Ngaba ngamanye amaxesha ukhe ube nomkhwa wokuya ekhemesti uyokuthenga iyeza lokubulala iintlungu xa uneentlungu zamazinyo, intloko ebuhlungu, iintlungu zamalungu, okanye umzimba uqaqamba? Enye yezona ntlungu zixhaphakileyo yi-diclofenac. Le yiyeza lokubulala iintlungu elidumileyo nelisebenza ngokukhawuleza. Nangona kunjalo, njengawo onke amayeza, kukho izinto ekufuneka sizilumkele xa sisebenzisa eli. Ke namhlanje, masithethe ngalo mayeza okubulala iintlungu abizwa ngokuba yi-diclofenac.
Yintoni iDiclofenac?
Ngamafutshane, i-diclofenac liyeza elisetyenziselwa ukunyanga iintlungu ezincinci ukuya kweziphakathi, ukudumba, kunye ne-arthritis . Likwiqela lamayeza abizwa ngokuba yi-NSAIDs (Nonsteroidal Anti-inflammatory Drugs). Olu didi lwamayeza lusebenza ngokunciphisa ukuveliswa kweekhemikhali emizimbeni yethu ezibangela iintlungu nokudumba.
Eli yeza linokuba phantsi kwamagama eempawu ezahlukeneyo, njengeZipsor kunye neZorvolex. Kwakhona, ngamanye amaxesha ugqirha wakho unokukunika eli yeza kwezinye iimeko ezingakhankanywanga kweli nqaku. Ngoko ke ukuba unemibuzo, buza ugqirha wakho ngalo mba.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
I-Diclofenac ayiloyeza elifanele zonke iintlobo. Ukuba unenye yezi meko okanye imikhwa yempilo elandelayo, ngokuqinisekileyo kufuneka wazise ugqirha wakho ngaphambi kokuba usebenzise eli yeza.
| Isifo okanye imeko | Kutheni kubalulekile ukwazisa abantu ngayo? |
|---|---|
| Isifo sentliziyo, uhlaselo lwentliziyo, ukusilela kwentliziyo, okanye utyando lwakutshanje (kwiiveki ezi-2) lwe-coronary artery bypass grafting (CABG) | Kuba la mayeza anokunyusa umngcipheko wokuhlaselwa sisifo sentliziyo kunye nesifo sohlangothi. |
| Igazi elonyukayo | Eli yeza linokunyusa uxinzelelo lwegazi. |
| Izilonda zesisu okanye ukopha esiswini | I-Diclofenac yonyusa umngcipheko wokopha esiswini namathumbu. |
| Isifo sezintso okanye isifo sesibindi | Kuba eli yeza linokuchaphazela la malungu. |
| I-asthma okanye ezinye izifo zokuphefumla | Kwabanye abantu, isifo se-asthma sinokuba sibi kakhulu. |
| Ukuba uthatha amayeza okunciphisa igazi (umz. iWarfarin) | Kuba umngcipheko wokopha unganda kakhulu. |
| Ukuba usela utywala okanye utshaya rhoqo | Umngcipheko weziphumo ebezingalindelekanga ezifana nokopha esiswini uyanda. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa | Eli yeza linokuba yingozi kumntwana ngexesha lokukhulelwa nokuncancisa. |
| Ukuba une-allergies kwi-diclofenac, i-aspirin, okanye amanye amayeza, ukutya, okanye iidayi | Ukuthintela ukusabela okunamandla kwe-allergy. |
Ndingayisebenzisa njani le yeza?
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho xa usebenzisa eli yeza.
- Ginya ezi kapsuli ziphelele ngeglasi yamanzi . Musa ukuziqhekeza, ukuzityumza, okanye ukuzihlafuna.
- Zama ukuyithatha ngexesha elifanayo yonke imihla, njengoko ugqirha wakho ekuyalele.
- Eli yeza lingasetyenziswa ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba unesitshiso sentliziyo, kungcono ukulisebenzisa kunye nokutya .
- Qhubeka usebenzisa eli yeza de ugqirha wakho akuxelele ukuba uyeke.
- Ukuba ungaphezulu kweminyaka engama-65 ubudala , usenokuba novelwano ngakumbi kumayeza kunomntu oqhelekileyo, ngoko ke unokufuna idosi ephantsi.
- Ukuba eli yeza linikwa abantwana , kufuneka lenziwe kuphela kwiimeko ezikhethekileyo kwaye ngokwengcebiso kagqirha.
Kubalulekile: Eli yeza lelakho kuphela. Musa ukunika umhlobo okanye isalamane eli yeza kuba nje likuncedile. Linokuba yingozi.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Kodwa ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ucinga, yiya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ekufutshane ngoko nangoko okanye utsalele umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo .
Amanye amayeza anokusebenza kunye nale mayeza
I-Diclofenac liyeza elinokusetyenziswana namanye amayeza, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
| Ungaze uthathe i-diclofenac kunye nala mayeza. | |
|---|---|
| I-Cidofovir | I-Ketorolac |
| I-Methotrexate | |
| Iingxaki zinokubakho nangala mayeza - xelela ugqirha wakho | |
| Utywala | I-Aspirin kunye nezinye iziyobisi ezifanayo |
| Amayeza athintela ukujiya kwegazi (umz. iWarfarin, iApixaban) | Amayeza oxinzelelo lwegazi oluphezulu |
| Ezinye ii-NSAID (umz., i-Ibuprofen, i-Naproxen) | Amayeza ohlobo lwe-steroid (umz. i-Prednisone) |
| Amanye amayeza okudakumba (umz. iFluoxetine) | I-Diuretics (amayeza asusa amanzi emzimbeni) |
Olu luhlu aluphelelanga. Xelela ugqirha wakho ngazo naziphi na iivithamini, iimveliso zezityalo, okanye amanye amayeza owasebenzisa ngaphandle kwemvume kagqirha.
Izinto ekufuneka ziqwalaselwe xa usebenzisa iyeza
- Musa ukusebenzisa ezinye iintlungu: Xa usebenzisa eli yeza, musa ukusebenzisa ezinye iintlungu ze-NSAID ezifana ne-aspirin kunye ne-ibuprofen. Ukwenza njalo kwandisa kakhulu umngcipheko weziphumo ebezingalindelekanga ezifana nokurhawuzelelwa sisisu, isicaphucaphu, kunye nezilonda esiswini.
- Ukopha esiswini: Eli yeza linokubangela izilonda zesisu ezinzulu kunye nokopha ngaphandle kwesilumkiso. Ukuba unentlungu esiswini, ukuhlanza igazi, ukuhlanza into efana nekofu egayiweyo, okanye indle emnyama, bona ugqirha ngokukhawuleza .
- Ukuhlaselwa yintliziyo kunye nomngcipheko westroke: Eli yeza alithinteli ukuhlaselwa yintliziyo okanye istroke. Enyanisweni, le ngozi inokwanda xa usebenzisa eli yeza ixesha elide okanye ukuba sele unesifo sentliziyo.
- Iimpendulo zesikhumba: Ngamanye amaxesha, emva kweeveki ezimbalwa uqalile amayeza, unokufumana amaqhakuva abomvu, amadyungudyungu, okanye ulusu oluqhekekayo kunye nomkhuhlane kunye neentlungu zomzimba. Ukuba oku kuyenzeka, xelela ugqirha wakho ngoko nangoko.
- Ukukhulelwa: Ukuba ukhulelwe, thetha nogqirha wakho ngaphambi kokuba usebenzise eli yeza. Ukusela eli yeza, ingakumbi phakathi kweeveki ezingama-20 ukuya kwezingama-30 zokukhulelwa, kunokwenzakalisa usana olungekazalwa. Musa ukulisebenzisa eli yeza emva kweeveki ezingama-30.
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele okanye unesizungu. Ngoko ke, kuphephe ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani.
Zeziphi iziphumo ebezingalindelekanga ezinokulindelwa?
| Ukuba unale mpawu, bonana nogqirha ngokukhawuleza. | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukopha | Indle enegazi okanye ehlala ixesha elide, ukuhlanza into efana nekofu egayiweyo, umchamo obomvu/omdaka omnyama. |
| Iimpawu zokuhlaselwa yintliziyo | Intlungu okanye ukuqina esifubeni, egxalabeni, engalweni, okanye emhlathini, isicaphucaphu, ubunzima bokuphefumla. |
| Iimpawu zeStroke | Ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ubunzima bokuhamba, intloko ebuhlungu kakhulu. |
| Iimpawu zomonakalo wezintso okanye wesibindi | Ukuncipha kokuphuma komchamo, ukudumba kwamaqatha neenyawo, ukutyheli kolusu namehlo, kunye nentlungu esiswini esingaphezulu ngasekunene. |
| Akusoloko kuyingozi, kodwa ukuba kuyaqhubeka, xelela ugqirha wakho. | |
| Intloko ebuhlungu | Umnqweno wokutya |
| Isicaphucaphu | Ukuphazamiseka kwesisu okanye ukungakhululeki |
Umyalezo Wokuya Ekhaya
- I-Diclofenac liyeza elifanele lisetyenziswe phantsi kwengcebiso kagqirha. Musa ukulithenga kwikhemesti kwaye ulithathe ngokuthanda kwakho.
- Xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amayeza owasebenzisayo.
- Ukuba ufumana iintlungu zesisu, isitulo esimnyama, okanye iintlungu zesifuba ngelixa usebenzisa eli yeza, funa ingcebiso kagqirha ngokukhawuleza.
- Abafazi abakhulelweyo, abo bazama ukukhulelwa, kunye noomama abancancisayo kufuneka bacinge kabini ngaphambi kokusebenzisa eli yeza.
- Gcina iyeza ngokukhuselekileyo kubushushu begumbi, kude nabantwana nezilwanyana zasekhaya.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni iDiclofenac, ipilisi ethathwa ngomlomo?
Le 'yi-NSAID' enamandla kakhulu efumaneka rhoqo kwiikhemesti (phantsi kwegama elithi Voltaren, Cataflam, njl.njl.)! Inamandla kakhulu kune-ibuprofen. Oogqirha bayisebenzisa ukukhawulezisa ukunciphisa 'ukudumba kunye nokuvuvukala' okunzulu emzimbeni, okufana neentlungu zamalungu, isifo samathambo (i-Osteoarthritis/Rheumatoid Arthritis), iintlungu zomqolo, kunye neentlungu ezinzulu zesisu ezisezantsi ezenzeka ngexesha lokuya exesheni.
💬 Eli yeza (iDiclofenac) linceda njani intlungu yamalungu/yemisipha?
Xa uneentlungu zomqolo/amalungu, umzimba wethu uvelisa ikhemikhali ebizwa ngokuba yi-'Prostaglandins'. Yiyo loo nto ibangela iintlungu kunye nokudumba kwamalungu! Xa iDiclofenac ingena emzimbeni, iyayivala ngokupheleleyo (iyivala kakhulu) imboni eyenza loo khemikhali (ii-enzymes ze-COX-1 kunye ne-COX-2). Emva koko, akukho mqondiso wokuthumela imiqondiso yentlungu, ngoko ke iintlungu kunye nokudumba ziyanyamalala kwimizuzu embalwa.
💬 Zeziphi iingozi eziyingozi kakhulu (Isilumkiso seBlack Box) zokuqhubeka nokusela ezi pilisi (iVoltaren/iDiclofenac)?
Ukuba usela oku 'ungenanto esiswini', unokuba nezilonda zesisu ezinzulu kwaye uphume igazi emathunjini (ngoko ke ukuba uyaqhubeka nokusela, kufuneka ukusele nokutya kunye neyeza 'le-Omeprazole'). Enye ingozi eyingozi kukuba umngcipheko 'wokuhlaselwa yintliziyo' kunye nestroke' uphezulu kakhulu! (Abantu abaneengxaki zentliziyo/abangadluliyo akufuneki bafake oku emlonyeni wabo!). Kunokubangela nomonakalo omkhulu kwizintso (Nephrotoxicity).
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