NSAID Amagwiritsidwa Ntchito Kawirikawiri Kwa Chithandizo Chakumvetsa Chisoni
Ngati muwerenga zolemba zambiri za kupweteka kwamtundu wambiri, mudzawona malangizo okhudza kulankhulana ndi dokotala ngati ululu wanu umatenga nthawi yaitali kuposa sabata imodzi kapena apo. Inde, ngati muli ndi ululu wosatha, ululu wanu mwina wakhala kwa miyezi yambiri kapena kuposa. Izi sizikutanthauza kuti mankhwala osokoneza bongo omwe alibe mankhwala (NSAIDs) sali oyenerera kuchipatala chosatha .
Kwenikweni, ma NSAID amagwiritsidwa ntchito nthawi zambiri kuti athetse ululu wamisoni ndi nyamakazi. Angathenso kuthandizidwa kuwonjezera pa mankhwala ena opweteka monga opioids kapena analgesics adjuvant kuti athetse ululu .
NSAID zambiri zimapezeka pa kugula pa-counter-counter, ngakhale kuti mawonekedwe amphamvu angafunike mankhwala a dokotala. NSAID zina zimapezeka pokhapokha mu mphamvu ya mankhwala. Izi ndi NSAID zomwe zimagwiritsidwa ntchito kwambiri chifukwa cha ululu wosatha.
NSAID za Over-the-Counter for Chronic Pain
- Aspirin (Bayer) : Aspirin ndi imodzi mwa NSAID zakale kwambiri ndipo wakhala akuzungulira zaka zoposa 100. Zilipo mosavuta komanso zotchipa. Aspirin ndi othandiza polimbana ndi mutu, kupweteka kwa minofu ndi ululu ndi kupweteka kwa nyamakazi. Aspirin imakhalanso magazi owonda; anthu ambiri amatenga aspirin nthawi zonse kuti athetse chiopsezo chokhala ndi ziphuphu, zomwe zingayambitse matenda a mtima kapena stroke. Komabe, kuchitapo kanthu kwa magazi kumatanthauza kuti mtundu uliwonse wa magazi umatenga nthawi yaitali kuti ulamulire. Aspirin ikhoza kukwiyitsa mimba ya m'mimba, ngakhale kuti palibenso mawonekedwe omwe angapezeke.
- Ibuprofen (Advil, Motrin) : Ibuprofen ndi NSAID nthawi zambiri amagwiritsidwa ntchito pochizira mutu, kupweteka kwa minofu ndi kupopera (kuphatikizapo ululu wammbuyo) ndi ululu wamagulu. Zimagwira ntchito poletsa mazira ena omwe amachititsa kutupa pamalo ovulala kapena kupsa mtima. Ibuprofen nthawi zambiri amakhala amphamvu kuposa aspirin ndipo nthawi zambiri zimakhala zovuta kwambiri m'mimba. Komabe, zilonda zakumimba zimakhalabe zotsatira za ntchito ya ibuprofen ya nthawi yaitali. Ibuprofen sivomerezedwa kwa anthu omwe ali ndi matenda a impso kapena chiwindi, kapena omwe amamwa mowa wambiri mowa.
- Naproxen (Aleve) : Naproxen ndi NSAID yofanana ndi ibuprofen. Angagwiritsidwe ntchito kuchepetsa kupweteka kwa mutu, kupweteka kwa minofu ndi kupweteka kwa nyamakazi. Ngati mutenga pulogalamu ya naproxen, mungatenge mobwerezabwereza kuposa momwe mungapangire ibuprofen kapena aspirin. Naproxen nthawi zambiri amagwiritsa ntchito aspirin m'mimba mwakachetechete, komabe kugwiritsa ntchito kwa nthawi yayitali kumayambitsa vuto la m'mimba (GI).
- Ketoprofen (Orudis) : Ketoprofen ndi NSAID yomwe imagwiritsidwa ntchito poyang'anira onse osteoarthritis ndi kupweteka kwa nyamakazi ya nyamakazi; Komabe, imathandizanso kutsutsana ndi mutu komanso ululu wa minofu. Ketoprofen imagwira ntchito mofanana ndi ibuprofen ndi naproxen, ngakhale zingakhale zovuta kwambiri mmimba. Kugwiritsa ntchito ketoprofen kwa nthawi yaitali kungayambitse kuwonongeka kwa impso kapena chiwindi, ndipo sikuvomerezedwa kwa anthu omwe amamwa mowa wambiri (kapena kuposa).
NSAID zolembera za matenda opweteka
- Meloxicam ( Mobic ) : Meloxicam ndi NSAID yomwe imagwiritsidwa ntchito popanga ululu wamagulu, kuphatikizapo osteoarthritis ndi nyamakazi ya nyamakazi. Meloxicam imapweteketsa m'mimba kusiyana ndi zina zambiri za NSAID, kuphatikizapo ketoprofen, yomwe imagwiritsidwa ntchito mofanana ndi matenda omwewo. Komabe, kugwiritsa ntchito mankhwala a meloxicam nthawi zonse kungakuikebe pangozi ya GI.
- Celecoxib (Celebrex) : Celecoxib ndi NSAID ya mankhwala yomwe imathandiza kuchepetsa ululu wokhudzana ndi nyamakazi, minofu ndi ululu ndi ululu wokhudzana ndi kutupa. Mofanana ndi meloxicam, ndi imodzi mwa NSAID zabwino kwambiri m'mimba mwanu; Komabe, kupuma kwa celecoxib kwa nthawi yaitali kungapangitse zilonda zam'mimba ndi kuika magazi. Palinso zoopsa za zochitika za mtima kwa anthu amene amatenga celecoxib kwa nthawi yaitali, monga matenda a mtima kapena kupwetekedwa mtima.
NSAID Kupewa ndi Kuvutika Kwambiri
NSAID zonse zopweteka kwambiri, kuphatikizapo zomwe zagulidwa pa-counter, zikuphatikizapo FDA machenjezo kuti zingakhale zovuta. Ngakhale zili choncho, iwo akupitirizabe kukhala m'modzi mwa magulu otchuka kwambiri a mankhwala ogwiritsidwa ntchito pochiza ululu wopweteka.
NSAID zolembera za ululu wosatha zingalimbikitsidwe kuti azigwiritsa ntchito nthawi yayitali ngati wina ali ndi chiopsezo chowonjezereka kwa mavuto a GI. Anthu awa angaphatikizepo okalamba ndi aliyense amene ali ndi mbiri ya zilonda kapena mavuto ena otha magazi.
Ngati mutenga nSAID kuti muvutike kwambiri, musadabwe ngati dokotala wanu akufufuza nthawi zonse magazi anu. Zowonjezera NSAID poizoni ingapewe poyang'anira zonse za magazi anu ndi miyeso yanu. Ngati mawonekedwe anu sakuwoneka, dokotala wanu angasinthe mankhwala anu kapena kuwonjezera mankhwala ena kuti athetse mavuto omwe angakhale nawo.
Zotsatira:
American Chronic Pain Association. Mankhwala a APCA ndi Zowawa: Supplement 2007. Inapezeka 6/21/09. http://www.theacpa.org/documents/ACPA%20Meds%202007%20Final.pdf
Makampani Opanga Mankhwala Othandiza pa Intaneti pa Merck. Ululu: Chithandizo. Inapezeka pa 6/21/09. http://www.merck.com/mmhe/sec06/ch078/ch078d.html
Patino FG, Olivieri J, Allison JJ, Mikuls TR, Moreland L, Kovac SH, Juarez L, Munthu S, Curtis J, ndi Saag KG. Mankhwala osakanikirana ndi mankhwala osokoneza bongo. Journal of Rheumatology. 2003 Dec; 30 (12): 2680-8
US Administration and Drug Administration Administration. COX-2 Selective (kuphatikizapo Bextra, Celebrex, ndi Vioxx) ndi Matenda Osagwiritsa Ntchito Seweroli-Anti-Inflammatory (NSAID). Inapezeka pa 6/21/09. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm103420.htm