Ingabe ukusetshenziswa kwe-NSAID isikhathi eside?
Uma unesihlungu esingapheli, kungenzeka ukuthi uphendukela kuma- NSAID ukuze uthole ukuphumula kobuhlungu okungenani kanye ngesikhathi. Kodwa ingabe ukusebenzisa isikhathi eside kwe-NSAID kuphephile? Futhi yiziphi imiphumela emibi engaba khona? Nakhu okumele ukwazi mayelana nama-NSAID ngobuhlungu obungapheliyo.
Ziyini ama-NSAID?
Izidakamizwa eziphikisana nezidakamizwa, noma ama-NSAID, imithi yokuhlunguphazwa evame ukusetshenziselwa ukuphatha ubuhlungu besisindo nokuhlanganyelwa, nakuba kungenzeka isetshenziselwe ubuhlungu bezinzwa kwezinye izimo.
Ama-NSAID awela ngaphansi kwesihloko sama -analgesics angenayo i-opioid noma imithi yobuhlungu obungenayo i-narcotic. Ngokuvamile, ukusebenzisa i-NSAID yokubuhlungu okungapheli kuyasebenza kakhulu uma ubuhlungu bakho bubucayi noma bube bukhulu.
Ngokungafani ne- opioids , ama-NSAID amaningi angathengwa phezu kwekhawunt. Ibuprofen kanye ne-naproxen, kokubili ama-NSAID, atholakala kalula ezitolo zezidakamizwa nezilula. I-NSAID yezikhwepha zezinhlinzeko zemithi yokuhlunguphazeka okungapheli nazo ziyatholakala uma ubuhlungu bakho bukhulu kakhulu. Kulezi zimo, ama-NSAID angabuye ahlanganiswe nama-opioids ukulawula kangcono ubuhlungu bakho.
Indlela ama-NSAID akhipha ngayo ubuhlungu
Ama-NSAID anciphisa ubuhlungu ngezindlela ezimbili. Okokuqala, bashintsha umuzwa wobuhlungu ngokuvimbela ama-enzyme athile abambe iqhaza ekuphenduleni ubuhlungu. Okwesibili, basebenza ukuze banciphise ukuvuvukala okuvame ukuhlotshaniswa nezinhlobo ezithile zobuhlungu. Amanye ama-NSAID, noma kunjalo, asebenza ngokuphumelelayo ekunciphiseni ukuvuvukala uma kuthathwe amazinga aphezulu.
Ama-NSAID amaningi athathwa ngomlomo, futhi amandla ahlukahluka kuye ngokuthi hlobo luni lomuthi kanye nesilinganiso esetshenziswayo.
Uma uthatha ama-NSAID ngobuhlungu obungapheli, ungathatha inguqulo emfushane ehambisana ne-anti-pain actives, njengo-opioid noma i- analgesic adjuvant (i- anticonvulsant noma i-antidepressant). Lokhu kuyiqiniso ikakhulukazi uma unenkinga yokuphumelela . Kodwa-ke, i-NSAID esebenza isikhathi eside yokuhlunguphazeka okungapheli inganele ukulawula izimpawu zakho.
Izinhlobo zama-NSAID for Pain Chronic
Ezinye ze-NSAID ezitholakalayo ezingaphezu kwe-counter for the counter zihlanganisa i- aspirin , ibuprofen, naproxen ne-ketoprofen. Le mithi yezinhlungu idayiswa ngamandla ahlukile angavunyelwe futhi ingahlanganiswa nezinye izithako, njenge-caffeine noma i-acetaminophen.
Izinguqulo zamandla ezidakamizwa ze-NSAID ziyatholakala futhi. Amanye ama-NSAID odokotela ajwayelekile asetshenziselwa ubuhlungu obungapheli ahlanganisa i-meloxicam ne-celecoxib. Cishe wonke ama-NSAID, kokubili okusemthethweni kanye nangaphezulu, athathwa ngomlomo.
Ingabe i-NSAID ivikelekile ebuhlungu obungapheli?
Uma ama-NSAID asetshenziselwa njalo isikhathi eside, njengoba kuvame ukubhekana nobuhlungu obungapheli, amandla okuba nemiphumela emibi akhula. Ubufakazi bubonisa ukuthi kungenzeka ukuthi izinkinga ezihlobene ne-NSAID ziyakhula njengoba ukhula. Iminye imiphumela emibi ejwayelekile ifaka phakathi:
- Intukuthelo yesisu nesilonda
- Ukuvinjelwa kwamathumbu (GI) ukuphuma
- Ukwandisa amathuba okulimaza
- Ukweqisa kwezimpawu ze-asthma
- Ingozi eyengeziwe yokushaywa yisifo, isifo senhliziyo kanye nama-blood clots
Uma uhlela ukuba ku-NSAID ukuze ubuhlungu obungapheli isikhathi eside, udokotela wakho angashintsha umthamo. Ungase futhi ikunikeze neminye imishanguzo yegciwane elivimbela amandla okuthuthukisa noma yiziphi izimo ezingenhla.
Kungenzeka ukwanda kwezinkinga ze-NSAID uma:
- Umsi
- Phuza utshwala njalo
- Bangabantu abadala
- Unomlando wesifo senhliziyo
- Yiba nomfutho wegazi ophakeme
- Uke waba nezinkinga ze-GI
- Unesifo sezinso noma isibindi
Wonke ama-NSAID, kokubili okubhalwe phansi futhi ngaphezulu kwekhasi, manje amalebula ezokuxwayisa ezemidlalo ngenxa yesinqumo se-Food and Drug Administration. Naphezu kwezixwayiso, ukusebenzisa ama-NSAID kuhlala enye yezindlela ezithandwa kakhulu ekunciphiseni ubuhlungu.
Imithombo:
I-American Chronic Pain Association. Imishanguzo ye-APCA kanye nobuhlungu obungapheli: Isongezo 2007.
I-American College of Gastroenterology. Izingozi ze-Aspirin ne-NSAID.
I-Merck Manuals Medical Library Library. Ubuhlungu: Ukwelashwa.
Ukuphathwa Kwezokudla Nezidakamizwa zase-US. I-COX-2 Ekhethiwe (ihlanganisa i-Bextra, i-Celebrex, ne-Vioxx) kanye nezidakamizwa ezingezona ezakhethiyo ezingezona ezama-anti-inflammatory drugs (NSAIDs).