Mapiritsi eNaproxen neEsomeprazole: Mhinduro yekurwadziwa kwemajoini ako uye kuzvimba kwedumbu?

Unewo kurwadziwa kwemajoini here, kureva chirwere chakadai se'Arthritis'? Panguva dzakadaro, mushonga wekurwadziwa haufanirwe kutorwa, handiti? Asi dambudziko nderekuti kana ukanwa mishonga yekurwadziwa, unotanga kuzvimba mudumbu uye gastritis. Nhasi tichataura nezvemushonga unogona kubatsira nematambudziko ese ari maviri. Mushonga uyu musanganiswa wemapiritsi anonzi naproxen ne esomeprazole. Ungangoziva nezita rekuti '(Vimovo)'.

Mushonga uyu chii? Zvichitaurwa zviri nyore...

Uku ndiko kusanganiswa kwemhando mbiri dzemishonga.

1. Yekutanga iNaproxen . Iyi inoderedza marwadzo kubva mukirasi ye "NSAID", iyo inomiririra Nonsteroidal Anti-Inflammatory Drug. Muchidimbu, inobatsira kuderedza marwadzo, kuzvimba, uye kuomarara kwemajoini ako.

2. Wechipiri ndiEsomeprazole . Uyu mushonga unonzi "PPI", zvinoreva kuti proton pump inhibitor. Unoshanda nekuderedza huwandu hweasidhi inoburitswa mudumbu mako.

Chii chinoitika ipapo? Vamwe vanhu vanowanzova nemaronda emudumbu kana vachitora mishonga yeNSAID yakaita seNaproxen. Mushonga uyu unonzi Esomeprazole unowedzerwa kuderedza njodzi iyoyo. Saka, marwadzo anodzikira, uye kukuvara kunogona kuitika mudumbu kunodzikira.

Vanachiremba vanogona kushandisa mushonga uyu pane zvimwe zvinhu. Kana muine mibvunzo nezvawo, bvunzai chiremba wenyu kana wemishonga.

Ndezvipi zvinhu zvandinofanira kuudza chiremba ndisati ndatanga mushonga uyu?

Zvakakosha zvikuru kuudza chiremba wako kana nyanzvi yehutano nezvezvinhu izvi usati watanga kutora mushonga uyu. Kana uine chimwe chezvirwere izvi, mushonga uyu ungasakodzera iwe, kana kuti ungangoda kutarisirwa kwakakosha.

Heano zvinhu izvozvo:

• Kana uine chirwere chekubuda ropa.
• Kana wakambovhiyiwa mwoyo, kureva Coronary Artery Bypass Graft (CABG) mukati memavhiki maviri apfuura.
• Kana uri munhu anonwa doro nguva dzose.
• Kana wakamborwara nemoyo kare.
• Kana uine chirwere chemwoyo.
• Kana uine chirwere chinonzi `Heart failure`.
• Kana uine BP yakakwira.
• Kana uine potassium yakawanda muropa rako.
• Kana uine chirwere cheitsvo.
• Kana uine chirwere chechiropa.
• Kana uine masero matsvuku eropa mashoma, zvinoreva kuti une chirwere chinonzi anemia.
• Kana uine chirwere chemapapu kana chekufema.
• Kana uri kushandisa ma steroid akadai seDexamethasone kana Prednisone.
• Kana mudumbu muine kubuda ropa.
• Kana uine matambudziko emudumbu kana ura.
• Kana uri kutora mishonga inorapa kana kudzivirira kuumbwa kweropa.
• Kana uri munhu anoshandisa fodya.
• Kana uine allergy ne naproxen, esomeprazole, mamwe maNSAID (semuenzaniso, ibuprofen), mimwe mishonga, chikafu, madhayi ekugadzira, kana zvinochengetedza.
• Kana uri kuedza kubata pamuviri, kana kuti uri nepamuviri parizvino.
• Kana uri amai vanoyamwisa.

Kana chimwe chezvinhu izvi chikaitika kwauri, zvakanaka kuudza chiremba wako.

Mushonga uyu munoshandiswa sei?

Mushonga uyu unofanira kunwiwa nemuromo negirazi remvura. Zvakanaka kuunwa panguva imwe chete zuva nezuva , sezvakarairwa papepa remushonga.

Zvakakosha: Usapwanye, usapwanye, kana kutsenga piritsi iri. Medza piritsi rese.

Mushonga uyu unofanira kutorwa usati wadya, mudumbu musina chinhu . Utore kwemaminitsi makumi matatu usati wadya. Ramba uchitora mushonga uyu kusvika chiremba wako akuudza kuti urege.

Kana wawana mushonga uyu kubva ku pharmacy, uchagamuchirawo kapepa kemirayiridzo kakakosha (`MedGuide`). Zvakakosha kuiverenga nokungwarira pamwe chete netsamba yega yega, pese paunowana mushonga.

Mushonga uyu ungapiwa vana here?

Mushonga uyu unogona kupihwa kuvana vane makore anopfuura gumi nemaviri mune dzimwe nguva. Asi pane matanho akakosha ekudzivirira. Saka, kana uri kupa mushonga uyu kuvana, taura nachiremba wako nezvazvo nokungwarira uye tsvaga mazano.

Zvakadini nevanhu vane makore anopfuura 65?

Kazhinji, vanhu vane makore anopfuura makumi matanhatu nemashanu ekuberekwa vanogona kunzwa simba remushonga uyu. Nokudaro, vangangoda kupiwa mushonga wakaderera.

Ko kana ndikatora mushonga wakawandisa? (Kunyanya kunwa mushonga)

Kana ukatora mushonga uyu wakawandisa netsaona, kureva kuti, kana ukatora zvinodhaka zvakanyanya, enda kuchipatara chiri pedyo nekukurumidza , kana kufonera nzvimbo inoona nezve chepfu.

Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Usaugovane nevamwe, kunyangwe vaine chirwere chakafanana newe.

Unoita sei kana ukarasikirwa nenguva yekurapwa nemishonga?

Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, 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.

Zvimwe zvinhu zvinogona kupindirana nemushonga uyu (Kudyidzana)

Zvino, ngationei, kune mimwe mishonga isingakodzeri kunwiwa nemushonga uyu. Izvi zvinoreva kuti kuitora pamwe chete kunogona kuva dambudziko guru:

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

Uyewo, kune mimwe mishonga inogona kukonzera migumisiro yakaipa pamushonga uyu kana kukanganisa mashandiro awo . Kana uri kutora chero ipi zvayo yeiyi, unofanira kuudza chiremba wako:

• Doro
• Mishonga yakaita seaspirin neaspirin
• Mimwe mishonga inorwisa utachiona yeHIV kana hepatitis
• Mimwe mishonga inodzivirira kuumbwa kweropa kana kurapa kuumbwa kweropa, semuenzaniso: Warfarin, Clopidogrel, Enoxaparin, Dalteparin, Apixaban, Dabigatran, Rivaroxaban
• Mimwe mishonga yekurapa zvinhu zvakaita seBP, chirwere chemwoyo, uye kurova kwemoyo kusina kurongeka
• Mimwe mishonga inoshandiswa kurapa hutachiona hwefungus, senge ketoconazole, itraconazole, posaconazole, uye voriconazole
• Cilostazol (Cilostazol)`
• Cyclosporine
• Diazepam `(Diazepam)`
• Digoxin
• Diuretics (mishonga inokonzera kuti weti yakawanda ibude)
• Erlotinib
• Munyu wesimbi (senge zvidimbu zvesimbi)
• Lithium
• Methotrexate
• Mycophenolate
• Mamwe marudzi e "NSAIDs", kureva, mishonga yekurwadziwa nekuzvimba, yakaita se "Ibuprofen"
• Pemetrexed
• Rifampin
• SNRIs, dzinoshandiswa kurapa zvirwere zvakaita sekuora mwoyo, semuenzaniso Desvenlafaxine, Duloxetine, Levomilnacipran, Venlafaxine
• SSRIs (selective serotonin reuptake inhibitors) yekuderedza kushungurudzika, semuenzaniso Citalopram, Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, Sertraline
• St. John's Wort (mushonga wemishonga unoshandiswa nevamwe)
• Mishonga yeSteroid, yakadai sePrednisone kana cortisone
• Tacrolimus

Rondedzero iyi ingasave yakakwana. Saka, udza chiremba wako nezvemishonga yese yauri kutora (inotorwa nachiremba, inotengeswa pasina kunyoreswa nechiremba, mishonga yemishonga, mavitamini, kana zvekudya zvinovaka muviri), pamwe chete kana uchishandisa fodya, unonwa doro, kana kuti ukashandisa zvinodhaka zvisiri pamutemo . Mimwe yemishonga iyi inogona kukanganisa mushonga uyu.

Ndezvipi zvinhu zvekungwarira pakushandisa mushonga uyu?

Enda kuna chiremba wako nguva nenguva kuti uone kana zviratidzo zvako zviri kuvandudzika kana kuti zvichiwedzera kuipa.Kana chirwere chako chikasavandudzika, kana kutowedzera kuipa, udza chiremba wako .

Usatore mimwe mishonga ine aspirin, ibuprofen, kana naproxen paunenge uchitora mushonga uyu. Kuita izvi kunogona kuwedzera njodzi yemigumisiro yakadai sekurwadziwa mudumbu, kuda kurutsa, uye maronda emudumbu. Mishonga yakawanda inotengeswa kunze kwechitoro chemishonga inogona kunge iine zvinhu izvi. Saka gara uchiverenga zviri papepa racho nokungwarira.

Chimwe chinhu ndechekuti mushonga uyu unogona kukonzera maronda emudumbu uye kubuda ropa mudumbu. Yeuka, dzimwe nguva izvi zvinogona kuitika kamwe kamwe, pasina zviratidzo kana kurwadziwa pakutanga. Saka unofanira kungwarira zvikuru. Njodzi iyi yakanyanya kukwira kana uri munhu anoputa fodya, anonwa doro, munhu mukuru, kana munhu asingawanzorwara. Kana uine kurwadziwa mudumbu, uchirutsa ropa, kana kunzwa sekunge uri kuburitsa ropa mutsvina yako, unofanira kufonera chiremba wako nekukasika.

Mushonga uyu haudziviriri chirwere chemwoyo kana sitiroko. Kutaura zvazviri, mushonga uyu unogona kuwedzera njodzi yako yekuva nechirwere chemwoyo kana sitiroko zvishoma. Njodzi iyi inowedzera kana ukashandisa mushonga uyu kwenguva yakareba, kana kuti kana uchitova nechirwere chemwoyo. Kana uri kutora aspirin kudzivirira chirwere chemwoyo kana sitiroko, taura nachiremba wako nezvekushandisa mushonga uyu.

Mushonga uyu dzimwe nguva unogona kukonzera matambudziko eganda (`Matambudziko eganda akakomba`). Izvi zvinogona kuitika mavhiki kana mwedzi mushure mekutanga mushonga. Kana ukawana mapundu eganda pamwe chete nezviratidzo zvakaita sefivha nekurwadziwa kwemuviri, ona chiremba wako nekukasika. Mapundu anogona kutsvuka kana kutsvukuruka, obva aita maronda uye obva abuda. Kana kuti ungave nepundu dzvuku pachiso chako kana pamiromo, kana kuti ma lymph nodes akazvimba mumutsipa kana muhapwa.

Kana uchironga kubata pamuviri, kana kuti uchifunga kuti ungave nepamuviri, taura nachiremba wako. Kutora mushonga uyu panguva yekupedzisira yekuzvitakura kunogona kukonzera matambudziko makuru ekuzvarwa kwemwana wako . Kana uchida kutora mushonga uyu pakati pemavhiki makumi maviri nemakumi matatu ekuzvitakura, chiremba wako achakutarisa zvakanyanya. Kutora mushonga uyu mushure memavhiki makumi matatu ekuzvitakura hakukurudzirwi.

Mushonga uyu unogona kukanganisa kuenzana kwako, nguva yekuita kwako, uye kugona kwako kusarudza zvakanaka nezvakaipa . Saka, usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Kuti uderedze dzungu uye kupera simba, simuka zvishoma nezvishoma kubva panzvimbo yawakagara kana kubva pamubhedha. Kunwa doro paunenge uchitora mushonga uyu kunogona kuwedzera migumisiro iyi.

Chenjerera paunenge uchikwesha mazino ako, uchipukuta mazino netsvina, kana kushandisa mazino ekupinza mazino. Mushonga uyu unogona kukonzera kubuda ropa mumatadza uye hutachiona. Kana uchida kuvhiyiwa mazino, udza chiremba wako wemazino kuti uri kutora mushonga uyu.

Mushonga uyu unogona kukanganisa kubereka kwevamwe vanhu. Kana uine zvinokunetsa nezvazvo, taura nachiremba wako.

Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?

Pane zvimwe zvinokanganisa zvaunofanira kuudza chiremba wako kana timu yehutano nekukurumidza kana zvikaitika. Izvi zvinosanganisira:

• Kurwara nepfungwa - mapundu eganda, kuvaviwa, mapundu, kuzvimba kwechiso, miromo, rurimi, kana pahuro.
• Kubuda ropa – Ropa mutsvina, tsvina nhema, kurutsa kwebrown kana ropa, weti tsvuku/tsvuku yakasviba, mavanga madiki matsvuku/pepuru paganda, mavanga, kana kubuda ropa kusingawanzoitiki.
• Kurwara nemoyo - kurwadziwa kana kuomarara muchipfuva, pamafudzi, mumaoko, kana pashaya, kuda kurutsa, kunetseka kufema, kudikitira nechando, kupera simba, uye kunzwa dzungu.
• Kutadza kushanda zvakanaka kwemoyo - Kushaya mweya wekufema, kuzvimba kwezvitsitsinho, tsoka, kana maoko, kuwedzera uremu kamwe kamwe, uye kunzwa kuneta kana kushaya simba zvisingawanzoitiki.
• Kuwedzera kweBP.
• Kukuvara kweitsvo - kudzikira kwemvura inobuda mutsvina, kuzvimba kwezvitsitsinho, maoko, kana tsoka.
• Kukuvara kwechiropa - kurwadziwa mudumbu, kurasikirwa nechido chekudya, kuda kurutsa, tsvina ine ruvara rwakajeka, weti yero kana yero, maziso kana ganda kuita yero, kuneta kana kushaya simba kusingawanzoitiki.
• Kuderera kwemagnesium - kurwadziwa kwetsandanyama kana kurwadziwa kwemoyo, kushaya simba kana kuneta kusingawanzoitiki, kurova kwemoyo nekukurumidza kana kusina kurongeka, kudedera.
• Kuderera kwevhitamini B12 - Marwadzo, kusanzwa, kana kurasikirwa nemanzwiro mumaoko kana tsoka, kushaya simba kwetsandanyama, dzungu, kuoma kwekutarisa, kuvhiringidzika.
• Mapundu paganda, fivha, uye kuzvimba kwema lymph nodes.
• Mapundu anoitika pamatama kana mumaoko uye anotowedzera kuipa kana akapiswa nezuva.
• Kutsvuka, matumbu, kukwesha, kana kukwesha ganda (zvinogona kutoitika mumuromo).
• Manyoka akanyanya, fivha.
• Sitiroko - Kunzwa kusanzwa kana kushaya simba kamwe kamwe pachiso, ruoko, kana gumbo, kuoma kutaura, kuvhiringidzika, kuoma kufamba, kurasikirwa nepfungwa dzakanaka, dzungu, musoro wakanyanya, kuchinja kwekuona.

Migumisiro isingawanzodi kutaurwa kuna chiremba, asi inofanira kutaurwa kana ikaramba iripo kana kuti ichinetsa:

• Manyoka
• Musoro
• Kurasikirwa nechido chekudya
• Kusvotwa
• Dumbu rakagumbuka
• Kurutsa

Hazvisi zvese zvinokanganisa zviri pane urongwa uhwu zvinogona kuitika. Kana ukaona chimwe chinhu chisingawanzoitiki, taura nachiremba wako. Unogona zvakare kuudza FDA nezvemigumisiro yacho panhamba 1-800-FDA-1088.

Ndinofanira kuchengeta sei mushonga uyu?

Chengeta kure nevana nezvipfuyo.

Chengeta patembiricha yemumba (pakati pe15 ne30 degrees Celsius, pakati pe59 ne86 degrees Fahrenheit) kure nehunyoro. Chengeta bhodhoro rakavharwa zvakanaka. Usashandise mishonga yapfuura "zuva rekupera"; irasire kure.

Pakurasa mishonga isina kushandiswa uye yapera:

• Vaendese kunzvimbo ine "chirongwa chekutora mishonga." Unogona kubvunza chitoro chemishonga kana mapurisa nezvenzvimbo dzakadaro.
• Kana pasina nzira yekudzosera mushonga wacho, tarisa papepa remushonga kana paki kuti uone kana mushonga wacho uchifanira kurasirwa mumarara kana kusundirwa muchimbuzi. Kana usina chokwadi, bvunza chiremba wako kana wemishonga.
• Kana uchikwanisa kuukanda mumarara, bvisa mushonga mubhodhoro, uusanganise nechimwe chinhu chakaita semarara ekatsi, ivhu, kana kofi, isa musanganiswa wacho mubhegi kana mugaba, uvhare, woukanda mumarara.

Pakupedzisira, zvinhu zvekurangarira

Saka, izvi ndizvo zvinhu zvakakosha zvaunofanira kuziva nezvemushonga weNaproxen neEsomeprazole. Yeuka, iyi ingori pfupiso. Kana uine mibvunzo nezvemushonga uyu, taura nachiremba wako, wemishonga, kana mumwe mupi wehutano kuti uwane rumwe ruzivo. Usambofa watanga, wamisa, kana kuchinja mushonga usina kurairwa nachiremba wako. Hutano hwako hwakakosha kwauri!

Naproxen , Esomeprazole, Arthritis, Marwadzo, Gastritis, Maronda emudumbu, Migumisiro Yakashata