Nthawi zina, pa ululu waukulu m'thupi, mwachitsanzo, kupweteka kwa mafupa, kupweteka kwa msana, kapena kupweteka mutachita opaleshoni, dokotala angakupatseni jakisoni wochepetsa ululu. Pakati pa izi, imodzi mwa jakisoni yomwe imagwiritsidwa ntchito kwambiri yomwe anthu ambiri adamvapo ndi Diclofenac. Chifukwa chake, ngakhale iyi ndi mankhwala amphamvu ochepetsa ululu, pali zinthu zina zomwe tiyenera kusamala nazo tikamagwiritsa ntchito. Tiyeni tikambirane za izi mwatsatanetsatane komanso lero.
Kodi Diclofenac ndi chiyani?
Mwachidule, diclofenac ndi mankhwala opha ululu. Ili m'gulu la mankhwala otchedwa NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) . Izi zikutanthauza kuti ndi mankhwala osagwiritsa ntchito steroidal, oletsa kutupa omwe amachepetsa kutupa ndi ululu m'thupi. Ntchito yayikulu ya mankhwalawa ndikuwongolera njira ya mankhwala yomwe imayambitsa ululu wanu, kuchepetsa kutupa, ndikukupatsani mpumulo. Nthawi zambiri imaperekedwa kuchipatala kapena kuchipatala chifukwa cha ululu waufupi komanso woopsa.
Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?
Izi ndizofunikira kwambiri. Musanapereke jakisoni wa diclofenac, ndikofunikira kudziwitsa dokotala wanu zonse zokhudza thanzi lanu. Chifukwa kugwiritsa ntchito mankhwalawa pazifukwa zina kungakhale koopsa.
Tangoganizani kuti muli kale ndi gastritis. Mankhwala monga Diclofenac ali ndi mwayi waukulu wowononga mkati mwa m'mimba. Choncho ngati dokotala akudziwa zimenezo, angakupatseni mankhwala ena, kapena kukupatsani pamodzi ndi mankhwala ena kuti muteteze m'mimba. Choncho, muuzeni zinthu izi popanda kubisa chilichonse.
Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe kapena chizolowezi | Chifukwa chodera nkhawa |
|---|---|
| Matenda a mtima, matenda a mtima, kulephera kwa mtima , kapena opaleshoni yaposachedwa ya bypass (CABG) | Diclofenac ikhoza kuwonjezera chiopsezo cha matenda a mtima ndi sitiroko. |
| Kuthamanga kwa Magazi Kwambiri | Izi zitha kuonjezera kuthamanga kwa magazi. |
| Kutuluka magazi, gastritis, kapena zilonda m'mimba kapena m'matumbo | Mankhwalawa amawonjezera chiopsezo cha zilonda zam'mimba ndi kutuluka magazi. |
| Matenda a impso kapena chiwindi | Pali chiopsezo cha kuwonongeka kwa ziwalo izi. |
| Mphumu kapena matenda ena opumira | Mankhwalawa akhoza kuletsedwa kwa odwala ena a mphumu. |
| Kugwiritsa ntchito mankhwala ochepetsa magazi (monga Warfarin, Apixaban) | Chiwopsezo cha kutuluka magazi n'chokwera kwambiri. |
| Kukhala ndi pakati , kuyesa kutenga mimba, kapena kuyamwitsa | Izi zitha kukhala zoopsa panthawi ya mimba (makamaka miyezi itatu yomaliza) komanso kwa amayi oyamwitsa. |
| Kusuta kapena kumwa mowa pafupipafupi | Zizolowezi zimenezi zimawonjezera chiopsezo cha zotsatirapo zoyipa monga kutuluka magazi m'mimba. |
| Ziwengo zina (kutengera Diclofenac, Aspirin kapena mankhwala ena, zakudya) | Izi ndizofunikira kuti tipewe vuto lalikulu la ziwengo. |
Kodi mumagwiritsa ntchito bwanji jakisoni uyu?
Mankhwala awa si omwe mungapite nawo kunyumba. Jakisoni wa Diclofenac amaperekedwa m'mitsempha kuchipatala kapena ku chipatala ndi dokotala kapena anamwino ophunzitsidwa bwino.
- Kwa ana:Kusamala kwambiri kuyenera kuperekedwa popereka izi kwa ana aang'ono. Chifukwa chake, ndikofunikira kutsatira malangizo a dokotala.
- Kwa okalamba: Anthu azaka zopitilira 65 akhoza kukhala okhudzidwa kwambiri ndi zotsatira za mankhwalawa, kotero nthawi zambiri amapatsidwa mlingo wocheperako.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Izi sizingachitike chifukwa zimaperekedwa kuchipatala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zofunika kuziganizira mukatenga Diclofenac
Kuti mukhale otetezeka, dziwani mfundo izi mukamamwa mankhwalawa.
- Musamwe mankhwala ena ochepetsa ululu: Mukamamwa mankhwalawa, musamwe mankhwala ena ochepetsa ululu a NSAID monga aspirin, ibuprofen, kapena naproxen popanda kufunsa dokotala wanu. Kuchita zimenezi kumawonjezera chiopsezo cha zotsatirapo zina monga kuyabwa m'mimba, nseru, ndi zilonda zam'mimba.
- Kutuluka magazi m'mimba: Ichi ndiye chiopsezo chachikulu. Zilonda zam'mimba ndi kutuluka magazi zimatha kuchitika popanda chenjezo . Ngati mukumva kupweteka m'mimba, kusanza komwe kumaoneka ngati khofi, kapena ndowe zakuda, uzani dokotala nthawi yomweyo.
- Kuopsa kwa matenda a mtima ndi sitiroko: Kumbukirani, mankhwalawa saletsa matenda a mtima kapena sitiroko. Ndipotu, kugwiritsa ntchito mobwerezabwereza kungapangitse kuti chiopsezocho chiwonjezeke. Ngati mukumwa aspirin kuti mupewe matenda a mtima, muyenera kulankhula ndi dokotala musanamwe diclofenac.
- Mowa: Pewani kumwa mowa. Mowa umawonjezera chiopsezo cha kutuluka magazi m'mimba.
- Matenda a pakhungu: Nthawi zina, ngakhale milungu ingapo mutayamba kumwa mankhwalawa, matenda aakulu a pakhungu amatha kuchitika. Pitani kuchipatala mwachangu ngati mukumva kutupa kofiira, kutupa pakhungu, kapena kutupa pankhope kapena pamilomo pamodzi ndi malungo, kupweteka kwa thupi, kapena kutupa pakhungu.
- Mimba: Ngati muli ndi pakati, lankhulani ndi dokotala wanu musanamwe mankhwalawa. Kumwa mankhwalawa pakati pa milungu 20 ndi 30 ya mimba kungavulaze mwana wosabadwayo. Dokotala wanu adzakupatsani mankhwalawa pokhapokha ngati kuli kofunikira, moyang'aniridwa mosamala. Musamwe mankhwalawa patatha milungu 30.
- Kugona ndi chizungulire: Mungamve ngati mukugona komanso mukuzungulire mukamwa mankhwalawa. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe izi zimakukhudzirani.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, diclofenac ingayambitse zotsatirapo zina. Zina mwa izi ndi zoopsa, pomwe zina ndizofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kutuluka magazi | Chimbudzi chakuda kapena chochedwa, kusanza komwe kumaoneka ngati khofi wophikidwa, mkodzo wofiira kapena wakuda, mawanga ofiira/ofiirira pakhungu. |
| Zizindikiro za matenda a mtima | Kupweteka kapena kulimba pachifuwa, paphewa, pa mkono, kapena pa nsagwada, nseru, kuvutika kupuma. |
| Zizindikiro za Stroke | Kusanza mwadzidzidzi kapena kufooka kwa nkhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, komanso kuvutika kuyenda. |
| Kuwonongeka kwa impso kapena chiwindi | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo ndi mapazi, chikasu cha khungu kapena maso, kupweteka kumtunda kwa kumanja kwa mimba. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Mutu waukulu ukhoza kuchitika. |
| Kusanza ndi kusasangalala m'mimba | Kusokonezeka m'mimba ndi nseru zitha kuchitika. |
Uthenga Wopita Nawo Kunyumba
- Diclofenac ndi mankhwala amphamvu ochepetsa ululu omwe amaperekedwa kuchipatala chifukwa cha ululu waukulu.
- Musanamwe izi, uzani dokotala wanu za matenda onse omwe muli nawo (makamaka matenda a mtima, impso, m'mimba) ndi mankhwala ena onse omwe mukumwa.
- Pewani kumwa mankhwala ena ochepetsa ululu monga aspirin ndi ibuprofen pamodzi ndi diclofenac popanda upangiri wa dokotala.
- Ngati mukumva zizindikiro monga kupweteka m'mimba, ndowe zakuda, kupweteka pachifuwa, kapena kukhudzana kwambiri ndi khungu, funsani dokotala nthawi yomweyo.
- Azimayi oyembekezera komanso omwe akuyembekezera kutenga pakati ayenera kusamala kwambiri akamamwa mankhwalawa ndipo nthawi zonse azifunsa dokotala wawo.
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