Diclofenac ndi mankhwala omwe madokotala nthawi zambiri amatipatsa tikamadwala matenda monga kupweteka kwa thupi, kupweteka kwa mafupa, kapena nyamakazi. Mwina munagwiritsanso ntchito mankhwalawa. Koma si mankhwala ochepetsa ululu okha. Pali zinthu zingapo zomwe tiyenera kusamala nazo tikamagwiritsa ntchito. Tiyeni tikambirane za izi lero.
Kodi Diclofenac ndi chiyani?
Mwachidule, diclofenac ndi mankhwala omwe amagwiritsidwa ntchito pochiza ululu wochepa mpaka wochepa, kutupa, ndi matenda monga nyamakazi. Ndi m'gulu la mankhwala otchedwa NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) . Makamaka, amagwira ntchito pochepetsa kupanga mankhwala m'thupi lathu omwe amayambitsa ululu ndi kutupa. Ku Sri Lanka, mankhwalawa amapezeka pansi pa mayina monga Voltaren.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yachipatala musanagwiritse ntchito diclofenac. Izi zili choncho chifukwa kugwiritsa ntchito mankhwalawa ndi matenda ena kungakhale koopsa. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Mavuto okhudzana ndi mtima: Zinthu monga kuthamanga kwa magazi, matenda a mtima, kulephera kwa mtima, ndi opaleshoni yaposachedwa ya bypass (CABG). | Mankhwalawa angapangitse kuti munthu adwale matenda a mtima komanso sitiroko. |
| Zoopsa zotuluka magazi: Kumwa mankhwala ochepetsa magazi, kutuluka magazi m'mimba, komanso matenda otuluka magazi. | Diclofenac imawonjezera chiopsezo cha kutuluka magazi m'mimba ndi m'matumbo. |
| Matenda a impso kapena chiwindi | Chiwopsezo cha kuwonongeka kwa ziwalo izi chikhoza kuwonjezeka. |
| Makhalidwe a moyo: Kumwa mowa ndi kusuta fodya pafupipafupi. | Zizolowezi zimenezi zimawonjezera chiopsezo cha zilonda zam'mimba. |
| Matenda ena: Mphumu, Kuchepa kwa magazi m'thupi, Kugwiritsa ntchito mankhwala a steroid, Kuyesa kutenga pakati, Mimba, Kuyamwitsa, Kusanza ndi Diclofenac kapena mankhwala ena. | Zonsezi zingafunike kusintha njira yochizira kapena chisamaliro chapadera. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu nthawi yomweyo mukamagwiritsa ntchito mankhwalawa.
- Musaswe, kuphwanya, kapena kutafuna piritsi ili. Limabwera ndi utoto wapadera womwe umasungunuka m'matumbo (wokutidwa ndi Enteric). Choncho mezani piritsi lonse ndi kapu ya madzi.
- Ngati mukumva kupweteka m'mimba mukamamwa mankhwalawa, kumwa mankhwalawa pamodzi ndi chakudya kungathandize kuchepetsa ululu.
- Musasiye kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti mutero.
- Ngati muli ndi zaka zoposa 65, mungafunike kuchepetsa mlingo wa mankhwala. Dokotala wanu ndiye adzasankha.
- Ngati mwamwa mankhwala ochulukirapo mwangozi: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Colombo National Hospital .
- Ngati mwaphonya mlingo: Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Diclofenac ingagwirizane ndi mankhwala ena, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
Makamaka, kumwa diclofenac pamodzi ndi mankhwala a Cidofovir, Ketorolac, ndi Methotrexate n'koletsedwa kotheratu.
Kuphatikiza apo, mavuto angachitike ndi izi:
- Mowa
- Aspirin ndi mankhwala ena ofanana nawo
- Mankhwala ochepetsa kuthamanga kwa magazi
- Mankhwala omwe amaletsa magazi kuundana (monga Warfarin)
- Mankhwala ena a NSAID (monga Ibuprofen, Naproxen)
- Mitundu ya ma steroid (monga Prednisone)
- Lithiamu
- Cyclosporine
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Kuopsa kwa zilonda zam'mimba ndi kutuluka magazi
Ichi ndiye chiopsezo chachikulu cha diclofenac. Zilonda zam'mimba ndi kutuluka magazi zimatha kuchitika popanda chenjezo . Kusuta fodya, kumwa mowa, ukalamba, komanso thanzi lofooka kumawonjezera chiopsezochi.
Ngati muli ndi ululu waukulu m'mimba, kusanza magazi (ofiirira, monga khofi wophikidwa), kapena muli ndi ndowe zakuda, izi zitha kukhala chizindikiro cha kutuluka magazi m'mimba. Ngati izi zitachitika, pitani kwa dokotala nthawi yomweyo.
Kuopsa kwa matenda a mtima ndi sitiroko
Diclofenac si mankhwala oletsa matenda a mtima kapena sitiroko. Ndipotu, kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kapena ngati muli kale ndi matenda a mtima kungakulitse chiopsezo chanu cha matenda a mtima ndi sitiroko.
Pa nthawi ya mimba
Ngati muli ndi pakati, muyenera kuganizira kawiri musanamwe mankhwalawa. Kumwa mankhwalawa, makamaka pakati pa masabata 20 ndi 30 a mimba, kungavulaze mwana wosabadwayo. Pambuyo pa sabata 30, kumwa mankhwalawa n'koletsedwa kotheratu.
Matenda a pakhungu kwambiri
Matenda aakulu pakhungu amatha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwala. Pitani kuchipatala mwamsanga ngati mukumva zizindikiro monga malungo, kupweteka kwa thupi, matuza ofiira kapena ofiirira pakhungu, kapena khungu likutuluka.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, diclofenac ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, zina zimakhala zofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kutuluka magazi | Chimbudzi chakuda/chosakhazikika, kusanza magazi kapena khofi wothira, ndi mkodzo wofiira/wakuda. |
| Zizindikiro za matenda a mtima | Kupweteka kapena kulimba pachifuwa, phewa, kapena mkono, nseru, kuvutika kupuma. |
| Zizindikiro za sitiroko | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Zizindikiro za kuwonongeka kwa impso/chiwindi | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, chikasu cha khungu kapena maso, kupweteka kumtunda kwa kumanja kwa m'mimba. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | - |
| Kusanza, kusasangalala m'mimba | - |
| Chilakolako cha chakudya | - |
Uthenga Wopita Nawo Kunyumba
- Musanamwe diclofenac, onetsetsani kuti mwauza dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa.
- Mezani piritsi lonseli ndi madzi osasweka, kuphwanya, kapena kutafuna. Ngati muli ndi vuto la m'mimba, imwani pamodzi ndi chakudya.
- Nthawi zonse dziwani zizindikiro za kutuluka magazi m'mimba, monga kupweteka kwambiri m'mimba, ndowe zakuda, ndi magazi m'masanzi. Ngati izi zitachitika, funsani upangiri wa dokotala nthawi yomweyo.
- Kumbukirani kuti mankhwalawa angapangitse kuti munthu adwale matenda a mtima kapena sitiroko. Saletsa matenda amenewa.
- Pewani kumwa mankhwalawa panthawi ya mimba, makamaka m'miyezi itatu yapitayi.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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