Iingcebiso ezi-5 zokunciphisa ingozi yakho yeempembelelo zangasese
Akuqhelekanga ukuva malunga nabantu abathabatha i-aspirin yansuku zonke, bezantsi ukunciphisa ingozi yabo yokuhlasela intliziyo xa bephethe i-arthritis yabo ngesilwanyana esifana ne- Advil (ibuprofen) okanye i- Aleve (naproxen) .
Kodwa ngaba yinto ekhuselekileyo yokwenza? Kwaye, ukuba akunjalo, yintoni enye into enokuthi umntu ayiphathe kakuhle le miqathango?
Ulwalamano olunokwenzeka
Kubalulekile ukuqonda ukuba i-aspirin, ibuprofen, kunye ne-naproxen bonke beliqela elifanayo lemichiza eyaziwa ngokuba yiziyobisi ezichasayo ezingabhubhisiyo (i-NSAID) .
Zizo zonke iindlela ezifanayo zesenzo kunye nokusebenza ngokunciphisa intlungu, ukunyanga komkhuhlane, kwaye, kwizinga eliphezulu, ukunciphisa ukuvuvukala.
Enye yezinto abelana ngazo kunye nemiphumo emibi. Izimpawu zesisu ziqhelekileyo kubantu abasebenzisa ii-NSAID, ukwandisa umngcipheko wegazi kunye nokuphuhliswa kwezilonda ze-peptic ulcer.
Ngaphandle kwesazi ephantsi, ukudibanisa i-aspirin kunye nezinye i-NSAID inokunyusa ingozi yezilonda, ikakhulukazi kubantu aba:
- Ngaphezu kwama-65
- Ukuthatha amayeza e-corticosteroid
- Kwi-bloodliners njenge-Coumadin (warfarin) okanye i-Plavix (clopidogrel)
- Ababhemayo
- Basele
- Ukufumana ukuphuma kwegazi okanye unembali yezilonda
Kulo qela labantu abasebenzisanayo kufuneka baphephe.
Iindlela ezi-5 zokunciphisa ubungozi besisu
Kukho iindlela eziliqela zokunciphisa le micimbi yecala xa uthatha i-aspirin ye-dose ephantsi kunye NSAID:
- Ukuthatha i-proton pump inhibitor kunokunciphisa ingozi. Iproton pump inhibitors (PPIs) njenge-Prilosec (omeprazole), i-Nexium (esomeprazole), i-Prevacid (i-lansoprazole), okanye i-Aciphex (i-rabeprazole) inokunciphisa i-acids esiswini xa ilwa neminye imiphumo eqhelekileyo ye-NSAID. Ii-PPI zithathwa kakuhle kwisisu esingenalutho 30 imizuzu ngaphambi kokutya kokuqala kwosuku ukufumana inzuzo enkulu.
- Khetha i-NSAID encinci ukuba inokuphuma igazi . Eminye, izidakamizwa ezichasene nezidalwa ezivuthayo ezinjenge-Disalcid (i-salsalate), i-dose e-low Celebrex (celecoxib), i-Voltaren (i-diclofenac), kunye ne-Mobic (meloxicam) inokusebenza ngokuphumelelayo ekuphatheni intlungu kwaye kunokwenzeka ukuba kungabikho ukuphuma kwegazi. Ngaphezu koko, xa kuthelekiswa ne-ibuprofen okanye i-naproxen, abanako ukuphazamiseka kwezibonelelo ze-aspirin.
- Sebenzisa iziyobisi ngaphandle kwe-NSAID ukunyanga i-arthritis. Kwabo bafuna ukusebenzisa i-aspirin ye-dose ephantsi kwaye basemngciphekweni wezimpawu zesisu, ukutshintsha kwiiyobisi ezingekho phantsi kwe-NSAID kungaba yinto efanelekileyo kakhulu. Ezi ziquka iTylenol (i-acetaminophen) , ekhupha intlungu kodwa ayinayo impembelelo echasayo, kunye ne- Ultram (tramadol) , enika ukukhululeka kwentlungu kodwa idinga imithi.
- Sebenzisa iziyobisi ezingekho komlomo. Ngokugwema unyango lomlomo, ungokoqobo kwimeko engezantsi yokukhupha iingxaki zesisu okanye isilonda. Iimpawu zeengqungquthela zengqungquthela ezinika ukutshisa okutshisayo okanye okubandayo ngamanye amaxesha kunokwaneleyo ukubonelela ngeentlungu zendawo. Kukho iipatches ezisezantsi eziqulethe ibuprofen ezixelwe ukubonelela ukuphucula iiyure ezili-12.
- Khetha i-NSAID encinci ukuba inokuphuma igazi. Ukuba uthatha i-aspirin yansuku zonke, mhlawumbi sele ujongene nomsebenzi jikelele okanye i-cardiologist. Kwimeko enjalo, kubalulekile ukuvumela ugqirha wakho ukuba azi naziphi na zonke iziyobisi onokuzithatha. Oku kuqinisekisa ukuba iimvavanyo ezifunekayo zenziwa ukujonga iliso lakho legazi , umsebenzi wesibindi kunye nomsebenzi wezintso. Iimvavanyo ziphindwaphindwa rhoqo emva kweeveki ezi-8 ukuya kwele-10 xa kuqala ukuqala nokunyuka ukuya kwiinyanga ezintathu ukuya ezintandathu emva kokuba igazi lomntu lisebenza kwaye lizinzile.
> Umthombo:
> Colebatch, A .; Amanqaku, J .; kunye no-Edwards, C. "Ukukhuselwa kwezidakamizwa ezichasene nezidakamizwa ezingekho komzimba, kuquka i-aspirin kunye neparacamamol (acetaminophen) kubantu abafumana i-methotrexate ngenxa ye-arthritis evuthayo (i-rheumatoid arthritis, i-spondylitis i-ankylosing, i-psoriatic arthritis, enye i-spondyloarthritis)." I-Cochrane Database yeeNkqubo eziPhezulu. 2011; 11: CD008872.