I kɔmɔn fɔ mek uman dɛn gɛt dɛn bon dɛn we de wik smɔl smɔl as dɛn de ol, mɔ afta dɛn dɔn lɛf fɔ gɛt bɛlɛ. Dɛn kɔl dis sik we dɛn kɔl ɔstioporosis. Fɔ tɔk am simpul wan, na di we aw di bon dɛn kin tan ɛn brok. Dis kin mek yu brok brok, ivin if yu fɔdɔm smɔl ɔ ivin jɔs tinap wansay. So, wan mɛrɛsin we rili yusful we dɔktɔ dɛn kin advays bɔku tɛm fɔ trit dis sik na Alendronate. Tide, wi go tɔk bɔt dis mɛrɛsin, aw fɔ yuz am, ɛn wetin fɔ tek tɛm wit.
Wetin rili na Alendronate?
Alendronate na wan drɔg we de insay wan klas ɔf drɔgs we dɛn kɔl bisphosphonates. Di men wok we i de du na fɔ mek yu bon dɛn strɔng. Imajin se wi bon dɛn de brok ɔltɛm ɛn dɛn de tek dɛn bak. insay כstioporosis, di rεt we di bon dεm de lכs pas di rεt we nyu bon dεm de fכm. So, wetin dis Alendronate drɔg de du na fɔ kɔntrol di bon dɛn we de lɔs, inkrisayz dɛn density, ɛn mek dɛn strɔng. So, di risk fɔ mek yu bon brok kin ridyus bad bad wan.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu dɔktɔ gi yu dis mɛrɛsin, i go nid fɔ no yu kɔmplit mɛdikal istri. Dis na bikɔs sɔm tin dɛn kin nid spɛshal kia we yu de yuz dis mɛrɛsin. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ .
| Sik ɔ kɔndishɔn | Tin dɛn we wi fɔ tink bɔt |
|---|---|
| Prɔblɛm dɛn we de na di dijestiv sistɛm | If yu gɛt bɛlɛ ɔlsa, gastritis, ɔ i nɔ izi fɔ swɛla it. |
| Kidni sik | If di kidni nɔ de wok fayn, dɛn kin nid fɔ chenj di doz fɔ di mɛrɛsin ɔ dɛn kin nid fɔ gi dɛn ɔda mɛrɛsin. |
| Di blɔd kalsiɔm lɛvɛl we de go dɔŋ | Bifo yu bigin dis mɛrɛsin, yu nid fɔ chɛk yu blɔd kalsiɔm lɛvɛl. |
| Sik dɛn we kin kam pan dɛn tit | If yu gɛt prɔblɛm wit yu tit ɔ yu gɔm ɔ yu de tink bɔt fɔ du ɔpreshɔn fɔ pul yu tit. |
| Kansa, blɔd disɔda, ɔ yus stɛroyd | If yu de tek sterɔyd mɛrɛsin lɛk Prednisone, yu gɛt kansa, ɔ yu gɛt disɔda we de mek yu blɔd klɔt. |
| Bεlε εn we i de gi pikin in bεlε | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
| Alɛji to mɛrɛsin dɛn | If yu gɛt alɛji to alendronate ɔ ɛni ɔda mɛrɛsin ɔ it. |
Wetin na di kɔrɛkt we fɔ tek di mɛrɛsin?
Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin, wan kɔrɛkt we de fɔ tek am. I rili impɔtant fɔ fala dɛn step ya kɔrɛkt wan.
1. We yu wek na mɔnin: Tek dis mɛrɛsin jɔs lɛk aw yu wek na mɔnin, bifo yu it ɔ drink ɛni ɔda tin insay di de.
2. Wata nɔmɔ: Dɛn fɔ tek di mɛrɛsin wit wan ful glas wata (at le 200 ml) . Nɔ tek dis mɛrɛsin wit ɛnitin lɛk ti, kɔfi, milk, ɔ frut drink. Dɛn tin ya go mek di mɛrɛsin nɔ go insay di bɔdi.
3. Wet fɔ 30 minit: Afta yu dɔn tek di mɛrɛsin, nɔ it ɛnitin, drink ɛnitin (eksept wata), ɔ tek ɛni ɔda mɛrɛsin ɔ vaytamɛn fɔ at le 30 minit .
4. Nɔ ledɔm: Dis na di tin we impɔtant pas ɔl . Afta yu dɔn tek di mɛrɛsin , sidɔm ɔ tinap stret fɔ at le 30 minit . Yu kin waka bak. Nɔ ɛva ledɔm . Bikɔs if yu du dat, di mɛrɛsin kin kam bak ɔp na yu trot ɛn mek di εsophagus irita ɛn inflam. Yu kin it brɛf nɔmɔ afta dɛn 30 minit ya dɔn pas.
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, nɔ panik. If dis apin, drink wan glas milk ɔ sɔm wata wantɛm wantɛm ɛn go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
Dɛn kin tek di mɛrɛsin wan tɛm insay di de, ɔ dɛn kin tek am wan tɛm insay di wik.
- If yu mis wan doz tide, skip am. Nɔ ɛva tek tu dos insay wan de. Tek wan doz di nɛks mɔnin lɛk aw yu kin tek am.
- Fɔ di doz wan tɛm insay di wik: As yu mɛmba so, tek di doz we yu mis di nɛks mɔnin. Dɔn go bak to yu ɔspitul de (e.g. ɛvri Sɔnde). Bɔt nɔ tek tu dos insay di sem de.
Ɔda tin dɛn we kin intarakt wit Alendronate
Sɔm mɛrɛsin ɛn sɔpɔtmɛnt kin ambɔg di wok we Alendronate gɛt we dɛn tek dɛn togɛda. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Kalsiɔm ɛn ayɔn sɔpɔtmɛnt: Dɛn tin ya kin stɔp di bɔdi fɔ tek Alendronate, so yu fɔ tek am sɔm awa afta yu tek Alendronate.
- Antasid: Na likwid mεdikeshכn dεm we dεn kin yuz fכ trit gastritis (e.g. Digene, Mylanta). dis dεm de intafεr bak di absכpshכn fכ Alendronate.
- Di mɛrɛsin dɛn we de mek yu fil pen: If yu tek mɛrɛsin fɔ mek yu fil pen (NSAID) lɛk ibuprofen ɛn naproxen togɛda, dat kin mek yu bɛlɛ nɔ fil fayn.
- Vitamin: Nɔ tek vaytamɛn we gɛt minral di sem tɛm wit dis mɛrɛsin.
Tin dɛn we yu fɔ mɛmba we yu de tek mɛrɛsin
- Dental health: Dis rili impɔtant . Na smɔl tɛm, sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn jaw (Osteonecrosis of the jaw) bikɔs ɔf dis mɛrɛsin. So, i bɛtɛ fɔ go to dɛntist bifo yu bigin fɔ tek di mɛrɛsin fɔ mek dɛn chɛk yu tit ɛn kɔrɛkt ɛni prɔblɛm. Yu dɔktɔ go advays yu fɔ avɔyd big big tin dɛn fɔ mɛn yu tit, lɛk fɔ pul yu tut, we yu de tek di mɛrɛsin. Brush yu tit ɛn was yu mɔt fayn fayn wan.
- Bɔn, jɔyn, ɔ mɔsul pen: Sɔm pipul dɛn kin gɛt bad bad bɔdi pen bikɔs ɔf dis mɛrɛsin. If yu gɛt pen we yu nɔ go ebul fɔ bia, tɛl yu dɔktɔ wantɛm wantɛm.
- Kalsiɔm ɛn Vaytamɛn D: Fɔ mek dis mɛrɛsin wok, yu nid fɔ gɛt inof kalsiɔm ɛn vaytamɛn D na yu bɔdi. It tin dɛn we gɛt bɔku kalsiɔm lɛk milk, yogɔt, ɛn chiz. Dɔn bak, gɛt vaytamɛn D frɔm we yu de na di mɔnin san. If nid de, yu dɔktɔ kin gi yu dɛn tin ya bak as sɔpɔtmɛnt.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, Alendronate kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya siriɔs, ɛn ɔda wan dɛn nɔ kin at fɔ du.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Tin dɛn fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo. |
| Di kalsiɔm we de na di blɔd we de go dɔŋ | Mɔsul dɛn de twitch, di limb dɛn we de swɛla, kɔnfyushɔn. |
| Prɔblɛm dɛn we de na di jaw bon (Osteonecrosis of the jaw) . | Pen, swel, swɛla na yu mɔt ɔ jaw, ɔ nɔ wɛl usay dɛn pul tut. |
| I nɔ kin izi fɔ swɛla ɔ i kin gɛt pen na yu chɛst | Pen we yu de swɛla it, bɔn bad bad wan na yu chɛst. |
| Bɛlɛ we de kɔmɔt na di bɛlɛ | Blak, tar stɔl ɔ vɔmit we tan lɛk kɔfi grɔn. |
| If i kɔntinyu fɔ de, yu fɔ tɛl yu dɔktɔ. Kɔmɔn sayd ɛfɛkt dɛn | |
| Bɛlɛ de pen | Bɛlɛ we nɔ kin at ɔ we i nɔ kin fil fayn. |
| Kɔnstipɛshɔn ɔ dayarɛa | Chenj di we aw yu de tɔylɛt. |
| Vɔmit | Fɔ fil lɛk se yu de vɔmit. |
Aw fɔ kip di mɛrɛsin?
Stɔr dis mɛrɛsin na rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs). Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich. Nɔ put am na frij. Trowe di mɛrɛsin we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm tek Alendronate fɔs tin na mɔnin, bifo yu it ɔ drink ɛni ɔda tin, wit wan glas klin wata.
- Afta yu dɔn tek di mɛrɛsin, sidɔm ɔ tinap stret fɔ at le 30 minit. Nɔ ɛva ledɔm.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɔda mɛrɛsin dɛn we yu de tek.
- Tek spɛshal kia fɔ yu tit wɛlbɔdi we yu de tek dis mɛrɛsin. Kɔnsul yu dɛntist fɔ advays.
- If yu gɛt siriɔs pen na yu bɔdi, i nɔ izi fɔ swɛla, yu jaw de pen, ɔ ɛni ɔda tin we nɔ kɔmɔn, go to yu dɔktɔ wantɛm wantɛm.
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