Meloxicam
Qanacsan
- Kahor qaadashada meloxicam,
- Meloxicam waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga. Ha u qaadan wax badan oo melokksima ilaa aad dhakhtarkaaga kala hadlayso:
- Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:
Dadka qaata daawooyinka nonsteroidal anti-bararka (NSAIDs) (oo aan ka ahayn asbiriin) sida meloxicam waxaa laga yaabaa inay halis sare ugu jiraan wadno qabad, ama istaroog marka loo eego dadka aan qaadan daawooyinkan. Dhacdooyinkan waxay dhici karaan digniin la'aan waxayna sababi karaan dhimasho. Khatartani way ka sii badnaan kartaa dadka qaata NSAIDs muddo dheer. Ha u qaadan NSAID sida meloxicam haddii aad dhawaan wadno xanuun ku qabatay, ilaa dhakhtarkaagu kuu faro mooyee. U sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ah uu qabo ama uu waligiis ku dhacay cudur wadne, wadno-qabad, istaroog, haddii aad sigaar cabtaan, iyo haddii aad qabto ama aad waligiis qabateen kolestarool sare, dhiig kar, ama sonkorow. Hel gargaar caafimaad oo deg-deg ah isla markiiba haddii aad isku aragto mid ka mid ah astaamaha soo socda: laabta oo xanuunta, neefta oo ku qabata, daciifnimo oo ku timaadda qayb ka mid ah jirka ama dhinaceeda, ama hadal dabacsan
Haddii aad mari doontid halbowlaha xididdada wadnaha (CABG, nooc qalliin wadnaha ah), waa inaadan qaadan meloxicam isla qalliinka ka hor ama ka dib.
NSAIDs sida meloxicam waxay sababi karaan boogo, dhiig bax, ama godad caloosha ama xiidmaha. Dhibaatooyinkani waxay soo bixi karaan wakhti kasta inta lagu jiro daweynta, waxay dhici karaan iyadoo aan lahayn astaamo digniin ah, waxayna sababi karaan dhimasho. Khatartu way ka sii badnaan kartaa dadka qaata NSAID-yada muddo dheer, da 'weyn, da' caafimaad qaba, ama caba khamri tiro badan inta ay qaataan meloxicam. U sheeg dhakhtarkaaga haddii aad qaadato mid ka mid ah daawooyinka soo socda: daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); asbiriin; NSAID-yada kale sida ibuprofen (Advil, Motrin) ama naproxen (Aleve, Naprosyn); steroids-ka afka laga qaato sida dexamethasone, methylprednisolone (Medrol), iyo prednisone (Rayos); xulashada serotonin reuptake inhibitors (SSRIs) sida citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), iyo sertraline (Zoloft); ama serotonin norepinephrine reuptake inhibitors (SNRIs) sida desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), iyo venlafaxine (Effexor XR). Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa nabarro ama dhiig ka soo baxeen calooshaada ama xiidmaha, ama xanuunno kale oo dhiig bax ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada meloxicam una wac dhakhtarkaaga: calool xanuun, laab xanuun, matag dhiig leh ama u eg qaxwo, dhiig saxarada ku jira, ama saxaro madow iyo kuwa tarry ah.
Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa si taxadar leh ula socon doona astaamahaaga wuxuuna ubaahanyahay inuu amro baaritaano gaar ah si loo hubiyo jawaabta jirkaaga ee meloxicam. Hubso inaad u sheegto dhakhtarkaaga sida aad dareemaysid si dhakhtarkaagu u qori karo xaddiga saxda ah ee daaweynta si loogu daaweeyo xaaladdaada iyada oo ay ugu jirto khatarta ugu hooseysa ee waxyeelooyinka halista ah.
Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Hagaha Daawada) markaad bilawdo daaweynta meloxicam iyo markasta oo aad dib u buuxiso dawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa bogga Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.
Meloxicam waxaa loo isticmaalaa in lagu yareeyo xanuunka, jilicsanaanta, bararka, iyo qallafsanaanta ay keento osteoarthritis (arthritis ay keento burburka dahaarka kalagoysyada) iyo rheumatoid arthritis (arthritis uu sababo bararka xuubka kalagoysyada). Meloxicam sidoo kale waxaa loo isticmaalaa in lagu yareeyo xanuunka, jilicsanaanta, bararka, iyo qallafsanaanta ay keento dhalinyarada 'rheumatoid arthritis' (nooc ka mid ah arthritis-ka carruurta ku dhaca) carruurta 2 sano jir ah ama ka weyn Meloxicam waxay ku jirtaa nooc dawooyin ah oo loo yaqaan dawooyinka anti-bararka nonsteroidal (NSAIDs). Waxay ku shaqeysaa iyadoo la joojinayo soo saarista jirka ee walax sababa xanuun, qandho, iyo barar.
Meloxicam waxay u timaadaa sidii kiniin iyo ganaax (dareere) ah oo afka laga qaato. Caadi ahaan waxaa la qaataa maalintii hal mar iyadoo la cuno ama aan la cunin. Qaado meloxicam waqti isku mid ah maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado meloxicam sida saxda ah ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.
Si fiican u rux joojinta ka hor isticmaal kasta si aad ugu qaso daawada si siman.
Meloxicam sidoo kale mararka qaar waxaa loo isticmaalaa in lagu daaweeyo ankylosing spondylitis (arthritis-ka badanaa ku dhaca lafdhabarta). Kala hadal dhakhtarkaaga khataraha suurtagalka ah ee u isticmaalka daawadan xaaladdaada.
Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor qaadashada meloxicam,
- u sheeg dhakhtarkaaga iyo farmasiilahaaga haddii aad xasaasiyad ku leedahay meloxicam, sorbitol, aspirin ama NSAIDs kale sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn), dawooyin kale oo kasta, ama mid ka mid ah maaddooyinka ku jira kiniiniyada 'meloxicam' iyo ganaax. Weydii dhakhtarkaaga ama farmashiistaha liiska waxyaabaha ay ka kooban yihiin.
- u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku taxan qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: xannibaadayaasha angiotensin-enzyme (ACE) sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril ( Zestoretic), iyo quinapril (Accupril, Accuretic, Quinaretic); xannibaadayaasha 'angiotensin receptor blockers' sida azilsartan (Edarbi, in Edarbyclor), candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, in Azor, gudaha Benicar HCT, Tribenzor), telmisartan (Micardis, Micardis HCT, Twynsta); beta blockers sida atenolol (Tenormin, Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), iyo propranolol (Hemangeol, Inderal, Innopran); cholestyramine (Prevalite); cyclosporine (Gengraf, Neoral, Sandimmune); durayaasha ('kaniiniyada biyaha'); lithium (Lithobid); methotrexate (Otrexup, Rasuvo, Trexall); iyo pemetrexed (Alimta). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
- u sheeg dhakhtarkaaga haddii aad qabtid ama aad waligaa neef qabatay, gaar ahaan haddii aad isku aragto duuf badan ama sanka oo duufsan ama burooyinka sanka (barar ku dhaca dahaadhka sanka) wadnaha oo istaaga; bararka gacmaha, cagaha, anqawyada, ama lugaha hoose; ama cudur kalyaha ama beerka.
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato; ama naas nuujin Meloxicam waxay waxyeelayn kartaa uur-jiifka oo waxay dhibaato ku keeni kartaa dhalmada haddii la qaato qiyaastii 20 toddobaad ama ka dib muddada uurka. Ha u qaadan meloxicam qiyaastii ama ka dib 20 toddobaad oo uur ah, ilaa dhakhtarkaagu kuu sheego mooyee. Haddii aad uur yeelato intaad qaadanayso meloxicam, wac dhakhtarkaaga.
- haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso meloxicam.
- haddii aad leedahay dulqaad la'aan fructose (xaalad la iska dhaxlo oo jidhku ka maqan yahay borotiinkii looga baahnaa inuu ku burburiyo fructose [miro sonkor ah oo laga helo macaaneeyeyaasha qaarkood sida sorbitol]), waa inaad ogaataa in joojinta afka laga macaan yahay sorbitol. U sheeg dhakhtarkaaga haddii aad leedahay dulqaad la'aan fructose.
Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.
Meloxicam waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- shuban
- calool istaag
- gaaska
- cune xanuun
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga. Ha u qaadan wax badan oo melokksima ilaa aad dhakhtarkaaga kala hadlayso:
- qandho
- finanka
- finan
- finanka maqaarka ama diirka
- finan
- cuncun
- bararka indhaha, wejiga, carrabka, bushimaha, ama cunaha
- neefsashada ama wax liqidda oo ku adkaata
- xabeeb
- maqaarka cirro leh
- garaaca wadnaha
- neefta oo ku qabata ama neefsashada oo ku adkaata
- korodh aan miisaan lahayn,
- barar caloosha, anqawyada, cagaha, ama lugaha
- lallabbo
- daal fara badan
- tamar la’aan
- hurdi maqaarka ama indhaha
- xanuun qeybta kore ee midig ee caloosha
- astaamaha hargabka oo kale ah
- kaadi daruuro, midab leh, ama dhiig leh
- dhabar xanuun
- kaadi adag ama xanuun badan
Meloxicam waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.
Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).
Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).
Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org
Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.
Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.
Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:
- tamar la’aan
- lulmid
- lallabbo
- matagid
- calool xanuun
- Saxaro dhiig leh, madow, ama daahyo ah
- matag dhiig leh ama u eg qaxwo
- neefsashada oo adkaata
- qalal
- miyir beelid
Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.
Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.
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