Kuphatikizika

Zamkati

• Musanatenge diflunisal,
• Diflunisal imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kutenga matendawa mpaka mutalankhula ndi dokotala.
• Zizindikiro za bongo zingaphatikizepo izi:

Anthu omwe amamwa mankhwala osagwiritsa ntchito steroidal anti-inflammatory (NSAIDs) (kupatula aspirin) monga diflunisal atha kukhala pachiwopsezo 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 diflunisal 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 kutenga diflunisal musanachitike kapena mutangochita opaleshoni.

Ma NSAID monga diflunisal 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, ndi okalamba, ali ndi thanzi labwino, kapena amamwa mowa wambiri mukamamwa mankhwala osokoneza bongo. 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 diflunisal 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 diflunisal. 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 mankhwala ndi diflunisal 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) kapena tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.

Diflunisal imagwiritsidwa ntchito kuti muchepetse ululu, kukoma mtima, kutupa ndi kuuma komwe kumayambitsidwa ndi nyamakazi (nyamakazi yomwe imayambitsa kuwonongeka kwa malo am'magazi) ndi nyamakazi ya nyamakazi (nyamakazi yomwe imayambitsidwa ndikutupa kwa malo olumikizirana mafupa). Diflunisal imagwiritsidwanso ntchito kuthetsa ululu wofatsa mpaka pang'ono pazifukwa zina. Diflunisal ali mgulu la mankhwala otchedwa NSAIDs. Zimagwira ntchito poletsa thupi kupanga chinthu chomwe chimayambitsa kupweteka, kutentha thupi, komanso kutupa.

Diflunisal imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa ndi madzi, mkaka, kapena chakudya maola 8 kapena 12 aliwonse. Tengani diflunisal mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani zovuta monga momwe mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Zitha kutenga masiku angapo kapena kupitilira apo kuti mumve kupindula ndi zovuta. Pitirizani kumwa matendawa mpaka dokotala wanu atakuuzani kuti musiye kumwa mankhwalawo.

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

Musanatenge diflunisal,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la diflunisal, aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn), kapena mankhwala ena aliwonse. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
• 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 adatchulidwa mu gawo LOFUNIKITSA CHENJEZO ndi zina mwa izi: acetaminophen (Tylenol); ma angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril (mu Zestoretic), moexipril (Univasc), perindoprilst Aceon, (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 Micardis HCT, ku Twynsta), ndi valsartan (mu Exforge HCT); Ma antacids; cyclosporine (Gengraf, Neoral, Sandimmune); okodzetsa ('mapiritsi amadzi'); mankhwala osokoneza bongo (Indocin, Tivorbex); lifiyamu (Lithobid); methotrexate (Otrexup, Rasuvo, Trexall); ndi sulindac. Dokotala wanu angafunike kusintha mlingo wa 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. Diflunisal itha kuvulaza mwana wosabadwayo ndipo imatha kubweretsa mavuto pakubereka ikamamwa pafupifupi masabata 20 kapena pambuyo pake panthawi yapakati. Musamwe diflunisal mozungulira kapena mutakhala ndi pakati pamasabata makumi awiri, pokhapokha mutakuwuzani kuti muchite izi ndi dokotala wanu. Mukakhala ndi pakati mukatenga diflunisal, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga diflunisal 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 matenda.
• itanani dokotala wanu ngati mukuganiza kuti mungakhale ndi kachilombo, monga nthomba kapena chimfine. Musatenge matenda opatsirana ngati muli ndi kachilombo, komanso musapatse mwana amene ali ndi kachilombo koyambitsa matendawa.

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.

Diflunisal imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kusanza
• kutsegula m'mimba
• kudzimbidwa
• mpweya
• mutu
• chizungulire
• kulira m'makutu
• mavuto ndi masomphenya

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu. Musathenso kutenga matendawa mpaka mutalankhula ndi dokotala.

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

Diflunisal 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.

Zizindikiro za bongo zingaphatikizepo izi:

• Kusinza
• kusanza
• kukhumudwa m'mimba
• kutsegula m'mimba
• kuchepa pokodza
• kupuma mofulumira
• kugunda kwamtima mwachangu
• thukuta
• kulira m'makutu
• chisokonezo
• chikomokere (kutaya chidziwitso kwakanthawi)

Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa matendawa.

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.

• Dolobid^®¶

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.