NSAID Amakonda Kulembera Mitundu Yambiri ya Arthritis
Voltaren (diclofenac) ali m'gulu la mankhwala omwe amadziwika kuti NSAIDs (mankhwala osokoneza bongo omwe sali otsekemera). NSAID zimakonda kupatsidwa nyamakazi. Dzina la chizindikiro, Voltaren, limene linapangidwa ndi Novartis, linali lovomerezedwa ndi FDA mu 1988.
Kupezeka kwa Diclofenac
Diclofenac ikupezeka ngati piritsi yotulutsira mwamsanga, kapsule yodzazidwa ndi madzi, ndi piritsi yotulutsidwa yowonjezera yomwe imatengedwa pamlomo (pakamwa).
Mapiritsi a Diclofenac omwe amatulutsidwa mwamsanga ndi makapisozi amapezeka mu 50 mg ndi 75 mg mphamvu. Mapiritsi otulutsika a Diclofenac amapezeka mu mphamvu 100 mg.
Kodi Diclofenac Inalembedwa Liti?
Diclofenac amalembedwa kuti athandizidwe ndi zizindikiro za matenda a osteoarthritis , kupumulira kwa zizindikiro ndi zizindikiro za nyamakazi ya nyamakazi , komanso kuti agwiritse ntchito mosavuta kapena kwa nthawi yaitali kuti athetse zizindikiro ndi zizindikiro za ankylosing spondylitis .
Diclofenac, monga zina zonse za NSAID, zimakhala ndi zotsutsana ndi zotupa komanso zamatenda (relief-relieving). Njira yogwirira ntchito imaganiziridwa kuti ikugwirizana ndi kuletsa prostaglandin komwe kumakhudza kutupa .
Malangizo apadera
Kawirikawiri, malangizo amasonyeza kutenga NSAID ndi chakudya kuti achepetse vuto la m'mimba, koma diclofenac ikupezeka ngati piritsi yophimbidwa ndi enteric. Kubvala kwa enteric kumateteza kuteteza mimba. Choncho, kutenga diclofenac ndi chakudya silololedwa.
Anthu akulangizidwa kuti atenge diclofenac yochepa kwambiri kuposa nthawi yothetsera. Anthu ena omwe ali ndi nyamakazi adzachiritsidwa ndi longterm ya mankhwala chifukwa mitundu yambiri ya nyamakazi ndiyo matenda aakulu omwe alibe chithandizo chodziwika. Dokotala wanu adzasintha mlingo ndi mafupipafupi kuti akwaniritse zosowa zanu.
Mlingo woyenera wa osteoarthritis ndi 100-150 mg pa tsiku amatengedwa monga 50 mg awiri kapena katatu pa tsiku, kapena 75 mg kawiri pa tsiku. Mlingo woyenera wa matenda a nyamakazi ndi 150-200 mg tsiku, amatengedwa monga 50 mg katatu kapena kanayi patsiku, kapena 75 mg kawiri pa tsiku. Kwa antikylosing spondylitis, 100-125 mg pa tsiku, amalandilidwa ngati 25 mg kanayi patsiku ndi 25 mg mlingo wodwala pogona pamene mukufunikira.
Zotsatira Zotsatira
Zotsatira zofanana zomwe zimagwirizanitsidwa ndi diclofenac ndizo: kutsegula m'mimba, kudzimbidwa, mafuta, kupweteka mutu, chizungulire, ndikulira m'makutu. Ngati zotsatirazi zimakhala zovutitsa ndipo musachoke, pitani dokotala wanu.
Zotsatira zomwe zingakhale zovuta kwambiri ndipo zimapangitsa kuti dokotala wanu apite nthawi yomweyo, ndizo: kupindula, kutopa kwambiri, kusowa mphamvu, kusokonezeka, kuda nkhawa, kuyabwa, kupweteka m'mimba (makamaka kumtunda kwenikweni), khungu kapena diso lakasupe, chimfine -mazizindikiro, malungo, kuthamanga, ming'oma, nkhope ya nkhope, lilime, milomo, mmero, mmphepete / m'munsi, kupuma kovuta, kuvutika kukumeza, kutentha, khungu lopweteka, kupweteka kwa mtima, mitambo kapena mkodzo wamoto, ululu wammbuyo, kapena kupweteka kovuta. Zotsatira za zotsatirazi sizinali zokha. Ngati muli ndi chochitika chachilendo mukatenga diclofenac, pitani dokotala wanu.
Gelera ya Voltaren ingakhalenso ndi zotsatira zovuta.
Chenjezo ndi Kusamala
Diclofenac, monga momwe zilili ndi NSAID zonse zopanda aspirin, zingayambitse ngozi yowopsa ya zotsatira za mtima , monga matenda a mtima kapena stroke, zomwe zingachititse kuti munthu azidwala kapena azifa. Diclofenac, monga NSAID zonse, zingayambitse zotsatira za m'mimba , monga magazi ndi zilonda. Matenda a m'mimba amatha popanda chenjezo. Kawirikawiri, diclofenac ikhoza kukhala ndi zotsatira zoyipa za khungu, kuphatikizapo matenda a Stevens-Johnson, dermatitis exfoliative, ndi Toxic Epidermal Necrolysis zomwe zingabweretse kuchipatala ndi imfa.
Zochitika za Anaphylactic ndizotheka. Muyenera kudziwa kuti zotsatira zowopsa ndi zotheka komanso zizindikiro zodabwitsa.
Kuyanjana kwa Mankhwala
Onetsetsani kuuza dokotala wanu za mankhwala ndi mankhwala omwe mumalandira. Kugwiritsa ntchito mankhwala osokoneza bongo kungachitike ndi diclofenac ndi mankhwala otsatirawa: aspirin , methotrexate , cylosporine, ACE inhibitors, furosemide, lithiamu, warfarin, ndi CYP2C9 inhibitors.
Kodi Pali Malangizo Apadera kwa Azimayi Oyembekezera Kapena Amwino?
Kugwiritsira ntchito diclofenac sikuvomerezedwa pa nthawi ya mimba kapena pamene mukuyamwitsa.
Zotsatira:
Diclofenac. MedlinePlus. Kukonzedwanso 07/15/2016.