Mawduuc Diclofenac (actinic keratosis)

Qanacsan

• Kahor intaadan isticmaalin diclofenac gel,
• Gel Diclofenac wuxuu sababi karaa 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 isla markiiba wac dhakhtarkaaga:

Dadka isticmaala dawooyinka anti-inflammatory nonsteroidal anti-inflammatory (NSAIDs) (oo aan ka ahayn asbiriin) sida diclofenac (Solaraze) la mariyo waxay yeelan karaan halista ugu sareysa 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 u qaadan NSAID sida diclofenac la mariyo haddii aad dhawaan wadno xanuun ku qabatay, 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 (Solaraze) qalliinka ka hor ama midig qalitaanka ka dib.

NSAIDs sida diclofenac la mariyo (Solaraze) 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, da 'weyn, da' caafimaad leh, sigaar cabba, ama cabba khamri 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 taxaddar leh ula socon doona calaamadahaaga oo wuxuu u qaadan doonaa cadaadiska dhiiggaaga wuxuuna amri doonaa baaritaanno gaar ah si loo hubiyo jawaabta jirkaaga ee diclofenac (Solaraze). 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) marka aad bilowdo daaweynta diclofenac la mariyo iyo waqti kasta 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/DrugSafety/ucm085729.htm) si aad u hesho Hagaha Daawada.

Diclofenac maaddada loo yaqaan 'Diclofenac' (Solaraze) ayaa loo isticmaalaa in lagu daaweeyo actinic keratosis (koritaan fidsan oo maqaarka ku dhaca oo ay sababaan qorraxda oo aad u badan). Diclofenac wuxuu kujiraa nooc daawooyin ah oo looyaqaano nonsteroidal anti-inflammatory drugs (NSAIDs). Sida loo isticmaalo diclofenac jel si loogu daaweeyo actinic keratosis lama yaqaan.

Diclofenac sidoo kale waxaa loo heli karaa dareere ahaan (Pennsaid) iyo jel (Voltaren) oo loo mariyo maqaarka si loo daaweeyo xanuunka arthritis. Noocani wuxuu kaliya bixinayaa macluumaad ku saabsan diclofenac gel (Solaraze) ee loo yaqaan 'actinic keratosis'. Haddii aad u isticmaaleyso mid ka mid ah waxyaabaha loo yaqaan 'osteoarthritis', akhri hal-ku-dhigga cinwaankiisu yahay 'diclofenac topical' (xanuunka osteoarthritis).

Maaddada 'diclofenac' ee loo yaqaan 'actinic keratosis' ayaa u timaada sidii gel (Solaraze) si loo mariyo maqaarka. Waxaa lagu dhajiyaa aagga ay dhibaatadu saameysey laba jeer maalintii muddo 60 ilaa 90 maalmood ah. Mari mari diclofenac isku wakhti 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. U isticmaal gel diclofenac sida saxda ee lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.

Ha ku darin diclofenac jel si aad u furto boogaha maqaarka, infekshannada, ama maqaarka casaanka, maqaarka qolofta leh.

Jeelka Diclofenac waxaa loogu talagalay oo keliya in loo isticmaalo maqaarka. Ka taxaddar inaadan ku helin daawada indhahaaga.

Dhaq gacmahaaga kahor intaadan marin diclofenac gel. Markaa isticmaal farahaaga si aad si tartiib ah ugu jilciso jeliska aag kasta oo ay dhibaatadu saameysey. Isticmaal jel ku filan si aad u daboosho aagga gebi ahaanba. Markaad dhameysato mariidka, mar labaad dhaq gacmahaaga. Ka taxaddar inaadan taaban indhahaaga ama sankaaga intaadan gacmaha iska dhaqin.

Xaaladdaadu waxay bilaabi kartaa inay fiicnaato ka dib 30 maalmood oo daaweyn ah, laakiin waxay qaadan kartaa illaa 30 maalmood ka dib dhammaadka daaweynta ka hor intaadan arag bogsashada dhammaystiran ee aagga ay dhibaatadu saameysey ama faa'iidada buuxda ee diclofenac gel. Sii wad inaad isticmaasho jeelka 'diclofenac' xitaa haddii xaaladaadu ay bilaabatay inay soo hagaagto. Ha u joojin isticmaalka daawada adiga oo aan la hadlin dhakhtarkaaga.

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

Kahor intaadan isticmaalin diclofenac gel,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay diclofenac (Cambia, Flector, Voltaren, Pennsaid, Zipsor, Zorvolex, in Arthrotec), aspirin, ama NSAIDs kale; daawooyin kale; ama mid ka mid ah maaddooyinka ku jira gel diclofenac. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: xannibaadayaasha angiotensin-converting enzyme (ACE) sida benazepril (Lotensin, Lotrel), captopril, enalapril (Vasotec, Vaseretic), fosinopril, lisinopril (Prinivil, Zestril, Prinzide iyo Zestoretic) , moexipril (Univasc, in Uniretic), 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); asbiriin ama dawooyin kale oo aan anti-bararka anti-bararka (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); durayaasha ('kaniiniyada biyaha'); iyo dawooyin kale oo maqaarka la mariyo. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• la hadal dhakhtarkaaga ka hor intaadan marin kareemada qorraxda ama is qurxinta maqaarka lagu daweynayo gel diclofenac.
• u sheeg dhakhtarkaaga haddii aad qabtid ama aad waligaa neef qabatay, gaar ahaan haddii aad isku aragto sanka oo duuf badan ama duuf ama sanboro sanka ah (barar ku dhaca xuubka sanka), wadnaha oo hawl gab, ama kelyo ama beer xanuun.
• 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 gel qiyaastii ama ka dib 20 toddobaad oo uur ah, ilaa uu takhtarkaagu kuu sheego mooyee. Haddii aad uur yeelato intaad isticmaaleyso 'diclofenac gel', wac dhakhtarkaaga.
• qorsheyso inaad iska ilaaliso soo-gaadhista iftiinka qorraxda dhabta ah iyo kan macmalka ah (laambadaha qorraxda) iyo inaad xidhato dhar iyo muraayadaha ilaaliya inta lagu daweynayo jelka diclofenac.

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 qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha ku darin jel dheeri ah si aad uhesho qiyaasta la seegay.

Gel Diclofenac wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• casaan, cuncun, diirid ama maqaar qalalan, cuncun, barar, ama finan ka soo baxa aagga aad daawada ka qaadatay
• xanuun, gubasho, kabuubyo, ama xoqid maqaarka la daweeyey
• murqaha, kalagoysyada, ama dhabar xanuunka
• madax xanuun

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan isla markiiba wac dhakhtarkaaga:

• finan
• finan
• cuncun
• dhib liqidda
• xabeeb
• miisaanka oo kordha
• neefta oo ku qabata ama neefsashada oo ku adkaata
• barar caloosha, anqawyada, cagaha, ama lugaha

Gel Diclofenac wuxuu sababi karaa 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 fog iftiinka, kuleylka xad-dhaafka ah, iyo qoyaanka (ha ku jirin musqusha). Ha u oggolaan in gel-diclofenac uu barafoobo.

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 gel, wac xarunta xakamaynta sunta deegaankaaga 1-800-222-1222. Haddii dhibbanuhu uu dhacay ama uusan neefsanayn, wac adeegyada gurmadka degdegga ah ee 911.

Dhammaan ballamaha la dhig dhakhtarkaaga.

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.

• Solaraze^® Jel