I-Dicyclomine + Mefenamic acid ithebhulethi esetshenziselwa ukudambisa izinhlungu zokuya esikhathini namajaqamba. Ivimba i-chemical messenger cyclooxygenase enzymes, noma i-COX, ngaleyo ndlela iphumuze ukuvuvukala kwemisipha. Ngokuyisisekelo isiza ukuphumula imisipha ngenxa yezakhiwo zayo zokulwa nokuvuvukala.
Le thebhulethi eyinhlanganisela inikeza indlela yokusebenza ekabili, esiza ekudambiseni ukungezwani kwemisipha nokuvuvukala, okuyenza ibe inketho ebalulekile yokulawula ukungakhululeki kokuya esikhathini.
I-Dicyclomine isebenza njenge-antispasmodic ukunciphisa ukufinyela kwemisipha esiswini ngokuyikhulula. I-Mefenamic acid ivimba ama-enzyme e-COX futhi imise isithunywa samakhemikhali ukuze kukhiqizwe ama-prostaglandin ambalwa, okubuye kunciphise ubuhlungu nokuvuvukala. Okunye ukusetshenziswa kwe-dicyclomine kanye nokusetshenziswa kwe-mefenamic acid yilokhu okulandelayo:
Izinhlungu zokuya esikhathini, isicanucanu, ukuqunjelwa, ukushosha kwemisipha, nokungakhululeki
Ubuhlungu besisu kanye nesisu
Fever
Ukulimala okuhlobene nokuphuka
Ukuhlinzwa Okuncane
Ukubola Kwamazinyo
Ukuvuvukala Kwezicubu Ezithambile
Engaphathekile wamathumbu syndrome
Ubuhlungu obuhlangene
I-Dicyclomine + Mefenamic acid kufanele ithathwe ngemva kokudla ukudla futhi igwinywe ngamanzi, ngaphandle kwalokho, ingase iphazamise isisu sakho. Kufanele ithathwe wonke ngesikhathi esisodwa, ngaphandle kokuyiphula, ukuyihlafuna, noma ukuyichoboza.
Umthamo kanye nobude besikhathi sokuphatha kuzoncika eselulekweni sikadokotela wakho ngokusekelwe kuzimpawu zakho nesimo sezempilo.
Eminye imiphumela emibi ye-dicyclomine yile
Umbono ophundlekile
Umswakama
Ukoma emlonyeni
isiyezi
Ama-hallucinations abonakalayo
Ukuzithoba
Itching
Ukujuluka okwengeziwe
I-nausea
Ukwesaba
Ukulala
Ukungabi namandla
Ukwanda kwegazi
Ukuqubuka kwesikhumba nokuvuvukala
Ukuvota
Kufanele wandise amanzi owasebenzisayo ngenkathi uthatha i-Dicyclomine + Mefenamic acid. Futhi, hlambulula umlomo wakho njalo futhi ulandele inhlanzeko yomlomo. Amaswidi angenashukela angasiza ekwenyukeni kokoma okubangelwa yilo muthi. Ezinye izinyathelo zokuphepha zihlanganisa lokhu okulandelayo:
Okhulelwe futhi abesifazane abancelisayo akufanele ithathe ngaphandle kokubonisana nodokotela.
Njengoba umuthi ubangela ukozela kanye nesiyezi, akufanelekile ukushayela uma uwuphuza.
Ungabudli kanye notshwala, njengoba kungase kwandise ukozela. Ingozi yezinkinga ezihlobene nesisu iyanda.
Iziguli ezinezimo zesibindi esezivele zikhona akumele zizithathe ngaphandle kweseluleko sikadokotela. Ukuqapha kufanele kuthathwe ngenkathi uyithatha. Umuthi awunconywa kulabo abanezifo ezinzima zesibindi.
Iziguli ezinezifo zezinso zelulekwa ukuthi zithathe i-Dicyclomine + Mefenamic acid ngokuqapha. Umthamo ungalungiswa ngudokotela uma umuthi udingeka. Labo abanesifo sezinso esibulalayo kumelwe basigweme.
Abantu abane-glaucoma, umfutho wegazi ophakeme, i-prostate ekhulisiwe, izinkinga zenhliziyo, isibindi, noma izinso, kanye Izinkinga ze-thyroid akufanele idle umuthi ngaphandle kokubonana nodokotela.
Ukuhlolwa kokujiya kwegazi kuyaphakanyiswa uma umuthi we-Dicyclomine + Mefenamic acid uthathwa isikhathi eside. Kungase futhi kubangele ukusabela okungelona iqiniso kokuhlolwa kwenyongo yomchamo.
Uma kwenzeka uphuthelwa umthamo onqunyiwe we-Dicyclomine + Mefenamic acid, ungayithatha njengalapho uyikhumbula nini. Kodwa-ke, kufanele ugweme umthamo ogejiwe uma umthamo olandelayo uzofika maduze (okungenani gcina igebe lamahora ama-4 phakathi kwemithamo). Landela imithamo ngokwesikhathi esimisiwe ngaphandle kokuyiphinda kabili ukuze ugweme noma yikuphi ukungahambi kahle.
Uma umuntu ephuza ngokweqile, angase afe ngenxa yemiphumela emibi engase iyibangele ebuchosheni. Abantu abaningi bangase babe nobunzima bokuphefumula. Lezi ezinye zezimpawu ezibucayi ezidinga usizo lwezokwelapha olusheshayo ngaphandle kokulahlekelwa isikhathi. Ngakho-ke, ngaso sonke isikhathi kuyalulekwa ukuthi uxhumane nodokotela wakho uma usebenzisa ngokweqile i-Dicyclomine + Mefenamic acid.
I-Dicyclomine + Mefenamic acid kufanele igcinwe ekamelweni lokushisa, endaweni ehlanzekile neyomile, kude nokushisa nokukhanya kwelanga. Ukuyigcina endlini yokugezela akuphakanyiswa. Gwema izindawo ezinomswakama futhi uzigcine zikude nezingane.
Uhlu lwemithi enalo lungase luhlanganyele futhi lubangele izinkinga, okuhlanganisa:
Ama-Painkillers afana ne-Aspirin
Imithi ye-Antipsychotic - i-quinidine, i-Lithium, i-Phenothiazine
I-Diuretic-Furosemide
Imithi yokunciphisa igazi - i-Warfarin
I-Anti-diabetes-Glimiperide, i-Glibenclamide, i-Gliclazide
I-Anti-rheumatoid-Methrotrexate
Ama-antibiotic-Amikacin, Gentamicin, Tobramycin, Cyclosporine
I-Antiemetic-Metoclopramide
I-Antiplatelet-Clopidogrel
I-Steroids
I-Immunosuppressant Tacrolimus
I-Anti-HIV-Zidovudine
I-Cardiac glycoside-Digoxin
Kodwa-ke, kufanele uthintane nodokotela wakho ngaso sonke isikhathi uma uthatha noma yimiphi imithi, kuhlanganise nale eshiwo ngenhla, nokuthi kuyadingeka yini ukuthi uphuze ne-Dicyclomine + Mefenamic acid. Udokotela wakho noma usokhemisi angase akunikeze enye indlela engcono uma kunesidingo.
Iqala ukusebenza ngosuku olufanayo uma uyithatha, noma ingase ibonise imiphumela phakathi namahora angu-2 ngokwayo. Kuyehluka kumuntu nomuntu ukuze umuthi usebenze. Uma umthamo weqiwe, imiphumela izobambezeleka kuze kufike umthamo olandelayo. Kunoma yikuphi, umthamo akufanele uphindwe kabili ukuze uthole imiphumela esheshayo.
|
Imininingwane |
I-Dicyclomine + Mefenamic acid |
I-Dicyclomine, i-Dextropropoxyphene, ne-Paracetamol |
|
Usetshenziswa |
Ukukhulula amajaqamba esiswini kanye nokuya esikhathini, ukungakhululeki kwesisu, nobuhlungu ngenxa yegesi, ukutheleleka, i-acidity nezinye izifo zesisu. |
Inciphisa amajaqamba, imfiva kanye nobuhlungu esiswini nasesiswini. |
|
Ukubunjwa |
I-Dicyclomine (10mg), i-Simethicone (40mg) |
I-Dicyclomine (20mg), i-Dextropropoxyphene (500mg), i-Paracetamol 500 mg |
|
Imiyalo Yesitoreji |
Ukushisa kwegumbi 10-30C |
Ukushisa kwamakamelo I-15-30 C |
Abantu asebevele bephuza eminye imithi noma abanezinye izimo zezokwelapha esezivele zikhona kumele basebenzise izinyathelo zokuphepha ukuze bagweme izinkinga. Kuhlale kungcono ukuthi uthintane nodokotela wakho lapho uthatha i-Dicyclomine + Mefenamic acid noma nanoma yimuphi omunye umuthi. Umuthi usetshenziselwa ukwelapha izimpawu eziningi. Nokho, ukuqaphela nokuba nalo lonke ulwazi kusengaphambili kuhlale kuphephile empilweni yakho.
I-Dicyclomine ne-Mefenamic Acid zivame ukuhlanganiswa emithini yokukhulula ubuhlungu nokungakhululeki. I-Dicyclomine iyi-antispasmodic esiza ukukhulula imisipha emgudwini wokugaya ukudla, kuyilapho i-Mefenamic Acid iyisidakamizwa esilwa nokuvuvukala (NSAID) esinciphisa ubuhlungu nokuvuvukala. Le nhlanganisela isebenza ngokubhekana kokubili ukuphazamiseka kwemisipha kanye nobuhlungu noma ukuvuvukala endaweni yesisu.
I-Dicyclomine ne-Mefenamic Acid ingasetshenziswa ukukhulula ubuhlungu besisu nokungahambi kahle, okungase kuhlanganise ubuhlungu be-colic. Kodwa-ke, ukusetshenziswa kwabo kufanele kube ngaphansi kokuqondisa komhlinzeki wezempilo.
Yebo, le nhlanganisela ngezinye izikhathi inqunyelwe ukunciphisa ubuhlungu besikhathi (dysmenorrhea) kwabesifazane. Kungasiza ukukhulula ubuhlungu nokungakhululeki okuhambisana namajaqamba okuya esikhathini.
I-Dicyclomine ivame ukusetshenziselwa ukukhulula ubuhlungu besisu obubangelwa izimo ezinjenge-irritable bowel syndrome (IBS) nezinye izinkinga zesisu, njengoba isiza ukukhulula imisipha emgudwini wokugaya ukudla.
Imiphumela engemihle ye-Mefenamic Acid ingase ihlanganise ukucasuka kwesisu, isicanucanu, nekhanda elibuhlungu. I-Dicyclomine ingabangela imiphumela emibi njengomlomo owomile, isiyezi, nokungaboni kahle. Imiphumela ethile engathandeki kanye nobukhulu bayo kungahluka kumuntu nomuntu, ngakho-ke kubalulekile ukulandela isiqondiso sikadokotela wakho futhi ubike noma yimiphi imiphumela emibi ngokushesha.
References:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8052875/ https://www.bluecrosslabs.com/img/sections/MEFTAL-SPAS_DS_Tablets.pdf
Umshwana wokuzihlangula: Ulwazi olunikezwe lapha alwenzelwe ukufaka iseluleko esivela kuchwepheshe wezokunakekelwa kwempilo. Ulwazi aluhloselwe ukumboza konke ukusetshenziswa okungenzeka, imiphumela engemihle, izinyathelo zokuphepha, nokusebenzisana kwezidakamizwa. Lolu lwazi aluhloselwe ukuphakamisa ukuthi ukusebenzisa umuthi othile kufanelekile, kuphephile, noma kuyasebenza wena noma omunye umuntu. Ukungabi bikho kwanoma yiluphi ulwazi noma isexwayiso mayelana nomuthi akufanele kuhunyushwe njengesiqinisekiso esicacile esivela enhlanganweni. Sikweluleka ngokuqinile ukuthi uthintane nodokotela uma kukhona okukukhathazayo ngomuthi futhi ungalokothi usebenzise umuthi ngaphandle kwencwadi kadokotela.