I-Celebrex: I-NSAID ye-COX-2 ekhethiwe esetshenziselwa ukwelapha i-arthritis
I-celebrex (celecoxib) yiyona kuphela i-NSAID ye-COX-2 ekhethiwe okwamanje emakethe e-United States. I-COX-2 i-NSAID ekhethiwe ibhekwa njengamathuba amancane okubangela izinkinga zesisu kunama- NSAID yendabuko - imithi ethandwayo esetshenziselwa ukwelapha i-arthritis. Kodwa-ke, wonke ama-NSAID anengozi yokucindezelwa kwegazi eliphezulu, izinkinga zezinso, ukugcinwa kwamanzi, kanye nezingozi zenhliziyo.
I-Celebrex yamukelwa ngo-Disemba 31, 1998, yi-United States Ukudla Nezidakamizwa Ezokuphatha (FDA) ukuze kutholakale izibonakaliso nezimpawu ze- osteoarthritis kanye nesifo somzimba somuntu omdala we- rheumatoid arthritis . I-Celebrex idayiswa yi-Pfizer.
Iyini ukutholakala kweCelebrex?
I-celebrex ayitholakali njengesidakamizwa esiphezulu. Itholakala kuphela ngemithi kadokotela. I-celebrex inamandla amabili - 100 mg no-200 mg. Umthamo wansuku zonke ophakanyisiwe we-osteoarthritis ungama-200 mg, uthathwe njengomthamo owodwa noma ku-100 mg ukulinganisa kabili ngosuku. Udokotela wakho uzothatha isinqumo esifanele wena nesimo sakho.
Ngabe i-Celebrex inqunywe nini?
I-celebrex inqunyelwe ukunciphisa izimpawu ze-osteoarthritis nokukhulula izimpawu zesifo samathambo esifubeni kubantu abadala. Ibuye isetshenziselwe ukuphatha ubuhlungu obukhulu kubantu abadala (njengokulandela amazinyo noma izinqubo zokuhlinza), nokunciphisa inani lamakholoni kanye nokukhula kwe-rectum kuziguli ezine-FAP (Familial Adenomatous Polyposis).
Zikhona yini iziyalezo ezikhethekile mayelana nokuthi ungathatha kanjani iCelebrex?
I-celebrex kufanele ithathwe ngendlela echazwe ngayo. Ukuthatha i-Celebrex nge-ingilazi yamanzi noma ngokudla kungavimbela isisu.
Zikhona iziguli ezingafanele zithathe iCelebrex?
Iziguli ezinomdlavuza we-sulfa akufanele zithathe i-Celebrex.
Futhi, iziguli ezithintekayo njenge-aspirin akufanele zithathe i-Celebrex. Iziguli ezithintekayo njenge-aspirin yilabo abaye babhekana nezinyosi, isifo se-asthma, noma uhlobo lwe-allergenic ngemuva kokuthatha i-aspirin noma amanye ama-NSAID.
I-FDA yakhipha isixwayiso ngo-Ephreli 7, 2005, ngokuphathelene nezinkinga zempilo (njenge-heart attack and stroke) ezihlobene ne-Celebrex namanye ama-NSAID. I-FDA yeluleka odokotela ukuba bahlole ngokucophelela izinzuzo nezingozi zeCelebrex nezinye izinketho zokwelapha ngaphambi kokuba kwenziwe isinqumo sokusebenzisa i-Celebrex.
I-FDA nomkhiqizi we-Celebrex bayavuma ukuthi ngokusekelwe kolwazi lwamanje, i-Celebrex kufanele isethengiswe. Kodwa-ke, iziguli ezisengozini enkulu yokuhlaselwa yinhliziyo noma isifo sohlangothi kufanele zibheke izixwayiso kanye nezinye izindlela zokwelapha.
Yimiphi imiphumela emibi ejwayelekile eyenziwa nge-Celebrex?
Eminye imiphumela emibi ejwayelekile engahlotshaniswa neCelebrex ifaka phakathi:
- ikhanda
- indigestion
- ukutheleleka okuphezulu kokuphefumula
- isifo sohudo
- ukuvutha kwesono
- ubuhlungu besisu noma isiyaluyalu
Yiziphi ezinye izixwayiso ezikhethekile nezixwayiso ezisebenza ku-Celebrex ukusetshenziswa?
Kunezingozi ezinzulu ezihlobene neCelebrex namanye ama-NSAID. I-Celebrex noma amanye ama-NSAID angabangela izilonda zesisu eziphuma egazini. Shayela udokotela wakho uma ubona ukunyakaza kwamathumbu amnyama, ukuhlanza igazi noma ukuhlanza okubukeka njengezizathu zekhofi, noma ubuhlungu besisu obuvuthayo.
I-celebrex namanye ama-NSAID angabangela ukulimala kwesibindi. Ukuxwayiswa kwezibonakaliso zokulimala kwesibindi kufaka isicanucanu, ukuhlanza, ukukhathala, ukuphelelwa yifiso, ukucheka, isikhumba esiphuzi noma amehlo, umchamo omnyama, izimpawu ezinjenge-flu. Shayela udokotela wakho uma uhlangabezana nanoma iyiphi yalezi zimpawu.
Izinkinga zezinso zingenzeka nge-Celebrex noma ukusetshenziswa kwe-NSAID-noma ukuhluleka kwezinso ngokuzumayo noma ukuwohloka kwenkinga ekhona yezinso.
Ukugcinwa kwe-flux kungenzeka nge-Celebrex noma i-NSAID. Kungaba yingozi uma une-high blood pressure noma inhliziyo ehlulekayo.
Ingabe kukhona ukusebenzisana kwezidakamizwa ezihlobene ne-Celebrex?
Kubalulekile ukutshela udokotela wakho mayelana nayo yonke imithi oyithathayo.
Eminye imithi ingathinta indlela i-Celebrex isebenza ngayo ne-Celebrex ingathinta kanjani enye imithi esebenza ngayo. Izidakamizwa ezingaxhumana noCelebrex zihlanganisa:
- ACE inhibitors (imithi yengcindezi yegazi)
- furosemide
- i-fluconazole noma i-ketoconazole
- lithium
- phenytoin
- i-warfarin
- i-aspirin
Ingabe kukhona imiyalo ekhethekile yabesifazane abakhulelwe noma abahlengikazi?
Abesifazane abakhulelwe, ikakhulukazi labo ezinyangeni ezintathu zokugcina, akufanele bathathe iCelebrex. Khuluma nodokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma ukuncelisa.
Ziyini izimpawu zokudlula ngokweqile kweCelebrex?
Njenganoma yimiphi imithi, imiphumela emibi ingabangelwa ukudlula ngokweqile kweCelebrex. Izimpawu ezilandelayo zingase zenzeke ngokweqile kwe-Celebrex: ukuphefumula okunzima, ukuzwa ukulala noma ukuvila, i-coma, i-nausea, ukuhlanza, ubuhlungu besisu, ukuphuma kwamathumbu, ukuphuma kwegazi, ukucindezeleka kwegazi, ukwehluleka kwezinso. Sebenzisa i-Celebrex kuphela njengoba iqondiswe ukugwema ukudlula ngokweqile.
Imithombo:
I-Celecoxib (emakethe njengeCelebrex). I-FDA Sheet Information Sheet. 4/7/2005.
I-celebrex. PDRHealth. Ifinyelele ngomhla kaDisemba 30, 2015.