Wake wanikezwa i-Celecoxib ngudokotela ngenxa yobuhlungu bamalunga, ubuhlungu bomhlane, noma isimo esifana ne-arthritis? Lesi isiqeda-zinhlungu esivamile esisetshenziswa abantu abaningi ezweni lethu. Kodwa kunezinto ezimbalwa okudingeka sizazi ngaphambi nangesikhathi sisisebenzisa. Ngoba njengayo yonke imithi, inezingozi ezithile kanye nezinyathelo zokuphepha. Ngakho ake sixoxe ngakho namuhla.
Uhlobo luni lomuthi i-Celecoxib?
Kalula nje, i-Celecoxib umuthi osetshenziselwa ukwelapha izimo ezifana nobuhlungu, ukuvuvukala, kanye ne-arthritis. Ingowesigaba semithi ebizwa ngokuthi ama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) . Kungenzeka ukuthi uke wezwa ngemithi efana ne-Ibuprofen, i-Naproxen, kanye ne-Diclofenac, nazo ezisemndenini ofanayo, kodwa ngendlela ehluke kancane, eyenzelwe ngqo ukunciphisa umthelela esiswini. Kodwa-ke, lokhu akuqedi ngokuphelele amathuba okuthinta isisu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kubaluleke kakhulu ukwazi umlando wakho wezokwelapha ophelele. Lo muthi ungase ungafaneleki kubantu abanezimo ezithile zezokwelapha, noma kungadingeka ukuthi usetshenziswe ngokuqapha okukhulu. Uma unezinye zezimo ezibalwe kuthebula elingezansi, qiniseka ukuthi wazisa udokotela wakho.
| Isimo/umkhuba wezokwelapha | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo senhliziyo, umfutho wegazi ophakeme, ukuhlaselwa yinhliziyo, isifo sohlangothi, ukuhlinzwa kwenhliziyo (CABG) | I-Celecoxib ingandisa kancane ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi, ngakho-ke ingaba yingozi kubantu asebenesifo senhliziyo kakade. |
| Ukopha esiswini noma emathunjini, i-gastritis, izilonda zesisu | Lomuthi wandisa ingozi yokopha kanye nezilonda esiswini nasemathunjini. |
| Isifo sezinso noma isifo sesibindi | Njengoba imithi ikhishwa emzimbeni ngalezi zitho zomzimba, uma ukusebenza kwazo kuphazamiseka, imithi inganqwabelana emzimbeni futhi yandise imiphumela emibi. |
| Isifuba somoya | Kwabanye abaguli be-asthma, imithi ye-NSAID ingenza isimo sabo sibe sibi kakhulu. |
| Ukuthatha imithi yokunciphisa igazi, izinkinga zokopha | I-Celecoxib iphinde yandise ingozi yokopha, ngakho-ke kuyingozi kakhulu ukuthatha lo muthi ndawonye. |
| Ukukhulelwa noma ukuzama ukukhulelwa, ukuncelisa | Lokhu kungaba yingozi enganeni, ikakhulukazi ezinyangeni zokugcina zokukhulelwa. |
| Ukuphuza utshwala, ukubhema | Le mikhuba ikhulisa kakhulu ingozi yemiphumela emibi njengokuphuma kwegazi esiswini. |
| Ukungezwani neminye imithi, ukudla, noma udayi | Uma une-allergy ku-aspirin noma kwamanye ama-NSAID, ungase ube ne-allergy ku-Celecoxib. |
Ungayisebenzisa kanjani imithi ngendlela efanele?
Lona umuthi okufanele uphuzwe nengilazi yamanzi. Njengoba udokotela eshilo, kubaluleke kakhulu ukuwuthatha ngesikhathi esifanele. Ungawuphuli, ungawuchobozi, noma uwuhlafune. Gwinya wonke. Ngezinye izikhathi, kulabo abanenkinga yokugwinya i-capsule, ungayivula ngokucophelela i-capsule, ufake impushana yomuthi esipunini, uyixube nento efana ne-applesauce, bese uyigwinya yonke ngesikhathi esisodwa. Kodwa noma kunjalo, ungayihlafuni impushana yomuthi. Gwinya ngokushesha.
Uma uneminyaka engaphezu kwengu-65 ubudala, ungadinga umthamo ophansi. Lokhu kungenxa yokuthi indlela umzimba wakho osabela ngayo emithini ingashintsha njengoba ukhula. Udokotela wakho uzokweluleka ngalokhu.
Kuthiwani uma ngengozi ngithatha umuthi omningi kakhulu?
Ungalibali. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Lo muthi ungowakho kuphela. Udokotela uwubhalele isimo sakho kanye nomzimba wakho. Ngakho-ke, ungalokothi unike abanye umuthi wakho.
Eminye imithi engase ihlangane ne-Celecoxib
Leli iphuzu elibaluleke kakhulu. I-Celecoxib umuthi ongasebenzisana neminye imithi eminingi. Kulokhu, amandla e-Celecoxib angancipha noma ande, noma amandla eminye imithi angashintsha. Into eyingozi kakhulu ukuthi ingozi yemiphumela emibi iyanda kakhulu.
Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi leyo enqunywe abanye odokotela, imithi yokubulala izinhlungu ethengwe ekhemisi, amavithamini, ngisho nemithi yendabuko) .
Qaphela kakhulu ngemithi elandelayo:
- Amanye ama-NSAID: Ungathathi imithi efana ne-Ibuprofen, i-Naproxen, i-Diclofenac, ne-Aspirin kanye nalo muthi. Ukwenza kanjalo kwandisa ingozi yokucasuka kwesisu, i-gastritis, kanye nezilonda zesisu.
- Izinto zokunciphisa igazi: Qiniseka ukuthi utshela udokotela wakho uma uthatha imithi efana neWarfarin, i-Apixaban, i-Dabigatran, noma i-Clopidogrel, ngoba ukuyithatha ndawonye kungandisa ingozi yokopha ngengozi.
- Imithi yomfutho wegazi ophezulu: I-Celecoxib ingathinta ukusebenza kahle kweminye imithi yomfutho wegazi.
- Imithi yokwehlisa umfutho wegazi: Ingathinta izinso.
- Ama-antidepressant athile
- Ama-Steroids: Uma kusetshenziswa imithi efana ne-Prednisolone, ingozi yokuba nezilonda esiswini iyanda.
- Eminye imithi ethile efana ne -Methotrexate, i-Lithium, ne-Digoxin .
Izinto okufanele uziqaphele lapho uthatha umuthi
Izilonda Zesisu Nokuphuma Komoya
Lena ingozi enkulu ye-NSAID. Ngezinye izikhathi ukuphuma kwegazi esiswini kungenzeka ngaphandle kwesixwayiso . Uma unezinye zalezi zimpawu, njengobuhlungu besisu, ubuhlungu obukhulu besisu, ukuhlanza igazi (elinsundu, njengekhofi), noma indle emnyama, ephuzile , yeka ukuthatha imithi ngokushesha bese ubona udokotela wakho noma uye esibhedlela. Ukubhema nokuphuza utshwala kwandisa le ngozi.
Ingozi Yokuhlaselwa Yinhliziyo Nokushaywa Yisifo Sohlangothi
I-Celecoxib ayivimbeli ukuhlaselwa yinhliziyo noma isifo sohlangothi. Kunalokho, ingandisa ingozi kancane uma isetshenziswa isikhathi eside futhi ngemithamo ephezulu. Le ngozi iphezulu kakhulu kubantu asebevele benesifo senhliziyo. Uma uthatha i-aspirin ukuvimbela ukuhlaselwa yinhliziyo, kufanele ukhulume nodokotela wakho ngayo ngaphambi kokuqala i-Celecoxib.
Ukukhulelwa Nokuzala
Uma ukhulelwe noma uzama ukukhulelwa, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuthatha lo muthi. Kufanele ugweme ikakhulukazi ukuthatha lo muthi ngemva kwamasonto angu-30 okukhulelwa, ngoba ungase ube yingozi enganeni engakazalwa.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Celecoxib ingabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo. Eminye iyingozi kakhulu, kanti eminye imnene.
| Izinhlobo zemiphumela emibi | |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu zokopha | Indle emnyama, ukuhlanza igazi noma into efana nekhofi eligayiwe, umchamo obomvu/onsundu, amabala abomvu/onsomi esikhumbeni. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu noma ukuqina esifubeni, ehlombe, engalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula. |
| Izimpawu zesifo sohlangothi | Ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izinkinga zezinso noma zesibindi | Ukwehla kokuphuma komchamo, ukuvuvukala kwamaqakala nezinyawo, ukuphuzi kwamehlo/isikhumba, ubuhlungu engxenyeni ephezulu kwesokudla yesisu. |
| Ukusabela okukhulu kwesikhumba | Umkhuhlane, ukubomvu, ukuqubuka, kanye nokuqhekeka kwesikhumba. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | I-Anorexia |
| Isicanucanu | Ukungakhululeki kwesisu/ukuvuvukala okuncane |
Umlayezo Wokuya Nawe Ekhaya
- I-Celecoxib iyi-NSAID esetshenziselwa ukwelapha ubuhlungu nokuvuvukala, kodwa ayifanele wonke umuntu.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zezempilo (ikakhulukazi izifo zenhliziyo, zesisu, nezezinso) kanye nayo yonke eminye imithi oyithathayo.
- Uma uhlangabezana nezimpawu ezinkulu njengobuhlungu besisu, indle emnyama, noma ubuhlungu besifuba ngenkathi uthatha umuthi, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukuthatha ezinye izidakamizwa zokunciphisa ubuhlungu (njenge-Ibuprofen, i-Aspirin) ngalokhu.
- Uma ukhulelwe noma uzama ukukhulelwa, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuthatha lo muthi.
- Lo muthi ungowakho wedwa. Ungawubelani nabanye. Uma unezinkinga, buza udokotela wakho.
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