Malangizo 5 Othandizira Kuchepetsa Kuopsa Kwanu Zotsatira Zako
Si zachilendo kumva za anthu omwe amatenga aspirin tsiku ndi tsiku kuti athetse mavuto awo pamtima pamene akuchiza mankhwala awo monga Advil (ibuprofen) kapena Aleve (naproxen) .
Koma kodi ndi chinthu choyenera kuchita? Ndipo, ngati sichoncho, ndi njira ziti zomwe munthu angachite kuti azisamalira bwino zonsezi?
Kuyanjana kwa Mankhwala Osakaniza
Ndikofunika kumvetsa kuti aspirin, ibuprofen, ndi naproxen onse ali ndi mankhwala omwe amadziwika kuti antisteroidal anti-inflammatory drugs (NSAIDs) .
Zonsezi zimagwiritsidwa ntchito mofanana ndikugwira ntchito mwa kuchepetsa kupweteka, kuchiza malungo, ndipo, pa mlingo waukulu, kuchepa kutupa.
Chimodzi mwa zinthu zomwe amagawana ndi zotsatira zake. Zizindikiro za m'mimba zimapezeka mwa anthu omwe amagwiritsa ntchito NSAID, kuonjezera chiopsezo chokha magazi komanso kukula kwa zilonda zam'mimba zowopsa.
Ngakhale pa mlingo wochepa, kuphatikiza aspirin ndi NSAID ina ingapangitse chiopsezo cha zilonda, makamaka mwa anthu omwe ali:
- Zoposa 65
- Kutenga mankhwala a corticosteroid
- Pa odwala magazi monga Coumadin (warfarin) kapena Plavix (clopidogrel)
- Osuta fodya
- Oledzera kwambiri
- Kuwona magazi m'mimba kapena kukhala ndi mbiri ya zilonda
Ndilo gulu la anthu lomwe ntchito yogwiritsidwa ntchito iyenera kupeĊµedwa.
Njira 5 Zothandizira Kugonjetsa Mimba
Pali njira zambiri zochepetsera zotsatirazi ngati mutenga aspirin yochepa ndi NSAID ina:
- Kutenga proton pump inhibitor kungachepetse ngozi. Proton pump inhibitors (PPIs) monga Prilosec (omeprazole), Nexium (esomeprazole), Prevacid (lansoprazole), kapena Aciphex (rabeprazole) amatha kuchepetsa ziwalo za m'mimba pokana kuthana ndi zotsatira zinazake za NSAID. Mankhwalawa amaperekedwa bwino m'mimba yopanda kanthu mphindi 30 asanadye chakudya choyamba cha tsiku kuti apindulitse.
- Sankhani NSAID pang'ono kuti iwonetse magazi . Matenda ena osadziwika kwambiri oletsa kutupa monga disalcid (salsalate), dola ya Celebrex (celecoxib), Voltaren (diclofenac), ndi Mobic (meloxicam) amatha kukhala ochizira kwambiri pochiza magazi. Kuwonjezera apo, poyerekeza ndi ibuprofen kapena naproxen, iwo sangathe kusokoneza ubwino wa moyo wa aspirin.
- Gwiritsani ntchito mankhwala osakhala a NSAID kuti muwachiritse nyamakazi. Kwa iwo omwe amafunikira kwenikweni aspirin ya dozi yochepa ndipo ali pangozi ya zizindikiro za m'mimba, kusintha kwa mankhwala omwe si a NSAID angakhale njira yoyenera kwambiri. Izi zimaphatikizapo Tylenol (acetaminophen) , yomwe imathandiza kuchepetsa kupweteka koma ilibe mankhwala odana ndi kutupa, ndi Ultram (tramadol) , yomwe imapereka mpumulo wopweteka koma imafuna mankhwala.
- Gwiritsani ntchito mankhwala osamalankhula. Mwa kupewa kumwa mankhwala, mumakhala ndi chiopsezo chochepa chakumayambitsa vuto la mmimba kapena zilonda. Zopangira zamatsenga zomwe zimapereka kutentha kapena kuzizira nthawi zina zimapereka mpumulo wamkati. Palinso zizindikiro zosungira zitsulo zomwe zili ndi ibuprofen zomwe zimapereka chithandizo kwa maola oposa 12.
- Sankhani NSAID pang'ono kuti iwonetse magazi. Ngati mukugwiritsa ntchito aspirin ya tsiku ndi tsiku, mwinamwake mukusamalidwa ndi dokotala kapena katswiri wa zamoyo. Zikatero, nkofunika kuti adziwe dokotala wanu za mankhwala aliwonse omwe mungakhale mukuwagwiritsa ntchito. Izi zimatsimikizira kuti mayesero oyenerera akuchitidwa kuti ayang'ane kuchuluka kwa magazi , chiwindi, komanso impso. Mayesero amakhala mobwerezabwereza masabata asanu ndi atatu kapena khumi aliwonse pamene kuyamba koyamba ndi kuwonjezeka kwa miyezi itatu kapena isanu ndi umodzi kamodzi komwe magazi a munthu amagwira ntchito mwachibadwa ndikukhazikika.
> Chitsime:
> Colebatch, A .; Maliko, J .; ndi Edwards, C. "Chitetezo cha mankhwala osachiritsika omwe sagwiritsidwe ndi kutupa, kuphatikizapo aspirin ndi paracetamol (acetaminophen) mwa anthu omwe amalandira methotrexate chifukwa cha kutupa nyamakazi (nyamakazi yamatenda, ankylosing spondylitis, nyamakazi ya psoriatic, spondyloarthritis)." Dongosolo la Cochrane la Zosintha Zogwirizana. 2011; 11: CD008872.