Ama-NSAID asiza ukukhulula ubuhlungu be-arthritis nokuvuvukala
Ama-NSAID (izidakamizwa ezingezona ukuvuvukala) ayesetshenziselwa ukuphatha i- arthritis iminyaka engaphezu kwamashumi amathathu. Ama-NSAID anesifo sokuvuvukala, i- analgesic (painkilling), ne-antipyretic (ukunciphisa umkhuhlane). Kunezici ezibalulekile okufanele wazi nge-NSAID ukuze imithi isetshenziswe ngokuphepha nangempumelelo.
1. Kunezinhlobo ezintathu ze-NSAID
Kukhona ama- salicylate acetylated kanye nama- salicylates angewona acacetylated.
I-aspirin yi-salicylate e-acetylated eyaziwa kakhulu, ebizwa nangokuthi i-acetylsalicylic acid. Ama-salicylate angenayo acetylated afaka i-choline ne-magnesium salicylates. Kunezinhlobo eziningi zeNSAIDS zendabuko kubandakanya:
- Kuthunyelwe (igama elivamile lesi-flurbiprofen)
- I-Arthrotec (igama elivamile elithi diclofenac ne-misoprostol)
- I-aspirini (i-salicylate e-acetylated / non-acetylated)
- I-Celebrex (igama elivamile elibizwa nge-celecoxib)
- I-Clinoril (igama elivamile lesi-sulindac)
- I-Daypro (igama elivamile le-oxaprozin)
- I-Disalcid (igama elivamile lesi-salsalate)
- I-Dolobid (igama elivamile eliyi-diflunisal)
- UFeldene (igama elivamile elithi piroxicam)
- Ibuprofen (amagama angama brand ahlanganisa uMotrin, Advil, Mediprin, Nuprin, Motrin IB)
- I-Indocin (igama elivamile ku-indomethacin)
- Ketoprofen (amagama amagama ahlanganisa i-Orudis, i-Oruvail, i-Actron, i-Orudis KT)
- I-Lodine (i-etodolac ejwayelekile)
- I-Mobic (igama elivamile elithi meloxicam)
- I-Nalfon (igama elivamile elithi fenoprofen)
- I-Naproxen (amagama omuthi afaka iNaprosyn, i-Aleve, i-Naprelan, i-Anaprox)
- Relafen (igama elivamile elithi nabumetone)
- I-Tolectin (igama elivamile igama le-tolmetin sodium)
- Hlanganisa (igama elivamile igama le-magnesium trisalicylate)
- I-Voltaren (igama elivamile igama le-diclofenac sodium)
I-NSAID kuphela ye-COX-2 ekhethiwe emakethe yi-Celebrex (celecoxib). I-COX-2 i-NSAID ekhethiwe ayikho amathuba okubangela izinkinga zesisu kunama-NSAID wendabuko. Iphrofayili yabo yokuphakama kwamathumbu yabenza yaba yinto ethandwa kakhulu kodwa yonke i-NSAID inengozi yokucindezelwa kwegazi eliphezulu, izinkinga zezinso , ukugcinwa kwamanzi, kanye nezingozi zenhliziyo.
Amanye ama-NSAID atholakale ku-Over-The-Counter Strength
Kungakhathaliseki ukuthi kufanele usebenzise i-over-the-counter noma amandla e-prescription ama-NSAID ancike esimweni sakho. Ngokuvamile ngezimo eziyingozi, njenge-sprains kanye nezinkinga, ama-NSAID angaphezu kokusebenza angasebenza kahle. Ngokwezinhlobo ezingapheli ze-arthritis, kungenzeka ukuthi amandla adokotela ayadingeka.
3. Ama-NSAID asebenza ngokuvimbela i-Cyclooxygenase (COX)
I-Arachidonic acid ikhishwa emlonyeni we-phospholipids ekuphenduleni isenzo sokuvuvukala. I-Prostaglandin isungula impendulo yokuvuvukala. Ama-NSAID aphazamisa ukukhiqizwa kwe- prostaglandins ngokuvimbela i- cyclooxygenase .
4. I-NSAID ye-prescription ayifanele ilandelwe ngama-NSAID angaphezu kwe-Counter
Ukuthatha imiyalelo I-NSAID ene-over-counter-counter-NSAID noma i-aspirin yandisa ingozi yemiphumela emibi , mhlawumbe ukuphuma kwamathumbu . Iziguli zivame ukucabanga ukuthi i-aspirin ne-over-the-counter I-NSAID iphephile, isekelwe nje yokuthi ayidingi imithi. Akusilo iqiniso futhi basakwazi ukudala ukusebenzisana kwezidakamizwa ezingathandeki.
5. Imiphumela emibi ingangena phakathi kwama-NSAID athile ngabanye.
Lokho abacwaningi abatholile ukuthi:
- I-Naproxen ibonakala iphephile kakhulu ohlelweni lwe-cardiovascular.
- I-Celebrex ibonakala ngezinkinga ezimbalwa zesisu kunama-NSAID wendabuko, kodwa ingozi enkulu yenhliziyo.
- Abantu asebekhulile abanenkinga yegazi ephezulu , izinkinga zenhliziyo, nezilonda bangase babe nesengozini enkulu yemiphumela emibi evela kuma-NSAID.
6. Iziguli Eyaziwa Ngezifo Zezinhliziyo Akufanele Zithathe Noma iyiphi i-NSAID
Kwezinye iziguli zabantu abanezifo zenhliziyo, kungase kube nezinketho zokwelapha kangcono ukulawula izimpawu ze-arthritis ngaphandle kwengozi enkulu. I-Acetaminophen, isibonelo, ingaba yindlela engcono kuneziguli ezinesifo senhliziyo. Kukhona nezinye imithi yobuhlungu kanye. Iziguli zenhliziyo ezithathele i-aspirin ngenxa yesimo senhliziyo yazo zingase zingabi yizicelo ze-NSAID kusukela inhlanganisela inandisa ingozi yemiphumela emibi .
7. Kukhona Ukuhluka Kakhulu Kokuphendula Ngokwempilo Yodwa
Ngamanye amazwi, kungani i-NSAID ethile isebenza kahle ngesiguli esisodwa futhi akunjalo nenye? Umehluko we-pharmacokinetic phakathi kwama-NSAID ungase ulandele ukuhlukahluka kokuphendula kwesiguli. Ngamanye amazwi, ukuthi isidakamizwa sithathwa kanjani, sisatshalaliswe, sisetshenziselwa umzimba futhi sichithwa emzimbeni singahle sibheke ukuhlukana komuntu ngamunye.
8. Cishe amaphesenti angu-60 weziguli azokuphendula kunoma iyiphi i-NSAID eyinikeziwe
Ukuhlolwa kwe-NSAID kwamasonto amathathu kufanele kube isikhathi eside ngokwanele ukuze kutholakale ukuthi kuzosebenza kahle futhi kunciphise ukuvuvukala. Amaphesenti angaba ngu-10 weziguli zesifo samathambo angaphenduli kunoma iyiphi i-NSAID.
9. Udokotela wakho kumele aziswe Uma unezimo ezithile zezokwelapha
Yazisa udokotela wakho ngaphambi kokuthatha ama-NSAID uma unezimo ezilandelayo:
- Umsebenzi wezinso we-kidney noma wesibindi
- Inkinga yesibindi engahlosiwe
- Isilonda samanje, ukuphuma kwesisu , isisu somzimba
- Thatha i-blood thinners
- Thatha i- prednisone noma enye i- steroids
- Inani leplatelet elincane
- Isifo sikaCrohn noma i-ulcerative colitis
- Umlando wesifo noma ezinye izinkinga zenhliziyo
- Isimo se-asthma noma izifo ezingapheli
- Ukungezwani komzimba ku-NSAID noma i-aspirin
- Ama-polyp nasal
- I-reflux ye-Acid
- Ukukhulelwa noma ukuncelisa
- Phuza iziphuzo ezingaphezu kuka-7 / isonto noma 2 / ngosuku
- Endala kunama-65
10. Uma Ukhulelwe, Xoxa nge-NSAID Ukusebenzisa nodokotela wakho
Iseluleko esivamile kubantu besifazane abakhulelwe ukuthi akufanele basebenzise ama-NSAID ngaphandle uma kungekho enye inketho kubo. Ama-NSAID kufanele nakanjani agwenywe phakathi namaviki angu-12 okugcina wokukhulelwa ngenxa yezingozi ezinganeni.
Imithombo:
Imininingwane yeziguli mayelana nama-NSAID. I-American College of Rheumatology. Juni 2007.
http://www.rheumatology.org/public/factsheets/nsaids.asp
Ama-NSAID. I-Primer kuma-Rheumatic Diseases. Edition 12. Ishicilelwe yi-Arthritis Foundation.