Chiremba wako akakunyorera mushonga unonzi Tolmetin wekurwadziwa kwemajoini, kuzvimba, kana arthritis here? Uyu mushonga unopiwa vanhu vazhinji munyika medu wekurwadziwa kwakasiyana-siyana. Saka, semushandisi wemushonga uyu, zvakakosha kuti uchengetedzeke kuziva zvese nezvawo. Nhasi, tichangotaura nezvemushonga uyu nezvinhu zvaunofanira kungwarira paunenge uchiushandisa.
Chii chinonzi Tolmetin?
Zvichitaurwa zviri nyore, Tolmetin mushonga wekurwadziwa kwemusoro. Panyaya dzezvekurapa, uri muboka remishonga inonzi NSAID (Non-Steroidal Anti-Inflammatory Drug) . Mhando idzi dzemishonga dzinonyanya kudzora marwadzo, kuzvimba, uye kuzvimba mumuviri. Mushonga uyu unogona kupa zororo kubva muzvinhu zvakaita sekurwadziwa kwemajoini, kurwadziwa kwetsandanyama, uye kusagadzikana kunokonzerwa nearthritis.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Izvi zvakakosha zvikuru. Usati wakupa Tolmetin, zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
- Zvirwere zvemwoyo kana matambudziko eropa: Kana uine BP yakakwira, chirwere chemwoyo, kutadza kushanda zvakanaka kwemoyo, kana kuti wakavhiyiwa ne bypass (Coronary Artery Bypass Graft - CABG).
- Matambudziko ekubuda ropa: Kana uine dambudziko rekugwamba kweropa kana mamwe matambudziko ekubuda ropa.
- Matambudziko emudumbu nemudumbu: Kana wakambova nemaronda emudumbu kana kubuda ropa mudumbu.
- Chirwere cheitsvo kana chechiropa: Kana uine chirwere cheitsvo kana chirwere chechiropa.
- Matambudziko ekufema: Kana uine zvirwere zvemapapu zvakaita seasthma.
- Zvimwe zvinhu: Kana uri munhu anonwa doro zvakanyanya, unosvuta , une masero matsvuku mashoma eropa, usina mvura mumuviri, kana kuti uri kutora mishonga inonzi steroid (semuenzaniso, prednisone).
- Kurwara: Kana uine allergy kuTolmetin, mimwe mishonga yeNSAID inoderedza marwadzo (semuenzaniso aspirin, ibuprofen), mimwe mishonga, chikafu kana mishonga yekuchengetedza.
- Kubata pamuviri nekuyamwisa: Zvakakosha kuzivisa chiremba wako kana uri kuedza kubata pamuviri, une pamuviri, kana kuti uri kuyamwisa .
Kutaura nachiremba wako usingavanzi ruzivo urwu hakungokubatsiri chete kuti ugare wakachengeteka, asi kuchakubatsirawo kuti uwane zvakanyanya kubva mumishonga yako.
Ndinofanira kushandisa mushonga uyu sei?
Kuti mushonga ushande zvakanaka, unofanira kushandiswa nemazvo.
- Tevedzera mirairo yachiremba wako: Inwa mushonga wawakanyorerwa nachiremba wako, panguva yakatarwa. Tevedzera mushonga wacho sezvawataura.
- Medza kapusule yese: Usapwanye, kupwanya, kana kutsenga kapusule iyi. Medza yese negirazi remvura.
- Mushonga uyu usati wadya kana kuti wapedza: Zviri nani kunwa mudumbu musina chinhu . Kureva kuti, maminetsi makumi matatu usati wadya, kana maawa maviri mushure mekudya .
- Kana mudumbu muine dambudziko: Vamwe vanhu vanogona kunzwa kutsamwa kana kusagadzikana mudumbu pavanenge vachitora mushonga uyu. Kana izvi zvikaitika, munogona kubvunza chiremba wenyu nezvekuutora nemushonga unoshanda pakurapa acid.
- Kana une makore anopfuura makumi matanhatu nemashanu ekuberekwa: Vanhu vakuru vanogona kunzwa simba remushonga uyu. Saka, vangangoda kuderedzwa kwemushonga. Chiremba wako achasarudzawo izvi.
- Kuvana: Kunyange zvazvo mushonga uyu uchigona kunyorerwa vana vane makore anopfuura maviri mune dzimwe nguva, matanho akakosha anodiwa.
Chii chaunofanira kuita kana ukarasikirwa nedosi kana kuti ukatora yakawandisa?
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.
Kuwedzerwa kwemushonga: Iyi idambudziko re emergency. Kana uchifunga kuti watora mushonga uyu wakawandisa, enda kuEmergency Department (ETU) iri pedyo nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Mimwe mishonga isingafanirwe kushandiswa nemushonga uyu uye inogona kukanganisana nawo
Kana uri kutora Tolmetin, unofanira kungwarira zvikuru pakushandisa mimwe mishonga. Inogona kukanganisa zvakanyanya mimwe mishonga.
| Kudyidzana kweMishonga neTolmetin | |
|---|---|
| Mishonga isingafanirwe kutorwa pamwe chete | |
| Cidofovir | Methotrexate |
| Mimwe mishonga nezvimwe zvinhu zvinogona kukonzera kusawirirana uye zvinofanira kutaurwa kuna chiremba | |
| Doro | Aspirin nemimwe mishonga ine aspirin |
| Mamwe maNSAID (semuenzaniso, Ibuprofen, Naproxen) | Mishonga yeBP |
| Mishonga inobvisa mvura mumuviri (diuretics) | Lithium |
| Mhando dzema steroid (Prednisone, Cortisone) | Mishonga yekudzivirira kuumbwa kweropa (semuenzaniso Warfarin) |
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini nemishonga yemishonga) .
Zvinhu zvekungwarira zvakanyanya paunenge uchitora mushonga
Zivai maronda emudumbu uye kubuda ropa.
Mushonga uyu unogona kukuvadza mudumbu, zvichikonzera maronda emudumbu uye kubuda ropa. Dzimwe nguva izvi zvinogona kuitika pasina yambiro . Kusvuta, kunwa doro, kukura, uye kuva nehutano husina kunaka zvinowedzera njodzi yako. Kana uine kurwadziwa kwakanyanya mudumbu, kurutsa ropa (senge kofi yakakuyiwa), kana kubuda tsvina nhema kana ine ropa , tsvaga rubatsiro rwechiremba nekukasika .
Njodzi yekurohwa nemoyo uye sitiroko
Kushandisa kwenguva refu mishonga yeNSAID yakaita seTolmetin kunogona kuwedzera njodzi yako yekubatwa nechirwere chemwoyo nestroke. Njodzi iyi inotowedzera kana uchitova nechirwere chemwoyo. Kana uri kutora aspirin kudzivirira kubatwa nechirwere chemwoyo, iva nechokwadi chekutaura nachiremba wako usati washandisa Tolmetin.
Zvingangoitika zvakakomba paganda
Vamwe vanhu vanogona kutanga kuita ganda rakakomba mushure memavhiki mashoma vatanga mushonga uyu. Udza chiremba wako nekukasika kana uine fivha, kurwadziwa kwemuviri, mapundu eganda matsvuku kana epepuru ayo anozobuda maronda, kana kuzvimba kwechiso kana miromo, pamwe chete nekuzvimba kwema lymph nodes.
Kana uine pamuviri uye uchitarisira mwana
Kutora mushonga uyu pakati pemavhiki makumi maviri nemakumi matatu ekuzvitakura kunogona kukuvadza mwana asati aberekwa. Saka, kana ukatora mushonga uyu panguva iyoyo, unofanira kunge uri pasi pekutarisirwa kwachiremba. Usatore mushonga uyu mushure memavhiki makumi matatu ekuzvitakura. Uyewo, mushonga uyu unogona kunge uine zvaungaita pakubatsira kubereka.
Kurara nedzungu
Mushonga uyu unogona kuita kuti unzwe hope kana dzungu. Saka, usatyaira motokari kana kushandisa michina kusvika waziva kuti mushonga wacho unokubatsira sei. Kunyanya kana wakwegura, usamuka kamwe kamwe kubva panzvimbo yawakagara. Simuka zvishoma nezvishoma.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Tolmetin inogona kukonzera migumisiro yakaipa. Mimwe yacho inogona kunge yakakomba, asi mimwe inowanzoonekwa.
| Migumisiro inogona kuitika yeTolmetin | |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kurwara | Mapundu paganda, kuvaviwa; kuzvimba kwechiso, miromo, rurimi. |
| Zviratidzo zvekubuda ropa | Tsvina nhema kana ine ropa; weti tsvuku kana dema; kurutsa kunoita sekunge kofi yakakuyiwa; mavanga matsvuku paganda; kubuda ropa kusingawanzoitiki kubva mumatadza kana mumhino. |
| Zviratidzo zvekugwamba kweropa | Kurwadziwa pachipfuva; kuoma kufema; kurwadziwa, kuzvimba, kana kudziya kwegumbo. |
| Chirwere chemwoyo/kutadza kwemoyo | Kuoma kufema; kurwadziwa kana kuomarara muchipfuva, mumutsipa, kana mumaoko; kuneta kusingawanzoitiki; kurova kwemoyo nekukurumidza kana kusina kurongeka; kuwedzera uremu kamwe kamwe; kuzvimba kwezvitsitsinho netsoka. |
| Zviratidzo zveSitiroko | Kuchinja kwekuona; kuvhiringidzika; kuoma kutaura kana kunzwisisa; musoro wakakomba; kusanzwa kana kushaya simba kwechiso, ruoko, kana gumbo kamwe kamwe. |
| Zviratidzo zvekukuvara kweitsvo/chiropa | Kuomerwa nekuita weti kana kuchinja huwandu hweweti; weti yero/brown yakasviba; maziso kana ganda kutsvuka; kurwadziwa mudumbu rekumusoro kurudyi; kushaya chido chekudya. |
| Migumisiro inowanzoonekwa, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Dzungu, musoro | Kupfuura nepeturu |
| Chirungurira, kurwadziwa mudumbu | Kurira munzeve |
| Manyoka, kuda kurutsa, kurutsa | |
Mharidzo Yekuenda Nayo Kumba
- Tolmetin mushonga unofanirwa kutorwa chete kana chiremba ataura. Tora mushonga wakanyorwa, sezvakarairwa.
- Udza chiremba wako nezvezvirwere zvese zvaunazvo (kunyanya matambudziko emwoyo, itsvo, dumbu) nemimwe mishonga yese yaunotora.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukasangana nematambudziko akakomba akadai sekurwadziwa mudumbu, tsvina nhema, kurwadziwa muchipfuva, kunetseka kufema, kana mapundu eganda akanyanya.
- Paunenge uchitora mushonga uyu, usatore mimwe mishonga inoderedza marwadzo yakaita seAspirin neIbuprofen usina mvumo yachiremba wako.
- Dzivisa kunwa doro paunenge uchitora Tolmetin. Zvinowedzera njodzi yekubuda ropa mudumbu.
- Kana uine pamuviri, uchiedza kuva nepamuviri, kana kuti uchiyamwisa, iva nechokwadi chekuti wataura nachiremba wako usati watora mushonga uyu.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi/makapisi eTolmetin / Tolectin mushonga une simba guru wechirwere chipi?
Iyi haisi Panadol (Paracetamol) yakajairika! Uyu mushonga une simba kwazvo, usingashandisi steroidal anti-inflammatory drug (NSAID) unopa kudzora kuzvimba, kuzvimba uye marwadzo emapfupa anokonzerwa ne osteoarthritis, rheumatoid arthritis uye juvenile rheumatoid arthritis (JIA) 100%.
💬 Kana majoini ako akazvimba uye achirwadza, ungabvisa sei marwadzo acho zvachose nekunwa mapiritsi aya (Tolmetin)?
Kana joini ikakuvara, muviri wedu unogadzira kemikari inonzi 'Prostaglandins' kuti iite kuti pave nekurwadziwa nekuzvimba/kutsvuka munzvimbo iyi. Kemikari iyoyo inogadzirwa neenzyme/muchina unonzi 'COX (Cyclooxygenase)'! Kana mushonga uyu wangopinda mumuviri, unovhara/kuvhara zvachose uye unovhara michina yese yeCOX (COX-1 neCOX-2). Zvadaro, muviri haugone kugadzira Prostaglandins, uye kuzvimba nekurwadziwa kwemajoini zvinoporeswa ipapo ipapo.
💬 Ndedzipi 'njodzi dzinouraya' (Black Box Yambiro) idzo vanhu vanonwa mushonga uyu une simba wekurwadziwa (Tolmetin) vanofanira kuziva?
Marwadzo apera, asi njodzi dzacho dzakakomba zvikuru! Njodzi huru ndeyekuti kana ukanwa izvi, ura/dumbu rako rinogona kubooka pasina yambiro, unogona kurutsa ropa (Gastrointestinal bleeding/ulcers) wofa! Chimwe chinhu chine njodzi huru ndechekuti njodzi ye 'kurwiswa kwemwoyo kamwe kamwe' uye stroke (Cardiovascular thrombotic events) inowedzera ne100%, kunyanya varwere vemwoyo havafanirwe kunwa izvi!
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