Mapiritsi a Naproxen ndi Esomeprazole: Kodi Ndi Njira Yabwino Yothetsera Ululu Wanu wa Mafupa ndi Kutupa kwa M'mimba?

Kodi mulinso ndi ululu wa mafupa, kutanthauza matenda monga `Arthritis`? Nthawi ngati zimenezi, mankhwala opha ululu ndi ofunika kwambiri, sichoncho? Koma vuto ndilakuti mukatenga mankhwala opha ululu, mumayamba kutupa m'mimba komanso gastritis. Lero tikambirana za mankhwala omwe angathandize pa mavuto onse awiriwa. Mankhwalawa ndi osakaniza mapiritsi otchedwa naproxen ndi esomeprazole. Mutha kuwadziwa ndi dzina la kampani `(Vimovo)`.

Kodi mankhwala awa ndi chiyani? Mwachidule...

Izi kwenikweni ndi kuphatikiza kwa mitundu iwiri ya mankhwala.

1. Choyamba ndi Naproxen . Ichi ndi mankhwala ochepetsa ululu ochokera ku gulu la ``NSAID'', lomwe limayimira Nonsteroidal Anti-Inflammatory Drug. Mwachidule, zimathandiza kuchepetsa ululu, kutupa, ndi kuuma kwa mafupa anu.

2. Wachiwiri ndi Esomeprazole . Uwu ndi mankhwala otchedwa ``PPI'', zomwe zikutanthauza kuti ndi mankhwala oletsa kupopera kwa proton. Umagwira ntchito pochepetsa kuchuluka kwa asidi m'mimba mwanu.

Nanga chimachitika ndi chiyani? Anthu ena amakhala ndi zilonda zam'mimba akamamwa mankhwala oletsa kutupa monga Naproxen. Mankhwala otchedwa Esomeprazole amawonjezeredwa kuti achepetse chiopsezo chimenecho. Chifukwa chake, ululu umachepa, ndipo kuwonongeka komwe kungachitike m'mimba kumachepa.

Madokotala angagwiritsenso ntchito mankhwalawa pazinthu zina. Ngati muli ndi mafunso okhudza mankhwalawa, funsani dokotala wanu kapena wamankhwala.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Ndikofunikira kwambiri kuuza dokotala wanu kapena katswiri wa zaumoyo za izi musanayambe kumwa mankhwalawa. Ngati muli ndi vuto lililonse mwa izi, mankhwalawa sangakhale oyenera kwa inu, kapena mungafunike chisamaliro chapadera.

Nazi zinthu zimenezo:

• Ngati muli ndi vuto la magazi.
• Ngati mwachitidwa opaleshoni ya mtima, mwachitsanzo Coronary Artery Bypass Graft (CABG) mkati mwa milungu iwiri yapitayi.
• Ngati mumamwa mowa nthawi zonse.
• Ngati munadwalapo matenda a mtima kale.
• Ngati muli ndi matenda a mtima.
• Ngati muli ndi vuto lotchedwa `Heart failure`.
• Ngati muli ndi kuthamanga kwa magazi.
• Ngati muli ndi potaziyamu wambiri m'magazi mwanu.
• Ngati muli ndi matenda a impso.
• Ngati muli ndi matenda a chiwindi.
• Ngati muli ndi maselo ofiira ochepa m'magazi, zikutanthauza kuti muli ndi vuto lotchedwa kuchepa kwa magazi m'thupi.
• Ngati muli ndi matenda a m'mapapo kapena kupuma.
• Ngati mukugwiritsa ntchito mankhwala ochepetsa ululu monga Dexamethasone kapena Prednisone.
• Ngati muli ndi magazi m'mimba.
• Ngati muli ndi vuto la m'mimba kapena m'matumbo.
• Ngati mukumwa mankhwala ochiza kapena oletsa magazi kuundana.
• Ngati ndinu wosuta fodya.
• Ngati muli ndi vuto la ziwengo chifukwa cha naproxen, esomeprazole, mankhwala ena a NSAID (monga ibuprofen), mankhwala ena, zakudya, utoto wopangidwa, kapena zotetezera.
• Ngati mukuyesera kutenga mimba, kapena muli ndi pakati pakadali pano.
• Ngati ndinu mayi woyamwitsa.

Ngati chilichonse mwa izi chikukukhudzani, ndi bwino kuuza dokotala wanu.

Kodi mumagwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa ayenera kumwedwa pakamwa ndi kapu ya madzi. Ndi bwino kumwa nthawi yomweyo tsiku lililonse , monga momwe zalembedwera pa chizindikiro cha mankhwala.

Chofunika kwambiri: Musaswe, kuphwanya, kapena kutafuna piritsi ili. Mezani piritsi lonse.

Mankhwalawa ayenera kumwedwa musanadye chakudya, pamimba yopanda kanthu . Imwani osachepera mphindi 30 musanadye . Pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.

Mukalandira mankhwala awa kuchokera ku pharmacy, mudzalandiranso kabuku ka malangizo apadera (`MedGuide`). Ndikofunikira kuwerenga mosamala pamodzi ndi mankhwala aliwonse, nthawi iliyonse mukalandira mankhwalawo.

Kodi mankhwala awa angaperekedwe kwa ana?

Mankhwalawa angaperekedwe kwa ana azaka zopitirira 12 nthawi zina zapadera. Koma pali njira zina zodzitetezera. Chifukwa chake, ngati mukupereka mankhwalawa kwa ana, lankhulani ndi dokotala wanu mosamala za izi ndipo funsani upangiri.

Nanga bwanji anthu opitirira zaka 65?

Kawirikawiri, anthu azaka zopitirira 65 angamve mphamvu ya mankhwalawa kukhala yolimba pang'ono. Chifukwa chake, angafunike kupatsidwa mlingo wocheperako.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)

Ngati mwamwa mwangozi mankhwala ochulukirapo, kutanthauza kuti, ngati mwamwa mopitirira muyeso, pitani ku dipatimenti yadzidzidzi yapafupi nthawi yomweyo , kapena imbani malo owongolera poizoni.

Chofunika kudziwa: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena, ngakhale atakhala ndi vuto lomwelo.

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)

Tsopano, tiyeni tiwone, pali mankhwala ena omwe si abwino kumwa ndi mankhwalawa. Izi zikutanthauza kuti kuwamwa pamodzi kungakhale vuto lalikulu:

• Atazanavir
• Cidofovir `(Cidofovir)`
• Ketorolac
• Mavacamten `(Mavacamten)`
• Nelfinavir
• Rilpivirine

Palinso mankhwala ena omwe angayambitse zotsatirapo zoyipa ndi mankhwalawa kapena momwe amagwirira ntchito . Ngati mukumwa chilichonse mwa izi, muyenera kuuza dokotala wanu:

• Mowa
• Aspirin ndi mankhwala ofanana ndi a aspirin
• Mankhwala ena oletsa mavairasi a HIV kapena chiwindi
• Mankhwala ena omwe amaletsa magazi kuundana kapena kuchiza magazi kuundana, mwachitsanzo: Warfarin, Clopidogrel, Enoxaparin, Dalteparin, Apixaban, Dabigatran, Rivaroxaban
• Mankhwala ena a zinthu monga kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a bowa, monga ketoconazole, itraconazole, posaconazole, ndi voriconazole
• Cilostazol (Cilostazol)`
• Cyclosporine
• Diazepam `(Diazepam)`
• Digoxin
• Mankhwala ochepetsa mphamvu ya mkodzo (mankhwala omwe amapangitsa kuti mkodzo wambiri utuluke)
• Erlotinib
• Mchere wachitsulo (monga zipolopolo zachitsulo)
• Lithiamu
• Methotrexate
• Mycophenolate
• Mitundu ina ya "NSAIDs", kutanthauza, mankhwala ochizira ululu ndi kutupa, monga "Ibuprofen"
• Pemetrexed
• Rifampin
• Mankhwala a SNRI, omwe amagwiritsidwa ntchito pochiza matenda monga kuvutika maganizo, monga Desvenlafaxine, Duloxetine, Levomilnacipran, Venlafaxine
• Ma SSRI (zoletsa zoletsa zobwerezabwereza za serotonin) zochizira kuvutika maganizo, mwachitsanzo Citalopram, Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, Sertraline
• Wort wa St. John (mankhwala azitsamba omwe ena amagwiritsa ntchito)
• Mankhwala a steroid, monga prednisone kapena cortisone
• Tacrolimus

Mndandanda uwu mwina sungakhale wokwanira. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (mankhwala ochokera kwa dokotala, omwe amagulitsidwa popanda chilolezo cha dokotala, mankhwala azitsamba, mavitamini, kapena zowonjezera zakudya), komanso ngati mumagwiritsa ntchito fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo . Zina mwa izi zingakhudze mankhwala awa.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwalawa?

Pitani kwa dokotala nthawi zonse kuti muwone ngati zizindikiro zanu zikuchepa kapena zikuipiraipira.Ngati matenda anu sakuchira, kapena akuipiraipira, uzani dokotala wanu .

Musamwe mankhwala ena okhala ndi aspirin, ibuprofen, kapena naproxen mukamamwa mankhwalawa. Kuchita izi kungapangitse kuti pakhale zotsatirapo zoyipa monga kuvutika m'mimba, nseru, ndi zilonda zam'mimba. Mankhwala ambiri omwe amagulitsidwa kunja kwa chipatala angakhale ndi zinthuzi. Choncho nthawi zonse werengani mosamala zomwe zili pa chizindikirocho.

Chinthu china n’chakuti mankhwalawa angayambitse zilonda zam’mimba komanso kutuluka magazi m’matumbo. Kumbukirani kuti nthawi zina izi zingachitike mwadzidzidzi, popanda zizindikiro kapena ululu poyamba. Choncho muyenera kusamala kwambiri. Chiwopsezochi chimakhala chachikulu makamaka ngati ndinu wosuta fodya, womwa mowa, munthu wachikulire, kapena munthu amene nthawi zambiri sali bwino. Ngati muli ndi ululu m’mimba, mukusanza magazi, kapena mukumva ngati mukutulutsa magazi m’chimbudzi chanu, muyenera kuyimbira dokotala nthawi yomweyo.

Mankhwalawa saletsa matenda a mtima kapena sitiroko. Ndipotu, mankhwalawa angakulitse pang'ono chiopsezo chanu chokhala ndi matenda a mtima kapena sitiroko. Chiwopsezochi chimawonjezeka mukamagwiritsa ntchito mankhwalawa kwa nthawi yayitali, kapena ngati muli kale ndi matenda a mtima. Ngati mukumwa aspirin kuti mupewe matenda a mtima kapena sitiroko, lankhulani ndi dokotala wanu za kugwiritsa ntchito mankhwalawa.

Mankhwalawa nthawi zina angayambitse mavuto aakulu pakhungu (`Zochitika zoopsa pakhungu`). Izi zitha kuchitika milungu ingapo kapena miyezi mutayamba kumwa mankhwala. Ngati mukumva kutupa pakhungu limodzi ndi zizindikiro monga malungo ndi kupweteka kwa thupi, pitani kwa dokotala nthawi yomweyo. Matendawa amatha kukhala ofiira kapena ofiirira, kenako matuza ndi khungu. Kapena mungakhale ndi kutupa pankhope kapena pamilomo, kapena kutupa kwa ma lymph nodes m'khosi kapena m'khwapa.

Ngati mukukonzekera kutenga pakati, kapena mukuganiza kuti muli ndi pakati, lankhulani ndi dokotala wanu. Kumwa mankhwalawa kumapeto kwa mimba kungayambitse mavuto aakulu kwa mwana wanu wobadwa . Ngati mukufuna kumwa mankhwalawa pakati pa milungu 20 ndi 30 ya mimba, dokotala wanu adzakuyang'anirani mosamala. Kumwa mankhwalawa patatha milungu 30 ya mimba sikuvomerezeka.

Mankhwalawa angakhudze momwe thupi lanu limagwirira ntchito, nthawi yochitira zinthu, komanso luso lanu losiyanitsa chabwino ndi choipa . Chifukwa chake, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Kuti muchepetse chizungulire ndi kukomoka, dzukani pang'onopang'ono kuchokera pamalo omwe mukukhala kapena pabedi. Kumwa mowa mukamamwa mankhwalawa kungakulitse zotsatirapo zake.

Samalani mukamatsuka mano anu, kutsuka mano, kapena kugwiritsa ntchito zotsukira mano. Mankhwalawa angayambitse kutuluka magazi m'kamwa komanso matenda opatsirana. Ngati mukufuna kuchitidwa opaleshoni ya mano, uzani dokotala wanu wa mano kuti mukumwa mankhwalawa.

Mankhwalawa angakhudze kubereka kwa anthu ena. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Pali zotsatirapo zina zomwe muyenera kuuza dokotala wanu kapena gulu lachipatala mwamsanga ngati zitachitika. Izi zikuphatikizapo:

• Matenda a ziwengo - ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kutuluka magazi - Magazi mu ndowe, ndowe zakuda zotuluka m'mimba, masanzi a bulauni kapena amagazi, mkodzo wofiira/wofiirira wakuda, madontho ang'onoang'ono ofiira/ofiirira pakhungu, mabala, kapena kutuluka magazi kosazolowereka.
• Matenda a mtima - kupweteka kapena kupsinjika pachifuwa, mapewa, manja, kapena nsagwada, nseru, kupuma movutikira, thukuta lozizira, kukomoka, ndi kumva chizungulire.
• Kulephera kwa mtima - Kupuma movutikira, kutupa kwa akakolo, mapazi, kapena manja, kunenepa mwadzidzidzi, komanso kumva kutopa kwambiri kapena kufooka.
• Kuwonjezeka kwa kuthamanga kwa magazi.
• Kuvulala kwa impso - kuchepa kwa mkodzo, kutupa kwa akakolo, manja, kapena mapazi.
• Kuvulala kwa chiwindi - kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, kutopa kapena kufooka kosazolowereka.
• Kuchepa kwa magnesium - kupweteka kwa minofu kapena kupweteka m'mimba, kufooka kapena kutopa kosazolowereka, kugunda kwa mtima mofulumira kapena kosakhazikika, kunjenjemera.
• Kuchepa kwa vitamini B12 - Ululu, dzanzi, kapena kutaya kumva m'manja kapena m'mapazi, kufooka kwa minofu, chizungulire, kuvutika kuyang'ana kwambiri, kusokonezeka.
• Matuza pakhungu, malungo, ndi kutupa kwa ma lymph nodes.
• Ziphuphu zomwe zimachitika m'masaya kapena m'manja ndipo zimakula kwambiri zikawotchedwa ndi dzuwa.
• Kufiira, kutupa, kutsekeka, kapena kutsekeka kwa khungu (kungachitike ngakhale mkamwa).
• Kutsegula m'mimba kwambiri, malungo.
• Stroke - Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, kulephera kulinganiza bwino zinthu, chizungulire, mutu waukulu, kusintha kwa masomphenya.

Zotsatirapo zomwe nthawi zambiri siziyenera kunenedwa kwa dokotala, koma ziyenera kutchulidwa ngati zikupitirira kapena zikuvutitsa:

• Kutsegula m'mimba
• Mutu
• Kutaya chilakolako
• Kusanza
• Mimba yopweteka
• Kusanza

Si zotsatirapo zonse zomwe zili pamndandandawu zomwe zingachitike. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu. Muthanso kunena za zotsatirapo zake ku FDA pa 1-800-FDA-1088.

Kodi ndiyenera kusunga bwanji mankhwalawa?

Sungani pamalo omwe ana ndi ziweto sangafikire.

Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, pakati pa madigiri 59 ndi 86 Fahrenheit) kutali ndi chinyezi. Tsekani botolo mwamphamvu. Musagwiritse ntchito mankhwala omwe adutsa "tsiku lotha ntchito"; atayeni.

Mukataya mankhwala osagwiritsidwa ntchito komanso omwe atha ntchito:

• Atengereni kumalo komwe kuli "pulogalamu yobwezera mankhwala." Mutha kufunsa pharmacy yanu kapena apolisi za malo otere.
• Ngati palibe njira yobweza mankhwalawo, yang'anani chizindikiro cha mankhwala kapena paketi kuti muwone ngati mankhwalawo ayenera kutayidwa m'zinyalala kapena kutayidwa m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
• Ngati mungathe kuitaya mu zinyalala, kuchotsa mankhwala mu botolo, kusakaniza ndi zinthu monga zinyalala za amphaka, dothi, kapena khofi, kuyika chisakanizocho mu thumba kapena chidebe, kutseka, ndikuchitaya mu zinyalala.

Pomaliza, zinthu zoti muzikumbukira

Kotero, izi ndi zinthu zofunika kwambiri zomwe muyenera kudziwa zokhudza mankhwala a Naproxen ndi Esomeprazole. Kumbukirani, izi ndi chidule chabe. Ngati muli ndi mafunso okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina kuti mudziwe zambiri. Musayambe, kusiya, kapena kusintha mlingo wa mankhwala popanda uphungu wa dokotala wanu. Thanzi lanu ndi lofunika kwambiri kwa inu!

Naproxen , Esomeprazole, Nyamakazi, Mankhwala Ochepetsa Ululu, Gastritis, Zilonda Zam'mimba, Zotsatirapo Zake