I-Diclofenac Imixholo (i-actinic keratosis)

Umxholo

• Ngaphambi kokusebenzisa ijeli yediclofenac,
• Ijeli ye-Diclofenac inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu biza ugqirha ngokukhawuleza:

Abantu abasebenzisa iziyobisi ezichasayo ezingasebenziyo (ii-NSAIDs) (ngaphandle kwe-aspirin) ezinje nge-diclofenac (Solaraze) inokuba nomngcipheko wokuba nesifo sentliziyo okanye ukubethwa ngabantu kunabantu abangasebenzisi la mayeza. Ezi ziganeko zinokwenzeka ngaphandle kwesixwayiso kwaye zingabangela ukufa. Lo mngcipheko unokuphakama kubantu abasebenzisa ii-NSAID ixesha elide. Musa ukuthatha i-NSAID enje nge-diclofenac yeengxoxo ukuba ngaba uhlaselwe sisifo sentliziyo, ngaphandle kokuba uyalelwe ngugqirha. Tshela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho ukhe unesifo sentliziyo, wahlaselwa yintliziyo, okanye wahlaselwa sistroke; ukuba uyatshaya; kwaye ukuba ukhe une-cholesterol ephezulu, uxinzelelo oluphezulu lwegazi, okanye isifo seswekile. Fumana uncedo lonyango olungxamisekileyo kwangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: iintlungu esifubeni, ukuphefumla kancinci, ukuba buthathaka kwelinye icala okanye icala lomzimba wakho, okanye intetho egoso.

Ukuba uya kuba nomthambo we-coronary bypass graft (CABG; uhlobo lotyando lwentliziyo), akufuneki usebenzise isicatshulwa se-diclofenac (Solaraze) kanye phambi okanye emva kotyando.

Ii-NSAID ezinje nge-diclofenac yesihloko (Solaraze) inokubangela ukudumba, izilonda, ukopha, okanye imingxunya esiswini okanye emathunjini. Ezi ngxaki zinokuvela nanini na ngexesha lonyango, zinokwenzeka ngaphandle kweempawu zesilumkiso, kwaye zinokubangela ukufa. Umngcipheko unokuphakama kubantu abasebenzisa ii-NSAID ixesha elide, badala ngeminyaka, banempilo enkenenkene, ukutshaya, okanye ukusela utywala ngelixa besebenzisa i-diclofenac. Tshela ugqirha wakho ukuba unayo nayiphi na le micimbi yomngcipheko kwaye ukuba unayo okanye wakhe wanesilonda okanye ukopha esiswini okanye emathunjini, okanye ezinye iingxaki zokopha. Xelela ugqirha wakho ukuba uthatha nawaphi na amayeza alandelayo: ii-anticoagulants ('blood thinner') ezinjenge-warfarin (Coumadin, Jantoven); iasprini; ezinye ii-NSAID ezinje nge-ibuprofen (Advil, Motrin) okanye naproxen (Aleve, Naprosyn); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, kwi-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) kunye ne-sertraline (i-Zoloft); okanye i-serotonin norepinephrine reuptake inhibitors (i-SNRIs) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), kunye ne-venlafaxine (Effexor XR). Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukusebenzisa i-diclofenac ye-topical kwaye ubize ugqirha wakho: iintlungu zesisu, ukuqaqanjelwa yintliziyo, ukugabha into enegazi okanye ebonakala ngathi yindawo yekofu, igazi esitulweni, okanye isitulo esimnyama nesokulinda.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kujonga iimpawu zakho ngononophelo kwaye uya kuthatha uxinzelelo lwegazi kwaye ayalele iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-diclofenac ye-topical (Solaraze). Qiniseka ukuba uxelela ugqirha wakho indlela oziva ngayo ukuze ugqirha akwazi ukumisela inani elifanelekileyo lamayeza ukunyanga imeko yakho ngomngcipheko ophantsi weziphumo ebezingalindelekanga.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-diclofenac eneengcombolo kwaye ngalo lonke ixesha uzalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ukufumana isiKhokelo seyeza.

Ijeli ye-Diclofenac eneengxoxo (Solaraze) isetyenziselwa ukunyanga i-actinic keratosis (tyaba, ukukhula kwamaxolo esikhumbeni okubangelwa kukuvezwa lilanga kakhulu). I-Diclofenac ikudidi lwamayeza abizwa ngokuba zii-nonsteroidal anti-inflammatory drug (NSAIDs). Indlela i-diclofenac gel esebenza ngayo ukunyanga i-actinic keratosis ayaziwa.

I-Diclofenac ikwafumaneka njengolwelo (iPennsaid) kunye nejeli (Voltaren) esetyenziswa kulusu ukunyanga iintlungu zesifo samathambo. Le monograph inika kuphela ulwazi malunga ne-diclofenac gel (Solaraze) ye-actinic keratosis. Ukuba usebenzisa enye yeemveliso ze-osteoarthritis, funda i-monograph enesihloko esithi diclofenac topical (isifo samathambo).

I-diclofenac yesihloko ye-actinic keratosis iza njengejeli (Solaraze) ukufaka ulusu. Isetyenziswa kwindawo echaphazelekayo kabini ngemini kangangeentsuku ezingama-60 ukuya kuma-90. Faka isicelo se-diclofenac gel kumaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-diclofenac gel ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Sukufaka i-diclofenac gel ukuvula amanxeba esikhumba, usulelo, okanye obomvu, isikhumba okanye isikhumba esikhulayo.

Ijeli ye-Diclofenac isetyenziselwa ulusu kuphela. Lumka ungafumani iyeza emehlweni akho.

Hlamba izandla ngaphambi kokufaka ijeli ye-diclofenac. Emva koko sebenzisa iminwe yakho ukuhambisa ngobunono ijeli kwindawo nganye echaphazelekayo. Sebenzisa i-gel eyaneleyo ukugubungela iindawo ngokupheleleyo. Xa ugqibile ukufaka ijeli, hlamba izandla zakho kwakhona. Lumka ungabambi amehlo okanye impumlo ngaphambi kokuba uhlambe izandla.

Imeko yakho ingaqala ukuphucula emva kweentsuku ezingama-30 zonyango, kodwa inokuthatha ukuya kwiintsuku ezingama-30 emva kokuphela konyango ngaphambi kokuba ubone ukuphiliswa okupheleleyo kwendawo echaphazelekayo okanye isibonelelo esipheleleyo sejeli ye-diclofenac. Qhubeka nokusebenzisa ijeli yediclofenac nokuba imeko yakho iqale ukuphucula. Sukuyeka ukusebenzisa iyeza ungakhange uthethe nogqirha wakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa ijeli yediclofenac,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-diclofenac (eCambia, Flector, Voltaren, Pennsaid, Zipsor, Zorvolex, kwiArthrotec), i-aspirin, okanye ezinye ii-NSAID; nawaphi na amanye amayeza; okanye nasiphi na isithako esenziwe kwijeli ye-diclofenac. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin, eLotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (Prinivil, Zestril, in Prinzide and Zestoretic) , moexipril (Univasc, in Uniretic), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Quinaretic), ramipril (Altace), kunye netrandolapril (Mavik, eTarka); ii-angiotensin receptor blocker ezinje ngecandesartan (Atacand, eAtacand HCT), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, eAzor, e-Benicar HCT, e-Tribenzor), telmisartan (Micardis, kwi Micardis HCT, e Twynsta), kunye ne valsartan (kwi Exforge HCT); i-aspirin okanye ezinye iyeza ezichasayo (i-NSAIDs) ezinje nge-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); umchamo ('iipilisi zamanzi'); kunye namanye amayeza asetyenziswa eluswini. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• thetha nogqirha wakho ngaphambi kokufaka i-sunscreen okanye izinto zokuthambisa kulusu oluphathwa ngejeli ye-diclofenac.
• xelela ugqirha wakho ukuba ubukhe wanaso na isifo sombefu, ngakumbi ukuba uhlala uhlohlile okanye uvuza impumlo okanye iipolyps zempumlo (ukudumba kwenwebu yempumlo), ukusilela kwentliziyo, okanye isifo sezintso okanye sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa; okanye ukuncancisa. I-Diclofenac inokulimaza umbungu kwaye ibangele iingxaki ekuhanjisweni ukuba isetyenziswe malunga neeveki ezingama-20 okanye kamva ngexesha lokukhulelwa. Sukuyisebenzisa i-diclofenac gel ijikeleze okanye emva kweeveki ezingama-20 zokukhulelwa, ngaphandle kokuba uxelelwe njalo ngugqirha wakho. Ukuba ukhulelwa ngelixa usebenzisa i-diclofenac gel, tsalela ugqirha wakho.
• cwangcisa ukuthintela ukuvezwa kukukhanya kwelanga okwenyani kunye nokwenziweyo (izibane zelanga) kunye nokunxiba iimpahla ezikhuselayo kunye nezibane zelanga ngexesha lonyango lwakho ngejeli ye-diclofenac.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Faka idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Musa ukufaka ijeli eyongezelelweyo ukwenza idosi ephosiweyo.

Ijeli ye-Diclofenac inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ubomvu, ukurhawuzelela, ukuxobuka okanye ulusu olomileyo, ukucaphuka, ukudumba, okanye irhashalala kwindawo osebenzise kuyo amayeza
• iintlungu, ukutshisa, ukuba ndindisholo, okanye ukubetha kolusu oluphathwayo
• umsipha, ukudibana, okanye iintlungu zomqolo
• intloko ebuhlungu

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu biza ugqirha ngokukhawuleza:

• urhwebo
• irhashalala
• ukurhawuzelela
• kunzima ukugwinya
• ukudinwa
• ukuzuza ubunzima obungachazwanga
• ukuphefumla kancinci okanye ukuphefumla nzima
• ukudumba esiswini, emaqatheni, ezinyaweni, okanye emilenzeni

Ijeli ye-Diclofenac inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nokukhanya, ubushushu obungaphaya, kunye nokufuma (hayi kwigumbi lokuhlambela). Musa ukuvumela i-diclofenac gel ukuba ifrize.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Ukuba umntu uginye i-gel ye-diclofenac, tsalela iziko lakho lolawulo lwetyhefu kwindawo yoku-1-800-222-1222. Ukuba ixhoba liye lawa okanye aliphefumli, tsalela umnxeba iinkonzo zongxamiseko zengingqi kwi911.

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela omnye umntu asebenzise amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Solaraze^® Ijeli