Esomeprazole

-Delile

• Ngaphambi kokuthatha i-esomeprazole,
• I-Esomeprazole ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha, noma uthole usizo oluphuthumayo lwezokwelapha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-esomeprazole kadokotela isetshenziselwa ukwelapha izimpawu zesifo se-reflux se-gastroesophageal (GERD), isimo lapho ukuhlehlela emuva kwe-asidi esiswini kubangela ukushaya kwenhliziyo nokulimala okungenzeka kwesisu (ishubhu eliphakathi komphimbo nesisu) kubantu abadala nezingane unyaka owodwa yobudala nangaphezulu. I-esomeprazole kadokotela isetshenziselwa ukwelapha umonakalo ovela ku-GERD kubantu abadala nasezinyangeni ezineminyaka engu-1 nangaphezulu. I-esomeprazole kadokotela isetshenziselwa ukuvumela ukuqina kuphole futhi kuvimbele okunye ukulimala kubantu abadala abane-GERD. I-prescription esomeprazole nayo isetshenziselwa ukunciphisa amathuba okuthi abantu abathatha imishanguzo yokulwa nokuvuvukala (ama-NSAID) bangathola izilonda (izilonda kulolwelwesi lwesisu noma lwamathumbu) kubantu abadala. Ibuye isetshenziswe neminye imithi yokwelapha nokuvimbela ukubuya kwezilonda zesisu ezibangelwa uhlobo oluthile lwama-bacteria (H. pylori) kubantu abadala. I-esomeprazole kadokotela nayo isetshenziselwa ukwelapha izimo lapho isisu sikhiqiza khona i-asidi eningi njengeZollinger-Ellison syndrome kubantu abadala. I-nonprescription (over-the-counter) esomeprazole isetshenziselwa ukwelapha isilungulela esivamile (isilungulela esenzeka okungenani izinsuku ezimbili noma ngaphezulu ngesonto) kubantu abadala. U-Esomeprazole usesigabeni semithi ebizwa nge-proton pump inhibitors. Isebenza ngokunciphisa inani le-asidi eyenziwe esiswini.

I-esomeprazole kadokotela iza njengokukhishwa okubambezelekile (ikhipha umuthi emathunjini ukuvimbela ukuwohloka kwemithi ngama-acid esiswini) i-capsule ezothathwa ngomlomo noma ukuvula, ukuxubana namanzi, nokunikela ngepayipi lokudla, nangamaphakethe wokukhishwa okubambezelekile (kukhipha umuthi emathunjini ukuvimbela ukuwohloka kwemithi ngama-acid esiswini) ama-granules wokumiswa (ukuxutshwa namanzi) ukuthatha ngomlomo noma ukunikela ngepayipi lokudla. I-esppripole (i-over-the-counter) ye-nonprescription ifika njenge-capsule ekhishwe ukubambezeleka kanye nethebhulethi ezothathwa ngomlomo. I-esomeprazole kadokotela ivame ukuthathwa kanye ngosuku okungenani ihora elilodwa ngaphambi kokudla. Lapho i-esomeprazole kadokotela isetshenziselwa ukwelapha izimo ezithile lapho isisu senza i-asidi eningi, sithathwa kabili ngosuku. Amaphilisi namaphilisi okungabhalisi okubambezelekile okungabhalisiwe kuvame ukuthathwa kanye ngosuku ekuseni okungenani ihora elilodwa ngaphambi kokudla izinsuku eziyi-14 zilandelana. Uma kudingeka, ukwelashwa okwengeziwe kwezinsuku eziyi-14 kungaphindwa, hhayi kaningi ngaphezu kwesisodwa njalo ezinyangeni ezine.

Thatha i-esomeprazole ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-esomeprazole njengoba nje iyalelwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi kunalokho noma isikhathi eside kunalokho okushiwo ngudokotela wakho noma okushiwo kuphakheji.

Gwinya wonke amaphilisi; ungawahlukanisi, ungawahlafune noma uwagxoze. Uma ungakwazi ukugwinya i-capsule, faka isipuni esingu-1 se-appleauce epholile, ethambile esitsheni esingenalutho. Vula iphilisi elilodwa le-esomeprazole bese ufafaza ngokucophelela ama-pellets kuma-appleauce. Hlanganisa ama-pellets ne-appleauce bese ugwinya yonke isipuni se-appleauce kanye nengxube ye-pellet ngokushesha. Musa ukuchoboza noma ukuhlafuna amaphilisi ku-appleauce. Ungagcini ama-pellets nama-appleauce ukuze uwasebenzise kamuva.

Uma uthatha ama-granules ukumiswa ngomlomo, uzodinga ukuwaxuba namanzi ngaphambi kokusetshenziswa. Uma usebenzisa iphakethe elingu-2.5- noma 5-mg, beka isipuni esingu-1 (5 ml) samanzi esitsheni. Uma usebenzisa iphakethe le-10-, 20-, noma 40-mg, beka isipuni esingu-1 (15 ml) samanzi esitsheni. Faka okuqukethwe iphakethe lempuphu bese ugovuza. Linda imizuzu emi-2 ukuya kwemi-3 ukuvumela ingxube ukuthi iqine, uphinde uvuselele ingxube futhi. Phuza yonke ingxube kungakapheli imizuzu engama-30. Uma noma iyiphi ingxube inamathele esitsheni, thela amanzi amaningi esitsheni, unyakazise bese uphuza yonke ingxube ngokushesha.

Ama-granules nokuqukethwe kwamaphilisi wokukhishwa okubambezelekile okukhishwa kokubeletha kunganikezwa ngethumbu lokudla. Uma une-tube yokudla, buza udokotela wakho noma usokhemisi ukuthi kufanele uyiphuze kanjani le mithi. Landela lezo zinkomba ngokucophelela.

Ungathathi i-esomeprazole engabhaliswanga ukuze uthole ukukhululeka okusheshayo kwezimpawu zesilungulela. Kungathatha usuku olungu-1 kuye kwele-4 ukuthi uzwe ngokugcwele umuthi. Shayela udokotela wakho uma izimpawu zakho ziba zimbi kakhulu noma zingathuthuki ngemuva kwezinsuku eziyi-14 noma uma izimpawu zakho zibuya ngokushesha kunezinyanga ezingu-4 ngemuva kokuqeda ukwelashwa kwakho. Ungathathi i-esomeprazole engabhalisi isikhathi eside kunezinsuku eziyi-14 noma uzelaphe nge-esomeprazole kaningi kaningi ezinyangeni ezine ngaphandle kokukhuluma nodokotela wakho.

Qhubeka nokuthatha i-esomeprazole kadokotela, noma ngabe uzizwa uphilile. Shayela udokotela wakho uma izimpawu zakho ziba zimbi noma zingathuthuki ngalesi sikhathi. Ungayeki ukuthatha i-esomeprazole ngaphandle kokukhuluma nodokotela 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-esomeprazole,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-esomeprazole, dexlansoprazole (Dexilant), lansoprazole (Prevacid, e-Prevpac), omeprazole (Prilosec, Zegerid), pantoprazole (Protonix), rabeprazole (AcipHex), noma imuphi omunye umuthi, noma yimuphi umuthi izithako kuma-esomeprazole capsules noma i-powder. 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-esomeprazole uma uthatha lo muthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nesengezo sokudla okunempilo osithathayo noma ohlela ukusithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin); ama-antifungal athile afana ne-ketoconazole (Nizoral) ne-voriconazole (Vfend); i-cilostazol (i-Pletal); i-clopidogrel (i-Plavix); diazepam (Valium); i-digoxin (i-Lanoxicaps, i-Lanoxin); isisu (‘amaphilisi amanzi’); i-erlotinib (iTarceva); izithako zensimbi; imishanguzo ethile yegciwane lengculazi (i-HIV) njenge-atazanavir (Reyataz), i-nelfinavir (i-Viracept), ne-saquinavir (i-Invirase); i-methotrexate (i-Rheumatrex, i-Trexall); i-mycophenolate mofetil (i-Cellcept); i-rifampin (iRifadin, eRifater); futhi tacrolimus (Prograf). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort. Udokotela wakho angakutshela ukuthi ungathathi i-wort yaseSt.
• uma uhlela ukuthatha i-esomeprazole engabhaliswanga, tshela udokotela wakho uma isilungulela sesidonse izinyanga ezintathu noma ngaphezulu, uma uthathe i-esomeprazole engabhalisi isikhathi eside kunaleyo eshiwo kwiphakheji, noma uma uhlangabezane nanoma yiziphi kulezi zimpawu ezilandelayo: ikhanda elikhanyayo, ukujuluka, noma isiyezi kanye nesilungulela; ubuhlungu besifuba noma ubuhlungu behlombe; ukuphefumula noma ukuphefumula; ubuhlungu obudlulela ezingalweni zakho, entanyeni, noma emahlombe; ukuncipha kwesisindo okungaqondakali; isicanucanu; ukuhlanza, ikakhulukazi uma ukuhlanza kunegazi; ubuhlungu besisu; ubunzima bokugwinya ukudla noma ubuhlungu lapho ugwinya ukudla; noma indle emnyama noma enegazi. Ungaba nesimo esibucayi kakhulu esingelashwa ngemithi engakhokhelwa.
• Tshela udokotela wakho uma uke waba nezinga eliphansi le-magnesium egazini lakho, amazinga aphansi kavithamini B-12 emzimbeni wakho, i-osteoporosis, isifo se-autoimmune (isimo lapho umzimba uhlasela khona izitho zawo, ubangele ukuvuvukala nokulahleka of function) njenge-systemic lupus erythematosus, noma isifo sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-esomeprazole, shayela udokotela wakho.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-esomeprazole uma uneminyaka engama-70 noma ngaphezulu. Ungathathi lo muthi isikhathi eside kunokunconywa kwilebula lomkhiqizo noma ngudokotela wakho.

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-Esomeprazole ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• isicanucanu
• isifo sohudo
• igesi
• ukuqunjelwa
• umlomo owomile
• ukozela

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha, noma uthole usizo oluphuthumayo lwezokwelapha:

• amabhamuza noma isikhumba esixobukayo
• isifuba
• ukuqubuka
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukushaya kwenhliziyo okungajwayelekile, okusheshayo, noma okushaya ngamandla
• ukukhathala ngokweqile
• isiyezi
• ubumhlophe
• ukuphazamiseka kwemisipha, amajaqamba, noma ubuthakathaka
• jitteriness
• ukuzamazama okungalawuleki kwengxenye yomzimba
• isithuthwane
• 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

Abantu abathatha ama-proton pump inhibitors afana ne-esomeprazole 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 ngengozi yokuthatha i-esomeprazole.

I-Esomeprazole ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

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:

• ukudideka
• ukozela
• ukungaboni kahle
• ukushaya kwenhliziyo okusheshayo
• isicanucanu
• ukujuluka
• ukuqhuma
• ikhanda
• umlomo owomile

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 be-laboratory ukuthi uthatha i-esomeprazole.

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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