NSAID zimathandiza kuthetsa ululu wa nyamakazi ndi kutupa
NSAIDs (antisteroidal anti-inflammatory drugs) akhala akugwiritsidwa ntchito kuchiza nyamakazi kwa zaka zopitirira makumi atatu. NSAID zotsutsa-kutupa, analgesic (painkilling), ndi antipyretic (kutentha thupi). Pali mfundo zofunika kwambiri zomwe muyenera kudziwa za NSAID kuti mankhwalawa agwiritsidwe bwino komanso mosamala.
1. Pali Magulu atatu a NSAIDs
Pali salicylates ndi acedicylous non-acetylated salicylates.
Aspirin ndi salicylate yodziwika bwino kwambiri, yomwe imatchedwanso acetylsalicylic acid. Zakudya zopanda mphamvu zamchere zimaphatikizapo choline ndi magnesium salicylates. Pali nSAIDS zambiri monga:
- Ansaid (dzina loti flurbiprofen)
- Arthrotec (dzina lachibadwa la diclofenac ndi misoprostol)
- Aspirin (saltyylates acetylated / non-acetylated salicylates)
- Celebrex (dzina lachibadwa celecoxib)
- Clinoril (dzina lachilendo sulindac)
- Daypro (dzina lotchedwa oxaprozin)
- Disalcid (dzina lotchedwa salsalate)
- Dolobid (dzina loti diflunisal)
- Feldene (dzina loti piroxicam)
- Ibuprofen (mayina achizindikiro amatanthauza Motrin, Advil, Mediprin, Nuprin, Motrin IB)
- Indocin (dzina loti indomethacin)
- Ketoprofen (mayina a mayina ndi Orudis, Oruvail, Actron, Orudis KT)
- Lodine (dzina lotchuka la etodolac)
- Mobic (dzina lofala la meloxicam)
- Nalfon (dzina lotchuka la fenoprofen)
- Naproxen (mayina achizindikiro amatchula Naprosyn, Aleve, Naprelan, Anaprox)
- Relafen (dzina lenileni la nabumetone)
- Tolectin (dzina lachilendo tolmetin sodium)
- Sakanizani (dzina lachilendo choline magnesium trisalicylate)
- Voltaren (dzina lotchuka la diclofenac sodium)
Chokhacho cha COX-2 chokhazikitsira NSAID pamsika ndi Celebrex (celecoxib). Nkhoswe za COX-2 zosakanizidwa ndi NSAIDs sizingathetse vuto la m'mimba kusiyana ndi NSAID zachikhalidwe. Maonekedwe awo a m'mimba amachititsa kuti azidziwika bwino koma onse a NSAID ali ndi chiopsezo cha kuthamanga kwa magazi, mavuto a impso , kusungunuka kwa madzi, ndi zoopsa za mtima.
2. NSAID zina zilipo mu mphamvu yowonjezera
Kaya mungagwiritse ntchito pa-a-counter kapena mphamvu ya mankhwala NSAID imadalira chikhalidwe chanu. Kawirikawiri kuti zikhale zovuta, monga zopopera ndi zovuta, NSAID zogwira ntchito zingagwire ntchito mokwanira. Kwa matenda a nyamakazi osapitirira, mphamvu ya mankhwala imakhala yofunikira.
3. NSAID Zimagwira Ntchito Poletsa Kuletsa Cyclooxygenase (COX)
Arachidonic asidi amamasulidwa ku memphane phospholipids poyankha zowopsya. Prostaglandins amapanga yankho yotupa. NSAID zimadodometsa kupanga prostaglandin mwa kuletsa cyclooxygenase .
4. NSAIDs ya mankhwalawa sayenera kutengedwa ndi NSAID za Over-The-Counter
Kulemba mankhwalawa ndi ma NSAID kapena aspirin amachititsa chiopsezo cha zotsatira za poizoni , mwinamwake kutuluka kwa m'mimba . Odwala nthawi zambiri amaganiza kuti aspirin ndi a-over-the-counter NSAID ali otetezeka, pokhapokha ngati sakufuna mankhwala. Sizomwe zili choncho ndipo akadali okhoza kuchititsa kuti mankhwala osokoneza bongo akhale ovuta.
5. Zotsatira Zowonongeka Zingasokonezeke Pakati pa NSAID Zina Payekha.
Zimene ofufuza apeza ndizo:
- Naproxen imawoneka yotetezeka kwambiri pamaganizo a mtima.
- Celebrex imadziwika chifukwa cha mavuto ochepa m'mimba kuposa a NSAID zachikhalidwe, koma chiopsezo chachikulu cha mtima.
- Anthu okalamba omwe ali ndi vuto la kuthamanga kwa magazi , mavuto a mtima, ndi zilonda zingakhale ndi chiopsezo chachikulu cha zotsatira za NSAID.
6. Odwala Odwala Matenda a Mtima Sayenera Kutenga NSAID iliyonse
Nthawi zina odwala omwe ali ndi matenda a mtima, pakhoza kukhala njira zabwino zothandizira kuti athetse matenda a nyamakazi popanda chiopsezo chachikulu. Mwachitsanzo, Acetaminophen, ikhoza kukhala yabwino kwa odwala omwe ali ndi matenda a mtima. Palinso mankhwala ena opweteka . Odwala a mtima omwe ali kale ndi aspirin chifukwa cha mtima wawo sangakhale woyenera kwa NSAID popeza chiphatikizo chikuwonjezera chiopsezo cha zotsatirapo .
7. Pali Kusiyana Kwambiri Kwambiri Pomwe Munthu Wodwala Akuyankha
Mwa kuyankhula kwina, nchifukwa chiyani NSAID yapadera imagwirira ntchito bwino kwa wodwala mmodzi osati konse? Kusiyana kwa pharmacokinetic pakati pa NSAID kungathe kuwerengera kusiyana kwa kuyankha kwa odwala. Mwa kuyankhula kwina, momwe mankhwalawa amathandizidwira, kufalitsidwa, kuwonetseratu thupi, ndi kuchotsedwa mu thupi akhoza kuwerengera kusiyana kwake.
8. Pafupifupi 60 peresenti ya odwala adzayankha ku NSAID iliyonse yopatsidwa
Chiyeso cha NSAID kwa milungu itatu chiyenera kukhala motalika kokwanira kuti chikhazikitse ngati chingakhale chotheka ndi kuchepa kutupa. Pafupifupi 10 peresenti ya odwala nyamakazi ya nyamakazi sakuyankha ku NSAID iliyonse.
9. Dokotala Wanu Ayenera Kudziwa Ngati Mukudwala Matenda Ena
Adziwitse dokotala musanayambe kutenga NSAID ngati muli kapena muli ndi izi:
- Impso zochepa kapena chiwindi chimagwira ntchito
- Vuto losadziwika ndi chiwindi
- Chilonda chaposachedwa, m'mimba mwazi , gastritis
- Tengani magazi ochepa
- Tenga prednisone kapena steroid zina
- Chiwerengero chochepa cha platelet
- Matenda a Crohn kapena ulcerative colitis
- Mbiri ya kupweteka kapena mavuto ena amtima
- Matenda a mphumu kapena matenda ammapapu
- Kusuta kwa NSAIDs kapena aspirin
- Zosintha zamkati
- Acidx yamadzi
- Amayi kapena akuyamwitsa
- Imwani zakumwa zopitirira 7 zokha mowa / sabata kapena 2 / tsiku
- Okalamba kuposa 65
10. Ngati Ndiwe Woyembekezera, kambiranani za NSAID Gwiritsani Ntchito Dokotala Wanu
Malangizo omwe amapatsidwa kwa amayi apakati ndi oti asagwiritse ntchito NSAID pokhapokha palibe njira ina. NSAID ziyenera kupezeka pa masabata 12 omaliza a mimba chifukwa cha zoopsa kwa mwana wakhanda.
Zotsatira:
Information kwa Odwala Zokhudza NSAIDs. American College of Rheumatology. June 2007.
http://www.rheumatology.org/public/factsheets/nsaids.asp
NSAIDs. Choyamba pa Rheumatic Diseases. Koperani 12. Lofalitsidwa ndi Arthritis Foundation.