Tolmetin

Zamkati

• Musanamwe tolmetin,
• Tolmetin imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kumwa tolmetin mpaka mutalankhula ndi dokotala wanu:

Anthu omwe amamwa mankhwala osagwiritsa ntchito zotupa (ma NSAID) (kupatula aspirin) monga tolmetin atha kukhala ndi chiopsezo chachikulu chodwala matenda a mtima kapena sitiroko kuposa anthu omwe samamwa mankhwalawa. Izi zitha kuchitika mosazindikira ndipo zitha kuyambitsa imfa. Izi zitha kukhala zazikulu kwa anthu omwe amatenga ma NSAID kwa nthawi yayitali. Musatenge NSAID monga tolmetin ngati mwangodwala kumene mtima, pokhapokha mutalangizidwa ndi dokotala wanu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu adadwalapo kapena adadwalapo mtima, matenda amtima, kapena sitiroko, ngati mumasuta, komanso ngati mwakhalapo ndi cholesterol, kuthamanga magazi, kapena matenda ashuga. Pezani chithandizo chadzidzidzi nthawi yomweyo ngati mungakhale ndi izi: kupweteka pachifuwa, kupuma movutikira, kufooka gawo limodzi kapena mbali ina ya thupi, kapena kusalankhula bwino.

Ngati mukukhala ndi mtsempha wamagazi wodutsa (CABG; mtundu wa opareshoni yamtima), simuyenera kumwa tolmetin nthawi isanakwane kapena itatha.

NSAID monga tolmetin imatha kuyambitsa zilonda, kutuluka magazi, kapena mabowo m'mimba kapena m'matumbo. Mavutowa amatha nthawi iliyonse akamalandira chithandizo, atha kuchitika popanda zidziwitso, ndipo atha kupha. Chiwopsezo chikhoza kukhala chachikulu kwa anthu omwe amatenga ma NSAID kwa nthawi yayitali, ndi okalamba, ali ndi thanzi labwino, kapena amamwa mowa wambiri akamamwa tolmetin. Uzani dokotala ngati mutamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin, Jantoven); aspirin; ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), ndi sertraline (Zoloft); kapena serotonin norepinephrine reuptake inhibitors (SNRIs) monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), ndi venlafaxine (Effexor XR). Komanso muuzeni dokotala ngati mwakhalapo ndi zilonda zam'mimba, kutuluka magazi m'mimba kapena m'matumbo, kapena matenda ena otuluka magazi. Ngati mukukumana ndi izi, siyani kumwa tolmetin ndikuyimbira dokotala: kupweteka m'mimba, kutentha pa chifuwa, kusanza chinthu chamagazi kapena chowoneka ngati malo a khofi, magazi mu chopondapo, kapena mipando yakuda ndi yodikira.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'anira matenda anu mosamala ndipo mwina adzaitanitsa mayeso ena kuti muwone momwe thupi lanu likuyankhira tolmetin. Onetsetsani kuti muuze dokotala momwe mukumvera kotero kuti dokotala wanu angakupatseni mankhwala oyenera kuti athetse vuto lanu omwe ali pachiwopsezo chachikulu cha zotsatirapo zoyipa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Chithandizo cha Mankhwala) mukayamba mankhwala ndi tolmetin ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso.Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kuti mupeze Chithandizo cha Mankhwala.

Tolmetin imagwiritsidwa ntchito kuti muchepetse kupweteka, kufatsa, kutupa, ndi kuuma komwe kumayambitsidwa ndi nyamakazi (nyamakazi yomwe imayambitsa kuwonongeka kwa malo am'magazi) ndi nyamakazi ya nyamakazi (nyamakazi yomwe imayambitsidwa ndi kutupa kwa zimfundo). Tolmetin imagwiritsidwanso ntchito kuthana ndi ululu, kukoma mtima, kutupa, ndi kuuma komwe kumayambitsidwa ndi nyamakazi ya nyamakazi mwa ana azaka ziwiri kapena kupitilira apo. Tolmetin ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa thupi kupanga chinthu chomwe chimayambitsa kupweteka, kutentha thupi, komanso kutupa.

Tolmetin amabwera ngati piritsi ndi kapisozi woti amwe pakamwa. Akuluakulu amatenga tolmetin katatu patsiku pamimba yopanda kanthu, ndipo ana azaka zopitilira 2 amatha kutenga tolmetin katatu kapena kanayi patsiku pamimba yopanda kanthu. Tengani tolmetin mozungulira nthawi yofananira tsiku lililonse. Ndi bwino kumwa mlingo woyamba wa tsikulo mutangodzuka m'mawa komanso kumwa tsiku lomaliza musanagone. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani tolmetin chimodzimodzi monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Uzani dokotala wanu ngati tolmetin imakhumudwitsa m'mimba mwanu. Dokotala wanu angakuuzeni kuti mutenge tolmetin ndi mankhwala osakaniza kuti musavutike m'mimba. Dokotala wanu angakuuzeni ma antiacids omwe ndi abwino kumwa ndi tolmetin.

Tolmetin itha kuthandizira kuchepetsa zizindikilo zanu koma sichitha matenda anu. Zizindikiro zanu zimatha kupitilira sabata limodzi mutayamba kumwa tolmetin, koma zimatha kutenga milungu ingapo kapena kupitilira apo kuti mumve bwino mankhwalawo. Lankhulani ndi dokotala wanu za momwe tolmetin ikugwiritsirani ntchito.

Tolmetin imagwiritsidwanso ntchito pochizira ankylosing spondylitis (nyamakazi yomwe imakhudza msana). Nthawi zina amagwiritsidwanso ntchito kuthana ndi zovuta zina zomwe zimayambitsa kupsinjika kwa minofu kapena kutupa paphewa kapena m'zigongono ndi kuvulala monga kupindika kwaposachedwa.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanamwe tolmetin,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la tolmetin, aspirin, kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn), mankhwala ena aliwonse, kapena chilichonse chosagwira ntchito m'mapiritsi a tolmetin kapena makapisozi. Funsani wamankhwala wanu kuti awonetse mndandanda wazinthu zosagwira.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO CHENJEZO ndi zina mwa izi: ma enzyme otembenuza angiotensin (ACE) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril ( mu Zestoretic), moexipril (Univasc), perindopril (Aceon, ku Prestalia), quinapril (Accupril, mu Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); angiotensin receptor blockers monga candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor, ku Benicar HCT, ku Tribenzor), telmisartan (Micardis, ku Micardis HCT, ku Twynsta), ndi valsartan (mu Exforge HCT); okodzetsa ('mapiritsi amadzi'); lifiyamu (Lithobid); ndi methotrexate (Otrexup, Rasuvo, Trexall). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mu gawo LOFUNIKITSA CHENJEZO kapena mphumu, makamaka ngati mumakhalanso ndi mphuno kapena zotumphukira kapena zotumphukira (kutupa kwa mphuno); mtima kulephera; kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi; kapena chiwindi kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati; kapena akuyamwitsa. Tolmetin imatha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa mavuto pakubereka ngati itatengedwa pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musamamwe tolmetin mozungulira kapena mutakhala ndi pakati pamasabata 20, pokhapokha mukauzidwa ndi dokotala wanu. Mukakhala ndi pakati mukatenga tolmetin, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga tolmetin ngati muli ndi zaka 75 kapena kupitilira apo. Musamamwe mankhwalawa kwa nthawi yayitali kapena pamlingo waukulu kuposa momwe dokotala wanu akuuzira.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa tolmetin.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kukhala ozunguzika. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Tolmetin imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• kudzimbidwa
• mpweya
• kunenepa kapena kutayika
• mutu
• kukhumudwa
• khungu kuyabwa
• kulira m'makutu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kumwa tolmetin mpaka mutalankhula ndi dokotala wanu:

• kusintha kwa masomphenya
• kunenepa kopanda tanthauzo
• kupuma movutikira kapena kupuma movutikira
• kutupa kwa m'mimba, mapazi, akakolo, kapena miyendo yakumunsi
• malungo
• matuza
• zidzolo
• kuyabwa
• ming'oma
• kutupa kwa maso, nkhope, milomo, lilime, mmero, mikono, kapena manja
• zovuta kumeza
• ukali
• chikasu cha khungu kapena maso
• kutopa kwambiri
• kutuluka mwachilendo kapena kuphwanya
• kusowa mphamvu
• kukhumudwa m'mimba
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• zizindikiro ngati chimfine
• khungu lotumbululuka
• kugunda kwamtima mwachangu
• mitambo, yotulutsa mtundu, kapena mkodzo wamagazi
• kupweteka kwa msana
• pokodza kovuta kapena kowawa

Tolmetin imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa tolmetin.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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• Tolectin^® DS^¶

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