ImpiloAmalungiselelo

"Osterepar": imfundo manual, ukubuyekezwa, umakhi, analogue

Ukwehlisa izinga amaminerali izicubu ithambo imbangela omningi ukulimala esihlasela amathambo futhi articular apharathasi e abantu bobudala obuhlukahlukene. Kaningi, kwamathambo incipha ngenxa lenyuka imigqa ephezulu nephansi - okuthiwa ithambo resorption. I ukuzinza izinqubo bokuphila phakathi kokubhujiswa nokudalwa bone - iwumgomo oyinhloko ekwelapheni izifo yalolu hlobo. Omunye izidakamizwa ezisetshenziselwa ukwelapha kwamathambo, kuyinto "Osterepar". Ake ubone ukuthi uthini 'Osterepar "imiyalelo ukulungiselela ukusetshenziswa, odokotela yangempela kanye neziguli.

kwebalingisi kwemithi

Ingqikithi asebenzayo ekulungisweni "Osterepar" kuyinto alendronic acid, okumelelwe ngesimo usawoti sodium - alendronate sodium. Lo mshini wezenzo yalolu ketshezi akuyona uphenyo ngokugcwele, Nokho it is ukuthi yokugcina ka alendronate sodium luwuphawu ukubuyisela izinto esilinganisweni omuhle phakathi kokubhujiswa kanye nokubuyiselwa ithambo izicubu ezaziwayo. Ingxenye le nqubo ezalethwa ezivimbela osteoclasts - ezikhethekile ithambo amaseli obhekene ukubhujiswa kwalo.

Ngaphezu kwalokho, kuyaziwa ukuthi wokwehla calcium plasma kubangela ukunqwabelana yayo nezicubu bone ngenkathi ethatha lesi sidakamizwa "Osterepar". Yokusetshenziswa uthi uqinisa amathambo aqatha futhi kuncishiswe ingozi waphuka.

Izimfanelo pharmacokinetic ka

Naphezu kweqiniso lokuthi sodium alendronate okubonakala kalula oncibilikayo emanzini futhi izixazululo aqueous, izidakamizwa ukumuncwa kusukela inesikhala emathunjini akuyona ezinhle - ukumuncwa kuyinto% ngu-25 kuphela. Kuyaziwa ukuthi "Osterepar" lubopha kuhle ukuba plasma amaprotheni (ngezinga esibophezelayo kuyinto 70-75%) is hhayi akheka emzimbeni.

Izinkomba "Osterepar" ukulungiselela

Yokusetshenziswa uthi isidakamizwa kuboniswa ngenxa deforming ithambo iziyaluyalu ezaziwa ngokuthi kwamathambo (kuhlanganise postmenopausal kwamathambo e abesifazane). Alendronate sodium esetshenziswa ngempumelelo ekwelapheni isigqugquzeli plasma calcium ezingeni in iziguli izinqubo ebulalayo.

Izimo

Esemthethweni emuthini "Osterepar" manual iqukethe uhlu egcwele contraindications izidakamizwa ohlosiwe. Ngakho, "Osterepar" is contraindicated ukusetshenziswa ezinganeni, njengoba umkhiqizo wokugcina kanye nekusebenta ukuphepha ukusetshenziswa kwalo ibingakaziwa.

sodium Alendronate aluboniswa ngesikhathi kumiswa lactation, ukusuthisa bephethe sokukhulelwa. Futhi, izidakamizwa is contraindicated ku encishisiwe amazinga plasma-calcium ukuntula yamathambo futhi kavithamini D. Okumele kuqashelwe nomuthi kufanele isetshenziswe ezigulini nge singenele kwezinso umsebenzi excretory.

side effects

Ngaphambi yethula umkhuba basemtholampilo alendronate sodium kwaba, cwaningo placebo-elawulwa kabili abayizimpumputhe. Ngokusho ngemiphumela yalezi izifundo ukuvama ohlangothini ukusabela phakathi kwabantu ukuthatha sodium alendronate, kwaba kancane kuka ukuvama ukusabela ezingezinhle iziguli ziphathwe placebo.

Phakathi ukusabela ezingezinhle okubangelwa imithi "Osterepar" iziguli waphawula iziyaluyalu pheshana emathunjini (dyspepsia, ubuhlungu besisu, iziyaluyalu isihlalo nge ukuthambekela ukuqunjelwa) futhi uqondiswe isimiso sezinzwa esiyinhloko (ikhanda). Kunezinye emibi ehambisana ukusetshenziswa "Osterepar" izidakamizwa. Yokusetshenziswa kubonisa ivelakancane komzimba ezifana ukuqubuka noma ukuluma.

Izixwayiso

Ukuthatha "Osterepar" amaphilisi kudingeka baphuze amanzi okuphuza abavamile nezinye iziphuzo (lamanzi esiphethu, ubisi, ijusi yezithelo) kungathinta bioavailability bese wehlisa ukumuncwa yayo. Kusukela alendronate sodium kungenzeka kuyacasula izingxenye engenhla pheshana emathunjini, ithebhulethi okufanele zithathwe ngokuba namanzi amaningi (inkomishi ephelele). Esikhathini evundlile, kukhona sengozini enkulu yokuba izilonda ngomphimbo reception "Osterepar" izidakamizwa. Yokusetshenziswa ubhala ukuthi akudingekile okungenani isigamu sehora ukuyolala ngemuva kokuthatha izidakamizwa, kanye nokuthatha imithi ngaphambi kokulala.

Okumele kuqashelwe izidakamizwa elibekelwe iziguli ukuba izifo kwamazinyo, kuhlanganise isimila genesis. Lapho ukwabela "Osterepara" Kunconywa ukuba ahlolwe ngokugcwele zamazinyo afeze kabusha ephelele ngalo ingaphakathi ngomlomo. izinqubo zamazinyo kufanele kugwenywe ngesikhathi idili.

Lapho ukwelashwa eside (eminyakeni engaphezu kweyodwa nesigamu) izidakamizwa kusukela iqembu bisphosphonates, kungadala hip waphuka ku proximal ingxenye. Esimeni ophukayo isiguli Kunconywa ukuthumela luhlolo lesibili ka kunawo wonke ukwehlisa amathuba kabusha ukwa. Ngaphezu kwalokho, "Oseoreparom" Ukwelapha is umile kwaze kwaba ukuhlolela ubungozi-inzuzo yokwelashwa.

ngokukhethekile kufanele kube ukuqokwa kwe "Osterepara" iziguli ukuthatha glucocorticoids. Le mithi ziyakwazi ukunciphisa ukumuncwa futhi, ngokulandelana, i-calcium ne vitamin D engayitholi emzimbeni. Kulezi iziguli, hypocalcemia abagqoka asymptomatic nokubonisa inzima khona yofuzo. Ukuze uvimbele lokhu inkinga futhi ifike ngesikhathi uphethwe hypocalcemia Kunconywa ukuqinisekisa i-calcium eyanele futhi kavithamini D. reception

Umuthi akukashicilelwa iziguli nge izifo ezingavamile futhi zofuzo okubangelwa ezihlobene ne-lactose.

Umuthi akunamthelela izinga yokusabela kanye nekhono besebenza ngemishini. Nokho, kufanele sikhumbule ukuthi kukhona yezinkinga ukusabela ezingezinhle ngemuva kokuthatha "Osterepara" kungathinta kilelihlelo.

ekusebenzisaneni izidakamizwa

"Osterepar" hhayi Kunconywa ukusetshenziswa ahlangene ungabuqeda nge aspirin, kusukela aspirin kwandisa imiphumela emibi alendronate sodium (ikakhulukazi umphumela wawo ipheshana emathunjini). Nokho, "Osterepar" kubekezelelwe seziguli ezithola ukwelashwa okwengeziwe nge-non-steroidal izidakamizwa eqeda ukuvuvukala kahle. Naphezu kwakho konke lokhu Eqinisweni, omunye kufanele uyeke ukusebenzisa kuhlanganiswe le mithi njengoba izidakamizwa eqeda ukuvuvukala nonsteroidal ngokwabo kungabangela abalulekile engemihle.

Injongo alendronic acid abesifazane abathola estrogens ekuhlanganisweni okwengeziwe nge progesterone, nomthelela ukukhuphuka evelele e amathambo eqinile ne ukwehla okukhulu izinga ithambo resorption.

Thiazide yokwelapha isisu lihambisana irowu isiqu alendronic acid kuholela ukwehla kwe-calcium ukulahlekelwa futhi kunciphisa umphumela "Osterepara".

Ubuthi futhi izidakamizwa ukweqisa izidakamizwa

Uma ushevu alendronate waphawula isifo wamathumbu, ebonakaliswa ngesimo ukuhlanza, isilungulela, esophagitis futhi ulceration e mafutha anciphisa isikhala esingaphakathi wamathumbu. On the ingxenye nohlaka lwamathambo futhi uhlelo igazi kungase kubangele hypocalcemia futhi hypophosphatemia.

Ukwelashwa ubuthi kanye ukweqisa izidakamizwa siqondiswe izidakamizwa kuyawabopha mafutha anciphisa isikhala esingaphakathi emathunjini bese inactivation yayo. Ungasebenzisa ubisi, antacids, binders calcium-based. Self-ntombazane ukuhlanza akufanele kube, ngoba izidakamizwa kungabangela ukucasuka kanye ukusha we emphinjeni. Ukuze lavage esiswini kubalulekile ukusebenzisa iphenywe. therapy okunezimpawu, futhi ezihlose eliletha ukuthula ezingeni calcium oketshezini olungenambala lwegazi.

Uphenyo kodokotela kanye neziguli

On the ukulungiselela "Osterepar" izimpendulo nhlobonhlobo, kodwa ikakhulu omuhle. Ngu iziguli ukuthatha izidakamizwa, intukuthelo odalwe umphumela ecasulayo zomuthi phezu mucosa yaleli pheshana emathunjini. Ngokombono walaba odokotela, izidakamizwa "Osterepar" analogs zomuthi equkethe sodium alendronate aphumelela e ekwelapheni kwamathambo of genesis ahlukahlukene kanye izifo of the system zemisipha.

Analogs nomuthi

Ezimakethe ezithaka imithi imelelwa inombolo ezanele analogs zomuthi equkethe sodium alendronate njengenhlangano isithako esebenzayo. "Alendronate" "Alendronic acid", "Alental", "Strongos" Tevanat ". Zonke lezi nezinye izidakamizwa eziningi - analogue zomuthi "Osterepar".

Iziyalezo ukusetshenziswa analogue zomuthi akusho, Nokho abonisa, uma kukhona ingxenye alendronic acid - isidakamizwa ingasetshenziswa kuphela ngoba impatho kwamathambo.

isiphetho

Lokhu kwakubangelwa ukukhumuzeka kwamathambo - isifo esikhohlisayo, kanye nokwelashwa yayo liyinkimbinkimbi futhi isikhathi eside. Ungakhuluma kanjani ngama-izidakamizwa "imiyalelo Osterepar 'ukusetshenziswa, umkhiqizi, iziguli nodokotela, ukusetshenziswa esebenzisa nethonya elizuzisa ohlelweni lwamathambo, normalizing calcium ne phosphorus umzimba kanye nokuncipha ithambo resorption.

Nokho, phakathi nesimiso sokuqondisa izidakamizwa, ngoba umphumela esiphezulu, kufanele ulandele imithetho ezilula ezimbalwa ukuthi zichazwe yokusetshenziswa, futhi nokukhulumisana njalo nodokotela wakho ukuze ugweme imiphumela engathandeki zomuthi. Phakathi ukwelashwa, ningakwenqabi ukuqokwa ongoti, njengoba nje kuvamile namanje ukhiye eyinhloko yokwelashwa okuphumelelayo futhi ukululama okusheshayo.

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