Mwina dokotala wanu anakupatsani mapiritsi a Diclofenac chifukwa cha kupweteka kwa bondo, kupweteka kwa msana, kapena kupweteka kwina kwa thupi. Uwu ndi mankhwala opha ululu omwe anthu ambiri amagwiritsa ntchito. Komabe, monga mankhwala ena aliwonse, pali zinthu zingapo zomwe tiyenera kusamala nazo tikamagwiritsa ntchito. Chifukwa chake lero, tiyeni tikambirane za mapiritsi a Diclofenac awa, makamaka a Extended-Release, ngati kuti tikulankhula ndi mnzanu.
Kodi diclofenac iyi ndi chiyani?
Mwachidule, diclofenac ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga kupweteka, kutupa, ndi nyamakazi. Ndi m'gulu la mankhwala otchedwa NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) . Ndiko kuti, mankhwala oletsa kutupa omwe si a steroidal.
"Extended-Release" (XR) imatanthauza kuti piritsilo limatulutsa mankhwala m'thupi kwa maola angapo. Izi zikutanthauza kuti muyenera kumwa kamodzi kokha patsiku. Dokotala wanu mwina adakulemberani dzina loti "Voltaren-XR".
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kugwiritsa ntchito diclofenac, ndikofunikira kuuza dokotala wanu mfundo zotsatirazi. Musabise zinthuzi, chifukwa ndizofunikira kwambiri pa chitetezo chanu.
| Matenda kapena vuto | Kufotokozera |
|---|---|
| Matenda a mtima | Kodi muli ndi matenda monga matenda a mtima, matenda a mtima, kulephera kwa mtima, kuthamanga kwa magazi? Kodi mwachitidwa opaleshoni ya bypass (CABG) posachedwapa (mkati mwa milungu iwiri)? |
| Mavuto a m'mimba ndi m'mimba | Kodi munakhalapo ndi zilonda zam'mimba kapena kutuluka magazi kale? |
| Matenda a impso kapena chiwindi | Kodi muli ndi matenda aliwonse a impso kapena chiwindi? |
| Mavuto okhudzana ndi magazi | Kodi muli ndi vuto lililonse la kutuluka magazi, kuchuluka kwa potaziyamu m'magazi, kapena kuchepa kwa maselo ofiira m'magazi (anemia)? Kodi mukumwa mankhwala omwe amaletsa magazi kuundana? |
| Matenda ndi zizolowezi zina | Matenda opumira monga mphumu, kugwiritsa ntchito mankhwala a steroid (monga prednisone), kusuta fodya, komanso kumwa mowa pafupipafupi. |
| Mimba ndi kuyamwitsa | Kodi mukufuna kutenga mimba? Kodi muli ndi pakati? Kapena mukuyamwitsa? |
| Matenda a ziwengo | Kodi muli ndi vuto la diclofenac, aspirin, NSAID zina, kapena mankhwala ena aliwonse kapena chakudya? |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
- Mezani piritsi: Musaswe kapena kuphwanya piritsi ili, kapena kulitafuna ngati kutafuna chingamu . Mezani lonse. Izi zili choncho chifukwa lapangidwa kuti litulutse mankhwala pang'onopang'ono. Ngati muliphwanya, mankhwala onse adzalowa m'thupi lanu nthawi imodzi, zomwe zingawonjezere zotsatirapo zake.
- Ndi kapu ya madzi: Imwani piritsili ndi kapu ya madzi yonse.
- Ndi chakudya: Kuti muchepetse kuvutika m'mimba, ndi bwino kumwa izi mukudya kapena mutadya.
- Imwani pa nthawi yake: Yesetsani kumwa nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera. Izi zithandiza kuti mankhwalawo apitirize kugwira ntchito bwino.
- Kusiya: Musasiye kumwa mankhwala pokhapokha ngati dokotala wanu wakuuzani.
Nanga bwanji ngati mwaphonya mankhwala anu?
Tangoganizani kuti mwayiwala kumwa mapiritsi anu am'mawa. Imwani nthawi yomweyo mukangokumbukira. Koma ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira (monga, kwatsala maola ochepa okha), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mapiritsi awiri nthawi imodzi.
Nanga bwanji ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
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 kuti mupeze malangizo.
Mankhwala ena omwe angagwirizane ndi diclofenac
Mankhwala ena angayambitse mavuto akamwedwa ndi diclofenac, choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Mankhwala omwe sayenera kumwedwa pamodzi | |
|---|---|
| Cidofovir | Ketorolac (mtundu wina wa NSAID) |
| Methotrexate | |
| Mankhwala ena ndi mankhwala omwe angayambitse mavuto | |
| Mowa | Aspirin ndi mankhwala ena a NSAID (Ibuprofen, Naproxen) |
| Mankhwala omwe amaletsa magazi kuundana (monga Warfarin) | Mankhwala a kuthamanga kwa magazi |
| Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics) | Lithiamu, Cyclosporine, Pemetrexed |
| Mitundu ya ma steroid (Prednisone, Cortisone) | Mankhwala a osteoporosis (kuchepa kwa mafupa) |
Zinthu zofunika kuziganizira mukamamwa mankhwala
Kutuluka magazi m'mimba
Chiwopsezo chachikulu chogwiritsa ntchito mankhwalawa ndi kuthekera kwa zilonda zam'mimba ndi kutuluka magazi.
Palibe chenjezo.Vutoli likhoza kuchitika ngakhale popanda dokotala. Kusuta fodya, kumwa mowa, kukalamba, komanso thanzi lofooka kumawonjezera chiopsezo. Ngati muli ndi ululu m'mimba, kusanza komwe kumaoneka ngati khofi, kapena ndowe zakuda, pitani kwa dokotala nthawi yomweyo.
Kuopsa kwa matenda a mtima ndi sitiroko
Mankhwala osagwiritsa ntchito mankhwala monga diclofenac angakulitse chiopsezo chanu cha matenda a mtima kapena sitiroko. Chiwopsezochi chimakhala chachikulu ngati mugwiritsa ntchito mankhwalawa kwa nthawi yayitali kapena ngati muli kale ndi matenda a mtima. Ngati mutenga aspirin kuti mupewe matenda a mtima, onetsetsani kuti mwalankhula ndi dokotala wanu za kumwa diclofenac.
Zochita pakhungu
Kawirikawiri, mankhwalawa angayambitse mavuto aakulu pakhungu. Izi zitha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwalawa.
- Ziphuphu zofiira pakhungu zomwe zimayenderana ndi malungo komanso kutopa.
- Zilonda zimenezi pambuyo pake zimatha kusanduka matuza kapena khungu likhoza kung'ambika.
- Madontho ofiira ndi kutupa kwa nkhope ndi milomo.
Ngati mukuona zizindikiro ngati izi, pitani kwa dokotala nthawi yomweyo.
Pa nthawi ya mimba
Samalani kwambiri ndi izi ngati muli ndi pakati.
- Pakati pa masabata 20 ndi 30: Kumwa diclofenac panthawiyi kungawononge mwana m'mimba. Chifukwa chake, imwani pokhapokha ngati pakufunika kutero, motsogozedwa ndi dokotala.
- Pambuyo pa masabata 30: Musamwe mankhwalawa konse m'miyezi itatu yomaliza ya mimba.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kutuluka magazi | Ndowe zakuda kapena zamagazi, kusanza magazi omwe amaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, madontho ang'onoang'ono ofiira/ofiirira pakhungu, ndi mabala osadziwikiratu. |
| Zizindikiro za matenda a mtima | Kupweteka/kulimba pachifuwa, paphewa, pa mkono, kapena pa nsagwada, nseru, kupuma movutikira, kumva kuzizira, kukomoka. |
| Zizindikiro za kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi kapena manja, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Kuwonongeka kwa impso/chiwindi | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo (impso). / Kupweteka m'mimba yakumtunda kumanja, kusowa chilakolako cha chakudya, chikasu cha maso/khungu, mkodzo wakuda wachikasu/bulauni (chiwindi). |
| Zizindikiro za sitiroko | Kusanza/kuzizira mwadzidzidzi pankhope, mkono kapena mwendo (makamaka mbali imodzi), kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, mutu waukulu. |
| Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa (koma uzani dokotala ngati zikupitirira) | |
| Mutu | Chilakolako cha chakudya |
| Kusanza | Kupweteka m'mimba |
Uthenga Wopita Nawo Kunyumba
- Diclofenac ndi mankhwala othandiza pa ululu ndi kutupa, koma ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala walangiza.
- Musaswe, kuphwanya, kapena kutafuna mapiritsi awa. Mezani onse ndi madzi.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda aliwonse omwe muli nawo.
- Ngati mukumva zizindikiro monga kupweteka m'mimba, ndowe zakuda, kupweteka pachifuwa, kapena kukhudzana kwambiri ndi khungu, funsani dokotala nthawi yomweyo .
- Pewani kumwa mankhwalawa panthawi ya mimba, makamaka m'miyezi itatu yapitayi.
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