Yiyiphi Imithi Engafaniyo Nezifo Ezisisigxina?
Izigulane ezininzi zichazwe ngamachiza omzimba onokutsha (okubizwa ngokuba ngama-NSAID) amaninzi kwiimeko ezahlukeneyo zomzimba, kuquka i- arthritis , ithethonitis , ne- bursitis . La mayeza ayiluncedo kuphela ngenxa yokuba banceda ukunciphisa intlungu, kodwa banceda ukulawula ukuvuvukala nokuvuvukala.
Nangona kunjalo, njengawo nawaphi na amayeza, kukho imingcipheko kunye neenzuzo, kwaye abantu bafanele baqaphele ngaphambi kokujika kwibhotile ukujongana neempawu zabo.
Nangona iyeza lingaba yinkqubo ekhuselekileyo neyinkqubelayo kwezi meko zomzimba, kukho iindlela ezikhuselekileyo zonyango. Ngaphambi kokuba uqale nawaphi na amayeza, xubusha inzuzo kunye nolwaphulo kunye nogqirha wakho, kwaye uhlale unesiqinisekiso sokuba ugqirha wakho oyintloko uyayazi nawaphi na amachiza amatsha owathathayo, ingakumbi ukuba uyithatha rhoqo.
IiNSAID zoNgcono
I-NSAID zifumaneka zombini kwi-counter kunye neyeza. Kubalulekile ukuqonda ukuba ngelixa kukho ukungafani phakathi kwe-NSAID yokungagunyazisiyo kunye nokungagunyazisiyo, lo mmahluko awunako ukukhululeka kweempawu. Izigulane ezininzi zifumana impendulo engcono kakhulu kwi-NSAID ezingaphezulu kwe-counter.
Akuzange kubekho uphando olubonisa ukuba ii-NSAID ezitsha (ezibizwa ngokuba yi-COX-2 inhibitors), ii-NSAID zemithi , okanye ii- NSAID ezibiza kakhulu , ukuphatha ubuhlungu okanye ukuvuvukala naluphi na olungcono kunamanye amayeza e-NSAID. Uninzi lwaphando oluvavanya imiphumo ye-NSAID luyenziwe ngokusebenzisa ibuprofen ngaphezulu kwe-counter.
Kufuneka uthathe ntoni?
Amaxesha amaninzi izigulane ziya kuba neempendulo ezahlukeneyo kunyango kunye neyeza ezahlukeneyo. Yingakho amanye amayeza encedile iimpawu zakho ngelixa abanye bengenawo umphumo omkhulu. Oku akuqhelekanga, kwaye kunzima ukuqikelela ukuba yiyiphi imithi eya kunceda umntu ngamnye.
Indlela efanelekileyo yokufumana ukuba yiyiphi enye iNSAID eyona nto ikulungeleyo kukuzama iindlela ezahlukeneyo. Ngokuqhelekileyo ugqirha uya kuncoma enye ye-NSAID, kwaye ukuba uncedo olwaneleyo lweempawu alufumaneki kwiiveki ezimbalwa zonyango, enye i-NSAID ingahlolwa.
Esinye sezizathu ezifanelekileyo zokuqwalasela ezinye zezinto ezintsha, imishanguzo yemithi, njengeCelebrex okanye i-Mobic, kukuba le nto inokuthi ithathwe njengama-day-day-day kunezihlandlo ezintathu okanye ezine iintsuku zonke. Ukongeza, ii-COX-2 inhibitors zicingelwa ukuba zineempembelelo ezimbalwa kwisisu. Ngenxa yokuba kunokwenzeka ukuba umngcipheko weengxaki zesisu uncitshiswe, ngaba oogqirha baya kuncomela i-COX-2 inhibitors kwizigulane ezinokuba neziganeko zobungozi okanye izilonda zesisu .
Indlela Yokulawula Ukuvuvukala
Amachiza akusiyo isisombululo kuphela sokulawula ukuvuvukala nokungahambi kakuhle. Njengoko siya kuba nolwazi ngakumbi kwaye sinokuyichukumisa imiphumo emibi yecala nayiphi na imithi, izigulane ezininzi kunye noogqirha banomdla kwiindlela ezingekho ze-pharmacologic ukulawula ukuvutha. Kukho iindlela ezininzi abantu abajongana ngazo ukuvutha. Abanye banokuxhaswa kwezesayensi kangcono kunabanye, kodwa uninzi lwabo lukhuselekile ukuzama.
Indawo enokuqala ukuqala yinkqubo ye-RICE yokuvuvukala, emele: ukuphumla, iqhwa, ukunyanzeliswa kunye nokuphakama.
Olunye unyango olunokuba luncedo luquka ukutya kunye neenkxaso ezongezelelekileyo, unyango lwamaqonga kummandla obuhlungu, kunye nemisebenzi esenzayo.
Indlela ehlala ihoywa yinto engapheliyo yokulawula ukuvuvukala ndiyibona kwizigulane zam kuphumla. Oku akuthi nje oku kuthetha ukuphumla kwii-athletics, kodwa oku kuthetha ukuba ukuvumela ukuba inxalenye yecandelo elimele liphumle kwimisebenzi eqhelekileyo enokulinda ukuvuvukala. Siphila ubomi obumatasa obungenakuvumela ukuphumla, kodwa ukungahoyi imiqondiso yokuvuvukala kunokuncedisa ingxaki. Ngoko ke, khangela iindlela zokuphumula inxalenye yomzimba wakho olimele ukuvumela ukuvuvukala ukuphazamisa inkqubo yokubuyisela.
Imithombo:
Berger, RG "I-Nonsteroidal Anti-inflammatory Drugs: Ukwenza okukhethekileyo" J. Am. Acad. IOrn. Ukupheka, ngo-Okthoba 1994; 2: 255 - 260.