Nawe ungase uzwe ubuhlungu bekhanda obungabekezeleleki, ubuhlungu bamazinyo, ubuhlungu bamalunga, noma izinhlungu zesisu ngesikhathi sokuya esikhathini, akunjalo? Ngezikhathi ezinjengalezi, abaningi bethu basheshe bafune umuthi wokuqeda izinhlungu. Ngakho-ke, i-Diclofenac umuthi abantu abaningi ezweni lethu abawusebenzisayo ngenxa yezinhlungu ezinjalo futhi uvame ukunconywa odokotela. Kodwa kunezinto eziningi okudingeka siziqaphele lapho sisebenzisa lo muthi. Namuhla, ake sixoxe ngezinto ezibaluleke kakhulu okudingeka uzazi ngaleli philisi le-Diclofenac.
Iyini i-Diclofenac?
Kalula nje, i-Diclofenac umuthi osetshenziselwa ukunciphisa ubuhlungu, ukuvuvukala, kanye nokungakhululeki okubangelwa yizimo ezifana ne-arthritis. Ingowesigaba semithi ebizwa ngokuthi i-NSAID (Non-Steroidal Anti-Inflammatory Drug) . Kungenzeka ukuthi uke wezwa ngemithi efana ne-Ibuprofen kanye ne-Naproxen. Ingowesigaba esifanayo semithi. Into eyinhloko eyenziwa yilo muthi ukuvimba umzimba ekukhiqizeni amakhemikhali abangela ubuhlungu nokuvuvukala.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi:
Lokhu kubaluleke kakhulu. Uma unezinye zezimo ezibalwe ngezansi, kufanele utshele udokotela wakho ngaphambi kokusebenzisa i-Diclofenac.
| Isifo noma umkhuba | Kungani udinga ukutshela udokotela? |
|---|---|
| Isifo senhliziyo, ukuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo | Lo muthi ungandisa ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi. |
| Ukuhlinzwa kwe-bypass kwakamuva (i-Coronary artery bypass graft - CABG) | Ukuthatha lo muthi ngemva kokuhlinzwa kuyingozi kakhulu. |
| Umfutho wegazi ophakeme | I-Diclofenac ingakhuphula umfutho wegazi kakhulu. |
| Izilonda zesisu noma ukopha | Lo muthi unobungozi obukhulu bezilonda zesisu nokopha. |
| Isifo sezinso noma sesibindi | Imithi ingathinta lezi zitho zomzimba. |
| Isifo se-asthma | Lo muthi ungase ungafaneleki kwabanye abaguli be-asthma. |
| Izinkinga zokopha noma ukuthatha imithi evimbela ukujiya kwegazi | Ingozi yokopha iphezulu kakhulu. |
| Ukuphuza noma ukubhema njalo | Kwandisa ingozi yemiphumela emibi njengokuphuma kwegazi esiswini. |
| Ukukhulelwa noma ukuzama ukukhulelwa, ukuba ngumama oncelisayo | Ukuthatha lokhu ngesikhathi sokukhulelwa, ikakhulukazi ezinyangeni ezintathu zokugcina, kungalimaza ingane. |
| Ukungezwani komzimba ne-Diclofenac noma eminye imithi noma ukudla | Kungase kube nokungezwani okukhulu komzimba. |
Kufanele uwusebenzise kanjani lo muthi?
- Phuza leli philisi nengilazi yamanzi .
- Yithathe nsuku zonke ngesikhathi esifanele, njengoba udokotela eshilo.
- Ungaliphuli, ulichoboze, noma ulihlafune iphilisi. Ligwinye lonke.
- Lo muthi ungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu esiswini, thatha kanye nokudla. Lokhu kuzonciphisa kakhulu ingozi yokuphazamiseka kwesisu.
- Qhubeka uyisebenzisa kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yimiphi eminye imithi engasebenzisana nalo muthi?
I-Diclofenac ingabangela izinkinga uma ithathwa neminye imithi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imithi yendabuko, ngisho nemithi ye-Ayurvedic.
Isexwayiso: Ungalokothi usebenzise imithi elandelayo ene-Diclofenac.
* I-Ketorolac (esinye isiqeda-zinhlungu esinamandla)
* I-Cidofovir
* I-Methotrexate
| Eminye imithi engabangela izinkinga nge-Diclofenac | |
|---|---|
| Utshwala | I-aspirini kanye nemithi efanayo |
| Imithi evimbela ukujiya kwegazi (isib. i-Warfarin) | Amanye ama-NSAID (isib., i-Ibuprofen, i-Naproxen) |
| Imithi yokucindezeleka kwegazi okuphezulu | Imithi yokukhipha amanzi emzimbeni (i-diuretics) |
| I-Lithium | I-Cyclosporine |
| Ama-steroid (isib. i-Prednisone) | I-Pemetrexed (umuthi wokulwa nomdlavuza) |
Izinto okufanele uziqaphele uma usebenzisa i-Diclofenac
Qaphela izilonda zesisu nokopha: Izilonda zesisu ezinkulu nokopha kungenzeka ngaphandle kwesixwayiso ngenkathi usebenzisa lo muthi. Uma unezinhlungu zesisu ezinzima, ukuhlanza okufana nekhofi, noma indle emnyama, ephuzile , lokhu kungaba izimpawu zokopha esiswini. Uma lokhu kwenzeka , bona udokotela ngokushesha.
Ingozi Yokuhlaselwa Yinhliziyo Nesifo Sohlangothi: I-Diclofenac akuyona imithi evimbela ukuhlaselwa yinhliziyo noma isifo sohlangothi. Eqinisweni, ukusetshenziswa isikhathi eside kwalo muthi kungandisa le ngozi, ikakhulukazi uma usuvele unesifo senhliziyo.
- Ungathathi eminye imithi yokubulala izinhlungu: Ungathathi eminye imithi yokubulala izinhlungu (ama-NSAID) njenge-Aspirin, i-Ibuprofen, noma i-Naproxen ngenkathi uthatha lo muthi. Ukwenza kanjalo kuzokwandisa kakhulu ingozi yemiphumela emibi njengezilonda zesisu.
- Gwema utshwala: Ukuphuza utshwala kungaphazamisa imiphumela yalo muthi futhi kwandise imiphumela emibi. Ngakho-ke gwema utshwala ngokuphelele.
- Ukusabela kwesikhumba: Ngezinye izikhathi, ukusabela okukhulu kwesikhumba kungenzeka emavikini ngemva kokuqala umuthi. Uma uzwa umkhuhlane, izinhlungu zomzimba, kanye nesikhumba esibomvu, esilumayo, esiqhumayo, noma esixebukayo, tshela udokotela wakho ngokushesha.
- Ukukhulelwa: Ungawuthathi lo muthi uma ukhulelwe, ikakhulukazi ngemva kwamasonto angu-30. Kungaba yingozi enganeni engakazalwa.
- Ukozela kanye nesiyezi: Uma uzwa ukozela noma isiyezi ngenkathi uthatha lo muthi, ungenzi noma yini edinga ukuqapha, njengokushayela noma ukusebenzisa imishini.
Imiphumela emibi engase ivele ngalo muthi
Njenganoma yimuphi umuthi, i-Diclofenac ingabangela imiphumela emibi. Eminye mincane, kodwa eminye idinga ukunakwa okukhethekile.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Umphumela ongemuhle | Izici eziyinhloko |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukopha | Indle emnyama, ukuhlanza okufana nekhofi eligayiwe, umchamo obomvu/onsundu omnyama, amabala abomvu/onsomi esikhumbeni. |
| Isifo senhliziyo | Ubuhlungu obukhulu esifubeni, ehlombe, engalweni, ubunzima bokuphefumula, ukujuluka. |
| Isifo sohlangothi | Ukungazweli/ukuba ndikindiki ngokuzumayo ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, ukuphuzi kwamehlo/isikhumba, umchamo ophuzi/onsundu omnyama. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla nezinyawo. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ikhanda elibuhlungu | Ukungakhululeki kwesisu, ukuvuvukala |
| Isifiso sokudla | Isicanucanu (ukuzizwa ugula) |
Umlayezo Wokuya Nawe Ekhaya
- I-Diclofenac umuthi okufanele usetshenziswe kuphela ngaphansi kweseluleko sikadokotela. Ungakhohlwa ukutshela udokotela wakho ngezimo zakho zezokwelapha kanye neminye imithi oyiphuzayo.
- Njalo phuza leli philisi kanye nokudla ukuze ugweme ukucasuka kwesisu.
- Gwema ngokuphelele ukuphuza utshwala kanye nokusebenzisa ezinye izidakamizwa zokunciphisa ubuhlungu njenge-Ibuprofen ngenkathi uthatha lo muthi.
- Uma ubona noma yiziphi izimpawu ezinkulu njengobuhlungu besifuba, ubunzima bokuphefumula, noma indle emnyama, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Uma ukhulelwe noma uhlela ukukhulelwa, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokusebenzisa lo muthi.
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