amatha kupha anthu. Mu 2007, adavomerezedwa kuti achepetse chiopsezo cha khansa ya m'mawere oyamwitsa kwa amayi omwe amatha kudwala matenda odwala matenda odwala matenda odwala matenda odwala matenda a m'mimba komanso amayi omwe amatha kudwala matendawa.
Evista si mankhwala a khansa ya m'mawere, koma angagwiritsidwe ntchito poteteza matenda a khansa ya m'mawere yotchedwa estrogen-receptor. Sizitha kuchepetsa chiopsezo cha kubwereranso kwa khansara ya m'mawere. Akazi omwe ali ndi khansa ya m'mawere chifukwa cha kusintha kwa majeremusi ( BRCA1 , BRCA2 ) sangapindule ndi kutenga Evista.
Momwe Evista Amagwirira Ntchito:
Evista imamangiriza maselo a estrogen pa maselo, kumapangitsa kuti chitetezo chisokonezeke ndi kuyambitsa estrogen kutenga njira zina kupyolera mu thupi lanu. Amachepetsanso mafupa omwe amachititsa kuti thupi likhale lopopera komanso limapangitsa kuti mafupa azikhala ochepa kwambiri. Izi zimabweretsa mafupa amphamvu komanso chiopsezo chochepa cha zophulika. Phindu lina la Evista ndilokuti amachepetsa kuchuluka kwa mankhwala a kolesteroloni . M'mabere ndi m'chiberekero, zimakhala ngati wotsutsana ndi estrogen.
Mafupa Amapweteka Pambuyo Pambuyo Pambuyo Pambuyo:
Pakapita nthawi komanso pambuyo pa kuchepa kwa thupi, thupi lanu limapanga tizilombo tochepa, zomwe zimapangitsa fupa kupumula.
Amayi ambiri amatenga mankhwala ochepetsa kutsegula m'mimba kuti ateteze ndi kulimbikitsa mafupa awo atatha msinkhu. Fosamax, Boniva, ndi Evista amaperekedwa kwa amayi omwe amatha kupha amayi, komanso Vitamini D ndi mavitamini a calcium ndi zochita zolimbitsa thupi, kuti asamakhale ndi thanzi labwino komanso kuti asatuluke. Ngati mafupa anu akupopera, mumakhala pangozi yoti mitsempha yanu, mchiuno, ndi nsonga zanu zitheke.
Evista Poyerekeza ndi Tamoxifen:
Evista anafanizidwa ndi Tamoxifen mu phunziro la STAR la zaka zisanu, ndipo silinapezedwe kukhala lothandiza kuchepetsa zotsatira za khansa ya m'mawere. Komabe, chithandizo cha Evista chinayambitsa matenda ochepa kwambiri a mitsempha yambiri ya mitsempha, mitsempha yam'mimba, mitsempha ya khansa komanso khansa ya endometrial (zotsatira zofala) kuposa Tamoxifen.
Malangizo Pakutenga Evista:
Azimayi omwe angakhale osataya nthawi yaitali (kubwezeretsedwa kuchokera ku opaleshoni, kupuma pa bedi, kuyenda ndi kayendetsedwe kazing'ono) ayenera kusiya kumwa Evista maola 72 asanafike, komanso nthawi, nthawi yopuma. Izi ndichifukwa chakuti Evista akhoza kuonjezera chiopsezo cha magazi. Ngati mukugwiritsa ntchito Evista, onetsetsani kuti mutenga zowonjezera mavitamini D komanso mavitamini D, ndipo muzichita masewera olimbitsa thupi nthawi zonse , kuti mupindule kwambiri ndi mafupa anu. Kusiya kapena kuchepetsa kusuta fodya , kafein, ndi mowa pamene muli pa Evista, monga zinthu zomwe zimapangitsa mafupa osweka.
Ndani sayenera kutenga Evista:
Musatenge Evista ngati:
- muli ndi pakati kapena mukuyamwitsa, chifukwa zingapweteke mwana wanu
- muli ndi mavuto ozungulira
- muli ndi mbiri ya mitsempha yambiri ya thrombosis, embolism ya pulmonary, ndi retinal vein thrombosis
- mukugwiritsa ntchito mankhwala opangira mahomoni (HRT)
- muli ndi vuto lalikulu la chiwindi
Kupezeka Monga:
Evista imapezeka pamapiritsi 60 mg, ndi mankhwala okha. Zimatengedwa kamodzi tsiku ndi tsiku, kapena popanda chakudya.
Zotsatira Zotsatira:
Kukhulupirira kungayambitse zotsatirazi:
- kutentha kotentha
- thukuta lalikulu
- kunyoza
- kutsekula m'mimba
- mutu (osati migraine)
- ululu wamkati
Sikuti aliyense ayenera kutenga Evista, chifukwa ikhoza kuonjezera ngozi ya magazi m'milingo (deep vein thrombosis), mtima (pulmonary embolism), ndi maso (Retinal vein thrombosis).
Onani dokotala wanu ngati muli ndi zizindikiro izi mutatenga Evista:
- ululu kapena kutentha m'miyendo yanu kapena ng'ombe
- kutupa manja, mapazi, kapena miyendo
- kupweteka mwadzidzidzi m'chifuwa chako; kupuma pang'ono
- kusintha mwadzidzidzi m'masomphenya anu (masomphenya owonetsedwa kapena otayika)
Evista sichimayambitsa kupweteka kwa m'mawere kapena chifundo, ndipo sizimayambitsa magazi.
Zotsatira:
Evista.com. Matenda a Osteoporosis ndi Khansa Yopweteka ya M'bwere. © 2008.
FDA. Malo Owonetsera Mankhwala Osokoneza Bongo ndi Kafukufuku. FDA imavomereza ntchito zatsopano za Evista (raloxifene hydrochloride). Tsiku linalengedwa: September 17, 2007.
FDA News. Raloxifene hydrochloride. September 17, 2007.