Magunguna amfani da su don bi da kuma hana Osteoporosis
Osteoporosis wata cuta ce wadda ta rage kuma ta raunana kasusuwa har zuwa cewa suna da rauni kuma sun karya sauƙi. Mata da maza tare da osteoporosis sukan karya kasusuwa a cikin hanji, kashin baya, da wuyan hannu. Duk da haka, maganin osteoporosis, abinci mai gina jiki, motsa jiki, da kiyaye lafiyar zai iya taimakawa wajen rage haɗarin.
Osteoporosis Treatment Program
Idan kana da osteoporosis, tsarin kula da ku zai mayar da hankali ga:
- Abinci mai kyau - musamman ma abin cin abinci mai gina jiki a cikin allura da kuma bitamin D, wanda zai iya hada da shawarwari don ɗaukar allurar man shanu da kuma bitamin D
- Gudanar da motsa jiki, wanda ba wai kawai inganta lafiyar ka ba amma yana ƙaruwa ƙarfi, daidaitawa da daidaituwa.
- Abubuwan tsaro don magance cututtuka wanda zai haifar da raguwa, kamar cire kayan kwalliya a kusa da gidanka.
Bugu da ƙari, likitan ku na iya bada magani don ragewa ko dakatar da asarar kasusuwa, haɓaka ƙananan kashi, kuma rage haɗarin haɗari.
Bisphosphonates
Bisphosphonates, mafi magungunan da ake amfani da su don magance osteoporosis, rage yawan ayyukan kwayoyin halitta masu tasowa. Duk lokacin rayuwarku, an cire kashi na baya kuma an ƙaddara sabon kashi a kwarangwal dinku. Yayin da kake tsufa da raunin kasusuwanka yana samun sauri - bisphosphonates suna jinkirta wannan tsari.
Bishosphonates sun yarda da Gudanar da Abincin da Drugurma na Amirka (FDA) don yin rigakafi da kuma maganin osteoporosis ga mata bayan mazauni da maza.
Wadannan bisphosphonates sun yarda da FDA don sayarwa a Amurka:
Actonel (risedronate):
- Zai iya ƙara yawan kasusuwan ku kuma rage chances dinku, hip, da sauran fractures.
- Ana samuwa a kowace rana, mako-mako, sau biyu a wata, kuma sau ɗaya-a-wata.
Boniva (ibandronate):
- Zai iya rage yawan damar ku na fine-fure. Boniva baya rage chances na hip da sauran fractures.
- Ana samuwa a cikin kowane wata kuma a matsayin allurar rigakafi da aka bawa sau daya a kowane wata uku.
Fosamax (alendronate):
- Zai iya ƙara yawan kasusuwan ku kuma rage chances dinku, hip, da sauran fractures.
- Ana samuwa a kowace rana da kuma asibiti.
Reclast (zoledronic acid):
- Zai iya ƙara yawan kasusuwan ku kuma rage chances dinku, hip, da sauran fractures.
- Ana samuwa a matsayin mai allurar rigakafi da aka ba sau daya a shekara.
Hanyoyin da ke haifar da bisphosphonates na kwakwalwa sun hada da matsalolin gastrointestinal irin su wahalar haɗuwa, ƙonewa da esophagus da ciki.
Hanyoyin da ke ciki na bisphosphonates mai ciki sun hada da kamuwa da cututtuka, zazzabi, ciwo a cikin tsokoki ko mahalli, da kuma ciwon kai. Wadannan tasirin na iya faruwa ba da daɗewa ba bayan karbar jiko da kuma tsayawa cikin kwana biyu zuwa kwana uku.
Akwai kuma rahotanni masu yawa na osteonecrosis na muƙamuƙi da kuma matsaloli na gani a cikin mutane da ke bin bisphosphonates na kwakwalwa da na intravenous.
Raloxifene
Evista (raloxifene), wadda FDA ta amince don rigakafi da maganin osteoporosis ga mata bayan da aka yi mata musagewa, na cikin kwayoyin da ake kira masu zaɓin masu karɓar isrogen receptor (SERMs).
Evista yana da ciwon haɗin gwargwadon estrogen kamar yadda ya kamata a kan kwarangwal amma toshe abubuwan estrogen a cikin nono da mahaifa.
Evista yana raguwa da asarar kasuwa kuma ya rage hadarin raguwa a cikin kashin baya, amma babu wani tasiri a kan raunin hanji.
Ana iya amfani da Evista don taimakawa wajen hana ciwon nono a cikin matan da suke da haɗari ga ciwon nono.
An dauki Evista cikin nau'in kwaya sau ɗaya kowace rana.
Duk da yake cututtuka ba su da kowa da Evista, zaku iya shawo kan ƙuƙwalwar jini da jini a cikin zurfin veins.
Calcitonin
Calcitonin, wanda ake kira Miacalcin da Fortical, yana da hormone da ke faruwa a yanayi wanda ke taimakawa wajen daidaita matakan calcium a jikinka.
A cikin mata waɗanda akayi shekaru biyar da suka wuce a cikin mazauni, ƙwayoyin kafaci suna raguwa da asarar kasusuwa, suna kara ƙananan kasusuwa, suna rage hadarin cututtuka na kashin baya, kuma zasu iya taimakawa ciwo da haɗuwa da kasusuwa.
Calcitonin yana samuwa a matsayin allura (aka ba a karkashin fata ko cikin tsoka kowace rana ko kowace rana) ko a matsayin nassi na yau da kullum.
Injectable calcitonin zai iya haifar da rashin lafiyan ciwo da kuma rashin illa mai ban sha'awa ciki har da flushing fuska da hannayensu, urination, tashin zuciya, da fatar jiki. Sakamakon sakamako guda kawai da aka bayar tare da ƙwayoyin kwayoyin na hanci shine ƙusar hanci.
Teriparatide
Forteo (teriparatide), wani nau'in injectable na hormone na parathyroid na mutum, an yarda dasu ga mata da maza maza da mata na maza da mata tare da osteoporosis wadanda suke cikin haɗari don samun raunuka.
Ba kamar sauran kwayoyi da ake amfani da su a osteoporosis ba, Forteo yayi ta hanyar motsawa sabon kashi kashi a cikin layi da hip. Aka ba da allurar yau da kullum har zuwa watanni 24, yana ƙara ƙwayar nama da ƙarfin kashi kuma an nuna shi don rage hadarin spine da sauran fractures.
Hanyoyi masu illa sun hada da motsa jiki, damuwa, da hanyoyi.
Forteo yana da gargaɗin akwatin fata na fata daga FDA saboda ƙananan yiwuwar cewa Forteo na iya kara yawan haɗarin bunkasar ka na osteosarcoma, ciwon daji mai tsanani amma mai tsanani. Saboda wannan haɗari, kada ku yi amfani da Forteo sai dai idan kuna da osteoporosis kuma a kalla daya daga cikin wadannan yanayi ya haɗu: Kun rigaya ya kasance akalla raunin kashi ɗaya; likitanku ya ƙaddara cewa kuna da mummunan haɗari na fractures, ko ba za ku iya ɗaukar ko ba ku amsa wa sauran magunguna don osteoporosis ba.
Isrogen / Hormone Far (ET / HT)
ET / HT an nuna su don rage asarar kasusuwa, ƙara yawan kashi a cikin ɓangaren kashin baya da kuma hip, da kuma rage hadarin kashin baya da raunuka a cikin mata na maza. ET / HT an fi yawanci a cikin nau'i na kwaya ko fata.
Lokacin da ake amfani da estrogen - wanda aka fi sani da ciwon estrogen ko ET - yana daya, yana iya ƙara yawan mace na ci gaba da ciwon daji na jikin mahaifa (ciwon endometrial cancer). Don kawar da wannan hadarin, likitocin sunyi bayanin hormone progestin - wanda aka fi sani da maganin hormone ko HT - a hade tare da estrogen ga waɗannan matan da ba su da tsafta .
Sakamakon sakamako na ET / HT sun hada da zubar da jini na jiki, da tausayi mai tausayi, yanayi na rikici, da jini a cikin sutura, da kuma cututtuka na gallbladder.
Saboda dalilai na baya-bayan nan da suka nuna cewa ciwon nono, shanyewar jiki, yaduwar jini, da kuma zuciya mai tsanani zai iya karuwa a wasu mata da ke dauke da isrogene, FDA ta bada shawarar cewa kayi amfani da mafi kyawun kashi don mafi tsawo lokacin da zai yiwu. Ya kamata a yi la'akari da Estrogen ne kawai idan kun kasance mai hatsarin gaske ga osteoporosis, kuma ya kamata ku dauki farko shan maganin osteoporosis wanda ba shi da isrogen.