Osteoporosis yog ib yam kab mob uas tshwm sim los ntawm kev puas tsuaj ntawm cov pob txha pob txha thiab txo qis hauv cov pob txha, ua rau muaj kev pheej hmoo ntawm pob txha. Qhov teeb meem ntawm osteoporosis yog mob heev thoob plaws lub ntiaj teb no, nyob rau hauv 90% ntawm cov neeg mob, cov pob txha loj spontaneously tshwm sim thaum laus. Tsis tas li ntawd, 50% ntawm cov neeg mob raug mob tsis tuaj yeem ua mus ntxiv yam tsis muaj kev pab sab nraud.
Ib qho ntawm qhov tshwm sim ntawm pob txha pob txha kuj tuaj yeem yog qhov nkhaus ntawm tus txha nraub qaum, uas cuam tshuam rau ob qho tib si ntawm tus neeg thiab lub peev xwm txav tau yooj yim.
Txhawm rau txo qhov cuam tshuam ntawm tus kab mob hauv lub cev, nrog rau kom tsis txhob muaj qhov tshwm sim loj, nws yuav tsum tau ua raws sijhawm thiab kev tiv thaiv thiab kho kom zoo. Zoo li txhua yam kab mob, osteoporosis tuaj yeem kho nrog tshuaj. Ib qho ntawm cov tshuaj zoo tshaj plaws hauv kev kho mob osteoporosis, raws lintau tus kws tshaj lij, yog cov tshuaj "Foroza", cov lus qhia rau kev siv, nqe thiab tshuaj xyuas uas tau piav qhia hauv qab no.
Kev piav qhia
Cov tshuaj no yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj dawb puag ncig, uas yog coated rau efficiency thiab yooj yim ntawm kev siv. Cov tshuaj nquag ntawm cov tshuaj "Foroza" cov lus qhia rau kev siv qhia alendronad sodium, teej tug mus rau qeb ntawm bisphosphonates. Cov tshuaj no, tsis muaj kev cuam tshuam ncaj qha rau cov pob txha tsim, muaj peev xwm rov kho cov pob txha nrog kev pab los ntawm osteoclasts. Osteoclasts yog cov hlwb loj uas tswj cov pob txha cov ntaub so ntswg thiab tsim nyog rau resorption ntawm cov pob txha pob txha. Osteoblasts tsim cov pob txha tshiab, thaum osteoclasts zom cov pob txha qub.
Thaum kho nrog cov tshuaj "Foroza" (cov lus qhia rau kev siv sau ntawv no), cov txheej txheem tsis tsuas yog kho cov pob txha, tab sis kuj tseem rov ua dua tshiab. Yog li, cov pob txha tshiab nrog tag nrho nws cov khoom pib yog tsim nyob rau hauv cov neeg mob. Tsis tas li ntawd, cov tshuaj "Foroza" raug pom zoo kom noj tsis hais qhov ua rau thiab qhov tshwm sim ntawm osteoporosis. Piv txwv li, osteoporosis feem ntau tshwm sim nyob rau hauv cov poj niam tom qab menopause.
Cov lus qhia rau kev siv tshuaj
Pills "Foroza", tus nqi ntawm qhov nruab nrab ntawm 539 txog 590 rubles rau 4 daim, muaj nyob rau hauv cov ntaub ntawv hauv qab no:
- Nyob rau hauv kev kho mob osteoporosis nyob rau hauv cov poj niam postmenopausal, nrog rau txo cov kev pheej hmoo ntawm compression fractures ntawm lub caj dab femoral thiabqaum.
- Kev kho pob txha ntawm cov txiv neej, lub hom phiaj yog tiv thaiv pob txha.
- Nyob rau hauv kev kho mob pob txha los ntawm kev siv GCS mus ntev (glucocorticosteroids).
Contraindications rau kev siv tshuaj "Foroza"
Cov lus qhia rau cov tshuaj muaj cov ntaub ntawv hais txog cov hauv qab no contraindications rau nws siv:
- Achalasia lossis nruj ntawm txoj hlab pas, nrog rau lwm yam mob uas tuaj yeem ua rau qeeb qeeb ntawm kev txav ntawm cov zaub mov los ntawm txoj hlab pas.
- Ntaus rhiab heev ntawm tus neeg mob rau alendronate lossis lwm yam khoom uas ua rau cov khoom.
- Hypocalcemia.
- Tus neeg mob zaum lossis sawv tsis tau 30 feeb.
- Kev ua txhaum loj ntawm cov ntxhia hauv cov metabolism.
- Lactation thiab cev xeeb tub.
- Cov me nyuam hnub nyoog.
Nrog ceev faj heev yuav tsum noj tshuaj rau cov neeg mob uas muaj ntau yam kab mob ntawm txoj hnyuv, xws li:
- gastritis;
- dysphagia;
- hypovitaminosis D;
- duodenitis;
- peptic ulcer nyob rau theem mob, thiab lwm yam.
Kev siv tshuaj thaum cev xeeb tub thiab lactation
Tsis muaj ntaub ntawv hais txog kev nyab xeeb ntawm kev siv alendronic acid hauv cov poj niam cev xeeb tub. Cov kev tshawb fawb tau ua tsuas yog rau cov tsiaj, vim lawv pom qhov ua haujlwm tsis zoo ntawm kev ua haujlwm ntawm kev ua haujlwm nrog hypocalcemia, nrog rau kev ua txhaum ntawm kev tsim cov pob txha hauv cov menyuam hauv plab thaum siv cov koob tshuaj loj ntawm alendronic acid. Nws tsis tsim nyog siv cov tshuaj thaum cev xeeb tub, raws li tau pom los ntawm cov tshuaj "Foroza" cov lus qhia rau kev siv. Tus nqi them rau qhov tshwm sim ntawm kev siv tshuaj thaum cev xeeb tub yuav siab dhau.
Nws tseem tsis tau paub tias alendronic acid puas tuaj yeem nkag mus rau hauv poj niam lub mis, yog li yog tias koj txiav txim siab siv Foroza ua kev kho mob, koj yuav tsum xav txog qhov muaj peev xwm txwv tsis pub pub niam mis.
Txoj kev thov thiab ntau npaum ntawm cov tshuaj "Foroza"
Cov lus qhia rau kev siv hais tias cov tshuaj "Foroza" tau tsim los kho pob txha. Tsis tas li ntawd, cov tshuaj tuaj yeem txo qhov kev pheej hmoo ntawm pob txha pob txha thiab pob txha pob txha. Tab sis qhov tseem ceeb uas yuav tsum tau coj mus rau hauv tus account thaum noj cov tshuaj yog cov cai ntawm kev tswj hwm thiab ntau npaum li cas. Cov tshuaj yog noj ntawm qhov ncauj, raws li nws muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Ib ntsiav tshuaj ntawm cov tshuaj, uas nws qhov hnyav yog 70 mg, raug pom zoo kom noj ib zaug ib lub lim tiam, raws li kev tshuaj xyuas qhia txog cov tshuaj Foroza, qhov no yog qhov txaus rau kev nyab xeeb thiab muaj txiaj ntsig zoo rau tib neeg lub cev.
Raws li lub sijhawm noj tshuaj, yuav tsum tau noj thaum sawv ntxov, yuav luag tam sim tom qab sawv. Cov mob no yog qhov yuav tsum tau ua, txij li cov tshuaj yuav tsum tau noj ntawm lub plab khoob. Cov ntsiav tshuaj noj yuav tsum tau ntxuav nrog dej huv kom txaus. Nws tseem tsim nyog sau cia tias cov lus qhia rau kev siv pom zoo noj tom qab siv Foroza npaj tsis pub dhau 30 feeb tom qab. Qhov no kuj siv tau rau kev haus dej haus uas tsis yog dej, thiabLwm yam tshuaj, raws li tag nrho cov no tuaj yeem txo qhov cuam tshuam rau lub cev ntawm cov khoom ntawm Foroza.
Xav txog qhov saum toj no, cov cai hauv qab no rau kev noj tshuaj tuaj yeem raug sau tseg:
- Noj cov tshuaj thaum sawv ntxov nrog ib khob dej huv.
- Ncua cov ntsiav tshuaj tag nrho yam tsis tau zom nws, vim qee qhov ntawm nws cov khoom tuaj yeem cuam tshuam rau cov mucous membrane.
- Tus neeg mob yuav tsum tsis txhob pw 30 feeb tom qab noj cov tshuaj Foroza (ntsiav tshuaj), ua ntej noj mov.
Cov kev mob tshwm sim ntawm kev noj tshuaj Foroza
Muab hais tias ib tug neeg yuav rhiab rau ib tug neeg cov khoom ntawm cov tshuaj, muaj ntau yam kev phiv tshwm sim, uas yog qhia los ntawm cov lus qhia ntawm kev npaj Foroza. Tus nqi ntawm cov tshuaj yog siab heev, yog li koj yuav tsum tau xyuam xim rau cov kev phiv. Tsis muaj cov npe tshwj xeeb ntawm kev ua txhaum cai los ntawm kev siv tshuaj, txij li lawv tau txiav txim siab los ntawm lub cev cuam tshuam los ntawm cov tshuaj. Yog li, yog tias qhov kev kho mob ua rau muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub paj hlwb, mob taub hau heev yuav tshwm sim. Cov kev mob tshwm sim kuj muaj xws li cov kab mob musculoskeletal thiab digestive systems, uas tej zaum yuav muaj xws li mob plab, tsis xis nyob, quav, tsam plab, kiv taub hau, mob pob qij txha thiab leeg, thiab lwm yam.
Vim tag nrho cov no, ua ntej noj tshuaj, koj yuav tsum ua tib zoo kawm cov lus qhia thiab contraindications rau kev siv. Thiab tsuas yog tom qab kawm txog cov tshuaj muaj pes tsawg leeg, thiabUa kom paub tseeb tias nws tsis muaj cov khoom tsim kev puas tsuaj rau koj lub cev, koj tuaj yeem noj cov tshuaj.
Nws yog txwv tsis pub noj tshuaj "Foroza" hauv qee yam kab mob ntawm txoj hlab pas, xws li achalasia, nrog rau hypocalcemia. Cov neeg uas sawv tsis tau lossis zaum ib nrab teev yuav tsum tsis txhob noj tshuaj.
Muaj tsawg zaus, raws li kev tshuaj xyuas qhia txog kev npaj Foroza, kev ua xua me me tuaj yeem ua rau daim tawv nqaij ua pob, tawv nqaij tawm, urticaria, photosensitivity thiab kub taub hau.
Foroza overdose
Koj yuav tsum noj tshuaj nrog lub luag haujlwm loj, vim tias kev noj ntau dhau tuaj yeem ua rau muaj qhov tshwm sim loj heev. Yog li, kev siv tshuaj ntau ntxiv tuaj yeem ua rau muaj kab mob xws li hopophosphatemia thiab hypocalcemia. Tsis tas li ntawd, muaj cov xwm txheej thaum, vim siv cov tshuaj tsis raug, plab zom mov, mob plab, gastritis, kub hnyiab, thiab lwm yam.
Tsis muaj ib qho tshwj xeeb ntawm cov tshuaj uas ua rau muaj kev noj ntau dhau, tab sis yog tias nws muaj cov tsos mob, koj yuav tsum tau muab cov mis nyuj ntau rau tus neeg mob uas tuaj yeem khi alendronade. Nws raug nquahu kom txhawb tus neeg mob nyob rau hauv txoj hauj lwm upright. Koj yuav tsum tsis txhob ua rau ntuav hauv tus neeg mob, vim tias cov khoom ntawm Foroza tuaj yeem ua rau muaj kev cuam tshuam hauv txoj hlab pas.
Cov lus qhia tshwj xeeb
Nws tseem ceeb heev uas yuav tsum haus cov tshuaj tsuas yog dej huv xwb, lwm yam dej qab zib cuam tshuam rau kev nqus ntawm cov tshuaj. Nws tsis pom zoo kom noj alendronad thaum mus pw lossisnyob rau hauv txoj hauj lwm supine, vim muaj kev pheej hmoo ntawm kev tsim esophagitis. Ua ntej noj cov tshuaj, nws yog ib qho tsim nyog yuav tau kho hypocalcemia, nrog rau lwm yam kab mob metabolic. Vim qhov nce hauv pob txha pob txha pob txha ceev thaum lub sij hawm kho alendronad, me ntsis asymptomatic txo qis hauv qib phosphate thiab calcium hauv cov ntshav, tshwj xeeb tshaj yog rau cov neeg mob uas noj glucocorticosteroids (GCS), uas yuav txo tau calcium nqus. Yog li ntawd, nws yog ib qho tseem ceeb tshwj xeeb rau cov neeg mob noj corticosteroids kom tau txais cov vitamin D thiab calcium txaus rau hauv lub cev.
Yog tias koj tsis txhob noj cov tshuaj (ntau npaum li 1 ntsiav tshuaj 1 zaug hauv ib lub lis piam), koj yuav tsum noj 1 ntsiav tshuaj thaum sawv ntxov hnub tom qab, txwv tsis pub noj 2 ntsiav tshuaj tib hnub. Tom ntej no, koj yuav tsum tau noj tshuaj ntxiv 1 ntsiav tshuaj nyob rau hnub ntawm lub limtiam xaiv thaum pib kho.
Qee yam
Tseem muaj pov thawj tias osteonecrosis ntawm lub puab tsaig tau pom nyob rau hauv cov neeg mob osteoporosis noj bisphosphonates. Yog li ntawd, ua ntej noj bisphosphonates, koj yuav tsum tau mus kuaj hniav. Thaum kho, cov neeg mob yuav tsum tsis txhob cuam tshuam kev kho hniav. Yog tias cov neeg mob txhim kho osteonecrosis ntawm lub puab tsaig thaum lub sij hawm kho bisphosphonate, kev kho hniav tsuas tuaj yeem ua rau lawv qhov mob hnyav dua.
Kev siv lub sijhawm ntev ntawm alendronic acid tuaj yeem ua rau lub zog qis ntawm qhov sib thooj ntawm lub femur. Kev puas tsuaj tuaj yeem tshwm sim txawm tias muaj tsawg lossis tsis muaj kev raug mob txhua.tsis muaj.
Rau txhua tus neeg mob, kev txiav txim siab kho nrog Foroza yuav tsum ua ib tus zuj zus, tom qab tau txais txiaj ntsig / kev ntsuam xyuas txaus ntshai.
Alendronic acid tsis muaj kev cuam tshuam rau lub peev xwm tsav tsheb, nrog rau ntau yam dej num uas yuav tsum tau muaj zog ntxiv.
Kev Sib Tham Tshuaj
Nws tsis pom zoo kom noj cov tshuaj nrog lwm cov tshuaj, vim tias lawv tuaj yeem txo qhov nqus ntawm cov tshuaj. Lwm yam tshuaj, nrog rau cov zaub mov, tuaj yeem noj tsis pub dhau ib nrab teev tom qab noj Foroza. Tus nqi ntawm cov tshuaj yog siab heev, yog li kom ua tau zoo dua, koj yuav tsum ua raws li cov lus qhia.
Kev mob plab hnyuv ntawm alendronic acid tuaj yeem ua rau hnyav dua los ntawm cov tshuaj uas tsis yog steroidal anti-inflammatory, suav nrog acetylsalicylic acid.
Foroza tso daim ntawv, analogues
Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj-coated films, lub active ingredient nyob rau hauv uas yog 70 mg. Cov ntsiav tshuaj tau ntim rau hauv hlwv los ntawm 2 mus rau 12 daim hauv ib lub thawv.
Ntawm cov analogues ntawm cov tshuaj, qhov nrov tshaj plaws yog:
- Tevanat (Israel);
- Alendronat (Russia);
- Fosamax (Netherlands);
- Ostalon (Poland).
Foroza tshuaj: tshuaj xyuas
Cov tshuaj "Foroza" tau siv dav los ntawm cov poj niam thiab cov txiv neej uas muaj teeb meemosteoporosis. Ntau tus kws kho mob pom zoo siv tshuaj los tiv thaiv lub duav thiab txha caj qaum.
Ntau tus neeg mob tom qab siv cov tshuaj mus ntev, nco ntsoov qhov mob ntawm tus txha nraub qaum. Tom qab thawj koob tshuaj ntawm Foroza, raws li kev tshuaj xyuas ntawm qee cov neeg mob qhia, xeev siab, plab hnyuv thiab txawm tias kub siab tuaj yeem pom, tab sis tsis ntev txhua yam yuav ploj mus. Kev kho mob ntxiv nrog tshuaj feem ntau ua tau zoo.
