Ukuqonda indlela yokusebenzisa ngokufanelekileyo iGel Voltaren
I-Geltaren Gel (i-diclofenac) yayiyonyango lokuqala lokunyanga i- osteoarthritis evunywe yi-FDA. I-Gel Volren, i-nonsteroidal anti-inflammatory medicine in formical form, isetyenziswa kakhulu emadolweni nasezandleni. Nazi izinto ezili-10 ezibalulekileyo ofuna ukuba wazi ngeGeltaren Gel malunga nokusetyenziswa okukhuselekileyo kunye nokusebenza kakuhle.
1. I-Gel Voltaren inokuphumelela ngokukhawuleza intlungu kwaye ineprojekthi ekhuselekileyo yokhuseleko
Ukutyunjwa kwenkqubo yeGeltaren Gel, eyi-1 pesenti ye-diclofenac sodium kwi-formel gel formulation, ingama-94 ekhulwini ngaphantsi kwe- diclofenac yomlomo .
Ngenxa yoko, umngcipheko wesisu esisisigxina kunye nesifo sengqondo esifana ne-NSAID yomlomo ayincinci kakhulu kwi-formical formulation.
2. Ukusebenza nokukhuseleko kweGel Voltaren kwafundwa ngaphambi kokuvunywa
Imvume ye-FDA isekelwe kwizifundo eziliqela, kubandakanywa uphando olwenziwe ngolu hlobo oluqhubekileyo, oluphindwe kabini, oluyimpumpo-mandla, kunye novavanyo lweenyanga ezili-12. Emva kweeveki ezintandathu zonyango ekufundeni ngempumelelo abantu abanesifo se- osteoarthritis , amanqanaba entlungu ayancitshiswa ngama-46 ekhulwini. Kwisifundo seveki ezili-12 zabantu abane- knee osteoarthritis , i-Voltaren Gel yanciphisa amanqanaba entlungu ngama-51 ekhulwini.
3. Ukuphendula okungalunganga kunokwenzeka ngeGeltaren Gel
Impendulo eyingozi kakhulu echazwe kwiimvavanyo zonyango kwakuyiziphumo zendawo yesicelo kwiingxenye ezi-7 zabafundi abathatha inxaxheba baphathwa ngeGeltaren Gel. Ukumisela ulwazi ngeGeltaren Gel inikeza izilumkiso kunye nokulumkisa ukuphendula okungathandekiyo.
Ukulawulwa kwexesha elide le-NSAID kungabangela i-renal papillary necrosis kunye nenye inzakalo yenzalo. Abantu asebekhulile, abantu abanokukhubazeka komsebenzi, ukungaphumeleli kwintliziyo, ukungasebenzi kwesibindi, kunye nabathatha i-diuretics kunye ne-ACE inhibitors kufuneka baqaphele xa usebenzisa i-Voltaren Gel. Uxinzelelo lwe-hypertension lwenzeka nge-NSAID unyango, okwenza kubalulekile ukubeka ingqalelo uxinzelelo lwegazi.
Ukugcinwa kwe-Fluid kunye ne-edema kuya kwenzeka. Ukuba i-anaphylactoid isabela njani, ukusetyenziswa kufuneka kupheliswe ngokukhawuleza. I-NSAID inokubangela iziganeko ezinzulu zesikhumba, kunye ne-dermatitis exfoliative, isifo se-Stevens-Johnson, kunye nesifo se-epidermal necrolysis, esinokubulala.
Ngo-2009, i-FDA ihlaziye ileyibhile ye-Voltaren Gel ukuba ifake ulwazi malunga nemiphumo eyingozi. Ngoku ifundeka, "Kwimibiko yokuthumela i-postmarketing, iziganeko ze-hepatotoxicity zichongiwe kwinyanga yokuqala, kwaye kwezinye iimeko, iinyanga ezimbini zokuqala zonyango, kodwa zingenzeka nanini na ngexesha lokunyanga nge-diclofenac. Iziganeko ezinobungozi obunzima, kubandakanywa nesibindi se-necrosis, i-jaundice, ukuzaliseka kwe-hepatitis kunye ne-jaundice, kunye nokuhluleka kwesibindi. Ezinye zezi ziganeko ezibikwe zibangele ukufa okanye ukufakelwa kwesibindi. kuba i-hepatotoxicity enamandla ingahlakulela ngaphandle kweprodrome yokubonakalisa iimpawu. "
4. Izixwayiso zebhokisi ezimnyama eziqhelekileyo kuzo zonke i-NSAID zongezwe kwiGel Volren
Iimpawu zeebhokisi ezimnyama zixwayisa oogqirha kunye nezigulane kwiziphumo ezibi kakhulu.
I-Geltaren i-Voltaren inezikhumbuzo ezimbini zeebhokisi ezimnyama eziqhelekileyo kuzo zonke i-NSAID. Eyokuqala kukuba, njengakwamanye ama-NSAID, kunokubakho ubuncipheko obunzulu bokubakho imicimbi ye-cardiovascular, ukuhlaselwa yintliziyo okanye ukubetha ngokusetyenziswa kwe-Voltaren Gel. Ezi zinto zenzeke ngaphandle kwesixwayiso. Umngcipheko wakho unokuba phezulu xa uthatha ii-NSAID ixesha elide okanye kwiqondo eliphezulu. Ukuba usengozini yeemeko zentliziyo kunye nesisu, akufanele uthabathe le nyilisi. Akufanele isetyenziselwe ukuphulukana nentlungu phambi okanye emva kokuphelelwa kombhobho we-coronary bypass utyando lwe-graft (CABG).
Ukusetyenziswa kwe-NSAID kunokubangela umngcipheko wokwanda kweziganeko ezinomzimba ezinokuquka ukuphuma kwegazi , izilonda kunye nokugqithwa kwesisu kunye namathumbu.
Ezi ziganeko ezimbi ziyakwenzeka ngaphandle kwesixwayiso kwaye mhlawumbi ziyabulala. Usemngciphekweni xa ukhulile okanye unembali yesifo sesilonda okanye isisu esisisu.
5. Abantu abathile akufanele basebenzise iGeltaren Gel
Ngaphandle kwamaqela ekungciphekweni kwingozi ebhalwe kwiibhokisi ezimnyama, i-Voltaren Gel ayinakusetyenziswa ngabantu abane-hypersensitivity eyaziwayo kwi-diclofenac. Kwakhona akufanele isetyenziswe ngabantu abaye bahlakulela isifo se-asthma, urticaria, okanye iimpendulo ezithintekayo emva kokuthatha i- aspirin okanye i-NSAID. Le mveliso inokubangela ukuba i-ovulation elibazisekayo ibuyiswe, oku kunokukhathazeka ukuba ungumfazi ofuna ukukhulelwa. Ukuba ukhulelwe, akufanele usebenzise i-Voltaren Gel emva kweentsuku ezingama-30 zesiganeko njengoko kunokubangela ukukhubazeka kwentliziyo yesisu.
6. Ufanele ugweme ukusebenzisa i-Voltaren Gel kunye namanye ama-NSAID
I-Gelta ye-Voltaren ayifanele isetyenziswe kunye ne-NSAID yomlomo okanye i-aspirin ngenxa yengozi yokwanda kweziganeko ezimbi. Umngcipheko weempembelelo zonyango ukwanda kunye nokunyuswa kweemveliso ezisebenzayo kwi-NSAID. Njengokuba ukhilimu we-NSAID ingasetyenziswanga nge-NSAID zomlomo, ii-NSAID zomlomo ezahlukeneyo akufanele zithathwe ndawonye. Thetha ugqirha wakho malunga nokusebenzisa i-aspirin ye-dose ephantsi.
7. I-Gelta ye-Voltaren ayifanele isetyenziswe ngokudibanisa nemveliso yesikhumba
Ukuba usebenzisa i-cosmetics okanye i-sunscreen, ungasebenzisi i-Voltaren Gel ngexesha elinye. Ukuhlanganiswa akuhlolwanga kwaye, ukuba i-agents yezobugcisa idibeneyo, kunakho ukutshintsha indlela i-Voltaren Gel iyakunyamezela ngayo kwaye ifakwe.
I-Gel Voltaren iya kubanceda abantu abangenakuthatha ii-NSAID zomlomo
Emva kokuba ufunde nje indlela i-Voltaren Gel ayifanele isetyenziswe ngayo kwaye ngubani ongafanelanga ukuyisebenzisa, unokuzibuza ukuba ubani omele ayisebenzise. Abantu abaye bafumana iimiphumo zesisu esiswini kwi-NSAID yomlomo ngokucacileyo yibo baya kuzuza kakhulu kwi-Gel Volren. Ukuba ucinga ukuba unokuba ngumviwa kwiGel Voltaren, xubusha nodokotela wakho ukuba ubone ukuba kulungile kuwe.
9. Funda amayeza afanelekileyo
Ungaze usebenzise ngaphezulu kwexabiso elimiselweyo. Umthamo wonke weGeltaren Gel akufanele udlule ii-grams ezingama-32 ngosuku, ngaphezu kwamaqela onke achaphazelekayo. I-Gel Voltaren kufuneka ilinganiswe kwikharityhulam yokubuyisela ephindweyo ekhoyo-efanelekileyo kwi-2-gram okanye 4-gram mark. Kwiindawo eziphantsi, sebenzisa i-gel (4 amagremu) kwindawo echaphazelekayo ngamaxesha amane ngosuku. Musa ukusebenzisa ngaphezulu kwama-gram angu-16 imihla ngemihla kunoma ubani na ochaphazelekayo ohlangeneyo. Kwiindawo eziphezulu, sebenzisa i-gel (2 grams) kwindawo echaphazelekayo izikhathi ezine imihla ngemihla. Musa ukusebenzisa ngaphezu kwe-8 gram yansuku zonke kunoma ubani na ochaphazelekayo ohlangeneyo.
10. Funda ukuphathwa ngokukhuselekileyo kweGel Volren
Kufuneka uphephe ukufumana le nyiliso emehlweni akho, umlomo, amanxeba avulekileyo, okanye iindawo ezinentsholongwane. Ngaphandle kokuba uyifake kwizandla zakho, hlamba izandla emva kweso sicelo. Musa ukuhlamba okanye ukuhlanza indawo ekuphathwe kuyo ubuncinane iyure kwaye ungafaki iimpahla phezu kwayo ubuncinane imizuzu eyi-10. Kufuneka uphephe ukukhanya kwelanga kunye nokukhanya kwelanga emva kokusetyenziswa kwaye akufanele utyumle ukudibanisa.
ILizwi
Unyango olungakumbi lwempilo lukhona kubantu abane-arthritis, bhetele. Ukufumaneka kohlobo lwe-Voltaren kubalulekile kubantu abangakwazi ukunyamezela i-NSAID yomlomo ngesinye isizathu. Qaphela ukuba zombini i-NSAID yomlomo kunye neengqungquthela zineengozi ezifanayo.
Umthombo:
> I-Diclofenac Topical (intlungu ye-osteoarthritis). MedlinePlus. https://medlineplus.gov/druginfo/meds/a611002.html.
> I- Gel Voltaren. Ulwaziso loLwazi . FDA. Ngomhla kaMeyi 2016. I-https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/022122s010lbl.pdf.