Amathiphu amahlanu wokunciphisa ingozi yakho yezindlela ezingezansi
Akuyona into engavamile ukuzwa ngabantu abathatha i-aspirin yansuku zonke, ephansi ukunciphisa ingozi yokuhlasela inhliziyo yabo ngenkathi belapha isifo samathambo esinomuthi ofanayo njengo- Advil (ibuprofen) noma i- Aleve (naproxen) .
Kodwa ingabe kuyinto ephephile ukuyenza? Futhi, uma kungenjalo, yiziphi ezinye izindlela umuntu angase aziphathe kangcono kuzo zombili lezi zimo?
Ukusebenzisana Okudakayo Kwezidakamizwa
Kubalulekile ukuqonda ukuthi i-aspirin, ibuprofen, kanye ne-naproxen bonke bayingxenye efanayo yemithi eyaziwa ngokuthi izidakamizwa ezingezona ukuvuvukala (ama-NSAID) .
Zonke izindlela ezifanayo zesenzo futhi zisebenza ngokunciphisa ubuhlungu, ukwelapha umkhuhlane, futhi, ekudleni okuphezulu, ukwehlisa ukuvuvukala.
Enye yezinto abahlanganyela nazo yimiphumela emibi. Izimpawu zamathumbu zivamile kubantu abasebenzisa ama-NSAID, okwandisa ingozi yokuphuma kwegazi kanye nokuthuthukiswa kwezilonda zamapulpus ezinamandla.
Ngisho nomthamo ophansi, ukuhlanganisa i-aspirin nenye i-NSAID kungandisa ingozi yezilonda, ikakhulukazi kubantu aba:
- Ngaphezu kuka-65
- Ukuthatha imithi ye-corticosteroid
- On blood thinners ezifana Coumadin (warfarin) noma Plavix (clopidogrel)
- Ababhemayo
- Abaphuza kakhulu
- Ukubona ukuphuma kwamathumbu noma ukuba nomlando wezilonda
Kuseqembu labantu ukuthi ukusetshenziswa okuhlangene kufanele kugwenywe.
5 Izindlela Zokunciphisa Ingozi Yokudla Kwesisu
Kunezindlela eziningana zokunciphisa lemiphumela emibi uma uthatha i-aspirin ye-dose ephansi nenye i-NSAID:
- Ukuthatha i-proton pump inhibitor kunganciphisa ingozi. I-Proton pump inhibitors (i-PPIs) njenge-Prilosec (i-omeprazole), i-Nexium (esomeprazole), i-Prevacid (i-lansoprazole), noma i-Aciphex (i-rabeprazole) inganciphisa ama-acids esiswini ngenkathi iphikisana neminye yemiphumela eqondile ye-NSAID. Ama-PPI athathwa kahle ngesisu esingenalutho 30 amaminithi ngaphambi kokudla kokuqala kosuku ukuze uthole inzuzo enkulu.
- Khetha i-NSAID encane engabangela ukuphuma kwegazi . Ezinye, izidakamizwa ezingavamile kakhulu eziphikisayo ezifana ne-Disalcid (salsalate), i-low-dose Celebrex (celecoxib), i-Voltaren (i-diclofenac), ne-Mobic (meloxicam) ingaba ngempumelelo ekwelapheni ubuhlungu futhi okungenani kakhulu kungabangela ukuphuma kwegazi. Ngaphezu kwalokho, uma kuqhathaniswa ne-ibuprofen noma i-naproxen, cishe ayinandaba nokuphazamiseka kwezinzuzo ze-aspirin.
- Sebenzisa izidakamizwa ngaphandle kwe-NSAID ukuphatha i-arthritis. Kulabo abadinga ngempela ukusebenzisa i-aspirin ye-dose ephansi futhi basengcupheni yempawu yamathumbu, ukushintshela kwizidakamizwa ezingekho ngaphansi kwe-NSAID kungaba yindlela efanele kakhulu. Lezi zihlanganisa iTylenol (i-acetaminophen) , okuyiyona ekhulula ubuhlungu kodwa ayinayo impikiswano yokulwa nokuvuvukala, ne- Ultram (tramadol) , ehlinzeka ngosizo oluqinile lobuhlungu kodwa idinga ukunikezelwa kwemithi.
- Sebenzisa izindlela zokwelashwa ezingekho komlomo. Ngokugwema imithi yomlomo, uqobo lwakho usemngciphekweni ophansi wokuthuthukisa izinkinga zesisu noma isilonda. Izikhwama ze-analgesic eziphezulu ezinikezwa ukuzwa okushisayo noma okubandayo ngezinye izikhathi zanele ukuhlinzeka ngosizo lwendawo yobuhlungu. Kukhona futhi ama-patches e-subdermal aqukethe ibuprofen okubikiwe ukuhlinzeka ukuphumula amahora angaphezu kwangu-12.
- Khetha i-NSAID encane engabangela ukuphuma kwegazi. Uma uthatha i-aspirin yansuku zonke, cishe usuvele ukhathazekile nomsebenzi jikelele noma i-cardiologist. Uma kunjalo, kubalulekile ukuvumela udokotela wakho ukuthi aziphi noma yiziphi izidakamizwa ongase uthathe. Lokhu kuqinisekisa ukuthi ukuhlolwa okudingekayo kwenziwa ukuze kuqashwe inani lakho legazi , umsebenzi wesibindi, nokusebenza kwezinso. Izivivinyo zivame ukuphindwa njalo emva kwamasonto ayisishiyagalombili kuya kwangu-10 lapho kuqala kuqala futhi ukwanda njalo ezinyangeni ezintathu kuya kweziyisithupha uma igazi lomuntu lisebenza ngendlela evamile futhi lizinzile.
> Umthombo:
> Colebatch, A .; Ama-Marks, J .; kanye no-Edwards, C. "Ukuphepha kwezidakamizwa ezingezona ukuvuvukala, okubandakanya i-aspirin ne-paracetamol (i-acetaminophen) kubantu abathola i-methotrexate ye-arthritis yokuvuvukala (isifo samathambo, i-ankylosing spondylitis, i-psoriatic arthritis, enye i-spondyloarthritis)." I-Cochrane Database yezibuyekezo ezihleliwe. 2011; 11: CD008872.