Sulindac

Zamkati

• Asanatenge sulindac,
• Sulindac angayambitse 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. Osatenganso sulindac mpaka mutalankhula ndi dokotala wanu:
• Zizindikiro za bongo zingaphatikizepo izi:

Anthu omwe amamwa mankhwala osagwiritsa ntchito zotupa (ma NSAID) (kupatula aspirin) monga sulindac 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 sulindac 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 sulindac musanachitike kapena mutangochita opaleshoni.

Ma NSAID monga sulindac amatha kuyambitsa zilonda zam'mimba, 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, ali okalamba, ali ndi thanzi labwino, kapena amamwa mowa wambiri mukamamwa sulindac. Uzani dokotala ngati mutamwa mankhwala aliwonse awa: anticoagulants ('magazi opopera magazi') monga warfarin (Coumadin, Jantoven); aspirin; ma NSAID ena monga diflunisal, ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn), kapena ma steroids amkamwa 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 kapena kutuluka magazi m'mimba kapena m'matumbo, kapena matenda ena otuluka magazi. Ngati mukukumana ndi izi, siyani kumwa sulindac ndipo itanani dokotala wanu: 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 sulindac. 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 (Medication Guide) mukayamba kulandira mankhwala ndi sulindac ndipo nthawi iliyonse mukamadzaza 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) kapena tsamba laopanga kuti mupeze Medication Guide.

Sulindac amagwiritsidwa ntchito kuti athetse ululu, kukoma mtima, kutupa, ndi kuuma komwe kumayambitsidwa ndi nyamakazi ya nyamakazi (nyamakazi yomwe imayambitsa kuwonongeka kwa malo am'magazi), nyamakazi ya nyamakazi (nyamakazi yomwe imayambitsidwa ndi kutupa kwa zimfundo), ndi ankylosing spondylitis (nyamakazi) zomwe zimakhudza msana). Sulindac imagwiritsidwanso ntchito kuthana ndi kupweteka paphewa komwe kumayambitsidwa ndi bursitis (kutupa kwa thumba lodzaza madzi paphewa) ndi tendinitis (kutupa kwa minofu yolumikizira minofu ndi fupa). Amagwiritsidwanso ntchito kuthana ndi gouty nyamakazi (kuukira kwamphamvu yolumikizana ndikutupa komwe kumayambitsidwa ndikupanga zinthu zina m'malo olumikizirana mafupa). Sulindac ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa thupi kupanga chinthu chomwe chimayambitsa kupweteka, kutentha thupi, komanso kutupa.

Sulindac amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya kawiri patsiku. Tengani sulindac mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani sulindac ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Sulindac amathandiza kuchepetsa ululu wa nyamakazi koma samachiritsa nyamakazi. Ngati mukumwa sulindac kuti muzitha kupweteka kwa nyamakazi, zitha kutenga sabata limodzi kapena kupitilira apo musanapindule ndi sulindac.

Sulindac nthawi zina amagwiritsidwanso ntchito kuchepetsa kuchuluka kwa ma polyps (kukula kosazolowereka) m'matumbo (matumbo akulu) ndi rectum mwa odwala omwe ali ndi mabanja adenomatous polyposis (mkhalidwe womwe ma polyp mazana kapena masauzande ambiri amapangidwa m'matumbo ndi khansa). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Asanatenge sulindac,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la sulindac, aspirin, kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn), kapena mankhwala ena aliwonse. 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); Otsutsana ndi angiotensin II 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 Twynsta), valsartan (mu Exforge HCT); cyclosporine (Gengraf, Neoral, Sandimmune); mankhwala pakamwa pa matenda ashuga; okodzetsa ('mapiritsi amadzi'); lifiyamu (Lithobid); methotrexate (Otrexup, Rasuvo, Trexall); ndi probenecid (Probalan).
• 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; impso miyala; kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi; kapena chiwindi kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati; kapena akuyamwitsa. Sulindac itha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa mavuto pakubereka ikamamwa pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musatenge sulindac mozungulira kapena pambuyo pa masabata 20 apakati, pokhapokha mukauzidwa ndi dokotala wanu. Mukakhala ndi pakati mukatenga sulindac, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga sulindac 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 sulindac.

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.

Sulindac angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• chizungulire
• manjenje
• kutsegula m'mimba
• kudzimbidwa
• mpweya
• kulira m'makutu

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

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

Sulindac ikhoza kuyambitsa 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.

Zizindikiro za bongo zingaphatikizepo izi:

• kutaya chidziwitso
• kukomoka
• chizungulire
• kusawona bwino
• kukhumudwa m'mimba
• kuchepa pokodza

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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