Dzimwe nguva une tsika yekuenda kupharmacy kunotenga mushonga wekurwadziwa kwezino kana uine kurwadziwa kwezino, musoro, kurwadziwa kwemajoini, kana kurwadziwa kwemuviri here? Imwe yemishonga inonyanya kurwadza idiclofenac. Uyu mushonga wekurwadziwa unozivikanwa uye unoshanda nekukurumidza. Zvisinei, semishonga yese, pane zvimwe zvinhu zvatinofanira kungwarira pakushandisa uyu. Saka nhasi, ngatitaurei nezvemushonga uyu wekurwadziwa unonzi diclofenac.
Chii chinonzi Diclofenac?
Zvichitaurwa zviri nyore, diclofenac mushonga unoshandiswa kurapa marwadzo ari pakati nepakati, kuzvimba, uye arthritis . Iri boka remishonga inonzi NSAIDs (Nonsteroidal Anti-inflammatory Drugs). Iri boka remishonga rinoshanda nekuderedza kugadzirwa kwemakemikari mumiviri yedu anokonzera marwadzo nekuzvimba.
Mushonga uyu unogona kuwanikwa uchishandisa mazita akasiyana emhando dzakadai seZipsor neZorvolex. Zvakare, dzimwe nguva chiremba wako anogona kukupa mushonga uyu kune zvimwe zvirwere zvisina kutaurwa muchinyorwa chino. Saka kana uine mibvunzo, bvunza chiremba wako nezvazvo.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Diclofenac haisi mushonga unoshanda kune vese. Kana uine chero chezvirwere zvinotevera kana tsika, unofanira kuzivisa chiremba wako usati washandisa mushonga uyu.
| Chirwere kana mamiriro ezvinhu | Sei zvichikosha kuzivisa vanhu nezvazvo? |
|---|---|
| Chirwere chemwoyo, kurwara nemoyo, kutadza kushanda zvakanaka kwemoyo, kana kuvhiyiwa kwe coronary artery bypass grafting (CABG) kuchangobva kuitwa (mukati memavhiki maviri) | Nekuti mishonga iyi inogona kuwedzera njodzi yekurwara nemoyo uye sitiroko. |
| Kukwira kweropa | Mushonga uyu unogona kuwedzera BP. |
| Maronda emudumbu kana kubuda ropa mudumbu | Diclofenac inowedzera njodzi yekubuda ropa mudumbu nemudumbu. |
| Chirwere cheitsvo kana chirwere chechiropa | Nekuti mushonga uyu unogona kukanganisa nhengo idzi. |
| Asthma kana zvimwe zvirwere zvekufema | Kune vamwe vanhu, asthma inogona kuwedzera. |
| Kana uri kutora mushonga unobvisa ropa (semuenzaniso Warfarin) | Nekuti njodzi yekubuda ropa inogona kuwedzera zvakanyanya. |
| Kana uchigara uchinwa doro kana kusvuta | Njodzi yemigumisiro yakaipa yakadai sekubuda ropa mudumbu inowedzera. |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa | Mushonga uyu unogona kukuvadza mwana panguva yekuzvitakura uye yekuyamwisa. |
| Kana uine allergies kune diclofenac, aspirin, kana mimwe mishonga, chikafu, kana madhayi | Kudzivirira allergy yakanyanya. |
Ndinofanira kushandisa mushonga uyu sei?
Zvakakosha kutevedzera mirairo yachiremba wako panguva chaiyo yekushandisa mushonga uyu.
- Medza makapisiri aya ese negirazi remvura . Usaapwanye, kuapwanya, kana kuatsenga.
- Edza kuitora panguva imwe chete zuva nezuva, sezvakarairwa nachiremba wako.
- Mushonga uyu unogona kutorwa usati wadya kana kuti wapedza kudya. Zvisinei, kana ukanzwa chirungurira, zviri nani kuutora pamwe chete nechikafu .
- Ramba uchishandisa mushonga uyu kusvika chiremba wako akuudza kuti urege.
- Kana uri pamusoro pemakore makumi matanhatu nemashanu , unogona kunge uri kunzwa zviri nani pamushonga kupfuura munhuwo zvake, saka ungangoda kuderedzwa kwemushonga.
- Kana mushonga uyu ukapihwa vana , unofanira kungoitwa chete kana paine zvimwe zvirwere uye kana wapihwa mazano nachiremba.
Zvakakosha: Mushonga uyu ndewako chete. Usape shamwari kana hama yako mushonga uyu nekuti wakakubatsira. Unogona kuva nengozi.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Asi kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, enda kuEmergency Treatment Unit (ETU) iri pedyo nekukasika kana kufonera National Poisons Information Centre kuColombo National Hospital .
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Diclofenac mushonga unogona kushanda pamwe chete nemimwe mishonga, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
| Usambofa watora diclofenac pamwe chete nemishonga iyi. | |
|---|---|
| Cidofovir | Ketorolac |
| Methotrexate | |
| Matambudziko anogona kuitika nemishonga iyi zvakare - udza chiremba wako | |
| Doro | Aspirin nemimwe mishonga yakafanana nayo |
| Mishonga inodzivirira kuumbwa kweropa (semuenzaniso Warfarin, Apixaban) | Mishonga yeBP yakakwira |
| Mamwe maNSAID (semuenzaniso, Ibuprofen, Naproxen) | Mishonga yemhando yeSteroid (semuenzaniso, Prednisone) |
| Mimwe mishonga yekuderedza kushungurudzika (semuenzaniso Fluoxetine) | Mishonga inobvisa mvura mumuviri (diuretics) |
Rondedzero iyi haina kukwana. Udza chiremba wako nezve chero mavhitamini, mishonga yemiti, kana mimwe mishonga yauri kunwa usingatengeswi nechiremba.
Zvinhu zvekufunga nezvazvo kana uchitora mushonga
- Usatore mimwe mishonga inoderedza marwadzo: Paunenge uchitora mushonga uyu, usatore mimwe mishonga inoderedza marwadzo yeNSAID yakaita seaspirin neibuprofen. Kuita izvi kunowedzera njodzi yemigumisiro yakadai sekutsamwa mudumbu, kuda kurutsa, uye maronda mudumbu.
- Kubuda ropa mudumbu: Mushonga uyu unogona kukonzera maronda emudumbu akanyanya uye kubuda ropa pasina yambiro. Kana uine kurwadziwa mudumbu, kurutsa ropa, kurutsa chinhu chakaita sekofi yakakuyiwa, kana tsvina nhema, enda kuna chiremba nekukasika .
- Njodzi yekurohwa nemoyo uye sitiroko: Mushonga uyu haudziviriri kurwara nemoyo kana sitiroko. Kutaura zvazviri, njodzi iyi inogona kuwedzera kana ukashandisa mushonga uyu kwenguva yakareba kana kana uchitova nechirwere chemwoyo.
- Maitiro eganda: Dzimwe nguva, mavhiki mashoma mushure mekutanga mushonga, unogona kuona mapundu matsvuku, maronda, kana ganda richibuda pamwe chete nefivha nekurwadziwa kwemuviri. Kana izvi zvikaitika, taurira chiremba wako nekukasika.
- Kubata pamuviri: Kana uine pamuviri, taura nachiremba wako usati watora mushonga uyu. Kutora mushonga uyu, kunyanya pakati pemavhiki makumi maviri nemakumi matatu ekuzvitakura, kunogona kukuvadza mwana asati aberekwa. Usatore mushonga uyu mushure memavhiki makumi matatu.
- Kurara nedzungu: Mushonga uyu unogona kuita kuti unzwe hope kana dzungu. Saka, dzivisa kutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei.
Ndezvipi migumisiro inogona kutarisirwa?
| Kana uine zviratidzo izvi, enda kuna chiremba nekukasika. | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kubuda ropa | Tsvina ine ropa kana kuti yanonoka, kurutsa chinhu chinoita sechikafu chekofi, weti yakatsvuka/yakasviba. |
| Zviratidzo zvechirwere chemwoyo | Kurwadziwa kana kusimba muchipfuva, papfudzi, paruoko, kana pashaya, kuda kurutsa, kuoma kufema. |
| Zviratidzo zveSitiroko | Kunzwa kusanzwa kana kushaya simba kamwe kamwe pachiso, ruoko, kana gumbo, kuoma kutaura, kuoma kufamba, musoro wakanyanya. |
| Zviratidzo zvekukuvara kweitsvo kana chiropa | Kudzikira kweweti, kuzvimba kwemakumbo netsoka, kutsvuka kweganda nemaziso, uye kurwadziwa mudumbu rekumusoro kurudyi. |
| Kazhinji hazvina njodzi, asi kana zvikaramba zviripo, udza chiremba wako. | |
| Musoro | Kuda kudya |
| Kusvotwa | Kushungurudzika kwedumbu kana kusagadzikana |
Mharidzo Yekuenda Nayo Kumba
- Diclofenac mushonga unofanirwa kushandiswa uchirairwa nachiremba. Usautenge kupharmacy uye utore chero nguva yaunoda.
- Udza chiremba wako nezvezvirwere zvako zvese uye mishonga yako yese yaunotora.
- Kana uchinzwa kurwadziwa mudumbu, tsvina nhema, kana kurwadziwa pachipfuva paunenge uchitora mushonga uyu, tsvaga rubatsiro rwechiremba nekukasika.
- Vakadzi vane pamuviri, avo vari kuedza kubata pamuviri, uye vanaamai vanoyamwisa vanofanira kufunga kaviri vasati vashandisa mushonga uyu.
- Chengeta mushonga wacho zvakachengeteka patembiricha yemumba, kure nevana nezvipfuyo.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Diclofenac, piritsi rinonwiwa nemuromo?
Uyu mushonga une simba guru we'marwadzo (NSAID)' unowanikwa muma pharmacy (uchishandisa mazita ekuti Voltaren, Cataflam, nezvimwewo)! Une simba kupfuura ibuprofen. Vanachiremba vanoushandisa kukurumidza kuderedza 'kuzvimba nekuzvimba' kwakanyanya mumuviri, zvakaita sekurwadziwa kwemajoini, arthritis (Osteoarthritis/Rheumatoid Arthritis), kurwadziwa kwemusana, uye kurwadziwa kwakanyanya kwemudumbu kunoitika panguva yekuenda kumwedzi.
💬 Mushonga uyu (Diclofenac) unoderedza sei marwadzo emajoini/mhasuru?
Kana uchirwadziwa nemusana/majoini, muviri wedu unogadzira kemikari inonzi 'Prostaglandins'. Ndizvo zvinokonzera kurwadziwa nekuzvimba mumajoini! Kana Diclofenac ikapinda mumuviri, inovhara zvachose (inovhara zvakanyanya) fekitari inogadzira kemikari iyoyo (COX-1 & COX-2 enzymes). Zvadaro, hapana chiratidzo chekutumira zviratidzo zvekurwadziwa, saka kurwadziwa nekuzvimba zvinopera mukati memaminitsi.
💬 Ndedzipi njodzi dzine njodzi huru (Black Box Warnings) dzekuramba uchitora mapiritsi aya (Voltaren/Diclofenac)?
Kana ukanwa izvi uri mudumbu risina chinhu, unogona kuva nemaronda makuru mudumbu uye kubuda ropa mudumbu (saka kana ukaramba uchinwa, unofanira kunwa pamwe chete nechikafu pamwe chete nemushonga we'Omeprazole'). Imwe njodzi ine njodzi ndeyekuti njodzi ye'Heart attack' uye stroke' yakakura kwazvo! (Vanhu vane matambudziko emwoyo/bypass havafanirwe kutomboisa izvi mumuromo mavo!). Zvinogonawo kukonzera kukuvara kukuru kweitsvo (Nephrotoxicity).
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