Yintoni iVista ?:
I-Evista (raloxifene hydrochloride) isistim e-receptor modulator (SERM) ekhethiweyo. Isetyenziselwa ukunyanga i-osteoporosis kwaye ayikho i-hormone.
I-Evista isebenza ngamabhonkco akho kunye neNgcipheko ye-Cancer Inomdla:
I-Evista isetyenziselwa ukuthintela kunye nokunyangwa kwe-osteoporosis (ithambo elincinci) kwintombi yama-postopaopaus. Ngo-2007, kwavunyelwa ukunciphisa umngcipheko wesifo somhlaza wesifuba esingenayo kwi-womenmen postusopausal nge-osteoporosis nakwabasetyhini abasemva kwengozi enkulu yomhlaza webele.
I-Evista ayikho isichengululo somhlaza webele, kodwa ingasetyenziselwa ukunqanda iimeko zesifo somhlaza wesisu se-estrogen-receptor. Akunciphisi umngcipheko wakho wokuphindaphinda umhlaza wesifuba esingenayo. Abasetyhini abanomdlavuza wesibeleko ngenxa yokuguquka kwemfuza ( BRCA1 , BRCA2 ) abayi kuzuza ngokuthatha u-Evista.
I-Evista isebenza njani:
I-Evista ibophelela kwi-estrogen receptors kwiiseli, ukudala ukukhusela kunye nokudala ukujikeleza kwe-estrogen ukuthatha ezinye iindlela ngomzimba wakho. Iyancipha ithambo eliqhelekileyo le-postmenopausal-thinning and increasing the bone of minerals (BMD). Oku kubangela amathambo anamandla kunye nomngcipheko omncinci wezahluko. Inzuzo eyongezelelweyo ye-Evista kukuba iyanciphisa amanqanaba kunye ne- LDL ye-cholesterol . Kwizicubu zebele kunye ne-uterine, zenza njengomchasene we-estrogen.
Amagqabi Ngethuba Ngethuba Lakuba Emva Kwenyuka Kwimizuzu:
Ngexesha nangemva kokumiswa komzimba, umzimba wakho uvelisa i-estrogen encinane, ebangela ukuba ithambo lincinci.
Abasetyhini abaninzi bathabatha i-osteoporosis izidakamizwa ukukhusela nokuqinisa amathambo abo emva kokuphuma kwesisu. I-Fosamax, i-Boniva, kunye ne-Evista imiselwe abo bafazi be-postmenopausal, kunye ne-Vitamin D kunye ne-calcium supplement and exercise-bearing exercise, ukugcina impilo yeethambo kunye nokuthintela i-fractures kunye nekhefu. Ukuba amathambo akho ayancipha, usemngciphekweni weemfucu emgodini, emagqabini, nakubunzima.
Ukuqhathaniswa neTamoxifen:
I-Evista yayifaniswa noTamoxifen kwisifundo se- STAR iminyaka emi-5, kwaye ayifumananga ukuba iyasebenza ngakumbi ekunciphiseni iziganeko zesifo somhlaza wesifuba esingenayo. Nangona kunjalo, unyango lwe-Evista lubangele iimeko ezincinci ze-thrombosis ye-vein, i-pulmonary embolism, i-cataract kunye nomdlavuza we-endometrial (iziphumo eziqhelekileyo eziqhelekileyo) kuneTamoxifen.
Iingcebiso Ngethuba Ukuthatha Ingqiqo:
Abasetyhini abaya kuhlala bengashukumi ixesha elide (ukufumana ukuphucula, ukulala ngokulala, ukuhamba kunye nokuhamba ngokukhawuleza) kufuneka bayeke ukuthabatha u-Evista ubuncinane iiyure ezingama-72 ngaphambili, kunye nexesha, ixesha elidlulileyo. Kungenxa yokuba u-Evista unokunyusa ingozi yegazi. Ukuba uthatha u-Evista, qiniseka ukuthatha i-calcium kunye ne-vitamin D, kunye nokuzibandakanya ngokunyameko, ukuze ufumane inzuzo enkulu kwimpilo yakho yethambo. Yeka okanye unqande ukutshaya , i-caffeine kunye notywala xa uhlala kwi-Evista, njengoko ezo zinto zenza ukuba amathambo ahlambe.
Ngubani Ongafanelanga Ukuthi:
Ungathathi uVevista ukuba:
- ukhulelwe okanye uncelisayo, njengoko kungabangela ingozi kumntwana wakho
- uneengxaki zentshukumo
- unembali ye-thongsis ye-vein, i-pulmonary embolism, kunye ne-retinal vein thrombosis
- usebenzisa i- hormone ye-substitution therapy (HRT)
- uneengxaki ezinzulu zesibindi
Maneka ngo:
I-Evista iyatholakala kwiiphilisi ezingama-60 mg, ngokwasemthethweni kuphela. Kuthatyathwa kanye ngosuku, kunye okanye ngaphandle kokutya.
Imiphumela:
Iimeko ezinokubangela ukuba ezi ziphumo eziqhelekileyo:
- kushushu
- kwanda
- isicaphulelo
- isifo sohudo
- iintloko (kungekhona i-migraine)
- intlungu
Akuyena wonke umntu omele athathe u-Evista, njengoko unokunyusa umngcipheko weengcambu zegazi kwimilenze (intlungu ye-vein thrombosis), intliziyo (ukuphambana kwe-pulmonary), kunye namehlo (i-retinal vein thrombosis).
Jonga ugqirha ukuba unayo le mpawu ngelixa uthabatha uVista:
- intlungu okanye ukufudumala kwimilenze yakho okanye ngamathole
- ukuvuvukala kwezandla, iinyawo okanye imilenze
- intlungu ngokukhawuleza esifubeni sakho; ukuqhawukelwa ngumphefumlo
- utshintsho olusuka kwangoko kumbono wakho (umbono obonakalayo okanye ukulahleka)
I-Evista ayibangeli intlungu yesisu okanye isisa, kwaye ayibangeli ukuphuma kwegazi.
Imithombo:
Evista.com. I-Osteoporosis kunye neCataltic Breast Inomdla. © 2008.
FDA. Iziko loVavanyo lweMida noPhando. I-FDA iyavuma iiNtsebenziswano ezintsha ze-Evista (raloxifene hydrochloride). Umhla owenziwe: Septemba 17, 2007.
FDA News. Raloxifene hydrochloride. NgoSeptemba 17, 2007.