Amaphilisi e-Naproxen ne-Esomeprazole: Isixazululo Sobuhlungu Bamalungu Akho Nokuvuvukala Kwesisu?

Ingabe nawe unesifo samalunga, okungukuthi, isimo esifana ne-'Arthritis'? Ngezikhathi ezinjalo, umuthi wokuqeda izinhlungu ubalulekile, akunjalo? Kodwa inkinga ukuthi uma uthatha imithi yokuqeda izinhlungu, uba nokuvuvukala kwesisu kanye ne-gastritis. Namuhla sizokhuluma ngomuthi ongasiza ngazo zombili lezo zinkinga. Lo muthi uyinhlanganisela yamaphilisi abizwa ngokuthi i-naproxen kanye ne-esomeprazole. Ungase uwazi ngegama lomkhiqizo elithi `(Vimovo)`.

Uyini lomuthi? Kalula nje...

Empeleni lokhu kuyinhlanganisela yezinhlobo ezimbili zemithi.

1. Eyokuqala yiNaproxen . Lesi isidambisi-zinhlungu esivela ekilasini elithi ``NSAID'', elimelela i-Nonsteroidal Anti-Inflammatory Drug. Kalula nje, kusiza ekunciphiseni ubuhlungu, ukuvuvukala, kanye nokuqina kwamalunga akho.

2. Owesibili yi -Esomeprazole . Lona umuthi obizwa ngokuthi "i-PPI", okusho ukuthi i-proton pump inhibitor. Usebenza ngokunciphisa inani le-asidi elikhiqizwa yisisu sakho.

Kwenzekani-ke? Abanye abantu banamathuba amaningi okuthola izilonda esiswini lapho bethatha ama-NSAID njenge-Naproxen. Lo muthi obizwa ngokuthi i-Esomeprazole wengezwa ukunciphisa leyo ngozi. Ngakho-ke, ubuhlungu buyancishiswa, futhi umonakalo ongaba khona esiswini uyancishiswa.

Odokotela bangasebenzisa lo muthi nakwezinye izinto. Uma unemibuzo ngawo, buza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuqala lo muthi?

Kubaluleke kakhulu ukutshela udokotela wakho noma uchwepheshe wezempilo ngalezi zinto ngaphambi kokuba uqale ukuthatha lo muthi. Uma unezinye zalezi zimo, lo muthi ungase ungakufanelekeli, noma ungadinga ukunakekelwa okukhethekile.

Nazi lezo zinto:

• Uma unesifo sokopha.
• Uma uke wahlinzwa inhliziyo, okungukuthi i-Coronary Artery Bypass Graft (CABG) emasontweni amabili edlule.
• Uma uphuza njalo.
• Uma uke waba nesifo senhliziyo ngaphambili.
• Uma unesifo senhliziyo.
• Uma unesifo esibizwa ngokuthi 'ukwehluleka kwenhliziyo'.
• Uma une-high blood pressure.
• Uma unezinga eliphezulu le-potassium egazini lakho.
• Uma unesifo sezinso.
• Uma unesifo sesibindi.
• Uma unezinga eliphansi lamaseli abomvu egazi, kusho ukuthi unesifo esibizwa ngokuthi i-anemia.
• Uma unesifo samaphaphu noma sokuphefumula.
• Uma usebenzisa ama-steroid afana ne-Dexamethasone noma i-Prednisone.
• Uma unesifo sokopha esiswini.
• Uma unezinkinga zesisu noma zamathumbu.
• Uma uthatha imithi elapha noma evimbela ukuqhekeka kwegazi.
• Uma ungumsebenzisi kagwayi.
• Uma une-allergy ku-naproxen, esomeprazole, amanye ama-NSAID (isb., i-ibuprofen), eminye imithi, ukudla, amadayi okwenziwa, noma izithasiselo.
• Uma uzama ukukhulelwa, noma ukhulelwe njengamanje.
• Uma ungumama oncelisayo.

Uma kukhona kulezi zinto ezikuthintayo, ngokuqinisekile kuwumqondo omuhle ukutshela udokotela wakho.

Uyisebenzisa kanjani le mithi?

Lo muthi kufanele uphuzwe ngomlomo kanye nengilazi yamanzi. Kungcono ukuwuthatha ngesikhathi esifanayo nsuku zonke , njengoba kuqondiswe kwilebula likadokotela.

Kubaluleke kakhulu: Ungaliphuli, ulichoboze, noma ulihlafune leli philisi. Gwinya lonke iphilisi.

Lomuthi kufanele uphuzwe ngaphambi kokudla, esiswini esingenalutho . Thatha okungenani imizuzu engama-30 ngaphambi kokudla. Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.

Uma uthola lo muthi ekhemisi, uzothola nencwajana yemiyalelo ekhethekile (i-`MedGuide`). Kubalulekile ukuwufunda ngokucophelela kanye nodokotela ngamunye, njalo uma uthola umuthi.

Ingabe lo muthi unganikezwa izingane?

Lo muthi unganikezwa izingane ezingaphezu kweminyaka eyi-12 ezimweni ezithile ezikhethekile. Kodwa kunezinyathelo zokuphepha ezikhethekile. Ngakho-ke, uma unikeza izingane lo muthi, khuluma nodokotela wakho ngakho ngokucophelela bese uthola iseluleko.

Kuthiwani ngabantu abaneminyaka engaphezu kwengu-65?

Ngokuvamile, abantu abangaphezu kweminyaka engama-65 bangase bazizwe imiphumela yalo muthi inamandla kancane. Ngakho-ke, kungadingeka banikezwe umthamo ophansi.

Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Umthamo oweqile)

Uma ngengozi uthatha lo muthi omningi kakhulu, okungukuthi, uma uphuza ngokweqile, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha , noma ushayele isikhungo sokulawula ubuthi.

Inothi elibalulekile: Lo muthi unikezwe wena kuphela. Ungawabelani nabanye, noma ngabe banesimo esifana nesakho.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.

Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)

Manje, ake sibone, kuneminye imithi engalungile ukuyithatha nalo muthi. Lokho kusho ukuthi ukuyithatha kanye kungaba yinkinga enkulu:

• I-Atazanavir
• I-Cidofovir `(Cidofovir)`
• I-Ketorolac
• I-Mavacamten `(Mavacamten)`
• I-Nelfinavir
• I-Rilpivirine

Futhi, kuneminye imithi engabangela imiphumela emibi ngalo muthi noma ithinte indlela osebenza ngayo . Uma uthatha noma yikuphi kwalokhu, kufanele utshele udokotela wakho:

• Utshwala
• I-aspirini kanye nemithi efana ne-aspirin
• Eminye imithi yokulwa namagciwane ye-HIV noma i-hepatitis
• Eminye imithi evimbela ukujiya kwegazi noma yokwelapha ukujiya kwegazi, isibonelo: i-Warfarin, i-Clopidogrel, i-Enoxaparin, i-Dalteparin, i-Apixaban, i-Dabigatran, i-Rivaroxaban
• Eminye imithi yezinto ezifana nomfutho wegazi, isifo senhliziyo, kanye nokushaya kwenhliziyo okungajwayelekile
• Eminye imithi esetshenziswa ukwelapha izifo zesikhunta, njenge-ketoconazole, i-itraconazole, i-posaconazole, kanye ne-voriconazole
• I-Cilostazol (i-Cilostazol)`
• I-Cyclosporine
• I-Diazepam `(Diazepam)`
• I-Digoxin
• Imithi yokukhipha umchamo omningi (i-diuretics)
• I-Erlotinib
• Usawoti wensimbi (njengezinhlayiya zensimbi)
• I-Lithium
• I-Methotrexate
• I-Mycophenolate
• Ezinye izinhlobo "zama-NSAID", okungukuthi, imithi yobuhlungu nokuvuvukala, njenge-"Ibuprofen"
• I-Pemetrexed
• I-Rifampin
• Ama-SNRI, asetshenziselwa ukwelapha izimo ezinjengokucindezeleka, isib. i-Desvenlafaxine, i-Duloxetine, i-Levomilnacipran, i-Venlafaxine
• Ama-SSRI (ama-serotonin reuptake inhibitors akhethiwe) okucindezeleka, isibonelo i-Citalopram, i-Escitalopram, i-Fluoxetine, i-Fluvoxamine, i-Paroxetine, ne-Sertraline
• I-St. John's Wort (umuthi wamakhambi osetshenziswa abanye)
• Imithi ye-steroid, njenge-prednisone noma i-cortisone
• I-Tacrolimus

Lolu hlu lungase lungaphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, noma izithasiselo zokudla), kanye nokuthi usebenzisa ugwayi, uphuza utshwala, noma uthatha izidakamizwa ezingekho emthethweni . Ezinye zalezi zingase zihlangane nalo muthi.

Yiziphi izinto okufanele uziqaphele lapho uthatha lo muthi?

Bona udokotela wakho njalo ukuze ubone ukuthi izimpawu zakho ziyathuthuka noma ziyanda.Uma ukugula kwakho kungathuthuki, noma kuba kubi nakakhulu, tshela udokotela wakho .

Ungathathi eminye imithi equkethe i-aspirin, i-ibuprofen, noma i-naproxen ngenkathi uthatha lo muthi. Ukwenza kanjalo kungandisa ingozi yemiphumela emibi njengokuphazamiseka kwesisu, isicanucanu, kanye nezilonda zesisu. Imithi eminingi ethengwa ngaphandle kwemithi ingase ibe nalezi zinto. Ngakho-ke funda ilebula ngokucophelela njalo.

Enye into ukuthi lo muthi ungabangela izilonda zesisu kanye nokopha kwamathumbu. Khumbula, ngezinye izikhathi lokhu kungenzeka ngokuzumayo, ngaphandle kwezimpawu noma ubuhlungu ekuqaleni. Ngakho-ke kudingeka uqaphele kakhulu. Le ngozi iphezulu kakhulu uma ubhema, uphuza utshwala, umuntu omdala, noma umuntu ovame ukungaphatheki kahle. Uma unezinhlungu zesisu, uhlanza igazi, noma uzizwa sengathi ukhipha igazi esitulweni sakho, kufanele ushayele udokotela wakho ucingo ngokushesha.

Lomuthi awuvimbeli ukuhlaselwa yinhliziyo noma isifo sohlangothi. Eqinisweni, lo muthi ungandisa kancane ingozi yakho yokuba nesifo sohlangothi noma isifo sohlangothi. Lo muthi uyanda uma usebenzisa lo muthi isikhathi eside, noma uma usuvele unesifo senhliziyo. Uma uthatha i-aspirin ukuvimbela ukuhlaselwa yinhliziyo noma isifo sohlangothi, khuluma nodokotela wakho mayelana nokusebenzisa lo muthi.

Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba ('Ukusabela okukhulu kwesikhumba'). Lokhu kungenzeka emavikini noma ezinyangeni ngemuva kokuqala umuthi. Uma uthola ukuqubuka kwesikhumba kanye nezimpawu ezifana nomkhuhlane kanye nobuhlungu bomzimba, bona udokotela wakho ngokushesha. Ukuqubuka kungase kube bomvu noma kube nsomi, bese kuba amabala futhi kuqhekeke. Noma ungase ube nokuqubuka okubomvu ebusweni noma ezindebeni zakho, noma ama-lymph node avuvukele entanyeni noma emakhwapheni akho.

Uma uhlela ukukhulelwa, noma ucabanga ukuthi ukhulelwe, khuluma nodokotela wakho. Ukuthatha lo muthi ekupheleni kokukhulelwa kungabangela ukukhubazeka okukhulu kokuzalwa enganeni yakho . Uma udinga ukuthatha lo muthi phakathi kwamasonto angama-20 nama-30 okukhulelwa, udokotela wakho uzokuqapha ngokucophelela. Akukhuthazwa ukuthatha lo muthi ngemva kwamasonto angama-30 okukhulelwa.

Lo muthi ungathinta ibhalansi yakho, isikhathi sokusabela, kanye nekhono lakho lokwahlulela okulungile nokungalungile . Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi kahle ukuthi lo muthi ukuthinta kanjani. Ukuze unciphise isiyezi nokuquleka, vuka kancane uhleli noma ulale embhedeni. Ukuphuza utshwala ngenkathi uthatha lo muthi kungandisa le miphumela emibi.

Qaphela lapho uxubha amazinyo akho, ufaka i-floss, noma usebenzisa amazinyo okuxubha. Lo muthi ungabangela ukuphuma kwegazi ezinsinini kanye nokutheleleka. Uma uzokwenziwa noma yimuphi umsebenzi wamazinyo, tshela udokotela wamazinyo ukuthi uthatha lo muthi.

Lo muthi ungathinta ukuzala kwabanye abantu. Uma unenkinga ngalokhu, khuluma nodokotela wakho.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Kuneminye imiphumela emibi okufanele uyitshele udokotela wakho noma ithimba lezempilo ngokushesha okukhulu uma ivela. Lokhu kufaka phakathi:

• Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukopha – Igazi esitulweni, indle emnyama ephuzi, ukuhlanza okunsundu noma okunegazi, umchamo obomvu/onsundu omnyama, amabala amancane abomvu/onsomi esikhumbeni, ukuminyana, noma ukopha okungavamile.
• Ukuhlaselwa yinhliziyo - ubuhlungu noma ukuqina esifubeni, emahlombe, ezingalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukujuluka okubandayo, ukuquleka, nokuzizwa unesiyezi.
• Ukwehluleka kwenhliziyo - Ukuphefumula kanzima, ukuvuvukala kwamaqakala, izinyawo, noma izandla, ukukhuluphala ngokuzumayo, kanye nokuzizwa ukhathele noma ubuthakathaka ngendlela engajwayelekile.
• Ukwanda komfutho wegazi.
• Ukulimala kwezinso – ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo.
• Ukulimala kwesibindi – ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ukukhathala noma ubuthakathaka obungavamile.
• Izinga eliphansi le-magnesium - ubuhlungu bemisipha noma ukuqaqamba, ubuthakathaka noma ukukhathala okungavamile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuthuthumela.
• Izinga eliphansi levithamini B12 - Ubuhlungu, ukungazweli, noma ukulahlekelwa umuzwa ezandleni noma ezinyaweni, ubuthakathaka bemisipha, isiyezi, ubunzima bokugxilisa ingqondo, ukudideka.
• Ukuqubuka kwesikhumba, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
• Ukuqhuma okwenzeka ezihlathini noma ezandleni futhi kuba kubi kakhulu uma kuvezwa elangeni.
• Ukubomvu, ukuqubuka, ukuxebuka, noma ukuxebuka kwesikhumba (kungenzeka ngisho nangaphakathi emlonyeni).
• Uhudo olunzima, umkhuhlane.
• Isifo sohlangothi – Ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ukulahlekelwa yibhalansi, isiyezi, ikhanda elibuhlungu kakhulu, izinguquko embonweni.

Imiphumela emibi ngokuvamile engadingi ukushiwo kudokotela, kodwa okufanele ikhulunywe ngayo uma iqhubeka noma ikhathaza:

• Uhudo
• Ikhanda elibuhlungu
• Ukulahlekelwa yisifiso sokudla
• Isicanucanu
• Isisu esibuhlungu
• Ukuhlanza

Akuzona zonke imiphumela emibi kulolu hlu engenzeka. Uma ubona noma yini engavamile, khuluma nodokotela wakho. Ungabika futhi imiphumela emibi ku-FDA ku-1-800-FDA-1088.

Ngingawugcina kanjani lo muthi?

Gcina kude nezingane nezilwane ezifuywayo.

Gcina ekamelweni lokushisa (phakathi kuka-15 no-30 degrees Celsius, phakathi kuka-59 no-86 degrees Fahrenheit) kude nomswakama. Gcina ibhodlela livaliwe kahle. Ungasebenzisi imithi esidlulile "usuku lwayo lokuphelelwa yisikhathi"; yilahle.

Uma ulahla imithi engasetshenziswanga nephelelwe yisikhathi:

• Bayise endaweni enohlelo "lokuthatha imithi emuva." Ungabuza ikhemisi lakho noma amaphoyisa ngezindawo ezinjalo.
• Uma kungekho ndlela yokuyibuyisela, hlola ilebula lomuthi noma iphakethe ukuze ubone ukuthi umuthi kufanele ulahlwe kudoti noma uhlanzwe endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.
• Uma ungawulahla emgqonyeni kadoti, khipha umuthi ebhodleleni, uwuxube nento efana nodoti wekati, inhlabathi, noma ikhofi, faka ingxube esikhwameni noma esitsheni, uyivale, bese uyilahla emgqonyeni kadoti.

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, lezi yizinto ezibaluleke kakhulu okudingeka uzazi ngomuthi i-Naproxen ne-Esomeprazole. Khumbula, lokhu kumane nje kuyisifinyezo. Uma unemibuzo mayelana nalomuthi, khuluma nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo ukuze uthole ulwazi olwengeziwe. Ungalokothi uqale, uyeke, noma ushintshe umthamo womuthi ngaphandle kweseluleko sikadokotela wakho. Impilo yakho ibaluleke kakhulu kuwe!

I- Naproxen, i-Esomeprazole, i-Arthritis, ama-Painkillers, i-Gastritis, izilonda zesisu, imiphumela emibi