Ukukhetha Ibuprofen, Naproxen, Acetaminophen, noma i-Aspirin
Sibona izikhangiso nsuku zonke zikhuthaza izindawo zokunciphisa ubuhlungu be-Motrin, i-Aleve, i-Tylenol, i-Bufferin, nemikhiqizo efana ne-counter-the-counter (OTC) etholakala kumashalofu esitolo semithi. Ngokubanzi, sivame ukunamathela kulokhu esikuqaphelayo noma esikholwa ukuthi "kungcono" kunabanye.
Kodwa umbuzo yilokhu: ingcono yini, futhi ingabe kukhona ngempela umehluko phakathi kokubuyiselwa ubuhlungu obulodwa nokulandelayo?
Impendulo elula yukuthi kukhona ukungezwani kanti ezinye zazo zinemiphumela emibi noma ukusebenzisana kwezidakamizwa. Ngaphambi kokuba uthathe ibhodlela, uzofuna ukwenza isinqumo esinolwazi mayelana nokuthenga.
Impahla Yokubuyiselwa Kwezinhlungu
Ngayinye yalezi zihluthulelo ezidumile ezibuhlungu zinezinzuzo nezingozi. Ngenkathi umsebenzi wabo jikelele uhambelana kakhulu-ukunciphisa ubuhlungu-indlela yabo yesenzo kanye nezinkomba zokusetshenziswa ziyahlukahluka.
Imigomo yokusebenzisa ingabandakanya ezinye noma zonke ezilandelayo:
- ukukhulula ikhanda
- ukuphatha imfiva
- ukunciphisa ubuhlungu, ukuvuvukala, nokuqina kohlangothini noma imizimba
- ukukhulula ubuhlungu ngokulimala
- ukuze unciphise ezinye izimpawu zemithi, izikhuhlane, noma umkhuhlane
Ukuzikhethela kwezidakamizwa kuxhomeke kakhulu esimweni (ama) okudingeka ukwenze kanye nokuphikisana okukuvimbela ekusebenziseni umkhiqizo othize.
Imikhiqizo ngokwayo ingahlukaniswa ngezigaba ezine zezidakamizwa: ibuprofen, sodium naproxen, acetaminophen, ne-aspirin.
Kulezi ezine, ibuprofen, sodium naproxen, kanye ne-aspirin yizo zonke izidakamizwa ezingezona isifo sokuvuvukala (ama-NSAID) ngendlela efanayo yesenzo. Ngenxa yalokho, ama-NSAID awahlanganiswa ngoba angakwandisa amathuba okuba nemiphumela emibi.
Phakathi naleso sikhathi, i-acetaminophen inendlela yokwenza okungaqondi kahle.
Ngokungafani ne-NSAID, izidakamizwa azivimbeli amaprotheni athile, abizwa ngokuthi ama-enzyme e-COX , ngaphandle kwesistimu yenzwa yomphakathi. Ukuvinjelwa kwala ma-enzyme kuyisihluthulelo sokunciphisa ukuvuvukala kanye nobuhlungu. Ngakho-ke, i-acetaminophen ayisetshenziselwa ukuphatha izinto ezinjenge-sprains noma ezinye izimpawu ezihlobene nokuvuvukala.
UMotrin no-Advil (ibuprofen)
I-Motrin ne-Advil ngamagama ama-brand awaziwa kakhulu e- ibuprofen futhi athengiswa ngamanye amagama. Isetshenziselwa ukuphatha ubuhlungu, umkhuhlane, nokuvuvukala, futhi kuvame ukusetshenziselwa ukunciphisa izimpawu ze-migraine, izikhwama zokuya esikhathini noma i-rheumatoid arthritis
U-Ibuprofen unemiphumela emibi kakhulu kunezinye ze-NSAID kodwa kungabangela ukuphuza nokuphuza. Kumelwe kugwenywe kubantu abanenkinga yezinso noma isibindi futhi bangandisa ingozi yokushisa komfutho nokucindezeleka kwenhliziyo uma kuthathwa ngokweqile.
I-Aleve (i-naproxen sodium)
I-Aleve yigama legama le- sodium naproxen futhi lidayiswa ngaphansi kwamanye amagama afana ne-Midol. Iphatha izimpawu ezifanayo njenge-ibuprofen nakuba i-Midol (edayiswa njengendlela yokwelapha izidakamizwa zokuya esikhathini) iqukethe i-caffeine ne-antihistamine emnene. Inzuzo ye naproxen yukuthi ihlala ohlelweni isikhathi eside kunamanye ama-NSAID.
Imiphumela emibi evamile ihlanganisa isizungu, inhloko, nokukhwabanisa.
Uma kuqhathaniswa ne-ibuprofen, i-naproxen inengozi enkulu kakhulu yezilonda zesisu. Ngakho-ke, kufanele kuthathwe ngokudla noma kugwenywe uma unomlando wezilonda noma izifo ezibangelwa ukukhukhumeza (IBD).
Ngakolunye uhlangothi, i-naproxen inikeza ingozi engamaphesenti angu-50 engaphansi kwesifo senhliziyo uma kuqhathaniswa ne-ibuprofen.
I-Tylenol (i-acetaminophen)
I-Tylenol yigama elidume kakhulu le- acetaminophen . Ibuye ithengiswe ngaphansi kwamanye amagama afana no-Anacin noPanadol. Isetshenziselwa ukuphatha ubuhlungu nomkhuhlane, nakuba kungasizi ngokuvuvukala.
I-Acetaminophen ivame ukuhlanganiswa nemithi yokwelapha i-opioid ukuphatha ubuhlungu obukhulu ngemva kokuhlinzwa.
Ngokuvamile iphephile kumthamo owunconywayo nakuba ukushona okukhulu kwesikhumba kuye kwaziwa kubantu abathile. Ukusebenzisa ngokweqile kungaholela ekuhlulekeni kwesibindi, ikakhulukazi uma kuhambiswa utshwala.
Ngokungafani ne-NSAID, ukusetshenziswa kwe-acetaminophen akuhlobene nokuhlaselwa kwenhliziyo noma ingozi yokushaya isifo.
I-aspirin (i-acetylsalicylic acid)
I-aspirin, eyaziwa nangokuthi i- acetylsalicylic acid (ASA) , iyathengiswa ngaphansi kwegama elithi Bayer, Bufferin, Ecotrin, kanye ne-assortment yezinguqulo ezivamile. I-aspirin isetshenziselwa ukuphatha ubuhlungu, umkhuhlane, nokuvuvukala.
Isisu esiswini siwumphumela ovamile wesifo se-aspirin. Izilonda zesisu nokugaya kwamathumbu kungenzeka. Lokhu kwenzeka kaningi kubantu asebekhulile, labo abaphuza utshwala, bathatha amanye ama-NSAID, noma abaphethwe igazi. I-aspirin kufanele igwenywe ezinganeni ezine-fever ngenxa yengozi ye- Reye's syndrome (uhlobo lokuxilongwa kwe-encephalopathy).
Ngokungafani namanye ama-NSAID, i-aspirin ayihlotshaniswa nenengozi yokuhlasela inhliziyo. Eqinisweni, kuvame ukuthathwa nsuku zonke ukunciphisa ingozi yokuhlaselwa inhliziyo kanye nokushaya, ikakhulukazi kubantu ababhekwa njengengozini enkulu.
Uma kuthathwa ngesikhathi sokuhlasela kwenhliziyo, i-aspirin inganciphisa kakhulu amathuba okufa. Ngakolunye uhlangothi, akufanele kuthathwe uma unesifo sokushaya kanzima njengoba izibhamu zivame ukubangelwa ukuqubuka komvuthwandaba (kunokuba kuvaliwe). Ngenxa yalokho, i-aspirin ingenza isifo esibi sibi nakakhulu ngokugqugquzela ukuphuma kwegazi.
Izwi elivela
Uma ukhetha ukuhlushwa okulungile kuwe, kubalulekile ukubheka imiphumela emibi kanye nanoma yikuphi ukusebenzisana kwezidakamizwa okungenzeka. Kungumqondo omuhle ukuthola iseluleko kudokotela wakho ngokuthi yikuphi okungcono kakhulu kuwe. Uma ukhona esitolo sezidakamizwa futhi udinga iseluleko sokugcina ngomzuzu wokugcina, ikakhulukazi uma unemibandela yezokwelapha noma uthatha imithi yanoma yiluphi uhlobo, ungase ubuze umuthi wemithi.
> Umthombo:
> Choi L, et al. Ukuqhathaniswa komphumela wezidakamizwa ezingezona ezama-anti-inflammatory ngokumelene ne-Acetaminophen ku-Symptom Relief ye-Cold Common: Ukuhlaziywa kwe-Meta-Ukuhlaziywa kweziNhlelo zokuHlola eziLungisiwe. I-Korean Journal of Medicine Family. 2013; 34 (4): 241-249. doi: 10.4082 / kjfm.2013.34.4.241.
> Moore N, Pollack C, Butkerait P. Ukusabela Okungalungile Kwezidakamizwa kanye Nokusebenzisana Nezidakamizwa Nezidakamizwa Nge-Over-the-Counter NSAIDs. I-Dove Cindezela. 2015; 11: 1061-1075. i-doi: 10.2147 / i-TCRM.S79135.