I doctor chuan i ruhte chu a chak lo deuh a, chu chu ruh tithianghlimtu natna (osteoporosis) i nei tihna a ni tih a hrilh che em? Bisphosphonate an tih damdawi ei tan turin a hrilh che a ni mai thei. He hming i hriat hian i hlauthawng deuh mai thei a, "He damdawi hi eng nge ni? Engtin nge a tih ang?" Hlau suh. Vawiin hian he damdawi chi hrang hrang, i ruh tichak thei tur hi kawng awlsam tak , i hriatthiam theih dan tur kan sawi dawn a ni.
A awlsam zawngin, heng bisphosphonates te hi engte nge ni?
Bisphosphonates hi ruh natna enkawlna atana hman thin damdawi chi khat a ni. I ruhte chu hun kal zelah a chak lo zauh zauh a, thing hnah chu rulhut-in a ei bo ang maiin han ngaihtuah teh. Tichuan, tlu tlemte pawh hian i ruh tliak theihna a tipung a ni. Osteoporosis chu chutiang dinhmun chu a ni. Chuvangin, bisphosphonates hian i ruhte chu a chak lo zual sauh lo va, a tichak zawk a, a chhe thei lo bawk.
Doctor-te chuan he damdawi hi ruh natna tan chauh ni lovin, ruh density tichhe thei natna dang engemaw zat tan pawh an pe a, a then phei chuan thisena calcium level sang lutuk (hypercalcemia) te pawh an pe bawk.
Heng damdawi te hi a awm em? I han en teh ang.
Ni e, bisphosphonate hi chi hnih a awm ber.
1. Bisphosphonates ei tur
2. Vein pakhata injection (IV bisphosphonates) .
Doctor chuan i dinhmun a enfiah ang a, eng chi nge i tan a tha ber tih a rel ang.
| Damdawi chi hrang hrang | Damdawi hman tlanglawn (brand hming nei) . |
|---|---|
| Tablet ei tur a ni |
|
| Intravenous (IV) hmanga injection pek thin a ni |
|
Bisphosphonate hi eng condition atan nge hman a nih?
He damdawi hi a hnuaia natna hrang hrangte enkawlna atana pawm a ni ber:
- Hmeichhe naupai hnua ruh natna (osteoporosis) a awm.
- Mipaah ruh natna (osteoporosis) a awm.
- Ruh hring lo tur ven nan.
- Glucocorticoid-induced osteoporosis hi steroid damdawi thenkhat hun rei tak hman avanga lo awm a ni.
- Cancer thenkhat chuan thisenah calcium level a tisang (cancer-related hypercalcemia).
- Paget’s disease of the bone hi ruh natna a ni a, a natna hian ruh a tibuaitu a ni.
- Cancer natna pakhat, multiple myeloma an tih.
- Hmun danga cancer lo chhuak chu ruh thlenga darh (metastasized) tawhte tan.
A châng chuan doctor-te chuan he damdawi hi a pawmpui tawh loh dinhmun dang atan an hmang ṭhin. Entirnan, naupang leh puitling, osteogenesis imperfecta tih hming pu genetic condition nei te hnenah pek thin a ni.
He damdawi hian taksa chhungah engtin nge hna a thawh?
Hei hi hrethiam tur chuan kan ruh chungchang tlem kan hriat hmasak a ngai a ni. Kan ruhte hi hmun khatah a thu mai mai lo. An thlak danglam zel a ni. Brick hlui lakchhuah a, thar siamna kulh ang maiin. Taksa hian a pianphungah a chhe a, ruh hlui a paih chhuak thin. Hei hi ruh resorption kan ti a. Tichuan chu hmunah chuan ruh thar a lo piang ta a ni.
Kan tar chhoh zel a, a bik takin hmeichhiaah chuan menopause hnuah chuan he thil hi a inthlau lo hle. Chu chu ruh hlui chu a chhe tan a, ruh thar siam aiin rang zawkin a la chhuak tihna a ni. Chu chu ruhte chu zawi zawiin a chak lo va, a dense lo deuh a, chu chuan ruh natna (osteoporosis) a thlen a ni.
Bisphosphonates hian ruh hlui tihchhiat leh lakchhuahna rate a tihtlem avangin hna a thawk a ni. Phên dangin sawi ila, "brick hlui chu an la chhuak" a ni. Hei hian ruh thar siamna atan hun tam zawk a pe a, chu chuan ruh zawng zawng density a tipung a, a tichak zawk bawk.
He damdawi hi engtin nge ka hman ang? Hei hi a pawimawh hle mai!
Damdawi i dawn dan azirin hman dan a inang lo.
Pills hi hmui hmanga ei a nih chuan...
Hei hi i fimkhur ber tur part chu a ni . Doctor chuan heng pills te hi ni khatah vawi khat, kar khatah vawi khat, thla khatah vawi khat ei turin a hrilh ang che. Mahse, heng pills te hi i ei tur a niThil tih dan bik a awm a .
- He pill hi zing i thawh veleh i ei tur a ni a, thil dang i ei hmain i ei hmasa tur a ni .
- Pill hi tui pangngai glass khat khat chauh ei tur a ni . He pill hi tea, coffee, bawnghnute, thei in tur nena ei kha khap tlat a ni.
- Pill i ei hnuah minute 30 tal (minute 60 vel pawh a ni thei) i mu emaw, i mu emaw tur a ni lo. I thut emaw, ding nghet emaw tur a ni.
- Tin, he minute 30-60 chhung hian ei leh in, damdawi dang i ei thei lo bawk.
Heng dante hi dik taka zawm a pawimawh hle. Chutiang a nih loh chuan damdawi chu taksain a hip lut tha lo thei a, kawr leh pumah allergy a siam thei bawk. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.
Intravenous injection a nih chuan...
Hei hi damdawi inah emaw, damdawi inah emaw pek che a ni tlangpui. A tam zawkah chuan he vaccine hi kum khatah vawi khat pek thin a ni . Mahse, a dinhmun a zirin pek tam zawk theih a ni.
Damdawi hmang hian thil dang tih i duh em?
Awle. He damdawi hi i ei lai hian i doctor chuan a hnuaia mite hi a rawn rawt fo ang:
- Calcium tamna ei tur (e.g. bawnghnute, yogurt, cheese, sangha te, thlai hring) ei thin ang che.
- Vitamin D tlakchhamna i neih chuan vitamin D supplement ei thin ang che .
- Chaw atanga calcium i hmuh tlem chuan calcium pills ei thin ang che .
He damdawi hi eng chen nge ka ei ang?
Hei hi i dinhmun leh i taksain damdawi a dawn danah a innghat a ni. A tlangpuiin doctor-te chuan oral tablets ei hun chhung chu kum 5 vel chauh an tikhawtlai a, intravenous zoledronic acid injection chu kum 3 vel chauh an ni . Hei hi heng damdawi te hi hun rei tak hman avanga side effects awm lo tak tak atanga venhimna atan a ni. Mahse, mi thenkhat chu rei zawk enkawl a ngai mai thei. I doctor hi thutlukna siam tur tha ber a ni.
Side effects te pawh i zir ve ang u.
Damdawi dang ang bawkin bisphosphonates hian side effect a nei thei a, mahse mi zawng zawngin an vei vek lo.
| Damdawi chi hrang hrang | Side effect awm thei tlangpui |
|---|---|
| Tablet ei tur a ni | Digestive system lama harsatna awm thei. Entirnan: GERD, ril leh pum chhunga ulcer, gastritis. (Hei vang hian pill ei zawhah ding nghal mai tur an ti!) |
| Intravenous injection pek thin a ni | Khawsik emaw flu emaw chhinchhiahna, khawsik, taksa na, ruh leh ruh na te hi vaccine pek a nih atanga ni 1-3 chhungin a lo lang thei a ni. Hengte hi paracetamol ang chi damdawi hmanga control a ni tlangpui. |
| A tlem hle a, mahse side effect na tak a awm thei (oral leh IV tan pawh) . | |
| |
Heng side effects hmuh tur awm lo tak takte hi hlauthawng suh. He damdawi ei hian a hlawkna chu ruh natna avanga hip ang ruh lian tak a tihchhiat theihna aiin a hlawk zawk hle.
He damdawi hi a hlawk tak tak em?
Ni e, a dik tak zet. Zirna hrang hrangah chuan heng damdawi te hian ruh density a tisang a, ruh ruh tliak theihna pawh nasa takin a tihziaawm tih hmuhchhuah a ni.
- Alendronate: Spine fracture 50% velin a ti tlem a, hip leh a dang fracture 30% velin a ti tlem bawk.
- Risedronate: Spinal leh ruh tliak dangte chu 40% velin a tihtlem.
- Zoledronic acid: Spine fracture 70% velin a ti tlem a, hip leh a dang fracture 35% velin a ti tlem bawk.
Engtikah nge Doctor ka hmuh ang?
He damdawi hi i ei a nih chuan Doctor-in a tih angin ti rawh.Clinic-ah a hun taka kal a pawimawh hle. Hei hian damdawi hian hna a thawk em tih leh side effect a awm em tih kan hre thei ang. I doctor chuan DXA scan pawh a rawt thei a, chu chuan i ruh density a teh thei a ni.
A bik takin:
Kum thum aia tam bisphosphonates i ei tawh a, i thigh emaw groin emaw ah natna thar i nei a nih chuan ngaihthah suh. I doctor hnenah hrilh nghal rawh.
He damdawi hi damdawi pawimawh tak a ni a, i nunphung a tichangtlung thei a, ruh tliak atanga harsatna lian tham lo thleng thei lakah a venghim thei bawk. Hemi chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen takin sawipui ngei ang che.
Take-Home Thuchah a ni
- Bisphosphonates hi ruh natna vengtu leh ruh tichaktu damdawi pawl pakhat a ni.
- Oral pill i ei a nih chuan doctor thupek dik takin zawm tur a ni (zing lamah pum ruak, tui chauh nen, i ei zawhah tho nghal rawh).
- He damdawi ei lai hian calcium leh vitamin D tling tawk neih a pawimawh.
- Side effect awm thei mahse mi tam zawk chuan an tawng lo. He damdawi ei hian ruh tliak hlauhawmna aiin a hlawkpui zawk daih.
- Damdawi chungchangah ngaihtuahna emaw hlauhna emaw i neih chuan i doctor nen sawiho hreh ngai suh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh