Ii-NSAID zinceda ukukhulula ubuhlungu be-arthritis nokuvuvukala
I-NSAID (izidakamizwa ezichasene ne-antisteroidal anti-inflammatory) zisetyenziselwe ukunyanga i- arthritis iminyaka engaphezu kwamashumi amathathu. Ii-NSAID zino-anti-inflammatory, analgesic (painkilling), kunye ne-antipyretic (i-fever-reduction). Kukho iibakala ezibalulekileyo omele ukwazi ngazo nge-NSAID ukwenzela ukuba amayeza asetyenziswe ngokukhuselekileyo nangempumelelo.
1. Kukho iintlobo ezintathu ze-NSAID
Kukho i- salicylates ne-acetylated non-acetylated salicylates.
I-Aspirin yi-salicylate e-acetylated eyaziwa kakhulu, ebizwa ngokuba yi-acetylsalicylic acid. I-salicylates engekho-acetylated iquka i-cholin kunye ne-magnesium salicylates. Kukho ezininzi zeNSAIDS zenkcubeko kuquka:
- I-Ansaid (igama eliqhelekileyo elithi flurbiprofen)
- Arthrotec (igama eliqhelekileyo elithi diclofenac kunye ne-misoprostol)
- I-Aspirin (i-acetylated / non-acetylated salicylates)
- Celebrex (igama eliqhelekileyo celecoxib)
- I-Clinoril (igama eliqhelekileyo elithi sulindac)
- I-Daypro (igama eliqhelekileyo le-oxaprozin)
- I-Disalcid (igama eliqhelekileyo lisasaza)
- I-Dolobid (igama eliqhelekileyo le-diflunisal)
- UFeldene (igama eliqhelekileyo elithi piroxicam)
- Ibuprofen (amagama e-brand names include Motrin, Advil, Mediprin, Nuprin, Motrin IB)
- Indocin (igama eliqhelekileyo i-indomethacin)
- Ketoprofen (amagama aquka amagama a-Orudis, i-Oruvail, i-Actron, i-Orudis KT)
- ULowine (igama eliqhelekileyo neodolac)
- Isibizo (igama eliqhelekileyo elithi meloxicam)
- Nalfon (igama eliqhelekileyo elithi fenoprofen)
- I-Naproxen (amagama egama-magama aquka uNaprosyn, uAleve, iNaprelan, i-Anaprox)
- Relafen (igama eliqhelekileyo elithi nabumetone)
- I-Tolectin (igama eliqhelekileyo elithi tolmetin sodium)
- Hlanganisa (igama eliqhelekileyo elithi choline magnesium trisalicylate)
- I-Voltaren (igama eliqhelekileyo elithi diclofenac sodium)
I-COX-2 kuphela ye-NSAID ekhethiweyo kwimarike yiCelebrex (celecoxib). I-COX-2 i-NSAID ekhethiweyo ayinako ukudala iingxaki zesisu kune-NSAID zemveli. Iiprofayili zabo ezinomzimba ezithandekayo zenza ukuba ziqhelwe ekuqaleni kodwa zonke i-NSAID zinomngcipheko wegazi ophezulu, iingxaki zeengtso , ukugcinwa kwamanzi kunye neengozi zentliziyo.
Ezinye i-NSAID zifumaneka kwi-Over-Counter Counter Force
Ingaba kufuneka usebenzise i-over-counter-counter okanye i-prescription amandla I-NSAID ixhomekeke kwimeko yakho. Ngokuqhelekileyo ngenxa yezimo ezinzima, njengama-sprains kunye noxinzelelo, ii-NSAID ezingaphezu kwee-akhawunti zingasebenza ngokufanelekileyo. Kwiintlobo ezingapheliyo ze-arthritis, kufuneka ukuba amandla omgudu kufuneka.
3. I-NSAID isebenze ngokuVimbela i-Cyclooxygenase (COX)
I-Arachidonic acid ikhutshwe kwi-membrane phospholipids ekuphenduleni isenzo esibangelisayo. I-Prostaglandins isungula impendulo yokuvukela. Ii-SAs ziphazamisa ukuveliswa kwe- prostaglandines ngokuvimbela i- cyclooxygenase .
4. Iimviwo ze-NSAID azifanele zithatyathwe nge-NSAID ezingaphezulu kwe-Counter-Counter
Ukuthatha imimiselo ye-NSAID kunye ne-NSAID okanye i-aspirin iphakamisa umngcipheko wemiphumo emibi , mhlawumbi ukuphuma kwamanzi . Izigulane zihlala zicinga ukuba i-aspirin kunye ne-SA-counter-counter-counter-SA-N-Aids zikhuselekile, ngokusekelwe kwinto yokuba abayidingi imithi. Akunjalo kwaye basenako ukudala ukusebenzisana kwezidakamizwa ezingafunekiyo.
5. Iziphumo eziPhakathi zingadlulela phakathi kweeNSAID ezithile.
Yintoni abaphandi abayifumene kukuba:
- I-Naproxen ibonakala ikhuselekile kakhulu kwi-cardiovascular system.
- I-Celebrex iyabonwa ngeengxaki ezimbalwa zesisu kunamaNSAID yendabuko, kodwa ingozi enkulu yentliziyo.
- Abantu abadala kakhulu abaneengxaki zengcinezelo yegazi , iingxaki zentliziyo, kunye nezilonda zinokufumana ingozi enkulu yeziphumo ezivela kwi-NSAID.
6. Izigulane ezinezifo zeentliziyo ezifanelekileyo akufanele zithathe nayiphi na i-NSAID
Kwezinye iimeko zezigulane ngabanye abaneesifo senhliziyo, kunokukho iindlela ezingcono zokonyango ukulawula iimpawu ze-arthritis ngaphandle kwengozi enkulu. I-Acetaminophen, umzekelo, inokuba yindlela engcono kwizigulane ezinesifo senhliziyo. Kukho nezinye iilwimi zentlungu . Iigulane zeentliziyo ezisele zithatha i-aspirin ngenxa yeemeko zentliziyo zingenakuba ngumviwa kwi-NSAID ekubeni ukuhlanganiswa kwandisa ingozi yemiphumo emibi .
7. Kukho ukuhlukahluka kakhulu kwiMpendulo Yomonde ngamnye
Ngamanye amagama, kutheni i-NSAID ethile isebenza kakuhle kwisigulane esinye kwaye kungekhona enye? Ulwahlulo lwe-pharmacokinetic phakathi kwe-NSAID lungenza i-akhawunti malunga nokuhluka kwempendulo yesigulane. Ngamanye amazwi, ukuba isichengisiso sithathwa njani, sisasazwa, sisetyenziswe, kwaye sichithwa emzimbeni singenza i-akhawunti malunga nokungafani komntu ngamnye.
8. Phantse ama-60 Ipesenti yezigulane ziya kuphendula kwiNSAID
Ulingo lwe-NSAID kwiiveki ezintathu kufuneka libe lide ngokwaneleyo ukuseka ukuba liya kusebenza kwaye linciphise ukuvutha. Phantse iipesenti ezili-10 zezigulane ze- rheumatoid arthritis aziphenduli naliphi na i-NSAID.
9. Ugqirha kufuneka Ukwaziswa Ukuba unemiqathango ethile yezoLo
Yazisa ugqirha wakho phambi kokuba uthathe ii-NSAID ukuba unayo okanye unayo na le miqathango ilandelayo:
- Umsebenzi wezintso okanye isibindi
- Ingxaki yesibindi engaqhelwanga
- Isilonda esandula, isisu esisukayo, isisu segastritis
- Thatha i-blood thinners
- Thatha i- prednisone okanye enye i- steroids
- Inani elisezantsi leplatelet
- Isifo sikaCrohn okanye i-ulcerative colitis
- Imbali yesifo okanye ezinye iintliziyo
- I-asthma okanye imeko engapheliyo yemiphunga
- Ukunyuka kwamanzi kwi-NSAID okanye i-aspirin
- Iindidi zeeplastiki
- Acidx
- Ukukhulelwa okanye ukuncelisa
- Phuza ngaphezu kwezi-7 zokusela iziyobisi / iveki okanye 2 / ngosuku
- Umdala kunama-65
10. Ukuba Ukhulelwe, Xoxa nge-NSAID Sebenzisa kunye noDokotela wakho
Iingcebiso eziqhelekileyo kwabasetyhini abakhulelweyo kukuba akufanele basebenzise ii-NSAID ngaphandle kokuba kungekho nenye indlela kubo. Ii-SAs kufuneka zikhunjulwe ngexesha lokugqibela kweeveki ezili-12 zokukhulelwa ngenxa yobungozi kumntwana.
Imithombo:
Ulwazi malunga nezigulane malunga ne-NSAID. Ikholeji yaseMerika yaseRheumatology. Juni 2007.
http://www.rheumatology.org/public/factsheets/nsaids.asp
NSAID. I-Primer kwi-Rheumatic Diseases. Ukushicilelwa 12. Kushicilelwe ngu-Arthritis Foundation.