Ii-NSAID Zivame ukusetyenziswa ngokuPhepha koPhulo olungapheliyo
Ukuba ufunda ileyibhile yeenhlungu ezininzi zokunciphisa ubuhlungu, uya kubona ingcebiso malunga nokuqhagamshelana nodokotela wakho ukuba intlungu yakho ihlala ixesha elide kuneveki okanye njalo. Ewe, ukuba unentlungu engapheliyo, intlungu yakho mhlawumbi ihlale inyanga okanye ngaphezulu. Oku akuthethi ukuba izidakamizwa ezichasayo ezingabhubhisiyo (i-NSAID) azifanelekanga unyango olungapheliyo .
Enyanisweni, ii-NSAID zihlala zisetyenziselwa ukulawula ubuhlungu obungamaxesha obuhlungu kunye ne-arthritis. Zingathatyathwa ngaphezu kweminye imilenze enjengee- opioids okanye i- analgesics ene-adjuvant yokulawula intlungu .
Uninzi lwe-NSAID lufumaneka kwi-over-counter-counter-counter, nakuba iifom ezinamandla zingadinga isigqirha segqirha. Ezinye i-NSAID zifumaneka kuphela kumandla omyalelo. Ezi zizona zi-NSAID eziqhelekileyo ezisetyenziselwa ubuhlungu obungapheliyo.
I-NSAID ze-Over-Counter Counter Pain
- I-Aspirin (Bayer) : I-Aspirin enye ye-NSAID endala kwaye ijikeleze ngaphezu kweminyaka eyi-100. Itholakala ngokulula kwaye ingabizi. I-Aspirin isebenza ngokuphumelelayo neentloko, iintlungu zomzimba kunye neentlungu kunye nobuhlungu be-arthritis. I-Aspirin nayo igazi elincinci; abaninzi abantu bathabatha i-aspirin ukunciphisa umngcipheko wokuvelisa ama-clots, oku kunokukhokelela ekuhlaselweni kwentliziyo okanye ngesifo. Nangona kunjalo, inyathelo layo lokunyusa igazi lithetha ukuba nayiphi na uhlobo lokuphuma kwegazi kuya kuthatha ixesha elide ukuze lilawulwe. I-Aspirin inokucaphukisa isilonda sesisu, nangona iifom ezixubileyo ziyafumaneka ukulwa nale nto.
- Ibuprofen (Advil, Motrin) : i-Ibuprofen yi-NSAID esoloko isetyenziselwa ukuphatha iintloko, imisipha ye-muscle kunye ne-sprains (kubandakanywa iintlungu zentlungu) kunye nentlungu ye-arthritis. Isebenza ngokuthintela i-enzymes ethile eyenza ukuvuvukala kwindawo yokulimala okanye ukucaphuka. U-Ibuprofen ngokubanzi unamandla kune-aspirin kwaye kaninzi ayicasula kwisisu. Nangona kunjalo, izilonda zesisu zisenokuba yimpembelelo yempembelelo yexesha elide le-ibuprofen. Ibuprofen ayikhuthazwa ngabantu abanezintso okanye isifo sesibindi, okanye abo batywala rhoqo ixabiso elincinci lotywala.
- I-Naproxen (i-Aleve) : I-Naproxen yi-NSAID efana ne-ibuprofen. Ingasetyenziselwa ukulawula iintloko, iintlungu zomzimba kunye nentlungu ye-arthritis. Ukuba uthabatha i-naproxen ye-counter-counter, kunjalo, ungayithatha kancinci kunokuba ungayi-ibuprofen okanye i-aspirin. I-Naproxen ngokuqhelekileyo isondeza kwisisu ngaphezu kwe-aspirin, nangona kunjalo, ukusetyenziswa ixesha elide kunokuthi kubangele ubandezeleka (GI) okanye umonakalo.
- Ketoprofen (Orudis) : I-Ketoprofen yi-NSAID eqhelekileyo isetyenziselwa ukulawula i-osteoarthritis kunye nentlungu yesifo se-arthritis; nangona kunjalo, kusebenza ngokumalunga neentloko kunye nobuhlungu besisu. I-Ketoprofen isebenza ngokufana ne-ibuprofen kunye ne-naproxen, nangona ingaba yecala ngakumbi kwisisu. Ukusetyenziswa kwexesha elide nge ketoprofen kunokukhokelela kwimonakalo yesifo okanye isibindi, kwaye akukhuthazwa ngabantu abavame ukusela isiselo esilinganiselweyo (okanye ngaphezulu).
I-NSAID ye-Prescription ye-Pain Chronicle
- I-Meloxicam (i- Mobic ) : I-Meloxicam yinto yesigqirha se-NSAID esetyenziswa rhoqo ekuphatheni ubuhlungu be-arthritis, kuquka i-osteoarthritis kunye nesifo se-rheumatoid arthritis. I-Meloxicam iyisisindo kwisisu kuninzi nezinye i-NSAID, kubandakanywa ne-ketoprofen, esetyenziswa rhoqo kwiimeko ezifanayo. Nangona kunjalo, ukusebenzisa i-meloxicam rhoqo kunokusenza ube mngcipheko we-GI.
- I-Celecoxib (iCelebrex) : I-Celecoxib iyimfuneko ye-NSAID enomyalelo owanceda ukulawula intlungu kunye kunye ne-arthritis, iintlungu zomzimba kunye neentlungu kunye nentlungu ehambelana nokuqhaqha. Njenga-meloxicam, enye ye-NSAID enesisindo seesisu sakho; Nangona kunjalo, ukusetyenziswa kwexesha i-celecoxib ixesha elide kunokukhokelela kwizilonda kunye nokuphuma kweGI. Kukho umngcipheko weemeko zengqondo zomzimba kubantu abathatha i-celecoxib ixesha elide, njengesihlungu senhliziyo okanye isifo.
Ukhuselo lwe-NSAID kunye nobuhlungu obungapheliyo
Zonke i-NSAID zeentlungu ezingapheliyo, kubandakanywa nabo bathengiweyo kwi-counter-counter, ngoku zibandakanya izixwayiso ze-FDA zeengxaki zabo. Nangona kunjalo, baqhubeka beyodwa yeeklasi ezidume kakhulu zezidakamizwa ezisetyenziselwa ukunyanga intlungu.
I-NSAID yesigqirha yentlungu engapheliyo inokucetyiswa ukuba isebenzise ixesha elide ukuba umntu unomngcipheko ophezulu weengxaki ze-GI. Aba bantu bangabandakanya abantu abadala kunye nabani na abaneembali zezilonda okanye ezinye iingxaki eziphazamisayo.
Ukuba uthatha ii-NSAID zintlungu engapheliyo, ungamangaliswa ukuba ugqirha wakho uhlola rhoqo igazi lakho. Ubunokuthi unobungozi be-NSAID bunokuphetshwa ngokubeka esweni kokubala kwegazi lakho kunye namanqanaba akho okudala. Ukuba amazinga akho akonakala, uogqirha wakho unokutshintsha amayeza akho okanye anikezele amanye amachiza ukuba aphikiselele naziphi na iingxaki.
Imithombo:
I-American Chronic Pain Association. I-APCA Imithi kunye nobuhlungu obungapheliyo: I-Supplement 2007. Kufumaneka ngomhla we-6/21/09. http://www.theacpa.org/documents/ACPA%20Meds%202007%20Final.pdf
I-Merck Manuals iTree Library yeLayibrari. Ubuhlungu: unyango. Fi kelelwa ngo 6/21/09. http://www.merck.com/mmhe/sec06/ch078/ch078d.html
I-Patino FG, u-Olivieri J, u-Allison JJ, u-Mikuls TR, u-Moreland L, uKovac SH, u-Juarez L, Umntu S, uC Curtis J, noSaag KG. I-Nonsteroidal Antiinflammatory Monitoring and Disease Practices. Journal of Rheumatology. NgoDisemba ka-2003; 30 (12): 2680-8
I-US Food and Drug Administration. I-COX-2 ekhethiweyo (iquka i-Bextra, i-Celebrex, kunye ne-Vioxx) kunye ne-Non-Steroidal Anti-Inflammatory drugs (I-NSAIDs). Fi kelelwa ngo 6/21/09. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm103420.htm