Diclofenac hi taksa na, ruh natna, ruh natna ang chi natna kan neih hian doctor-te’n min pek fo thin a ni. He damdawi hi nang pawhin i lo hmang tawh mai thei. Mahse, natna tidamtu mai a ni lo. Kan hman hunah fimkhur hle tur thil engemaw zat a awm. Chumi chu vawiinah hian han sawi ila.
Diclofenac chu eng nge ni?
A awlsam zawngin sawi ila, diclofenac hi natna chi hrang hrang, natna hrik, leh arthritis ang chi natna enkawlna atana hman thin damdawi a ni. Damdawi chi khat NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) tih zingah a tel a ni. A bik takin kan taksaa natna leh hliam thlentu chemical siam chhuah tihtlem hmangin hna a thawk a ni. Sri Lanka ramah chuan he damdawi hi Voltaren ang brand hming hnuaiah hmuh theih a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Diclofenac i hman hmain i doctor hnenah i medical history i hrilh hmasak phawt a pawimawh hle . Hei hi a chhan chu he damdawi hi damdawi lam harsatna thenkhat nena hman a hlauhawm thei vang a ni. A hnuaia natna te hi i neih chuan doctor hnenah hrilh ngei ang che:
| I dinhmun | Engvangin nge i hriattir ang? |
|---|---|
| Lung lam kaihhnawih harsatna: 1.1. Thisen sang, heart attack, heart failure, leh tun hnaia bypass surgery (CABG) tih ang chi thil te. | He damdawi hian heart attack leh stroke hlauhawmna a tipung thei a ni. |
| Thisen chhuah theihna hlauhawm: 1.1. Thisen tithianghlim thei damdawi ei te, intestinal bleeding, leh bleeding disorder te. | Diclofenac hian pum leh intestinal bleeding a tipung a. |
| Kidney emaw liver emaw natna | Heng taksa peng hrang hrangte tihchhiat theihna a sang thei hle. |
| Nunphung kalphung: 1.1. Zu in leh zu in fo thin. | Heng tih dan te hian pum chhunga ulcer awm theihna a tipung zual sauh a ni. |
| Hriselna lama harsatna dangte: Asthma, Anemia, Steroid hman, Nau pai tum, Naupai, Nau hnute pek, Diclofenac emaw damdawi dang emaw allergy nei. | Heng dinhmun tin hian enkawlna kalphung emaw, enkawlna bik emaw tihdanglam a ngai thei a ni. |
Engtin nge damdawi hi ka hman ang?
He damdawi hi i hman dawnin doctor thupek dik taka zawm a pawimawh hle.
- He tablet hi tichhia suh, tikehsawm suh, chew suh . Hengte hian special coating an nei a, chu chu intestine-a inthiar theih tura siam a ni (Enteric-coated). Chuvangin tablet chu tui glass khat nen a pumin ei rawh.
- He damdawi hi i ei hnua i pum a na a nih chuan chaw ei ruala ei hian i rilru hahna chu a tiziaawm thei a ni.
- I doctor-in a tih hma loh chuan damdawi ei kha bansan suh.
- Kum 65 chunglam i nih chuan a dose hniam zawk i mamawh mai thei. I doctor chuan a rel ang.
- Damdawi i ei tam palh a nih chuan: Damdawi i ei tam lutuk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. A nih loh leh, Colombo National Hospital-a National Poisons Information Center-ah biak theih a ni bawk.
- Dose i miss a nih chuan: I hriatreng veleh missed dose chu ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hnuaia dose chu a hun ruatah ei rawh. Double dose ei ngai suh.
He damdawi nena inzawm thei damdawi dang
Diclofenac hian damdawi dang nen a inzawm thei a, chuvangin i damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) chu doctor hnenah hrilh rawh.
A bik takin diclofenac hi damdawi Cidofovir, Ketorolac, leh Methotrexate te nen ei khap tlat a ni.
Chu bâkah, a hnuaia mite hi harsatna a awm thei bawk:
- Zu
- Aspirin leh a ang chi damdawi dangte
- Thisen sang damdawi
- Thisen zam venna damdawi (e.g. Warfarin) .
- NSAID dang (e.g., Ibuprofen, Naproxen) te pawh a awm bawk.
- Steroid chi hrang hrang (e.g. Prednisone) .
- Lithium a ni
- Cyclosporine a ni
Damdawi ei huna fimkhur tur thil
Pum ulcer leh thisen chhuah theihna a awm
Hei hi diclofenac hmanna atana hlauhawm ber a ni. Pum ulcer leh thisen chhuak hi hriattirna tel lovin a awm thei . Meizial zu in, zu in, tar leh hriselna \ha lo hian he hlauhawmna hi a tipung a ni.
Pum natna nasa tak i neih a, thisen i chhuah (brown, coffee grounds ang chi), emaw, bawlhhlawh dum, tarry i neih chuan pum thisen chhuahna chhinchhiahna a ni thei. Hetiang a nih chuan Doctor pan nghal tur a ni.
Heart attack leh stroke hlauhawmna a awm
Diclofenac hi heart attack emaw stroke emaw venna damdawi a ni lo . Dik tak chuan he damdawi hi hun rei tak hman emaw, thinlung natna i neih tawh chuan heart attack leh stroke vei theihna a tipung thei a ni.
Naupai lai hian
Naupai i nih chuan he damdawi hi i ei hmain ngaihtuah nawn leh tur a ni. He damdawi hi a bik takin naupai kar 20-na leh kar 30 inkar vela ei hian nausen piang lai chu a tichhe thei a ni. Kar 30-na hnuah he damdawi hi ei khap tlat a ni.
Skin reaction na tak tak a awm
Damdawi ei tan atanga kar engemaw zat hnuah pawh vun natna nasa tak a awm thei. Khawsik, taksa na, vunah vun sen emaw, sen emaw, vun hring emaw i neih chuan doctor pan nghal rawh.
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin diclofenac hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa. |
| Thisen chhuak | Black/tarry stools, thisen emaw coffee ground emaw luak chhuak, leh zun sen/dark brown. |
| Lung natna lan chhuah dan | Chhung, kekawrte, kutphah na emaw, tight emaw, luak chhuak, thawk harsa. |
| Stroke natna lan chhuah dan | Hmai, kut emaw, ke emaw-ah rang taka rilru hah emaw, chak lohna emaw, tawng harsa, kal harsa, lu na na tak. |
| Kidney/liver chhiatna chhinchhiahna | Zun chhuah tlem, ke ruh a hring, vun emaw mit emaw a sen, pum dinglam chunglam na. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Lu na | - . |
| Nausea, pum natna | - . |
| Chaw chakna | - . |
Take-Home Thuchah a ni
- Diclofenac i ei hmain i damdawi lam dinhmun zawng zawng leh damdawi dang i ei tur zawng zawng chu doctor hnenah hrilh hmasa phawt ang che.
- He tablet hi tui nen a pumin ei la, a chhe lo va, a tikehsawm lo va, a hmin lo bawk. Pum natna i neih chuan ei tur nen ei la.
- Pum thisen chhuak chhinchhiahna, pum na nasa tak, bawlhhlawh dum, leh luak chhuak chhunga thisen awm te hi fimkhur fo ang che. Chutiang a lo awm chuan damdawi lam thurawn la nghal rawh.
- He damdawi hian heart attack emaw stroke emaw a thlen theihna a tipung thei tih hre reng ang che. Heng natnate hi a veng thei lo.
- Naupai laiin he damdawi hi ei loh tur a ni a, a bik takin thla thum hnuhnung berah chuan ei loh tur a ni.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
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