Yini i-Nepafenac: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Nepafenac iyithonsi leso elinikezwa ngudokotela elisiza ukunciphisa ukuvuvukala nobuhlungu emehlweni akho ngemva kokuhlinzwa okuthile noma izinqubo. Ingaphansi kweqembu lemithi ebizwa ngokuthi imithi engavuvukali engena-steroidal (NSAIDs), esebenza ngqo esweni lakho ukuzolisa ukuvuvukala nokungakhululeki. Udokotela wakho wamehlo angase akunikeze lo muthi ukusiza amehlo akho aphole ngokukhululeka ngemva kokuhlinzwa kwamehlo noma ezinye izinqubo zamehlo.

Yini i-Nepafenac?

I-Nepafenac ngumuthi wamehlo oqondile oza njengesixazululo sethonsi leso esingenazo izinto ezingcolile. Yenzelwe ngqo ukwelapha ukuvuvukala emehlweni akho, ikakhulukazi ngemva kwezinqubo zokuhlinzwa. Ngokungafani nezidambisi zokuhlunguha zomlomo, i-nepafenac isebenza ngqo lapho uyidinga kakhulu - ngqo ethisshweni leso lakho.

Lo muthi yilokho esikubiza ngokuthi “i-prodrug,” okusho ukuthi iba esebenzayo kuphela ngemva kokungena esweni lakho. Uma isingaphakathi, ama-enzyme emvelo esweni lakho aguqula i-nepafenac ibe yifomu layo elisebenzayo, okuyivumela ukuthi isebenze ngempumelele lapho ukuvuvukala kwenzeka khona. Le ndlela eqondiwe isiza ukunciphisa imiphumela emibi ngenkathi ikhulisa izinzuzo zokuphulukisa amehlo akho.

Isetshenziselwa Ukuthini i-Nepafenac?

I-Nepafenac ngokuyinhloko inikezwa ukunciphisa ubuhlungu nokuvuvukala emehlweni akho ngemva kokuhlinzwa kwamehlo. Ukuhlinzwa kwamehlo, ngenkathi kuphephile futhi kusebenza kahle, ngokwemvelo kubangela ukuvuvukala okuthile njengoba iso lakho liphola. Lo muthi usiza ukwenza ukululama kwakho kube lula futhi usekela ukuphulukiswa okufanele.

Udokotela wakho angase futhi akunikeze i-nepafenac ngeminye imisebenzi yokuhlinzwa kwamehlo noma izinqubo lapho ukulawulwa kokuvuvukala kubalulekile. Ezinye izazi zamehlo ziyayisebenzisa ukuvimbela isimo esibizwa ngokuthi i-cystoid macular edema, okuyisimo sokuvuvukala engxenyeni emaphakathi ye-retina yakho engenzeka ngezinye izikhathi ngemva kokuhlinzwa kwamehlo.

Kwezinye izimo, i-nepafenac ingasetshenziselwa ukwelapha ezinye izimo zamehlo ezivuthayo, nakuba lokhu kungavamile. Udokotela wakho wamehlo uzoqaphela ukuthi ngabe lo muthi ulungele isimo sakho esithile ngokusekelwe ezidingweni zakho kanye nomlando wakho wezokwelapha.

Isebenza Kanjani I-Nepafenac?

I-Nepafenac isebenza ngokuvimba ama-enzyme athile esweni lakho adala ukuvuvukala. Cabanga ngokuvuvukala njengempendulo yomzimba wakho yemvelo ekulimaleni noma ekuhlinzweni - ngenkathi kuyingxenye yokuphulukisa, okuningi kungadala ubuhlungu nokuvuvukala okungadingekile. Lo muthi usiza ukugcina leyo mpendulo ilinganisela futhi ilawulwa.

Uma usufake amaconsi esweni lakho, i-nepafenac ingena ezicutshini zamehlo futhi iguqulwe ibe yifomu layo elisebenzayo. Leli fomu elisebenzayo libe selivimba ukukhiqizwa kwama-prostaglandins, okuyikhemikhali ebangela ukuvuvukala, ubuhlungu, nokuvuvukala. Ngokunciphisa lawa makhemikhali, i-nepafenac isiza iso lakho ukuthi lizizwe lithokomele futhi liphiliswe kahle.

I-Nepafenac ithathwa njengomuthi olwa nokuvuvukala olunamandla amaphakathi wokusebenzisa iso. Isebenza kahle ngokwanele ukubhekana nokuvuvukala ngemva kokuhlinzwa kodwa ithambile ngokwanele ukuthi abantu abaningi bayisebenzise ngokuphepha uma inikezwe udokotela wabo wamehlo.

Kufanele Ngiyithathe Kanjani I-Nepafenac?

Kufanele usebenzise i-nepafenac ngendlela enembile njengoba udokotela wakho wamehlo ekunika imiyalelo, ngokuvamile ithonsi elilodwa esweni elithintekile izikhathi ezintathu ngosuku. Ishejuli ejwayelekile yileyo yasekuseni, emini, nakusihlwa, ihlukaniswe ngamahora angaba ngu-8. Ungawasebenzisa la maconsi ngaphandle noma ngaphandle kokudla ngoba awadluli ohlelweni lwakho lokugaya ukudla.

Ngaphambi kokusebenzisa amaconsi, geza izandla zakho kahle ngensipho namanzi. Thambisa ikhanda lakho kancane futhi udonse kancane isihlobo sakho esiphansi ukuze udale iphokhethi elincane. Cindezela ithonsi elilodwa kuleli phokhethi, bese uvala iso lakho kancane imizuzu engaba ngu-1-2. Zama ukungaqinisi ngokweqile noma uvale amehlo akho ngokuqinile, ngoba lokhu kungakwazi ukukhipha umuthi.

Uma usebenzisa eminye imithi yamehlo, linda okungenani imizuzu emi-5 phakathi kwamaconsi ahlukene. Lokhu kunika imithi ngayinye isikhathi sokumuncwa kahle ngaphandle kokuwashisa owawusebenzisa ngaphambili. Uma ugqoka amalensi okuxhumana, wasuse ngaphambi kokusebenzisa i-nepafenac bese ulinda okungenani imizuzu eyi-10 ngaphambi kokuwabuyisela.

Ungathinti ithiphu le-dropper emehlweni akho, isivalo samehlo, noma iyiphi indawo ukuze uyigcine ihlanzekile. Uma ngengozi uthinta ithiphu, lihlambulule ngethishe elihlanzekile ngaphambi kokulisebenzisa futhi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nepafenac?

Abantu abaningi basebenzisa i-nepafenac cishe amasonto ama-2-4 ngemva kokuhlinzwa kwamehlo, kodwa ubude bokwelashwa kwakho buxhomeke ekutheni amehlo akho aphola kanjani. Udokotela wakho wamehlo uzokunika umugqa wesikhathi ocacile ngokusekelwe esimweni sakho ngasinye nentuthuko yokululama.

Ukunakekelwa ngemva kokuhlinzwa kwe-cataract, ukwelashwa kuvame ukuqala ngemva kwezinsuku eziyi-1-2 ngemva kwenqubo yakho futhi kuqhubeke amasonto ama-2-3. Abanye abantu bangase badinge ukuyisebenzisa isikhathi eside uma amehlo abo ethatha isikhathi esiningi ukuphola noma uma besengozini enkulu yezinkinga.

Ungayeki ukusebenzisa i-nepafenac ngokuzumayo ngaphandle kokukhuluma nodokotela wakho wamehlo kuqala, ngisho noma amehlo akho ezizwa engcono ngokuphelele. Ukuyeka ngaphambi kwesikhathi kungase kuvumele ukuvuvukala ukuthi kubuyele, okungase kwehlise ukuphola kwakho noma kubangele izinkinga. Udokotela wakho uzokwazisa ukuthi kuphephile nini ukuyeka umuthi.

Uma ubesebenzisa i-nepafenac isikhathi eside kunokulindelekile, ungakhathazeki - udokotela wakho uqapha intuthuko yakho futhi uzolungisa ukwelashwa kwakho njengoba kudingeka. Abanye abantu badinga isikhathi esithe xaxa sokuthi amehlo abo aphole ngokuphelele.

Yiziphi Imiphumela Eceleni Ye-Nepafenac?

Abantu abaningi bayamukela i-nepafenac kahle, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile, futhi abantu abaningi bathola kuphela ukungakhululeki okuncane, okwesikhashana uma kukhona.

Nawa amanye amaphutha avamile ongase uhlangabezane nawo, ukhumbula ukuthi abantu abaningi abanawo nhlobo amaphutha:

• Ukuqubuka kwamehlo okuncane noma ukushisa uma uqala ukufaka amaconsi
• Ukubona okungacacile okwesikhashana imizuzu embalwa ngemva kokusebenzisa amaconsi
• Amehlo omile noma umuzwa wokuba nesihlabathi
• Ikhanda elincane
• Ukuqina ekukhanyeni

Lawa maphutha avamile ngokuvamile athuthuka njengoba amehlo akho ejwayela umuthi futhi ngokuvamile awabangi ukukhathazeka.

Amanye amaphutha angavamile kodwa akhathazayo adinga ukunakekelwa kwezokwelapha ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Ubuhlungu obukhulu emehlweni noma ubuhlungu obuqhubekayo
• Ushintsho olukhulu ekuboneni noma ukulahlekelwa
• Izimpawu zokutheleleka kwamehlo njengokubomvu okukhulu, ukukhipha, noma ukuvuvukala
• Ikhanda eliqhubekayo elibuhlungu
• Ukukhipha okungavamile emehlweni noma ukuba namagxolo

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingathi sína, xhumana nodokotela wakho wamehlo ngokushesha. Bangakwazi ukuthola ukuthi ngabe izimpawu zihlobene yini nomuthi noma ngabe kukhona okunye okudinga ukunakekelwa.

Ngokungavamile, abanye abantu bangase babe nokusabela komzimba ku-nepafenac. Izimpawu zokusabela komzimba zihlanganisa ukuvuvukala okukhulu kwamehlo, ukuqubuka eduze kwamehlo, noma ubunzima bokuphefumula. Uma uqaphela lezi zimpawu, funa ukunakekelwa kwezokwelapha ngokushesha.

Ubani Ongafanele Athathe I-Nepafenac?

I-Nepafenac ayilungile kuwo wonke umuntu, futhi udokotela wakho wamehlo uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Into ebaluleke kakhulu okufanele uyazi ukuthi ngabe uke waba nokusabela komzimba emithini efanayo esikhathini esidlule.

Akufanele usebenzise i-nepafenac uma unenkinga yokungezwani nayo noma eminye imithi ye-NSAID efana ne-ibuprofen, naproxen, noma i-aspirin. Noma ngabe i-nepafenac isetshenziswa ngqo esweni lakho, abantu abanezinkinga zokungezwani ne-NSAID basengaba nokusabela. Uma uke waba nezinkinga nganoma iyiphi imithi yokudambisa ubuhlungu noma yokulwa nokuvuvukala ngaphambili, qiniseka ukutshela udokotela wakho.

Abantu abanezimo ezithile zamehlo badinga ukucatshangelwa okukhethekile ngaphambi kokusebenzisa i-nepafenac. Uma unomlando wezinkinga zokuphuma igazi, izinkinga ze-corneal, noma izinhlobo ezithile zezinkinga zokuhlinzwa kwamehlo, udokotela wakho uzohlola izinzuzo nezingozi ngokucophelela.

Abesifazane abakhulelwe noma abancelisa izingane kufanele baxoxe ngokusebenzisa i-nepafenac nodokotela wabo. Ngenkathi umuthi usetshenziswa ngqo esweni, kubalulekile ukucabangela ukuthi ngabe yisinqumo esiphephe kakhulu ngesikhathi sokukhulelwa noma ngenkathi bencelisa.

Uma unomlando wokuphola kwamanxeba okuhamba kancane, izinkinga zokujiya kwegazi, noma usebenzisa imithi yokunciphisa igazi, udokotela wakho uzokuqapha eduze ngenkathi usebenzisa i-nepafenac. Lezi zimo akudingeki zikuvimbele ukuthi usebenzise umuthi, kodwa zidinga ukunakwa okwengeziwe.

Amagama Omkhiqizo we-Nepafenac

I-Nepafenac itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Nevanac iyona engajwayelekile ukunconywa. Ikhemisi yakho ingase ikhiphe i-Nevanac noma amanye amagama omkhiqizo ngokuya ngokukhokhelwa kwakho komshwalense nokutholakala.

Amanye amagama omkhiqizo afaka i-Ilevro, okuyisixazululo esinamandla se-nepafenac esisetshenziswa kanye ngosuku esikhundleni sezikhathi ezintathu ngosuku. Udokotela wakho uzokhetha umkhiqizo othile namandla afanele isimo sakho.

Noma ngabe uthola igama lomkhiqizo noma inguqulo ejwayelekile, isithako esisebenzayo (i-nepafenac) siyafana. Izinguqulo ezijwayelekile zisebenza kahle njengamagama omkhiqizo futhi zivame ukuthengeka. Umuthi wakho wekhemisi angachaza ukuthi iyiphi inguqulo oyitholayo futhi aphendule noma yimiphi imibuzo ngomehluko phakathi kwemikhiqizo.

Ezinye izindlela ze-Nepafenac

Uma i-nepafenac ingakulungele, eminye imithi yamehlo ingasiza ekuphatheni ukuvuvukala ngemva kokuhlinzwa. Udokotela wakho wamehlo angase acabangele lezi ezinye izindlela ngokusekelwe ezidingweni zakho ezithile kanye nomlando wakho wezokwelapha.

Ezinye izidakamizwa zamehlo ze-NSAID ezifana ne-ketorolac (Acular) noma i-diclofenac (Voltaren) zisebenza ngendlela efanayo ne-nepafenac kodwa zinezakhiwo ezihlukile kancane. Abanye abantu bayakwazi ukubekezelela eyodwa kangcono kunenye, ngakho-ke udokotela wakho angase azame i-NSAID ehlukile uma i-nepafenac ibangela imiphumela emibi.

Amathonsi wamehlo e-steroid afana ne-prednisolone enye indlela yokulawula ukuvuvukala ngemva kokuhlinzwa kwamehlo. Lezi zisebenza ngendlela ehlukile kune-NSAIDs futhi ngezinye izikhathi zisetshenziswa zodwa noma ngokuhlangana namathonsi e-NSAID kubantu abadinga ukulawulwa okuqinile kokuvuvukala.

Kubantu abangakwazi ukusebenzisa amathonsi okuvuvukala avamile, udokotela wakho angase ancome izinyembezi ezingokwenziwa, ama-compress abandayo, noma ezinye izindlela zokunakekela ezisekelayo ukusiza ekuphatheni ukungakhululeki ngesikhathi sokwelashwa.

Ingabe i-Nepafenac Ingcono Kune-Ketorolac?

Kokubili i-nepafenac ne-ketorolac bangamathonsi wamehlo e-NSAID asebenzayo, kodwa banezinto ezithile ezingase zikwenze ukuthi enye ilungele isimo sakho esithile. Akukho noyedwa

Udokotela wamehlo wakho uzocabangela izinto ezinjengohlobo lokuhlinzwa kwakho, ingozi yezinkinga, eminye imithi oyithathayo, kanye nomshwalense wakho lapho unquma phakathi kwalezi zinketho. Yomibili le mithi inezindlela eziqinisekisiwe zokusiza abantu ukuthi baphole ngokunethezeka ngemva kokuhlinzwa kwamehlo.

Imibuzo Evame Ukubuzwa Mayelana ne-Nepafenac

Q1. Ingabe i-Nepafenac iphephile kubantu abanesifo sikashukela?

Yebo, i-nepafenac ngokuvamile iphephile kubantu abanesifo sikashukela, kodwa udokotela wamehlo wakho uzokuhlola eduze. Abantu abanesifo sikashukela basengozini enkulu yezinkinga ezithile zamehlo futhi bangase baphole kancane ngemva kokuhlinzwa, ngakho-ke ukuqapha ngokucophelela kuqinisekisa imiphumela engcono kakhulu.

Isifo sikashukela singathinta ukugeleza kwegazi emehlweni akho futhi sinciphise ukuphola, okusho ukuthi udokotela wakho angase alungise uhlelo lwakho lokwelashwa noma uhlelo lokuqapha. I-nepafenac ngokwayo ayithinti ngokuqondile amazinga kashukela egazini ngoba isetshenziswa ngqo emehlweni akho kunokuba ithathwe ngomlomo.

Q2. Kufanele ngenzeni uma ngingaqondile ngisebenzisa i-Nepafenac eningi kakhulu?

Uma ngempela ufaka amaconsi angaphezu kwelilodwa emehlweni akho, ungangeni ekuqhumeni - lokhu ngokuvamile akuyona ingozi. Geza ngobumnene iso lakho ngamanzi ahlanzekile noma isixazululo se-saline uma uzwa ukushisa okukhulu noma ukucasuka. Iso lakho lingakwazi kuphela ukubamba inani elilinganiselwe lwamanzi, ngakho-ke amaconsi engeziwe azovele achichime.

Uma ngempela usebenzise i-nepafenac kaningi kunokuba kunqunywe ezinsukwini eziningana, xhumana nodokotela wamehlo wakho ukuze uxoxe ngokuthi ngabe udinga ukulungisa uhlelo lwakho noma ukubheka noma yiziphi izinto ezingezinhle. Bangakuqondisa ukuthi ubuyele kanjani esimisweni sakho esijwayelekile sokulinganisa ngokuphepha.

Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Nepafenac?

Uma uphuthelwa umthamo, wusebenzise ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe futhi uqhubeke nohlelo lwakho olujwayelekile. Ungaphindi kabili imithamo ukuze ulungise okulahlekile.

Ukulahlekelwa umthamo owodwa ngezikhathi ezithile ngeke kube nomthelela omkhulu ekupholiseni kwakho, kodwa zama ukuhlala njalo ngangokunokwenzeka ngeshejuli yakho yokulinganisa. Cabangela ukusetha izikhumbuzi zocingo noma ukugcina amaconsi akho esweni endaweni ebonakalayo ukukusiza ukuthi ukhumbule.

Q4. Ngingayeka nini ukuthatha i-Nepafenac?

Ungayeka ukuthatha i-nepafenac lapho udokotela wakho wamehlo ekutshela ukuthi kuphephile ukwenza kanjalo, ngokuvamile ngemva kokuqokwa kwakho okulandelayo kuqinisekisa ukuthi iso lakho liphola kahle. Lokhu kuvamile ukwenzeka ngemva kwamasonto angu-2-4 ngemva kokuhlinzwa, kodwa isikhathi esiqondile sincike ekuqhubekeni kwakho kokuphola.

Ungayeki ukusebenzisa i-nepafenac ngenxa yokuthi iso lakho lizizwa lingcono - ukuvuvukala kungabuyela uma uyeka ngokushesha kakhulu. Udokotela wakho udinga ukuhlola iso lakho ukuze aqinisekise ukuthi inqubo yokuphola iphelile ngaphambi kokuyeka umuthi.

Q5. Ngingashayela ngemva kokusebenzisa i-Nepafenac?

Ngokuvamile ungaqhubeka nokushayela ngemva kokusebenzisa i-nepafenac, kodwa linda kuze kube yilapho noma yikuphi ukubona okungacacile kwesikhashana kuqala ukucaca. Abanye abantu bahlangabezana nokungacaci okuncane, okufushane imizuzu embalwa ngemva kokufaka amaconsi, ngakho kuphephe kakhulu ukulinda kuze kube yilapho umbono wakho ucacile ngaphambi kokushayela.

Uma uhlangabezana njalo nezinguquko ezinkulu zombono noma ukungacaci okude ngemva kokusebenzisa i-nepafenac, xoxa lokhu nodokotela wakho wamehlo. Bangase badinge ukulungisa ukwelashwa kwakho noma baphenye ukuthi ngabe kukhona okunye okuthinta umbono wakho.