Kusankha Ibuprofen, Naproxen, Acetaminophen, kapena Aspirin
Timayang'ana malonda tsiku ndi tsiku kumalimbikitsa kupweteka kwa katundu wa Motrin, Aleve, Tylenol, Bufferin, ndi zinthu zoterezi zowonjezera (OTC) zomwe zimapezeka pazitsulo zamagetsi. Mwachidziwikire, timakonda kukhala ndi chizindikiro chimene timachidziwa kapena kukhulupirira kuti ndi "chabwino" kuposa ena.
Koma funso ndi ili: kodi ndi bwino, ndipo pali kusiyana kulikonse pakati pa ululu umodzi wopatsirana ndi wotsatira?
Yankho lolunjika ndilokuti pali kusiyana ndipo ena a iwo ali ndi zotsatira zoyipa kapena kuyanjana kwa mankhwala. Musanayambe botolo, mufuna kupanga chisankho chodziwiratu chomwe mungagule.
Malipiro Othandizira Kupweteka
Zina mwazidzidzidzi zomwe zimapweteka kwambiri zimakhala ndi phindu komanso zoopsa. Ngakhale kuti ntchito yawo yonse ndi yochepa-kuchepetsa kupweteka-njira yawo yogwirira ntchito ndi zizindikiro zogwiritsira ntchito zimasiyanasiyana.
Zolinga zamagwiritsidwe ntchito zingakhale ndi zina kapena zotsatirazi:
- kuti athetse mutu
- kuchiza malungo
- kuchepetsa ululu, kutupa, ndi kuuma mu ziwalo kapena minofu
- kuti athetse ululu wovulazidwa
- kuchepetsa zizindikiro za chifuwa, chimfine, kapena chimfine
Kusankha mankhwala osokoneza bongo kumadalira mkhalidwe umene mukufunikira kuti muwachitire komanso zomwe zimakulepheretsani kugwiritsa ntchito mankhwala enaake.
Zomwe zimagwiritsidwa ntchito zimatha kugawa magawo anayi a mankhwala: ibuprofen, naproxen sodium, acetaminophen, ndi aspirin.
Pazinayi zina, ibuprofen, sodium, napirin, ndi aspirin ndizosavomerezeka ndi mankhwala osakaniza (infosmatory drugs) omwe ali ndi njira zofanana. Momwemonso, NSAID sizimagwirizanitsidwa chifukwa zingathe kuwonjezera zotsatira za zotsatirapo.
Pakalipano, acetaminophen ili ndi kayendedwe kamene sikanamvetsetse bwino.
Mosiyana ndi NSAID, mankhwalawa samaletsa mapuloteni ena, otchedwa COX enzymes , kunja kwa dongosolo loyamba la mitsempha. Kutetezedwa kwa mavitamini ameneŵa ndikofunikira kuti kuchepetsa kutupa komanso ululu. Choncho, acetaminophen sichigwiritsidwe ntchito pochita zinthu monga sprains kapena zizindikiro zina zokhudzana ndi kutupa.
Motrin ndi Advil (ibuprofen)
Motrin ndi Advil ndi mayina awiri odziwika bwino a mayina a ibuprofen ndipo amagulitsidwa pansi pa mayina ena. Amagwiritsidwa ntchito pochiza ululu, malungo, ndi kutupa, ndipo amagwiritsidwa ntchito kuchepetsa zizindikiro za migraine, kupweteka kwa msambo, kapena nyamakazi ya nyamakazi
Ibuprofen ali ndi zotsatira zochepa zochepa kuposa NSAID zina koma zingayambitse kupsa mtima. Ziyenera kupeŵa anthu omwe ali ndi mavuto a impso kapena chiwindi ndipo angathe kuonjezera chiopsezo chothamanga kwambiri ndi matenda a mtima ngati atengedwa mopitirira muyeso.
Aleve (naproxen sodium)
Aleve ndi dzina la sodium naproxen ndipo imagulitsidwa pansi pa mayina ena monga Midol. Zimatengera zizindikiro zomwezo monga ibuprofen ngakhale Midol (yomwe imagulidwa ngati mankhwala okhuta msambo) imakhalanso ndi caffeine ndi antihistamine yofatsa. Ubwino wa naproxen ndikuti umakhalabe muutali wautali kuposa ma NSAID ena.
Zotsatira zofanana zimaphatikizapo chizungulire, kupweteka mutu, ndi kuthamanga.
Poyerekeza ndi ibuprofen, naproxen ali ndi chiopsezo chachikulu cha zilonda zamimba. Zoterezi, ziyenera kutengedwa ndi chakudya kapena kuzipewa ngati muli ndi mbiri ya zilonda kapena matenda opatsirana a m'mimba (IBD).
Komabe, naproxen amapereka 50 peresenti yochepetsera vuto la mtima poyerekeza ndi ibuprofen.
Tylenol (acetaminophen)
Tylenol ndi dzina lachidziwitso la acetaminophen . Ikugulitsidwanso pansi pa mayina ena monga Anacin ndi Panadol. Amagwiritsidwa ntchito pochiza ululu ndi malungo, ngakhale kuti sizimathandiza ndi kutupa.
Acetaminophen nthawi zambiri imakhala ndi mankhwala opweteka a opioid kuti athetse ululu waukulu pambuyo pochita opaleshoni.
Amakhala otetezeka pa mlingo woyenera ngakhale kuti kutukuka kwa khungu kwakukulu kumachitika mwa anthu ena. Kugwiritsira ntchito mopitirira muyeso kungayambitse chiwindi, makamaka ngati ali ndi mowa.
Mosiyana ndi NSAID, kugwiritsa ntchito acetaminophen sikugwirizanitsidwa ndi matenda a mtima kapena ngozi ya stroke.
Aspirin (acetylsalicylic acid)
Aspirin, yomwe imatchedwanso acetylsalicylic acid (ASA) , imagulitsidwa pansi pa mayina a Bayer, Bufferin, Ecotrin, ndi mapulogalamu a ma generic. Aspirin amagwiritsidwa ntchito pochiza ululu, malungo, ndi kutupa.
Kutupa m'mimba ndi zotsatira zofala za aspirin. Zilonda zamimba ndi m'mimba zimatha kuchitika. Izi zimachitika kawirikawiri kwa anthu achikulire, omwe amamwa chakumwa chaukali, kutenga zina za NSAID, kapena ali ndi ochepa magazi. Aspirin ayenera kupeŵa ana omwe ali ndi malungo chifukwa cha chiopsezo cha Reye's syndrome (mawonekedwe a kuperewera kwa maganizo).
Mosiyana ndi zina za NSAID, aspirin sichigwirizana ndi chiopsezo cha mtima. Ndipotu, nthawi zambiri amatengedwa tsiku ndi tsiku kuti athetse vuto la matenda a mtima ndi kupwetekedwa, makamaka kwa anthu omwe akuwoneka kuti ali pachiopsezo chachikulu.
Ngati atengedwa pafupipafupi, aspirin ikhoza kuchepetsa mwayi wa imfa. Komano, sayenera kutengedwa ngati mukudwala sitiroko ngati sitiroko imayamba chifukwa cha kupwetekedwa kwa mitsempha (m'malo mwa kutseka). Zotsatira zake, aspirin ikhoza kupweteka kwambiri polimbikitsa kupha magazi.
Mawu Ochokera
Posankha kupweteka koyenera kukuthandizani, ndikofunika kuyang'ana zotsatirapo ndi njira iliyonse yothandizira mankhwala. Ndibwino kupeza uphungu kwa dokotala wanu zomwe zingakhale zabwino kwa inu. Ngati muli mu sitolo yogulitsa mankhwala ndipo mukusowa malangizo othandiza, makamaka ngati muli ndi matenda kapena mumamwa mankhwala amtundu uliwonse, mungapemphenso kwa mankhwala.
> Chitsime:
> Choi L, et al. Kuyerekezera zotsatira za mankhwala osokoneza bongo omwe sali otchedwa steroidal anti-inflammatory motsutsana ndi Acetaminophen mu Chidziwitso cha Chidziwitso ku Cold Common: A Meta-Analysis of Randomized Controlled Trial Studies. Korea Journal of Family Medicine. 2013; 34 (4): 241-249. do: 10.4082 / kjfm.2013.34.4.241.
> Moore N, Pollack C, Butkerait P. Zotsatira za Mankhwala Osokoneza Bongo ndi Kugwiritsa Ntchito Mankhwala Osokoneza Bongo ndi NSAID Zambiri. Nkhunda Zojambula. 2015; 11: 1061-1075. onetsetsani: 10.2147 / TCRM.S79135.