Ukuphuza ngokwegazi ngokuvamile kuvela kwi-duodenum noma esiswini, kodwa futhi kungakhula emathunjini amakhulu. Nakuba izibonakaliso ezixwayisayo zivame ukuvela, ezifana nesifo esiswini noma izigxoko zamanzi / ezimnyama, ezinye iziguli-ikakhulukazi asebekhulile-zingenaso isixwayiso ngaphambi kokuba zihlume kakhulu.
Ngaphandle kokuguga, ezinye izici eziyingozi kule nkinga zibandakanya ukusetshenziswa okuningi kwe-NSAID (isib. Ibuprofen ngaphezu kwe-counter kuhlanganiswe ne-NSAID yesiguli), abahlinzayo begazi njenge-aspirin noma i-coumadin (igazi elincane), i- corticosteroids , ukubhema, ukuphuza ngokweqile ukusetshenziswa , nomlando wangaphambili wezilonda zesisu nokugaya kwamathumbu . Ukwengeza, ezinye iziguli kungenzeka ukuthi zivezwe kuma-bacterium H. pylori ngesikhathi esithile empilweni yabo. Lezi zinambuzane ezijwayelekile kakhulu zihlobene nengozi ephakeme yezilonda eziphaphayo.
Ngenhlanhla, kulabo abagulayo abadinga ukuthatha ama-NSAID ukuphatha i-arthritis yabo, kunezindlela zokunciphisa ingozi yezilonda nezinkinga ezivela ezilonda ezifana nokuphuma kwamathumbu emathunjini. Sabuza uScott J. Zashin, MD (isazi se-rheumatologist) futhi wasikisela lezi zindlela ezingu-9 zokunciphisa ingozi yezilonda ezisuka ku-NSAIDS.
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Sebenzisa i-Ointment njengenye indlela eya ema-NSAID omlomoCabanga ngokunye ukuphulukisa ubuhlungu obufana ne- Tylenol noma i- tramadol . Kukhona nezindlela zokwelapha ezibuhlungu zendawo ezihlanganisa:
- Ama-patrama ama-thermacare (ukushisa okumanzi)
- amafutha anjengeBenGay
- imithi ye-NSAID gels noma ama-patches usebenzisa i-diclofenac (i- gel Voltaren )
Ngenkathi i-diclofenac i-NSAID, isicelo sangakini singanciphisa izinga le-NSAID egazini futhi kuncishise ingozi yokukhipha igazi.
Ama-NSAID omlomo angase abe yisinqumo sokuqala esingalungile. Kungase kube khona enye indlela yokunciphisa ngokuphumelelayo ubuhlungu, ngaphandle kokuba nemiphumela emibi kakhulu.
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Lungisa Isilinganiso Sakho Ukunciphisa Ingozi Yemiphumela YecalaKungcono ukuthatha umthamo ophansi kakhulu we-NSAID edingekayo ukuze unciphise izimpawu zakho. Ngokunciphisa umthamo kumthamo ophansi kakhulu, uyanciphisa ingozi yemiphumela emibi.
Esinye isiphakamiso okufanele ucabange ngaso-nodokotela wakho-kuvunyelwe ukuba uthathe i-NSAID yakho njengento edingekayo ngokuphambene nosuku zonke. Ngokwenza kanjalo, uzobe unciphisa ingozi yemiphumela emibi kakhulu.
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Thatha i-Safe Dose yama-NSAIDKulula ngokulula: Gwema ukuthatha i-NSAID engaphezu kweyodwa. Lokhu kungase kuzwakale njengesitatimende esicacile kodwa ezinye iziguli zingathatha ezimbili ngenxa yokuphumula okungenakwanele kobuhlungu. Kungenzeka bangaboni izidakamizwa zombili (isibonelo, i-NSAID engaphezu kwe-counter kanye ne-NSAID yesiguli) basesigabeni esifanayo sokwelapha izidakamizwa. Ukuthatha ama-NSAID amabili ahlukene kuyingozi-kungakwandisa ingozi yemiphumela emibi engathandeki kanye nezenzakalo ezibi kakhulu.
Thatha imithi yakho njengoba nje iqondiswe. Uma unemibuzo, unganqikazi ukubuza udokotela wakho noma ummithi.
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Ama-capsules we-Celebrex anciphisa ingozi ye-UlcerKumele ucabange ukhetha i-NSAID, njenge-salsalate, okungaba nengozi ephansi yokugcoba kwamathumbu uma kuqhathaniswa namanye ama-NSAID. Futhi, i-diclofenac, i-etodolac, i- meloxicam , ne- Celebrex yi-NSAID engase ibe nengozi ephansi yezilonda.
Kukhona idatha ethile yokutadisha ebonisa ukuthi i-Celebrex inganciphisa ingozi yokukhipha emathunjini amakhulu. Khuluma nodokotela wakho ukuze ubone ukuthi i-Celebrex ingaba yindlela enhle kuwe. Ungakhohlwa noma kunjalo, i-Celebrex iboshelwe, ngezinga elithile, ukucabangela izingozi. Yingozi nezisindo ezilinganiselayo.
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I-Proton Pump Inhibitors Inciphisa Ingozi Ye-UlcerUkuhlanganisa i-NSAID ne- proton pump inhibitor (PPI) kunganciphisa ingozi yesisu noma isilonda esiswini. Lokhu kubalulekile ukuthi iziguli zengozi eyengeziwe. I-PPI ihlanganisa i-Prilosec (etholakalayo ngaphezulu kwe-counter), i-Aciphex, i-Prevacid, i-Protonix, ne-Nexium. Kukhona nomkhiqizo ohlanganisa naproxen ne-Prevacid komkhiqizo owodwa.
Kanye ne-PPI, i-misoprostol (i-Cytotec) inganciphisa ingozi yesilonda. Lo mkhiqizo udinga ukuthathwa izikhathi ezine / usuku ngokudla ukuze uzuze ukuvikelwa okuphezulu, kepha ukuvikelwa okunye kwenzeka uma kuthathwa kabili nsuku zonke. Lo mkhiqizo utholakala ngokuhambisana ne-diclofenac. I-Misoprostol ehlangene ne-diclofenac idayiswa njenge- Arthrotec . I-Misoprostol iphikisana nabesifazane abakhulelwe noma abangakhulelwa ngoba kungabangela ukukhulelwa kwesisu.
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Ungayinaki Izimpawu ZezokwelaphaHlela ukubonisana njalo nodokotela wakho ukuze uhambe kunoma yiziphi izimpawu ongazithola. Yenza umsebenzi wakho wegazi uhlolwe noma yiziphi izimpawu zokugaya. Uma uthatha ama-NSAID, lokhu kufanele kube yingxenye yokulandelela kwakho okuqhubekayo nodokotela wakho.
Ngokusebenza kahle, kungenzeka ukuthi ubambe izimpawu ekuqaleni futhi ugweme isimo esiphuthumayo. Njengoba ama-NSAID azi izingozi, kokubili isiguli nodokotela kumele bafune izimpawu zokugaya.
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Hlola i-H. PyloriCabanga ukuthi uhlolwe yini, futhi uma unempilo, uphathwa nge-H. pylori amagciwane ukuze unciphise ingozi yokuthuthukisa isilonda. I-H. pylori (ekhonjiswe ngenhla) ingakhula esiswini sakho noma ingxenye yokuqala yomathumbu wakho omncane futhi ihlotshaniswe nengozi ephakeme yezilonda.
Eqinisweni, ukutheleleka kukaHl pylori yiyona imbangela evame kakhulu yezilonda zesisu, futhi kubangelwa ukuvuvukala kwesisu somzimba.
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Thatha ama-NSAID kwisisu esigcweleKuyinto engavamile iziguli ezithatha ama-NSAID ukuthuthukisa izimpawu zamathumbu. Ukuthatha imithi ngesisu ngokuphelele kungathuthukisa ukubekezelelana.
Ukuthatha ama-NSAID esiswini esingenalutho kwandisa ingozi yokuthuthukisa izilonda-noma ngabe uyayenza manje ngaphandle kwenkinga. Inkinga ingase ithuthuke ngokuthula. Ukuze ugweme ukuthi kungenzeka, qiniseka ukuthatha ama-NSAID ngokudla.
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Gwema izidakamizwa ze-steroid nge-NSAIDGwema izidakamizwa ze-steroid (corticosteroids), uma kungenzeka, kuhlangene nama-NSAID. Abanye odokotela bangase bahlanganise umthamo ophansi we- prednisone nge-NSAID kodwa cabanga ngokungeza i-PPI uma lokhu kuyadingeka.
I-Coumadin nama-NSAID nawo asebenzisana nokwandisa ingozi yezilonda noma ukuphuma kwegazi. Khuluma nodokotela wakho mayelana nokunciphisa ingozi yakho yokuthuthukisa izilonda eziphaphayo ngenkathi uthatha ama-NSAID. Ingxoxo ebalulekile okufanele ube nayo nodokotela wakho.
Impendulo eyanikezwa nguScott J. Zashin, MD, uprofesa wothisha wezempilo e-University of Texas Southwestern Medical School, Division of Rheumatology, eDallas, eTexas. UDkt. Zashin ungudokotela ozofika esibhedlela sasePresbyterian yaseDallas nasePlano. Ungumunye we-American College of Physicians kanye ne-American College of Rheumatology kanye nelungu le-American Medical Association. UDkt. Zashin ungumbhali we-arthritis ngaphandle kwemizwa - Isimangaliso se-anti-TNF Blockers kanye nombhali-mbhali we-Natural Arthritis Treatment.