"Bonviva": dib u eegista. "Bonviva": tilmaamaha loo isticmaalo, qiimaha

Imperceptibly iyo dhaqsataa oo aad tagtaa sano. More dhawaan, gabar yar oo kibir hoos ku socday wadada la shahaadada qalinjebinta. Waxa ay u muuqataa waxa aan ahaa muddo dheer, oo horay hooyada yar oo uu weheliyo, iyada iyo carruurteedaba dugsiga. Years maray, oo halkan aad hore u dhaleen koraan. Dayrta nolosha ... Waa wakhtigan, iyo qof dumar ah oo ku dhaco cudurka daran sida osteoporosis postmenopausal. Marka uu cudurku waa mid aad u debcaan oo u nugul yihiin jab lafaha. suuqa dawooyinka Modern ayaa diyaar u ah in ay bixiyaan macaamiishu ay liiska weyn oo ku filan oo ah daawooyinka in si guul caawin si ay ula qabsadaan cudurkan laga cabsado. Qaar ka mid ah dawooyinka ugu badan ee casriga ah iyo daroogada waa "Bonviva".

hab of Action

The qayb weyn ee firfircoon ee daroogada - Ibandronic acid. qayb Tani waxay ka hortagtaa oo uu hakiyo geedi socodka halligaadda lafaha. Intaa waxaa dheer, walax this wax ku ool ah uu hakiyo geeddi-socodka resorption lafta (caanonuug), halka si kastaba ha ahaatee aan si toos saameeya dhismaha unugyada lafta. Intaas waxaa sii dheer acid ibandronic dejinta sida qayb ka mid ah kaabayaal ah K-25 plasdon, laktosmonohydrat lactose, crospovidone, stearic acid, aerosil.

Buugga daawaynta "Bonviva" edbinta sharaxayaa sida si aad u daaweyso in caanuhu update ah unugyada lafuhu in haweenka inta lagu guda jiro dayska heer, taas oo ay tahay qof dumar ah oo ku jira da'da dhalmada. Taa awgeed, waxqabadka kordhiyaa mass laftayda iyo cufnaanta lafaha macdanta, sifooyinka qaybsama hoos u of collagen lafaha. Guud ahaan, ibandronic acid waa shay aad wax ku ool ah isagoo aad u ballaaran ku daweyn. Sababtan awgeed, "Bonviva" waxaa loo isticmaali karaa si aad ugu bogsiisid muddo iyo waxa lagu gartaa kacmaha ku filan dabacsan.

dib u eegista Caafimaadka ( "Bonviva" ayaa hore u helay sumcad wanaagsan ee suuqa dawooyinka) ayaa soo jeedinaya in daawadu ay si dhakhso ah u nuugo in mareenka caloosha iyo mindhicirka. Waayo, muddo waqti ah ka dib markii uu ka soo 30 daqiiqo ilaa 2 watch waa ay fiirsashada ugu badan ee plasma dhiigga. Of wax soo saarka dhiigga ee mugga a of 40-50% lacagta guud ka helay guskiisa galay unugyada lafta, oo halkaas waa raasamaal. Xataa qaar ka mid ah daroogada ku xidhan tahay in borotiinka plasma. Wax kasta oo kale waa laga saarayaa jidhka ka by kelyaha.

Sida laga soo xigtay waxbarashada clinical, qayb ka ugu weyn ee "Bonviva" siman saamaysaa ragga iyo dumarka. Ma jiraan wax kala duwan muuqata in qaybinta ibandronic acid dhexeeya jinsiyadaha Yurub iyo Asian. In dadka buka ka soo jeeda Afrika, waxaa jira qaar ka mid ah kala duwanaanshaha qaybinta oo ah walaxda "Bonviva" firfircoon.

The macaamiisha ugu muhiimsan ee

Kiniiniga "Bonviva" ayaa lagu heli karaa saddex qaadashada: 2.5 mg, 50 mg iyo 150 mg. diyaarinta at dose oo ah 2.5 mg waxaa inta badan loo isticmaalaa for the daaweynta iyo ka hortaga osteoporosis dumarka postmenopausal. medicament ee dose oo ah 50 mg waxaa loo isticmaalaa in kala duwan oo u badan ballaaran ee cudurada. Meelaha ugu waaweyn ee daaweynta caafimaadka waxaa ka mid ah cudurada sida lesions xadka- of lafaha (daroogada si loo yareeyo khatarta ka mid ah hypercalcemia), nooca cudur dilaaca. Alwaaxdii sidoo kale xanuun in qiyaasta waa la dhimi karaa, loo yareeyo baahida loo qabo in nidaamka dawaynta ilaysku xanuunka iyo khatarta ay jab. Labadaa kuuro talaalka ah therapy daaweynta bukaannada ka cabanaya hypercalcemia ee kansar ee asalka ah.

Loox oo 150 mg - macaamiisha ugu iibsami medicament "Bonviva". Tilmaamaha loogu isticmaalo (qiimaha waa mid qaali ah, laakiin dose this waa in la qaato 1 mar bishiiba, taas oo ah mid aad u haboon) dejisa kiniin ka hortaga oo jab ah in osteoporosis postmenopausal dumarka. waxbarashada Clinical ayaa muujiyay in dhoos keli ah 150 mg waa sida wax ku ool ah sida codsiga maalin walba inta lagu guda jiro bisha loox oo 2.5 mg.

Waxa intaa dheer in kor ku xusan, waxaa si weyn loo isticmaalo nooc kale oo daawo "Bonviva" - irbado. In badan oo ka mid ah xaaladaha qiyaasta mudada waa sida soo socota: 1 duro 3 biloodba mar. waa waxaan idinku leeyahay, sarid "Bon Vivant" waa dagaal ku filan, maxaa yeelay, daaweynta ee foomkan la fili karo ee wax dhacdooyinkan gurracan. Ka hor inta codsiga si toos ah xal waxaa lagama maarmaan ah in ay aragga u hubiyo joogitaanka nijaasta ahaa, si ay u bixiso midabka dareenka.

Ku billow daroogada intravenously, durdur, 30 seconds. Nidaamka waxaa la sameeyaa oo keliya by xirfadle caafimaad. Marka ay anshaxa lagama maarmaan ah si looga fogaado in helitaanka xal galay oo halbowle ah in unugyada ku wareegsan xididka.

Features of codsiga

Bukaan la taahaya osteoporosis, khubarada waxaa badanaa lagu qoro si ay u helaan hal kaniini (dose - 150 mg) bishiiba mar. Si kastaba ha ahaatee, waa in ay raacdaa xeerarka qaar ka mid ah gelitaanka diyaarinta "Bonviva" ku ool ah u dhaqmeen.

Daawada waxaa aad u liidata nuugo marka lagu waafaqsan hadhuudhka dhaweynta ama cab (marka laga reebo a biyo aan naqaska fudud). Sida hore loo sheegay, kiniinka "Bonviva" ayaa laga qaadayaa mid mid 1 mar bishiiba. Laakiin waa mid aad u, aad u jecel yahay in daawada loo qaato in isla maalintaas. Haddii sabab qaar ka mid ah maalinta loo qoondeeyey ee maamulka daroogada, la ansixiyay, kiniinka waa in la qaato, ugu yaraan toddobaadka soo socda. Haddii xaaladda tani ma aha guul, waxaa loola jeedaa in soo dhoweynta waa in dib loo dhigo ilaa maalinta la ballamay ee bisha soo socota. Si fudud u gelin, gabi ahaanba la aqbali karin in la isticmaalo 2 dose kiniin oo ah 150 mg muddo hal todobaad ah.

Qaado daawada waa in uu ahaadaa ugu yaraan 60 daqiiqo ka hor cuntada ama ay cabbaan wax kale. Calalin ama milmi kiniin laguma talinayo, waa in ay la wada liqo, oo wax cab galaas oo biyo saafi ah (macdanta lahayn iyo naqaska). Ka dib markii daawada loo qaaday, inta lagu guda jiro 1 chasa been uma sheegi karo, jidhka waa in meel taagan.

Sababo in la helo "Bonviva"

Sida daawo kasta oo kale, "Bonviva" diiwaanka (qiimaha daroogada la hoos ku qoran doonaa) ma ku talinaynaa bukaanada ku jira xasaasiyad daroogada ama xataa ay dulqaad. xirfadlayaasha caafimaadka marnaba qoro dawooyinka bukaanka qaba cudurada sida ahalatsiya iyo stricture, hypocalcemia, nuugeynin glucose-galactose esophageal. Waa isticmaalka aan la aqbali karin daawada dad dulqaad galactose, deficiency lactase. Ma loo magacaabay (inkastoo dib u eegista wanaagsan) "Bonviva" in carruurta iyo dhallinyarada ay dhibaatadu ka osteoporosis.

Aad si taxadir leh dhakhtarro ku qori daroogada si uu bukaanka dhibaato ku mareenka caloosha iyo mindhicirka (boog, duodenitis, gastritis, dysphagia, Barrett ayaa hunguriga). Intaas waxaa sii dheer, wax kasta oo geedi socodka bahal ba'an ee caloosha iyo hunguriga si ay u noqdaan aasaas u ah ka bixitaankii of daroogada ama ugu yaraan la tasho dhakhtar takhasus u leh.

Ma muujiyey daawo "Bonviva" (irbado, kiniin - nooc kasta oo loo sii daayo) dumarka uurka leh. Sababta tani - ay ka maqan yihiin waayo-aragnimo kiliinikada.

Overdosing waxyeellooyin

Ka dib markii la helo pill ugu horeysay ee bukaanada qaar ka mid ah la kulmi karaan calaamadaha hargabka fudud. Qaadashada wax tallaabooyin gaar ah ay dhacdo in this ma loo baahan yahay.

Marka aad iyo aad u qaadasho la ogolyahay oo laga dheehan karo qaar ka mid ah waxyeelo. On qayb ka mid ah mareenka caloosha iyo mindhicirka waxaa laga yaabaa in daliilka sida shubanka, dyspepsia, boog, duodenitis, gastritis. Marar badan, "Bonviva" (Instruction, Kurtumm bukaanka cadeyn) waxay keeni kartaa lallabo, matag, calool xanuun, yaaqyaaqsi, dysphagia. In daliilka kuwaas lidka qaraabo la oran karo waa caano iyo laabjeexa. Isku dayga in kiimikaysan u abaari matag si looga fogaado khatarta ma dhaawici kartaa dahaarka hunguriga.

Nidaamka muruqyada jawaabi karaan soo dhaweynta ka mid ah murqaha daroogada iyo dubaaxin, myalgia, arthralgia. Marar dhif ah, waxay kordhisaa halista ah ee osteonecrosis oo daanka ka dhanka ah asalka ah ee kansarka. Sidaas daraaddeed, dhakhtarka ilkaha waa in lagu wargeliyaa in bukaanka waxa uu qaaday uu "Bonviva" si ay u qiimeeyaan ratio lacagta / khatarta, iyo go'aan ka gaadho in qalliin marxaladan dabcan daaweynta.

Dawakh iyo madax xanuun laga yaabaa in ay ka jawaabaan "Bonviva" habka dareemayaasha jirka. Intaa waxaa dheer, tiro ka mid ah cadaanyo suurto gal xasaasiyad sida urtikaria, finan maqaarka, dabeecadda angioneurotic bararka. Waxaa laga yaabaa in daciifnimo, dhabar xanuunka. Fadlan la soco in failure in ay u hoggaansamaan mudada kacmaha u kordhi kara khatarta ah waxyeellooyinka ka habdhiska dheefshiidka.

Dhacdooyinka hor Dabcan therapy bilaabo

Ka hor inta aadan bilaabin codsanaya kasta qiyaasta daawada, "Bonviva" diiwaanka (qiimaha ay ku xidhan tahay qaab loo sii daayo iyo qiyaasta) ayaa ku talineysa in ay bixiyaan heerka calcium ee jirka dareenka. Haddii ay jiraan calaamadaha hypocalcemia, mar dambe aan caadi ahayn shiid laftayda iyo dheelitirka elektrolytka, in macaamiisha "Bonviva" waa in tiro ku filan si ay u sameeyaan Ca2 ⁺ iyo vitamin D. Qaadashada wax bisphosphonates kale dhirfinaya inta badan xadgudubyada ku filan inta lagu jiro liqidda, horumarinta esophagitis, formation of lesions kolit ee caloosha iyo hunguriga. Si loo yareeyo calaamadaha, kuwaas oo xun, waxaa lagama maarmaan ah in ay si adag u hoggaansamaan soo jeedinta (jagada toosan ee jirka 60 daqiiqo gudahood ka dib markii lagu dabaqaayo "Bonviva").

Haddii aad isku aragto calaamadaha daawo lesions tilmaamaha esophageal "Bonviva" loo isticmaalo (caddayn Kurtumm bukaanka) lagula talinayaa in ay joojiso qaadashada daawada iyo la tasho dhakhtar.

Inta lagu guda jiray therapy daawo "Bonviva" cunto bukaanka waa in hodan ku ah vitamin D iyo calcium. Haddii aad si buuxda ma ay daajin karo iyo in la hubiyo qaadashada calcium iyo vitamin D cuntada, waxaa lagama maarmaan ah in la sameeyo diyaar garowga ku haboon.

Diyaargaraw analogues

Currently, dawooyinka ugu badan - analogues "Bonviva" - ". Ibandronic acid Sandoz" a "Bandronat" iyo Waxay yihiin analogues ah qayb weyn ee firfircoon. group A badan ballaaran ee daawooyinka ayaa ku dhow inuu ku "Bonviva" on hab ay of talaabo. Tani waxay ka mid noqon kara dawooyinka soo socda: "Bonefos", "Alental", "Veroklast", "Zoleriks", "Lindron", "Ostealen", "Rizendros", "Foroza" "Fosamax". In si uu u bedelo analoogga la ballamay daroogada "Bonviva" (qiimaha, dib u eegista macaamiisha ma aha sabab ku filan), waa in aad had iyo jeer la tasho dhakhtarkaaga ama farmashiistaha.

kala duwan oo qiimaha

In kasta oo xaqiiqda ah in "Bonviva" kiniinada soo saaray by saarayaasha saddex qiyaasood (2.5 mg, 5 mg oo 150 mg), baahida ubalaadhan macaamiisha waa kiniin la dose oo ah ugu badnaan 150 mg. dose Tani waa ku haboon yahay la helo (1 bil kasta), laakiin daroogada aysan raqiis ahayn. 1 kiniin ah waxa laga iibsan karaa in network farmashiyaha lacagta ah ee kala duwan ee 1,650 rubles in 2120. Inta kale ee kiniin ah ee baahida weyn u isticmaalin, maxaa yeelay, si aad uga hesho farmashiyaha waa arrin dhibaato.

Cirbadaha "Bonviva" ayaa sidoo kale ku guuleystay sumcad suuqa dawooyinka iyo ka heli iibsadaha ah. Cirbadaha more culaab bukaanka ka badan dose kiniin oo ah 150 mg ah: duro by waqtiga nidaamka caadiga ah waa 1 ilaa 3 bilood. Si kastaba ha ahaatee, foomkan of sii daayo daroogada ku kici doonto wadarta la taaban karo ka sii badan intii kiniin. At 1 ampin dose xididka of 3 mg ah ee daawada "Bonviva" qiimaha farmasiyada dhaxayn karo 5525 in 5950 rubles.

opinion macaamiisha

In kasta oo ay si cadaalad ah baahsan caan "Bonviva" diyaarinta (tilmaamaha loo isticmaalo, qiimaha - waa in la yiri, wax badan - caddayn) u eegista daawada ayaa hanuuninta a kala duwan. positive iyo negative. Koox yar oo bukaanka soo jeedisay in maalinta ku xigta duray xanuun ku filan si cad u muujiyey ka dib: yeelin jirka oo dhan, yaraynaysaa muruqyada, dhabarta ached. Qaar ka mid ah waxay ahaayeen finanka maqaarka.

waxaad maqli karo bukaanka inta badan ku filan in ka dib markii la helo raaxo Yeeray uu mareenka caloosha iyo mindhicirka. Si kastaba ha ahaatee, xanuun dhif gaadho qaar ka mid ah qiimaha muhiim ah oo u baahan daaweyn gaar ah si ay u tirtiraan. saamayn togan "Bonviva" mag reaction mareenka caloosha iyo mindhicirka.

Waxa kale oo jira ra'yi-celin wanaagsan ah, "Bonviva" taas oo u dhaqmo sida keliya talogelin ee nuglaanta iyo brittleness lafaha. bukaan aad u badan oo isku aragto isbedel kala duwan wanaagsan ka jabto. Qaar badan oo gebi ahaanba joojiyay waxyeelo dib, qalooc goolkuduwe, noqon kalsooni dheeraad ah iyo si fudud loo socon. Iyo xataa kuwa bukaan subjectively waxba bedelay tan iyo daraasadda waxaa lagu qanciyay in nudaha lafaha is dulfuulan.

bukaan kale oo aad ku qanacsan qaadashada nidaam daroogada. In kasta oo xaqiiqda ah in "Bonviva" qiimaha, sida ay iyagu yidhaahdaan, qaniinyada, waxaa aad u habboon - qaadan hal kiniin iyo illoobin ku saabsan daaweynta muddo bil ah. Isla ayaa laga odhan karaa oo ku saabsan irbado (1 3 biloodba mar). Muhiimsan, ha iloobin qaadashada qiyaasta soo socda.

Bukaanjiifka qaar ayaa diiradda on xaqiiqada ah in bilowga daaweynta daawada "Bonviva" ee gobolka arkay, oo lamid ah kii dhacaya cudurka hargabka. Laakiin waxaa si deg deg ah maray, oo wixii ay ku odhan, marka la barbar dhigo halista osteoporosis, dalalka sida - ugu yaraan dhibaato.

Bukaanjiifka qaar ayaa eegaya "Bonviva" in kastoo oo u qalmaa oo kaliya dalab wanaagsan in soo dhaweynta isku midka ah si wadajir ah ula this daroogada, "Calcium D3" ayaa saamayn xun ku xubnaha habka dheefshiidka.

Gebogebadii

"Bonviva" - saarka casri ah oo heer sare ah ku ool ah loogu talagalay in looga hortago in horumarinta osteoporosis iyo burburinta lafaha. Inkastoo oo subag ah oo ku saabsan daroogada "Bonviva" ah (Instruction, qiimaha, kuwaasi oo ay tixgeliyaa in dib u eegista) eegay horay u qaadato daawada si bukaan, waa in la xusuusnaado in sal kaliya ee bilowga ah ee therapy - hanuun ah dhakhtarka xaadirka ah. Waxaa muhiim ah in la helo dhakhtar ula dhaqmi doonaa si taxaddar sare qiimeynta caafimaadka ee uu qofka bukaanka ah iyo si sax ah ay doortaan mudada raan. Kaliya kiiskan halista ah ee waxyeellooyin loo yareeyo doonaa, oo daroogada laftiisa muujin doonaa sida qalab heer sare ah wax ku ool ah oo lagu daweeyo osteoporosis iyo dayactirka xoog lafaha.