Kala duwanaansho

Qanacsan

• Kahor qaadashada kala-goynta,
• Kala duwanaanta ayaa sababi karta 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 qaadan wax faafin intaa ka badan ilaa aad dhakhtarkaaga kala hadlayso.
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Dadka qaata daawooyinka nonsteroidal anti-inflammatory (NSAIDs) (oo aan ka ahayn asbiriin) sida diflunisal ayaa laga yaabaa inay halista ugu weyn ee wadno qabad ama istaroog ku 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 jajabinta haddii aad dhowaan wadno xanuun qabtid, illaa 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 aad mari doontid halbowlaha halbowlaha wadnaha (CABG, nooc ka mid ah qalliinka wadnaha), waa inaadan qaadin kala-goynta saxda ah qalliinka ka hor ama ka dib.

NSAIDs sida diflunisal 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, ama caafimaadkoodu liito, ama caba khamri tiro badan inta aad qaadanayso dawada. 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) 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 yeelatay, dhiig-baxa calooshaada ama mindhicirada, ama xanuunno kale oo dhiig-bax ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada daawada oo wac takhtarkaaga: calool xanuun, laab xanuun, matag walax 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 ubaahan doonaa amarro tijaabooyin gaar ah si loo hubiyo jawaabta jirkaaga ee baahinta. 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 kala duwanaanta 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.

Diflunisal 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). Diflunisal sidoo kale waxaa loo isticmaalaa in lagu yareeyo xanuunka fudud ama dhexdhexaad ee sababaha kale. Diflunisal 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.

Diflunisal wuxuu u yimaadaa kiniin ahaan afka laga qaato. Badanaa waxaa lagu qaataa biyo, caano, ama cunto 8 ilaa 12 saacadood kasta. Qaado kala-sooc qiyaastii isla waqtiyadii 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 faahfaahin 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.

Kiniiniyada oo dhan liq; ha kala qaybin, calalin, ama burburin.

Waxay kugu qaadan kartaa dhowr maalmood ama kabadan inaad dareento faa iidada buuxda ee baahinta. Sii wad inaad qaadatid dawada illaa dhakhtarkaagu kuu sheego inaad joojiso qaadashada daawada.

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada kala-goynta,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay diflunisal, aspirin ama NSAIDs kale sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn), ama daawooyin kale. 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 qoran qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: acetaminophen (Tylenol); angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (in Zestoretic), moexipril (Univasc), perindopril (Aceon, qup) (Accupril, Quinaretic), ramipril (Altace), iyo trandolapril (Mavik, Tarka); angiotensin II receagon antagonists 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 (Exforge HCT); antacids; cyclosporine (Gengraf, Neoral, Sandimmune); durayaasha ('kaniiniyada biyaha'); indomethacin (Indocin, Tivorbex); lithium (Lithobid); methotrexate (Otrexup, Rasuvo, Trexall); iyo sulindac. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu kormeero dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa dareentay mid ka mid ah xaaladaha lagu xusay qaybta DIGNIINTA MUHIIMKA ah ama neefta, gaar ahaan haddii aad sidoo kale leedahay xirmo badan ama sanka oo duufsan ama polyps sanka (barar ku dhaca dahaadhka sanka); wadnaha oo istaaga; bararka gacmaha, cagaha, anqawyada, ama lugaha hoose; ama cudurka beerka ama kalyaha.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato; ama naas nuujin Kala duwanaanta ayaa waxyeellayn kara uur-kujirka waxayna dhibaato ku keeni kartaa dhalmada haddii la qaato qiyaastii 20 toddobaad ama ka dib muddada uurka. Ha u qaadin baaritaanka qiyaastii ama ka dib 20 toddobaad oo uur ah, illaa uu takhtarkaagu kuu sheego mooyee. Haddii aad uur yeelato intaad qaadanaysid faafitaanka, wac dhakhtarkaaga.
• kala hadal dhakhtarkaaga khataraha iyo faa iidooyinka qaadashada dawada haddii aad 75 jir tahay ama ka weyn tahay. Ha u qaadan daawadan muddo dheer ama qaadasho ka badan ta dhakhtarku kugula taliyay.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso kala-duwanaansho.
• wac dhakhtarkaaga haddii aad u malaynayso inaad qabto fayras, sida busbuska ama hargabka. Ha qaadanin faafin haddii aad virus leedahay, hana siinina faafin cunugga qaba virus.

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.

Kala duwanaanta ayaa sababi karta waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• matagid
• shuban
• calool istaag
• gaaska
• madax xanuun
• dawakhaad
• dhagaha ka yeeraya
• dhibaatooyinka aragtida

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 qaadan wax faafin intaa ka badan ilaa aad dhakhtarkaaga kala hadlayso.

• calool xanuun
• neefta oo ku qabata ama neefsashada oo ku adkaata
• barar caloosha, cagaha, anqawyada, ama lugaha hoose
• daal fara badan
• dhiigbax ama nabar aan caadi ahayn
• cuncun
• tamar la’aan
• cunto xumo
• xanuun qeybta kore ee midig ee caloosha
• hurdi maqaarka ama indhaha
• astaamaha hargabka oo kale ah
• finan
• finanka
• qandho ama dhaxan
• maqaarka cirro leh
• garaaca wadnaha
• nabar fudud ama dhiig bax
• murqaha ama kalagoysyada oo xanuuna
• miisaanka oo kordha
• dhabar xanuun
• kaadi daruuro, midab leh, ama dhiig leh
• kaadi adag ama xanuun badan
• kaadi badan, gaar ahaan habeenkii
• barar wejiga, cunaha, carrabka, bushimaha, indhaha, ama gacmaha
• xabeeb
• dhib liqidda

Kala duwanaanta ayaa sababi karta 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:

• lulmid
• matagid
• calool xanuun
• shuban
• kaadida oo yaraatay
• neefsasho degdeg ah
• garaaca wadnaha
• dhidid
• dhagaha ka yeeraya
• jahwareer
• miyir beelid (miyir beelid muddo ah)

Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso kala-goyn.

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.

• Dolobid^®¶

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.