Indomethacin

Qanacsan

• Si aad u isticmaasho daawada indomethacin, raac talaabooyinkan:
• Kahor qaadashada indomethacin,
• Indomethacin 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 astaamaha soo socda ama kuwa lagu xusay qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga. Ha u qaadan indomethacin intaa ka badan illaa aad dhakhtarkaaga kala hadlayso.
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Dadka qaata daawooyinka anti-inflammatory nonsteroidal anti-inflammatory (NSAIDs) (oo aan ahayn asbiriin) sida indomethacin ayaa laga yaabaa inay halista ugu sareysa ee wadno qabad ama istaroog ka yeeshaan 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 indomethacin 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, wadno-qabad, ama istaroog, haddii aad sigaar cabtaan, iyo haddii aad qabateen ama waligiin aad qabateen kolestarool sare, dhiig kar, ama kaadi macaan 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 lagaa qaadayo xididdada wadnaha ee xididdada wadnaha (CABG, nooc qalliin wadnaha ah), waa inaadan qaadan indomethacin isla qalliinka ka hor ama ka dib.

NSAIDs sida indomethacin 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 NSAIDs waqti dheer, da 'weyn, caafimaadkoodu liito, ama caba khamri tiro badan inta aad qaadanayso indomethacin. 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 diflunisal (Dolobid), ibuprofen (Advil, Motrin) iyo 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 indomethacin una wac dhakhtarkaaga: calool xanuun, laab xanuun, matag dhiig leh ama u eg qaxwaha, 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 indomethacin. 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) marka aad bilowdo daaweynta indomethacin 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) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.

Indomethacin waxaa loo isticmaalaa in lagu yareeyo xanuunka dhexdhexaadka ah ama daran, jilicsanaanta, bararka, iyo qallafsanaanta ay keento osteoarthritis (arthritis ay keento burburka xuubka kala goysyada), rheumatoid arthritis (arthritis uu sababo bararka xuubka kalagoysyada), iyo ankylosing spondylitis (arthritis inta badan ku dhaca lafdhabarta). Indomethacin waxaa sidoo kale loo isticmaalaa in lagu daaweeyo xanuunka garabka oo ay keento bursitis (caabuq ku jira dareeraha dareeraha ka buuxo ee garabka garabka) iyo tendinitis (caabuq ku dhaca unugyada isku xira murqaha iyo lafaha) Indomethacin kaabsol-sii-deyn deg-deg ah, ganaax (dareere) iyo futada ayaa sidoo kale loo isticmaalaa in lagu daaweeyo xinjirowga ba'an ee loo yaqaan 'gouty arthritis' (weerarada xanuunka daran ee wadajirka ah iyo barar ay sababeen soo saarista walxaha qaarkood ee kala goysyada). Indomethacin wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'NSAIDs'. Waxay ku shaqeysaa iyadoo la joojinayo soo saarista jirka ee walax sababa xanuun, qandho, iyo barar.

Indomethacin wuxuu u yimaadaa sida kaabsul, sii-deyn dheeri ah (waqti-dheer) kaabsol, iyo ganaax ah inuu afka ku qaato iyo inuu yahay dabadhilif si toos ah loogu isticmaalo. Kaabsoolka Indomethacin iyo dareeraha badanaa waxaa la qaataa laba ilaa afar jeer maalintii. Cunnooyinka Indomethacin waxaa badanaa la isticmaalaa laba ilaa afar jeer maalintii. Kaabsoolado-sii-dheeraaday ayaa badanaa la qaataa hal ama laba jeer maalintii. Kaabsoolaha Indomethacin, kaabsoolaha sii-daaya, iyo ka-hakinta waa in lagu qaataa cuntada, isla marka cuntada ka dib, ama daawooyinka loo yaqaan 'antacids'. Qaado indomethacin qiyaastii isla waqtiyada 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 indomethacin sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Wada liq kaabsoolaha sii-dheereeya oo dhan; ha kala qaybin, calalin, ama burburin.

Si fiican u rux joojinta ka hor isticmaal kasta si aad ugu qaso daawada si siman.

Dhakhtarkaaga ayaa laga yaabaa inuu beddelo qiyaasta daawadaada inta lagu jiro daaweyntaada. Xaaladaha qaarkood, dhakhtarkaagu wuxuu kugu bilaabi karaa qadar yar oo ah indomethacin oo si tartiib tartiib ah ayuu u kordhiyaa qiyaastaada, ugu badnaan badiyaa hal mar toddobaadkii. Xaaladaha kale, dhakhtarkaagu wuxuu kugu bilaabi karaa qiyaas dhexdhexaad ah oo ah indomethacin wuxuuna yareeyaa qiyaastaada marka calaamadahaaga la xakameeyo. Si taxaddar leh u raac tilmaamahaas oo weydii takhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid.

Si aad u isticmaasho daawada indomethacin, raac talaabooyinkan:

1. Ka qaad duubka.
2. Qaadi caarada suufka biyaha.
3. U jiifso dhinaca bidix oo jilibkaaga midig kor ugu qaad xabadka. (Qofka bidix-bidix waa inuu u jiifsadaa dhinaca midig oo uu kor ugu qaadaa jilibka bidix.)
4. Adoo isticmaalaya fartaada, geli suumanka qiyaastii 1 inji (2.5 sentimitir) malawadka. Ku hay meesha xoogaa daqiiqado ah.
5. Istaag qiyaastii 15 daqiiqo kadib. Si fiican u dhaq gacmahaaga oo dib u bilow waxqabadyadaadii caadiga ahaa.
6. Waa inaad isku daydaa inaad sinta gasho meesha oo aad iska ilaaliso inaad saxarooto 1 saac ka dib markaad geliso suunka.

Indomethacin sidoo kale mararka qaarkood waxaa loo isticmaalaa in lagu yareeyo qandhada, xanuunka, iyo caabuqa ay sababaan noocyo badan oo xaalado ama dhaawacyo ah, si loo yareeyo qadarka kaalshiyamka ku jira dhiigga, loona daweeyo nooc ka mid ah cadaadiska dhiigga oo hooseeya. Kala hadal dhakhtarkaaga khataraha aad u leedahay isticmaalka dawadan xaaladaada.

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

Kahor qaadashada indomethacin,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay indomethacin, aspirin ama waxyaabo kale oo NSAID ah sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn), dawooyin kale oo kasta, ama mid ka mid ah maaddooyinka aan firfircooneyn ee ku jira kaabsulka indomethacin, ganaax, sii daayo dheereeya kaabsoosha, ama dabada. Weydii farmashiistahaaga liiska waxyaabaha aan firfircooneyn.
• 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, Lotrel), captopril, enalapril (Vasotec, Vaseretic), fosinopril, lisinopril ( Zestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon, in Prestalia), quinapril (Accupril, Accuretic, Quinaretic), ramipril (Altace), iyo trandolapril (Mavik, Tarka); xannibaadayaasha 'angiotensin receptor blockers' sida candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar. in Hyzaar), olmesartan (Benicar, in Azor, in Benicar HCT, in Tribenzor), telmisartan (Micardis, Micardis HCT, Twynsta), iyo valsartan (Diovan HCT, Exforge); beta blockers sida atenolol (Tenormin, Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), iyo propranolol (Hemangeol, Inderal, Innopran); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); diuretics ('kaniiniyada biyaha') sida triamterene (Dyrenium, in Dyazide); lithium (Lithobid); methotrexate (Otrexup, Rasuvo, Trexall); phenytoin (Dilantin, Phenytek); iyo probenecid (Probalan, oo ku taal Col-Probenecid). 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 sidoo kale sanbood badan qabtid ama duufsan yahay ama burooyinka sanka (barar ku dhaca dahaadhka sanka); wadnaha oo istaaga; suuxdinta; Cudurka Parkinson; niyad jab ama jirro maskaxeed; ama cudurka beerka ama kalyaha. Haddii aad isticmaali doontid suumanka indomethacin, sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa yeelatay proctitis (malawadka malawadka) ama aad yeelatay ama dhowaan dhiig bax malawadka ah.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato; ama naas nuujin Indomethacin wuxuu waxyeelleyn karaa uurjiifka wuxuuna dhibaato ku keeni karaa dhalmada haddii la qaato qiyaastii 20 toddobaad ama ka dib inta uurka la leeyahay. Ha u qaadan indomethacin qiyaastii ama ka dib 20 toddobaad oo uur ah, illaa uu takhtarkaagu kuu sheego mooyee. Haddii aad uur yeelato inta aad qaadanayso indomethacin, wac dhakhtarkaaga.
• kala hadal dhakhtarkaaga khataraha iyo faa'iidooyinka qaadashada indomethacin haddii aad tahay 65 sano jir ama ka weyn. Dadka waayeelka ah waa inaysan badiyaa qaadan indomethacin maxaa yeelay ammaan uma ahan sida daawooyinka kale ee loo isticmaali karo in lagu daaweeyo isla xaaladdii.
• haddii aad qalliin samaynayso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso indomethacin.
• waa inaad ogaataa in daawadani kaa dhigi karto mid hurdo leh. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• kala hadal dhakhtarkaaga wixii ku saabsan isticmaalka aaminka ah ee khamriga inta lagu guda jiro daaweyntaada indomethacin. Aalkoladu waxay sii xumayn kartaa dhibaatooyinka soo raaca ee indomethacin.

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

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.

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

• madax xanuun
• dawakhaad
• matagid
• shuban
• calool istaag
• cuncunka malawadka
• dareen joogto ah oo ah baahida loo qabo in la faaruqo mindhicirka
• dhagaha ka yeeraya

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda ama kuwa lagu xusay qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga. Ha u qaadan indomethacin intaa ka badan illaa aad dhakhtarkaaga kala hadlayso.

• miisaanka oo kordha
• neefta oo ku qabata ama neefsashada oo ku adkaata
• barar caloosha, anqawyada, cagaha, ama lugaha
• qandho
• finanka
• finan
• cuncun
• finan
• bararka indhaha, wejiga, carrabka, dibnaha, cunaha, ama gacmaha
• neefsashada ama wax liqidda oo ku adkaata
• xabeeb
• maqaarka cirro leh
• garaaca wadnaha
• daal fara badan
• dhiigbax ama nabar aan caadi ahayn
• tamar la’aan
• lallabbo
• cunto xumo
• xanuun qeybta kore ee midig ee caloosha
• astaamaha hargabka oo kale ah
• hurdi maqaarka ama indhaha
• kaadi daruuro, midab leh, ama dhiig leh
• dhabar xanuun
• kaadi adag ama xanuun badan
• aragga oo xumaada ama dhibaatooyinka kale ee aragga

Indomethacin wuxuu sababi karaa 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:

• lallabbo
• matagid
• madax xanuun
• dawakhaad
• jahwareer
• daal xad dhaaf ah
• dareemid kabuubyo, dharbaaxo, gubasho, ama ku gurguurto maqaarka
• qalal

Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso indomethacin.

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.

• Indocin^®
• Tivorbex^®