Ukuqonda Indlela Yokusebenzisa I-Gel Voltaren Ngokuphepha
I-Voltaren Gel (i-diclofenac) yayiyindlela yokwelapha yokuqala yokwelashwa kwe- osteoarthritis evunyelwe yi-FDA. IGeltaren, i-nonsteroidal anti-inflammatory drug in formical, isetshenziswa kakhulu emadolweni nasezandleni. Nazi amaqiniso ayishumi okubalulekile okufanele uwazi ngeGeltaren Gel mayelana nokusetshenziswa okuphephile nokusebenza kahle.
I-Gel Voltaren ingakwazi ukukhulula ngokuphumelelayo ubuhlungu futhi inephrofayili yokuphepha ehle
Ukwakheka kwesimo se-Voltaren Gel, okuyi-1 amaphesenti angu-diclofenac sodium ekubunjweni kwama-gel, kukhona amaphesenti angu-94 ngaphansi kwe- diclofenac yomlomo .
Ngenxa yalokho, ingozi yemiphumela emibi yezinsipho nemisipha yomzimba ehlotshaniswa nama-NSAID omlomo ayinto encane kakhulu yokwakhiwa kwezinto eziphezulu.
2. Ukusebenza nokuphepha kweGel Voltaren kwafundwa ngaphambi kokuvunywa
Imvume ye-FDA isekelwe kwizifundo eziningana, kufaka phakathi izifundo ezimbili zokusebenza kahle, ezingababili, eziyimpumputhe, eziphethwe yi-placebo kanye nesifundo sokuphepha sezinyanga ezingu-12. Ngemuva kwamasonto ayisithupha ekwelapheni ekutadisheni okuphumelelayo kwabantu abanesifo se- osteoarthritis , amazinga obuhlungu ayancishiswa ngamaphesenti angu-46. Esifundweni sezinyanga ezingu-12 zabantu abane- knee-osteoarthritis , i-Voltaren Gel yanciphisa amazinga obuhlungu ngamaphesenti angu-51.
3. Ukuphendula okubi kungenziwa ngeGeltaren Gel
Ukusabela okubi okuvame kakhulu okubikwe ekuvivinyweni kwemitholampilo kwakuyizimpendulo zendawo yesicelo kumaphesenti angu-7 abathintekayo abathintekayo abaphathwa nge-Voltaren Gel. Ukuhlinzeka ngolwazi nge-Voltaren Gel inikeza izixwayiso kanye nezinyathelo zokubhekana nokusabela okubi kakhulu.
Ukuphathwa kwesikhathi eside kwe-NSAID kungabangela i-renal papillary necrosis nokunye ukulimala kwama-renal. Abantu asebekhulile, abantu abanokukhubazeka ngokweqile, ukuhluleka kwenhliziyo, ukungasebenzi kwesibindi, nalabo abathatha izidakamizwa kanye nama-inhibitors e-ACE kufanele aqaphe uma usebenzisa i-Voltaren Gel. Ukushisa ngokweqile kungenziwa nge-NSAID yokwelapha, okwenza kubalulekile ukuqapha ukucindezeleka kwegazi.
Ukugcinwa kwe-Fluid kanye ne-edema nakho kungenzeka. Uma ukusabela kwe-anaphylactoid kwenzeka, ukusetshenziswa kufanele kukhishwe ngokushesha. Ama-NSAID angabangela izenzakalo ezibi kakhulu zesikhumba, futhi, kubandakanya i-dermatitis exfoliative, i-Stevens-Johnson syndrome, ne-necrolysis eyingozi ye-epidermal, engaba yingozi.
Ngonyaka we-2009, i-FDA ivuselele ilebula ye-Voltaren Gel ukuze ifake ulwazi mayelana nemiphumela engase ibe yingozi. Manje ifundeka ukuthi, "Emibikweni yokuthunyelwa kwe-postmarketing, amacala we-hepatotoxicity okubangelwa izidakamizwa abikiwe ngenyanga yokuqala, kanti kwezinye izimo, izinyanga ezimbili zokuqala zokwelashwa, kodwa kungenzeka nganoma isiphi isikhathi ngesikhathi ukwelashwa nge-diclofenac. izimo zokubhekana nokucindezeleka okukhulu, kubandakanya nesibindi se-necrosis, i-jaundice, ukugcwaliseka kwesifo sofuba nesifo se-jaundice, nokuhluleka kwesibindi. Ezinye zalezi zigameko ezibikiwe ziholele ekufeni noma ukufakelwa kwesibindi. Odokotela kufanele bahlole ama-transaminase ngezikhathi ezithile ezigulini ezithola ukwelashwa isikhathi eside nge-diclofenac, ngoba i-hepatotoxicity enamandla ingakhula ngaphandle kwe-prodrome yezimpawu ezihlukanisa. "
4. Izixwayiso zamabhokisi amnyama ezivamile kuwo wonke ama-NSAID zengeziwe ku-Gel Voltaren
Izixwayiso zamabhokisi ezimnyama zixwayisa odokotela neziguli emiphumeleni emibi kakhulu engase ibe khona.
IGeltaren i-Gel inezixwayiso ezimbili zamabhokisi amnyama ezijwayelekile kuwo wonke ama-NSAID. Okokuqala ukuthi, njengamanye ama-NSAID, kungase kube nengozi eyingozi yokwenzeka kwemisipha yomzimba, isifo senhliziyo , noma ukushaya isisu ngokusebenzisa i-Voltaren Gel. Lokhu kungenzeka ngaphandle kokuxwayisa. Ingozi yakho ingase ibe ngaphezulu uma uthatha ama-NSAID isikhathi eside noma emazwini aphezulu. Uma usengozini yezenzakalo zenhliziyo nokushaya, akufanele uthathe le mithi. Akufanele isetshenziselwe ukuphumula ubuhlungu ngaphambi noma emuva komshini we-coronary bypass ukuhlinzwa kwe-graft (CABG).
Ukusetshenziswa kwe-NSAID kungabangela ingozi eyengeziwe yokwenzeka kwamathumbu okungase kuhlanganise nokuphuma kwegazi , izilonda, nokukhwabanisa kwesisu kanye namathumbu.
Lezi zenzakalo ezimbi zingenzeka ngaphandle kokuxwayisa futhi kungenzeka ukuthi zibulawe. Usengozini kakhulu uma usukhulile noma unomlando we-peptic ulcer isifo noma ukuphuma kwamathumbu.
5. Abantu abathile akufanele basebenzise i-Voltaren Gel
Ngaphandle kwamaqembu enengozi eyengeziwe ebalulwe ezixwayisweni zebhokisi elimnyama, i-Voltaren Gel akumele isetshenziswe ngabantu abane-hypersensitivity eyaziwayo e-diclofenac. Akufanele futhi isetshenziswe ngabantu abahlakulela i-asthma, i-urticaria, noma ukusabela kokugula ngemuva kokuthatha i- aspirin noma i-NSAID. Lo mkhiqizo ungabangela ukuvuthwa okubambezeleka okuphuthumayo, okungahle kube ukukhathazeka uma ungowesifazane ofuna ukukhulelwa. Uma ukhulelwe, akufanele usebenzise i-Voltaren Gel emva kwamasonto angu-30 ukubeletha njengoba kungabangela ukukhubazeka kwenhliziyo yengane.
6. Kufanele ugweme ukusebenzisa i-Voltaren Gel namanye ama-NSAID
I-Gel Voltaren akufanele isetshenziswe kanye nama-NSAID omlomo noma i-aspirin ngenxa yengozi eyengeziwe yokwenzeka kwezenzakalo ezimbi. Ingozi yemiphumela emibi yanda ngokunyuselwa okukhudlwana kwezithako ezisebenzayo kuma-NSAID. Njengoba nje ukhilimu we-NSAID ongokwezihloko akufanele usetshenziswe ngama-NSAID omlomo, ama-NSAID amabili omlomo ahlukile akufanele athathwe ndawonye. Khuluma nodokotela wakho mayelana nokusebenzisa i-aspirin ye-dose ephansi.
I-Gel Voltaren akufanele isetshenziswe ngokuhambisana nemikhiqizo yesikhumba
Uma usebenzisa izimonyo noma i-sunscreen, ungasebenzisi i-Voltaren Gel ngesikhathi esifanayo. Le nhlanganisela ayizange ihlolwe futhi, uma ngabe ama-agent e-topical ehlangene, kukhona amandla okushintsha indlela i-Voltaren Gel ebekezelelwe ngayo futhi ifakwe.
8. I-Gel Voltaren izohlomula kakhulu abantu abangakwazi ukuthatha ama-NSAID omlomo
Ngemuva kokuba usanda kufunda ukuthi i-Voltaren Gel ayifanele isetshenziswe kanjani nokuthi ngubani ongafanelanga ukuyisebenzisa, ungase uzibuze ukuthi ubani okufanele ayisebenzise. Abantu abaye babhekana nemiphumela emibi yamathumbu kusuka kumlomo we-NSAID ngokucacile yibo abazozuza kakhulu ku-Voltaren Gel. Uma ucabanga ukuthi ungabhala i-Voltaren Gel, xoxa nodokotela wakho ukuze ubone ukuthi kufanelekile yini.
9. Funda izilinganiso ezifanele
Ungalokothi usebenzise okungaphezulu kwesamba esinqunyiwe. Isilinganiso esiphelele seGeltaren Gel akufanele sidlule ama-gramu angu-32 ngosuku, phezu kwamalungu onke athintekile. I-Gel Voltaren kufanele ilinganiswe ekhadini lokubuyisela elivuselelekayo elilinganiselwe-isilinganiso se-2 gram noma i-4-gram mark efanele. Ngezimphetho eziphansi, sebenzisa i-gel (4 amagremu) endaweni ethintekile izikhathi ezine nsuku zonke. Ungasebenzisi ama-gram angu-16 nsuku zonke kunoma yikuphi okuhlangene okuthintekayo komkhawulo ophansi. Ngezingxenyeni ezingaphezulu, sebenzisa i-gel (2 amagremu) endaweni ethintekile izikhathi ezine nsuku zonke. Ungasebenzisi ama-gram angu-8 nsuku zonke kunoma yikuphi okuhlangene okuhlangene kwezingxenye eziphezulu.
10. Funda ukuphathwa okuphephile kweGel Volren
Udinga ukugwema ukuthola le mithi emehlweni akho, emlonyeni, emaqenjini avuliwe, noma ezindaweni ezinesifo. Ngaphandle kokuba uyifake ezandleni zakho, geza izandla zakho ngemuva kokufaka isicelo. Ungadli noma uhlanza indawo ephethwe okungenani ihora futhi ungabeki izingubo phezu kwayo okungenani imizuzu eyi-10. Udinga ukugwema ukukhanya kwelanga nokukhanya kwelanga emva kokufaka isicelo futhi akufanele ukushisa ukuhlanganiswa okuphathwayo.
Izwi elivela
Izinketho zokwelashwa ezingaphezulu zikhona kubantu abane-arthritis, okungcono. Ukutholakala kokwakhiwa kwama-Voltaren kubalulekile kubantu abangakwazi ukubekezelela ama-NSAID ngomlomo ngesinye isizathu. Qaphela ukuthi ama-NSAID womlomo kanye nama-topical aphethe izingozi ezifanayo.
Umthombo:
> Diclofenac Topical (ubuhlungu be-osteoarthritis). I-MedlinePlus. https://medlineplus.gov/druginfo/meds/a611002.html.
> I- Gel Voltaren. Ukubeka imininingwane . I-FDA. I-May 2016 ebuyekeziwe. Https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/022122s010lbl.pdf.