Ingozi kunye nemiphumo yeCelebrex yonyango lwe-migraine
Igama le-Celebrex-generic celecoxib - luhlobo lwe-antisteroidal anti-inflammatory okanye i- NSAID . Isebenza ngokuchasana nokuvuvukala kwe-prostaglandin emzimbeni, ngoko ukunciphisa intlungu. Nangona esetyenziswa ngokubanzi ekuphatheni i- arthritis , oogqirha abathile bathi i-Celebrex ibe yimigraines emangalisayo.
I-Celebrex ihluke njani kwi-NSAID yendabuko?
I-Celebrex ijolise i-enzyme emzimbeni obizwa nge-COX-2, ojongene nokuvuvukala emzimbeni.
Ngakolunye uhlangothi, i- Ibuprofen kunye ne-naproxen, zijolise zombini i-enzymes COX-2 kunye ne-COX-1 - ngoko kuthiwa yi-NSAID ezingakhethi. I-COX-1 iyi-enzyme eyanceda ukugcina indawo yesisu kunye namathumbu.
Ngelixa ii-NSAID zinokunciphisa intlungu kunye nokuvuvukala ngokujolisa kwi-COX-2, nazo zingabangela ukulimala kwisisu nasemathunjini emathumbu, okukhokelela ekuphumeni kwegazi kunye nezilonda. Ngokukhetha ngokukhethekileyo i-COX-2, i-Celebrex inciphisa ingozi yesisu neengxaki zamathumbu.
Ngaba i-Celebrex ibhalwe ngu-Neurologists kwi-Migraines?
Nangona ii-NSAID zithathwa njengonyango lokuqala lwe-line for migraines ekhulayo, kusekho ulumkiso olusetyenziswe oogqirha abaninzi ekumisela iCelebrex. Oku kubangelwa ukurhoxiswa kwamanye ama-inhibitors e-COX-2 avela kwimarike, njengeVixx (rofecoxib), ngenxa yokudibanisa neengxaki zentliziyo.
Ngoku yonke i-NSAID, kuquka i-Celebrex, ithwala isilumkiso sebhokisi kwengozi eyongezelelekileyo yesifo senhliziyo, njenge-heart attack and stroke.
Oko kushiwo, iCelebrex ingaba yindlela enye yokwelapha ekwenzeni unyango olunzima, ngakumbi kubantu abasengozini yokulimala kwe-NSAID kwisisu nasemathumbu. Ukuxhasa le ngqungquthela, isifundo esincinane se-2007 kwiSingapore Medical Journal sabona ukuba i-400mg ye-celecoxib yayilingana ne-550mg naproxen ekunciphiseni i-migraines enzima-kwaye i-celecoxib yabangela ubuhlungu besisu obungaphantsi kune-naproxen.
Ziziphi Ezinye Iingcali Zakho Ugqirha Ngaba Unokubuza?
Njengokuba kukho nawaphi na amayeza, kubalulekile ukuxoxa ngazo zonke iingozi kunye nemiphumo emibi kunye nogqirha wakho. Nazi izibonelo zemibandela embalwa ugqirha angakubuza:
- Ziziphi ezinye iyeza ozithathayo? Amanye amachiza asebenzisana neCelebrex okanye ayenzi ngakumbi ukuchaphazeleka kwayo.
- Ngaba unayo nayiphi na isifo? Umzekelo, akufanele uthathe iCelebrex ukuba une-asthma, imihlathi, okanye isisombululo esiphezulu kwi-NSAID ngaphambili.
- Ngaba unayo nayiphi na ingxaki yonyango? Ngokomzekelo, iCelebrex ayinakuyinikwa ngaphambi okanye emva kokuhlinzwa kwentliziyo.
- Ngaba ukhulelwe? I-Celebrex ayifanele isetyenziswe kwizigaba ezilandelayo zokukhulelwa.
Imiphumo emibi yeCelebrex
Ezi zifuna ukuba uqhagamshelane nodokotela wakho ngokukhawuleza uze ufake:
- Impendulo yokuphefumula (ukuphefumula ubunzima; ukuvala umqala wakho; ukuvuvukala komlomo wakho, ulwimi, okanye ubuso;
- Intlungu yesisu, ukunyameka, okanye ukuphazamiseka
- Izitulo ezinokutsha, ezimnyama, okanye ezilindelekileyo
- Isihlunu okanye ukuguquka
- Ukuhlanza igazi
- Ukufumana ubunzima obungachazwanga
- Ukukhupha okanye ukugcinwa kwamanzi
- Ukukhathala okungavamile okanye ukunyaniseka
- Ukugqithisa isikhumba okanye ukubetha
- Ukuqhwala kwesikhumba okanye amehlo akho
- "Izimpawu ezinjenge-Flu"
- Ukuqhwala okanye ukuphuma
Ngenxa yobuncipheko obunokwenzeka bokuhlaselwa kwintliziyo kunye nokubetha nge-Celebrex kunye nezinye i-non-aspirin NSAID, njenge-ibuprofen kunye ne-naproxen, kubalulekile ukufuna unyango ngokukhawuleza ukuba ufumana iintlungu zesifuba, ukuphefumla iingxaki, ubuthathaka kwicala elinye okanye kwicala umzimba, okanye intetho edibeneyo.
Ezinye iziphumo ezincinci ezinokuthi zibandakanyeke zibandakanya ukuguquka, uhudo, isisu, iimpawu ezibandayo. Kubalulekile ukuqhagamshelana nogqirha wakho ukuba uyaphawula nayiphi na imiphumo emibi ephazamisayo, eqhubekayo okanye enxulumene nawe okanye abanye.
Ithetha ntoni le nto?
Ukuba ugqirha wakho ubeka iCelebrex kwimigraines yakho, unokuyifumana isisu esiswini sakho kuneAleve (naproxen) okanye i-Motrin (ibuprofen).
Imithombo
I-American Academy ye-Neurology. Izikhokelo ezisekelwe kwiingqinisiso ze-Migraine Headache kwi-Primary Care Setting: Ulawulo lwe-Pharmacological of Attect Acute. Ukubuyiselwa ngoDisemba wesi-2, 2015.
FDA. I-FDA iyavuma iinguqu zokuqala ze-celecoxib. Ukuhlaziywa ngoDisemba wesi-2, 2014.
Hawkey CJ. I-COX-1 kunye ne-COX-2 inhibitors. I-Best Pract Res Clin Gastroenterol. 2001 Oct; 15 (5): 801-20.
I-Loder E, iBurch R, i-Rizzoli P. Izikhokelo ze-AHS / AAN ze-2012 zokuthintela ukuthatha i-epradic migraine: isishwankathelo kunye nokuthelekiswa nezinye izikhokelo zonyango zamuva. Intloko . 2012: 52: 930-45 .
ULoo CY, u-Tan HJ, iTeh HS noRaymond AA. I-randomized, iilebuli evulekileyo, ilingo elilawulwayo le-celecoxib kunyango lwe-migraine. Singapore Med J. 2007 Sep; 48 (9): 834-9.
US Food and Drug Administration. (Julayi 9, 2015). I-FDA yoNxibelelwano loKhuseleko lweDrug: I-FDA iqinisa isilumkiso sokuba izidakamizwa ezingekho-aspirin ezingamelana nokutshabalala (i-NSAID) zingabangela ukuhlaselwa kwintliziyo okanye ukubetha.
US Food and Drug Administration. Isikhokelo seMithi yeMithi engeyi-Steroidal Anti-Inflammatory Drugs (i-NSAID).