Naproxen ne Esomeprazole Nnuru: Wo Nkwaa mu Ɛyaw ne Wo Yafunu mu Ɔhaw Ano Aduru?

So wo nso wowɔ nkwaa mu yaw, kyerɛ sɛ, tebea te sɛ `Arthritis`? Wɔ mmere a ɛtete saa mu no, nnuru a wɔde kum ɛyaw ho hia, ɛnte saa? Nanso ɔhaw no ne sɛ, sɛ wonom nnuru bi a wɔde kum ɛyaw a, wunya yafunu mu ɔfe ne yafunu mu yare. Ɛnnɛ yɛrebɛka aduru bi a ɛbɛtumi aboa wɔ saa ɔhaw mmienu no nyinaa ho asɛm. Saa aduru yi yɛ nnuru a wɔde afrafra a wɔfrɛ no naproxen ne esomeprazole. Ebia wunim no denam brand din `(Vimovo)` so.

Dɛn ne aduru yi? Sɛ yɛbɛka no tiawa a...

Eyi yɛ nnuru ahorow abien a wɔaka abom ankasa.

1. Nea edi kan ne Naproxen . Eyi yɛ ɛyaw ano aduru a efi ``NSAID'' adesuakuw mu, a egyina hɔ ma Nonsteroidal Anti-Inflammatory Drug. Sɛ yɛbɛka no tiawa a, ɛboa ma ɛyaw, ɔfe, ne wo nkwaa a ɛyɛ den no so tew.

2. Nea ɛto so abien ne Esomeprazole . Eyi yɛ aduru a wɔfrɛ no ``PPI'', a ɛkyerɛ sɛ proton pump inhibitor. Ɛyɛ adwuma denam acid dodow a wo yafunu no ma so tew so.

Dɛn na ɛba saa bere no? Nnipa binom taa nya yafunu mu akisikuru bere a wɔnom NSAID te sɛ Naproxen no. Wɔde aduru a wɔfrɛ no Esomeprazole yi ka ho na ama saa asiane no so atew. Enti, ɛyaw no so tew, na nneɛma a ebetumi asɛe yafunu no so tew.

Nnuruyɛfo betumi de saa aduru yi nso ayɛ nneɛma foforo. Sɛ wowɔ nsɛmmisa bi fa ho a, bisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi saa aduru yi ase?

Ɛho hia paa sɛ wobɛka saa nneɛma yi ho asɛm kyerɛ wo duruyɛfo anaa akwahosan ho ɔbenfo ansa na woafi ase anom saa aduru yi. Sɛ wowɔ saa tebea horow yi bi a, ebia saa aduru yi mfata wo, anaasɛ ebia wubehia ɔhwɛ soronko.

Saa nneɛma no ni:

• Sɛ wowɔ mogyatɔw ho yare bi a.
• Sɛ wɔayɛ wo koma oprehyɛn, i.e. Coronary Artery Bypass Graft (CABG) wɔ adapɛn abien a atwam no mu a.
• Sɛ woyɛ obi a ɔnom nsa daa a.
• Sɛ woanya komayare pɛn a.
• Sɛ wowɔ komayare a.
• Sɛ wowɔ tebea bi a wɔfrɛ no `Heart failure` a.
• Sɛ wowɔ mogya mmoroso a.
• Sɛ potassium dɔɔso wɔ wo mogya mu a.
• Sɛ wowɔ asaabo mu yare a.
• Sɛ wowɔ mmerɛbo mu yare a.
• Sɛ wo mogya mu nkwammoaa kɔkɔɔ dodow sua a, ɛkyerɛ sɛ wowɔ tebea bi a wɔfrɛ no mogya a ɛtɔ kɔ nipadua mu.
• Sɛ wowɔ ahurututu anaa ɔhome mu yare a.
• Sɛ wode steroid te sɛ Dexamethasone anaa Prednisone redi dwuma a.
• Sɛ wo yafunu mu mogya retu a.
• Sɛ wowɔ yafunu anaa dwensɔtwaa mu haw a.
• Sɛ worenom nnuru a ɛsa mogya a ɛbɛtɔ anaasɛ esiw ano a.
• Sɛ woyɛ obi a ɔnom tawa a.
• Sɛ wo ho yɛ wo hyew wɔ naproxen, esomeprazole, NSAID afoforo (e.g., ibuprofen), nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde sie ho a.
• Sɛ worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ worenyinsɛn mprempren a.
• Sɛ woyɛ ɛna a ɔma nufu a.

Sɛ saa nneɛma yi mu biara fa wo ho a, akyinnye biara nni ho sɛ ɛbɛyɛ papa sɛ wobɛka akyerɛ wo duruyɛfo.

Wode saa aduru yi di dwuma dɛn?

Ɛsɛ sɛ wɔde ano ka aduru yi a wɔde nsu kuruwa ka ho. Ɛyɛ papa sɛ wobɛnom bere koro mu da biara , sɛnea wɔakyerɛ wɔ nnuru a wɔakyerɛw ama wo no krataa so no.

Nea ɛho hia yiye: Mbubu, nbubu, anaa nwe saa aduru yi. Mene tablet no nyinaa.

Ɛsɛ sɛ wɔnom saa aduru yi ansa na wɔadidi, wɔ yafunu a hwee nni mu . Anyɛ yiye koraa no, fa simma 30 ansa na woadi. Kɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.

Sɛ wonya saa aduru yi firi nnurutɔnbea a, wo nsa bɛka akwankyerɛ krataa soronko nso (a `MedGuide`). Ɛho hia sɛ wokenkan no yiye wɔ aduru biara a wɔakyerɛw ama wo ho, bere biara a wubenya aduru no.

So wobetumi de saa aduru yi ama mmofra?

Wobetumi de saa aduru yi ama mmofra a wɔadi boro mfe 12 wɔ nsɛm titiriw bi mu. Nanso ahwɛyiye soronko bi wɔ hɔ. Enti, sɛ wode saa aduru yi rema mmofra a, wo ne wo duruyɛfo nka ho asɛm yiye na nya afotu.

Na nnipa a wɔadi boro mfe 65 nso ɛ?

Mpɛn pii no, ebia nnipa a wɔadi boro mfe 65 bɛte nka sɛ aduru yi nkɛntɛnso mu yɛ den kakra. Enti, ebia ebehia sɛ wɔma wɔn dodow a ɛba fam.

Na sɛ menom nnuru pii nso ɛ? (Nneɛma a wɔde ma boro so) .

Sɛ wonom aduru yi pii wɔ akwanhyia mu, kyerɛ sɛ, sɛ wonom boro so a, kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo no ntɛm ara , anaa frɛ beae a wɔhwɛ awuduru so.

Nsɛm a ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nnka nkyerɛ afoforo, sɛ mpo wɔn tebea no te sɛ wo a.

Sɛ woankɔ bere a wopɛ sɛ wonom nnuru a, dɛn na woyɛ?

Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da.

Nneɛma afoforo a ebetumi ne aduru yi adi nkitaho (Nkitahodi) .

Afei, momma yɛnhwɛ, nnuru foforo bi wɔ hɔ a ɛnyɛ papa sɛ wode bɛka aduru yi ho. Ɛno kyerɛ sɛ sɛ wode wɔn bom a, ebetumi ayɛ ɔhaw kɛse:

• Atazanavir a wɔde di dwuma
• Cidofovir `(Cidofovir)`
• Ketorolac na ɛyɛ aduru
• Mavacamten `(Mavacamten)`
• Nelfinavir a wɔde di dwuma
• Rilpivirine a wɔde di dwuma

Afei nso, nnuru afoforo wɔ hɔ a ebetumi de aduru yi asɛe anaasɛ aka sɛnea ɛyɛ adwuma . Sɛ worenom eyinom mu biara a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ:

• Nsaden
• Aspirin ne nnuru a ɛte sɛ aspirin
• Nnuru bi a wɔde ko tia HIV anaa mmerɛbo mu yare
• Nnuru bi a ɛmma mogya ntumi nkɔ anaa ɛsa mogya a ɛtwetwe, sɛ nhwɛso no: Warfarin, Clopidogrel, Enoxaparin, Dalteparin, Apixaban, Dabigatran, Rivaroxaban
• Nnuru bi a wɔde sa nneɛma te sɛ mogya mmoroso, komayare, ne koma a ɛbɔ a ɛnteɛ daa
• Nnuru bi a wɔde sa fungal yare te sɛ ketoconazole, itraconazole, posaconazole, ne voriconazole
• Cilostazol `(Cilostazol)`
• Cyclosporine a wɔde di dwuma
• Diazepam `(Akisikuru)`
• Digoxin a wɔde di dwuma
• Diuretics (nnuru a ɛma nsu pii fi nipadua mu) .
• Erlotinib a wɔde di dwuma
• Dade nkyene (te sɛ dade a wɔayam) .
• Lithium a wɔde yɛ nneɛma
• Methotrexate a wɔde di dwuma
• Mycophenolate a wɔde yɛ aduru
• ``NSAIDs'' ahorow afoforo, kyerɛ sɛ, nnuru a wɔde sa ɛyaw ne ɔfe, te sɛ ``Ibuprofen''.
• Pemetrexed a wɔde yɛ aduru
• Rifampin na ɔkyerɛwee
• SNRIs, a wɔde sa tebea horow te sɛ adwenemhaw, s.e. Nnuru a wɔde hyɛ nipadua mu, Duloxetine, Levomilnacipran, Venlafaxine
• SSRIs (selective serotonin reuptake inhibitors) a wɔde sa adwenemhaw, s.e. Citalopram, Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, Sertraline a wɔde yɛ aduru a ɛma nipadua no yɛ adwuma
• St. John’s Wort (nhabannuru a ebinom de di dwuma) .
• Steroid nnuru te sɛ prednisone anaa cortisone
• Tacrolimus a wɔde di dwuma

Ebia saa nsɛm a wɔahyehyɛ yi renwie pɛyɛ. Enti, ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo (a wɔkyerɛw ma wo, nea wɔtɔn wɔ aduruyɛdan mu, nhabannuru, vitamin, anaa aduannuru a wɔde ma), ne sɛ wonom tawa, wonom nsa, anaa wonom nnubɔne a mmara mma ho kwan . Ebia eyinom bi ne aduru yi bedi nkitaho.

Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛrenom aduru yi?

Kɔ wo duruyɛfo nkyɛn daa na hwɛ sɛ wo yare no ho sɛnkyerɛnne no retu mpɔn anaasɛ ɛreyɛ kɛse anaa.Sɛ wo yare no ankɔ yiye, anaasɛ emu yɛ den mpo a, ka kyerɛ wo duruyɛfo .

Mfa nnuru afoforo a aspirin, ibuprofen, anaa naproxen wom bere a worenom saa aduru yi. Saa a wɔbɛyɛ no betumi ama asiane a ɛwɔ hɔ sɛ wobenya nneɛma bɔne te sɛ yafunu a ɛyɛ yaw, akisikuru, ne yafunu mu akisikuru ayɛ kɛse. Ebia saa nneɛma yi wɔ nnuru pii a wɔtɔn a wɔmfa nnuru nhyɛ mu. Enti kenkan nea wɔakyerɛw so no yiye bere nyinaa.

Ade foforo nso ne sɛ, saa aduru yi tumi ma yafunu mu akuru na mogya tu wɔ dwensɔtwaa mu. Kae sɛ ɛtɔ mmere bi a eyi betumi asi mpofirim, a mfiase no sɛnkyerɛnne anaa ɛyaw biara nni ho. Enti ɛsɛ sɛ wohwɛ yiye paa. Asiane yi yɛ kɛse titiriw sɛ woyɛ obi a ɔnom sigaret, ɔnom nsa, obi a ne mfe akɔ anim, anaa obi a mpɛn pii no ne ho nyɛ no dɛ a. Sɛ wo yafunu yɛ wo yaw, wofe mogya, anaa wote nka sɛ worefa mogya mu wɔ wo nsu mu a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara.

Saa aduru yi nsiw komayare anaa akisikuru ano. Nokwarem no, saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ wubenya komayare anaa akisikuru no ayɛ kɛse kakra. Saa asiane yi kɔ soro bere tenten a wode saa aduru yi di dwuma no, anaasɛ sɛ wowɔ komayare dedaw a. Sɛ worenom aspirin de asiw komayare anaa akisikuru ano a, wo ne wo duruyɛfo nkasa mfa aduru yi a wode bedi dwuma ho.

Ɛtɔ da bi a saa aduru yi tumi de honam ani yare a emu yɛ den ba (`Serious skin reactions`). Eyinom betumi asi wɔ adapɛn anaa asram pii akyi bere a wɔafi aduru no ase no. Sɛ wo honam ani akisikuru ka ho a sɛnkyerɛnne te sɛ atiridiinini ne nipadua mu yaw ka ho a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Ebia akisikuru no bɛdan kɔkɔɔ anaa kɔkɔɔ, afei akisikuru na ayɛ. Anaasɛ ebia w’anim anaa w’anofafa so akisikuru kɔkɔɔ, anaasɛ ntini a ɛho ahonhon wɔ wo kɔn anaa w’abasa mu.

Sɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn, anaa wususuw sɛ ebia woanyinsɛn a, wo ne wo duruyɛfo nkasa. Saa aduru yi a wobɛnom bere a woanyinsɛn akyiri no betumi ama wo ba no anya awo mu dɛmdi a emu yɛ den . Sɛ ɛho hia sɛ wonom saa aduru yi wɔ nyinsɛn no adapɛn 20 kosi 30 ntam a, wo duruyɛfo no bɛhwɛ wo yiye. Wɔnkamfo aduru yi a wɔbɛnom wɔ nyinsɛn adapɛn 30 akyi no nkyerɛ.

Saa aduru yi betumi aka wo kari pɛ, bere a wode yɛ w’ade, ne sɛnea wutumi bu nea ɛteɛ ne nea ɛnteɛ atɛn . Enti, nka kar anaa mfa mfiri nni dwuma kosi sɛ wubehu sɛnea aduru yi ka wo ankasa. Sɛnea ɛbɛyɛ a wobɛtew adwenemhaw ne ɔtopae so no, sɔre brɛoo fi baabi a wote anaa fi mpa so. Nsã a wɔnom bere a worenom aduru yi betumi ama saa nsunsuanso bɔne yi ayɛ kɛse.

Hwɛ yiye bere a worehohoro wo sẽ, worebɔ wo sẽ, anaa wode nnuru a wɔde twitwiw wo sẽ redi dwuma no. Saa aduru yi betumi ama mogya atu anom na wanya ɔyare mmoawa. Sɛ worekɔyɛ sẽ ho adwuma biara a, ka kyerɛ wo sẽ ho oduruyɛfo sɛ worenom saa aduru yi.

Saa aduru yi betumi aka awo wɔ nnipa binom mu. Sɛ wowɔ eyi ho dadwen bi a, wo ne wo duruyɛfo nkasa.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Nneɛma bɔne bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa akwahosan ho kuw no ntɛm ara sɛ ɛba a. Eyinom bi ne:

• Allergic reactions – honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
• Mogya a ɛtɔ – Mogya a ɛwɔ nsuo mu, nsuo tuntum a ɛyɛ tarry, ɔfe a ɛyɛ bruu anaa mogya, nsuo a ɛyɛ kɔkɔɔ/biribi tuntum, nsensanee nketenkete kɔkɔɔ/kɔla kɔkɔɔ wɔ honam ani, akuru, anaa mogya a ɛyɛ soronko.
• Koma mu yareɛ – ɛyaw anaa ɛyaw a ɛyɛ den wɔ koko, mmati, nsa, anaa anom, akisikuru, ahome a ɛyɛ den, fifiri a ɛyɛ nwini, akisikuru, ne adwenem naayɛ.
• Koma a entumi nyɛ adwuma yiye – Ɔhome a ɛyɛ tiaa, nansoaa, nan, anaa nsa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim, na ɔte nka sɛ wabrɛ anaasɛ wayɛ mmerɛw wɔ ɔkwan soronko so.
• Mogya mmoroso a ɛkɔ soro.
• Asaabo mu opira – nsu a ɛba no so tew, nansoaa, nsa, anaa anan a ɛho ahonhon.
• Mmerɛbo mu opira – ɛyaw wɔ yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hare, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, aniwa anaa honam ani yɛ kɔkɔɔ, ɔbrɛ anaa mmerɛwyɛ a ɛyɛ soronko.
• Magnesium dodow a ɛba fam – ntini mu yaw anaa akisikuru, mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa, wosow.
• Vitamin B12 dodow a ɛba fam – Ɛyaw, akisikuru, anaasɛ nkate a ɛyera wɔ nsa anaa anan mu, ntini a ɛyɛ mmerɛw, adwenemhaw, ɛyɛ den sɛ wode w’adwene besi biribi so, adwene a ɛyɛ basaa.
• Honam ani akisikuru, atiridiinini, ne ntini a ɛho ahonhon.
• Akisikuru a ɛba afono anaa nsa so na sɛ wɔde to owia mu a, ɛyɛ kɛse.
• Wora a ɛyɛ kɔkɔɔ, ɛyɛ kurukuruwa, ɛho tew, anaa ɛho tew (ebetumi mpo aba ano no mu).
• Atiridiinini a emu yɛ den, atiridiinini.
• Stroke – Anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim, ɛyɛ den sɛ ɔbɛkasa, adwene atu afra, ɛyɛ den sɛ ɔbɛnantew, ɛkari pɛ, adwenemhaw, tiyɛ a emu yɛ den, nsakrae a ɛba w’ani so.

Nneɛma bɔne a mpɛn pii no ɛho nhia sɛ wɔka ho asɛm kyerɛ oduruyɛfo, nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wɔka ho asɛm:

• Ayamtuo
• Tipaeɛ
• Aduan ho akɔnnɔ a ɛyera
• Abofono
• Yafunu a ɛyɛ basaa
• Ɔfe a wɔfe

Ɛnyɛ nsunsuanso bɔne a ɛwɔ saa din yi mu nyinaa na ebetumi aba. Sɛ wuhu biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nkasa. Wubetumi nso abɔ amanneɛ akyerɛ FDA wɔ 1-800-FDA-1088.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi sie?

Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.

Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 15 kosi 30, digrii Fahrenheit 59 kosi 86) a nsu ntumi nkɔ hɔ. Fa toa no to mu denneennen. Mfa nnuru a atwam ne ``Expiration date'' nni dwuma; tow wɔn gu.

Sɛ woretow nnuru a wɔmfa nni dwuma ne nea ne bere atwam agu a:

• Fa wɔn kɔ baabi a ɛwɔ ``Nnuru a wɔde san kɔ ho nhyehyɛe.'' Wubetumi abisa wo nnurutɔnbea anaa polisifo mmeae a ɛtete saa ho asɛm.
• Sɛ ɔkwan biara nni hɔ a wobɛfa so asan de a, hwɛ aduru no din anaa packet no mu hwɛ sɛ ɛsɛ sɛ wɔtow aduru no gu nwura mu anaasɛ wɔhohoro gu tiafi mu anaa. Sɛ wunnye nni a, bisa wo duruyɛfo anaa nnuruyɛfo.
• Sɛ wubetumi atow agu nwura mu a, yi aduru no fi toa no mu, fra biribi te sɛ mpataa nwura, dɔte, anaa kɔfe a wɔayam mu, fa afrafrade no gu kotoku anaa ade mu, tow ano, na tow gu nwura mu.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Enti, eyinom ne nneɛma a ɛho hia sen biara a ɛsɛ sɛ wuhu fa aduru Naproxen ne Esomeprazole ho. Kae sɛ eyi yɛ nsɛm a wɔaboaboa ano kɛkɛ. Sɛ wowɔ nsɛmmisa bi fa saa aduru yi ho a, wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo foforo nkasa na woanya nsɛm pii. Mfi ase, nnyae, anaa nnsesa nnuru dodow a wo duruyɛfo nka ho da. W’akwahosan ho hia wo paa!

` Naproxen, Esomeprazole, Ntini mu yare, Nnuru a wɔde kum ɛyaw, Yafunu mu yare, Yafunu mu akisikuru, Nea efi mu ba