Ogwiritsa Ntchito NSAID Awiri Kuwonjezera Kuopsa kwa Zotsatira Zachilendo
Mankhwala osagwirizana ndi kutupa (anti-steroidal anti-inflammatory drugs (NSAIDs) ndi malo opambana kwa anthu ambiri omwe ali ndi nyamakazi. Komabe kumwa mankhwala oposa limodzi m'gululi sikungopereka ubwino wambiri koma kungakhale koopsa. Kodi ndondomeko za NSAID ndi zotani, ndi zoopsa zotani, ndipo ndi mankhwala ati omwe akuphatikizidwa mu gawo ili kuti mutha kutsimikizira kuti simukudziwa mobwerezabwereza mankhwala omwewo?
Kodi mankhwala osokoneza bongo omwe alibe anti-inflammatory (NSAIDs) ndi chiyani?
Mankhwala otsutsana ndi kutupa (nonsteroidal anti-inflammatory drugs (NSAIDs) ndi kalasi ya mankhwala omwe kawirikawiri amauzidwa kuti athetse nyamakazi .
Popeza kuti ma NSAID amapezeka pokhapokha ngati mankhwalawa akulembedwa komanso apamwamba, anthu ena amatha kutenga NSAID ziwiri zosiyana.
Anthu angasankhe kutenga NSAID ziwiri chifukwa cha kupumula kosafunikira kapena chifukwa chakuti sakudziwa kuti mankhwala onsewa ndi ofanana ndi mankhwala osokoneza bongo. Kugwiritsira ntchito NSAID ziwiri zosiyana ndizosaopsa komanso sizomwe zili bwino, chifukwa kuchita zimenezi kungapangitse chiopsezo cha zotsatira zoyipa komanso zochitika zoyipa.
NSAID Zopambana Zimakhala ndi Mavuto
Mungaganize kuti zakuthupi zimakwiyitsa ngati zotsatira zowonjezera za kumwa mankhwala monga Malangizo, koma pali zovuta zambiri zomwe mungachite.
Kuchepetsa m'mimba: Anthu mamiliyoni ambiri amatenga NSAID tsiku ndi tsiku kuti adye matenda a nyamakazi, kuvulala koopsa, ndi kupsinjika kwa msambo.
Akuti anthu oposa 100,000 a ku America amamangidwa kuchipatala ndipo pakati pa 15,000 ndi 20,000 amafa chaka chilichonse kuchokera ku zilonda za m'mimba komanso m'mimba mwazi okhudzana ndi ntchito ya NSAID. (Kuti amvetse kukula kwa izi, amayi pafupifupi 40,000 amafa ndi khansa ya m'mawere chaka chilichonse.) NSAID amawerengera 60 peresenti ya zolemba zogulitsa zapamwamba, komanso anthu omwe amagwiritsa ntchito NSAID pa chifukwa chilichonse, amodzi mwa magawo awiri aliwonse adzapeza GI magazi.
Pogwiritsa ntchito nyamakazi yokha, odwala 14 miliyoni amatenga NSAID nthawi zonse-mpaka 60 peresenti ya omwe adzakumana ndi zotsatira za m'mimba monga zotsatira. Mavutowa ndi apamwamba kwambiri kwa omwe ali achikulire, omwe amatenga aspirin kapena ochepa magazi, omwe amatenga mitundu ndi mitsempha ya NSAID, ndipo ngati mankhwalawa amagwiritsidwa ntchito.
Kuwopsa kwa mtima ndi kuopsa kwa kupweteka kwa mliri: NSAID imagwiritsanso ntchito chiopsezo chachikulu cha matenda a mtima kapena kupweteka kwapakati kumene kungachititse kuti munthu afe-ndipo chiopsezo chimapita kwa odwala omwe amawagwiritsa ntchito nthawi yaitali kapena ali ndi matenda a mtima. Pali zina za NSAID zomwe zimayambitsa chiopsezo cha mtima kusiyana ndi ena, ndipo ndizofunika kuti muziyankhula ndi dokotala wanu za zizindikiro zanu zamagulu ndi mbiri yanu ya banja kapena matenda a mtima ndi zoopsa. Vioxx mankhwala ovomerezeka adachotsedwa pamsika chifukwa ichi.
Kuwonongeka kwa impso: Ngakhalenso mlingo woyenera wa NSAID zomwe zimagwiritsidwa ntchito pazing'ono zingayambitse vuto lalikulu la impso ( kusowa kwadzidzidzi kwadzidzidzi .) Padziko lonse lapansi anthu akukwana 2 miliyoni amavutika kwambiri chifukwa cha NSAID chaka chilichonse.
Malangizo a Kugwiritsa Ntchito NSAID Mosasamala
A FDA amalimbikitsa kuti ntchito yotetezedwa ya NSAID, imwedwe mankhwala:
- Zokha monga momwe mwalamulidwa
- Pa mlingo wotsikirapo kwambiri umene ukugwirabe ntchito
- Kwa nthawi yochepa kwambiri yofunikira
Zakhala zikufotokozedwa kuti anthu nthawi zambiri amatsutsa ntchito zawo za NSAID zoposa. Kafukufuku wapeza kuti anthu omwe sanena za NSAID pogwiritsa ntchito mankhwalawa amakhulupirira kuti mankhwalawa ndi ofunika kwambiri chifukwa alipo popanda mankhwala. Izi sizowona ndipo ndi chifukwa chimodzi (pali zambiri) chifukwa chake anthu adzipanga dokotala wawo za mankhwala kapena zakudya zina zomwe amadya.
Kulephera kuwuza dokotala wa mankhwala owonjezera pa mankhwalawa ndi chimodzi mwa zifukwa zomwe nthawi zina anthu amatha kugwiritsa ntchito mankhwala awiri m'deralo ngakhale kuti zingakhale zoopsa.
Kutenga NSAID Zili ndizoopsa
Chiopsezo chowonjezeka chokhudzana ndi kutenga ma NSAID awiri ndi ofunikira. Kafukufuku wakale wofalitsidwa mu European Journal ya Clinical Pharmacology adatsimikiza kuti chiopsezo chachikulu cha mankhwala osokoneza bongo chimavulaza chiwindi ndi kulephera kwadzidzidzi kwapakati pa 6 mpaka 7 muzochitika zomwe zinagwiritsidwa ntchito panthaŵi imodzimodzi ya NSAID ziwiri. Komabe ngakhale podziwa zimenezi, chiopsezo chimakhalabe. Kafukufuku wa 2017 adapeza kuti pakati pa akuluakulu achikulire kutenga NSAID, kugwiritsa ntchito molakwa kunapezedwa kupitirira 70 peresenti.
Musalole kuti izi zichitike kwa inu. Gwiritsani ntchito NSAID mosamala komanso moyenera. Ngati mutatenga kachilombo ka HIV, kambiranani ndi dokotala musanayambe kumwa mankhwala enaake.
Mankhwala Osokoneza Bongo Amatchedwa NSAIDS
Pofuna kupewa kumwa NSAID imodzi, ndikofunika kudziŵa kuti ndi mankhwala ati omwe akuphatikizidwa m'kalasiyi. Ndikofunika kudziwa kuti mankhwala ochiritsira amatha kugulitsidwa pansi pa mayina osiyanasiyana. Mwachitsanzo, ibuprofen ndi mankhwala ochiritsira ku Advil, Motrin, Nurofen, ndi ena. NSAID ikhoza kuphatikizidwanso ndi mankhwala ena.
Pali mitundu itatu yaikulu ya NSAID. Izi zimaphatikizapo mankhwala a salicylates (omwe ali acedylated monga aspirin omwe si a acetylated,) a NSAID (monga Advil,) ndi COX-2 inhibitors, monga Celebrex. NSAID zomwe zimagwiritsidwa ntchito pochizira nyamakazi zimaphatikizapo:
- Actron (ketoprofen)
- Aleve (naproxen)
- Anaprox (naproxen)
- Ansaid (flurbiprofen)
- Arthrotec (diclofenac ndi misoprostol)
- Aspirin (acetylsalicylic acid)
- Advil (ibuprofen)
- Cataflam (diclofenac potassium)
- Celebrex (celecoxib)
- Clinoril (sulindac)
- Daypro (oxaprozin)
- Disalcid (salsalate)
- Dolobid (diflunisal)
- Feldene (piroxicam)
- Ibuprofen (mayina achizindikiro amatanthauza Motrin, Advil, Mediprin, Nuprin, Motrin IB)
- Indocin (indomethacin)
- Ketoprofen (mayina a mayina ndi Orudis, Oruvail, Actron, Orudis KT)
- Lodine (etodolac)
- Meclomen (meclofenamate sodium)
- Mobic (meloxicam)
- Motrin (ibuprofen)
- Nalfon (fenoprofen)
- Naprelan (naproxen)
- Naprosyn (naproxen)
- Naproxen (mayina achizindikiro amatchula Naprosyn, Aleve, Naprelan, Anaprox)
- Orudis (ketoprofen)
- Nkhanza (ketoprofen)
- Ponstel (mefanamic acid)
- Relafen (nabumetone)
- Tolectin (tolmetin sodium)
- Sakanizani (choline magnesium trisalicylate)
- Voltaren (diclofenac sodium)
Pansi pa Kugwiritsa Ntchito NSAID Yambiri
Kutenga NSAID imodzi yokha sikungathandize kuchepetsa kupweteka, komabe kumawonjezera chiopsezo chanu chowopsa ndi zotsatirapo zoipa. Izi zati, anthu ochuluka kwambiri amatha kugwiritsa ntchito mankhwala osaposawa panthawi imodzi. Chimodzi mwa vuto ndi chakuti mankhwalawa amapezeka pokhapokha ngati mankhwala ndi mankhwalawa, ndipo ngati dokotala sakudziwa mankhwala osagwiritsidwa ntchito omwe mukuwagwiritsa ntchito, kulakwitsa sikungadziŵike.
Kuphatikiza pa kuphatikiza pa NSAIDs, pali zotsatira zambiri zomwe zingagwiritsidwe ntchito ndi mankhwala omwe amagwiritsira ntchito matenda a nyamakazi. Njira yabwino yothetsera vutoli ndi kukambirana mosamala mankhwala onse omwe mukuwagwiritsa ntchito ndi dokotala wanu ndi wamankhwala anu. Chifukwa cha zolakwika zachipatala zomwe zimachitika ngati chiwerengero chachitatu cha imfa ku United States, zimayenera kusamala.
> Zotsatira:
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.
> Luciano, R., ndi M. Perazella. NSAIDs: Kuvulala Kwambiri kwa Impso (Kugonjetsa Kwachilendo Kovuta). Kupititsa patsogolo . Kusinthidwa 03/01/17.
> Sostres, C., Gargallo, C., ndi L. Angel. Mankhwala Osakanikirana ndi Opopera Matenda ndi Kuwonongeka kwa Mucosal Kumtunda ndi Kumunsi kwa Mimba. Arthritis Research and Therapy . 2013. 12 (Suppil 3): S3.