Diclofenac

Qanacsan

• Kahor qaadashada diclofenac,
• 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 astaamaha soo socda ama kuwa lagu xusay qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama hel gargaar caafimaad oo degdeg ah. Ha qaadan diclofenac intaa ka badan illaa aad dhakhtarkaaga kala hadlayso.
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Dadka qaata daawooyinka nonsteroidal anti-inflammatory (NSAIDs) (oo aan ka ahayn asbiriin) sida diclofenac waxaa laga yaabaa inay halista ugu badan 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 diclofenac 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 aad mari doontid halbowlaha xididdada wadnaha (CABG, nooc qalliin wadnaha ah), waa inaadan qaadin diclofenac isla qalliinka ka hor ama ka dib.

NSAIDs sida diclofenac waxay sababi karaan 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 qaata NSAID-yada muddo dheer, da 'weyn, da' caafimaad qaba, ama caba khamri tiro badan inta ay qaadanyaan diclofenac. 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 diclofenac 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 ah.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu si taxaddar leh ayuu ula socon doonaa calaamadahaaga oo wuxuu u badan yahay inuu dalbado baaritaanno gaar ah si loo hubiyo jawaabta jirkaaga ee diclofenac. 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 (Tilmaamaha Daawada) marka aad bilowdo daaweynta diclofenac iyo waqti kasta 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.

Kaabsulka 'Diclofenac' (Zipsor, Zorvolex) iyo kaniiniyada (Cataflam) ayaa loo isticmaalaa in lagu yareeyo xanuunka khafiifka ah ama dhexdhexaadka ah. Kiniiniyada sii-deynta ee loo yaqaan 'Diclofenac' (Voltaren XR), kiniiniyada (Cataflam), iyo kiniinnada dib-u-sii-deynta (oo guud ahaan la heli karo) ayaa loo isticmaalaa in lagu yareeyo xanuunka, jilicsanaanta, bararka, iyo qallafsanaanta ay keento osteoarthritis (arthritis-ka ay keento burburka dahaarka maqaarka kala-goysyada), iyo rheumatoid arthritis (arthritis uu sababo barar ku dhaca dahaarka kalagoysyada). Kiniiniyada sii-deynta ee Diclofenac iyo kiniinnada dib-u-sii-deynta ayaa sidoo kale loo isticmaalaa in lagu daaweeyo xanuunka 'ankylosing spondylitis' (arthritis-ka oo badanaa ku dhaca laf-dhabarka). Kiniiniga Diclofenac (Cataflam) ayaa sidoo kale loo isticmaalaa in lagu daaweeyo caadada xanuunka caadada. Xalka Diclofenac (Cambia) waxaa loo isticmaalaa in lagu daaweeyo madax xanuunka dhanjafka ee dadka waaweyn, laakiin looma isticmaali karo kahortagga dhanjafka ama lagu daaweyn karo noocyada kale ee madax xanuunka. Diclofenac wuxuu ku jiraa fasal dawooyin ah oo loo yaqaan NSAIDs. Waxay ku shaqeysaa iyadoo la joojinayo soo saarista jirka ee walax sababa xanuun, qandho, iyo barar.

Diclofenac wuxuu u yimaadaa sida kaniiniga, iyo kaabsol dareere ka buuxo, kaabsal adag oo gelatin ah, kiniin la sii daayay (muddo dheer shaqeynaya), la sii daayo-daaweyn (kiniin ku sii daayo xiidmaha), iyo sida xirmooyin budo ah oo loogu talagalay xalka biyo lagu qaso) oo afka lagaa qaado. Kapsules dareere ka buuxo Diclofenac badanaa waxaa la qaataa 4 jeer maalintii iyo kaabsalka adag ee diclofenac badanaa waxaa la qaataa 3 jeer maalintii calool madhan. Kiniiniyada sii-daynta dheer ee loo yaqaan 'Diclofenac' waxaa badanaa la qaataa hal mar maalintii, xaaladaha dhifka ahna waxaa la qaataa laba jeer maalintii, haddii loo baahdo in xanuunka la xakameeyo. Kiniiniyada 'Diclofenac' iyo kiniinnada dib-u-sii-daynta diclofenac badanaa waxaa la qaataa 2, 3, ama 4 jeer maalintii. Xalka 'Diclofenac' waxaa loo qaataa cunto la'aan iyadoo ah hal dawo oo daawo ah si looga yareeyo xanuunka madax xanuunka dhanjafka. Haddii laguu sheegay inaad qaadatid diclofenac si joogto ah, u qaado qiyaastii isla waqtigaas (maalin kasta) 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 diclofenac sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Waxyaabaha kala duwan ee diclofenac waxay u sii daayaan daawada si ka duwan jirkaaga loomana adeegsan karo. Kaliya qaado badeecada diclofenac ee uu dhakhtarkaagu kuu qoray oo ha u wareegin badeecad diclofenac oo kale ah ilaa dhakhtarkaagu ku yiraahdo waa inaad sameysaa mooyee.

Dhakhtarkaaga ayaa laga yaabaa inuu hagaajiyo qiyaasta daawadaada inta lagu jiro daaweyntaada iyadoo kuxiran jawaabtaada daawada. Kala hadal dhakhtarkaaga sida aad dareemayso inta lagu guda jiro daaweynta diclofenac.

Haddii aad u qaadanayso budada xalka, waxaad u baahan doontaa inaad biyo ku qasto intaadan qaadan. Si aad isugu qasto dawada, marka hore ka soo saar hal baakad saf saddex xirmo oo ku lifaaqan. Ku rid 2 ilaa 4 qaado (1 ilaa 2 wiqiyadood; 30 illaa 60 mili) oo biyo ah koob. Ku dar waxa ku jira baakadda oo si fiican isku walaaq. Cab isku dar ah isla markiiba. Ku tuur baakadda maran qashinka lagu tuuro meel ka fog carruurta iyo xayawaanku.

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

Kahor qaadashada diclofenac,

• u sheeg dhakhtarkaaga iyo farmasiilahaaga haddii aad xasaasiyad ku leedahay diclofenac (sidoo kale loo heli karo sida Solaraze iyo Pennsaid, oo ku taal Arthrotec), aspirin ama NSAIDs kale sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn), daawooyin kale, ama mid ka mid ah waxyaabaha aan firfircooneyn ee ku jira badeecada diclofenac ee aad qorsheyneyso inaad qaadato. Weydii farmashiistahaaga ama ka hubi hagaha daawada liiska waxyaabaha aan firfircooneyn. Haddii aad qaadanayso kaabsulka 'diclofenac' (Zipsor), u sheeg dhakhtarkaaga haddii aad xasaasiyad ku leedahay borotiinnada lo'da (lo'da) sida kuwa laga helo caanaha, lo'da, ama gelatin.
• 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 DIGNIINTA MUHIIMKA ah iyo mid ka mid ah kuwan soo socda: acetaminophen (Tylenol, ee alaabooyinka kale), xannibaadayaasha angiotensin-converting enzyme (ACE) sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec) , Vaseretic), fosinopril, lisinopril (Zestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon, in Prestalia), quinapril (Accupril, Accuretic, Quinaretic), ramipril (Altace), iyo trandolapril ( Tarka); 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); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); durayaasha ('kaniiniyada biyaha'); insulin iyo daaweynta afka ee sonkorowga; lithium (Lithobid); daawooyinka qalalka; methotrexate (Otrexup, Rasuvo, Trexall), rifampin (Rifadin, Rimactane, Rifamate, Rifater), iyo voriconazole (Vfend). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara diclofenac, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid xitaa haddii aysan ka muuqan liiskan. 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 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); porphyria (koror aan caadi ahayn ee xaddiga maaddooyinka dabiiciga ah qaarkood ee beerka sameeyo); 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 Diclofenac waxaa laga yaabaa inuu waxyeeleeyo uur-jiifka oo uu dhibaato ku keeno dhalmada haddii la qaato qiyaastii 20 toddobaad ama ka dib muddada uurka. Ha u qaadan diclofenac qiyaastii ama ka dib 20 toddobaad oo uur ah, illaa uu takhtarkaagu kuu sheego mooyee. Haddii aad uur yeelato inta aad qaadanaysid diclofenac, wac dhakhtarkaaga.
• kala hadal dhakhtarkaaga khataraha iyo faa'iidooyinka qaadashada diclofenac haddii aad tahay 75 sano jir ama ka weyn. 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 diclofenac.
• haddii aad leedahay phenylketonuria (PKU; xaalad la iska dhaxlo oo ah in cunno gaar ah la raaco si looga hortago dib-u-dhac maskaxeed), waa inaad ogaataa in budada xalka ay ku jirto aspartame, isha laga helo phenylalanine.

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

Budada xalka waxaa badanaa loo qaataa sida loogu baahan yahay madax xanuunka dhanjafka. Haddii aad qaadanayso wax soo saar kale oo diclofenac ah oo aad illowday inaad qaadato qiyaas, qaado qiyaasta la seegay isla marka aad xusuusato. 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.

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

• shuban
• calool istaag
• gaas ama dibiro
• madax xanuun
• dawakhaad
• 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, wac dhakhtarkaaga isla markiiba ama hel gargaar caafimaad oo degdeg ah. Ha qaadan diclofenac intaa ka badan illaa aad dhakhtarkaaga kala hadlayso.

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

Diclofenac 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:

• lallabbo
• matagid
• calool xanuun
• Saxaro dhiig leh, madow, ama daahyo ah
• matag walax dhiig leh ama u eg qaxwaha
• lulmid
• neefsasho gaabis ah, gacmeed, ama aan caadi ahayn
• 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.

• Cambiya^®
• Cataflam^®¶
• Voltaren XR^®¶
• Sipsor^®
• Zorvolex^®

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