As wi de ol, smɔl smɔl bon dɛn kin wik ɛn wan bon kin brok ivin we wi fɔdɔm smɔl, yu nɔ tink se na siriɔs prɔblɛm fɔ bɔku pipul dɛn? Dis risk kin pasmak fɔ mama ɛn papa dɛm wae gɛt wan sik wae dɛn kɔl ɔstioporosis. So tide wi de tɔk bɔt wan spɛshal vaysin we dɛn kin gi fɔ mek dɛn bon ya we wik ɛn mek dɛn nɔ brok bon. I nem na Teriparatide.
Wetin na Teriparatide?
Fɔ tɔk am simpul wan, teriparatide na mɛrɛsin we de ɛp wi bɔdi fɔ mek nyu bon sɛl dɛn ɛn mek wi bon dɛn strɔng. I tan lɛk se wi de gi wi bon-bildin wokman dɛn wan bɔst. Osteoporosis na wan sik wae de mek di bon dεm brok dεn εn nכ de sכmtεm sכmtεm. Dis vaysin de wok bay we i de kɔntrol da prɔses de ɛn bil bak wɛlbɔdi, strɔng bon tisu. Dis kin ɛp fɔ mek di bɔdi nɔ brok tumara bambay.
Di tin we impɔtant pas ɔl na dat, dis nɔto mɛrɛsin we de mek pɔsin fil pen. Na fɔ trit di sik fɔs. Dat min se fɔ bil bak di bon dɛn we dɔn wik.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu gi yu dis vaysin, yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi histri. Dis mɛrɛsin nɔr fayn fɔ pipul dɛm wae gɛt sɔm kayn mɛrɛsin. So if yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ ɛn nɔ ayd ɛnitin .
| Di tin we de apin to yu | Wetin mek yu fɔ tɛl di dɔktɔ? |
|---|---|
| Bɔn sik dɛn we nɔto ɔstioporosis (e.g. Paget in sik) | Bikɔs dis mɛrɛsin nɔ fayn fɔ sɔm bon sik dɛn, i impɔtant fɔ kɔnfirm di kɔrɛkt we aw dɛn dɔn no di sik. |
| Di blɔd kalsiɔm lɛvɛl we de go ɔp | Di teriparatide vaysin kin mek bak di blɔd kalsiɔm lɛvɛl go ɔp fɔ sɔm tɛm, we kin denja if dɛn lɛvɛl dɛn de dɔn ɔlrɛdi ay. |
| Fɔ gɛt histri bɔt bon kansa | Nɔr kin fayn fɔ dis mɛrɛsin fɔ pipul dɛm wae gɛt dis kayn histri. |
| Kidni ston dɛn | Di mɛrɛsin kin mek di kalsiɔm lɛvɛl na di urine go ɔp, ɛn dis kin mek di kidni ston bɔku. |
| Fɔ de ɔnda redyushɔn tɛrapi | Dis mɛrɛsin nɔr kin fayn fɔ pipul dɛm wae de gɛt redyushɔn tritmɛnt. |
| Fɔ gɛt bɛlɛ, fɔ tray fɔ gɛt bɛlɛ, ɔ fɔ gi pikin in bɛlɛ | Bikɔs dɛn nɔ dɔn no if di mɛrɛsin sef pan dɛn kayn tin ya, dɛn fɔ avɔyd fɔ yuz am. |
| Alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt. |
Aw ɛksaktɔli dɛn kin yuz dis vaysin?
dis na sכm injεkshכn we dεn kin gi כnda di skin (subcutaneous injection). Dɛn kin gi am na di skin na di bɛlɛ ɔ di shɔl. Nɔ wɔri, yu dɔktɔ ɔ nɔs we tren go sho yu klia wan aw fɔ gi dis injɛkshɔn. Dɛn go sho yu aw fɔ yuz di injɛkshɔn pen, aw fɔ ajɔst di doz fɔ di mɛrɛsin, ɛn aw fɔ injɛkt am sef wan.
- Tek am di rayt tɛm: Gɛt yu vaysin dɛn ɛvride jɔs lɛk aw yu dɔktɔ tɛl yu fɔ du, di rayt tɛm. Nɔ skip di apɔntinmɛnt dɛn.
- Fɔ trowe shap tin dɛn: Nɔ ɛva trowe shap dɛn we yu dɔn yuz ɔ ɛmti pen na di dɔti. I rili denja. Wan spɛshal tik tik plastic kɔntena (shap kɔntena) de we dɛn gi fɔ dɛn tin ya. Put dɛn insay ɛn put am bak na ɔspitul we i ful-ɔp. If yu nɔ gɛt da kayn kɔntena de, aks yu dɔktɔ fɔ wan.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos di sem tɛm.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Tin dɛn we yu fɔ tink bɔt we yu de tek mɛrɛsin
- Fɔ go to dɔktɔ: Go to yu dɔktɔ pan di tɛm dɛn we yu dɔn plan fɔ go. Yu go nid fɔ du blɔd tɛst fɔ si aw di mɛrɛsin de afɛkt yu.
- Kalsiɔm ɛn Vaytamɛn D: We yu de tek dis mɛrɛsin, yu bɔdi nid fɔ gɛt inof kalsiɔm ɛn vaytamɛn D. Bɔt yu fɔ jɔs tek ɔda pils dɛn lɛk aw yu dɔktɔ tɛl yu. Dɛn kin aks yu fɔ stɔp fɔ tek di pils if di kalsiɔm we de na yu blɔd tu bɔku.
- Diziz ɛn slip: Yu kin fil diziz ɛn slip afta yu dɔn gɛt di vaysin, mɔ afta di fɔs fɔs dos dɛm. So, yu fɔ avɔyd fɔ drayv ɔ yuz mashin fɔ sɔm tɛm te yu no aw dis mɛrɛsin de afɛkt yu.
- Nɔ grap wantɛm wantɛm: Ɛspɛshali if yu na ol pɔsin, nɔ grap wantɛm wantɛm we yu sidɔm ɔ ledɔm. If yu du dat, i kin mek yu blɔd prɛshɔn go dɔŋ wantɛm wantɛm (postural hypotension) ɛn yu ed kin tɔn. Get grap sloslo.
- Ɔda mɛrɛsin: Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek (lɛk digoxin, wan mɛrɛsin fɔ yu at), vaytamɛn, ɛn ivin tradishɔnal mɛrɛsin, bikɔs sɔm kin miks wit dis vaysin.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɔl mɛrɛsin, teriparatide injɛkshɔn kin mek yu gɛt sayd ɛfɛkt, pan ɔl we nɔto ɔlman kin gɛt am. Yu fɔ no bɔt dɛn tin ya:
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| Di sayn dɛn we de sho se pɔsin gɛt alɛji | Skin rash, it, swel na di fes, lip ɔ tong. |
| Di sayn dɛn we de sho se pɔsin in blɔd prɛshɔn dɔn dɔŋ | Bɔrku diziz, blu yay, nɔr kin no natin, taya pasmak. |
| Di sayn dɛm we de sho se di kalsiɔm lɛvɛl go ɔp | Nɔs, vɔmit, kɔnstipɛshɔn, lɔw ɛnaji, mɔsul dɛn wik. |
| Simptom dɛm fɔ kidni ston | Blɔd na di urine, pen na di bak ɔ pelvis, pen we yu de pis. |
| Bɔku tɛm, dɛn tin ya nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
|---|---|
| Ed de at | Pen na di jɔyn dɛn |
| Vɔmit | Bɛlɛ nɔ kin fil fayn |
| Pen, rɛd, ɔ swel na di say we dɛn injekt am | |
Aw yu kin kip di mɛrɛsin?
Dis na tin bak we rili impɔtant. Fɔ mek di mɛrɛsin nɔ pwɛl, dɛn fɔ kip am fayn fayn wan.
- Kip am na frij ɔltɛm. Di tɛmpracha fɔ de bitwin 2 ɛn 8 digri sɛlshiɔs. Bɔku tɛm, i bɛtɛ fɔ kip am na di frij domɔt.
- Nɔ ɛva put am na friza. Nɔ mek di mɛrɛsin friz. Nɔ yuz mɛrɛsin we dɔn frɔz.
- We yu dɔn pul am ɛn yuz am, put di kap bak pan di pen ɛn put am bak na frij.
- Di mɛrɛsin we de na di pen fɔ dɔn insay 28 dez frɔm di fɔs injɛkshɔn . Trowe ɛni mɛrɛsin we lɛf afta 28 dez.
- Nɔ yuz mɛrɛsin we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Teriparatide na vaysin we de mek di bon dɛn we wik bikɔs ɔf ɔstioporosis strɔng ɛn i de mek dɛn nɔ brok.
- Bifo yu bigin fɔ tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn di mɛrɛsin dɛn we yu de tek.
- Fɔ fala di instrɔkshɔn fɔ yuz ɛn di tɛm fɔ di vaysin lɛk aw yu dɔktɔ tɛl yu. Trowe di nidul dɛn we yu dɔn yuz fayn fayn wan.
- If yu fil diziz afta yu tek di mɛrɛsin, nɔ drayv.
- If yu gɛt sayn dɛn we de sho se yu gɛt bɔku kalsiɔm, lɛk fɔ nɔs, fɔ vɔmit, fɔ taya bad bad wan, ɔ fɔ gɛt alɛji, go to dɔktɔ wantɛm wantɛm.
- Ɔltɛm, kip di pen na frij. Nɔ ɛva mek i friz.
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