Mankhwala a bisphosphonate akhala ochiritsira kwa odwala odwala matenda opatsirana. Mankhwala a bisphosphonate apezeka akuwonjezera mphamvu ya mafupa ndipo amachititsa kuti pakhale mwayi wochepa wophulika m'zaka 5 zoyambirira mutayamba kumwa mankhwala. Odwala ambiri atumizidwa ndi mankhwala a bisphosphonate (monga Fosamax, Boniva, kapena Actonel), ndipo odwalawa ayenera kudziwa zotsatira za mankhwalawa.
Kukhumudwa m'mimba / Kutentha Kwambiri
Zotsatira zapadera za mankhwala a bisphosphonate ndizopwetekedwa m'mimba. Mankhwalawa angayambitse kutupa kwa mimba ndipo amachititsa kuti phokoso liwonongeke pamtunda. Mukamamwa mankhwala a bisphosphonate, ndibwino kuti mupitirizebe kukhala wowongoka kwa mphindi 30 mpaka 60 mutatha kumwa mankhwala.
Osteonecrosis wa Jaw
Osteonecrosis ndi vuto lomwe limayambitsa mafupa a mafupa kufa. Deta imasonyeza mwayi wapamwamba wa jaw osteonecrosis kwa odwala omwe amamwa mankhwala a bisphosphonate. Izi zimakhala zochitika mwa anthu omwe amamwa mankhwala a bisphosphonates, ndipo kawirikawiri amachiwona pambuyo pa wodwalayo pa mankhwala a bisphosphonate wakhala akuchitidwa opaleshoni ya mano kuphatikizapo nsagwada.
Matenda, Ophatikizana, Ndiponso Ammimba
Pakhala pali lipoti la odwala okhala ndi ululu waukulu, wokhudzana, ndi / kapena mafupa atatha kumwa mankhwala a bisphosphonate. Izi zingabweretse masiku, miyezi, kapena zaka zitatha kuyamba bisphosphonate therapy.
Ngati kupweteka kwa minofu kapena kupweteka kwa mafupa kuli vuto, kuimitsa mankhwala a bisphosphonate ayenera kuganiziridwa. Lankhulani ndi dokotala wanu za zizindikiro zanu.
Fungo la Femur
Mankhwala osadziwika achikazi amapezeka mwa odwala ena omwe amamwa mankhwala a bisphosphonate kwa nthawi yaitali. Kafukufuku wapenda kufufuza kumeneku kuti adziwe ngati mankhwala angapangitse mitundu yodabwitsa ya fractures.
Sitikudziwikanso ngati kugwiritsa ntchito mankhwala a bisphosphonates kwa nthawi yaitali kungapangitse kuti ngozi iwonongeke, koma muyenera kukambirana ndi dokotala ngati mukuyenera kumwa mankhwalawa kwa zaka zoposa 4.
Fungo la Atrial
Kugwiritsira ntchito matenda a atrial ndi mtima wosadziwika womwe ungayambe kupweteka mtima. Mu ndemanga za deta zina, mayendedwe achilendo amapezeka makamaka kwa odwala omwe amamwa mankhwala a bisphosphonate, makamaka okalamba. Mu ndemanga za deta zina, komabe, mgwirizano uwu sunayambe kuwonekera. Choncho, sichidziwika ngati izi ndizovuta pambali ya mankhwala, koma a FDA adawachenjeza madokotala kuti adziwe kuti angathe kukhala nawo.
Zovuta Zina Zotheka
Monga tafotokozera, mankhwala omwe amamwa mankhwala a bisphosphonate amachititsa mimba. Zina mwa mavuto enawa ndizotheka koma zokayikitsa. Odwala omwe amatenga bisphosphonates ayenera kukambirana ndi adokotala kuti apitirizebe kumwa mankhwalawa mpaka liti. Kuwonjezera apo, odwala omwe ali ndi mavuto ena azachipatala omwe angayambitse kusamvana kwa electrolyte kapena odwala ali ndi matenda a impso angafunike kumwa mankhwala a bisphosphate. Ngakhale kuti mankhwala onse ali ndi zotsatira zoopsa ndi zoopsa, nkofunika kukumbukira kuti palinso zoopsa za kusalandira mankhwala oyenera.
Dokotala wanu ayenera kukuthandizani kudziwa njira yabwino yomwe mungapereke.
Zotsatira:
"Kulankhulana Kwachangu kwa Kukhazikitsidwa kwa Chitetezo Chokhazikika pa Bisphosphonates Postmarket Mankhwala Okhudzana ndi Odwala kwa Odwala ndi Owapatsa. Ulamuliro wa Zakudya ndi Zamankhwala (United States) 2007-10-01.