Ngozi ndipamwamba kwambiri kwa anthu omwe ali ndi mphumu yoopsa
Mankhwala osagwiritsidwa ntchito ndi mankhwala osakanikirana ndi mankhwala (NSAIDs) ndi gulu la mankhwala omwe ntchito yake ndi kuchepetsa kupweteka, kuchepetsa kutentha kwa thupi, ndipo, pakuposa mlingo, kuchepetsa kutentha. Aspirin ndi NSAID yoyamba yopangidwa m'zaka za m'ma 1800 kuchokera ku mankhwala omwe ali pamtunda wa mtengo wa msondodzi.
Chifukwa cha zotsatira zake zonse, aspirin amadziwika kuti amachititsa kuti anthu ena asamayende bwino.
Kuwonjezera pamenepo, mankhwala opatsirana ndi aspirin nthawi zambiri amamasuliridwa ku chifuwa ku mitundu ina ya NSAID kuphatikizapo ibuprofen (Advil, Motrin) ndi naproxen (Aleve).
Zizindikiro za NSAID zimakhulupirira kuti zimakhudza gawo limodzi la anthu ambiri. Komanso, ambiri mwa anthu khumi omwe ali ndi mphumu adzalandira zizindikiro zowonjezereka atatenga NSAID. Kwa omwe omwe ali ndi mphumu amakhala ndi matenda aakulu a sinusitis ndi amphongo amphongo, chiopsezochi chikhoza kukula mpaka kufika 40 peresenti.
Kumvetsetsa Aspirin Zozizira
Aspirin zozizira zimadziwika ndi machitidwe atatu osiyana, aliyense ali ndi zida zawo zosiyana. Zomwe zimachitika nthawi zina zimakhala zovuta chifukwa zimakhala zochepa mpaka zoopsa. Izi zikuphatikizapo:
- Matenda a aspirin (AERD), omwe amachititsa zizindikiro monga rhinitis ndi mphumu
- Mankhwala a aspirin-acacia / angioedema, omwe amawonetseredwa ndi mitsempha monga ming'oma ndi kutupa
- Urticaria yowonjezereka ya aspirin yopanda angioedemia, yomwe muming'oma ndi kutupa zingapite patsogolo kuti zitha kuopseza moyo, momwe thupi lonse limatchedwa anaphylaxis
Zosavuta, NSAIDs zimadziwika kuti zimayambitsa mavuto aakulu monga aseptic meningitis ndi hypersensitivity pneumonitis, ngakhale kuti njira za mayankhowa sizimveka bwino.
Kusanthula Aspirin Zozizira
Zilonda zam'madzi, katsamba, ndi zakudya zikhoza kupezedwa poyesera magazi chifukwa chotchedwa antibodies. Kuyankha kwa mtundu umenewu sikuchitika kawirikawiri ndi NSAIDs. Momwemonso, chifuwa cha mtundu umenewu kawirikawiri chimapezeka kuti chimakhala chodziwika bwino pa zooneka ndi nthawi.
Pa milandu yoopsa, mayesero ovomerezeka a pamlomo angagwiritsidwe ntchito powona momwe munthu amachitira pa NSAID yapadera. Izi ziyenera kuchitidwa pokhapokha kuyang'aniridwa ndi wotsutsa ovomerezeka.
Kuchiza Aspirin Zotsatira Zozizira
Cholinga chachikulu cha mankhwala ndi kupeŵa NSAID iliyonse yomwe imadziwika kapena imakhulupirira kuti imayambitsa matenda. Izi ndi zoona makamaka kwa anthu omwe ali ndi hypersensitivity. Izi sizikutanthauza kupeŵa mapiritsi a aspirin ndi makapulisi koma mankhwala aliwonse omwe ali ndi aspirin, kuphatikizapo Alka Selzer, Vanquish, Pepto-Bismol, Kaopectate, Maalox, Doan's, Sine-Off, ndi Pamprin.
Mosiyana ndi zimenezi, acetaminophen (Tylenol) nthawi zambiri imakhala yotetezeka monga COX-2 inhibitors monga celecoxib (Celebrex).
Aspirin Desensitization
Nthawi zina, njira yothetsera aspirin ingagwiritsidwe ntchito kuthandiza munthu kuthana ndi hypersensitivity. Chitsanzo chimodzi chotere chimaphatikizapo anthu omwe ali ndi mphumu yambiri yomwe amafunikira opaleshoni kuchotsa minofu yambiri.
Pambuyo pochita ndondomeko, madokotala nthawi zina amalimbikitsa aspirin deensitization kuthandiza omwe ali ndi AERD kuti apindule kwambiri ndi aspirin.
Ndondomekoyi ndi cholinga chochepetsanso mphamvu ya aspirin poika munthu pamsingo wotsika kwambiri wa aspirin ndikuyamba kuwonjezereka mlingoyo mpaka atha kupirira miligramu 650. Izi ziyenera kuchitika pokhapokha atasamalidwa ndi wodwalayo wodwalayo komanso anthu omwe aspirin angapereke chithandizo chofunikira kwambiri.
> Chitsime:
> Lee, R. ndi Stevenson, D. "Aspirin-Owonjezera Matenda Opuma Opaleshoni: Kufufuza ndi Kulamulira." Kutsekula kwa mphumu ya Immunol Res. 2011; 3 (1): 3-10.