Ushobora kuba warahawe ibinini bya Diclofenac na muganga wawe kubera ububabare bw'ivi, ububabare bw'umugongo, cyangwa ubundi bubabare bw'umubiri. Uyu ni umuti usanzwe ugabanya ububabare ukoreshwa n'abantu benshi. Ariko, kimwe n'undi muti uwo ari wo wose, hari ibintu bike tugomba kwitondera mu gihe tuwukoresha. None rero uyu munsi, reka tuvuge kuri ibi binini bya Diclofenac, cyane cyane ubwoko bwa Extended-Release, nk'aho twavuganye n'inshuti.
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Iyi diclofenac ni iki?
Muri make, diclofenac ni umuti ukoreshwa mu kuvura indwara nko kubabara, kubyimba, na rubagimpande. Ni umuti wo mu bwoko bw'imiti yitwa NSAIDs (Imiti Idakoresha Steroidal Anti-Inflammatory Drugs) . Ni ukuvuga imiti idakoresha steroidal igabanya ubushyuhe.
"Extended-Release" (XR) bivuze ko ikinini gisohora umuti mu mubiri mu gihe cy'amasaha runaka. Ibi bivuze ko ugomba kuwufata rimwe gusa ku munsi. Muganga wawe ashobora kuba yaragundikiye izina nka "Voltaren-XR".
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira gukoresha diclofenac, ni ngombwa kubwira muganga wawe amakuru akurikira. Ntugahishe ibi bintu, kuko ari ingenzi cyane ku mutekano wawe.
| Indwara cyangwa imiterere | Ibisobanuro |
|---|---|
| Indwara z'umutima | Ese ufite indwara nk'indwara z'umutima, indwara z'umutima, umutima unanirwa, umuvuduko ukabije w'amaraso? Ese uherutse (mu byumweru 2) kubagwa bypass (CABG)? |
| Ibibazo by'igifu n'amara | Ese wigeze ugira ibisebe mu gifu cyangwa kuva amaraso mbere? |
| Indwara y'impyiko cyangwa umwijima | Ese ufite indwara y'impyiko cyangwa umwijima? |
| Ibibazo bifitanye isano n'amaraso | Ese ufite ikibazo cyo kuva amaraso, urugero rwinshi rwa potasiyumu mu maraso, cyangwa se uturemangingo dutukura dufite amaraso make (anemia)? Ese ufata imiti ibuza amaraso kuzura? |
| Izindi ndwara n'ingeso | Indwara zo mu myanya y'ubuhumekero nka asima, gukoresha imiti ya steroid (nka prednisone), kunywa itabi, no kunywa inzoga kenshi. |
| Gutwita no konsa | Urimo gushaka gutwita? Urimo gutwita? Cyangwa urimo konsa? |
| Allergie | Ese ufite ubwivumbure kuri diclofenac, aspirine, indi miti igabanya ubukana bwa NSAID, cyangwa undi muti cyangwa ibiryo? |
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- Kumira ikinini: Ntukagimene cyangwa ngo ukimene, cyangwa ngo ukimene nk'uko uhekenya shim . Kumira cyose. Ibi biterwa nuko cyagenewe kurekura umuti buhoro buhoro. Iyo ukimeneye, umuti wose uzahita winjira mu mubiri wawe icyarimwe, ibyo bikaba byakongera ingaruka mbi.
- Ukoresheje ikirahure cy'amazi: Fata iki kinini n'ikirahure cyuzuye cy'amazi.
- Ku biryo: Kugira ngo ugabanye ububabare bw'igifu bushobora kubaho, ni byiza kubifata mbere yo kurya cyangwa nyuma yabyo.
- Uyifate ku gihe: Gerageza kuyifata ku gihe kimwe buri munsi, nk'uko muganga yabigutegetse. Ibi bizafasha gukomeza kugira akamaro k'umuti.
- Guhagarika: Ntureke gufata imiti keretse muganga wawe abikubwiye.
Bite se niba ubuze imiti yawe?
Tekereza ko wibagiwe gufata ikinini cya mu gitondo. Gifate ako kanya ukimara kucyibuka. Ariko niba igihe cyo gufata ikinini gikurikiraho kigeze hafi (urugero, ni amasaha make gusa), rekeraho ikinini cyabuze hanyuma ufate ikinini gikurikiraho ku gihe cyagenwe. Ntukigere ufata ibinini bibiri icyarimwe.
Bite se niba ufashe imiti myinshi? (Kuba warengeje urugero)
Niba ubona ko wafashe imiti myinshi cyane, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) . Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Indi miti ishobora kugira ingaruka kuri diclofenac
Imiti imwe ishobora guteza ibibazo iyo ifashwe na diclofenac, bityo bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera).
| Imiti idakwiye gufatwa hamwe | |
|---|---|
| Cidofovir | Ketorolac (ubundi bwoko bwa NSAID) |
| Methotrexate | |
| Ibindi bintu n'imiti bishobora guteza ibibazo | |
| Inzoga | Asipirine n'indi miti igabanya ubukana bw'indwara zo mu mutwe (NSAIDs) (Ibuprofen, Naproxen) |
| Imiti ibuza amaraso kuzura (urugero: Warfarin) | Umuti uvura umuvuduko ukabije w'amaraso |
| Imiti igabanya ubukana bw'amazi (diuretics) | Lithium, Cyclosporine, Pemetrexed |
| Ubwoko bwa steroid (Prednisone, Cortisone) | Imiti ivura indwara yo kugabanuka kw'amagufwa (osteoporosis) |
Ibintu ugomba kuzirikana mu gihe ufata imiti
Kuva amaraso mu nda
Ingaruka zikomeye zo gukoresha iyi miti ni uko ushobora kugira ibisebe mu gifu no kuva amaraso.
Nta muburo.Iyi ndwara ishobora kubaho nubwo udafite muganga. Kunywa itabi, kunywa inzoga, gusaza, no kugira ibibazo by'ubuzima bibi byongera ibyago byo kurwara. Niba ubabara mu gifu, kuruka bisa n'ikawa, cyangwa amacandwe y'umukara, hita ubonana na muganga.
Ingaruka zo kurwara indwara z'umutima n'imitsi yo mu bwonko
Imiti igabanya ubukana bw'indwara z'umutima nka diclofenac ishobora kongera gato ibyago byo kurwara indwara z'umutima cyangwa indwara zo mu bwonko. Ibi byago biriyongera iyo ukoresheje uyu muti igihe kirekire cyangwa niba usanzwe ufite indwara z'umutima. Niba ufata aspirine kugira ngo wirinde indwara z'umutima, menya neza ko wavuganye na muganga wawe ku bijyanye no gufata diclofenac.
Ibyiyumvo by'uruhu
Ni gake cyane, uyu muti ushobora gutera ingaruka zikomeye ku ruhu. Ibi bishobora kubaho ndetse n'ibyumweru nyuma yo gutangira umuti.
- Uduheri dutukura ku ruhu tujyana n'umuriro n'ubunebwe.
- Ibi bisebe bishobora guhinduka uduheri nyuma cyangwa uruhu rugashibuka.
- Uduheri dutukura hamwe no kubyimba mu maso no mu minwa.
Ubonye ibimenyetso nk'ibi, hita ubonana na muganga.
Mu gihe cyo gutwita
Witondere cyane ibi niba utwite.
- Hagati y'ibyumweru 20 na 30: Gufata diclofenac muri iki gihe bishobora kwangiza umwana uri mu nda. Kubwibyo, bifata gusa iyo bibaye ngombwa, ukurikiranwe na muganga hafi.
- Nyuma y'ibyumweru 30: Ntugafate uyu muti na gato mu mezi 3 ya nyuma yo gutwita.
Ingaruka mbi zishobora guterwa n'imiti
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| Allergie ikomeye | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ibimenyetso byo kuva amaraso | Amasambu y'umukara cyangwa amaraso, kuruka amaraso asa n'ifu y'ikawa, inkari zitukura/iz'umukara wijimye, utudomo duto dutukura/iz'umuhengeri ku ruhu, n'ibisebe bidasobanutse. |
| Ibimenyetso by'indwara z'umutima | Ububabare/gufungana mu gituza, ku rutugu, ku kuboko, cyangwa mu rwasaya, isesemi, guhumeka bigoranye, kumva ubukonje, gucika intege. |
| Ibimenyetso by'indwara y'umutima | Kugorwa no guhumeka, kubyimba utubuto, ibirenge cyangwa amaboko, kwiyongera ibiro mu buryo butunguranye, umunaniro ukabije. |
| Kwangirika kw'impyiko/umwijima | Kugabanuka k'inkari, kubyimba utubuto tw'amaguru (impyiko). / Kubabara mu nda yo hejuru iburyo, kubura ubushake bwo kurya, amaso/uruhu ruhinduka umuhondo, inkari z'umuhondo wijimye/umukara (umwijima). |
| Ibimenyetso by'indwara ya stroke | Kubura ibinya mu maso, ku kuboko cyangwa ku kuguru (cyane cyane ku ruhande rumwe), kugorwa no kuvuga, kujijinganya, kugorwa no kugenda, kuribwa umutwe cyane. |
| Ingaruka mbi ubusanzwe zitari zikomeye (ariko bwira muganga wawe niba zikomeje) | |
| Umutwe | Gukunda kurya |
| Isesemi | Kubabara mu nda |
Ubutumwa bwo kujyana mu rugo
- Diclofenac ni umuti mwiza uvura ububabare no kubyimba, ariko ugomba gukoreshwa gusa ubanje kugirwa inama na muganga.
- Ntukavune ibi binini, ubijanjagure cyangwa ngo ubiheke . Ubinyweshe amazi yose.
- Menya neza ko wabwiye muganga wawe indi miti yose ufata ndetse n'indwara zose ufite.
- Niba ugize ibimenyetso nko kubabara mu gifu, kwitumamo imyanda y'umukara, kubabara mu gituza, cyangwa ingaruka zikomeye ku ruhu, shaka ubufasha kwa muganga byihutirwa .
- Irinde gufata uyu muti mu gihe utwite, cyane cyane mu mezi 3 ashize.
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