Clopidogrel
Zvemukati
- Usati watora clopidogrel,
- Clopidogrel inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
Clopidogrel inofanirwa kushandurwa kuita fomu inoshanda mumuviri wako kuitira kuti ikwanise kubata mamiriro ako. Vamwe vanhu havashandure clopidogrel kune yayo inoshanda fomu mumuviri pamwe nevamwe vanhu. Nekuti mishonga haishande mushe mune vanhu ava, vanogona kunge vari panjodzi huru yekuve nekurwadziwa kwemoyo kana sitiroko. Pane bvunzo dziripo dzekuona vanhu vane dambudziko rekushandura clopidogrel kuita fomu inoshanda. Taura nachiremba wako nezve kana uchifanira kuongororwa. Kana iwe ukawanikwa uchinetseka kushandura clopidogrel kune yayo inoshanda fomu, chiremba wako anogona kuchinja yako dosi yeclopidogrel kana kukuudza iwe kuti usatora clopidogrel.
Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro RezveMishonga) paunotanga kurapwa neclopidogrel uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.
Taura nachiremba wako nezve njodzi dzekutora clopidogrel.
Clopidogrel inoshandiswa yoga kana kuti neaspirin kudzivirira matambudziko akakomba kana kutyisidzira hupenyu nemoyo nemidziyo yeropa muvanhu vane sitiroko, kurwiswa nemoyo, kana kurwadziwa zvakanyanya muchipfuva. Izvi zvinosanganisira vanhu vane percutaneous coronary kupindira (PCI; angioplasty; rudzi rwekuvhiyiwa kwemoyo) iyo inogona kusanganisira kuisa coronary stents (simbi machubhu akavhiyiwa akaiswa mumidziyo yeropa yakavharika kunatsiridza kuyerera kweropa) kana vane coronary artery inopfuura kubatanidza (CABG; a mhando yekuvhiyiwa kwemoyo). Clopidogrel inoshandiswa zvakare kudzivirira zvakakomba kana kutyisidzira hupenyu matambudziko nemoyo nemidziyo yeropa muvanhu vane chirwere cheperesi (kutenderera kwakashata mumidziyo yeropa inopa ropa kumakumbo). Clopidogrel iri mukirasi yemishonga inonzi antiplatelet mishonga. Inoshanda nekudzivirira maplatelet (rudzi rwesero reropa) kubva kuunganidze nekuumba magumbeze anogona kukonzera chirwere chemwoyo kana sitiroko.
Clopidogrel inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva kana pasina chikafu. Tora clopidogrel kwakatenderedza nguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora clopidogrel chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Clopidogrel inobatsira kudzivirira matambudziko akakomba nemoyo wako nemidziyo yeropa chero bedzi iwe uchinwa mushonga. Ramba uchitora clopidogrel kunyangwe iwe uchinzwa zvakanaka. Usarega kutora clopidogrel usina kutaura nachiremba wako. Kana iwe ukarega kutora clopidogrel, pane njodzi yakakwira yekuti iwe unogona kunge uine chirwere chemwoyo kana sitiroko. Kana iwe uine stent, kune zvakare mukana wepamusoro wekuti iwe unogona kugadzira kuvhara kweropa mune iyo stent kana iwe ukarega kutora clopidogrel nekukurumidza.
Clopidogrel zvakare dzimwe nguva inoshandiswa kudzivirira kuwanda kweropa kune vanhu vane atrial fibrillation (mamiriro umo moyo unorova zvisina kujairika). Taura nachiremba wako nezve njodzi dzinogona kuitika dzekushandisa mushonga uyu kune ako mamiriro.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati watora clopidogrel,
- udza chiremba wako uye wemishonga kana uri weergoria kune clopidogrel, prasugrel (Effient), ticlopidine, chero mimwe mishonga, kana chero chinongedzo mumapiritsi e clopidogrel. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
- udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Motrin), uye naproxen (Aleve, Naprosyn); cilostazol; esomeprazole (Nexium); etravirine (kusagadzikana); omeprazole (Prilosec, Prilosec OTC, Zegerid); mamwe opiate mishonga yekukosora senge codeine (muTriacin-C, muTuzistra XR, vamwe) kana hydrocodone (Hycodan, Tussicaps) kana kurwadziwa kwakadai secodeine (muFioricet, muTrezix), fentanyl (Actiq, Duragesic, Subsys, vamwe ), hydrocodone (Hysingla, Zohydro, muAnexsia, muNorco), meperidine (Demerol), morphine (Duramorph, Kadian), kana oxycodone (muPercocet, muRoxet, vamwe); repaglinide (Prandin, muPrandimet); inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, muSymbyax), fluvoxamine (Luvox), paroxetine (Paxil), uye sertraline (Zoloft); uye inosarudza serotonin / norepinephrine reuptake inhibitors (SNRIs) senge desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), sibutramine (haichawanikwe muUS; Meridia), uye venlafaxine (Effexor). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
- udza chiremba wako kana uine maronda ekubuda ropa (maronda ari mukati memukati medumbu kana ura mudiki uri kubuda ropa), kubuda ropa muuropi, kana chero imwe mamiriro anokonzeresa kubuda ropa zvakanyanya. Chiremba wako anogona kukuudza kuti haufanire kutora clopidogrel.
- udza chiremba wako kana iwe uchangobva kukuvadzwa uye kana iwe kana wakambove nechiropa kana chirwere cheitsvo kana chero mamiriro ezvinhu anogona kukonzera kubuda ropa, kusanganisira matambudziko emudumbu akadai semaronda.
- udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora clopidogrel, fonera chiremba wako.
- kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora clopidogrel. Chiremba wako anogona kukuudza kuti usiye kutora clopidogrel mazuva mashanu asati avhiyiwa kuitira kuti usanyanya kubuda ropa panguva yekuvhiyiwa. Chiremba wako anokuudza iwe nguva yekutanga kutora clopidogrel zvakare mushure mekuvhiyiwa kwako.
- iwe unofanirwa kuziva kuti iwe unogona kubuda ropa nyore nyore kana kwenguva yakareba kupfuura zvakajairwa iwe uchitora clopidogrel. Ngwarira kuti usazvicheka kana kuzvikuvadza iwe paunenge uchitora clopidogrel.
Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.
Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.
Clopidogrel inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- kuneta zvakanyanya
- musoro
- dzungu
- kusvotwa
- kurutsa
- kurwadziwa nemudumbu
- manyoka
- mumhino
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
- mikoko
- mapundu
- kuvava
- kunetseka kufema kana kumedza
- kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
- hoarseness
- nhema uye yekumhara zvituru
- ropa dzvuku muzvituru
- kurutsa kweropa
- rutsa zvinoita kunge kofi nzvimbo
- kubuda ropa zvisina kujairika kana kupwanya
- weti yepingi kana shava
- kutaura kunonoka kana kuoma
- kushaya simba kana kushama ruoko kana gumbo
- shanduko pane zvakaratidzwa
- kupindwa nechando
- mweya wekufema
- kukurumidza kurova kwemoyo
- ganda rakachenuruka
- zvigamba zvepepuru kana kubuda ropa pasi peganda
- kuvhiringidzika
- yero yeganda kana maziso
- pfari
Clopidogrel inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.
Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).
Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).
Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.
Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org
Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.
Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
- kupwanya kusingawanzo kana kubuda ropa
Chengetedza zvese zvakagadzwa nachiremba wako.
Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.
Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.
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