I-Pantoprazole, ithebhulethi yomlomo

-Delile

• Okuvelele kwe-pantoprazole
• Izexwayiso ezibalulekile
• Yini i-pantoprazole?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Pantoprazole
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Pantoprazole ingaxhumana neminye imithi
• Izidakamizwa ze-HIV
• I-Anticoagulant
• Izidakamizwa ezithinteka yi-pH yesisu
• Umuthi womdlavuza
• Izexwayiso ze-Pantoprazole
• Isexwayiso somzimba
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-pantoprazole
• Amafomu namandla
• Isilinganiso sesifo se-reflux se-gastroesophageal (GERD)
• Isilinganiso sokukhiqizwa kwe-acid ngokweqile, njenge-Zollinger-Ellison syndrome
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-pantoprazole
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuqapha komtholampilo
• Ukuvakasha
• Ingabe zikhona ezinye izindlela?

Okuvelele kwe-pantoprazole

1. Ithebhulethi yomlomo yePantoprazole iyatholakala njengesidakamizwa esijwayelekile kanye negama lomkhiqizo. Igama lomkhiqizo: Protonix.
2. I-Pantoprazole iza ngezindlela ezintathu: ithebhulethi yomlomo, ukumiswa oketshezi ngomlomo, kanye nefomu elifakwa emthanjeni (IV) elifakwe emthanjeni wakho ngumhlinzeki wezokunakekelwa kwempilo.
3. Ithebhulethi yomlomo yePantoprazole isetshenziselwa ukunciphisa inani le-asidi esiswini eyenziwa ngumzimba wakho. Kuyasiza ekwelapheni izimpawu ezibuhlungu ezibangelwa izimo ezifana nesifo se-reflux se-gastroesophageal (GERD).

Izexwayiso ezibalulekile

• Isixwayiso sokusebenzisa isikhathi eside: Ukusetshenziswa kwesikhathi eside kwe-pantoprazole kungaholela engcupheni eyengeziwe yemiphumela emibi ethile kanye nezinkinga. Lokhu kufaka phakathi:
  • Ingozi eyengeziwe yokuphuka kwamathambo kubantu abathatha amanani aphakeme, amaningi nsuku zonke isikhathi esingaphezu konyaka.
  • Ukushoda kukavithamini B-12, okungaholela ekulimaleni okukhulu kwezinzwa nasekuwohlokeni kwemisebenzi yobuchopho. Lokhu kubonakale kwabanye abantu bethatha i-pantoprazole isikhathi esingaphezu kweminyaka emithathu.
  • Ukuvuvukala okungapheli kolwelwesi lwesisu (i-atrophic gastritis) lapho uthatha i-pantoprazole isikhathi eside. Abantu abane H. pylori zisengozini enkulu.
  • I-low blood magnesium (i-hypomagnesemia), lokhu kubonakale kwabanye abantu bethatha i-pantoprazole izinyanga ezimbalwa noma ezintathu. Kaningi, kwenzeka ngemuva konyaka noma ngaphezulu kokwelashwa.
• Isixwayiso sohudo esinamandla: Uhudo olunzima olubangelwa IClostridium difficile amagciwane angenzeka kwabanye abantu abaphathwa nge-pantoprazole, ikakhulukazi abantu ababhedlela.
• Isexwayiso somzimba: Yize kungavamile, i-pantoprazole ingadala ukusabela okweqile. Izimpawu zingafaka ukuqubuka, ukuvuvukala, noma izinkinga zokuphefumula. Lokhu kungadlulela kwi-interstitial nephritis, isifo sezinso esingaholela ekuhlulekeni kwezinso. Izimpawu zalesi simo zifaka:
  • isicanucanu noma ukuhlanza
  • imfiva
  • ukuqubuka
  • ukudideka
  • igazi emchameni wakho
  • ukuqunjelwa
  • umfutho wegazi ophakeme
• I-cutaneous lupus erythematosus kanye ne-systemic lupus erythematosus isexwayiso: I-Pantoprazole ingadala i-lupus erythematosus (CLE) enesikhumba kanye ne-systemic lupus erythematosus (SLE). I-CLE ne-SLE yizifo ezizimele. Izimpawu ze-CLE zingaqala kusukela ekuqubukeni kwesikhumba nasemakhaleni, kuye ekuphakameni, esikhunjeni, ekubomvu noma kokunsomi ezingxenyeni ezithile zomzimba. Izimpawu ze-SLE zingabandakanya umkhuhlane, ukukhathala, ukunciphisa umzimba, amahlule egazi, isilungulela, nobuhlungu besisu. Uma unanoma iyiphi yalezi zimpawu, shayela udokotela wakho.
• Fundic indlala polyps isixwayiso: Ukusetshenziswa kwesikhathi eside (ikakhulukazi ngaphezu konyaka) kwe-pantoprazole kungadala ama-fundic gland polyps. Lawa ma-polyps ukukhula entweni yesikhumba sakho okungaba nomdlavuza. Ukusiza ukuvimbela la ma-polyps, kufanele usebenzise lesi sidakamizwa isikhathi esifushane ngangokunokwenzeka.

Yini i-pantoprazole?

Ithebhulethi yomlomo yePantoprazole iyisidakamizwa kadokotela esitholakala njengomuthi wegama lomkhiqizo I-Protonix. Iphinde itholakale njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma amafomu njengomuthi wegama lomkhiqizo.

I-Pantoprazole iza ngezindlela ezintathu: ithebhulethi yomlomo, ukumiswa ketshezi ngomlomo, kanye nefomu elifakwa emthanjeni (IV) elifakwe emthanjeni wakho ngumhlinzeki wezokunakekelwa kwempilo.

Kungani kusetshenziswa

Ithebhulethi yomlomo yePantoprazole isetshenziselwa ukunciphisa inani le-asidi esiswini eyenziwa ngumzimba wakho. Kuyasiza ekwelapheni izimpawu ezibuhlungu ezibangelwa izimo ezifana nesifo se-reflux se-gastroesophageal (GERD). Nge-GERD, ama-gastric juices agelekela phezulu kusuka esiswini sakho aye esiqwini.

Ithebhulethi yomlomo yePantoprazole nayo isetshenziselwa ukwelapha ezinye izimo lapho isisu senza i-asidi eyeqile, njengeZollinger-Ellison syndrome.

Isebenza kanjani

I-Pantoprazole ingeyesigaba semithi ebizwa nge-proton pump inhibitors. Kuyasebenza ukuvala amaseli wokumpompa i-asidi esiswini sakho. Iyanciphisa inani le-asidi esiswini futhi isiza ukunciphisa izimpawu ezibuhlungu ezihlobene nezimo ezinjenge-GERD.

Imiphumela emibi ye-Pantoprazole

Ithebhulethi yomlomo yePantoprazole ayibangeli ukozela. Noma kunjalo, kungadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile engenzeka nge-pantoprazole ifaka:

• ikhanda
• isifo sohudo
• ubuhlungu besisu
• isicanucanu noma ukuhlanza
• igesi
• isiyezi
• ubuhlungu obuhlangene

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Amazinga aphansi we-magnesium. Ukusebenzisa lesi sidakamizwa izinyanga ezintathu noma ngaphezulu kungadala amazinga aphansi we-magnesium. Izimpawu zingafaka:
  • isithuthwane
  • ukushaya kwenhliziyo okungavamile noma okusheshayo
  • ukuthuthumela
  • jitteriness
  • ubuthakathaka bemisipha
  • isiyezi
  • spasms yezandla nezinyawo zakho
  • amajaqamba noma ubuhlungu bemisipha
  • ukuqhuma kwebhokisi lakho lezwi
• Ukushoda kukavithamini B-12. Ukusebenzisa lesi sidakamizwa isikhathi esingaphezu kweminyaka emithathu kungenza kube nzima emzimbeni wakho ukwamukela uvithamini B-12. Izimpawu zingafaka:
  • uvalo
  • i-neuritis (ukuvuvukala kwemizwa)
  • ukuba ndikindiki noma ukuncinza ezandleni nasezinyaweni
  • ukuhlangana kahle kwemisipha
  • izinguquko esikhathini
• Uhudo olunzima. Lokhu kungabangelwa i- IClostridium difficile ukutheleleka emathunjini akho. Izimpawu zingafaka:
  • indle enamanzi
  • ubuhlungu besisu
  • umkhuhlane ongapheli
• Ukuqhekeka kwamathambo
• Ukulimala kwezinso. Izimpawu zingafaka:
  • Ubuhlungu be-flank (ubuhlungu ohlangothini lwakho nasemhlane)
  • izinguquko ekuchameni
• I-lupus erythematosus enqamulelayo (CLE). Izimpawu zingafaka:
  • ukuqubuka esikhumbeni nasemakhaleni
  • ukuqubuka okuphakanyisiwe, okubomvu, okunesikhumba, okubomvu noma okunsomi emzimbeni wakho
• Uhlelo lwe-lupus erythematosus (SLE). Izimpawu zingafaka:
  • imfiva
  • ukukhathala
  • ukuncipha komzimba
  • amahlule egazi
  • isilungulela
• Ama-polic gland polyps (awavamisile ukudala izimpawu)

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

I-Pantoprazole ingaxhumana neminye imithi

Ithebhulethi yomlomo yePantoprazole ingaxhumana neminye imithi, amakhambi, noma amavithamini ongahle uwasebenzise. Yingakho udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Uma unelukuluku lokuthi lo muthi ungaxhumana kanjani nokuthile okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zemithi engadala ukusebenzisana ne-pantoprazole zibalwe ngezansi.

Izidakamizwa ze-HIV

Ukuphuza imishanguzo ethile ye-HIV nge-pantoprazole akunconyiwe. I-Pantoprazole inganciphisa kakhulu inani lale mithi emzimbeni wakho. Lokhu kunganciphisa amandla abo okulawula ukutheleleka nge-HIV. Le mithi yile:

• atazanavir
• umagazine

I-Anticoagulant

Abanye abantu bathatha warfarin nge-pantoprazole ungathola ukwanda kwe-INR nesikhathi se-prothrombin (PT). Lokhu kungaholela engcupheni eyengeziwe yokopha kakhulu. Uma uthatha le mithi ndawonye, ​​udokotela wakho kufanele akuhlole ngokunyuka kwe-INR ne-PT.

Izidakamizwa ezithinteka yi-pH yesisu

I-Pantoprazole ithinta amazinga we-asidi esiswini. Ngenxa yalokho, inganciphisa ukumuncwa komzimba wakho kwezidakamizwa ezithile ezizwelayo emiphumeleni yokwehla kwesisu esiswini. Lo mphumela ungenza le mithi ingasebenzi kahle.

Izibonelo zale mithi zifaka:

• ketoconazole
• ampicillin
• atazanavir
• usawoti wensimbi
• erlotinib
• i-mycophenolate mofetil

Umuthi womdlavuza

Ukuthatha imethotrexate nge-pantoprazole kungakhuphula inani lemethotrexate emzimbeni wakho. Uma uthatha imithamo ephezulu ye-methotrexate, kungenzeka ukuthi udokotela wakho uyeke ukuthatha i-pantoprazole phakathi nokwelashwa kwakho kwe-methotrexate.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi kanye nezithasiselo, kanye nemithi oyithenga uphuza yona.

Izexwayiso ze-Pantoprazole

Ithebhulethi yomlomo yePantoprazole iza nezixwayiso eziningana.

Isexwayiso somzimba

Yize kungavamile, i-pantoprazole ingadala ukusabela okweqile. Izimpawu zingafaka ukuqubuka, ukuvuvukala, noma izinkinga zokuphefumula.

Lokhu kusabela okweqile kungadlulela kwi-interstitial nephritis, isifo sezinso esingaholela ekuhlulekeni kwezinso. Izimpawu zalesi simo zifaka:

• isicanucanu noma ukuhlanza
• imfiva
• ukuqubuka
• ukudideka
• igazi emchameni wakho
• ukuqunjelwa
• umfutho wegazi ophakeme

Uma uhlangabezana nanoma iyiphi yalezi zimpawu, shayela udokotela wakho ngokushesha. Uma izimpawu zakho zibonakala zinzima noma zisongela impilo, iya egumbini lezimo eziphuthumayo noma ushayele ku-911.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abane-osteoporosis: I-Pantoprazole ingakhuphula ingozi yomuntu ye-osteoporosis, isimo esidala ukuthi amathambo aqine. Tshela udokotela wakho uma unomlando we-osteoporosis.

Kubantu abane-magnesium yegazi ephansi (i-hypomagnesemia): I-Pantoprazole inganciphisa inani le-magnesium emzimbeni wakho. Tshela udokotela wakho uma unomlando we-hypomagnesemia.

Okwabantu abahlolelwa izicubu ze-neuroendocrine: I-Pantoprazole ingadala imiphumela engalungile kulezi zivivinyo. Ngalesi sizathu, udokotela wakho uzokuyeka uyeke ukuthatha lo muthi okungenani izinsuku eziyi-14 ngaphambi kokuthi wenze lokhu kuhlolwa. Bangase futhi bakuphindele ukuhlolwa uma kudingeka.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: I-Pantoprazole isidakamizwa sesigaba sokukhulelwa C. Lokho kusho izinto ezimbili:

1. Ucwaningo lomuthi ezilwaneni ezikhulelwe lukhombise ubungozi enganeni.
2. Azikho izifundo ezanele ezenziwa kwabesifazane abakhulelwe ukukhombisa ukuthi umuthi ubeka ingozi embungwini.

Uma ukhulelwe noma uhlela ukukhulelwa, khuluma nodokotela wakho ngalesi sidakamizwa.

Kwabesifazane abancelisayo: I-Pantoprazole ingadlula ebisini lwebele futhi ingadluliselwa enganeni encelisa ibele. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nezinye izindlela zokwelashwa ngenkathi uncelisa.

Okwezingane: I-Pantoprazole kwesinye isikhathi isetshenziselwa ukwelashwa kwesikhashana kwe-esophagitis erosive ezinganeni ezineminyaka engu-5 nangaphezulu. Lesi simo sihlotshaniswa ne-GERD. Kubangela ukucasuka nokulimala komphimbo kusuka esiswini se-asidi. Udokotela wengane yakho uzohlinzeka ngomthamo ofanele.

Ungayithatha kanjani i-pantoprazole

Lolu lwazi lokulinganisa olwenzelwe ithebhulethi yomlomo ye-pantoprazole. Yonke imithamo namafomu okungenzeka angafakwa lapha. Umthamo wakho, ifomu, nokuthi ulithatha kangaki kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• ubunzima besimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Amafomu namandla

Okujwayelekile: I-Pantoprazole

• Ifomu: ithebhulethi yomlomo
• Amandla: 20 mg no-40 mg

Umkhiqizo: Protonix

• Ifomu: ithebhulethi yomlomo
• Amandla: 20 mg no-40 mg

Isilinganiso sesifo se-reflux se-gastroesophageal (GERD)

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Isilinganiso esivamile: Ama-40 mg ngosuku, athathwa kanye ngosuku noma ngaphandle kokudla.

Isilinganiso sengane (iminyaka engu-5-17)

• Umthamo ojwayelekile wezingane ezinesisindo esingamakhilogremu angama-40 noma ngaphezulu: Ama-40 mg athathwe kanye ngosuku kuze kube amasonto ayi-8.
• Umthamo ojwayelekile wezingane ezinesisindo esiphakathi kuka-15 no-40 kilograms: U-20 mg uthathwe kanye ngosuku kuze kube amasonto ayi-8.

Isilinganiso sokukhiqizwa kwe-acid ngokweqile, njenge-Zollinger-Ellison syndrome

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso esivamile: 40 mg kabili ngosuku, noma ngaphandle kokudla.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Umthamo ophephile futhi osebenzayo awusungulwanga izingane ezikule minyaka yobudala.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo yePantoprazole ingabekelwa ukusetshenziswa kwesikhashana noma kwesikhathi eside. Ukuthi uthatha isikhathi esingakanani kuzoya ngohlobo nobukhulu besimo sakho. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma ungayithathi noma uyeka ukuyithatha: Uma ungawuthathi nhlobo umuthi noma uyeka ukuwuthatha, ubeka engcupheni ikhono lokulawula izimpawu zakho ze-GERD.

Uma ungayithathi ngesikhathi: Ukungathathi i-pantoprazole nsuku zonke, ukweqa izinsuku, noma ukuthatha amanani ngezikhathi ezahlukene zosuku kunganciphisa nokulawula kwakho i-GERD.

Okufanele ukwenze uma uphuthelwa umthamo: Uma uphuthelwa umthamo, thatha umthamo olandelayo njengoba kuhlelwe. Ungaphindi umthamo wakho.

Ungasho kanjani ukuthi umuthi uyasebenza: Ungatshela ukuthi i-pantoprazole iyasebenza uma inciphisa izimpawu zakho ze-GERD, njenge:

• isilungulela
• isicanucanu
• ubunzima bokugwinya
• ukuvuselelwa
• ukuzwa kwesigaxa emphinjeni wakho

Ukucatshangelwa okubalulekile kokuthatha i-pantoprazole

Gcina lokhu kucatshangelwa engqondweni uma udokotela wakho ekuyalela ithebhulethi yomlomo ye-pantoprazole.

Jikelele

• Ungathatha leli fomu ngokudla noma ngaphandle kokudla. Thatha ngasikhathi sinye nsuku zonke ngemiphumela emihle.
• Musa ukusika, ukuchoboza, noma ukuhlafuna lo muthi.

Isitoreji

• Gcina lesi sidakamizwa ekamelweni eliphakathi kuka-68 ° F no-77 ° F (20 ° C no-25 ° C).
• Ungayigcina isikhashana emazingeni okushisa aphansi njengokufika kuma-59 ° F (15 ° C) futhi afike ku-86 ° F (30 ° C).

Ukugcwalisa kabusha

Umuthi kadokotela walo muthi uyagcwaliseka.Akumele udinge umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuqapha komtholampilo

I-Pantoprazole ingehlisa amazinga we-magnesium kubantu abathile. Udokotela wakho angaphakamisa ukuthi kuhlolwe amazinga akho we-magnesium egazi uma welashwa nge-pantoprazole izinyanga ezintathu noma ngaphezulu.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Ngeke zilimaze imithi yakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ingabe zikhona ezinye izindlela?

Ezinye izindlela ezingenzeka kuthebhulethi yomlomo zifaka:

• lansoprazole
• esomeprazole
• omeprazole
• umabhebhana
• umabhebhana

Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula:Izindaba Zokwelapha Namuhla wenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.