Pamene mukuyang'ana kupuma kwa msana kapena kupweteka kwapakhosi, dokotala wanu angayesetse kutenga mankhwala opweteka kwambiri. Koma pali mitundu yambiri, ndipo chinyengo ndikudziwa chomwe mungasankhe, ndipo chifukwa chiyani.
Choyamba tiye tikambirane za "mitundu" ya mankhwala opweteka kwambiri. Izi zimasiyanitsidwa ndi "chogwiritsidwa ntchito," chomwe ndi mankhwala omwe amachititsa kusintha, mwachitsanzo, kuchepetsa kupweteka, kuchepetsa kutupa, ndi zina zotero, zomwe zafotokozedwa pamakalata a mankhwala. (Zosakaniza zowonjezera zingayambitse mavuto, nayenso, kuti izi zikhoze kuthandizira pa chisankho chanu kuti mutenge mankhwala amodzi pa wina.)
Monga momwe mudzaonera, zothandizira zogwiritsidwa ntchito zitha kusonkhanitsidwa pamodzi muzogwiritsira ntchito mankhwala. Malinga ndi mankhwala opweteka kwambiri omwe amatha kupitako, magulu awiri akuluakuluwa ndi NSAID (osati steroidal anti-inflammatories) ndi analgesics (kupweteka kwapweteka.) Nthawi zina mankhwala amathandizira onse awiri; nthawi zina sizidzatero.
Mankhwala onse omwe atchulidwa pano ndi a NSAID, omwe angachepetse kupweteka, malungo ndi kutupa. COX-2 inhibitors, mtundu wina wa NSAID, ingathandizenso kuchiza zizindikiro zanu, koma mankhwalawa amapezeka mwa mankhwala okhaokha.
Mankhwala ambiri amabwera ndi mndandanda wa zowononga, ndipo ma NSAID sali osiyana. Zina mwa zotsatira za NSAID zingakhale zoopsa ku thanzi lanu; Zowopsa kwambiri zogwiritsira ntchito mankhwalawa ndi matenda a mtima komanso zilonda zakumimba. Apanso, zonsezi ndizoopsa kwambiri.
Ndipo potsiriza, mankhwala omwe akufotokozedwa pansipa alipo ngati mankhwala pa mankhwala oposa.
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AspirinAspirin ndi mankhwala akale kwambiri odana ndi kutupa omwe amadziwika ndi anthu. Acetylsalicylic acid, mankhwala opangira aspirin, akhala akugwiritsidwa ntchito ngati kupweteka kwa zaka zambiri, osati zaka makumi khumi (mwa mitundu yosiyanasiyana).
Monga NSAID, aspirin imachepetsa kupweteka kumbuyo kapena kumutu, imathandiza kuthetsa kutupa, zomwe zingakhale zothandiza potsatira kuvulaza kapena kukhumudwa.
Zomwe zimagwira ntchito mu aspirin zimagwira ntchito yake polepheretsa kupanga prostaglandins, yomwe imakhala mankhwala osakhalitsa m'thupi, yothandizira kutupa , komanso ululu.
Ngakhale kuti palibe, aspirin ikhoza kukhala ndi zotsatira zoopsa, osati zovuta za m'mimba. Koma mosiyana ndi zina za NSAID, aspirin, ngati imagwiritsidwa ntchito moyenera, ikhoza kusintha thanzi la mtima. Lankhulani ndi dokotala wanu za izi ngati mukufuna kudziwa zambiri.
Chifukwa cha izo, akatswiri ambiri amakhulupirira kuti zonse za NSAID, aspirin ndiyo yabwino kwambiri. The People's Pharmacy, yomwe ili mbiri yopezeka pa webusaitiyi komanso nkhani ya pailesi yakanema pa National Public Radio ikufotokoza izi:
"Ngati titatulutsidwa ku chilumba cha m'chipululu ndipo tikhoza kutulutsa ululu umodzi, tidzasankha aspirin."
Zifukwa, zimati, kupatula kupweteka ndi kuchepetsa kutupa, aspirin amathandizira kuchepetsa chiopsezo cha zochitika za mtima monga mtima wothandizira kapena stroke. Ndipo, a People's Pharmacy amati, umboni umasonyeza kuti aspirin ikhoza kupereka mankhwala opondereza khansa, komanso.
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IbuprofenIbuprofen ndi mankhwala odana ndi kutupa omwe anthu ena amatenga kuti achepetse kupweteka kwapweteka, kuchepa, kutupa ndi kuuma chifukwa cha nyamakazi. Ibuprofen imagwiritsidwanso ntchito kuchepetsa kupweteka kwa minofu ndi kupweteka kwapweteka chifukwa cha kupsinjika kwa msana.
Mayina a maina ndi Motrin, Advil ndi Nuprin.
Monga aspirin, ibuprofen ndi NSAID, yomwe imatanthauza kuti imachepetsa kupweteka kumbuyo kapena kupweteka kwa mutu koma imathandiza kuti mukhale ndi (kutupa). Mankhwala osokoneza bongo omwe ali ndi ibuprofen monga chogwiritsira ntchito chawo amaletsa kupanga prostaglandin, choncho kutupa ndi kupweteka.
Zotsatirapo zingaphatikizepo mavuto a m'mimba ndi zochitika za mtima.
Mu 2015, a FDA, pogwiritsa ntchito kafukufuku watsopano, anakhazikitsa zofunika zolemba kwa opanga phukusi la ibuprofen ndi malemba a Drug Facts. Izi zinali powauza anthu za ngozi zomwe zimagwirizanitsidwa ndi gawoli.
Chimodzi mwa machenjezo ofunika kwambiri m'zatsopanozi ndi chakuti chiopsezo cha matenda a stroke kapena matenda a mtima amapezeka kale kwambiri muzochizira kusiyana ndi akatswiri poyamba ankakhulupirira.
Judy Racoosin, MD, MPH, Pulezidenti wa FDA's Division of Anesthesia, Analgesia, ndi Addiction Products, akuti palibe nthawi yogwiritsira ntchito.
Kuti mutetezeke ku zowonongeka zomwe simunkaziyembekezere (ndi chifukwa chake chiwerengero cha mankhwalawa akuwonjezereka kwambiri) ndiye kuti FDA imalangiza kuyang'ana zomwe zikugwiritsidwa ntchito pa mankhwala a mankhwala osokoneza bongo a mankhwala omwe mumatenga, ndipo onetsetsani kuti chimodzi mwa izo chili ndi NSAID. Mwa kuyankhula kwina, musatenge zoposa NSAID imodzi panthawi.
Chenjezo lina ndi lakuti iwo omwe ali ndi matenda a mtima, kapena omwe ali ndi mtima kupyolera opaleshoni ali pachiopsezo chachikulu cha chochitika cha mtima chokhudzana ndi kutenga ibuprofen kapena NSAID ina.
Ngati mwakhala ndi matenda a mtima, chiopsezo chanu cha wina (ndipo mwinanso kufa nawo) ndi chapamwamba, nayenso.
Koma aliyense, mosasamala kanthu za umoyo wawo wamtima waumphawi amaika pangozi yayikulu yotenga ibuprofen, a FDA amatiuza.
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NaproxenNaproxen , NSAID ina, imagwiritsidwa ntchito kuthetsa ululu chifukwa cha minofu yovuta ndi nyamakazi. Izi zimaphatikizapo mafupa a osteoarthritis ndi kutupa nyamakazi monga spylylitis ankylosing. A
Mofanana ndi mankhwala ena otsutsa-kutupa, naproxen amagwira ntchito makamaka poletsa kulembedwa kwa prostaglandins.
Mayina a maina ndi Aleve ndi Naprosyn.
Zindikirani kuti pamene NSAID zonse (zomwe zingatheke kupatula aspirin) zimayambitsa chiopsezo cha mtima kapena kupwetekedwa mtima, kafukufuku wina amasonyeza kuti naproxen imadzutsa pang'ono.
Izi zikhoza kukhala chifukwa naproxen ndi mankhwala ochitidwa nthawi yayitali, komwe ibuprofen ndi yochepa. Kugwiritsira ntchito mankhwala osokoneza bongo sikuyenera kutengedwa nthawi zambiri, motero kukuwonetsani kuti mulibe chiopsezo chochepa cha zotsatira za mankhwala.
Izi zikuti, webusaitiyi yodalirika, Drugs.com, imati GI zokhudzana ndi zotsatira za kutenga NSAID (mwachitsanzo, zilonda zam'mimba ndi / kapena kutuluka magazi) zimapangitsa kuti mutenge mankhwalawa mochedwa. Amachenjeza anthu kuti atenge mlingo wochepa kwambiri wofunikira kuti awathandize kupweteka.
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Tylenol (acetaminophen)Tylenol ndikumasulira ululu kawirikawiri pamsika. Zitha kuthandizidwa kuti mukhale ndi mpumulo wa nthawi yayitali pamene muli ndi ululu wochepa kapena wam'mimba. Si NSAID.
Tylenol imathandiza kupweteka kumbuyo kwa minofu ndi / kapena nyamakazi . Zingagwire ntchito pochepetsa kuchuluka kwa mankhwala a ubongo omwe amasangalatsa zizindikiro zopweteka, motero, zimakhudza dongosolo lalikulu la mitsempha . Amakhalanso ndi mphamvu yozizira poletsa ma prostaglandin omwe amathandiza kwambiri mu malo otsogolera kutentha kwa ubongo.
Koma ngati muli ndi vuto la chiwindi, kapena ngati mumamwa kwambiri mowa, muyenera kuponda mofulumira pa Tylenol. Ndi kosavuta kutenga mankhwala ochuluka kwambiri, omwe angayambitse chiwindi choopsa kapena choopsa.
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Kodi Mankhwala Opweteka Amakupweteketsani?Olemba buku la 2017 lofalitsidwa m'magazini ya Medicine adanena kuti pamene madandaulo ambiri a khosi ndi ambuyo amabweretsedwa kwa madokotala amachoka ndi nthawi yokha, amayamba kubwerera (kubwerera).
Ubwenzi ndi chiwerengero cha ubalewu ndizolimba kwambiri, zimati, pakati pa matope oyambirira ndi omwe amatsatira. Mwachindunji, nthawi yoyamba ikutha, kupweteka kwa msana kumakhala kobwereranso. Ndipo nthawi iliyonse imachita, zidzakhala zovuta kwambiri, ndipo zimayambitsa zolemala zambiri.
Mwanjira iyi, kuzungulira kwanu koyamba kumapangitsa kuti zotsatirazi zikhale zovuta kwambiri, ndipo zingathandizenso kukhala ndi vuto lachilendo kwa nthawi yayitali, kuti muyambe kupuma.
Olembawo akunena kuti kupweteka kwa msana ndi chimodzi cha mikhalidwe isanu yowononga ku US
Chifukwa cha zonsezi, mungafunike kutsimikiza kuti kumwa mankhwala chifukwa cha ululu wanu wam'mbuyo kapena kupweteka kumutu ndikodi njira yabwino kwambiri yogwirira ntchito.
Phunziro lina la 2017, lomweli linafalitsidwa mu Annals of Rheumatic Diseases , poyerekeza kutenga NSAIDs kupweteka kwa msana popanda kuchita kanthu.
Pamene a NSAID adathandiza ndi ululu, sizinali choncho. Ndipotu, olembawo amatha kunena kuti palibenso njira zosavuta zomwe zimagwira ntchito bwino (poyerekeza ndi placebo.)
Ndipo pamene muika chiopsezo kuti magazi a m'magazi a GI ndi / kapena zilonda, kapena / kapena chiopsezo chachikulu cha matenda a mtima kapena kupwetekedwa, mungafune kuganiziranso njira yanu yopulumutsira ululu - makamaka ngati ululu wanu uli wofatsa.
Njira imodzi yotchuka kwambiri yomwe mungayesere ndizochita masewera olimbitsa thupi.
Phunziro la 2014 lofalitsidwa mu Ochsner Journal linapeza kulimbikitsanso mitsempha ya kumbuyo ndi / kapena ya khosi (yomwe ili kumbuyo ndi kukuthandizani kumalo osasinthasintha kapena kuzungulira msana wanu) kumathandiza kuchepetsa ululu ndipo zingakuthandizeni kuti muthe msinkhu kudutsa mitundu yambiri ya mavuto a msana. Mukapita kwa dokotala za khosi lanu kapena kupweteka kwa msana, ganizirani kutenga njira yowonjezereka mwa kumufunsa kuti adzilembetse mankhwala ochiritsira.
> Zotsatira:
> Dreisinger, T., PhD. Yesetsani Kuchita Zinthu Mogwira Ntchito Yopweteka Kwambiri Ochsner J. Spring 2014. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963038/
> FDA Imalimbitsa Chenjezo la Kugonjetsa Mtima ndi Kuopsa kwa Stroke kwa Mankhwala Osakaniza Steroidal Anti-Inflammatory. Webusaiti ya FDA. Zasinthidwa: Sept 2016. https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm453610.htm
> Graedon, J. Aspirin vs. NSAIDs: Ndi Njira Yabwino Yotani? The People's Pharmacy. July 2013. https://www.peoplespharmacy.com/2013/07/08/aspirin-vs-nsaids-which-is-best/
> Machado G., et. al. Mankhwala osagwiritsidwa ntchito poletsa kupweteka kwa msana. Ann Rheum Dis. July 2017. https://www.ncbi.nlm.nih.gov/pubmed/28153830
> Naproxen vs Ibuprofen: Ndi kusiyana kotani? Webusaiti ya Drugs.com. August 2016. https://www.drugs.com/answers/naproxen-ibuprofen-difference-3117722.html
> Sinnott P., et. al. Zochitika zomwe zimapezeka ndi khosi lopweteka ndi kumbuyo, 2002 mpaka 2011. Medicine (Baltimore). May 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440123/