I-Mefenamic Acid
-Delile
- Ngaphambi kokuthatha i-mefenamic acid,
- I-Mefenamic acid ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha. Ungaphinde uthathe i-mefenamic acid uze ukhulume nodokotela wakho.
- Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
Abantu abathatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID) (ngaphandle kwama-aspirin) afana ne-mefenamic acid bangaba nengozi enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi kunabantu abangayithathi le mithi. Le micimbi ingenzeka ngaphandle kwesixwayiso futhi ingadala ukufa. Le ngozi ingahle ibe phezulu kubantu abathatha ama-NSAID isikhathi eside. Ungathathi i-NSAID efana ne-mefenamic acid uma usanda kuhlaselwa yisifo senhliziyo, ngaphandle uma uqondiswe ngudokotela wakho. Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo senhliziyo, ehlaselwa yisifo senhliziyo, noma sohlangothi, uma ubhema, nokuthi ngabe uke waba ne-cholesterol ephezulu, umfutho wegazi ophakeme noma isifo sikashukela. Thola usizo lwezokwelapha oluphuthumayo ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: Ubuhlungu besifuba, ukuphefumula okuncane, ukuba buthakathaka engxenyeni eyodwa noma ohlangothini lomzimba, noma ukukhuluma okungaqinile.
Uma uzobe uhlolwa umthambo we-coronary bypass graft (CABG; uhlobo lokuhlinzwa kwenhliziyo), akufanele uthathe i-mefenamic acid ngaphambi noma ngemuva kokuhlinzwa.
Ama-NSAID afana ne-mefenamic acid angadala izilonda, ukuphuma kwegazi, noma izimbobo esiswini noma emathunjini. Lezi zinkinga zingakhula nganoma yisiphi isikhathi ngesikhathi sokwelashwa, zingenzeka ngaphandle kwezimpawu zokuxwayisa, futhi zingadala nokufa. Ingozi ingaba phezulu kubantu abathatha ama-NSAID isikhathi eside, sebekhulile ngeminyaka, benempilo ebuthaka, noma abaphuza utshwala obuningi ngenkathi bethatha i-mefenamic acid. Tshela udokotela wakho uma uthatha noma imuphi wale mithi elandelayo: ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin, Jantoven); i-aspirin; amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, ku-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) ne-sertraline (i-Zoloft); noma i-serotonin norepinephrine reuptake inhibitors (SNRIs) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), ne-venlafaxine (Effexor XR). Phinda utshele udokotela wakho uma uke waba nezilonda noma wopha esiswini noma emathunjini, noma ezinye izifo zokopha. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, yeka ukuthatha i-mefenamic acid bese ufonela udokotela wakho: ubuhlungu besisu, isilungulela, ukuhlanza okunegazi noma okubukeka njengezindawo zekhofi, igazi elisesitokisini, noma izitulo ezimnyama nezokulinda.
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzoqapha izimpawu zakho ngokucophelela futhi mhlawumbe uzo-oda izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho ku-mefenamic acid. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani ukuze udokotela wakho akwazi ukukubeka inani elifanele lemithi yokwelapha isimo sakho ngengozi ephansi kakhulu yemiphumela emibi kakhulu.
Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-mefenamic acid futhi isikhathi ngasinye lapho ugcwalisa khona incwadi kadokotela. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.
I-Mefenamic acid isetshenziselwa ukudambisa ubuhlungu obumaphakathi kuya obulinganiselayo, kufaka phakathi ubuhlungu bokuya esikhathini (ubuhlungu obenzeka ngaphambi noma esikhathini sokuya esikhathini). I-Mefenamic acid isekilasini lemithi ebizwa ngama-NSAID. Isebenza ngokumisa ukukhiqizwa komzimba wento ebangela ubuhlungu, umkhuhlane nokuvuvukala.
I-Mefenamic acid iza njengephilisi elizothathwa ngomlomo. Imvamisa kuthathwa ngokudla njalo emahoreni ayisithupha njengoba kudingeka kuze kube yiviki elilodwa. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-mefenamic acid njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-mefenamic acid,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-mefenamic acid, i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-naproxen (i-Aleve, iNaprosyn), noma yimiphi eminye imithi, noma iziphi izithako ezingasebenzi kuma-capsules e-mefenamic acid. Buza usokhemisi wakho ukuthola uhlu lwezithako ezingasebenzi.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: ama-antacids; i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, eLotrel), i-captopril, i-enalapril (i-Vasotec, ngesi-Vaseretic), i-fosinopril, i-lisinopril (e-Zestoretic), i-moexipril (i-Univasc), i-perindopril (Aceon, (I-Accupril, ngesiQuinaretic), i-ramipril (i-Altace), ne-trandolapril (i-Mavik, eTarka); amiodarone (Cordarone, Nexterone, Pacerone); ama-angiotensin receptor blockers afana ne-azilsartan (Edarbi, e-Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor, ku-Benicar HCT, e-Tribenzor), e-telmisartan (Micardis, e-Micardis HCT, e-Twynsta); ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kanye nepropranolol (Hemangeol, Inderal, InnoPran); atazanavir (Reyataz, e-Evotax); i-clopidogrel (i-Plavix); isisu (‘amaphilisi amanzi’), efavirenz (Sustiva, e-Atripla); i-fluconazole (iDiflucan); i-fluvastatin (Lescol); i-metronidazole (i-Flagyl); i-lithium (i-Lithobid); i-lovastatin (Altoprev, Mevacor); i-methotrexate (i-Otrexup, i-Rasuvo, i-Trexall); i-ritonavir (iNorvir, eKaletra); i-sulfamethoxazole (eBactrim, ngo-Septra); i-sulfinpyrazone (ayisatholakali e-U.S.; i-Anturane); i-trimethoprim (Primsol, eBactrim, ngo-Septra); futhi zafirlukast (Accolate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- Tshela udokotela wakho uma ngabe uke waba nanoma yimiphi yezimo okukhulunywe ngazo esigabeni ESIBALULEKILE SESixwayiso noma isifuba somoya, ikakhulukazi uma unamakhala agxishiwe kaningi noma agijimayo noma ama-polyp nasal (ukuvuvukala kwangaphakathi kwekhala); ukwehluleka kwenhliziyo; ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi (ukugcinwa koketshezi); noma isifo sesibindi noma sezinso.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa; noma ukuncelisa ibele. I-Mefenamic acid ingalimaza umbungu futhi idale izinkinga ngokulethwa uma ithathwa cishe amasonto angama-20 noma kamuva ngesikhathi sokukhulelwa. Ungayiphuzi i-mefenamic acid ezungeze noma ngemuva kwamasonto angama-20 ukhulelwe, ngaphandle uma utshelwa ngudokotela wakho ukuthi ukwenze lokho. Uma ukhulelwa ngenkathi uthatha i-mefenamic acid, shayela udokotela wakho.
- khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-mefenamic acid uma uneminyaka engama-75 noma ngaphezulu. Ungathathi lo muthi isikhathi eside noma ngethamo eliphakeme kunokunconywa ngudokotela wakho.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-mefenamic acid.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.
I-Mefenamic acid ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- isifo sohudo
- ukuqunjelwa
- igesi noma ukuqunjelwa
- ikhanda
- isiyezi
- uvalo
- kukhala ezindlebeni
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha. Ungaphinde uthathe i-mefenamic acid uze ukhulume nodokotela wakho.
- ukungaboni kahle
- ukuzuza kwesisindo okungaqondakali
- ukuphefumula okuncane noma ukuphefumula kanzima
- ukuvuvukala kwezinyawo, amaqakala, noma imilenze engezansi
- imfiva
- amabhamuza
- ukuqubuka
- ukulunywa
- isifuba
- ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izandla, noma izingalo
- ukuphefumula kanzima noma ukugwinya
- isikhumba esiphaphathekile
- ukushaya kwenhliziyo okusheshayo
- ukukhathala ngokweqile
- ukopha okungajwayelekile noma ukulinyazwa
- ukungabi namandla
- isicanucanu
- ukulahlekelwa isifiso sokudla
- ubuhlungu engxenyeni engenhla kwesokudla yesisu
- izimpawu ezinjengomkhuhlane
- ukuphuzi kwesikhumba noma kwamehlo
- kunamafu, umbala ogqamile, noma umchamo onegazi
- ukuhlungu obusemhlane
- ukuchama okunzima noma okubuhlungu
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.
Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
- ukukhathala ngokweqile
- isicanucanu
- ukuhlanza
- ubuhlungu besisu
- uhlanza olunegazi noma olubukeka njengezizathu zekhofi
- okumnyama, okulindile, noma okokuchitha okunegazi
- ukuphefumula kancane
- ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthatha i-mefenamic acid.
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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