Salicylates Amadziwika Ngati NSAIDs
Kulankhula zamagetsi, salicylates ndi mchere kapena ester wa salicylic acid. Ambirife tikudziwa kuti aspirin imachokera ku salicylic acid. Aspirin amadziwika kuti acetylsalicylic acid. Ma salicylates amagawidwa m'magulu awiri, acetylated ndi osacetylated. Ngakhale kuti aspirin imakhala yochuluka, zitsanzo za salicylates zomwe sizinapangidwe monga Disalcid (salsalate), Trilisate (choline magnesium trisalicylate), ndi Pepto-Bismol (bismuth subsalicylate).
Wina, wotchedwa Dolobid (diflunisal), salinso ku US.
Momwe Salicyates Amagwiritsidwira Ntchito
Amapezeka mwachilengedwe mu zomera zina, monga malaya oyera a msondodzi ndi masamba a wintergreen, amakhulupirira kuti mankhwalawa amatha kuteteza tizilombo ndi matenda. Mu 1860, salicylic acid inapangidwira mwapangidwe kuti izi zitheke kugwiritsidwa ntchito. Mankhwala, salicylic acid ali ndi analgesic (ululu-relieving), anti-inflammatory, ndi anti-pyretic. Ndipo, chifukwa ikhoza kuthetsa kupweteka komanso kuchepetsa kutentha ndi malungo, salicylic acid amawoneka ngati Trifecta ya mankhwala. Komabe, pa mlingo woyenera kuyankha, salicylic acid ingayambitse vuto la m'mimba. Ngati amadya muyezo waukulu, wamkulu kuposa momwe akuyankhira pofuna kuchiritsira, salicylic acid akhoza kukhala poizoni. Kuwonjezera apo, anthu ena akhoza kukhala osakakamizidwa ndi salicylic acid. Kuwonjezera pa kugwiritsiridwa ntchito kwa mankhwala, mankhwala amchere amagwiritsidwa ntchito mu zakudya zowonongeka, pozilombola, ndipo ali ndi zina zomwe zimathandiza kupeĊµa bakiteriya kukula, kupha bowa, ndi kuchotsa khungu lakufa (keratolytic, monga Kerasol).
Matenda a m'mimba ndi Mitsempha Yophatikizapo ndi Salicylates
Mosiyana ndi aspirin, yomwe imaletsa m'magazi omwe amachititsa kuti magazi asawonongeke, amachititsa kuti pakhale chiopsezo chokha magazi, mankhwala osakanikirana amakhala ndi zotsatira zochepa pamapiritsi. Chotsatira chake, sichikhoza kuyambitsa magazi kapena zilonda za m'magazi pa mlingo woyenera kuchepetsa kutupa ndi kupweteka kwa nyamakazi.
Komabe, poyerekezera ndi aspirin yaing'ono, palibe maphunziro omwe amathandiza kuti mankhwala osaphatikizidwa a salicylates asatengedwe. Ndipotu, mofanana ndi ma NSAID ena onse (mankhwala osokoneza bongo) , ntchito zawo zingayambitse chiopsezo chachikulu cha matenda a mtima, monga matenda a mtima.
Malinga ndi katswiri wa matenda a rheumatologist, Scott J. Zashin, MD, "Kaya aspirin yapamwamba kapena yapamwamba imakhala ngati mankhwala ochepa kwambiri a aspirin sanaphunzirepo. Kuwonjezera pazidziwitso, palibe maphunziro omwe amafalitsidwa poyerekeza ndi ubwino wodzitetezera kapena m'mimba. za salicylates zosagwiritsidwa ntchito komanso zothandizira COX-2 . "
Maphunziro omwe angapezeke okhudza salicylates amayamba kukhala okalamba. Kafukufuku wofalitsidwa mu Journal of Rheumatology anayerekezera mphamvu ya salsalate (salicylate yosagwiritsidwa ntchito) kwa Voltaren (diclofenac) . Zinagwiritsidwa ntchito kuti mankhwala osakaniza ndi diclofenac anali ogwira ntchito mofananamo ndipo kuti kunyalanyaza kungaoneke ngati njira yina yosiyana ndi zina za NSAID.
Phunziro lina, limene linasindikizidwanso mu Journal of Rheumatology, linayesa zotsatira za zaka za salicylate poizoni kwa anthu achikulire omwe ali ndi nyamakazi ya nyamakazi . Ngakhale kuti anali ndi mlingo wochepa wa salicylates kusiyana ndi gulu laling'ono la anthu mu phunziroli, gulu lokalamba linkalumikizana ndi kuwonjezeka kwa poizoni.
Dr. Zashin anapitiriza kuti, "Malingana ndi zomwe ndaphunzira, NSAID zamakhalidwe ndi ziwalo za COX-2 ndizomwe zimagwira ntchito zothandizira kupweteka ndi kutupa kwa nyamakazi. Izi zikunenedwa kuti mayesero a salicylate osagwiritsidwa ntchito sali oganiza bwino mwa odwala osankhidwa omwe ali ndi chiopsezo chowonjezeka cha magazi kapena zilonda zam'mimba. "
Mawu Ochokera
Zaka makumi angapo zapitazo, salicylic acid kapena aspirin ndiwo mankhwala oyambirira omwe amagwiritsidwa ntchito pofuna kuthetsa ululu wamagulu. Zomwe zinkawoneka kuchepa kutupa kunali bonasi panthawiyo. Tsopano, pali mankhwala ambirimbiri omwe mungasankhe. Kawirikawiri amaganiziridwa kuti ndi otetezeka, komanso otchipa poyerekezera ndi mankhwala ena, salicylates ndi njira yomwe ayenera kuganiziridwa ndi madokotala ndi odwala.
Ndizomveka kuti iwe ndi dokotala wanu muganizire mbiri yanu yachipatala (mwachitsanzo, zilonda, matenda a mtima) posankha pakati pa mankhwala osokoneza bongo.
> Zotsatira:
> Bombardier C. et al. Salsalate, Salicylate Yopanda Phindu, Yopambana monga Diclofenac M'magulu Odwala Matenda a Chifuwa. Gulu Lophunzira la Salsalate-Diclofenac. Journal of Rheumatology. 1995. April; 22 (4): 617-24.
> Grigor RR et al. Salicylate Kuopsa kwa Odwala Okalamba Amene Ali ndi Matenda a Khunyu. Journal of Rheumatology 1987. Feb; 14 (1): 60-66.
> Salicylates. Drugs.com.