Inunso nthawi zina mungakumane ndi mutu wosapiririka, kupweteka kwa mano, kupweteka kwa mafupa, kapena kupweteka m'mimba mukasamba, sichoncho? Nthawi ngati izi, ambiri aife timapeza mankhwala ochepetsa ululu mwachangu. Chifukwa chake, Diclofenac ndi mankhwala omwe anthu ambiri mdziko lathu amagwiritsa ntchito pa ululu wotere ndipo nthawi zambiri amalimbikitsidwa ndi madokotala. Koma pali zinthu zambiri zomwe tiyenera kusamala nazo tikamagwiritsa ntchito mankhwalawa. Lero, tiyeni tikambirane za zinthu zofunika kwambiri zomwe muyenera kudziwa zokhudza mapiritsi a Diclofenac awa.
Kodi Diclofenac ndi chiyani?
Mwachidule, Diclofenac ndi mankhwala omwe amagwiritsidwa ntchito kuchepetsa ululu, kutupa, ndi kusasangalala komwe kumachitika chifukwa cha matenda monga nyamakazi. Ndi m'gulu la mankhwala otchedwa NSAID (Non-Steroidal Anti-Inflammatory Drug) . Mwina mudamvapo za mankhwala monga Ibuprofen ndi Naproxen. Ndi m'gulu lomwelo la mankhwala. Chinthu chachikulu chomwe mankhwalawa amachita ndikuletsa thupi kupanga mankhwala omwe amayambitsa ululu ndi kutupa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa:
Izi ndizofunikira kwambiri. Ngati muli ndi vuto lililonse mwa zomwe zili pansipa, muyenera kuuza dokotala wanu musanagwiritse ntchito Diclofenac.
| Matenda kapena vuto | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a mtima, matenda a mtima, kulephera kwa mtima | Mankhwalawa angapangitse kuti munthu adwale matenda a mtima komanso sitiroko. |
| Opaleshoni yaposachedwa ya bypass (Coronary artery bypass graft - CABG) | Kumwa mankhwalawa mutachita opaleshoni n’koopsa kwambiri. |
| Kuthamanga kwa magazi | Diclofenac imatha kuonjezera kuthamanga kwa magazi. |
| Zilonda zam'mimba kapena kutuluka magazi | Mankhwalawa ali ndi chiopsezo chachikulu cha zilonda zam'mimba komanso kutuluka magazi. |
| Matenda a impso kapena chiwindi | Mankhwala amatha kukhudza ziwalo izi. |
| Matenda a mphumu | Mankhwalawa sangakhale oyenera kwa odwala ena a mphumu. |
| Matenda otuluka magazi kapena kumwa mankhwala omwe amaletsa magazi kuundana | Chiwopsezo cha kutuluka magazi n'chokwera kwambiri. |
| Kumwa mowa kapena kusuta fodya pafupipafupi | Zimawonjezera chiopsezo cha zotsatirapo zoyipa monga kutuluka magazi m'mimba. |
| Kukhala ndi pakati kapena kuyesa kutenga pakati, kukhala mayi woyamwitsa | Kumwa mankhwalawa panthawi ya mimba, makamaka m'miyezi itatu yapitayi, kungavulaze mwana. |
| Matenda a Diclofenac kapena mankhwala ena kapena zakudya zina | Ziwengo zazikulu zingachitike. |
Kodi muyenera kugwiritsa ntchito bwanji mankhwalawa?
- Imwani piritsi ili ndi kapu ya madzi .
- Imwani tsiku lililonse panthawi yoyenera, monga momwe dokotala wanenera.
- Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani lonse.
- Mankhwalawa angatengedwe musanadye kapena mutatha kudya. Komabe, ngati mukumva kupweteka m'mimba, imwani pamodzi ndi chakudya. Izi zichepetsa kwambiri chiopsezo cha kuvutika m'mimba.
- Pitirizani kugwiritsa ntchito mpaka dokotala wanu atakuuzani kuti musiye.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, thawani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Diclofenac ingayambitse mavuto ikagwiritsidwa ntchito ndi mankhwala ena. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala achikhalidwe, komanso mankhwala a Ayurvedic.
Chenjezo: Musagwiritse ntchito mankhwala otsatirawa ndi Diclofenac.
* Ketorolac (mankhwala ena amphamvu ochepetsa ululu)
* Cidofovir
* Methotrexate
| Mankhwala ena omwe angayambitse mavuto ndi Diclofenac | |
|---|---|
| Mowa | Aspirin ndi mankhwala ena ofanana nawo |
| Mankhwala omwe amaletsa magazi kuundana (monga Warfarin) | Mankhwala ena a NSAID (monga Ibuprofen, Naproxen) |
| Mankhwala a kuthamanga kwa magazi | Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics) |
| Lithiamu | Cyclosporine |
| Ma Steroid (monga Prednisone) | Pemetrexed (mankhwala oletsa khansa) |
Zinthu zomwe muyenera kusamala nazo mukamagwiritsa ntchito Diclofenac
Samalani ndi zilonda zam'mimba ndi kutuluka magazi: Zilonda zazikulu zam'mimba ndi kutuluka magazi zimatha kuchitika popanda chenjezo mukamagwiritsa ntchito mankhwalawa. Ngati muli ndi ululu waukulu m'mimba, kusanza komwe kumaoneka ngati khofi, kapena ndowe zakuda , izi zitha kukhala zizindikiro za kutuluka magazi m'mimba. Ngati izi zitachitika , pitani kwa dokotala nthawi yomweyo.
Kuopsa kwa Matenda a Mtima ndi Stroke: Diclofenac si mankhwala omwe amaletsa matenda a mtima kapena sitiroko. Ndipotu, kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungapangitse kuti chiopsezochi chiwonjezeke, makamaka ngati muli kale ndi matenda a mtima.
- Musamwe mankhwala ena ochepetsa ululu: Musamwe mankhwala ena ochepetsa ululu (NSAIDs) monga Aspirin, Ibuprofen, kapena Naproxen mukamamwa mankhwalawa. Kuchita izi kudzawonjezera kwambiri chiopsezo cha zotsatirapo zoyipa monga zilonda zam'mimba.
- Pewani mowa: Kumwa mowa kungasokoneze zotsatira za mankhwalawa ndikuwonjezera zotsatirapo zake. Choncho pewani mowa kwathunthu.
- Matenda a pakhungu: Nthawi zina, matenda aakulu a pakhungu amatha kuchitika milungu ingapo mutayamba kumwa mankhwala. Ngati mukumva malungo, kupweteka kwa thupi, komanso khungu lofiira, kuyabwa, matuza, kapena khungu lotupa, uzani dokotala nthawi yomweyo.
- Mimba: Musamwe mankhwalawa ngati muli ndi pakati, makamaka patatha milungu 30. Akhoza kukhala oopsa kwa mwana wosabadwa.
- Kugona ndi chizungulire: Ngati mukumva kugona kapena chizungulire mukumwa mankhwalawa, musachite chilichonse chomwe chimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina.
Zotsatirapo zomwe zingachitike ndi mankhwalawa
Monga mankhwala ena aliwonse, Diclofenac ingayambitse zotsatirapo zina. Zina zimakhala zazing'ono, koma zina zimafuna chisamaliro chapadera.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Zotsatira zoyipa | Zinthu zazikulu |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kutuluka magazi | Chimbudzi chakuda, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira/wofiirira wakuda, madontho ofiira/ofiirira pakhungu. |
| Matenda amtima | Kupweteka kwambiri pachifuwa, paphewa, pa mkono, kupuma movutikira, thukuta. |
| Stroke | Kusanza/kuzizira mwadzidzidzi pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, chikasu cha maso/khungu, mkodzo wakuda wachikasu/bulauni. |
| Kuvulala kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, ndi mapazi. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Mutu | Kusasangalala m'mimba, kutupa |
| Chilakolako cha chakudya | Kumva kudwala (nseru) |
Uthenga Wopita Nawo Kunyumba
- Diclofenac ndi mankhwala omwe ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala wakupatsani upangiri. Musaiwale kuuza dokotala wanu za matenda anu ndi mankhwala ena omwe mukumwa.
- Nthawi zonse imwani piritsili pamodzi ndi chakudya kuti mupewe kuvutika m'mimba.
- Pewani kumwa mowa ndi kumwa mankhwala ena ochepetsa ululu monga Ibuprofen pamene mukumwa mankhwalawa.
- Ngati muwona zizindikiro zilizonse zoopsa monga kupweteka pachifuwa, kupuma movutikira, kapena ndowe zakuda, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) kuchipatala nthawi yomweyo.
- Ngati muli ndi pakati kapena mukukonzekera kutenga pakati, onetsetsani kuti mwalankhula ndi dokotala musanagwiritse ntchito mankhwalawa.
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