Mawduuca 'Diclofenac' (xanuunka arthritis)

Qanacsan

• Si aad u isticmaasho maadada diclofenac ee jirka la mariyo (Voltaren Arthritis Pain), raac talaabooyinkan:
• Si aad u isticmaasho diclofenac maadada ah 1.5% xalka maadada, raac talaabooyinkan:
• Si aad u isticmaasho diclofenac la mariyo 2% xalka maadada (Pennsaid), raac talaabooyinkan:
• Kahor intaadan isticmaalin diclofenac la mariyo,
• Diclofenac jirka la mariyo ayaa laga yaabaa inuu sababo 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 astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Dadka isticmaala daawooyinka anti-inflammatory nonsteroidal anti-inflammatory (NSAIDs) (oo aan ahayn asbiriinka) sida diclofenac la mariyo (Pennsaid, Voltaren) waxay yeelan karaan halista sare ee wadno qabad ama istaroog marka loo eego dadka aan isticmaalin daawooyinkan. Dhacdooyinkan waxay dhici karaan digniin la'aan waxayna sababi karaan dhimasho. Khatartani way ka sii badnaan kartaa dadka isticmaala NSAIDs muddo dheer. Ha isticmaalin NSAID sida diclofenac la mariyo haddii aad dhawaan wadno xanuun qabtid, ilaa uu takhtarkaagu kugu amro mooyee. U sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ah uu qabo ama uu waligiis ku dhacay cudur wadne, wadne qabad, ama istaroog; haddii aad sigaar cabto; iyo haddii aad qabto ama aad waligaa qabtid 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 ama dhinaca jidhkaaga, ama hadal aan fiicnayn

Haddii aad mari doontid halbowlaha xididdada wadnaha (CABG, nooc qalliin wadnaha ah), waa inaadan isticmaalin diclofenac (Pennsaid, Voltaren) qalliinka ka hor ama midig qalitaanka ka dib.

NSAIDs sida diclofenac la mariyo (Pennsaid, Voltaren) waxay sababi karaan barar, nabarro, 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 isticmaala NSAIDs muddo dheer, oo ah 60 jir ama ka weyn, caafimaadkoodu liito, sigaar cabbo, ama cabto aalkolo inta ay isticmaalayaan diclofenac la mariyey. U sheeg dhakhtarkaaga haddii aad qabtid mid ka mid ah arrimahan halista ah iyo haddii aad leedahay ama aad waligaa nabarro ama dhiig-bax ka galeen caloosha ama mindhicirada, ama xanuunno kale oo dhiig-bax ah. 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). Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji isticmaalka diclofenac la mariyo una wac dhakhtarkaaga: calool xanuun, laab xanuun, matag walax dhiig leh ama u eg qaxwaha, dhiig saxarada ku jira, ama saxaro madow iyo kuwa tarry.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa si taxadar leh ula socon doona astaamahaaga waxayna u badan tahay inuu kaa qaadi doono cadaadiska dhiiggaaga wuxuuna amri doonaa baaritaano gaar ah si loo hubiyo jawaabta jirkaaga ee diclofenac la mariyo (Pennsaid, Voltaren). Hubso inaad u sheegto dhakhtarkaaga sida aad dareemaysid si dhakhtarku u qori karo qadarka saxda ah ee daawada si loogu daaweeyo xaaladdaada iyada oo ay ugu jirto khatarta ugu hooseysa ee waxyeellooyinka halista ah.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Hagaha Daawada) markaad bilowdo daaweynta daawada diclofenac ee dawada lagu qoray iyo markasta oo aad dib u buuxiso daawadaada. 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/DrugSafety/ucm085729.htm) si aad u hesho Hagaha Daawada.

Qoris la'aan (miiska laga iibsado) diclofenac jel la mariyo (Voltaren Arthritis Xanuun) ayaa loo isticmaalaa in lagu yareeyo xanuunka ka soo baxa arthritis-ka ee kala-goysyada qaarkood sida kuwa jilbaha, anqawyada, cagaha, xusullada, curcurka, iyo gacmaha. Xalka dawada ee diclofenac (Pennsaid) ayaa loo isticmaalaa in lagu yareeyo xanuunka osteoarthritis ee jilbaha. Diclofenac wuxuu kujiraa nooc daawooyin ah oo looyaqaano nonsteroidal anti-inflammatory drugs (NSAIDs). Waxay ku shaqeysaa iyadoo la joojinayo soo saarista jirka ee walax xanuun keenta.

Diclofenac sidoo kale waxaa loo heli karaa sida 3% gel (Solaraze; generic) oo loo mariyo maqaarka si loo daaweeyo actinic keratosis (fiditaan, koritaanka maqaarka ee maqaarka oo ay keento qorrax aad u badan). Hal-ku-qoridani waxay kaliya siisaa macluumaad ku saabsan gelinta diclofenac aan dawada lahayn (Voltaren Arthritis Pain) ee loo yaqaan 'arthritis' iyo xalka dawada la qoro (Pennsaid) ee osteoarthritis ee jilibka. Haddii aad u isticmaaleyso 'diclofenac gel' (Solaraze, generic) oo loo yaqaan 'actinic keratosis', akhri monographka cinwaankiisu yahay diclofenac la mariyo (actinic keratosis).

Daawada diclofenac ee dawada laguu qoro waxay u timaadaa sidii 1.5% xalka jirka (dareeraha) ah si loogu mariyo jilibka 4 jeer maalintii iyo sida 2% xalka maadada ah (Pennsaid) si loo mariyo jilibka 2 jeer maalintii. Dib u qorid la'aanta (miiska saaran) diclofenac la mariyo waxay u timaadaa sidii 1% jel (Voltaren Arthritis Pain) si loo codsado ilaa 2 meelood oo jirka ah (tusaale, 1 jilib iyo 1 canqaw, 2 jilib, 1 cag iyo 1 canqaw, ama 2 gacmood) 4 jeer maalin kasta illaa 21 maalmood ama sida dhakhtarkaagu kugula taliyo. Mari mari diclofenac (Voltaren Arthritis Pain) ama xalka jirka la mariyo (Pennsaid) qiyaastii isla waqtigaas (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. U isticmaal diclofenac la mariyo (Pennsaid, Voltaren Arthritis Pain) sida saxda ee lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama ha u isticmaalin marar badan ama muddo ka badan intii uu dhakhtarkaagu kuu qoray. Ha ku daboolin jelka ama xalka maadada ee meel kasta oo jirkaaga ka mid ah oo uusan dhakhtarkaagu kuu sheegin inaad dawayso.

Codso jel diclofenac (Voltaren Arthritis Pain) ama xalka jirka la mariyo (Pennsaid) si aad u nadiifiso, una qalajiso maqaarka. Daawada ha ku daboolin maqaarka jabay, diirmay, infekshanku ku dhacay, oo bararay, ama ku daboolan finan yaryar.

Diclofenac gel (Voltaren Arthritis Pain) iyo xalka maadada (Pennsaid) ayaa kaliya loogu isticmaalaa maqaarka. Ka taxaddar inaadan ku helin daawada indhahaaga, sankaaga, ama afkaaga. Haddii daawada lagaa siiyo indhahaaga, indhahaaga biyo raaci biyo badan ama cusbada. Haddii ishaadu (ishaadu) ay wali kacsan tahay hal saac kadib, wac dhakhtarkaaga.

Ka dib markaad marsatid diclofenac gel (Voltaren Arthritis Pain) ama xalka la mariyo (Pennsaid), waa inaadan ku daboolin aagga daweynta nooc kasta oo faashad ama faashad ah oo waa inaadan kuleylka u marin aagga. Waa inaadan qubeysan ama aadan qubeysan ugu yaraan 30 daqiiqo kadib markaad marsho xalka maadada (Pennsaid) iyo ugu yaraan 1 saac kadib markaad gelisid (Voltaren Arthritis Pain). Ha ku daboolin meesha lagu daweeyay dhar ama galoofis 10 daqiiqo ka dib markaad geliso jelka (Voltaren Arthritis Pain), ama ilaa xalka maadada (Pennsaid) uu qalalo haddii aad isticmaaleyso xalka maadada.

Waxay qaadan kartaa ilaa 7 maalmood ka hor intaadan dareemin faa iidada buuxda ee maadada diclofenac ee aan dawada lahayn (Voltaren Arthritis Pain). Haddii aadan ka dareemin xanuun joojiyaha xanuunka arthritis-ka ee alaabtan ka dib 7 maalmood ee isticmaalka, jooji isticmaalka oo la xiriir dhakhtarkaaga.

Si aad u isticmaasho maadada diclofenac ee jirka la mariyo (Voltaren Arthritis Pain), raac talaabooyinkan:

1. Kahor intaadan isticmaalin tuubbo cusub oo ah 'diclofenac gel' (Voltaren Arthritis Pain) markii ugu horreysay, furo shaabadda badbaadada ee daboolay tuubbada ka dibna dalool furitaanka tuubbada adoo isticmaalaya dusha sare ee dusha sare ee dusha sare leh. Ha ku furin shaabadda maqas ama waxyaabo fiiqan.
2. Dhig mid ka mid ah kaararka qiyaasta ee ku yaal baakadka dusha sare dusha sare si aad u akhrisatid daabacaadda.
3. Adoo adeegsanaya xariijimaha kaarka daawada lagu tusayo hage ahaan, ku cadaadi xaddiga saxda ah ee jel kaarka qiyaasta si siman. Hubso in jelku daboolayo dhammaan aagga loo calaamadeeyay qiyaastaada saxda ah iyadoo ku xiran hadday tahay qaybta sare (gacanta, curcurka, xusulka) ama hoose (cag, anqaw, jilib). Daboolka dib ugu celi tubbada.
4. Nadiifi oo qalaji meesha maqaarka aad ku daaweyn doonto daawada. Ha marin maqaarka oo leh wax dillaac ah, nabarro furan, caabuqyo ama finan.
5. Gel ku mari meelaha jihada ah ee la faray, adoo isticmaalaya kaarka qiyaasta daawada si ay kaaga caawiso inaad jelka u mariso maqaarka illaa iyo ilaa 2 meelood oo jidh ah. Ha codsan in ka badan 2 meelaha jirka ah. Isticmaal gacmahaaga si tartiib ah ugu xoq jelka maqaarka. Hubi inaad ku daboosho aagga oo dhan aaladda. Ha ku codsanin aag la mid ah alaabada kale.
6. Ku dhaji dhamaadka kaarka qiyaasta farahaaga, oo maydh oo qalaji kaarka. Ku keydi kaarka qiyaasta daawada illaa isticmaalka dambe, meel ka fog carruurta. Ha la wadaagin kaarka dawada qof kale.
7. Si fiican u dhaq gacmahaaga ka dib markaad geliso jelka, ilaa aad daaweyso gacmahaaga mooyee. Haddii aad daweyneyso gacmahaaga, ha dhaqin ugu yaraan hal saac ka dib marka aad marinka geliso.

Si aad u isticmaasho diclofenac maadada ah 1.5% xalka maadada, raac talaabooyinkan:

1. Nadiifi oo qalaji meesha maqaarka aad ku daaweyn doonto daawada.
2. Ku mari xalka maadada jilibkaaga 10 dhibic markiiba. Waxaad ku samayn kartaa adoo si toos ah ugudayaya xalka mowduuc jilibka jilibka ama adoo marka hore ku ridaya calaacasha gacanta ka dibna ku faafaya jilibka.
3. U isticmaal gacantaada inaad si siman ugu faafiso xalka mowduuca hareeraha hore, dhabarka, iyo dhinacyada jilibka.
4. Ku celi talaabadan ilaa 40 dhibcood oo ah xalka maadada la mariyo jilibkuna uu gebi ahaanba ku daboolan yahay xalka maadada.
5. Haddii dhakhtarkaagu kuu sheegay inaad xalliso xalka maadada labada jilib, ku celi tallaabooyinka 2 ilaa 4 si aad daawada ugu mariyo jilibkaaga kale.
6. Si fiican u dhaq oo u qallaji gacmahaaga ka dib markaad mariso xalka maadada. Ka fogow taabashada maqaarka dadka kale iyo aagga jilibka la daweeyay.

Si aad u isticmaasho diclofenac la mariyo 2% xalka maadada (Pennsaid), raac talaabooyinkan:

1. Waxaad ubaahan doontaa inaad shubto bamka ay kujiraan daawadan kahor intaadan isticmaalin markii ugu horeysay. Furka ka saar bamka oo si fiican kor ugu hay bamamka. Hoos u riix bamka dushiisa afar jeer oo qaado dawooyin kasta oo ku soo baxa shukumaan ama warqad. Ku tuur tuwaalka waraaqda ama cadka qashinka qashinka.
2. Markaad diyaar u tahay inaad daawadaada isticmaasho, gacmahaaga si fiican ugu dhaq saabuun iyo biyo.
3. Ku hay bamka xagal oo hoos u riix dusha sare ee mashiinka si aad daawada ugu siisid calaacashaada. Hoos u riix dusha sare mar labaad si aad ugu bixiso mashiin kale oo daawo ah calaacashaada.
4. U isticmaal calaacashaada inaad si siman daawada ugu isticmaasho hore, dhabarka, iyo dhinacyada jilibkaaga.
5. Haddii dhakhtarkaagu kuu sheegay inaad daawada ku dhajiso labada jilib, ku celi tallaabooyinka 3-4 si aad daawada ugu mariso jilibkaaga kale.
6. Si fiican ugu dhaq gacmahaaga saabuun iyo biyo isla marka aad daawada dhamayso.
7. Ku beddel furka mashiinkaaga oo ku kaydi mashiinka toosan.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan isticmaalin diclofenac la mariyo,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay diclofenac (Cambia, Flector, Voltaren Arthritis Pain, Solaraze, Zipsor, Zorvolex, in Arthrotec), asbiriin, ama NSAIDs kale; daawooyin kale; ama mid ka mid ah waxyaabaha ku jira diyaarinta diclofenac la mariyo. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada 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: acetaminophen (Tylenol, in other products); angiotensin-converting enzyme (ACE) inhibitors sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (Prinivil, Zestril, Prinzide iyo Zestoretic), moexipril (Univasc, in) perindopril (Aceon, in Prestalia), quinapril (Accupril, in Quinaretic), ramipril (Altace), iyo trandolapril (Mavik, in Tarka); xannibaadayaasha 'angiotensin receptor blockers' sida candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, Azor, Benicar HCT, Tribenzor), telmisartan (Micardis, Micardis HCT, Twynsta), iyo valsartan (Exforge HCT); antibiyootikada qaarkood, beta blockers sida atenolol (Tenormin, Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, Corzide), iyo propranolol (Hemangeol, Inderal, Innopran); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); durayaasha ('kaniiniyada biyaha'); lithium (Lithobid); daawooyinka suuxdinta, methotrexate (Otrexup, Rasuvo, Trexall) ama pemetrexed (Alimta). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• waa inaad ogaataa inaadan ku daboolin shaashadda qorraxda, waxyaabaha la isku qurxiyo, looshinnada, qoyaanka jirka, kuwa cayayaanka looga celiyo, ama daawooyinka kale ee jirka la mariyo ee lagu daweeyo diclofenac la mariyey. Haddii laguu qoro xalka diclofenac ee jirka la mariyo (Pennsaid), sug ilaa inta aagga dalabku gebi ahaanba qallalayo ka hor intaadan dalban mid ka mid ah badeecadan ama walxaha kale.
• u sheeg dhakhtarkaaga haddii aad qabto shuban daran ama matag ama aad u malaynayso inaad fuuqbaxan tahay; haddii aad khamri cabto ama aad taariikh u leedahay cabbitaan badan oo aalkolo ah, iyo haddii aad qabto ama aad waligaa qabtid mid ka mid ah xaaladaha lagu xusay qaybta DIGNIIN MUHIIM AH ama neefta, gaar ahaan haddii aad si joogto ah u buuxsantay ama sanka oo duufsan yahay ama burooyinka sanka (barar xuubka sanka); bararka gacmaha, cagaha, anqawyada, ama lugaha hoose; wadnaha oo istaaga; ama cudur kalyaha ama beerka.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato; ama naas nuujin Diclofenac waxaa laga yaabaa inuu waxyeeleeyo uur-jiifka oo uu dhibaato ku keeno dhalmada haddii la isticmaalo qiyaastii 20 toddobaad ama ka dib muddada uurka. Ha u isticmaalin diclofenac maadada la mariyo qiyaastii ama kadib 20 toddobaad ee uurka, illaa laga helo in dhakhtarkaagu kuu sheego mooyee. Haddii aad uur yeelato intaad isticmaaleyso daawada diclofenac, wac dhakhtarkaaga.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta haweenka. Kala hadal dhakhtarkaaga halista isticmaalka diclofenac la mariyey.
• qorsheyso inaad iska ilaaliso soo-gaadhista aan loo baahnayn ama daba dheeraatay ee qorraxda dhabta ah ama macmalka ah (sariiraha maqaarka ama laambadaha, iftiinka 'ultraviolet light') iyo inaad xidhato dhar difaac ah si loo daboolo aagagga lagu daaweeyo diclofenac. Diclofenac la mariyey ayaa laga yaabaa inuu maqaarkaaga u nuglaado iftiinka qoraxda.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Codso qiyaasta la seegay isla marka aad xasuusato. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga codsigaaga jadwalka xiga, ka boodi qiyaasta la seegay oo sii wad jadwalkaaga qiyaasta daawada caadiga ah. Ha codsan jel diclofenac dheeraad ah (Voltaren Arthritis Pain) ama xalka maadada (Pennsaid) si aad uugu kabato qiyaasta la seegay.

Diclofenac jirka la mariyo ayaa laga yaabaa inuu sababo waxyeelo U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• qallalan, casaan, cuncun, barar, xanuun, qallafsanaan, cuncun, barar, miisaan, ama kabuubis goobta codsiga
• finanka
• calool xanuun
• calool istaag
• gaaska
• dawakhaad
• kabuubyo, gubasho, ama xoqid gacmaha, gacmaha, cagaha, ama lugaha

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:

• finan
• cuncun
• dhib liqidda
• barar wejiga, cunaha, gacmaha, ama gacmaha
• miisaanka oo kordha
• neefta oo ku qabata ama neefsashada oo ku adkaata
• barar caloosha, anqawyada, cagaha, ama lugaha
• taahid
• cudurka neefta oo kasii daraya
• hurdi maqaarka ama indhaha
• lallabbo
• daal xad dhaaf ah
• dhiigbax ama nabar aan caadi ahayn
• tamar la’aan
• cunto xumo
• xanuun qeybta kore ee midig ee caloosha
• astaamaha hargabka oo kale ah
• kaadi midab madow
• finan
• nabarro maqaarka ku yaal
• qandho
• maqaarka cirro leh
• garaaca wadnaha
• daal fara badan

Diclofenac la mariyey ayaa laga yaabaa inuu sababo waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

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 ilaali qaboojinta ama kuleylka badan.

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.

Haddii qof liqo diclofenac la mariyey, wac xarunta ka hortagga sunta deegaankaaga 1-800-222-1222. Haddii dhibbanuhu uu dhacay ama uusan neefsanayn, wac adeegyada gurmadka degdegga ah ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• lulmid
• tamar la’aan
• lallabbo
• matagid
• calool xanuun
• Saxaro dhiig leh, madow, ama daahyo ah
• matag walax dhiig leh ama u eg qaxwaha
• neefsasho gaabis ah, gacmeed, ama aan caadi ahayn
• finan
• cuncun
• neefsashada ama wax liqidda oo ku adkaata
• miyir beelid

Ha u ogolaan qof kale inuu isticmaalo 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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