Kodi dokotala adakulemberani Celecoxib chifukwa cha kupweteka kwa mafupa, kupweteka kwa msana, kapena matenda monga nyamakazi? Iyi ndi mankhwala opha ululu omwe amagwiritsidwa ntchito ndi anthu ambiri m'dziko lathu. Koma pali zinthu zingapo zomwe tiyenera kudziwa tisanagwiritse ntchito komanso pamene tikugwiritsa ntchito. Chifukwa monga mankhwala aliwonse, ali ndi zoopsa ndi zodzitetezera. Tiyeni tikambirane za izi lero.
Kodi mankhwala a Celecoxib ndi otani?
Mwachidule, Celecoxib ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga kupweteka, kutupa, ndi nyamakazi. Ndi a gulu la mankhwala otchedwa NSAIDs (Non-steroidal anti-inflammatory drugs) . Mwina mudamvapo za mankhwala monga Ibuprofen, Naproxen, ndi Diclofenac, omwe ali m'banja limodzi, koma mosiyana pang'ono, omwe adapangidwa makamaka kuti achepetse mphamvu ya m'mimba. Komabe, izi sizimachotsa kwathunthu mwayi wokhudza m'mimba.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ndikofunikira kudziwa mbiri yanu yonse yachipatala. Mankhwalawa sangakhale oyenera anthu omwe ali ndi matenda enaake, kapena angafunike kugwiritsidwa ntchito mosamala kwambiri. Ngati muli ndi matenda aliwonse omwe atchulidwa patebulo pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda/chizolowezi | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a mtima, kuthamanga kwa magazi, matenda a mtima, sitiroko, opaleshoni ya mtima (CABG) | Celecoxib ingawonjezere pang'ono chiopsezo cha matenda a mtima ndi sitiroko, kotero ikhoza kukhala yoopsa kwa anthu omwe ali kale ndi matenda a mtima. |
| Kutuluka magazi m'mimba kapena m'mimba, gastritis, zilonda zam'mimba | Mankhwalawa amawonjezera chiopsezo cha kutuluka magazi ndi zilonda m'mimba ndi m'matumbo. |
| Matenda a impso kapena matenda a chiwindi | Popeza mankhwala amatuluka m'thupi kudzera m'ziwalo zimenezi, ngati ntchito yawo yasokonekera, mankhwalawo amatha kusonkhana m'thupi ndikuwonjezera zotsatirapo zake. |
| Mphumu | Kwa odwala ena a mphumu, mankhwala a NSAID amatha kuipitsa matenda awo. |
| Kutenga mankhwala ochepetsa magazi, matenda otuluka magazi | Celecoxib imawonjezeranso chiopsezo cha kutuluka magazi, kotero ndi zoopsa kwambiri kumwa mankhwalawa pamodzi. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba, kuyamwitsa | Izi zitha kukhala zovulaza mwana, makamaka m'miyezi yomaliza ya mimba. |
| Kumwa mowa, kusuta fodya | Zizolowezi zimenezi zimawonjezera chiopsezo cha zotsatirapo zoyipa monga kutuluka magazi m'mimba. |
| Matenda a chifuwa cha mankhwala ena, zakudya, kapena utoto | Ngati muli ndi vuto la aspirin kapena NSAID zina, mukhoza kukhala ndi vuto la Celecoxib. |
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Uwu ndi mankhwala omwe ayenera kumwedwa ndi kapu ya madzi. Monga momwe dokotala adanenera, ndikofunikira kwambiri kumwa panthawi yoyenera. Musaswe, kuphwanya, kapena kutafuna kapusule. Mezani yonse. Nthawi zina, kwa iwo omwe akuvutika kumeza kapusule, mutha kutsegula kapusule mosamala, kuwonjezera ufa wa mankhwalawo mu supuni imodzi, kusakaniza ndi china chake ngati applesauce, ndikumeza yonse nthawi imodzi. Koma ngakhale zili choncho, musatafune ufa wa mankhwalawo. Mezani nthawi yomweyo.
Ngati muli ndi zaka zoposa 65, mungafunike kuchepetsa mlingo. Izi zili choncho chifukwa momwe thupi lanu limayankhira mankhwala zimatha kusintha mukakalamba. Dokotala wanu adzakulangizani pankhaniyi.
Nanga bwanji ngati mwangozi ndamwa mankhwala ochulukirapo?
Musachedwe. Pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala chapafupi (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Chipatala cha Dziko Lonse cha Colombo kuti mulandire upangiri.
Mankhwalawa ndi a inu nokha. Dokotala walemba mankhwalawo malinga ndi thanzi lanu komanso thupi lanu. Choncho, musapereke mankhwala anu kwa ena.
Mankhwala ena omwe angagwirizane ndi Celecoxib
Iyi ndi mfundo yofunika kwambiri. Celecoxib ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Pankhaniyi, mphamvu ya Celecoxib ikhoza kuchepa kapena kuwonjezeka, kapena mphamvu ya mankhwala ena ingasinthe. Choopsa kwambiri ndichakuti chiopsezo cha zotsatirapo zake chimawonjezeka kwambiri.
Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo omwe madokotala ena amakulemberani, mankhwala ochepetsa ululu omwe mumagula ku pharmacy, mavitamini, komanso mankhwala achikhalidwe) .
Samalani kwambiri ndi mankhwala otsatirawa:
- Mankhwala ena a NSAID: Musamwe mankhwala monga Ibuprofen, Naproxen, Diclofenac, ndi Aspirin pamodzi ndi mankhwalawa. Kuchita zimenezi kumawonjezera chiopsezo cha kukwiya m'mimba, gastritis, ndi zilonda zam'mimba.
- Mankhwala ochepetsa magazi: Onetsetsani kuti mwauza dokotala wanu ngati mukumwa mankhwala monga Warfarin, Apixaban, Dabigatran, kapena Clopidogrel, chifukwa kumwa mankhwalawa pamodzi kungapangitse kuti magazi azituluka m'thupi moopsa.
- Mankhwala othamanga kwambiri a magazi: Celecoxib ingakhudze momwe mankhwala ena othamanga magazi amagwirira ntchito.
- Mankhwala Ochepetsa Kutuluka kwa Madzi: Angakhudze impso.
- Mankhwala ena oletsa kuvutika maganizo
- Ma Steroids: Akamwedwa ndi mankhwala monga Prednisolone, chiopsezo cha zilonda zam'mimba chimawonjezeka.
- Mankhwala ena enieni monga Methotrexate, Lithium, ndi Digoxin .
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Zilonda Zam'mimba ndi Kutuluka Magazi
Ichi ndiye chiopsezo chachikulu cha NSAIDs. Nthawi zina kutuluka magazi m'mimba kumatha kuchitika popanda chenjezo . Ngati muli ndi zizindikiro izi, monga kupweteka m'mimba, kupweteka kwambiri m'mimba, kusanza magazi (ofiirira, ngati khofi), kapena ndowe zakuda, zotsalira, siyani kumwa mankhwalawo nthawi yomweyo ndipo pitani kuchipatala. Kusuta ndi kumwa mowa kumawonjezera chiopsezochi.
Kuopsa kwa Matenda a Mtima ndi Stroke
Celecoxib siletsa matenda a mtima kapena sitiroko. M'malo mwake, ingawonjezere chiopsezo pang'ono ikagwiritsidwa ntchito kwa nthawi yayitali komanso pa mlingo waukulu. Chiwopsezochi chimakhala chachikulu makamaka kwa anthu omwe ali kale ndi matenda a mtima. Ngati mukumwa aspirin kuti mupewe matenda a mtima, muyenera kulankhula ndi dokotala wanu za izi musanayambe Celecoxib.
Mimba ndi Kubereka
Ngati muli ndi pakati kapena mukufuna kutenga mimba, onetsetsani kuti mwalankhula ndi dokotala wanu musanamwe mankhwalawa. Muyenera kupewa kumwa mankhwalawa makamaka patatha milungu 30 kuchokera pamene muli ndi pakati, chifukwa akhoza kuvulaza mwana wosabadwayo.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Celecoxib ingayambitse zotsatirapo zoyipa. Si aliyense amene amalandira mankhwalawa. Ena ndi oopsa, pomwe ena ndi ofatsa.
| Mitundu ya zotsatirapo zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda, kusanza magazi kapena chinthu chomwe chimaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira, madontho ofiira/ofiirira pakhungu. |
| Zizindikiro za matenda a mtima | Kupweteka kapena kulimba pachifuwa, paphewa, pa mkono, kapena pa nsagwada, nseru, kuvutika kupuma. |
| Zizindikiro za sitiroko | Kusanza kapena kufooka kwa nkhope, mkono kapena mwendo mwadzidzidzi, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Matenda a impso kapena chiwindi | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo ndi mapazi, chikasu cha maso/khungu, kupweteka kumtunda kwa kumanja kwa mimba. |
| Matenda a pakhungu kwambiri | Malungo, kufiira, matuza, ndi khungu lotupa. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Kusowa kwa chakudya chokwanira |
| Kusanza | Kusamva bwino m'mimba/kutupa pang'ono |
Uthenga Wopita Nawo Kunyumba
- Celecoxib ndi NSAID yomwe imagwiritsidwa ntchito pochiza ululu ndi kutupa, koma si yoyenera aliyense.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse (makamaka matenda a mtima, m'mimba, ndi impso) ndi mankhwala ena onse omwe mukumwa.
- Ngati mukukumana ndi zizindikiro zazikulu monga kupweteka m'mimba, ndowe zakuda, kapena kupweteka pachifuwa mukumwa mankhwala, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kumwa mankhwala ena ochepetsa ululu (monga Ibuprofen, Aspirin) pamodzi ndi izi.
- Ngati muli ndi pakati kapena mukufuna kutenga pakati, onetsetsani kuti mwalankhula ndi dokotala wanu musanamwe mankhwalawa.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena. Ngati muli ndi vuto lililonse, funsani dokotala wanu.
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