Created at:1/13/2025
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I-Naproxen ne-esomeprazole kuyinhlanganisela yemithi ehlanganisa umuthi oqeda ubuhlungu nomvikeli wesisu epilini elilodwa elilula. Lokhu kuhlanganisa ngobuhlakani kukusiza ukuthi ulawule ubuhlungu nokuvuvukala ngenkathi ugcina isisu sakho siphephile ekucasukeni okungenzeka ngokusebenzisa imithi yobuhlungu yesikhathi eside.
Cabanga ngakho njengokuba nomqaphi wesisu sakho ngenkathi ukukhululeka kobuhlungu kwenza umsebenzi wako. Abantu abaningi badinga ukuphathwa kobuhlungu okuqhubekayo kodwa bakhathazeka ngezinkinga zesisu, futhi le nhlanganisela ibhekana nakho kokubili ngesikhathi esisodwa.
Le mithi ihlanganisa imithi emibili esungulwe kahle ithebulethi elilodwa. I-Naproxen iyidrayisi elingelona i-steroidal anti-inflammatory drug (NSAID) elinciphisa ubuhlungu, ukuvuvukala, nomkhuhlane. I-Esomeprazole iyi-proton pump inhibitor enciphisa kakhulu ukukhiqizwa kwe-asidi yesisu.
Le nhlanganisela ikhona ngoba i-naproxen, njengamanye ama-NSAID, ngezinye izikhathi ingacasula ulwelwesi lwesisu sakho uma isetshenziswa njalo. Ngokufaka i-esomeprazole, isisu sakho sithola ukuvikelwa ku-asidi engaphezu kwemfuneko engabangela izilonda noma ezinye izinkinga zokugaya ukudla.
Ungase wazi i-naproxen ngamagama emikhiqizo afana ne-Aleve, kuyilapho i-esomeprazole ivame ukubizwa nge-Nexium. Uma ihlanganisiwe, le mithi ivame ukunqunywa ngaphansi kwegama lomkhiqizo elithi Vimovo.
Le nhlanganisela yemithi iphatha izimo ezidinga ukukhululeka kobuhlungu nokuqubuka okuqhubekayo ngenkathi ivikela uhlelo lwakho lokugaya ukudla. Yenzelwe ngokuqondile abantu abadinga ukwelashwa kwe-NSAID yesikhathi eside kodwa abasengozini yezinkinga zesisu.
Udokotela wakho angase anqume le nhlanganisela yezimo eziningana ezibangela ubuhlungu obuqhubekayo nokuvuvukala:
Inzuzo enkulu ukuthi uthola ukukhululeka kobuhlungu obusebenzayo ngaphandle kokukhathazeka kakhulu ngokuthuthukisa izilonda zesisu noma ezinye izinkinga zokugaya ukudla. Lokhu kwenza kube yigugu ikakhulukazi kubantu abadala noma abantu abanomlando wezinkinga zesisu.
Lo muthi usebenza ngezindlela ezimbili ezihlukene ezigcwalisana kahle. I-Naproxen ivimba ama-enzyme abizwa ngokuthi ama-cyclooxygenases (COX-1 kanye ne-COX-2) enza amakhemikhali avuvukalayo emzimbeni wakho.
Lapho la ma-enzyme evinjwa, umzimba wakho ukhiqiza ama-prostaglandin ambalwa. Lawa amakhemikhali abangela ubuhlungu, ukuvuvukala, nokuvuvukala. Ngokunciphisa ama-prostaglandin, i-naproxen isiza ukudambisa ukungakhululeki kwakho futhi yehlise ukuvuvukala ezindaweni ezithintekile.
Ngesikhathi esifanayo, i-esomeprazole isebenza esiswini sakho ngokuvimba amaphampu e-proton. Lezi yizinto ezincane ze-molecular emangqamuzaneni esiswini sakho akhiqiza i-asidi. Ngokuvala lawa maphampu, i-esomeprazole inciphisa kakhulu ukukhiqizwa kwe-asidi, idala indawo enobungane kakhulu yokuvalwa kwesisu sakho.
I-Naproxen ithathwa njengomuthi oqinile ovuvukalayo. Inamandla kunezinketho ezingaphezu kwe-counter njenge-ibuprofen kodwa ayinamandla njengemithi kadokotela efana ne-celecoxib noma eminye imithi ye-steroid.
Thatha lo muthi ngendlela enqunywe ngayo udokotela wakho, ngokuvamile kabili ngosuku ngokudla. Isikhathi sokudla sibalulekile ngoba ukudla kusiza ukuvikela isisu sakho futhi kuthuthukisa ukuthi umzimba wakho umunca kahle kangakanani umuthi.
Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Ungawachobozi, uwahlafune, noma uwaqhekeze ngoba lokhu kungaphazamisa indlela umuthi okhishwa ngayo emzimbeni wakho. Amaphilisi aklanyelwe ukukhipha okuqukethwe kwawo ngezikhathi ezithile nezindawo emathunjini akho okugaya ukudla.
Thatha imithamo yakho cishe ngezikhathi ezifanayo nsuku zonke, okungcono kakhulu ngesidlo sasekuseni nesakusihlwa. Lokhu kusiza ukugcina amazinga aqhubekayo emithi emibili emzimbeni wakho futhi kwenza kube lula ukukhumbula imithamo yakho.
Uma unenkinga yokugwinya amaphilisi amakhulu, khuluma nodokotela wakho mayelana nezinye izindlela. Ungalokothi uzame ukuguqula amaphilisi ngokwakho, ngoba lokhu kungawenza angasebenzi kahle noma kubangele ukucasuka kwesisu.
Ubude bokwelashwa buhlukahluka kakhulu ngokuya ngesimo sakho esithile nokuthi usabela kanjani emuthini. Udokotela wakho uzonquma ubude obulungile bokwelashwa esimweni sakho.
Ezimweni ezingapheli njenge-arthritis, ungase udinge lo muthi izinyanga noma iminyaka. Udokotela wakho uzohlola njalo ukuthi usawudinga yini nokuthi uyasebenza yini ngempumelelo kuwe.
Abanye abantu bayawuthatha isikhathi esincane ngesikhathi sokugqashuka kwesimo sabo, kanti abanye bayawudinga njengokwelashwa okuqhubekayo kokulondoloza. Ingxenye ye-esomeprazole yenza ukusetshenziswa kwesikhathi eside kuphephe esiswini sakho kunokuthatha i-naproxen yodwa.
Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Bangase bafune ukunciphisa kancane kancane umthamo wakho noma bakushintshele ekwelashweni okuhlukile ukuvimbela izimpawu zakho ukuthi zingabuyi.
Abantu abaningi bayakubekezelela kahle lokhu kuhlanganiswa, kodwa njengayo yonke imithi, kungabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile, futhi abantu abaningi ababi nazinkinga nhlobo.
Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa:
Le miphumela ivamise ukuba mncane futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Ukuthatha umuthi ngokudla kungasiza ekunciphiseni imiphumela emibi ehlobene nesisu.
Imiphumela emibi ebucayi kakhulu ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Xhumana nodokotela wakho ngokushesha uma uhlangabezana nezihlalo ezimnyama noma ezinegazi, ubuhlungu obukhulu besisu, ubuhlungu besifuba, ubunzima bokuphefumula, noma izimpawu zokungezwani komzimba nezinto ezithile njengokuqubuka noma ukuvuvukala.
Abanye abantu bangase babe nezinguquko ekusebenzeni kwezinso, ikakhulukazi uma bebadala noma benenkinga yezinso ekhona. Udokotela wakho cishe uzoqapha ukusebenza kwezinso zakho ngokuhlolwa kwegazi ngezikhathi ezithile.
Lo muthi awulungelwe wonke umuntu, futhi izimo ezithile zezempilo zenza kungaphephile ukuwusebenzisa. Udokotela wakho uzozihlola ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwubhala.
Akufanele uthathe le nhlanganisela uma wazi ukuthi une-allergy ku-naproxen, esomeprazole, noma ezinye izidakamizwa ze-NSAIDs. Abantu abake baba nokungezwani komzimba okukhulu ne-aspirin noma ezinye izidambisi zokucasuka kufanele futhi bagweme lo muthi.
Izimo ezithile zezempilo zenza lo muthi ube yingozi kakhulu ukuwusebenzisa:
Udokotela wakho uzophinda aqaphele ngokubhala lo muthi uma uneminyaka engaphezu kwengama-65, unomfutho wegazi ophezulu, noma uthatha izinciphisi zegazi. Lezi zimo azikhiphi ngokuzenzakalelayo umuthi, kodwa zidinga ukuqapha okuseduze.
Igama elivamile lomkhiqizo waleli khambi elihlanganisiwe yi-Vimovo. Lena yinguqulo odokotela abaningi abayibhala lapho befuna ukuhlanganisa i-naproxen ne-esomeprazole kuthebhulethi eyodwa.
I-Vimovo iza ngamandla ahlukene, ngokuvamile ihlanganisa i-375mg noma i-500mg ye-naproxen ne-20mg ye-esomeprazole. Udokotela wakho uzokhetha amandla afanele ngokuya ngezinga lobuhlungu bakho nomlando wakho wezokwelapha.
Amanye amakhemisi angase abe nezinguqulo ezivamile zalolu hlobo oluhlanganisiwe, oluqukethe izithako ezifanayo ezisebenzayo kodwa zingabiza kancane. Imithi ejwayelekile isebenza kahle njengezinguqulo zegama lomkhiqizo futhi kufanele ihlangabezane namazinga afanayo okuphepha.
Kunezindlela eziningi uma le nhlanganisela ingasebenzi kahle kuwe noma idala imiphumela engathandeki. Udokotela wakho angakusiza ukuthi uthole inketho engcono kakhulu yesimo sakho esithile.
Ezinye izinhlanganisela ze-NSAID ezinokuvikelwa kwesisu zihlanganisa i-diclofenac ne-misoprostol (Arthrotec) noma i-celecoxib, ethambile esiswini ngokuklanywa. Abanye abantu benza ngcono ngalezi zindlela.
Uma ungenakukwazi ukuthatha ama-NSAID nhlobo, udokotela wakho angase ancome i-acetaminophen ukuze kuncishiswe ubuhlungu, nakuba inganciphisi ukuvuvukala. Ezimweni zokuvuvukala, bangase baphakamise ukwelashwa okungaphezulu, ukwelashwa ngokomzimba, noma kwezinye izimo, imithi eguqula isifo.
Izindlela ezingezona zemithi ezifana nokuzivocavoca okulula, ukwelashwa ngokushisa, nokuphatha ukucindezeleka kungase futhi kugcwalise noma ngezinye izikhathi kuthuthukise imithi yezimo ezithile.
Kubantu abadinga ukwelashwa kwe-NSAID yesikhathi eside, le nhlanganisela ngokuvamile iphephe kakhulu kunokuthatha i-naproxen yodwa. Ingxenye ye-esomeprazole inciphisa kakhulu ingozi yakho yokuthuthukisa izilonda zesisu nezinye izinkinga zokugaya ukudla.
Ucwaningo lubonisa ukuthi abantu abathatha i-naproxen yodwa banengozi enkulu yokopha esiswini nezilonda, ikakhulukazi uma isetshenziswa isikhathi eside. Ukwengeza i-esomeprazole kunciphisa le ngozi kakhulu ngenkathi kugcinwa izinzuzo ezifanayo zokunciphisa ubuhlungu.
Kodwa-ke, le nhlanganisela ibiza kakhulu kune-naproxen yodwa futhi ingase ibangele imiphumela emibi eyengeziwe ehlobene nengxenye ye-esomeprazole. Uma udinga kuphela ukukhululeka kobuhlungu besikhashana futhi ungenazo izici eziyingozi esiswini, i-naproxen nje ingase yanele.
Udokotela wakho uzohlola izici zakho eziyingozi, okuhlanganisa iminyaka yakho, umlando wezokwelapha, neminye imithi, ukuze anqume ukuthi iyiphi inketho engcono kuwe.
Le nhlanganisela idinga ukucatshangelwa ngokucophelela uma unesifo senhliziyo. I-Naproxen, njengamanye ama-NSAID, ingakhuphula kancane ingozi yokuhlaselwa yinhliziyo nokushaywa unhlangothi, ikakhulukazi uma isetshenziswa isikhathi eside noma ngemithamo ephezulu.
Udokotela wakho uzohlola izinzuzo zokukhululeka kobuhlungu ngokumelene nezingozi ezingaba khona zenhliziyo nemithambo yegazi. Bangase bancomende ukuqapha njalo, imithamo ephansi, noma ezinye izindlela zokwelapha uma ingozi yakho yesifo senhliziyo iphezulu.
Uma unesifo senhliziyo, ungalokothi uqale lo muthi ngaphandle kokuxoxa ngakho ngokucophelela nodokotela wakho. Bayazi isimo sakho senhliziyo esithile futhi bangenza izincomo eziphephe kakhulu esimweni sakho.
Uma ngengozi uthatha ngaphezu komthamo wakho obekiwe, xhumana nodokotela wakho noma ukulawulwa ngokushesha. Ukuthatha okuningi kakhulu kungabangela ukopha okukhulu esiswini, izinkinga zezinso, noma eminye imiphumela eyingozi.
Ungazami ukuzenza uhlanze noma uthathe eminye imithi ukuze ulwe nokweqisa. Kunalokho, shayela udokotela wakho ngokushesha noma uye egumbini eliseduze lezimo eziphuthumayo uma uzizwa ungaphilile.
Letha ibhodlela lemithi nawe ukuze abasebenzi bezokwelapha bakwazi ukubona ngqo ukuthi uthathe ini futhi uthathe malini. Bangabe besenikeza ukwelashwa okufanele kakhulu isimo sakho.
Thatha umthamo owuqegile ngokushesha nje lapho ukhumbula, uma nje kungesona isikhathi esicishe sibe sesikhathini somthamo wakho olandelayo ohleliwe. Uma sekuseduze isikhathi somthamo wakho olandelayo, weqa lowo oqeqiwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo oqeqiwe. Lokhu kungakhuphula ingozi yakho yemiphumela engemihle ngaphandle kokunikeza izinzuzo ezengeziwe.
Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukusebenzisa umhleli wamaphilisi ukukusiza ukuthi uhlale emgqeni ngeshejuli yakho yemithi.
Yeka kuphela ukuthatha lo muthi uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Ukuyeka kungazelelwe kungabangela ubuhlungu bakho nokuvuvukala kubuye, ngezinye izikhathi kube kubi kakhulu kunakuqala.
Udokotela wakho angase afune ukunciphisa kancane kancane umthamo wakho kunokuyeka kungazelelwe. Lokhu kusiza ekuvikeleni izimpawu zokubuyela emuva futhi kubavumela ukuthi baqaphe ukuthi wenza kanjani ngaphandle komuthi.
Uma uhlangabezana nemiphumela engemihle noma umuthi ungawusizi imiphumela yakho, khuluma nodokotela wakho mayelana nokulungisa ukwelashwa kwakho kunokuyeka ngokwakho.
Le nhlanganisela ingasebenzisana neminye imithi eminingi, ngakho-ke ngaso sonke isikhathi tshela udokotela wakho ngakho konke okuthathayo, okuhlanganisa imithi etholakala ngaphandle kwe-oda kanye nezithasiselo.
Izinciphisi zegazi ezinjenge-warfarin zingaba nokusebenzisana okuyingozi ne-naproxen, okwandisa ingozi yakho yokopha. Udokotela wakho uzodinga ukukuqapha eduze uma uthatha yomibili imithi.
Isithako se-esomeprazole singathinta indlela umzimba wakho ogwinya ngayo imithi ethile, okuhlanganisa ama-antibiotics athile kanye nemithi elwa nesikhunta. Udokotela wakho angase adinge ukulungisa isikhathi noma imithamo yeminye imithi oyithathayo.