I-Pantoprazole
![Pantoprazole (Protonix) - Uses, Side Effects, Dosage, Safety](https://i.ytimg.com/vi/xdy1viwaqEk/hqdefault.jpg)
-Delile
- Ngaphambi kokuthatha i-pantoprazole,
- I-Pantoprazole ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha, noma uthole usizo oluphuthumayo lwezokwelapha:
I-Pantoprazole isetshenziselwa ukwelapha ukulimala kwesifo se-reflux se-gastroesophageal (GERD), okuyisimo lapho ukubuyela emuva kwe-asidi esiswini kubangela ukushaya kwenhliziyo kanye nokulimala okungenzeka kwesisu (ishubhu eliphakathi komphimbo nesisu) kubantu abadala nezingane ezineminyaka emihlanu nangaphezulu. I-Pantoprazole isetshenziselwa ukuvumela umphimbo ukuba welaphe futhi uvimbele okunye ukulimala kubantu abadala abane-GERD. Ibuye isetshenziselwe ukwelapha izimo lapho isisu sikhiqiza i-asidi eningi kakhulu, njenge-Zollinger-Ellison syndrome kubantu abadala. I-Pantoprazole isekilasini lemithi ebizwa nge-proton-pump inhibitors. Isebenza ngokunciphisa inani le-asidi eyenziwe esiswini.
I-Pantoprazole iza njengokukhishwa okubambezelekile (kukhipha umuthi emathunjini ukuvikela ukuwohloka kwemithi ngama-acid esiswini) ithebhulethi kanye nanjengezilonda zokukhipha ezibambezelekile ezizothathwa ngomlomo. Amaphakethe ama-granules wokukhishwa okubambezelekile kufanele ahlanganiswe ne-appleauce noma ijusi le-apula futhi athathwe ngomlomo noma anikezwe ngethumbu lokudla. Ekwelapheni nasekugcinweni kwe-GERD, i-pantoprazole ivame ukuthathwa kanye ngosuku. Ekwelapheni izimo lapho isisu sikhiqiza i-asidi eningi, i-pantoprazole ivame ukuthathwa kabili ngosuku. Amathebulethi akhiphe ukubambezeleka avame ukuthathwa nokudla noma ngaphandle kokudla, kanti ama-granules ajwayele ukuthathwa imizuzu engama-30 ngaphambi kokudla. Thatha i-pantoprazole ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-pantoprazole njengoba nje iyalelwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi noma isikhathi eside kunokuyalelwa ngudokotela wakho.
Gwinya wonke amaphilisi; ungawahlukanisi, ungawahlafune noma uwagxoze. Uma udokotela wakho ekunikeze ithebhulethi engu-40 mg futhi inkulu kakhulu ukuthi ungayigwinya, cela udokotela wakho ukuthi anikeze amaphilisi amabili kwama-20 mg esikhundleni salokho.
Ukuze uthathe ama-granules, vula iphakethe bese ufafaza ama-granules ku-isipuni esisodwa se-appleauce noma enkomishini equkethe isipuni esisodwa sejusi le-apula. Ungahlanganisi ama-granules ngamanzi, nezinye iziphuzo, noma okunye ukudla. Sebenzisa wonke ama-granules asephaketheni; ungahlukanisi ama-granules ngemithamo emincane. Uma ufafaza ama-granules ujusi we-apula, gxuma ingxube imizuzwana emi-5. Gwinya ingxube ye-appleauce noma ijusi le-apula nemithi khona manjalo (kungakapheli imizuzu eyi-10) ngaphandle kokuhlafuna noma ukuchoboza ama-granules. Uma ufafaze ama-granules ku-appleauce, thatha amanzi amaningi ukugeza ama-granules phansi esiswini sakho. Uma ufafaze ama-granules abe yijusi le-apula, hlambulula inkomishi kanye noma kabili ngejusi le-apula bese uphuza ijusi le-apula khona manjalo ukuze uqiniseke ukuthi ugwinya noma yimaphi ama-granules asele.
Ama-granules ePantoprazole ahlanganiswe nejusi le-apula anganikezwa ngepayipi lokudla. Uma une-tube yokudla, buza udokotela wakho ukuthi kufanele uyithathe kanjani i-pantoprazole.
Qhubeka uthathe i-pantoprazole noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-pantoprazole ngaphandle kokukhuluma nodokotela wakho. Uma isimo sakho singathuthuki noma siba sibi kakhulu, shayela udokotela wakho.
Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-pantoprazole,
- Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-pantoprazole, dexlansoprazole (Dexilant), esomeprazole (Nexium, eVimovo), lansoprazole (Prevacid, e-Prevpac), omeprazole (Prilosec, eZegerid), rabeprazole (AcipHex), noma imuphi omunye umuthi, noma yiziphi izithako ezibhebheni ze-pantoprazole noma ama-granules. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho uma uthatha i-rilpivirine (i-Edurant, eComplera, e-Odefsey). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-pantoprazole uma uthatha lo muthi.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi kokulandelayo: ama-anticoagulants (ama-thinner egazi) njenge-warfarin (i-Coumadin, i-Jantoven), i-atazanavir (i-Reyataz), i-dasatinib (i-Sprycel), i-digoxin (i-Lanoxicaps, i-Lanoxin), i-diuretics ('amaphilisi wamanzi'), i-erlotinib ( Tarceva), izithako zensimbi, itraconazole (Onmel, Sporonox), ketoconazole (Nizoral), methotrexate (Trexall, Xatmep), mycophenolate mofetil (Cellcept), nelfinavir (Viracept), nilotinib (Tasigna), ne-saquinavir (Invirase). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- Tshela udokotela wakho uma uke waba nezinga eliphansi le-magnesium egazini lakho, amazinga aphansi kavithamini B-12 emzimbeni wakho, i-osteoporosis (isimo lapho amathambo eba mncane futhi abe buthakathaka futhi aphule kalula), noma i-autoimmune isifo (isimo lapho umzimba uhlasela izitho zaso okubanga ukuvuvukala nokulahleka komsebenzi) njenge-systemic lupus erythematosus.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-pantoprazole, shayela udokotela wakho.
- khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-pantoprazole uma uneminyaka engama-70 noma ngaphezulu. Ungathathi lo muthi isikhathi eside kunokunconywa ngudokotela wakho.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi sedosi yakho elandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenzela umthamo ophuthelwe.
I-Pantoprazole ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ikhanda
- isicanucanu
- ukuhlanza
- igesi
- ubuhlungu obuhlangene
- isifo sohudo
- isiyezi
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha, noma uthole usizo oluphuthumayo lwezokwelapha:
- isikhumba esishayayo noma esikhanyayo
- ukuqhuma kwesifuba; ukulunywa; ukuvuvukala kwamehlo, ubuso, izindebe, umlomo, umphimbo, noma ulimi; ubunzima bokuphefumula noma ukugwinya; noma ukusha
- ukungqubuzana kwemisipha yokushaya kwenhliziyo okungajwayelekile, okusheshayo, noma okushaya ngamandla; ukuzamazama okungalawuleki kwengxenye yomzimba; ukukhathala ngokweqile; ikhanda elikhanyayo; noma ukuquleka
- uhudo olunzima olunezitokisi ezinamanzi, ubuhlungu besisu, noma umkhuhlane ongapheli
- ukuqubuka ezihlathini noma ezingalweni ezizwela ukukhanya kwelanga
- ukwanda noma ukwehla kokuchama, igazi emchameni, ukukhathala, isicanucanu, ukulahlekelwa isifiso sokudla, umkhuhlane, ukuqubuka, noma ubuhlungu bamalunga
I-Pantoprazole ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.
Abantu abathatha ama-proton pump inhibitors anjenge-pantoprazole kungenzeka babe nethuba lokuphuka izihlakala, okhalweni noma umgogodla kunabantu abangathathi omunye wale mithi. Abantu abathatha ama-proton pump inhibitors bangahle bathuthukise ama-fundic gland polyps (uhlobo lokukhula esiswini). Lezi zingozi ziphezulu kakhulu kubantu abathatha imithamo ephezulu yomunye wale mithi noma bayiphuze unyaka owodwa noma ngaphezulu. Khuluma nodokotela wakho ngezingozi zokuthatha i-pantoprazole.
Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).
Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).
Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zaselabhorethri ngaphambi nangesikhathi sokwelashwa kwakho, ikakhulukazi uma unesifo sohudo esibi.
Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthatha i-pantoprazole.
Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.
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