Yu dɔktɔ dɔn tɛl yu fɔ tek wan shot we dɛn kɔl Pamidronate? Ɔ dɛn de gi dis shot to pɔsin na yu famili? Di nem kin tan lɛk se i strenj smɔl. Bɔt nɔ wɔri. Dis na mɛrɛsin we rili impɔtant. Tide, lɛ wi tɔk smɔl bɔt wetin wi de gi dis mɛrɛsin fɔ, aw i de wok na di bɔdi, ɛn wetin wi nid fɔ tek tɛm.
Fɔ tɔk am simpul wan, wetin na Pamidronate?
Pamidronate na injεkshכn we dεn gi insay di bכdi tru wan vein. Dɛn kin gi am mɔ fɔ sɔm rizin dɛn.
- Kansa kin mek di kalsiɔm we de na di blɔd go ɔp: Sɔm kayn kansa kin mek di kalsiɔm we pasmak kɔmɔt na wi bon dɛn ɛn go insay di blɔd. Dis nɔto fayn tin. Pamidronate de wok bay we i de kɔntrol di rilis fɔ di kalsiɔm frɔm di bon dɛn. dis kin mek di kalsiכm lεvεl dεm na di bכdi kam bak to nכmal.
- Bɔn dɛn we wik bikɔs ɔf kansa: Sɔm kayn kansa (fɔ ɛgzampul, multiple myeloma ɔ brɔst kansa we dɔn skata to di bon dɛn) kin mek di bon dɛn wik ɛn brok izi wan (fracture). Dis mɛrɛsin de mek di bon dɛn strɔng ɛn i de mek dɛn nɔ brok dɛn kayn bɔdi dɛn de.
- Paget in sik na di bon: Dis na di kכndyushכn we di prכsεs we di bon de fכm εn brok dכn nכ de nכmal. Dis mɛrɛsin de ɛp fɔ kɔntrol da prɔses de.
Fɔ tɔk am simpul wan, dis mɛrɛsin de pan wan klas we dɛn kɔl bisphosphonates . Di men wok we i de du na fɔ protɛkt ɛn mek di bon dɛn strɔng.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu disayd fɔ gi yu dis vaysin, yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi istri. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ .
| Di tin we de apin to yu | Wetin mek i impɔtant fɔ tɛl di dɔktɔ ? |
|---|---|
| Kidni sik | Dis mɛrɛsin de kɔmɔt na di bɔdi tru di kidni dɛm. If prɔblɛm de wit di kidni, di dɔktɔ kin nid fɔ chenj di doz ɔ tek ɔda tin dɛn. |
| Prɔblɛm dɛn we gɛt fɔ du wit dɛn tit ɔ gam (Dental disease) . | Fɔ mek yu nɔ gɛt wan prɔblɛm we nɔ kin apin so ɔltɛm (ɔstionekrɔsis) na di jaw we kin apin we yu de tek dis mɛrɛsin, i impɔtant fɔ mek yu gɛt gud wɛlbɔdi na yu tit bifo yu tek tritmɛnt. |
| di lכw lεvεl כf di kalsiכm כ כda minral dεm na di bכdi | Pamidronate kin mek di blɔd kalsiɔm lɛvɛl go dɔŋ mɔ, so i impɔtant fɔ kɔrɛkt di lɔw lɛvɛl bifo yu bigin tritmɛnt. |
| If yu de tray fɔ gɛt bɛlɛ, yu gɛt bɛlɛ, ɔ yu na mama we de gi pikin in bɛlɛ | Dis mɛrɛsin kin ambɔg di pikin we nɔ gɛt bɛlɛ, so i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt dis. |
| If yu gɛt alɛji to Pamidronate ɔ ɔda mɛrɛsin ɔ it | Yu kin avɔyd di tin dɛn we yu nɔ want if yu tɛl di dɔktɔ bifo tɛm bɔt ɛni alɛji. |
Aw yu kin gɛt dis mɛrɛsin?
Dis nɔto mɛrɛsin we yu kin kɛr go na os. Dis na injɛkshɔn insay wan vein. So dɛn go gi yu na ɔspitul ɔ klinik, ɔnda di sɔpɔtishɔn fɔ di mɛdikal wokman dɛm. Di tɛm fɔ infuz kin difrɛn difrɛn wan dipen pan yu kɔndishɔn.
Dɛn go gi yu patikyula de fɔ tek yu mɛrɛsin. I rili impɔtant fɔ go na ɔspitul dɛn de dɛn de. If fɔ sɔm rizin yu nɔ ebul fɔ go, tɛl yu dɔktɔ ɔ klinik bifo tɛm.
If yu tink wantɛm wantɛm se yu dɔn tek bɔku mɛrɛsin, nɔ panik ɛn go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Sɔm impɔtant tin dɛn de we yu fɔ pe atɛnshɔn to we yu de tek dis mɛrɛsin.
Speshal atɛnshɔn to tit ɛn jaw
Dis rili impɔtant. Smɔl nɔmba pan pipul dɛm we de tek mɛrɛsin lɛk Pamidronate kin gɛt wan bon prɔblɛm we dɛn kɔl ``Osteonecrosis of the jaw.`` Pan ɔl we dis nɔ kin apin so ɔltɛm, i fayn fɔ no bɔt am.
- Tɛl di dɛntist se:Mek shɔ se yu tɛl yu dɛntist se yu de tek dis mɛrɛsin.
- Nɔ du big ɔpreshɔn: As yu ebul, nɔ du big ɔpreshɔn pan yu tit, lɛk fɔ pul yu tut, we yu de tek dis mɛrɛsin.
- Klin yu tit bifo yu trit yu: I bɛtɛ fɔ go to dɛntist ɛn mek dɛn fiks ɔl yu tit prɔblɛm dɛn bifo yu bigin dis mɛrɛsin.
- Ɔral Wɛlbɔdi: Brus yu tit fayn fayn wan ɛvride ɛn mek yu gɛt gud ɔral wɛlbɔdi.
Bɔn, jɔyn ɛn mɔsul dɛn pen
Sɔm pipul dɛn kin gɛt bad bad pen na dɛn bon, jɔyn, ɔr mɔsul dɛn we dɛn de tek dis mɛrɛsin. Smɔl risk de bak fɔ mek yu shɔl bon brok. If yu gɛt bad bad pen na yu jaw, bon, ɔ jɔyn dɛn we yu nɔ go ebul fɔ bia , nɔ ignore am ɛn tɛl yu dɔktɔ wantɛm wantɛm.
Kalsiɔm ɛn vaytamɛn D
I impɔtant fɔ mek shɔ se yu bɔdi de gɛt inof kalsiɔm ɛn vaytamɛn D we yu de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt di it ɛn vaytamɛn dɛn we yu de tek ɛn tek ɔda sɔpɔtmɛnt dɛn if nid de.
Blɔd tɛst ɛn bɛlɛ
We yu de tek di mɛrɛsin, yu dɔktɔ go tɛl yu fɔ du blɔd tɛst wan wan tɛm fɔ chɛk yu kidni we de wok ɛn di blɔd minral lɛvɛl.
Di tin we impɔtant pas ɔl na dat, if yu de plan fɔ gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm. Dis mɛrɛsin kin rili ambɔg di pikin we nɔ bɔn yet.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, Pamidronate kin mek yu gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn, bɔt i impɔtant fɔ no bɔt dɛn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na yu fes, lip ɔ tong, i nɔ izi fɔ blo. |
| Kidni injury | di urine we de kכmכt dכn, di ankכl, an, כ fut de swel. |
| Di kalsiɔm we nɔ bɔku na di blɔd | Mɔsul dɛn de twitch ɔ pen, yu nɔ de fil fayn, yu kɔnfyus. |
| Osteonecrosis na di jaw | Pen na di mɔt ɔ jaw, swel, rɛd, swɛt na di jaw, ɔ nɔ wɛl usay dɛn pul tut. |
| Bɔn ɔ jɔyn pen bad bad wan | Wan pen we pɔsin nɔ go ebul fɔ bia, we de kɔntinyu fɔ fil. |
| Di sayn dɛm wae nɔr kin bi natin fɔ wɔri bɔt, bɔt if dɛn kɔntinyu, yu fɔ tɛl yu dɔktɔ. | |
| Fiva | Smɔl fiva kin kam fɔ di fɔs ɔ tu dez afta dɛn gi di mɛrɛsin. |
| Taya | Fɔ fil se yu nɔ gɛt layf. |
| Vɔmit | Fɔ fil lɛk se yu de vɔmit. |
| Fil fɔ it | Di apɛtit we de go dɔŋ. |
| Banbɛlɛ | I nɔ izi fɔ go na tɔylɛt. |
Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛni ɔda tin we difrɛn ɔ we nɔ kɔmɔn, tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Pamidronate na injεkshכn we dεn kin put insay di bכdi we de trit kכndyushכn dεm lεk di hεy bכdi kכlsiכm lεvεl εn bon wik we kεnsar kכz.
- Bifo yu bigin dis mɛrɛsin, yu fɔ tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin (especially kidni ɛn dental prɔblɛm) ɛn ɔda mɛrɛsin dɛn we yu de tek.
- Tek kia gud gud wan fɔ yu tit wɛlbɔdi we yu de tek di mɛrɛsin. Nɔ du big big ɔpreshɔn pan yu tit.
- If yu notis ɛnitin lɛk bad bad bon pen, jaw pen, alɛji, ɔ di urine we nɔ de kɔmɔt, tɛl yu dɔktɔ wantɛm wantɛm.
- Dis mɛrɛsin nɔ fayn if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. Tɔk to yu dɔktɔ bɔt dis.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔ dawt bɔt dis mɛrɛsin, nɔ ɛva fred fɔ aks yu dɔktɔ.
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