Diclofenac mushonga unowanzo nyorerwa navanachiremba kana tiine chirwere chakadai sekurwadziwa kwemuviri, kurwadziwa kwemajoini, kana arthritis. Ungave wakamboshandisa mushonga uyu zvakare. Asi hausi mushonga wekurwadziwa chete. Pane zvinhu zvakati wandei zvatinofanira kungwarira patinenge tichiushandisa. Ngatitaurei nezvazvo nhasi.
Chii chinonzi Diclofenac?
Muchidimbu, diclofenac mushonga unoshandiswa kurapa marwadzo madiki kusvika pakati nepakati, kuzvimba, uye zvirwere zvakaita searthritis. Iri muboka remishonga inonzi NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) . Zvikuru, inoshanda nekuderedza kugadzirwa kwemakemikari mumuviri wedu anokonzera marwadzo nekuzvimba. MuSri Lanka, mushonga uyu unogona kuwanikwa pasi pemazita emhando dzakadai seVoltaren.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Zvakakosha kuudza chiremba wako nezvenhoroondo yako yekurapa usati washandisa diclofenac. Izvi zvinodaro nekuti zvinogona kuva nengozi kushandisa mushonga uyu kana uine mamwe matambudziko ehutano. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
| Mamiriro ako ezvinhu | Sei uchifanira kuzivisa? |
|---|---|
| Matambudziko emwoyo: Zvinhu zvakaita seBP yakakwira, kurwara nemoyo, kutadza kushanda zvakanaka kwemoyo, uye kuvhiyiwa kwe bypass (CABG) munguva pfupi yapfuura. | Mushonga uyu unogona kuwedzera njodzi yekurwara nemoyo uye sitiroko. |
| Njodzi dzekubuda ropa: Kutora mishonga inobvisa ropa, kubuda ropa mudumbu, uye matambudziko ekubuda ropa. | Diclofenac inowedzera njodzi yekubuda ropa mudumbu nemudumbu. |
| Chirwere cheitsvo kana chiropa | Njodzi yekukuvadzwa kwenhengo idzi inogona kuwedzera. |
| Maitiro ehupenyu: Kunwa doro nekuputa fodya nguva nenguva. | Maitiro aya anowedzera njodzi yekubatwa nemaronda mudumbu. |
| Mamwe matambudziko ehutano: Asthma, Anemia, Kushandisa Steroid, Kuedza kubata pamuviri, Kubata pamuviri, Kuyamwisa, Kurwara neDiclofenac kana mimwe mishonga. | Chimwe nechimwe chezviitiko izvi chingada shanduko mukurapwa kana kutarisirwa kwakakosha. |
Ndinofanira kushandisa mushonga uyu sei?
Zvakakosha kutevedzera mirairo yachiremba wako panguva chaiyo yekushandisa mushonga uyu.
- Usapwanye, kupwanya, kana kutsenga piritsi iri. Rinouya nejira rakakosha rakagadzirirwa kunyungudika muura (Enteric-coated). Saka medza piritsi rese negirazi remvura.
- Kana ukanzwa kurwadziwa mudumbu mushure mekutora mushonga uyu, kuutora pamwe chete nekudya kunogona kuderedza kusagadzikana.
- Usarega kutora mushonga kusvika chiremba wako akuudza kuti udaro.
- Kana uine makore anopfuura makumi matanhatu nemashanu ekuberekwa, ungangoda kuderedzwa kwemushonga. Chiremba wako ndiye achasarudza.
- Kana ukatora mushonga wakawandisa netsaona: Kana uchifunga kuti watora mushonga wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Neimwe nzira, fonera National Poisons Information Centre paColombo National Hospital .
- Kana ukarasikirwa nedosi: Inwa dosi yawakarasikirwa nayo nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, siya dosi yawakarasikirwa nayo wotora dosi inotevera panguva yakatarwa. Usambofa watora dosi yakapetwa kaviri.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Diclofenac inogona kushanda pamwe chete nemimwe mishonga, saka udza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
Zvikuru sei, kutora diclofenac pamwe chete nemishonga inonzi Cidofovir, Ketorolac, uye Methotrexate hakubvumidzwe zvachose.
Mukuwedzera, matambudziko anogona kuitika ne:
- Doro
- Aspirin nemimwe mishonga yakafanana nayo
- Mishonga yeBP
- Mishonga inodzivirira kuumbwa kweropa (semuenzaniso Warfarin)
- Mamwe maNSAID (semuenzaniso, Ibuprofen, Naproxen)
- Mhando dzema steroid (semuenzaniso, Prednisone)
- Lithium
- Cyclosporine
Zvinhu zvekungwarira paunenge uchitora mushonga
Njodzi yemaronda emudumbu uye kubuda ropa
Iyi ndiyo njodzi huru yekushandiswa kwe diclofenac. Maronda emudumbu uye kubuda ropa zvinogona kuitika pasina yambiro . Kusvuta, kunwa doro, kukwegura, uye hutano husina kunaka zvinowedzera njodzi iyi.
Kana muine kurwadziwa kwakanyanya mudumbu, kurutsa ropa (rakatsvukira, senge kofi yakakuyiwa), kana kuti muine tsvina nhema, zvinogona kuva chiratidzo chekubuda ropa mudumbu. Kana izvi zvikaitika, onai chiremba nekukasika.
Njodzi yekurohwa nemoyo uye sitiroko
Diclofenac haisi mushonga unodzivirira kurwara kwemoyo kana sitiroko. Kutaura zvazviri, kushandisa mushonga uyu kwenguva refu kana kana uine chirwere chemwoyo kunogona kuwedzera njodzi yako yekurwara kwemoyo nesitiroko.
Panguva yekuzvitakura
Kana uine pamuviri, unofanira kufunga kaviri usati watora mushonga uyu. Kutora mushonga uyu, kunyanya pakati pemavhiki makumi maviri nemakumi matatu ekuzvitakura, kunogona kukuvadza mwana asati aberekwa. Mushure memavhiki makumi matatu, kutora mushonga uyu hakubvumidzwe zvachose.
Kukanganiswa kwakanyanya kweganda
Kukanganiswa kwakanyanya kweganda kunogona kuitika kunyangwe mavhiki mashoma mushure mekutanga mushonga. Tsvaga rubatsiro rwechiremba nekukasika kana ukaona zviratidzo zvakaita sefivha, kurwadziwa kwemuviri, maronda matsvuku kana epepuru paganda, kana ganda riri kusvuuka.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemishonga yese, diclofenac inogona kukonzera migumisiro yakaipa. Mimwe yakakomba, mimwe yakajairika.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Kubuda ropa | Tsvina nhema/yakanonoka, kurutsa ropa kana kofi yakakuyiwa, uye weti tsvuku/yakasvibira. |
| Zviratidzo zvekurwara nemoyo | Kurwadziwa kana kusimba muchipfuva, papfudzi, kana paruoko, kuda kurutsa, kuoma kufema. |
| Zviratidzo zve sitiroko | Kunzwa kusanzwa kana kushaya simba kamwe kamwe pachiso, ruoko, kana gumbo, kuoma kutaura, kuoma kufamba, musoro wakanyanya. |
| Zviratidzo zvekukuvara kweitsvo/chiropa | Kudzikira kweweti, kuzvimba kwezvitsitsinho, kutsvuka kweganda kana maziso, kurwadziwa kumusoro kwedumbu. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Musoro | - |
| Kusvotwa, kusagadzikana mudumbu | - |
| Kuda kudya | - |
Mharidzo Yekuenda Nayo Kumba
- Usati watora diclofenac, iva nechokwadi chekuudza chiremba wako nezvezvirwere zvako zvese nemimwe mishonga yauri kutora.
- Medza piritsi iri rose nemvura usingatyore, kupwanya, kana kutsenga. Kana une dambudziko remudumbu, ritore pamwe chete nechikafu.
- Gara uchiziva zviratidzo zvekubuda ropa mudumbu, zvakaita sekurwadziwa mudumbu zvakanyanya, tsvina nhema, uye ropa mukurutsa. Kana izvi zvikaitika, tsvaga rubatsiro rwechiremba nekukasika.
- Rangarira kuti mushonga uyu unogona kuwedzera njodzi yekurwara nemoyo kana sitiroko. Haudziviriri zvirwere izvi.
- Dzivisa kutora mushonga uyu panguva yekuzvitakura, kunyanya mumwedzi mitatu yekupedzisira.
- Mushonga uyu ndewako chete. Usambougovana nevamwe.
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