Ngezinye izikhathi, ngobuhlungu obukhulu emzimbeni, isibonelo, ubuhlungu bamalunga, ubuhlungu bomhlane, noma ubuhlungu ngemva kokuhlinzwa, udokotela angakunika umjovo wokubulala izinhlungu. Phakathi kwalokhu, omunye wemijovo evame ukusetshenziswa abantu abaningi abake bezwa ngawo yi-Diclofenac. Ngakho-ke, nakuba lokhu kuyisibulali-zinhlungu esinamandla, kunezinto ezithile okudingeka siziqaphele kakhulu lapho sisisebenzisa. Ake sixoxe ngalokhu ngemininingwane ethe xaxa futhi namuhla.
Iyini i-Diclofenac?
Kalula nje, i-diclofenac iyisidakamizwa esiqeda izinhlungu. Ingeyohlobo lwemithi ebizwa ngokuthi ama-NSAID (Izidakamizwa Ezingezona Ezokuvuvukala) . Lokhu kusho ukuthi iyimithi engeyona eye-steroidal, elwa nokuvuvukala enciphisa ukuvuvukala nobuhlungu emzimbeni. Umsebenzi oyinhloko walo muthi ukulawula inqubo yamakhemikhali ebangela ubuhlungu bakho, ukunciphisa ukuvuvukala, nokukunikeza impumuzo. Ngokuvamile inikezwa esibhedlela noma emtholampilo ngenxa yezimo zobuhlungu zesikhashana, ezinzima.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?
Lokhu kubaluleke kakhulu. Ngaphambi kokuthatha umjovo we-diclofenac, kubalulekile ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Ngoba ukusebenzisa lo muthi ezimweni ezithile zezokwelapha kungaba yingozi.
Ake sithi usuvele une-gastritis. Umuthi ofana ne-Diclofenac unethuba elikhulu lokulimaza ulwelwesi lwesisu. Ngakho-ke uma udokotela ekwazi lokho, angakunika omunye umuthi, noma awunike kanye nomunye umuthi wokuvikela isisu. Ngakho-ke, mtshele lezi zinto ngaphandle kokufihla lutho.
Uma unezinye zezimo ezilandelayo, qiniseka ukuthi wazisa udokotela wakho.
| Isimo noma umkhuba | Isizathu sokukhathazeka |
|---|---|
| Isifo senhliziyo, ukuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo , noma ukuhlinzwa kwamuva nje kwe-bypass (CABG) | I-Diclofenac ingandisa ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi. |
| Umfutho Wegazi Ophakeme | Lokhu kungandisa kakhulu umfutho wegazi. |
| Ukopha, i-gastritis, noma izilonda esiswini noma emathunjini | Lomuthi wandisa ingozi yezilonda zesisu nokopha. |
| Isifo sezinso noma sesibindi | Kukhona ingozi yokulimala kwalezi zitho zomzimba. |
| I-asthma noma ezinye izifo zokuphefumula | Lo muthi ungase ungavunyelwe kwabanye abanesifo sofuba. |
| Ukusetshenziswa kwemithi yokunciphisa igazi (isib. i-Warfarin, i-Apixaban) | Ingozi yokopha iphezulu kakhulu. |
| Ukukhulelwa , ukuzama ukukhulelwa, noma ukuncelisa | Lokhu kungaba yingozi ngesikhathi sokukhulelwa (ikakhulukazi ezinyangeni ezi-3 zokugcina) kanye nakomama abancelisayo. |
| Ukubhema noma ukuphuza uphuzo oluningi | Le mikhuba yandisa ingozi yemiphumela emibi njengokuphuma kwegazi esiswini. |
| Ezinye izinto ezibangela ukungezwani komzimba (i-Diclofenac, i-Aspirin noma eminye imithi, ukudla) | Lokhu kubalulekile ukuvimbela ukusabela okukhulu kokungezwani komzimba. |
Uyisebenzisa kanjani le injection?
Lona akuwona umuthi ongawuthatha ekhaya. Umjovo we-Diclofenac ufakwa emthanjeni esibhedlela noma emtholampilo ngudokotela noma abasebenzi abaqeqeshiwe bobuhlengikazi.
- Kwabantwana:Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lokhu ezinganeni ezincane. Ngakho-ke, kubalulekile ukulandela imiyalelo kadokotela.
- Kwabadala: Abantu abangaphezu kweminyaka engama-65 bangase babe nomuzwa ongcono ngemiphumela yalo muthi, ngakho-ke bavame ukunikezwa umthamo ophansi.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Ukudlula umthamo)
Lokhu akunakwenzeka ukuthi kwenzeke njengoba kunikezwa esibhedlela. Kodwa-ke, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital noma i-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto ezibalulekile okufanele uzicabangele lapho uthatha i-Diclofenac
Ukuze uphephe, qaphela la maphuzu ngenkathi uthatha lo muthi.
- Ungaphuzi eminye imithi yokubulala izinhlungu: Ngesikhathi uphuza lo muthi, ungaphuzi eminye imithi yokubulala izinhlungu ye-NSAID efana ne-aspirin, i-ibuprofen, noma i-naproxen ngaphandle kokubonisana nodokotela wakho. Ukwenza kanjalo kwandisa ingozi yemiphumela emibi njengokucasuka kwesisu, isicanucanu, kanye nezilonda zesisu.
- Ukopha esiswini: Lena ingozi enkulu. Izilonda zesisu nokopha kungenzeka ngaphandle kwesixwayiso . Uma uzwa ubuhlungu besisu, ukuhlanza okufana nekhofi, noma indle emnyama, tshela udokotela wakho ngokushesha.
- Ukuhlaselwa yinhliziyo kanye nengozi yokushaywa yisifo sohlangothi: Khumbula, lo muthi awuvimbeli ukuhlaselwa yinhliziyo noma isifo sohlangothi. Eqinisweni, ukuqhubeka nokusebenzisa kungandisa ingozi. Uma uthatha i-aspirin ukuvimbela ukuhlaselwa yinhliziyo, kufanele ukhulume nodokotela wakho ngaphambi kokuthatha i-diclofenac.
- Utshwala: Gwema ukuphuza utshwala. Utshwala kwandisa ingozi yokopha esiswini.
- Ukusabela kwesikhumba: Ngezinye izikhathi, ngisho namasonto ambalwa ngemva kokuqala lo muthi, ukusabela okukhulu kwesikhumba kungaba khona. Funa usizo lwezokwelapha ngokushesha uma uzwa ukuqubuka okubomvu, ukuqubuka kwesikhumba, noma ukuvuvukala kobuso noma izindebe kanye nomkhuhlane, ubuhlungu bomzimba, noma ukuqubuka.
- Ukukhulelwa: Uma ukhulelwe, khuluma nodokotela wakho ngaphambi kokuthatha lo muthi. Ukuthatha lo muthi phakathi kwamasonto angama-20 kuya kwangama-30 okukhulelwa kungalimaza ingane engakazalwa. Udokotela wakho uzowunikeza kuphela uma kudingeka ngempela, ngaphansi kokuqashwa okuseduze. Ungawuthathi lo muthi ngemva kwamasonto angama-30.
- Ukozela kanye nesiyezi: Ungase uzizwe ulele futhi unesiyezi lapho uthatha lo muthi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lokhu kukuthinta kanjani.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-diclofenac ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokopha | Indle emnyama noma ephuzile, ukuhlanza okufana nekhofi eligayiwe, umchamo obomvu noma onsundu omnyama, amabala abomvu/onsomi esikhumbeni. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu noma ukuqina esifubeni, ehlombe, engalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukungabi namandla noma ubuthakathaka bobuso, ingalo, noma umlenze ngokuzumayo, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba. |
| Ukulimala kwezinso noma kwesibindi | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala nezinyawo, ukuphuzi kwesikhumba noma amehlo, ubuhlungu engxenyeni ephezulu kwesokudla yesisu. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Kungase kube khona ikhanda elibuhlungu elijwayelekile. |
| Isicanucanu kanye nokungakhululeki esiswini | Kungase kube nokuphazamiseka kwesisu kanye nesicanucanu. |
Umlayezo Wokuya Nawe Ekhaya
- I-Diclofenac iyisiqeda-zinhlungu esinamandla esinikezwa esibhedlela ngenxa yobuhlungu obukhulu.
- Ngaphambi kokuthatha lokhu, tshela udokotela wakho ngazo zonke izimo zezokwelapha onazo (ikakhulukazi izinkinga zenhliziyo, izinso, isisu) kanye nayo yonke eminye imithi oyithathayo.
- Gwema ukuthatha ezinye izidakamizwa zokunciphisa ubuhlungu njenge-aspirin ne-ibuprofen kanye ne-diclofenac ngaphandle kweseluleko sikadokotela.
- Uma uzwa izimpawu ezifana nobuhlungu besisu, indle emnyama, ubuhlungu besifuba, noma ukusabela okukhulu kwesikhumba, funa iseluleko sezokwelapha ngokushesha.
- Abesifazane abakhulelwe kanye nalabo abanethemba lokukhulelwa kufanele baqaphele kakhulu lapho bethatha lo muthi futhi kufanele bahlale bexhumana nodokotela wabo.
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