Ukukhetha Ibuprofen, Naproxen, Acetaminophen, okanye i-Aspirin
Sibona iintengiso zemihla ngemihla ezikhuthaza iintlungu ezikhupha izakhiwo zeMotrin, i-Aleve, i-Tylenol, i-Bufferin kunye nemveliso efana ne-counter-counter (i-OTC) efunyenwe kwiitrhefeshi zamatye. Ngokubanzi, sithanda ukunamathela kwi-brand eyaziwayo okanye siyakholelwa "ingcono" kunabanye.
Kodwa umbuzo yilo: ngaba bangcono, kwaye ngaba kukho nawuphi na umehluko phakathi kweentlungu enye kunye nokulandelayo?
Impendulo elula kukuba kukho ukungafani kwaye ezinye zazo zinemiphumo emibi okanye ukusebenzisana kweziyobisi. Ngaphambi kokuba uthabathe ibhotile, uya kufuna ukwenza isigqibo esinolwazi malunga nokuthenga.
Iipropati zokuThuthukisa iintlungu
Ngolunye lwale mivuzo ethandwayo yintlungu inezinzuzo kunye nobungozi. Nangona umsebenzi wabo ngokubanzi ungaphantsi koko-ukunciphisa intlungu-indlela yabo yesenzo kunye nezibonakaliso zokusetyenziswa ziyahluka.
Iinjongo zokusetyenziswa zingaquka ezinye okanye zonke ezi zilandelayo:
- ukukhulula intloko
- ukunyanga komkhuhlane
- ukunciphisa intlungu, ukuvuvukala, kunye nokuqina kobudlelwane okanye imisipha
- ukukhulula intlungu ebuhlungu
- ukunciphisa ezinye iimpawu zokugula, ukubandayo, okanye umkhuhlane
Ukukhethwa kweziyobisi kuncike kakhulu kwiimeko (ii) ezifunekayo ukuphatha kunye nokuchasene nokukuthintela ukusebenzisa imveliso ethile.
Iimveliso ngokwazo zingabelana ngezigaba ezine zonyango: ibuprofen, naproxen sodium, acetaminophen, kunye ne-aspirin.
Kuzo ezine, ibuprofen, i-naproxen sodium, kunye ne-aspirin zizo zonke iziyobisi ezingekho-steroidal ezichasayo (i-NSAID) ngeendlela ezifanayo zesenzo. Ngaloo ndlela, ii-NSAID azizange zihlangane njengoko zinokunyusa amathuba okuba nemiphumo emibi.
Okwangoku, i-acetaminophen inendlela yokwenza okungaqondwanga ngokupheleleyo.
Ngokungafani ne-NSAID, iziyobisi azivimbeli iiprotheni ezithile, ezibizwa ngokuba yi- COX enzyme , ngaphandle kwenkqubo ye-nervous central. Ukukhutshwa kwezi-enzymes kubalulekile ekunciphiseni ukutshaya kunye nentlungu. Ngaloo ndlela, i-acetaminophen ayisetyenziswanga ukuphatha izinto ezifana ne-sprains okanye ezinye iimpawu ezinxulumene nokuvuvukala.
UMotrin no-Advil (ibuprofen)
I-Motrin ne-Advil zimbini zamagama e-brand eyaziwa kakhulu e- ibuprofen kwaye ibuye ithengiswe phantsi kwamanye amagama. Isetyenziselwa ukunyanga intlungu, umkhuhlane kunye nokuvuvukala, kwaye isetyenziselwa ukunciphisa iimpawu ze-migraine, i-cramps, okanye i-rheumatoid arthritis
Ibuprofen ineempembelelo ezimbalwa kunezinye i-NSAID kodwa ingabangela ukutshabalalisa nokugqithisa. Kufuneka kugwenywe kubantu abaneengxaki zezintso okanye zesibindi kwaye banokunyusa umngcipheko woxinzelelo lwentliziyo kunye nesifo senhliziyo xa kuthathwa ngokugqithiseleyo.
I-Aleve (i-naproxen sodium)
I-Aleve ligama le-brand ye naproxen sodium kwaye ibuye ithengiswe phantsi kwamanye amagama afana ne-Midol. Iyakhathaza iimpawu ezifanayo njenge-ibuprofen nangona i-Midol (edayiswa njengeyonyango yokunyuka kwemizi) iqulethe i-caffeine kunye ne-antihistamine emnene. Inzuzo ye naproxen kukuba ihlala kwinkqubo ede kakhulu kunezinye iiNSAID.
Iziphumo eziqhelekileyo zeziphumo ziquka ukungcola, intloko, kunye nokukhawuleza.
Xa kuthelekiswa ne-ibuprofen, i-naproxen inomngcipheko ophezulu kakhulu wezilonda zesisu. Ngaloo ndlela, kufuneka kuthathwe ngokutya okanye kugwenywe ukuba unembali yezilonda okanye izifo zesibilini sokuvuvukala (IBD).
Ngakolunye uhlangothi, i-naproxen inikezela ngamaphesenti angama-50 ubuncipheko besifo senhliziyo xa kuthelekiswa ne-ibuprofen.
ITylenol (i-acetaminophen)
I-Tylenol yigama eligqwesileyo elibizwa ngokuba yi- acetaminophen . Kuye kuthengiswa phantsi kwamanye amagama anjengo-Anacin noPanadol. Isetyenziselwa ukunyanga intlungu kunye nomkhuhlane, nangona ayinakunceda ukuvuvukala.
I-Acetaminophen ivame ukudibaniswa kunye neyeza ze-opioid iintlungu zokunyanga iintlungu ezinzulu emva kokuhlinzwa.
Ngokuqhelekileyo ukhuselekile kwi dose ephakanyisiweyo nangona ukukhwabanisa okukhulu kwesikhumba kuye kwaziwa kubantu abathile. Ukusetyenziswa okugqithisileyo kunokukhokelela ekungabikho kwesibindi, ngakumbi xa kuhamba notywala.
Ngokungafani ne-NSAID, ukusetyenziswa kwe-acetaminophen akuhambelani nokuhlaselwa kwintliziyo okanye ingozi ye-stroke.
I-Aspirin (i-acetylsalicylic acid)
I-Aspirin, eyaziwa nangokuthi i- acetylsalicylic acid (ASA) , ithengiswa phantsi kwegama elithi Bayer, Bufferin, Ecotrin, kunye ne-assortment yeenguqulelo zesi-generic. I-Aspirin isetyenziselwa ukunyanga iintlungu, umkhuhlane kunye nokuvutha.
Isisu esilumkileyo sisiphumo esivamile samaspirin. Izilonda zesisu kunye nokuphuma kwamathambo kungenzeka. Oku kwenzeka ngokuqhelekileyo kubantu abadala, abo baphuza utywala, bathatha ezinye i-NSAID, okanye ngabagcini begazi. I-Aspirin kufuneka igwenywe kubantwana abanomkhuhlane ngenxa yengozi ye- Reye's syndrome (uhlobo lwe-encephalopathy).
Ngokungafani nezinye i-NSAID, i-aspirin ayinxulumene nenengozi yokuhlasela intliziyo. Enyanisweni, idlalwa rhoqo imihla ngemihla ukunciphisa umngcipheko wokuhlaselwa kwentliziyo kunye nokubetha, ikakhulukazi kubantu abacingelwa ukuba basengozini enkulu.
Ukuba kuthathwa ngexesha lokuhlaselwa kwentliziyo, i-aspirin inokunciphisa kakhulu amathuba okufa. Ngakolunye uhlangothi, akufanele kuthatyathwe ukuba unesifo sokubethwa njengezibetho zibangelwa ukuphuka kwesisu (kunokuba kungqaliwe). Ngaloo ndlela, i-aspirin inokwenza umonakalo obunzima ngokukhuthaza ukuphuma kwegazi.
ILizwi
Xa ukhetha ukuhluthwa kweentlungu ezilungileyo kuwe, kubalulekile ukujonga kwimiphumo emibi kunye naluphina ukusebenzisana kwezidakamizwa. Ingcinga efanelekileyo ukufumana iingcebiso kumgqirha wakho malunga nokuba yiyiphi enye eyona nto ingcono kuwe. Ukuba unesigqirha sezilwanyana kwaye ufuna enye ingcebiso yenkcazelo yokugqibela, ingakumbi ukuba unemibandela yonyango okanye uthabathe imithi nayiphi na uhlobo, unokuzibuza ne-pharmist.
> Umthombo:
> Choi L, et al. Ukuthelekiswa kweMiphumo yeMithi engeyiyo-Steroidal Anti-Inflammatory versus Acetaminophen kwi-Symptom Relief kwiCold Common: I-Meta-Analysis ye-Studized Controls Trial Studies. Ingxelo yeKorea yeMithi yoLuntu. 2013; 34 (4): 241-249. i-doi: 10.4082 / kjfm.2013.34.4.241.
> Moore N, Pollack C, Butkerait P. Ukuphendula kakubi kwezidakamizwa kunye nokusebenzisana kweziyobisi kunye ne-NSAID. Press Press. 2015; 11: 1061-1075. i-doi: 10.2147 / TCRM.S79135.