Ama-NSAID avame ukubhalwa ngezinhlobo ezahlukene ze-arthritis
I-Voltaren (i-diclofenac) ingokwilasi yezidakamizwa ezaziwa njenge- NSAID (izidakamizwa ezingezona ukuvuvukala). Ama-NSAID avame ukushiwo ukuphatha i-arthritis. Igama legama lomkhiqizo, i-Voltaren, eyakhiwa yi-Novartis, yayivunyelwe i-FDA ngo-1988.
Ukutholakala kwe-Diclofenac
I-Diclofenac iyatholakala njengethebhulethi yokukhululwa ngokushesha, i-capsule egcwele amanzi, kanye ne-tablet ekhulisiwe-ethathwe ngomlomo (ngomlomo).
Amaphilisi amasha okuphuma ngokushesha e-Diclofenac atholakala ku-50 mg no-75 mg amandla. Amaphilisi okukhululwa e-Diclofenac atholakala ngamandla angu-100 mg.
I-Diclofenac Inqunywe nini?
I-Diclofenac inqunyelwe ukusizwa kwezibonakaliso nezimpawu ze- osteoarthritis , ukusizwa kwezibonakaliso nezimpawu zesifo samathambo , kanye nokusetshenziswa okunamandla noma isikhathi eside ukuze kunqunywe izimpawu nezimpawu ze- spondylitis e-ankylosing .
I-Diclofenac, njengazo zonke ezinye i-NSAID, zinezinto eziphikisana nokuvuvukala nezidakamizwa (ukuphulukisa ubuhlungu). Indlela yokusebenza kucatshangwa ukuthi ihlobene nokuvinjelwa kwama-prostaglandin okubandakanya ukuvuvukala .
Imiyalo Ekhethekile
Ngokuvamile, izikhombisi-ndlela ziphakamisa ukuthatha ama-NSAID ngokudla ukuze kunciphise ingozi yamathambo emathunjini, kodwa i-diclofenac iyatholakala njengethebhulethi ene-enteric. Ukugqoka okungenayo kusiza ukuvikela isisu. Ngakho-ke, ukuthatha i-diclofenac ngokudla akuyona impoqo.
Abantu bayelulekwa ukuba bathathe isilinganiso esiphezulu kunazo zonke se-diclofenac isikhathi esifushane esenzeka. Abanye abantu abane-arthritis bazophathwa nge-longterm yezidakamizwa ngoba izinhlobo ezihlukahlukene ze-arthritis ziyizifo ezingelapheki ezingenakho ukwelashwa okuwaziwayo. Udokotela wakho uzolungisa umthamo kanye nemvamisa ukuhlangabezana nezidingo zakho.
Umthamo ophakanyisiwe we-osteoarthritis ungama-100-150 mg ngosuku uthathwa njengo-50 mg kabili noma kathathu ngosuku, noma u-75 mg kabili ngosuku. Umthamo ophakanyisiwe we-arthritis ye-rheumatoid 150-200 mg ngosuku, uthathwe njengo-50 mg kathathu noma kane ngosuku, noma u-75 mg kabili ngosuku. Kunconywa i-spondylitis engavumelaniyo, i-100-125 mg ngosuku, kunconywa njengo-25 mg kane kane ngosuku nge-25 mg umthamo owengeziwe ngesikhathi sokulala uma kudingeka.
Okuqhamuka uma udla imishanguzo
Imiphumela emibi evamile ehambisana ne-diclofenac ihlanganisa: isifo sohudo, ukuqothulwa, igesi noma ukubhuka, ikhanda, isizungu, nokukhala ezindlebeni. Uma lemiphumela emibi ihlupha futhi ungahambi, shayela udokotela wakho.
Imiphumela emibi engase ibe yinkimbinkimbi kakhulu futhi iqinisekise ukuthi udokotela wakho ngokushesha uyabandakanya: ukuzuza kwesisindo, ukukhathala ngokweqile, ukungabi namandla, ukunxanxathela, ukuphelelwa yifiso, ukushaywa isisu, ubuhlungu besisu (ikakhulukazi ingxenye ephezulu kwesokudla), isikhumba noma iso ukuphuza, umkhuhlane -impawu ezinjengezifo, umkhuhlane, ukuqhuma, imihlathi, ukuvuvukala kwamehlo, ulimi, izindebe, umphimbo, noma ukuphefumula okuphezulu, ubunzima bokugwinya, ukukhwabanisa, isikhumba esikhuphukile, ukushaya kwenhliziyo okusheshayo, ukuvuthwa kwamanzi, ukuhlushwa emuva noma ukuvuthwa okubuhlungu. Imiphumela emibi efakwe kuhlu ayilona kuphela. Uma unesenzakalo esingavamile ngenkathi uthatha i-diclofenac, shayela udokotela wakho.
I-gel Voltaren ingase ibe nomphumela omubi.
Ukuxwayiswa nokuqapha
I-Diclofenac, njengoba kunjalo nawo wonke ama-NSAID angenawo ama-aspirin, angase ahlobaniswe nengozi eyingozi yemiphumela emibi yengqondo , njengokuhlasela kwenhliziyo noma isifo sohlangothi, okungase kubangele ukufakela esibhedlela noma ukufa. I-Diclofenac, njengezo zonke i-NSAID, ingabangela imiphumela emibi yamathumbu , njengokuphuma kwegazi kanye nezilonda. Izinkinga zamathumbu zingenzeka ngaphandle kokuxwayisa. Ngokuvamile, i-diclofenac ingahlotshaniswa nemiphumela emibi yesikhumba, kuhlanganise ne-Stevens-Johnson syndrome, i-dermatitis exfoliative, ne-Toxic Epidermal Necrolysis engabangela ukufelwa esibhedlela nokufa.
Ukuphendula kwe-anaphylactic nakho kungenzeka. Kufanele uqaphele ukuthi imiphumela emibi ingenzeka futhi uqaphele izimpawu ezingavamile.
Ukusebenzisana kwezidakamizwa
Qiniseka ukuthi utshele udokotela wakho mayelana nazo zonke izidakamizwa nezithako ozithathayo. Ukusebenzisana kwezidakamizwa kungenziwa nge-diclofenac kanye nezidakamizwa ezilandelayo: i- aspirin , i- methotrexate , i-cylosporine, i-ACE inhibitors, i-furosemide, i-lithium, i-warfarin ne-CYP2C9 inhibitors.
Ingabe Kunemiyalo Ekhethekile Yabesifazane Abakhulelwe Noma Abahlengikazi?
Ukusetshenziswa kwe-diclofenac akukhuthazwa ngesikhathi sokukhulelwa noma ngenkathi unesihlengikazi.
Imithombo:
Diclofenac. I-MedlinePlus. Kubuyekezwe 07/15/2016.