Iipilisi zeNaproxen kunye neEsomeprazole: Isisombululo sentlungu yakho yamalungu kunye nokudumba kwesisu?

Ngaba nawe unentlungu yamalungu, oko kukuthi, imeko efana ne-'Arthritis'? Ngamaxesha anjalo, i-painkiller ayifuneki, akunjalo? Kodwa ingxaki kukuba xa usela iintlungu, uqalisa ukudumba esiswini kunye ne-gastritis. Namhlanje siza kuthetha ngeyeza elinokunceda kuzo zombini ezo ngxaki. Eli yeza liyindibaniselwano yeepilisi ezibizwa ngokuba yi-naproxen kunye ne-esomeprazole. Usenokuba uyazi ngegama lebhrendi elithi `(Vimovo)`.

Yintoni le yeza? Ngamafutshane...

Oku ngokwenene kukudibanisa iintlobo ezimbini zamayeza.

1. Eyokuqala yiNaproxen . Le sisithomalalisi sentlungu esivela kudidi lwe-"NSAID", olumele iNonsteroidal Anti-Inflammatory Drug. Ngamafutshane, inceda ekunciphiseni iintlungu, ukudumba, kunye nokuqina kwamalungu akho.

2. Eyesibini yi- Esomeprazole . Eli liyeza elibizwa ngokuba yi-"PPI", oko kuthetha i-proton pump inhibitor. Lisebenza ngokunciphisa ubungakanani be-asidi eveliswa sisisu sakho.

Kwenzeka ntoni ke ngoko? Abanye abantu banamathuba amaninzi okuba nezilonda esiswini xa bethatha ii-NSAIDs ezifana neNaproxen. Eli yeza libizwa ngokuba yi-Esomeprazole longezwa ukunciphisa loo mngcipheko. Ngoko ke, iintlungu ziyancitshiswa, kwaye umonakalo onokubakho esiswini uyancitshiswa.

Oogqirha bangasebenzisa eli yeza nakwezinye izinto. Ukuba unemibuzo ngalo, buza ugqirha wakho okanye ikhemisti.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndiqalise eli yeza?

Kubaluleke kakhulu ukuxelela ugqirha wakho okanye ingcali yezempilo ngezi zinto ngaphambi kokuba uqale ukuthatha eli yeza. Ukuba unayo nayiphi na kwezi meko, eli yeza lisenokungakulungeli, okanye ungadinga unyango olukhethekileyo.

Nazi ezo zinto:

• Ukuba unesifo sokopha.
• Ukuba ukhe watyandwa intliziyo, oko kukuthi, iCoronary Artery Bypass Graft (CABG) kwiiveki ezimbini ezidlulileyo.
• Ukuba usela rhoqo.
• Ukuba ukhe wahlaselwa yintliziyo ngaphambili.
• Ukuba unesifo sentliziyo.
• Ukuba unesifo esibizwa ngokuba yi-'Heart failure'.
• Ukuba une-high blood pressure.
• Ukuba unezinga eliphezulu le-potassium egazini lakho.
• Ukuba unesifo sezintso.
• Ukuba unesifo sesibindi.
• Ukuba amanqanaba eeseli ezibomvu zegazi aphantsi, oko kuthetha ukuba unesifo esibizwa ngokuba yi-anemia.
• Ukuba unesifo semiphunga okanye sokuphefumla.
• Ukuba usebenzisa ii-steroids ezifana neDexamethasone okanye iPrednisone.
• Ukuba unesifo sokopha esiswini.
• Ukuba uneengxaki zesisu okanye zamathumbu.
• Ukuba usela amayeza anyanga okanye athintela ukuqhekeka kwegazi.
• Ukuba usebenzisa icuba.
• Ukuba une-allergy kwi-naproxen, i-esomeprazole, ezinye ii-NSAID (umz., i-ibuprofen), amanye amayeza, ukutya, iidayi zokwenziwa, okanye izithinteli.
• Ukuba uzama ukukhulelwa, okanye ukhulelwe okwangoku.
• Ukuba ungumama oncancisayo.

Ukuba kukho nayiphi na kwezi zinto ezikukhathazayo, ngokuqinisekileyo kulungile ukuxelela ugqirha wakho.

Ulisebenzisa njani eli yeza?

Eli yeza lifanele lithathwe ngomlomo kunye neglasi yamanzi. Kungcono ukulithatha ngexesha elifanayo yonke imihla , njengoko kuyalelwe kwileyibhile kagqirha.

Kubaluleke kakhulu: Musa ukuphula, ukutyumza, okanye ukuhlafuna le pilisi. Ginya yonke.

Eli yeza lifanele lithathwe ngaphambi kokutya, ungenanto esiswini . Lithathe ubuncinane imizuzu engama-30 ngaphambi kokutya. Qhubeka usela eli yeza de ugqirha wakho akuxelele ukuba uyeke.

Xa ufumana eli yeza kwikhemesti, uya kufumana nencwadana yemiyalelo ekhethekileyo (i-`MedGuide`). Kubalulekile ukuyifunda ngononophelo kunye nomyalelo ngamnye, ngalo lonke ixesha ufumana eli yeza.

Ngaba eli yeza linokunikwa abantwana?

Eli yeza linokunikwa abantwana abangaphezu kweminyaka eli-12 ubudala kwiimeko ezithile ezikhethekileyo. Kodwa kukho amanyathelo akhethekileyo okhuseleko. Ngoko ke, ukuba unika abantwana eli yeza, thetha nogqirha wakho ngalo ngononophelo kwaye ufumane ingcebiso.

Kuthekani ngabantu abangaphezu kweminyaka engama-65?

Ngokwesiqhelo, abantu abangaphezu kweminyaka engama-65 ubudala banokuziva iziphumo zale yeza zinamandla ngakumbi. Ke ngoko, banokufuna ukuba banikwe idosi ephantsi.

Kuthekani ukuba ndithatha amayeza amaninzi kakhulu? (Umthamo ogqithisileyo)

Ukuba ngempazamo uthabathe kakhulu eli yeza, oko kukuthi, ukuba uthatha i-overdose, yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele esikufutshane ngoko nangoko , okanye utsalele umnxeba kwiziko lokulawula ityhefu.

Inqaku elibalulekileyo: Eli yeza limiselwe wena wedwa. Musa ukwabelana ngalo nabanye, nokuba nabo bakwimeko efanayo neyakho.

Wenza ntoni ukuba uphoswe yintlanganiso yamayeza?

Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.

Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)

Ngoku, makhe sibone, kukho amanye amayeza angalunganga ukuwasebenzisa kunye nala mayeza. Oko kuthetha ukuba ukuwasebenzisa kunye kunokuba yingxaki enkulu:

• I-Atazanavir
• I-Cidofovir `(Cidofovir)`
• I-Ketorolac
• I-Mavacamten `(Mavacamten)`
• INelfinavir
• I-Rilpivirine

Kwakhona, kukho amanye amayeza anokubangela iziphumo ebezingalindelekanga ngeli yeza okanye achaphazele indlela elisebenza ngayo . Ukuba uthatha nayiphi na kwezi, kufuneka uxelele ugqirha wakho:

• Utywala
• I-Aspirin kunye neziyobisi ezifana ne-aspirin
• Amanye amayeza e-antiviral e-HIV okanye i-hepatitis
• Amanye amayeza athintela ukujiya kwegazi okanye anyanga ukujiya kwegazi, umzekelo: iWarfarin, iClopidogrel, iEnoxaparin, iDalteparin, iApixaban, iDabigatran, iRivaroxaban
• Amanye amayeza ezinto ezinje ngoxinzelelo lwegazi, isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
• Amanye amayeza asetyenziswa ukunyanga izifo zefungus, ezifana ne-ketoconazole, i-itraconazole, i-posaconazole, kunye ne-voriconazole
• I-Cilostazol `(Cilostazol)`
• I-Cyclosporine
• I-Diazepam `(Diazepam)`
• I-Digoxin
• I-Diuretics (amayeza abangela ukuba umchamo omninzi uphume)
• I-Erlotinib
• Iityuwa zesinyithi (ezifana nee-iron flakes)
• I-Lithium
• I-Methotrexate
• I-Mycophenolate
• Ezinye iintlobo ze-"NSAIDs", oko kukuthi, amayeza eentlungu nokudumba, njenge-"Ibuprofen"
• I-Pemetrexed
• I-Rifampin
• Ii-SNRI, ezisetyenziselwa ukunyanga iimeko ezinje ngokudakumba, umz. iDesvenlafaxine, iDuloxetine, iLevomilnacipran, iVenlafaxine
• Ii-SSRI (i-selective serotonin reuptake inhibitors) zoxinzelelo, umz. iCitalopram, i-Escitalopram, i-Fluoxetine, i-Fluvoxamine, i-Paroxetine, i-Sertraline
• I-St. John's Wort (iyeza lemifuno elisetyenziswa ngabanye)
• Amayeza e-steroid, anjenge-prednisone okanye i-cortisone
• I-Tacrolimus

Olu luhlu lusenokungaphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza kagqirha, athengiswa ngaphandle kwemvume kagqirha, amachiza esintu, iivithamini, okanye izongezo zesondlo), kunye nokuba usebenzisa icuba, usela utywala, okanye usela iziyobisi ezingekho mthethweni . Ezinye zezi zinto zinokudibana nala mayeza.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?

Bona ugqirha wakho rhoqo ukuze ubone ukuba iimpawu zakho ziyaphucuka okanye ziyanda.Ukuba isigulo sakho asiphucuki, okanye siba mandundu, xelela ugqirha wakho .

Musa ukuthatha amanye amayeza aqulethe i-aspirin, i-ibuprofen, okanye i-naproxen ngelixa usebenzisa eli yeza. Ukwenza njalo kunokunyusa umngcipheko weziphumo ebezingalindelekanga ezifana nokuphazamiseka kwesisu, isicaphucaphu, kunye nezilonda zesisu. Amayeza amaninzi athengiswa ngaphandle kwemvume kagqirha anokuba nezi zinto. Ngoko soloko ufunda ilebheli ngononophelo.

Enye into kukuba eli yeza linokubangela izilonda zesisu kunye nokopha kwamathumbu. Khumbula, ngamanye amaxesha oku kungenzeka ngequbuliso, ngaphandle kweempawu okanye iintlungu ekuqaleni. Ngoko ke kufuneka ulumke kakhulu. Le ngozi iphezulu kakhulu ukuba utshaya, usela utywala, umntu omdala, okanye umntu ongaphilanga kakuhle. Ukuba uneentlungu zesisu, uhlanza igazi, okanye uziva ngathi ukhupha igazi esitulweni sakho, kufuneka ufowunele ugqirha wakho ngoko nangoko.

Eli yeza alithinteli ukuhlaselwa yintliziyo okanye isifo sohlangothi. Enyanisweni, eli yeza linokunyusa kancinci umngcipheko wokuba nesifo sentliziyo okanye isifo sohlangothi. Eli yeza liyanda xa usebenzisa eli yeza ixesha elide, okanye ukuba sele unesifo sentliziyo. Ukuba uthatha i-aspirin ukuthintela ukuhlaselwa yintliziyo okanye isifo sohlangothi, thetha nogqirha wakho malunga nokusebenzisa eli yeza.

Eli yeza ngamanye amaxesha linokubangela ukusabela okukhulu kwesikhumba (`Ukusabela okukhulu kwesikhumba`). Oku kunokwenzeka kwiiveki okanye kwiinyanga emva kokuba uqalile iyeza. Ukuba ufumana ukurhawuzelela kwesikhumba kunye neempawu ezifana nomkhuhlane kunye neentlungu zomzimba, bona ugqirha wakho ngoko nangoko. Ukurhawuzelela kusenokuba bomvu okanye kube mfusa, emva koko kube namadyungudyungu kwaye kuqhekeke. Okanye unokuba nokurhawuzelela okubomvu ebusweni okanye emilebeni, okanye ii-lymph nodes ezivuvukileyo entanyeni okanye emakhwapheni.

Ukuba uceba ukukhulelwa, okanye ucinga ukuba ukhulelwe, thetha nogqirha wakho. Ukusela eli yeza emva kwexesha lokukhulelwa kunokubangela iziphene ezinkulu ekuzalweni komntwana wakho . Ukuba kufuneka ulisele eli yeza phakathi kweeveki ezingama-20 ukuya kwezingama-30 zokukhulelwa, ugqirha wakho uza kukujonga ngokusondeleyo. Akukhuthazwa ukulisela eli yeza emva kweeveki ezingama-30 zokukhulelwa.

Eli yeza linokuchaphazela ibhalansi yakho, ixesha lokuphendula, kunye nokukwazi kwakho ukwahlula okulungileyo kokubi . Ngoko ke, musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi kakuhle ukuba eli yeza likuchaphazela njani. Ukunciphisa isiyezi kunye nokuquleka, vuka kancinci kwindawo ohleli kuyo okanye ebhedini. Ukusela utywala ngelixa usebenzisa eli yeza kunokunyusa ezi ziphumo ebezingalindelekanga.

Lumka xa uhlamba amazinyo akho, ufaka i-floss, okanye usebenzisa amazinyo okuxuba. Eli yeza linokubangela ukopha kweentsini kunye nosulelo. Ukuba uza kwenziwa naluphi na uphando lwamazinyo, xelela ugqirha wamazinyo ukuba usela eli yeza.

Eli yeza lisenokuchaphazela ukuzala kwabanye abantu. Ukuba uneenkxalabo malunga noku, thetha nogqirha wakho.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Kukho iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho okanye iqela lezempilo ngokukhawuleza ukuba ziyenzeka. Ezi ziquka:

• Iimpendulo ze-allergy - ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Ukopha – Igazi elikwisitulo, isitulo esimnyama esirhabaxa, ukuhlanza okumdaka okanye okunegazi, umchamo obomvu/omdaka omnyama, amabala amancinci abomvu/omfusa eluswini, ukukrweleka, okanye ukopha okungaqhelekanga.
• Uhlaselo lwentliziyo – intlungu okanye ukuxinana esifubeni, emagxeni, ezingalweni, okanye emhlathini, isicaphucaphu, ubunzima bokuphefumla, ukubila okubandayo, ukuquleka, kunye nokuziva unesizungu.
• Ukusilela kwentliziyo – Ukuphefumla nzima, ukudumba kwamaqatha, iinyawo, okanye izandla, ukunyuka kobunzima ngequbuliso, kunye nokuziva udiniwe okanye ubuthathaka ngendlela engaqhelekanga.
• Ukunyuka koxinzelelo lwegazi.
• Ukulimala kwezintso – ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, okanye iinyawo.
• Ukulimala kwesibindi – intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, ukutyheli kwamehlo okanye ulusu, ukudinwa okanye ubuthathaka obungaqhelekanga.
• Inqanaba eliphantsi le-magnesium - iintlungu zemisipha okanye ukuqaqamba, ubuthathaka okanye ukudinwa okungaqhelekanga, ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo, ukungcangcazela.
• Izinga eliphantsi levithamini B12 - Intlungu, ukuba ndindisholo, okanye ukuphelelwa zimvakalelo ezandleni okanye ezinyaweni, ubuthathaka bemisipha, isiyezi, ubunzima bokugxila, ukudideka.
• Ukuqhambuka kwesikhumba, umkhuhlane, kunye nokudumba kwama-lymph nodes.
• Irhashalala eyenzeka ezidleleni okanye ezandleni kwaye iba mandundu xa itshiswa lilanga.
• Ububomvu, ukudumba, ukuxobuka, okanye ukuxobuka kwesikhumba (kunokwenzeka nangaphakathi emlonyeni).
• Urhudo oluqatha, umkhuhlane.
• Istroke – Ukungaziva mnandi okanye ubuthathaka ngequbuliso ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ukudideka, ubunzima bokuhamba, ukulahleka kokulinganisela, isiyezi, intloko ebuhlungu kakhulu, utshintsho embonweni.

Iziphumo ebezingalindelekanga ukuba zikhankanywe kugqirha, kodwa kufuneka zikhankanywe ukuba ziyaqhubeka okanye ziyakhathaza:

• Urhudo
• Intloko ebuhlungu
• Ukulahlekelwa ngumdla wokutya
• Isicaphucaphu
• Isisu esimoshakele
• Ukuhlanza

Ayizizo zonke iziphumo ebezingalindelekanga kolu luhlu ezinokwenzeka. Ukuba ubona nantoni na engaqhelekanga, thetha nogqirha wakho. Ungaxela neziphumo ebezingalindelekanga kwi-FDA ku-1-800-FDA-1088.

Ndingaligcina njani eli yeza?

Gcina kude nabantwana kunye nezilwanyana zasekhaya.

Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, phakathi kwe-59 kunye ne-86 degrees Fahrenheit) kude nokufuma. Gcina ibhotile ivaliwe kakuhle. Musa ukusebenzisa amayeza adlulile "umhla wokuphelelwa kwawo"; walahle.

Xa ulahla amayeza angasetyenziswanga naphelelwe lixesha:

• Bayise kwindawo enenkqubo "yokuthatha amayeza." Ungabuza ikhemesti yakho okanye amapolisa ngeendawo ezinjalo.
• Ukuba akukho ndlela yokuyibuyisela, jonga ilebheli yamayeza okanye ipakethi ukuze ubone ukuba amayeza afanele aphoswe kwinkunkuma okanye ahlanjwe kwindlu yangasese. Ukuba awuqinisekanga, buza ugqirha wakho okanye ikhemisti.
• Ukuba ungayilahla enkunkuma, khupha iyeza ebhotileni, ulixube nento efana nenkunkuma yekati, umhlaba, okanye ikofu, faka umxube ebhegini okanye kwisikhongozeli, uyivale, uze uyilahle enkunkuma.

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, ezi zezona zinto zibalulekileyo ekufuneka uzazi malunga neyeza iNaproxen kunye ne-Esomeprazole. Khumbula, esi sisishwankathelo nje. Ukuba unemibuzo malunga neli yeza, thetha nogqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo ukuze ufumane ulwazi oluthe kratya. Ungaze uqale, uyeke, okanye utshintshe umthamo weyeza ngaphandle kwengcebiso kagqirha wakho. Impilo yakho ibaluleke kakhulu kuwe!

I- Naproxen, i-Esomeprazole, i-Arthritis, ii-Painkillers, i-Gastritis, izilonda zesisu, iziphumo ebezingalindelekanga