"Bonviva": ndemanga. "Bonviva": malangizo ntchito, mtengo

Mosadziwa ndipo mwamsanga kupita zaka. Posachedwapa, mtsikana monyadira anayenda msewu ndi kalata ya maphunziro. Zikuoneka kuti sikunali motalika, ndi kale mayi wachitsikana silipita ana ake ku sukulu. Zaka zapita, ndipo pano inu kale adzukulu kukula. M'dzinja la moyo ... Ndi mu m'badwo uno, ndi mkazi wapha matenda oopsa mogwirizana postmenopausal kufooka kwa mafupa. Pamene matenda ndi Chimaona kwambiri ndipo sachedwa fractures ndi mafupa. Modern mankhwala msika ndi wokonzeka kupereka ogula lalikulu mndandanda zokwanira mankhwala bwinobwino kuthandiza kupirira matenda oopsa. Ena mwa mankhwala amakono kwambiri ndi mankhwala ndi "Bonviva".

limagwirira wa Action

Waukulu yogwira pophika mankhwala - Ibandronic acid. chigawo zimalepheretsa ndi kumabwezera mmbuyo njira chiwonongeko fupa. Komanso, mankhwala bwino kumabwezera mmbuyo ndondomeko fupa resorption (wakuyamwa), pamene Koma mwachindunji zokhudza mapangidwe minofu fupa. asidi Komanso ibandronic mu chiphunzitso ngati chigawo wothandiza zikuphatikizapo plasdon K 25, lactose monohydrate, crospovidone, asidi stearic, aerosil.

Mankhwala "Bonviva" malangizo Buku limafotokoza mmene kuthetsa kuti kubweza pansi pomwe fupa minofu mu akazi pa kusintha kwa mlingo umene iwo ali mkazi wa msinkhu wobereka. Motero, ntchito kumawonjezera mafupa ndi fupa mchere osalimba, polowetsedwa akuwaza makhalidwe a fupa kolajeni. Nthawi zambiri, asidi ibandronic ndi chinthu kwambiri ogwira kukhala lonse achire osiyanasiyana. Pachifukwa ichi, "Bonviva" angagwiritsidwe ntchito kuchiritsa pa nthawi ndipo amakhala ndi dosing mokwanira kusintha.

ndemanga Medical ( "Bonviva" kale unayamba mbiri yabwino msika mankhwala) amati mankhwala yatsala odzipereka kapepala kakuti m'mimba. Pakuti nthawi pambuyo ku Mphindi 30 2 Chenjerani ndi ndende wake pazipita mu madzi a m'magazi. Chipatso magazi mu buku la 40-50% kuchuluka okwana analandira likulowerera mu minofu fupa, ndipo pali kudzikundikira ake. Ngakhale ena mwa mankhwala wamangidwa kwa mapulotini plasma. Chinthu chirichonse kuchotsedwa thupi ndi impsozo.

Malinga ndi maphunziro matenda, mbali yaikulu ya "Bonviva" mofanana amagwira amuna ndi akazi. Palibe kusiyana amamvekera kufalitsidwa kwa asidi ibandronic pakati pa mafuko a ku Ulaya ndi ku Asia. Odwala wobadwira African, pali kusiyana mu kufalitsa yogwira thunthu "Bonviva".

The ogula chachikulu

Miyala "Bonviva" akupezeka Mlingo atatu: 2.5 mg, 50 mg ndi 150 mg. Kukonza pa mlingo wa 2.5 mg wa zimagwiritsa ntchito mankhwala ndi kupewa kufooka kwa mafupa mu akazi postmenopausal. The medicament mu mlingo wa 50 mg ntchito zosiyanasiyana zambiri onse a matenda. Madera akuluakulu a mankhwala monga matenda monga zotupa metastatic mafupa (mankhwala kuchepetsa chiopsezo hypercalcemia), pathological fractures chikhalidwe. Miyala komanso imene mlingo kungachepe ululu, kuchepetsa kufunika njira cheza amalimbikitsa ululu ndi kuopsa kwa fupa lothyoka. Izi Mlingo wa mankhwala mankhwala kwa odwala matenda hypercalcemia a chotupa chija chakumbuyo.

Mapiritsi a 150 mg - ogula kwambiri Malo oti medicament "Bonviva". Malangizo ntchito (mtengo si mkulu, koma mankhwalawa ayenera kumwedwa 1 nthawi pamwezi, omwe ndi yabwino) nthawi piritsi kwa kupewa fractures mu postmenopausal kufooka kwa mafupa mu akazi. maphunziro chipatala asonyeza kuti mlingo umodzi wa 150 mg ndi opindula monga ntchito za tsiku ndi tsiku kwa mwezi wa mapiritsi a 2.5 mg.

Kuwonjezera pamwambapa, chimagwiritsidwa ntchito mtundu wina wa mankhwala "Bonviva" - jekeseni. Mu zambiri za nthawi Mlingo kamwedwe ili: 1 jekeseni pa miyezi 3. Ine ndiyenera kunena kuti pokha "Bon Vivant" ndi mwamakani zokwanira, chifukwa mankhwala a mtundu uwu tingayembekezere kuti zochitika chilichonse choopsa. Pamaso pa ntchito mwachindunji njira m'pofunika zowoneka onani pamaso pa zodetsa, kulabadira mtundu.

Atchule mankhwala m'nsinga, mtsinje, masekondi 30. Ndondomeko anachita yekha ndi dokotala. Pamene makhalidwe ake n'kofunika kupewa njira mu mtsempha wamagazi mu minofu ozungulira m'mitsempha.

Features ya ntchito

Odwala matenda kufooka kwa mafupa, akatswiri zambiri zotchulidwa kulandira piritsi limodzi (mlingo - 150 mg) kamodzi pamwezi. Komabe, ayenera kutsatira malamulo a chikuonetseratu kuti yokonza "Bonviva" anachita bwino.

Mankhwala ndi bwino kwambiri odzipereka pamene limagwirizana ndi phwando chakudya kapena kumwa (kupatula madzi yosavuta sanali enaake). Monga tanena kale, "Bonviva" mankhwala ndi imodzi mwa nthawi imodzi 1 pamwezi. Koma ndi, wokondedwa kwambiri kuti mankhwala atengedwa mu tsiku lomwelo. Ngati pazifukwa zina tsiku anakonzedwera makonzedwe mankhwala, chinaperekedwa, phale ayenera kumwedwa, osachepera sabata lotsatira. Ngati vuto limeneli si bwino, zikutanthauza kuti phwando kudzachitike mpaka tsiku yoikidwiratu M'mwezi wotsatira. Mwachidule, zosavomerezeka mwamtheradi ntchito 2 piritsi mlingo wa 150 mg kwa sabata imodzi.

Kumwa mankhwala ayenera Mphindi asanayambe kudya kapena kumwa kanthu kena osachepera 60. Fodya ameneyu amatafunidwa kapena kupasuka miyala ali osavomerezeka, iwo ayenera chimezedwe lonse ndi kumwa chikho cha madzi oyera (palibe mchere ndi enaake). Pambuyo mankhwala watengedwa, pa 1 chasa wosanamayo, thupi ayenera kukhala malo choimirira.

Contraindications kulandira "Bonviva"

Monga mankhwala ena aliwonse, "Bonviva" malangizo Buku (mtengo wa mankhwala adzakhala pansipa) alibe amalangiza odwala amene hypersensitive mankhwala kapena tsankho awo. zachipatala konse mankhwala kwa odwala matenda matenda monga ahalatsiya ndi esophageal stricture, hypocalcemia, shuga-galactose malabsorption. Ndi zosavomerezeka ntchito mankhwala ndi anthu ndi tsankho galactose, lactase akusowa. Osankhidwa (ngakhale ndemanga zabwino) "Bonviva" kuti ndi ana amene akudwala kufooka kwa mafupa.

mosamala kwambiri madokotala mankhwala mankhwala odwala ndi mavuto ndi kapepala m'mimba (chilonda, duodenitis, gastritis, dysphagia, kum'mero Barrett a). Komanso, aliyense pachimake njira pathological m'mimba ndi kum'mero kukhala maziko kusiya mankhwala kapena kukaonana ndi katswiri.

Sitingachisonyeze mankhwala "Bonviva" (jakisoni, mapiritsi - zilizonse kumasulidwa) kwa amayi apakati. Chifukwa cha ichi - pakalibe zinachitikira matenda.

Overdosing mavuto

Atalandira mankhwala oyamba odwala ena akhoza kuona zizindikiro za chimfine wofatsa. Kuchita wapadera mu nkhani iyi si lamulo.

Pamene choposa cha Mlingo kololeka zingaoneke zotsatira zina zoyipa. Pa mbali pa mundawo m'mimba kungakhale mawonetseredwe monga kutsekula m'mimba, dyspepsia, chilonda, duodenitis, gastritis. Nthawi zambiri, "Bonviva" (Malangizo, mtima umboni umboni) zingachititse nseru, kusanza, kupweteka m'mimba, flatulence, dysphagia. Mu mawonekedwe awa ZINGATHANDIZE wachibale tinganene kuti mkaka ndi Mankhwalawa ayenera kumwedwa. Kuyesa chongopeka kupangira kusanza kupewa ngozi sangathe kuwononga akalowa la kholingo.

dongosolo minofu ndi mafupa angayankhe phwando mankhwala minofu stiffness ndi spasms, myalgia, arthralgia. Nthawi zina, izo kumaonjezera ngozi ya osteonecrosis la nsagwada ndi maziko a khansa. Choncho, mano ayenera kuuzidwa kuti wodwalayo akusinthira wake "Bonviva" kupenda chiŵerengero phindu / chiopsezo, ndi kusankha phukusi opaleshoni pa siteji iyi ya Inde mankhwala.

Chizungulire ndi mutu angalankhule "Bonviva" mantha dongosolo. Komanso, ambiri zotheka thupi lawo siligwirizana monga urticaria, tizilonda ta pakhungu, angioneurotic edema chikhalidwe. Pangakhale zofooka, kupweteka kwa nsana. Chonde kudziwa kuti kulephera kutsatira dosing kamwedwe mwina azitaya mavuto kwa dongosolo m'mimba.

Events musanayambe Inde mankhwala

Musanayambe ntchito mlingo uliwonse mankhwala, "Bonviva" malangizo Buku (mtengo zimadalira maonekedwe a kumasulidwa ndi mlingo) akuonetsa kulabadira mlingo wa kashiamu mu thupi. Ngati pali zizindikiro za hypocalcemia, kuvutika kenanso za kagayidwe fupa ndi bwino electrolyte, angathe makasitomala "Bonviva" ayenera kuchuluka yokwanira kuti Ca2 ⁺ ndi vitamini D. Kulandira bisphosphonates ina amakwiya zambiri kuyan'anila zokwanira pa Pomeza, chitukuko cha esophagitis, mapangidwe zotupa anam'peza m'mimba ndi kum'mero. Kuchepetsa zizindikiro zimenezi zosasangalatsa, m'pofunika kuti mosamalitsa kutsatira kuwapempha (udindo ofukula za thupi mkati mphindi 60 kugwiritsa ntchito "Bonviva").

Ngati inu mungazindikire zizindikiro za esophageal zotupa mankhwala "Bonviva" malangizo ntchito (wodwala umboni umboni) analangizidwa kuti asiye kumwa mankhwala ndi dokotala.

Pa nthawi ya mankhwala mankhwala "Bonviva" zakudya wodwalayo ayenera kukhala vitamini D ndi calcium. Ngati simungathe kwathunthu kudyetsedwa ndi kuonetsetsa wambiri kashiamu ndi vitamini D chakudya, m'pofunika kukonzekera yoyenera.

kukonzekera analogues

Panopa mankhwala ambiri - analogues "Bonviva" - ". Ibandronic asidi Sandoz" a "Bandronat" ndipo Iwo analogues wa waukulu yogwira pophika. A gulu zambiri onse a mankhwala ndi pafupi ndi "Bonviva" pa limagwirira ntchito mwakhama. Izi zikhoza monga mankhwala zotsatirazi: "Bonefos", "Alental", "Veroklast", "Zoleriks", "Lindron", "Ostealen", "Rizendros", "Foroza" "Fosamax". Kuti m'malo yoikidwiratu mankhwala analogue "Bonviva" (mtengo, ogula ndemanga si chifukwa chokwanira), nthawi zonse muyenera kukaonana ndi dokotala kapena pharmacist.

mtengo osiyanasiyana

Ngakhale kuti "Bonviva" mapiritsi amapangidwa ndi opanga pa mlingo atatu (2.5 mg, 5 mg ndi 150 mg), ndi linafalitsidwa kwambiri ogula kufunika ndi piritsi ndi mlingo pazipita 150 mg. mankhwalawa ndi oyenera kulandira (1 pamwezi), koma mankhwala si wotchipa. Piritsi 1 zikhoza kugulidwa mu maukonde mankhwala kwa ndalama mu osiyanasiyana 1.650 rubles kwa 2120. enawo piritsi mawonekedwe mu ankafuna chachikulu ntchito, chifukwa kuwapeza mu pharmacies ndi mabvuto ndithu.

Majekeseni "Bonviva" komanso anapambana mbiri mu msika mankhwala ndi kupeza wogula. Majekeseni zambiri wolemetsa wodwala kuposa piritsi mlingo wa 150 mg: jekeseni malinga ndi muyezo wa nthawi ndondomeko ndi miyezi 1 mpaka 3. Komabe, mawonekedwe kumasulidwa mankhwala ndalama zambiri zimakhala zolimba kwambiri ndalama kuposa mapiritsi. Pa 1 ampin mlingo mtsempha wa 3 mg wa mankhwala "Bonviva" phindu mu pharmacies akhoza zosiyanasiyana, kuyambira 5525 mpaka 5950 rubles.

ogula maganizo

Ngakhale mwachilungamo ambiri kutchuka "Bonviva" kukonzekera (malangizo ntchito, mtengo - kuyenera anati, kwambiri - umboni) ndemanga za mankhwala ali lathu osiyana. Zabwino ndi zoipa. Kagulu ka odwala zikusonyeza kuti tsiku lotsatira pambuyo jekeseni mokwanira kuonekera ululu: kupweteka thupi lonse, amachepetsa minofu, msana ankamva kuphwanya. Ena anali totupa.

mungathe kumva kwa odwala kawirikawiri zokwanira atalandira kusapeza anati thirakiti wake m'mimba. Komabe, ululu kawirikawiri ukufika ena mfundo yapadera imene imafuna chithandizo chapadera kuthetsa iwo. Zabwino zotsatira "Bonviva" compensates anachita thirakiti m'mimba.

Palinso maganizo abwino, "Bonviva" lomwe chabe amachita ngati limathetseratu vuto lina lililonse kwa fragility ndi brittleness mafupa. odwala ambiri muzindikire kusintha osiyana kwa bwino kwa fupa. Ambiri inatsala pang'ono kundipweteka kumbuyo, kuchepa slouch, azidzidalira ndi wosavuta kuyenda. Ndipo ngakhale odwala amene subjectively kanthu wasintha kuchokera kafukufukuyu ankakhulupirira kuti ting'onoting'ono basi minofu fupa.

Wina odwala kukhuta kwambiri kutenga ulamuliro mankhwala. Ngakhale kuti "Bonviva" mtengo, monga iwo amati, kulumidwa, ndi yabwino - kutenga mankhwala n'kuiwala za chithandizo kwa mwezi umodzi. The Tinganenenso chimodzimodzi za jekeseni (1 pa miyezi 3). Chofunika, musaiwale za kutenga mlingo lotsatira.

Odwala ena kuona kuti pa chiyambi cha mankhwala mankhwala "Bonviva" anatero boma, ofanana ndi zimene zimachitika ndi matenda fuluwenza. Koma mwamsanga zapita, ndipo zimene kunena, poyerekeza ndi chiopsezo amayamba kufooka kwa mafupa, mayiko amenewa - osachepera vuto.

Odwala ena amene amakambirana "Bonviva" ngakhale ndi woyeneradi yekha amanena zabwino kuti phwando kufanana pamodzi ndi mankhwala, "kashiamu D3" anali zoyipa pa ziwalo dongosolo m'mimba.

Polongosola mwachidule

"Bonviva" - masiku ndipo kwambiri ogwira mankhwala cholinga chake ndi kuchepetsa chitukuko cha kufooka kwa mafupa ndi chiwonongeko fupa. Ngakhale duwa za mankhwala "Bonviva" (Malangizo, mtengo wa amene takambirana kubwerezako) ndemanga kale kutenga mankhwala kwa wodwala, tiyenera kukumbukira kuti maziko okhawo a mwambo wa mankhwala - malangizo a dokotala nawo. Nkofunika kupeza dokotala amene lidzachita ndi changu chisamaliro kwa kufufuza thanzi la mtima wake ndi molondola kusankha dosing chakudya. Only mu nkhani iyi chiopsezo mavuto adzakhala sanamvere, ndipo mankhwala adzakhala kuonekera ngati chida kwambiri ochiza matenda a kufooka kwa mafupa ndi kukhalabe ndi mafupa olimba.