I-Diclofenac umuthi odokotela abavame ukuwunikeza uma sinesifo esifana nobuhlungu bomzimba, ubuhlungu bamalunga, noma isifo samathambo. Kungenzeka ukuthi nawe uke wawusebenzisa lo muthi. Kodwa awugcini nje ngokuqeda izinhlungu. Kunezinto eziningana okudingeka siziqaphele kakhulu lapho siwusebenzisa. Ake sixoxe ngalokho namuhla.
Iyini i-Diclofenac?
Kalula nje, i-diclofenac umuthi osetshenziselwa ukwelapha ubuhlungu obuncane kuya kobuphakathi, ukuvuvukala, kanye nezimo ezifana ne-arthritis. Ingowesigaba semithi ebizwa ngokuthi ama-NSAID (Izidakamizwa Ezingezona I-Steroidal Anti-Inflammatory) . Ngokukhethekile, isebenza ngokunciphisa ukukhiqizwa kwamakhemikhali emzimbeni wethu abangela ubuhlungu nokuvuvukala. ESri Lanka, lo muthi ungatholakala ngaphansi kwamagama emikhiqizo afana ne-Voltaren.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezokwelapha ngaphambi kokusebenzisa i-diclofenac. Lokhu kungenxa yokuthi kungaba yingozi ukusebenzisa lo muthi ezimweni ezithile zezokwelapha. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo sakho | Kungani kufanele unikeze ulwazi? |
|---|---|
| Izinkinga ezihlobene nenhliziyo: Izinto ezifana nomfutho wegazi ophakeme, ukuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo, kanye nokuhlinzwa kwamuva nje kwe-bypass (CABG). | Lo muthi ungandisa ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi. |
| Izingozi zokopha: Ukuthatha imithi yokunciphisa igazi, ukopha emathunjini, kanye nezinkinga zokopha. | I-Diclofenac yandisa ingozi yokopha esiswini namathumbu. |
| Isifo sezinso noma sesibindi | Ingozi yokulimala kwalezi zitho inganda. |
| Imikhuba yokuphila: Ukuphuza utshwala nokubhema njalo. | Le mikhuba ikhulisa kakhulu ingozi yezilonda zesisu. |
| Ezinye izimo zempilo: Isifuba somoya, i-Anemia, ukusetshenziswa kwama-steroid, ukuzama ukukhulelwa, ukukhulelwa, ukuncelisa, ukungezwani komzimba ne-Diclofenac noma eminye imithi. | Ngayinye yalezi zimo ingadinga ushintsho ohlelweni lokwelashwa noma ukunakekelwa okukhethekile. |
Ngingawusebenzisa kanjani umuthi?
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo lapho usebenzisa lo muthi.
- Ungaliphuli, ulichoboze, noma ulihlafune leli philisi. Lawa afika noqweqwe olukhethekile olwenzelwe ukuncibilika emathunjini (olumbozwe yi-Enteric). Ngakho-ke gwinya iphilisi lonke ngengilazi yamanzi.
- Uma uzwa ubuhlungu besisu lapho uthatha lo muthi, ukuwuthatha kanye nokudla kunganciphisa ukungakhululeki.
- Ungayeki ukuthatha umuthi kuze kube yilapho udokotela wakho ekuyala ukuthi uyeke.
- Uma uneminyaka engaphezu kwengu-65 ubudala, ungadinga umthamo ophansi. Udokotela wakho uzonquma.
- Uma ngephutha uthatha umuthi omningi kakhulu: Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Ngaphandle kwalokho, shayela i-National Poisons Information Centre e-Colombo National Hospital .
- Uma uphuthelwe umthamo: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Eminye imithi engase ihlangane nalo muthi
I-Diclofenac ingasebenzisana neminye imithi, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
Ikakhulukazi, ukuthatha i-diclofenac kanye nemithi i-Cidofovir, i-Ketorolac, ne-Methotrexate akuvunyelwe ngokuphelele.
Ngaphezu kwalokho, izinkinga zingase zivele ngalokhu okulandelayo:
- Utshwala
- I-aspirini neminye imithi efanayo
- Imithi yokucindezela kwegazi
- Imithi evimbela ukujiya kwegazi (isib. i-Warfarin)
- Amanye ama-NSAID (isib., i-Ibuprofen, i-Naproxen)
- Izinhlobo zama-steroid (isb. i-Prednisone)
- I-Lithium
- I-Cyclosporine
Izinto okufanele uziqaphele lapho uthatha umuthi
Ingozi yezilonda zesisu nokopha kwegazi
Lena ingozi enkulu nge-diclofenac. Izilonda zesisu nokopha kungenzeka ngaphandle kwesixwayiso . Ukubhema, ukuphuza utshwala, ukuguga kanye nempilo embi kwandisa le ngozi.
Uma unezinhlungu ezinkulu esiswini, uhlanza igazi (elinsundu, njengekhofi), noma unendle emnyama, ephuzi, kungaba uphawu lokopha esiswini. Uma lokhu kwenzeka, bona udokotela ngokushesha.
Ukuhlaselwa yinhliziyo kanye nengozi yokushaywa yisifo sohlangothi
I-Diclofenac akuyona imithi evimbela ukuhlaselwa yinhliziyo noma isifo sohlangothi. Eqinisweni, ukusebenzisa lo muthi isikhathi eside noma uma usuvele unesifo senhliziyo kungandisa ingozi yakho yokuhlaselwa yinhliziyo kanye nesifo sohlangothi.
Ngesikhathi sokukhulelwa
Uma ukhulelwe, kufanele ucabange kabili ngaphambi kokuthatha lo muthi. Ukuthatha lo muthi, ikakhulukazi phakathi kwamasonto angama-20 nama-30 okukhulelwa, kungalimaza ingane engakazalwa. Ngemva kwamasonto angama-30, ukuthatha lo muthi akuvunyelwe nhlobo.
Ukusabela okukhulu kwesikhumba
Ukusabela okukhulu kwesikhumba kungenzeka ngisho namasonto ambalwa ngemuva kokuqala umuthi. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezifana nomkhuhlane, izinhlungu zomzimba, amabhamuza abomvu noma onsomi esikhumbeni, noma isikhumba esixebukayo.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-diclofenac ingabangela imiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukopha | Indle emnyama/engasheshi, ukuhlanza igazi noma ikhofi, kanye nomchamo obomvu/onsundu omnyama. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu noma ukuqina esifubeni, ehlombe, noma engalweni, isicanucanu, ubunzima bokuphefumula. |
| Izimpawu zesifo sohlangothi | Ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izimpawu zokulimala kwezinso/kwesibindi | Ukwehla kokuphuma komchamo, ukuvuvukala kwamaqakala, ukuphuzi kwesikhumba noma amehlo, ubuhlungu engxenyeni ephezulu kwesokudla yesisu. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | - |
| Isicanucanu, ukungakhululeki esiswini | - |
| Isifiso sokudla | - |
Umlayezo Wokuya Nawe Ekhaya
- Ngaphambi kokuthatha i-diclofenac, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye neminye imithi oyithathayo.
- Gwinya leli philisi liphelele ngamanzi ngaphandle kokuliphula, ukulichoboza, noma ukulihlafuna. Uma unesisu esibuhlungu, lithathe kanye nokudla.
- Hlala uqaphele izimpawu zokopha esiswini, njengobuhlungu obukhulu besisu, indle emnyama, kanye negazi ekuhlanzeni. Uma lokhu kwenzeka, funa iseluleko sezokwelapha ngokushesha.
- Khumbula ukuthi lo muthi ungandisa ingozi yokuhlaselwa yinhliziyo noma isifo sohlangothi. Awuvimbeli lezi zifo.
- Gwema ukuthatha lo muthi ngesikhathi sokukhulelwa, ikakhulukazi ezinyangeni ezintathu zokugcina.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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