Vimovo
Ukuhlanganiswa kweNaproxen ne-esomeprazole kusetshenziswa ekuqedeni izimpawu ze-ankylosing spondylitis, i-osteoarthritis, ne-rheumatoid arthritis kubantu abadala, kanye ne-juvenile idiopathic arthritis (JIA) kubantwana. Kusetshenziswa kulabo abanesongo esikhulu lokuba nezihlungu zesisu, futhi abadinga ukuthatha i-nonsteroidal anti-inflammatory drug (NSAID) ye-arthritis noma i-ankylosing spondylitis. INaproxen iyi-nonsteroidal anti-inflammatory drug (NSAID) esetshenziswa ekwelapheni ubuhlungu, ukuvuvukala, ukukhula, ubunzima, nobuhlungu bezingxenye zomzimba. I-Esomeprazole iyi-proton pump inhibitor (PPI) esetshenziswa ekwelapheni izimo ezithile lapho kukhiqizwa ama-acid amaningi esiswini (ibh. izihlungu ze-duodenal ne-gastric). Lolu dokotela lutholakala kuphela ngomyalo wodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenamithi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela yokuxuba i-naproxen ne-esomeprazole ukuze kuphathwe isifo se-arthritis esingaziwa kubantwana abaneminyaka engaphansi kwengu-12 ubudala futhi abapima ukulingana okungaphansi kwamakhilogremu angu-38. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawulela ukusetshenziswa kokuxuba i-naproxen ne-esomeprazole kubantu abadala. Noma kunjalo, abantu abadala banesibopho esikhulu sokuba nezinkinga zenhliziyo, izinso, noma isisu ezihlobene nobudala, okungase kudinge ukunakekelwa nokulungiswa komthamo kwabaguli abamukela le mithi. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zidingeke. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihlobene nemiphumela emibi, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba ngezinye izidakamizwa kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayinconywa, kodwa kungase kungakugwemeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihlobene nemiphumela emibi kodwa kungase kungakugwemeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kule mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Thatha leli leyeza ngokuqondile njengoba uyalwe ngudokotela wakho. Ungathathi okuningi kwalokhu, ungaluthathi kaningi, futhi ungaluthathi isikhathi eside kunalokho udokotela wakho akuyalile. Ukuthatha okuningi kwalokhu kweyeza kungase kukhulise amathuba emiphumela engathandeki, ikakhulukazi kubantu abadala. Leli leyeza kufanele libe ne-Medication Guide. Funda futhi ulandele lezi zinkomba ngokucophelela. Buza udokotela wakho noma umthengisi wezidakamizwa uma unemibuzo. Kungcono ukuthatha leli leyeza isisu singenalutho cishe imizuzu engama-30 ngaphambi kokudla. Gwinya ithebulethi yokukhululwa okulandelayo yonke ngamanzi. Ungayaphula, uyiqheke, uyigaye, noma uyichithe. Udokotela wakho angase akusize ukuthi uthathe izithasiselo zevithamini D ne-calcium ngenkathi usebenzisa leli leyeza. Inani leli leyeza lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo lufaka kuphela amanani aphakathi aleli leyeza. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuyale ukuba wenze njalo. Inani leyeza osilithatha lixhomeke emandleni aleyeza. Futhi, inani lezinye ulizithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezinye, nobude besikhathi osilithatha leyeza lixhomeke enkingeni yezokwelapha oyisebenzisela leli leyeza. Uma uphuthelwa yisigaba saleli leyeza, silithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sesigaba sakho esilandelayo, susa isigaba esiphuthelwe bese ubuyela esikhathini sakho sokuthola imithi. Ungawandisi ama-doses. Gcina leli leyeza esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungaganduki. Gcina ungafinyeleleki ezinganeni. Ungagcini imithi eliphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma iyiphi imithi ongayisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.