Koj tus kws kho mob puas tau sau tshuaj rau koj hu ua Tolmetin rau mob pob qij txha, o, lossis mob pob qij txha? Nov yog tshuaj uas muab rau ntau tus neeg hauv peb lub tebchaws rau ntau yam mob. Yog li, ua tus neeg siv tshuaj no, nws yog ib qho tseem ceeb heev rau koj txoj kev nyab xeeb kom paub txhua yam txog nws. Hnub no, peb yuav tham txog cov tshuaj no thiab cov yam koj yuav tsum ceev faj thaum siv nws.
Tolmetin yog dab tsi tiag?
Hais yooj yim xwb, Tolmetin yog tshuaj tua mob. Hais txog kev kho mob, nws yog ib hom tshuaj hu ua NSAID (Non-Steroidal Anti-Inflammatory Drug) . Cov tshuaj no feem ntau tswj qhov mob, o, thiab o hauv lub cev. Cov tshuaj no tuaj yeem pab txo qhov mob xws li mob pob qij txha, mob nqaij, thiab tsis xis nyob los ntawm mob pob qij txha.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej noj cov tshuaj no
Qhov no tseem ceeb heev. Ua ntej koj yuav muab tshuaj Tolmetin rau koj, nws yog ib qho tseem ceeb uas koj tus kws kho mob yuav tsum paub txog koj tus mob. Nco ntsoov qhia rau koj tus kws kho mob yog tias koj muaj ib qho ntawm cov mob hauv qab no:
- Kab mob plawv lossis teeb meem ntawm lub cev ntshav: Yog tias koj muaj ntshav siab, mob plawv nres, plawv tsis ua haujlwm, lossis nyuam qhuav phais mob plawv (Coronary Artery Bypass Graft - CABG).
- Kev Mob Ntshav: Yog tias koj muaj teeb meem ntshav txhaws lossis lwm yam teeb meem ntshav.
- Teeb meem plab thiab hnyuv: Yog tias koj tau muaj mob plab lossis los ntshav hauv plab ua ntej.
- Kab mob raum lossis siab: Yog tias koj muaj kab mob raum lossis siab.
- Teeb meem ua pa: Yog tias koj muaj kab mob ntsws xws li mob hawb pob.
- Lwm yam ua rau: Yog tias koj haus dej cawv ntau, haus luam yeeb , muaj cov qe ntshav liab tsawg, qhuav dej, lossis noj tshuaj steroids (piv txwv li, prednisone).
- Kev Ua Xua: Yog tias koj muaj kev ua xua rau Tolmetin, lwm yam tshuaj NSAID tua mob (piv txwv li aspirin, ibuprofen), lwm yam tshuaj, khoom noj lossis cov tshuaj tiv thaiv.
- Cev Xeeb Tub thiab pub niam mis: Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob yog tias koj tab tom sim cev xeeb tub, cev xeeb tub, lossis pub niam mis .
Tham nrog koj tus kws kho mob yam tsis zais cov ntaub ntawv no yuav tsis tsuas yog pab koj kom muaj kev nyab xeeb xwb, tab sis kuj tseem yuav pab koj kom tau txais txiaj ntsig ntau tshaj plaws ntawm koj cov tshuaj.
Kuv yuav tsum siv cov tshuaj li cas?
Yuav kom cov tshuaj ua haujlwm tau zoo, yuav tsum siv kom raug.
- Ua raws li koj tus kws kho mob cov lus qhia: Noj cov tshuaj uas koj tus kws kho mob tau sau tseg, raws lub sijhawm tau teem tseg. Ua raws li daim ntawv qhia tshuaj raws nraim li nws tau hais.
- Nqos tag nrho lub tshuaj ntsiav: Tsis txhob rhuav, tsoo, lossis zom cov tshuaj ntsiav no. Nqos tag nrho nrog ib khob dej.
- Ua ntej los yog tom qab noj mov: Cov tshuaj no zoo tshaj plaws noj thaum lub plab khoob . Uas yog, tsawg kawg 30 feeb ua ntej noj mov, lossis 2 teev tom qab noj mov .
- Yog koj mob plab: Ib txhia neeg yuav mob plab lossis tsis xis nyob thaum noj cov tshuaj no. Yog qhov no tshwm sim, koj tuaj yeem nug koj tus kws kho mob txog kev noj nws nrog cov tshuaj antacid uas tsim nyog.
- Yog koj muaj hnub nyoog tshaj 65 xyoos: Cov neeg laus yuav hnov cov teebmeem ntawm cov tshuaj no muaj zog me ntsis. Yog li ntawd, lawv yuav xav tau koob tshuaj tsawg dua. Koj tus kws kho mob kuj yuav txiav txim siab txog qhov no.
- Rau cov menyuam yaus: Txawm hais tias cov tshuaj no tuaj yeem muab rau cov menyuam yaus hnub nyoog tshaj 2 xyoos hauv qee kis tshwj xeeb, tab sis yuav tsum tau ceev faj tshwj xeeb.
Yuav ua li cas yog tias koj tsis nco qab noj tshuaj lossis noj ntau dhau?
Yog koj tsis nco qab noj ib koob tshuaj: Noj cov tshuaj uas koj tsis nco qab sai li sai tau thaum koj nco qab. Txawm li cas los xij, yog tias yuav luag txog lub sijhawm rau koj cov tshuaj tom ntej, hla cov tshuaj uas koj tsis nco qab thiab noj cov tshuaj tom ntej raws sijhawm teem tseg. Tsis txhob noj ob zaug tshuaj.
Noj Tshuaj Ntau Dhau: Qhov no yog xwm txheej ceev. Yog tias koj xav tias koj tau noj cov tshuaj no ntau dhau, mus rau Chav Kho Mob Xwm Ceev (ETU) ze tshaj plaws tam sim ntawd. Los yog hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Hauv Tebchaws Colombo .
Lwm cov tshuaj uas yuav tsum tsis txhob siv nrog cov tshuaj no thiab uas yuav cuam tshuam nrog nws
Yog koj noj Tolmetin, koj yuav tsum ceev faj heev thaum siv lwm yam tshuaj. Nws tuaj yeem muaj kev cuam tshuam loj heev nrog qee cov tshuaj.
| Kev Sib Cuam Tshuam Tshuaj nrog Tolmetin | |
|---|---|
| Cov tshuaj uas yuav tsum tsis txhob noj ua ke | |
| Cidofovir | Methotrexate |
| Lwm cov tshuaj thiab cov tshuaj uas yuav ua rau muaj kev tsis haum tshuaj thiab yuav tsum tau qhia rau tus kws kho mob | |
| Cawv | Aspirin thiab lwm yam tshuaj uas muaj aspirin |
| Lwm cov NSAIDs (piv txwv li, Ibuprofen, Naproxen) | Tshuaj kho ntshav siab |
| Cov tshuaj diuretics (cov tshuaj uas tshem cov dej tawm ntawm lub cev) | Lithium |
| Cov tshuaj steroids (Prednisone, Cortisone) | Cov tshuaj siv los tiv thaiv cov ntshav txhaws (piv txwv li Warfarin) |
Daim ntawv teev npe no tsis tiav, yog li qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins thiab cov tshuaj ntsuab) .
Tej yam yuav tsum tau ceev faj tshwj xeeb thaum noj tshuaj
Yuav tsum paub txog cov qhov txhab hauv plab thiab los ntshav.
Cov tshuaj no tuaj yeem ua rau lub plab puas tsuaj, ua rau mob plab thiab los ntshav. Qee zaum qhov no tuaj yeem tshwm sim yam tsis tau ceeb toom ua ntej . Haus luam yeeb, haus cawv, laus dua, thiab muaj kev noj qab haus huv tsis zoo ua rau koj muaj feem yuav mob ntxiv. Yog tias koj mob plab heev, ntuav ntshav (zoo li cov kas fes av), lossis tso quav dub lossis ntshav , nrhiav kev pab kho mob tam sim ntawd .
Kev pheej hmoo ntawm kev mob plawv thiab mob stroke
Kev siv cov tshuaj NSAIDs xws li Tolmetin mus sij hawm ntev yuav ua rau koj muaj feem mob plawv thiab mob hlwb me ntsis. Qhov kev pheej hmoo no tseem siab dua yog tias koj twb muaj kab mob plawv lawm. Yog tias koj noj tshuaj aspirin los tiv thaiv kev mob plawv, nco ntsoov nrog koj tus kws kho mob tham ua ntej siv Tolmetin.
Tej zaum yuav muaj kev tsis haum tshuaj loj heev rau daim tawv nqaij
Muaj ib txhia neeg yuav muaj teeb meem tawv nqaij hnyav tom qab ob peb lub lis piam tom qab pib siv cov tshuaj no. Qhia rau koj tus kws kho mob tam sim ntawd yog tias koj kub taub hau, mob lub cev, tawv nqaij liab lossis ntshav uas tom qab ntawd ua pob thiab tev tawm, lossis o ntawm lub ntsej muag lossis daim di ncauj, nrog rau cov qog ntshav o.
Yog tias koj cev xeeb tub thiab tos ib tug me nyuam
Noj cov tshuaj no ntawm lub lim tiam 20 thiab 30 ntawm cev xeeb tub yuav ua rau tus menyuam hauv plab raug mob. Yog li ntawd, yog tias koj noj cov tshuaj no thaum lub sijhawm ntawd, koj yuav tsum nyob hauv kev saib xyuas ze ntawm tus kws kho mob. Tsis txhob noj cov tshuaj no tom qab lub lim tiam 30 ntawm cev xeeb tub. Tsis tas li ntawd, cov tshuaj no yuav muaj qee yam cuam tshuam rau kev xeeb tub.
Kev tsaug zog thiab kiv taub hau
Cov tshuaj no yuav ua rau koj tsaug zog lossis kiv taub hau. Yog li ntawd, tsis txhob tsav tsheb lossis siv tshuab kom txog thaum koj paub tias cov tshuaj cuam tshuam li cas rau koj. Tshwj xeeb tshaj yog tias koj laus lawm, tsis txhob sawv sai sai ntawm qhov chaw zaum. Sawv qeeb qeeb.
Tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, Tolmetin tuaj yeem ua rau muaj kev phiv. Qee qhov ntawm lawv tuaj yeem ua rau mob hnyav, thaum lwm tus yog qhov tshwm sim ntau.
| Tej zaum yuav muaj cov kev mob tshwm sim ntawm Tolmetin | |
|---|---|
| Cov kev mob tshwm sim loj heev uas yuav tsum tau qhia rau tus kws kho mob tam sim ntawd | |
| Kev ua xua | Tawv nqaij ua pob khaus, khaus; o ntawm lub ntsej muag, daim di ncauj, thiab tus nplaig. |
| Cov tsos mob ntawm kev los ntshav | Cov quav dub los yog ntshav; cov zis liab los yog xim av tsaus; ntuav uas zoo li cov av kas fes; cov pob liab ntawm daim tawv nqaij; los ntshav txawv txawv ntawm cov pos hniav los yog qhov ntswg. |
| Cov tsos mob ntawm cov ntshav txhaws | Mob hauv siab; ua pa nyuaj; mob, o, lossis sov so rau ib ceg. |
| Kab mob plawv/lub plawv tsis ua haujlwm | Ua pa nyuaj; mob lossis nruj hauv siab, caj dab, lossis caj npab; qaug zog txawv txawv; lub plawv dhia ceev lossis tsis xwm yeem; hnyav nce sai; pob luj taws thiab taw o. |
| Cov tsos mob ntawm tus mob Stroke | Kev pom kev hloov pauv; tsis meej pem; nyuaj hais lus lossis nkag siab; mob taub hau heev; loog lossis tsis muaj zog ntawm lub ntsej muag, caj npab, lossis ceg. |
| Cov tsos mob ntawm kev puas tsuaj rau lub raum / daim siab | Nyuaj tso zis lossis hloov pauv qhov ntau ntawm cov zis; zis daj/xim av tsaus; daj ntawm lub qhov muag lossis daim tawv nqaij; mob hauv sab xis saum toj ntawm lub plab; tsis xav noj mov. |
| Cov kev mob tshwm sim uas feem ntau tshwm sim, tab sis yuav tsum tau qhia rau tus kws kho mob yog tias lawv tseem muaj | |
| Kiv taub hau, mob taub hau | Kev xa roj |
| Mob plab, mob plab | Suab nrov hauv pob ntseg |
| Raws plab, xeev siab, ntuav | |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tolmetin yog ib yam tshuaj uas tsuas yog yuav tsum tau noj raws li kws kho mob qhia xwb. Noj raws li qhov ntau npaum li tau qhia.
- Qhia rau koj tus kws kho mob txog txhua yam mob uas koj muaj (tshwj xeeb tshaj yog mob plawv, raum, mob plab) thiab lwm yam tshuaj uas koj noj.
- Nrhiav kev kho mob tam sim ntawd yog tias koj muaj tej yam kev mob tshwm sim loj xws li mob plab heev, quav dub, mob hauv siab, ua pa nyuaj, lossis ua pob khaus tawv nqaij hnyav.
- Thaum noj cov tshuaj no, tsis txhob noj lwm yam tshuaj tua kab mob xws li Aspirin thiab Ibuprofen yam tsis tau koj tus kws kho mob pom zoo.
- Tsis txhob haus cawv thaum noj Tolmetin. Nws ua rau muaj kev pheej hmoo ntawm kev los ntshav hauv plab.
- Yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis pub niam mis, nco ntsoov nrog koj tus kws kho mob tham ua ntej noj cov tshuaj no.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Cov tshuaj ntsiav/tshuaj ntsiav Tolmetin / Tolectin yog ib yam tshuaj muaj zog heev rau cov kab mob twg?
Qhov no tsis yog koj li Panadol (Paracetamol) ib txwm muaj! Qhov no yog ib qho tshuaj muaj zog heev, tsis yog tshuaj steroidal anti-inflammatory (NSAID) uas muab 100% tswj tau qhov o, o, thiab mob pob txha uas tsis tuaj yeem ua rau los ntawm osteoarthritis, rheumatoid arthritis thiab juvenile rheumatoid arthritis (JIA).
💬 Thaum koj cov pob qij txha o thiab mob, koj yuav ua li cas thiaj li tshem tau qhov mob tag nrho los ntawm kev noj cov tshuaj no (Tolmetin)?
Thaum ib qho pob qij txha raug mob, peb lub cev tsim cov tshuaj hu ua 'Prostaglandins' ua rau mob thiab o/liab ntawm thaj chaw ntawd. Cov tshuaj ntawd yog tsim los ntawm ib qho enzyme/tshuab hu ua 'COX (Cyclooxygenase)'! Thaum cov tshuaj no nkag mus rau hauv lub cev, nws thaiv/kaw thiab xauv tag nrho cov tshuab COX (COX-1 thiab COX-2). Tom qab ntawd, lub cev tsis tuaj yeem tsim Prostaglandins, thiab qhov o thiab mob hauv cov pob qij txha yuav kho tau tam sim ntawd hauv ib pliag.
💬 Cov 'kev phom sij txaus ntshai' (Dub Box Warning) uas cov neeg uas noj cov tshuaj tua kab mob muaj zog no (Tolmetin) yuav tsum paub txog yog dab tsi?
Qhov mob twb ploj mus lawm, tab sis qhov txaus ntshai heev! Qhov txaus ntshai tshaj plaws yog thaum koj haus qhov no, koj txoj hnyuv/plab yuav tawg yam tsis tau ceeb toom ua ntej, koj tuaj yeem ntuav ntshav (Kev los ntshav hauv plab/mob qog) thiab tuag! Lwm qhov txaus ntshai tshaj plaws yog qhov kev pheej hmoo ntawm 'kev mob plawv tam sim ntawd' thiab mob hlwb (Cov xwm txheej mob plawv) nce 100%, tshwj xeeb tshaj yog cov neeg mob plawv yuav tsum tsis txhob haus cov no!
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