"Bonviva": wongororo. "Bonviva": mirayiridzo kushandiswa, mutengo

Vasingazvioni ukurumidze kuenda makore. Munguva ichangopfuura, mumwe musikana wechiduku muchizvikudza akafamba nomugwagwa pamwe rugwaro chikoro. Zvinoita sokuti akanga asina refu, uye kare amai vechiduku anoenda vana varo kuchikoro. Makore akapfuura, uye imi pano kare vazukuru achikura. Autumn upenyu ... Hazvina zera ichi, uye mumwe mukadzi anobata chirwere chakaipisisa sezvo postmenopausal osteoporosis. Kana hosha pfava chaizvo uye kubatira mitswe ndiwo mapfupa. Modern mishonga musika akagadzirira kupa vatengi ayo hombe pasi zvakakwana zvinodhaka kuti zvinobudirira kutsungirira ichi chirwere yakaipisisa. Mishonga kupfuura ano uye zvinodhaka riri "Bonviva".

mashandiro pamusoro Action

The chikuru vanoshingaira wemafuta mushonga - Ibandronic acid. chinoumba Kanoita uye kuchititadzisa chirongwa mapfupa kuparadzwa. Uyezve, fuma iyi zvinobudirira kuchititadzisa chirongwa mapfupa resorption (anomwa), apo Zvisinei haana zvakananga kukanganisa paumbwe mapfupa tishu. Uyezve ibandronic asidhi ari Pfungwa webetsero zvinoriumba kunosanganisira plasdon K-25, lactose monohydrate, crospovidone, stearic acid, aerosil.

Mishonga "Bonviva" mirayiridzo Chinyorwa anotsanangura sei kuzogadzirisa kuti DZEMUNHU DZINODZORA ari update repfupa rinenge vakadzi panguva kubereka kuti pamwero dzavakasiyana mukadzi zera rokubereka. Somugumisiro, basa kunowedzera pfupa guru uye mapfupa chicherwa arambe achirema, vaburusira kukamurwa unhu mapfupa collagen. Kazhinji, ibandronic asidhi munhu zvikuru anobudirira fuma ane yakafarikana kuchirapa siyana. Nokuda kwechikonzero ichi, "Bonviva" anogona kushandiswa kuporesa pamusoro nguva uye dzinoratidzwa zvakakwana tefa dosing.

Medical Wongororo ( "Bonviva" akatotora zvakawana mukurumbira wakanaka mishonga pamusika) anoratidza kuti mushonga wacho akakurumidza kunakidzwa nemudumbu. Kwenguva yakati pashure kubva maminitsi 30 kusvika 2 wachi iri kwayo kunonyanyisa pfungwa iri plasma. Ropa chigadzirwa ari Vhoriyamu 40-50% of yaipedzerwa akagamuchira chinopinda kupinda pfupa rinenge uye pane ayo kuwanda. Kunyange vamwe zvinodhaka chichaparadza mapuroteni eplasma. Zvimwe zvose ichabviswa kubva mumuviri pedyo neitsvo.

Maererano nachiremba zveBhaibheri, chikuru chezvinonhuwira "Bonviva" zvakaenzana chinobata varume nevakadzi. Hapana pachena kusiyana kuparadzirwa ibandronic asidhi pakati European uye Asian marudzi. In varwere raizouya African, pane dzimwe kusiyana pakugoverwa yezviri fuma "Bonviva".

Huru vatengi

Mahwendefa "Bonviva" anowanika dosages matatu: 2.5 MG, 50 MG uye 150 MG. The gadziriro ari dose pamusoro 2.5 MG dzinowanzotsigi- inoshandiswa kurapa uye kudzivirira osteoporosis vakadzi postmenopausal. The medicament ari dose 50 MG rinoshandiswa zvikuru rakasiyana-siyana zvirwere. The zvikuru nzvimbo marapirwo anosanganisira zvirwere zvakadai metastatic maronda pfupa (mushonga kurerutsa ngozi hypercalcemia), pathological mitswe zvisikwa. Mahwendefa uyewo kuti chipimo chemushonga inogona kuderedzwa marwadzo, dzinoderedza nemwaranzi kurapa nzira nokurwadziwa uye ngozi kutsemuka. mishonga ava kurapa mishonga kuti varwere vanenge hypercalcemia kuti malignancy necheseri.

Mahwendefa 150 MG - zvikuru salable vatengi medicament "Bonviva". Mirayiridzo kushandiswa (mutengo zvakakwirira chaizvo, asi dose ichi zvinofanira kutorwa 1 nguva pamwedzi, iyo nyore chaizvo) anoita piritsi nokuda kudzivirira mitswe mune postmenopausal osteoporosis vakadzi. Ongororo Clinical dzakaratidza kuti rimwe dose ine 150 MG anekukwanisa sezvo zuva chikumbiro mumwedzi mahwendefa 2.5 MG.

Kuwedzera pane zviri pamusoro apa, zviri zvikuru kushandiswa kumwe mishonga "Bonviva" - majekiseni. In unorema zviitiko chipimo chemushonga zvaiitwa iri sezvinotevera: 1 jekiseni ose 3 months. Ndinofanira kutaura kuti anobaya "Bon Vivant" riri hasha zvakakwana, nokuti dambudziko chimiro ichi angatarisirwa chero nematambudziko zviitiko. Pamberi zvakananga kushanda kugadzirisa zvakafanira nemaziso kuongorora kuvapo nouipi, teerera ayo ruvara.

Kusuma mushonga nomutsinga, rukova, nokuti masekondi 30. The nzira rinoitwa chete nachiremba. Kana mufambiro wayo zvakafanira kudzivisa kuwana mhinduro ive tsinga iri rinenge yakapoteredza tsinga.

Zvakakurukurwa kushanda

Varwere vanenge osteoporosis, nyanzvi kazhinji ushandiswe kugamuchira rimwe piritsi (dose - 150 MG) kamwe pamwedzi. Zvisinei, vanofanira kutevera vamwe mitemo kubvuma kuti gadziriro "Bonviva" akaita zvinobudirira.

The mushonga ari chaizvo havaratidzi kunyura kana dzichienderana nokugamuchirwa kudya kana kunwa (kunze kwenguva nyore vasiri carbonated mvura). Sezvambotaurwa, "Bonviva" mapiritsi vakabatwa mumwe nomumwe 1 nguva pamwedzi. Asi chaizvo, anodiwa kwazvo kuti mushonga chinobviswa nezuva iro. Kana kuti zvimwe chikonzero yakasarudzwa zuva zvinodhaka kutarisira akanga apfuura, hwendefa zvinofanira kutorwa, kweinenge rinotevera vhiki. Kana ichi hachisi kubudirira, zvinoreva kuti mabiko zvinofanira kumbosiyiwa kusvikira dzakatarwa romwedzi inotevera. Zvichitaurwa zviri nyore, zvachose zvisingagamuchirwi kushandisa 2 piritsi dose kuti 150 MG kwevhiki rimwe.

Tora mishonga anofanira kanenge 60 maminitsi asati kudya kana kunwa zvimwewo. Rikamunya muchindwi kana kuiparadza mahwendefa haina varumbidzwa, ivo achamedzwa rose uye kunwa girazi remvura yakachena (hapana chicherwa uye carbonated). Mushure mishonga yatorwa, panguva 1 chasa asingamborevi nhema, muviri inofanira kuva rusvingo chinzvimbo.

Contraindications kugamuchira "Bonviva"

Kufanana nevamwe mushonga upi, "Bonviva" mirayiridzo Chinyorwa (mutengo zvinodhaka kucharatidzwa pazasi) hariudzi varwere vari hypersensitive kune mushonga kana kunyange kusashivirirana yavo. Health nenyanzvi usambofa mishonga varwere vanorwara nezvirwere zvakadai ahalatsiya uye stricture esophageal, hypocalcemia, shuga-galactose malabsorption. Zviri kushandisa zvisingagamuchiriki kurapwa nevanhu vane galactose kusashivirira, lactase kukanganisika. Not yakatarwa (pasinei Wongororo) "Bonviva" kuvana kuyaruka vanotambura osteoporosis.

Very vachinyatsoongorora vanachiremba varayire mushonga varwere vane matambudziko pamwe nemudumbu (urikanwi, duodenitis, gastritis, dysphagia, Barrett kuti yegurokuro). Uyezve, chero chakasimba pathological pezvakaitwa mudumbu uye yegurokuro kuve hwaro pamusoro kurega zvinodhaka kana kubvunza nyanzvi.

Not kuratidzwa mishonga "Bonviva" (majekiseni, mapiritsi - chero yokusunungurwa) kuvakadzi vane mimba. Chikonzero ichi - tisina yokuora ruzivo.

Overdosing nemishonga

Pashure pokugamuchira piritsi rokutanga vamwe varwere vanogona munyoro dzihwa-zvakadai zviratidzo. Kutora chinhu chinokosha matanho iyi haina kuzvireva.

Kana runopfuura zvinobvumidzwa mishonga inogona kuchengetwa mamwe marwadzo. Pamusoro chikamu nemudumbu angava kuratidzwa zvakadai semanyoka, dyspepsia, urikanwi, duodenitis, gastritis. Kazhinji, "Bonviva" (Instruction, murefu uchapupu uchapupu) anogona kukonzera kuda kurutsa, kurutsa, abdominal marwadzo, flatulence, dysphagia. In kuratidzwa izvi hama mushonga anogona kunzi mukaka uye antacids. Kuedza artificially kunyengedza kurutsa kudzivisa ngozi havagoni kukuvadza lining pakati yegurokuro.

Zvetsandanyama nemapfupa Hurongwa anogona kupindura negashiro zvinodhaka tsandanyama kuomarara uye kurwadza kwacho, myalgia, arthralgia. Mune zvisingawanzoitiki kacho anowedzera ngozi osteonecrosis of rushaya tikafunga kenza. Naizvozvo, kuti wemazino inofanira kuziviswa kuti murwere ari kutora "Bonviva" ake kuti vaongorore kubatsira / pangozi reshiyo, uye kusarudza kuvhiya kupindira panguva iyi kurapwa kosi.

Dzungu uye musoro vanogona kupindura "Bonviva" tsinga. Uyezve, vakawanda zvichibvira neutachiona akadai urticaria, ganda rashes, angioneurotic edema zvisikwa. Pangava muutera, musana marwadzo. Tapota ziva kuti kukundikana zvinoenderana dosing zvaiitwa kungawedzera mukana nemishonga kubva zvomudumbu hurongwa.

Events asati atanga kurapa kosi

Usati watanga kushandisa chero mishonga chipimo chemushonga, "Bonviva" mirayiridzo Chinyorwa (mutengo kunoenderana chimiro yokusunungurwa chipimo chemushonga) rinokurudzira kuteerera padanho calcium pamuviri. Kana pane zviratidzo hypocalcemia, zvimwe abnormalities pfupa muviri uye electrolyte mwero, kuti vangangozova vatengi "Bonviva" vanofanira kuva yakakwana kwazvo kuti Ca2 ⁺ uye vhitamini D. muchigamuchira mumwe bisphosphonates chinokurwadzai kazhinji kutyorwa zvakakwana panguva pakuparadza, kukura esophagitis, paumbwe maronda maronda mudumbu uye yegurokuro. Kuderedza mamiriro zviratidzo izvi, zvakakodzera pane zvinotaurwa kurumbidza (hunyambiri nzvimbo muviri mukati maminitsi 60 pashure kushandisa "Bonviva").

Kana ukaona zviratidzo esophageal maronda mishonga "Bonviva" mirayiridzo kushandiswa (murefu uchapupu uchapupu) vakayambira kurega kutora zvinodhaka uye chiremba.

Panguva kosi yokurapa mishonga "Bonviva" murwere Kudya kunofanira akapfuma vhitamini D uye calcium yakawanda. Kana usingakwanisi zvizere zvokudya uye nechokwadi yaunodya calcium vhitamini D zvokudya, zvakakodzera kundofanomugadzirira zvakakodzera.

Kugadzirira analogues

Pari rakajairika zvinodhaka - analogues "Bonviva" - ". Ibandronic asidhi Sandoz" munhu "Bandronat" uye Ndivo analogues huru vanoshingaira chirungiso. A zvikuru vakwanise boka mishonga iri pedyo "Bonviva" pamusoro mashandiro nezvaaiita. Izvi zvinogona kusanganisira zvinotevera zvinodhaka: "Bonefos", "Alental", "Veroklast", "Zoleriks", "Lindron", "Ostealen", "Rizendros", "Foroza" "Fosamax". Kuti kutsiva yakatarwa zvinodhaka analogue "Bonviva" (mutengo, mutengi wongororo hazvisi chikonzero yakakwana), nguva dzose unofanira bvunza chiremba wako kana mishonga.

mutengo dungwerungwe

Pasinei chokwadi chokuti "Bonviva" pamahwandefa zvinoberekwa vagadziri mu mishonga matatu (2,5 MG, 5 MG uye 150 MG), kuti widest mutengi kwokudiwa chinhu hwendefa ane kunonyanyisa dose kuti 150 MG. dose Izvi zvakakodzera kugamuchira (1 pamwedzi), asi kuti mushonga hakusi chisingakoshi. 1 piritsi anogona kutengwa chemishonga samambure kuti mari iri kuwanda 1,650 rubles kusvika 2120. Mamwe nehwendefa fomu iri kudiwa kukuru kwete kushandisa, nekuti kuwana navo Pharmacies rakanyatsojeka matambudziko.

Majekiseni "Bonviva" uyewo akava nomukurumbira pakati mishonga pamusika uye kuwana mutengi. Majekiseni zvakawanda mutoro murwere kupfuura pahwendefa dose pamusoro 150 MG: jekiseni tichienzanisa nzira nguva yava 1 kusvika 3 months. Zvisinei, chimiro ichi zvinodhaka yokusunungurwa ichava mari zvakawanda nouchapupu pakuverengwa kupfuura pamahwendefa. Pana 1 ampin intravenous dose 3 MG zvinodhaka "Bonviva" anokoshesa Pharmacies ingabva 5525 kusvika 5950 rubles.

mutengi pfungwa

Pasinei kumbonyanya kwakapararira kukurumbira "Bonviva" kugadzirira (mirayiridzo kushandiswa, mutengo - zvinofanira akati, zvikuru - uchapupu) wongororo kuti mishonga ine zvakasiyana nemunhu. Zvose zvakanaka nezvakaipa. Boka duku varwere anoratidza kuti zuva rakatevera pashure jekiseni zvakakwana kwakaratidzwa pachena marwadzo: kurwadzisa muviri wose, kunoderedza tsandanyama, muzongoza ached. Vamwe vaiva ganda rashes.

unogona kunzwa kubva varwere kazhinji zvakakwana kuti pashure kugamuchira kusagadzikana anoyeuka nemudumbu ake. Zvisinei, kurwadziwa kashoma zvasvika zvimwe tsika dzinonetsa kuti zvinoda vavashandire kuvabvisa. Zvakwakanakira "Bonviva" compensates kuita nemudumbu.

Panewo nyaya dzinovaka, "Bonviva" izvo anongoratidza anoita somunhu mushonga nokuda fragility uye brittleness mapfupa. Varwere vazhinji kucherechedza vaakasarudza shanduko nani kubva mafupa. Vakawanda rakada kumira kukuvadza shure, Nemhaka slouch, kuva nechivimbo uye nyore kufamba. Uye kunyange vaya varwere subjectively hapana zvakachinja kubvira kuongorora vaiva nechokwadi kuti nekuumbanidzwa pfupa tishu.

kugutsikana chaizvo varwere Chimwe kutora zvinodhaka hwechiKomonisiti. Pasinei chokwadi chokuti "Bonviva" mutengo, sezvo vachiti, ikaruma, zviri nyore chaizvo - tora rimwe piritsi uye kukanganwa nezvazvo kurapwa kwemwedzi. The chete zvinogona kutaurwa pamusoro majekiseni (1 ose 3 months). Pazvese, usakanganwa nezvokuuraya rinotevera dose.

Vamwe varwere pfungwa yokuti pakutanga mishonga mishonga "Bonviva" kuchengetwa ehurumende, akafanana izvo zvinoitika pamwe yokuSpain hweHIV. Asi nokukurumidza akapfuura, uye chii zvokutaura, vachienzaniswa ngozi kukura osteoporosis, zvakadai inoti - kushoma rokutambudzika.

Vamwe varwere akaongororazve "Bonviva" Zvisinei uye akakodzera chete akanaka kutaura kuti kufanana kugamuchira pamwe zvinodhaka ichi, "karusiyamu D3" aiva kunambwa ari nhengo ari zvomudumbu hurongwa.

Achiratidza

"Bonviva" - rechimanjemanje uye inobudirira zvikuru chigadzirwa zvakagadzirirwa kudzivisa kukura osteoporosis uye mapfupa kuparadzwa. Pasinei hwakanaka pamusoro zvinodhaka "Bonviva" (Murayiro, mutengo zvakanga munyaya kudzokorora) akaongororazve kare mushonga uyu kuti murwere, zvinofanira kurangarirwa kuti chete hwaro mharuro mishonga - kutungamirirwa kupinda chiremba. Zvakakosha kuwana chiremba uyo achanyadzisa chakazara kutarisirwa kuti kunyatsoongorora utano murwere kwake uye nemazvo wasarudza dosing zvaiitwa. Chete iyi ngozi nemishonga achaiswa kushoma, uye mushonga vacharatidza pacharo somunhu zvikuru kunobatsira kurapa osteoporosis uye kuramba mapfupa simba.