Mea Kākau: Clyde Lopez
Lā O Ka Hana: 19 Iulai 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
Anonim
Pharmacology - NSAIDs & PROSTAGLANDIN ANALOGS (MADE EASY)
Wikiō: Pharmacology - NSAIDs & PROSTAGLANDIN ANALOGS (MADE EASY)

Anter

ʻO ka poʻe e lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (ʻē aʻe ma mua o ka aspirin) e like me ka diflunisal e ʻoi aku paha ka nui o ka hopena o ka puʻuwai puʻuwai a i ʻole ka hahau ma mua o ka poʻe ʻaʻole e lawe i kēia mau lāʻau. Hiki paha kēia mau hanana me ka ʻōlelo ʻole ʻole a make paha. Kiʻekiʻena paha kēia kiʻekiʻe no nā poʻe e lawe i nā NSAID no kekahi manawa lōʻihi. Mai lawe i kahi NSAID e like me diflunisal inā he maʻi puʻuwai kāu i neʻi nei, ke ʻole ke kuhikuhi ʻia e kāu kauka. E haʻi i kāu kauka inā loaʻa ʻoe a i ʻole kekahi i kou ʻohana i ka maʻi puʻuwai, ka puʻuwai puʻuwai, a i ʻole ka hahau ʻana, inā ʻoe e puhipaka, a inā he kolesterol kiʻekiʻe ʻoe, ke koko kiʻekiʻe, a diabetes paha. E kiʻi koke i ke kōkua olakino pilikia inā ʻike ʻoe i kekahi o nā ʻōuli penei: ka ʻeha o ka umauma, ka pōkole o ka hanu, nāwaliwali ma kahi ʻāpana a ʻaoʻao paha o ke kino, a i ʻole ʻōlelo lohi.

Inā ʻoe e hele i kahi pale bypass arter coronary (CABG; kahi ʻano o ke ʻoki puʻuwai), ʻaʻole pono ʻoe e lawe i ka diflunisal ma mua pono a ma hope paha o ke ʻoki.


Hiki i nā NSAID e like me diflunisal ke hana i nā ulcer, ke kahe ʻana o ke kō, a i ʻole nā ​​puka o ka ʻōpū a i ʻole ka ʻōpū. E ulu paha kēia mau pilikia i kēlā me kēia manawa i ka wā o ka mālama ʻana. ʻOi aku ka kiʻekiʻe o ka makaʻu no ka poʻe lawe i nā NSAID no ka manawa lōʻihi, ʻelemakule i ka makahiki, maikaʻi ʻole ke olakino, a inu paha i ka nui o ka waiʻona ke lawe ʻoe i ka diflunisal. E haʻi i kāu kauka inā lawe ʻoe i kekahi o nā lāʻau aʻe: anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); aspirin; nā NSAID ʻē aʻe e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, ma Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), a me sertraline (Zoloft); aiʻole nā ​​serotonin norepinephrine reuptake inhibitors (SNRI) e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), a me venlafaxine (Effexor XR). E haʻi aku i kāu kauka inā loaʻa iā ʻoe a i ʻole he mau maʻi ulcer ʻoe, e kahe ana ke kō i kou ʻōpū a i ʻole nā ​​ʻōpū, a i ʻole nā ​​maʻi kahe ʻē aʻe. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hoʻōki i ka lawe ʻana i ka diflunisal a kāhea i kāu kauka: ʻeha ka ʻōpū, ʻehaʻeha ka puʻuwai, luaʻi i kahi mea koko a ʻano like paha me nā kope, ke koko i loko o ka pahu, a i ʻole nā ​​papa noho ʻeleʻele a lohi hoʻi.


E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E nānā pono kāu kauka i kāu mau ʻōuli a e kauoha paha i kekahi mau hoʻokolohua e nānā i ka pane o kou kino i ka diflunisal. E ʻike pono i kāu kauka pehea kou ʻano i hiki i kāu kauka ke kuhikuhi i ka nui kūpono o ka lāʻau e mālama ai i kou ʻano me ka makaʻu haʻahaʻa o nā hopena ʻino.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka pepa ʻikepili a ka mea hana (Kauka Kuhi) ke hoʻomaka ʻoe i ka lāʻau me ka diflunisal a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

Hoʻohana ʻia ʻo Diflunisal e hōʻoluʻolu i ka ʻeha, ka palupalu, ka pehu ʻana a me ka ʻoʻoleʻa i hoʻokumu ʻia e ka osteoarthritis (ʻo arthritis ka hopena o ka uhi ʻana o nā hono) a me ka rheumatoid arthritis (ʻo arthritis ka mea i ulu ʻia e ka uhi o nā hono). Hoʻohana ʻia ʻo Diflunisal e hōʻoluʻolu i ka ʻeha a me ke akahai ʻeha mai nā kumu ʻē aʻe. Aia ʻo Diflunisal i kahi papa o nā lāʻau i kapa ʻia ʻo NSAIDs. Hana ia ma ka hoʻōki ʻana i ka hana a ke kino i kahi mea e hana i ka ʻeha, ke kuni, a me ka mumū.


Hele mai ʻo Diflunisal ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia me ka wai, ka waiū, a i ʻole nā ​​meaʻai i kēlā me kēia 8 a 12 mau hola. Lawe i ka diflunisal ma nā manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pono i ka diflunisal e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

E ale i nā papa holoʻokoʻa; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.

He mau lā paha a ʻoi aku paha ka lōʻihi o ka manawa iā ʻoe e ʻike i ka pono piha o ka diflunisal. E hoʻomau i ka lawe ʻana i ka diflunisal a hiki i ke kauka ʻana iā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau.

Kuhi ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka diflunisal,

  • e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka diflunisal, aspirin a i ʻole nā ​​NSAID ʻē aʻe e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn), a i ʻole nā ​​lāʻau ʻē aʻe. E noi i kāu kauka a kauka paha no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E kuhikuhi pono i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o kēia mau mea: acetaminophen (Tylenol); Angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, i Lotrel), captopril, enalapril (Vasotec, i Vaseretic), fosinopril, lisinopril (i Zestoretic), moexipril (Univasc), perindopril (Aceon, i Prestalia), quinapril (Accupril, ma Quinaretic), ramipril (Altace), a me trandolapril (Mavik, ma Tarka); Angiotensin II receptor antagonists e like me candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, in Hyzaar), olmesartan (Benicar, in Azor, in Benicar HCT, in Tribenzor) , telmisartan (Micardis, ma Micardis HCT, ma Twynsta), a me valsartan (i Exforge HCT); antacids; cyclosporine (Gengraf, Neoral, Sandimmune); diuretics ('pills wai'); indomethacin (Indocin, Tivorbex); lithium (Lithobid); methotrexate (Otrexup, Rasuvo, Trexall); a sulindac. Pono paha kāu kauka e hoʻololi i ka mahele lāʻau o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kekahi o nā ʻano i ʻōlelo ʻia i ka ʻARlelo AOAO IMPORTANT a i ʻole hānō, keu hoʻi inā ʻoe i ukuhi pinepine a i ʻole ka ihu ihu a i ʻole nā ​​polyps nasal (ka pehu ʻana o ka uhi o ka ihu); puʻuwai puʻuwai; ka pehu ʻana o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; aiʻole ka ate a me nā maʻi pākī.
  • e haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai. aiʻole e hānai umauma ana. Hiki paha i ka Diflunisal ke hōʻeha i ka fetus a hana i nā pilikia me ka lawe ʻana inā lawe ʻia ma kahi o 20 mau pule a i ʻole ma ka wā hāpai. Mai lawe i ka diflunisal a puni a ma hope paha o 20 mau pule o ka hāpai ʻana, ke ʻole ʻoe e haʻi ʻia e kāu kauka. Inā hāpai ʻoe i ka lawe ʻana i ka diflunisal, e kāhea i kāu kauka.
  • e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o ka lawe ʻana i ka diflunisal inā he 75 ou mau makahiki a ʻoi paha. Mai lawe i kēia lāʻau no ka manawa ʻoi aku ka lōʻihi o ka manawa a i kahi lāʻau kiʻekiʻe ma mua o ka mea i ʻōlelo ʻia e kāu kauka.
  • inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka diflunisal.
  • e kāhea i kāu kauka inā manaʻo ʻoe he maʻi maʻi paha kāu, e like me ka pox moa a me ka flu. Mai lawe i ka diflunisal inā he maʻi maʻi kou, a mai hāʻawi i ka diflunisal i kahi keiki i loaʻa i ka maʻi virus.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ʻo Diflunisal i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ka luaʻi
  • pāhoehoe
  • kōpaʻa
  • ʻenekini
  • ʻeha poʻo
  • ʻūpā
  • kani i nā pepeiao
  • nā pilikia me ka hihiʻo

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka. Mai lawe hou i ka diflunisal a hiki i kou wā e ʻōlelo ai i kāu kauka.

  • hoʻohuhū ʻōpū
  • pōkole o ka hanu a paʻakikī hoʻi i ka hanu ʻana
  • ka pehu o ka ʻōpū, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • luhi nui loa
  • kahe koko ʻole ʻana a palapū paha
  • ʻūlili
  • nele i ka ikaika
  • nalo ʻai ʻole
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
  • melemele o ka ʻili a me nā maka
  • nā ʻōuli like flu
  • hūwī
  • ʻōhū
  • ke kunu a i ʻole ke anuanu
  • ʻili mae
  • puʻuwai wikiwiki
  • paopao maʻalahi a hoʻokahe koko paha
  • ʻehaʻeha a ʻeha pū paha
  • loaʻa kaumaha kaumaha ʻole
  • ʻeha kua
  • ʻōpua, paʻalulu, a i ʻole mimi koko
  • urination paʻakikī a ʻeha paha
  • urination pinepine, keu hoʻi i ka pō
  • pehu o ka maka, ʻāʻī, elelo, lehelehe, maka, a i ʻole nā ​​lima
  • hulahula
  • paʻakikī i ka ale ʻana

Hiki i ka Diflunisal ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • hiamoe
  • ka luaʻi
  • hoʻohuhū ʻōpū
  • pāhoehoe
  • hoʻemi urination
  • hanu wikiwiki
  • puʻuwai wikiwiki
  • ka houʻu ʻana
  • kani i nā pepeiao
  • huikau
  • koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)

Ma mua o ka loaʻa ʻana o kahi hoʻokolohua hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ka diflunisal.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

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