Kungenzeka ukuthi udokotela wakho unqume amaphilisi e-Diclofenac ngenxa yobuhlungu bamadolo, ubuhlungu bomhlane, noma ezinye izinhlungu zomzimba. Lona umuthi wokuqeda izinhlungu ovame kakhulu ukusetshenziswa abantu abaningi. Kodwa-ke, njenganoma yimuphi umuthi, kunezinto ezimbalwa okudingeka siziqaphele lapho siwusebenzisa. Ngakho-ke namuhla, ake sixoxe ngala maphilisi e-Diclofenac, ikakhulukazi uhlobo lwe-Extended-Release, njengokungathi sikhuluma nomngane.
Iyini le diclofenac?
Kalula nje, i-diclofenac umuthi osetshenziselwa ukwelapha izimo ezinjengobuhlungu, ukuvuvukala, kanye ne-arthritis. Ingowesigaba semithi ebizwa ngokuthi ama-NSAID (Izidakamizwa Ezingezona Ezokuvuvukala Ezingezona Ezokwelapha) . Okusho ukuthi, imithi engezona eze-steroidal elwa nokuvuvukala.
I-"Extended-Release" (XR) isho ukuthi iphilisi likhipha umuthi emzimbeni isikhathi esingamahora athile. Lokhu kusho ukuthi udinga ukuwuthatha kanye kuphela ngosuku. Udokotela wakho kungenzeka ukuthi uwunike igama elithi "Voltaren-XR".
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuthi uqale ukusebenzisa i-diclofenac, kubalulekile ukutshela udokotela wakho ulwazi olulandelayo. Ungazifihli lezi zinto, ngoba zibaluleke kakhulu ekuphepheni kwakho.
| Isifo noma isimo | Incazelo |
|---|---|
| Isifo senhliziyo | Ingabe unezimo ezifana nesifo senhliziyo, ukuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo, umfutho wegazi ophakeme? Ingabe usanda (phakathi kwamasonto amabili) wahlinzwa nge-bypass (CABG)? |
| Izinkinga zesisu namathumbu | Wake waba nezilonda esiswini noma ukopha ngaphambili? |
| Isifo sezinso noma sesibindi | Ingabe unesifo sezinso noma sesibindi? |
| Izinkinga ezihlobene negazi | Ingabe unezinkinga zokopha, amazinga aphezulu e-potassium egazini, noma inani eliphansi lamaseli abomvu egazini (i-anemia)? Ingabe uthatha imithi evimbela ukujiya kwegazi? |
| Ezinye izifo nemikhuba | Izifo zokuphefumula ezifana ne-asthma, ukusetshenziswa kwemithi ye-steroid (njenge-prednisone), ukubhema, kanye nokuphuza utshwala njalo. |
| Ukukhulelwa nokuncelisa | Uzama ukukhulelwa? Ukhulelwe? Noma uncelisa? |
| Ukungezwani komzimba | Ingabe une-allergy ku-diclofenac, i-aspirin, amanye ama-NSAID, noma yimuphi omunye umuthi noma ukudla? |
Ngiyisebenzisa kanjani ngempela le mithi?
- Gwinya iphilisi: Ungaliphuli noma ulichoboze leli philisi, noma ulihlafune njengoshungamu . Gwinya lonke. Lokhu kungenxa yokuthi lenzelwe ukukhulula umuthi kancane kancane. Uma ulichoboza, wonke umuthi uzomuncwa emzimbeni wakho ngesikhathi esisodwa, okungandisa imiphumela emibi.
- Ngengilazi yamanzi: Phuza leli philisi nengilazi egcwele amanzi.
- Ngokudla: Ukuze unciphise ukucasuka kwesisu okungenzeka, kungcono ukukuthatha lokhu ngesikhathi sokudla noma ngemva kokudla.
- Yithathe ngesikhathi: Zama ukuyithatha ngesikhathi esifanayo nsuku zonke, njengoba udokotela wakho ekuyalele. Lokhu kuzosiza ekugcineni ukusebenza kahle komuthi.
- Ukuyeka: Ungayeki ukuthatha imithi ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke.
Kuthiwani uma uphuthelwa imithi yakho?
Cabanga ukuthi ukhohliwe ukuphuza iphilisi lakho lasekuseni. Lithathe ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo (isb., kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Ukweqisa umthamo)
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane ne-diclofenac
Eminye imithi ingabangela izinkinga uma ithathwa nge-diclofenac, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Imithi okungafanele ithathwe ndawonye | |
|---|---|
| I-Cidofovir | I-Ketorolac (olunye uhlobo lwe-NSAID) |
| I-Methotrexate | |
| Ezinye izinto nemithi engabangela izinkinga | |
| Utshwala | I-Aspirin namanye ama-NSAID (i-Ibuprofen, i-Naproxen) |
| Imithi evimbela ukujiya kwegazi (isib. i-Warfarin) | Imithi yokwelapha umfutho wegazi ophakeme |
| Imithi yokukhipha amanzi emzimbeni (i-diuretics) | I-Lithium, i-Cyclosporine, i-Pemetrexed |
| Izinhlobo zama-steroid (i-Prednisone, i-Cortisone) | Imithi yokwelapha i-osteoporosis (ukuncipha kwamathambo) |
Izinto okufanele uzicabangele lapho uthatha imithi
Ukopha kwesisu
Ingozi enkulu yokusebenzisa le mithi ukuthi kungenzeka ukuthi kube nezilonda esiswini kanye nokopha.
Akukho sixwayiso.Lesi simo singase senzeke ngisho noma ungenaye udokotela. Ukubhema, ukuphuza utshwala, ukuguga, kanye nempilo embi kwandisa ingozi. Uma unezinhlungu esiswini, ukuhlanza okufana nekhofi, noma indle emnyama, bona udokotela ngokushesha.
Ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi
Ama-NSAID afana ne-diclofenac angandisa kancane ingozi yakho yokuhlaselwa yinhliziyo noma isifo sohlangothi. Le ngozi iphakeme uma usebenzisa lo muthi isikhathi eside noma uma usuvele unesifo senhliziyo. Uma uthatha i-aspirin ukuvimbela ukuhlaselwa yinhliziyo, qiniseka ukuthi ukhuluma nodokotela wakho mayelana nokuthatha i-diclofenac.
Ukusabela kwesikhumba
Akuvamile ukuthi lo muthi ubangele ukusabela okukhulu kwesikhumba. Lokhu kungenzeka ngisho namasonto ambalwa ngemva kokuqala umuthi.
- Ukuqubuka okubomvu esikhumbeni okuhambisana nomkhuhlane kanye nokudinwa.
- Lezi zilonda zingaphenduka amabhamuza kamuva noma isikhumba singase siphuke.
- Amabala abomvu anokuvuvukala kobuso nezindebe.
Uma ubona izimpawu ezinjengalezi, xhumana nodokotela ngokushesha.
Ngesikhathi sokukhulelwa
Qaphela kakhulu ngalokhu uma ukhulelwe.
- Phakathi kwamasonto angama-20 kuya kwangama-30: Ukuthatha i-diclofenac phakathi nalesi sikhathi kungalimaza ingane esibelethweni. Ngakho-ke, yithathe kuphela uma kudingeka ngempela, ngaphansi kokuqashwa okuseduze kukadokotela.
- Ngemva kwamasonto angu-30: Ungawuthathi nhlobo lo muthi phakathi nezinyanga ezintathu zokugcina zokukhulelwa.
Imiphumela emibi engase ivele ngenxa yemithi
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokopha | Indle emnyama noma enegazi, ukuhlanza igazi elifana nekhofi eligayiwe, umchamo obomvu/onsundu omnyama, amabala amancane abomvu/onsomi esikhumbeni, kanye nokulunywa okungachazeki. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu/ukuqina esifubeni, ehlombe, engalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukuzizwa ubanda, ukuquleka. |
| Izimpawu zokwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Ukulimala kwezinso/isibindi | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala (izinso). / Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, ukuphuzi kwamehlo/isikhumba, umchamo ophuzi omnyama/onsundu (isibindi). |
| Izimpawu zesifo sohlangothi | Ukungazweli/ukuba ndikindiki kobuso, ingalo noma umlenze (ikakhulukazi ohlangothini olulodwa), ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ikhanda elibuhlungu | Isifiso sokudla |
| Isicanucanu | Ubuhlungu besisu |
Umlayezo Wokuya Nawe Ekhaya
- I-Diclofenac iyimithi ephumelelayo yokwelapha ubuhlungu nokuvuvukala, kodwa kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela.
- Ungawaphuli, uwachoboze, noma uwahlafune la maphilisi. Wagwinye wonke ngamanzi.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo kanye nanoma yiziphi izimo zezokwelapha onazo.
- Uma uzwa izimpawu ezifana nobuhlungu besisu, indle emnyama, ubuhlungu besifuba, noma ukusabela okukhulu kwesikhumba, funa iseluleko sezokwelapha ngokushesha .
- Gwema ukuthatha lo muthi ngesikhathi sokukhulelwa, ikakhulukazi ezinyangeni ezintathu zokugcina.
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