Kodi Kugwiritsa Ntchito NSAID Nthawi Zakale Kumakhala Kosavuta?
Ngati muli ndi ululu wosatha, mwasintha kuti mutembenuzire ku NSAID kuti mupulumutseko kamodzi kanthawi. Koma kodi kugwiritsa ntchito NSAID nthawi yayitali? Nanga zotsatira zake ndi zotani? Nazi zomwe muyenera kudziwa za NSAID kuti mukhale ndi ululu wosatha.
Kodi NSAID ndi chiyani?
Mankhwala otsutsana ndi kutupa, kapena ma NSAID, ndi mankhwala opweteka omwe amagwiritsidwa ntchito pochizira kupweteka kwa minofu, ngakhale kuti angagwiritsidwe ntchito pa ululu wa mitsempha nthawi zina.
NSAID imagwera pansi pa mutu wa mankhwala osokoneza bongo kapena mankhwala osamva mankhwala osokoneza bongo. Kawirikawiri, kugwiritsa ntchito NSAID kuti ululu wopweteka kwambiri kumakhala kovuta kwambiri pamene ululu wanu ndi wofatsa kapena wopepuka.
Mosiyana ndi ma opioids , ma NSAID ambiri angagulidwe pa tsamba. Ibuprofen ndi naproxen, ma ASSAID onse, amapezeka mosavuta m'masitolo osokoneza bongo. NSAID zothandizira mavitamini kuti zikhale zowawa zambiri zimapezenso ngati ululu wanu uli wovuta kwambiri. Pazochitikazi, NSAID zingathe kuphatikizidwa ndi opioids kuti muwongolere bwino ululu wanu.
Momwe NSAIDs Zimathandizira Ululu
NSAID zimachepetsa kupweteka m'njira ziwiri. Choyamba, amachititsa kuti ululu umveke mwa kutseka mavitamini ena omwe amachitapo kanthu mukumva kupweteka. Chachiwiri, amagwira ntchito kuti achepetse kutupa komwe kaŵirikaŵiri kumayenderana ndi mitundu ina ya ululu. NSAID zina, komabe, zimathandiza kuchepetsa kutupa pamene zimatengedwa pa mlingo waukulu.
NSAID zambiri zimatengedwa pakamwa, ndipo mphamvu zimasiyana malinga ndi mtundu wa mankhwala ndi mlingo wogwiritsidwa ntchito.
Mukatenga NSAID kuti muzimva kupweteka kosalekeza, mungatenge mawonekedwe afupipafupi pamodzi ndi mankhwala opweteka kwambiri, monga opioid kapena analjuic adjuvant ( anticonvulsant kapena anti-pressure). Izi ndi zoona makamaka ngati muli ndi kupweteka . Komabe, NSAID yachitali yaitali kwa ululu wosatha ingakhale yokwanira kuthetsa zizindikiro zanu.
Mitundu ya NSAID ya Mavuto Osautsa
Zina mwazipatala zambiri zomwe zilipo pa NSAID zopweteka kwambiri ndi aspirin , ibuprofen, naproxen ndi ketoprofen. Mankhwala opwetekawa amagulitsidwa ndi mphamvu zosiyana ndi zosagwiritsidwa ntchito ndipo akhoza kuphatikizapo zinthu zina monga caffeine kapena acetaminophen.
Mapulogalamu amphamvu a NSAID amapezekanso. Ma ARV ena omwe amagwiritsidwa ntchito kawirikawiri amagwiritsa ntchito meloxicam ndi celecoxib. Pafupi ndi ma NSAID onse, malemba onse ndi apamwamba, amatengedwa pamlomo.
Kodi NSAID Zili Zosungira Mavuto Osautsa?
NSAID zikagwiritsidwa ntchito nthawi zambiri, nthawi zambiri zimakhala zowawa, zomwe zingathe kuwonjezereka. Umboni umasonyeza kuti kuthekera kwa mavuto a NSAID okhudzana nawo kumawonjezeka mukamakula. Zotsatira zina zofala zambiri ndizo:
- Chifuwa cha m'mimba ndi zilonda
- Kuchulukitsa m'mimba (GI) magazi
- Zowonjezera kuthekera kwa kuvunda
- Kuwonjezera kwa zizindikiro za mphumu
- Kuwonjezeka kwa chiopsezo cha kupwetekedwa mtima, matenda a mtima ndi magazi
Ngati mukufuna kukakhala pa NSAID kuti mukhale ndi ululu wosatha, dokotala wanu akhoza kusintha mlingo. Angakupatseni mankhwala ena a mankhwala omwe amachititsa kuti mutha kukhazikitsa zinthu zili pamwambazi.
Zowonjezera mavuto a NSAID angathe kuwonjezeka ngati:
- Utsi
- Imwani mowa nthawi zonse
- Ali wamkulu
- Khalani ndi mbiri ya matenda a mtima
- Khalani ndi kuthamanga kwa magazi
- Wakhalapo ndi mavuto alionse a GI
- Ali ndi matenda a chiwindi kapena chiwindi
NSAID zonse, malemba onse ndi apamwamba, tsopano zolemba zothandizira masewera chifukwa cha chigamulo cha Food and Drug Administration. Ngakhale machenjezo, kugwiritsa ntchito NSAIDs kumakhalabe njira imodzi yotchuka kwambiri yothetsera ululu.
Zotsatira:
American Chronic Pain Association. Mankhwala a APCA ndi Zowawa: Supplement 2007.
American College of Gastroenterology. Zoopsa za Aspirin ndi NSAID.
Makampani Opanga Mankhwala Othandiza pa Intaneti pa Merck. Ululu: Chithandizo.
US Administration and Drug Administration Administration. COX-2 Selective (kuphatikizapo Bextra, Celebrex, ndi Vioxx) ndi Matenda Osagwiritsa Ntchito Seweroli-Anti-Inflammatory (NSAID).