Njira 9 Zokuthandizira Kuchepetsa Kuopsa Kwako Kutsekemera Kuchokera Kugwiritsa Ntchito NSAID

Kutaya magazi kumapezeka kuchokera ku duodenum kapena m'mimba, koma kungakhalenso kukula m'matumbo akuluakulu. Ngakhale zizindikiro zochenjeza zimachitika nthawi zambiri, monga vuto la m'mimba kapena magazi / zakuda, odwala ena-makamaka okalamba-sangakhale ndi chenjezo asanakhale ndi magazi ambiri.

Kuwonjezera pa ukalamba, zifukwa zina zomwe zimayambitsa vutoli zimaphatikizapo ntchito zambiri za NSAID (mwachitsanzo, ibuprofen yochulukirapo pamodzi ndi ma ARVs), ochepa magazi monga aspirin kapena coumadin (ochepa magazi), corticosteroids , kusuta, kumwa mowa mopitirira muyeso , ndi mbiri yakale ya zilonda zam'mimba ndi m'mimba mwazi . Kuphatikiza apo, odwala ena akhoza kuti anapezeka ndi mabakiteriya H. pylori pa nthawi ina m'miyoyo yawo. Mabakiteriya omwe ali ofala kwambiri amagwirizanitsidwa ndi chiopsezo chachikulu cha zilonda zamagazi.

Mwamwayi, kwa odwala omwe akufunika kutenga NSAIDs kuti athetse nyamakazi yawo, pali njira zochepetsera chiopsezo cha zilonda ndi zovuta kuchokera ku zilonda monga m'mimba mwazi. Tinapempha Scott J. Zashin, MD (a rheumatologist) ndipo adayankha njira 9 zotchepetsera chiopsezo cha zilonda zamagazi kuchokera ku NSAIDS.

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Gwiritsani Ntchito Mafuta Monga Njira Yopsereza NSAID

Ganizirani njira zina zopweteka monga Tylenol kapena tramadol . Palinso mankhwala opatsirana opweteka m'madera ena kuphatikizapo:

• Mapepala a Thermacare (kutentha kwamtunda)
• mafuta odzola monga BenGay
• mavitamini a NSAID gels kapena mapepala ogwiritsa ntchito diclofenac ( Voltaren gel )

Ngakhale diclofenac ndi NSAID, kugwiritsa ntchito malowa kungachepetse mlingo wa NSAID m'magazi ndi kuchepetsa kuika magazi.

NALIDZI ya Mlomo ingakhale yosasankha yoyamba yoyenera. Pakhoza kukhala njira ina yothetsera ululu, popanda mavuto.

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Sinthani Mlingo Wanu Kuti Muchepetse Kuopsa kwa Zovuta Zotsatira

Ndibwino kuti mutenge mlingo wotsika kwambiri wa NSAID kuti muchotse zizindikiro zanu. Mwa kuchepetsa mlingo kwa mlingo wotsika kwambiri, mumachepetsa chiopsezo cha zotsatirapo.

Malingaliro ena omwe muyenera kuganizira-ndi chivomerezo cha dokotala-ndikutenga NSAID yanu yofunikira kusiyana ndi tsiku lililonse. Mukatero, mungachepetse chiopsezo chachikulu.

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Tengani Mtolo Wosatetezedwa wa NSAIDs

Zosavuta: Pewani kumwa NSAID imodzi. Izi zikhoza kumveka ngati mawu omveka koma odwala ena akhoza kutenga ziwiri chifukwa cha kupumula kochepa. Iwo sangathe kuzindikira mankhwala onsewa (mwachitsanzo, NSAID yochulukirapo ndi NSAID ya mankhwala) ali mu gulu lomweli la mankhwala ochiritsira. Kutenga NSAID ziwiri zosiyana ndizoopsa-zikhoza kuonjezera chiopsezo cha zotsatira zosautsa komanso zochitika zovuta kwambiri.

Tengani mankhwala anu monga momwe adalangizira. Ngati muli ndi mafunso, musazengereze kufunsa dokotala kapena wamankhwala.

Zambiri

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Ma Capsules a Celebrex Amachepetsanso Kuopsa kwa Ulcer

Muyenera kuganizira kusankha NSAID, monga salsalate, yomwe ingakhale ndi chiwopsezo chochepa chakumwazi m'mimba poyerekeza ndi NSAID zina. Ndiponso, diclofenac, etodolac, meloxicam , ndi Celebrex ndi NSAID zomwe zingakhale ndi chiopsezo chochepa cha zilonda zam'mimba.

Pali deta yeniyeni yophunzirira yomwe imasonyeza kuti Celebrex ikhoza kuchepetsa chiopsezo cha magazi m'matumbo akuluakulu. Lankhulani ndi dokotala wanu kuti muone ngati Celebrex idzakhala yabwino kwa inu. Musaiwale ngakhale, Celebrex imangirizidwa, pamtunda wina, ndikukumana ndi zoopsa. Ndizoopsa ndi zolemetsa zolemera.

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Mavitamini a Proton Pump Amachepetsa Ululu wa Ulcer

Kuphatikiza NSAID ndi proton pump inhibitor (PPI) kungachepetse chiopsezo cha zilonda zam'mimba kapena zam'thupi. Izi ndi zofunika kwa odwala pa ngozi yaikulu. PPI ikuphatikizapo Prilosec (yomwe ilipo pamsika), Aciphex, Prevacid, Protonix, ndi Nexium. Palinso mankhwala omwe amaphatikiza naproxen ndi Prevacid mu mankhwala amodzi.

Pamodzi ndi PPI, misoprostol (Cytotec) ingachepetse chiopsezo cha chilonda. Zakudyazi zimayenera kutengedwa 4 nthawi / tsiku ndi chakudya kuti zipeze chitetezo chokwanira, koma chitetezo china chimapezeka mukatengedwa kawiri tsiku ndi tsiku. Katunduyu amapezekanso ndi diclofenac. Misoprostol pamodzi ndi diclofenac imagulitsidwa ngati Arthrotec . Misoprostol imatsutsana ndi amayi omwe ali ndi mimba kapena akhoza kutenga mimba chifukwa zingabweretse padera.

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Musanyalanyaze Zizindikiro Zamankhwala

Konzani zokambirana nthawi zonse ndi dokotala kuti muyende pa zizindikiro zirizonse zomwe mungakhale nazo. Ikani ntchito yanu ya magazi kuti iwonetsetse zizindikiro zirizonse za magazi. Ngati mutenga NSAID, izi ziyenera kukhala mbali yazomwe mukutsatira ndi dokotala wanu.

Pochita zinthu mwakhama, ndizotheka kupeza zozizwitsa msanga ndi kupewa vuto ladzidzidzi. Popeza a NSAID adziwa zoopsa, onse odwala ndi dokotala ayenera kuyang'ana zizindikiro za magazi.

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Pezani Mayeso kwa H. Pylori

Lingalirani kuti ayesedwa, ndipo ngati ali oyenera, athandizidwe kwa mabakiteriya a H. pylori kuti achepetse chiopsezo chokhala ndi chilonda. H. pylori (chithunzi pamwambapa) akhoza kukula bwino m'mimba mwathu kapena gawo loyamba la m'mimba mwanu ndipo wakhala akugwiritsidwa ntchito ndi chiopsezo chachikulu cha zilonda zam'mimba.

Kwenikweni, matenda a H. pylori ndi omwe amachititsa kuti zilonda za m'mimba zisokonezeke, ndipo zimayambitsanso kutupa m'mimba.

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Tengani NSAID pa Mimba Yonse

Si zachilendo kwa odwala kutenga NSAID kuti azikhala ndi zizindikiro za m'mimba. Kutenga mankhwala pamimba mokwanira kungathandize kulekerera.

Kutenga NSAID pa mimba yopanda kanthu kumapangitsa chiopsezo chokhala ndi zilonda-ngakhale mukuzichita tsopano popanda vuto. Vuto likhoza kukhala lokhazikika. Pofuna kupeŵa kuthekera, onetsetsani kutenga NSAID ndi chakudya.

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Pewani mankhwala a Steroid ndi NSAIDs

Pewani mankhwala a steroid (corticosteroids), ngati n'kotheka, kuphatikizapo NSAIDs. Madokotala ena akhoza kuphatikiza mlingo wochepa wa prednisone ndi NSAID koma onetsetsani kuwonjezera PPI ngati izi ziri zofunikira.

Coumadin ndi NSAID amathandizanso kuwonjezera chiopsezo cha zilonda zam'mimba kapena kutuluka m'magazi. Lankhulani ndi dokotala wanu za kuchepetsa chiopsezo chanu chokhala ndi zilonda zamagazi pamene mutenga NSAIDs. Ndizofunika kukambirana ndi dokotala wanu.

_{Yankho loperekedwa ndi Scott J. Zashin, MD, pulofesa wothandizira wathandi ku University of Texas Southwestern Medical School, Division of Rheumatology, ku Dallas, Texas. Dr. Zashin nayenso akupita kuchipatala ku chipatala cha Presbyterian ku Dallas ndi Plano. Iye ndi mnzanga wa American College of Physicians ndi American College of Rheumatology ndi membala wa American Medical Association. Dr. Zashin ndi mlembi wa Arthritis Popanda Mavuto - Chozizwitsa cha Anti-TNF Blockers ndi wolemba wa Matenda a Matenda a Nyamakazi.}