U-Advil no-Ibuprofen nge-Back Pain - The Risks

Kusukela ngo-2015, i-FDA ifuna ukuthi abakhiqizi bemithi engaqinisekisiwe yokulwa nokuvuvukala baqinise izixwayiso kumalebula abo omuthi odokotela. Lokhu kuthinta kokubili i-NSAID yesimangalo kanye ne-over-counter. (Lezi zixwayiso zibizwa ngokuthi ama-label labels.) Izixwayiso eziqinisiwe manje zibonisa ukuthi izidakamizwa ezingezona ukuvuvukala (non-steroidal anti-inflammatory (NSAIDs) zingandisa amathuba okuhlaselwa yinhliziyo noma isifo sohlangothi, okunye okungaholela ekufeni. Qaphela ukuthi nakuba i-NSAID, i-FDA ithi isixwayiso sabo esibukeziwe asisebenzi ku-aspirin.

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Mayelana nezingozi zika-Advil no-Ibuprofen

U-Advil yi-NSAID evame ukunconywa noma enqunyiwe kubantu abanezintamo noma ubuhlungu emuva. I-NSAID imithi elwa nokuvuvukala eyaziwa ukukhulula ubuhlungu nokunciphisa ukuvuvukala. Ngezinye izikhathi banikezwa ngezidakamizwa zemithi yokugula izifo nezimo zobuhlungu.

Igama elijwayelekile le-Advil yi-ibuprofen. Ezinye izinhlobo ze-ibuprofen zikhona, kanye nokufaka i-Motrin ne-Aleve. Lokho kusho ukuthi i-FDA ikuxwayisa ukuthi uthathe umkhiqizo owodwa we-ibuprofen ngesikhathi esisodwa. Indlela engcono kakhulu yokubona ukuthi uphuza ingaphezu kweyodwa ngokufunda amalebula omuthi ngamunye ocatshangayo nokuqhathanisa izithako ezisebenzayo, i-FDA iyazisa.

Izingozi vs Izinzuzo

Njenganoma yimiphi imithi, ukusetshenziswa kwe-Advil kuza nezinzuzo ezingenzeka kanye nezingozi empilweni yakho. Izinzuzo, yiqiniso, yizithembiso zokukhululeka kobuhlungu, kanye nokulawula ukuvuvukala ngakho-ke kungenzeka ukuthi izicubu ezinzima zingaphansi komgwaqo.

Ngokuphathelene nezingozi, ezinye ziyingcosana, kanti ezinye zingabulala.

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Ingozi Yokuhlasela Inhliziyo

I-Food and Drug Administration (FDA) ithi uma uthatha ama-NSAID, i-Advil engayinye, amathuba okuba nomcimbi we-cardiovascular ephakeme kunabantu abangathathi lesi sidakamizwa. Izenzakalo ze-cardiovascular zihlanganisa kokubili ukuhlasela kwenhliziyo nokushaywa yisifo.

I-NHS (e-UK) ithi ukuhlaselwa kwenhliziyo kwenzeka lapho igazi legazi livinjelwe.

Izindaba ezimbi ukuthi ngisho noma ngabe ungumsebenzisi we-NSAID okokuqala noma uyithatha esikhathini esifushane kuphela, awukhululekile ekuhloleni kwenhliziyo.

I-FDA ithi lesi siphumo esibi kakhulu singase senzeke ngemuva kwamasonto ambalwa okuqala okusetshenziswa kwe-NSAID, nakuba ingozi ingase ibe ngaphezulu nokusebenzisa isikhathi eside.

"Ayikho isikhathi esisebenzisayo esingabonakali," kusho uJudy Racoosin, MD, MPH, iphini likamqondisi we-FDA's Division.

Kubalulekile ukwazi ukuthi isifo senhliziyo esibulalayo singenzeka ngaphandle kokuxwayisa. Lesi esinye sezizathu zokuthi ukuhlala ekukhulumeni okuhle nodokotela wakho kubaluleke kakhulu. Ukusebenza nodokotela wakho kungabandakanya izinto ezifana nokuchaza umlando womndeni wakho wemicimbi ye-cardiovascular, ukwethembeka ngemikhuba yakho yokubhema, nokuqiniseka ukuthi unengxoxo mayelana ne-cholesterol yakho, ukucindezelwa kwegazi kanye / noma isifo sikashukela, njengoba lezi zilinganiso / izimo zihlobene izingozi ezibekwe kuwe ngokuthatha ibuprofen.

I-FDA ibuye ikuxwayise ukuthi ungathathi ibuprofen ngaphambi noma ngemva komshini we-coronary bypass graft, owaziwa nangokuthi yi-CABG. I-CABG yinqubo yenhliziyo.

Okufanele Ukwenze Uma Uhlangabezana Nezibonakaliso Zokuhlasela Kwenhliziyo

Futhi ekugcineni, uma ubona izinkinga zezinhliziyo zenhliziyo , njengezinhlungu zesifuba, ukuphefumula kanzima, ubuthakathaka ngokuzumayo endaweni eyodwa noma eceleni komzimba, yeka ukuthatha i-NSAID futhi ufune ukunakekelwa ngokushesha.

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Ingozi yokushaya isisu

Njengesihlasela senhliziyo, ukushaywa yisifo yisifo senhliziyo kanye neminye yemiphumela emibi yokuthatha u-Advil.

I-stroke iyenzeka lapho igazi liphazamiseka ebuchosheni, kusho i-NHS e-UK. Izibhamu zingaba kakhulu futhi zingenzeke ngaphandle kokuxwayisa.

Amaningi amaqiniso kanye nezixwayiso eziphathelene nezinhlekelele-ikakhulukazi njengoba lezi zihlobene nokuthatha i-Advil / ibuprofen noma ezinye ze-NSAID-zifana nalabo abahlaselwa yinhliziyo. Lokhu kubandakanya ukuqinisekiswa kuka-FDA ka-2015 ukuthi ngisho nokusebenzisa isikhathi esifushane kungandisa ingozi yakho.

Njengengozi yokuhlaselwa kwenhliziyo, ukuthatha i-Advil kungenza ube yingozi kakhulu kunokushaya, ngisho nasekuqaleni kwemithi yokwelapha. Ngokufanayo, abasebenzisi besikhathi eside bangase babe nenengozi enkulu, ngokwe-FDA.

Okufanele ngikwenze

Khuluma nodokotela wakho mayelana nezingozi zakho futhi uthembele kuye ngemikhuba yakho yezempilo engeyona enhle njengokubhema. Futhi qiniseka ukuthi umtshele ukuthi ngabe ilungu lomndeni wakho liye lashaya isifo.

Kungumqondo omuhle ukufunda ukuthi ungabona kanjani izimpawu zesifo. I-acronym FAST iyindlela ehle yokugcina lolu lwazi luseduze. Nge-FAST, ubuka izimpawu ezingu-3 futhi uma zikhona, uthatha isenzo esingu-1 kanje:

1. Ubuso - Okungafani
2. Arm - Ingalo eyodwa ilenga phansi.
3. Ukukhuluma okuthunyelwe
4. Isikhathi sokubiza 911 - Ngomunye wesibili kubalwa ngokugcina impilo nokukwazi ukusebenza, ngakho ungalibali.

Eqinisweni, uSophia Tabors oneminyaka engu-10 ubudala waseSt. Louis wenza iprojekthi yakhe efanele yezesayensi "indlela yokutshela ukuthi kukhona umuntu oshaywayo, nokuthi kufanele akwenze." Ngenxa yalolu hlelo, uSophia wakwazi ukubona lapho umkhulu wakhe ephethe isifo sohlangothi. Izindaba ze-CBS zibika ukuthi zikwazi ukubona izimpawu ngenkathi zenzeka futhi zithatha isenzo esifanele sokutshela unina, owabiza ngokuthi u-911. Udokotela wathi uSophia kanye nokuphendula kukaMama kamnandi kwasiza umkhulu kaSophia ukusebenza okuningi futhi mhlawumbe wakhe ukuphila.

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Isisu se-Stomach Ulcer and Bleeding Risk

Ngenxa yokuthi i-Advil iyi-NSAID ungase uhambisane nemiphumela emibi echaphazela uketshezi kwesisu sakho nesistimu yakho yokugaya ukudla. Izibonelo zihlanganisa izilonda, ukuphuma egazini lesisu, noma izimbobo esiswini noma emathunjini. Lezi zinkinga zingathuthuka nganoma yisiphi isikhathi ngesikhathi sokwelapha, zingenzeka ngaphandle kokuxwayisa, futhi zingabangela ukufa. Ngokusho kukaDkt. Theodore Fields, ukuya kudokotela eSibhedlela Sokuhlinza Ngokukhethekile eNew York, izinkinga ze-GI ezifana nokuthuthukiswa kwezilonda, yizona zithinta kakhulu ezithatha u-Advil.

Ingozi ingase ibe ngaphezulu uma uthatha ama-NSAID esikhathini esizayo, uma usukhulile, unempilo embi, futhi / noma uphuze iziphuzo ezintathu noma ngaphezulu ngosuku olulodwa ngenkathi uthatha ibuprofen.

Ezinye izindaba ezinhle: Izinsimu zithi izidakamizwa ezihlobene nesisu nesisu sokuthatha i-Advil azivame ukungathí sina.

Kodwa imiphumela emibi ingenzeka nganoma yisiphi isikhathi, uyakusho. Ezimweni ezimbi, imishanguzo ye-NSAID ingase icasule isilonda sakho esiswini kangangokuthi idabula indawo encane yayo. Lesi yisilonda. Ezimweni ezimbi kakhulu, uthi, ukuguguleka komzimba kungabangela ukuphuma kwegazi kwangaphakathi, okungahle kusongele ukuphila.

UDkt Fields ukhombisa ukuthatha i-NSAID yakho ekupheleni kwesidlo esigcwele, noma nge-antacid. Uthi futhi uma ubona izimpawu ezifana nobuhlungu obukhulu besisu, ama-tarry izitofu noma igazi esitokisini sakho, yeka ukuthatha imithi bese ubiza udokotela wakho ASAP.

_Imithombo:

> CBS / AP. Amantombazane aneminyaka engu-10 ubudala usindisa umkhulu, ngenxa yeprojekthi ehlelekile yesayensi. Iwebhusayithi ye-CBSNEWS.

> U-FDA Ukuphepha Kokuphepha Kwezidakamizwa: I-FDA iqinisa isixwayiso sokuthi izidakamizwa ezingezona-aspirin ezingavumeli ukuvuvukala (i-NSAID) zingabangela ukuhlaselwa kwenhliziyo noma imivimbo. Izidakamizwa. Iwebhusayithi ye-FDA. NgoJulayi 9, 2015.

> I-FDA Iqinisa Isexwayiso Sokuhlasela Kwenhliziyo kanye Neengozi Yokushaya Izidakamizwa Zezidakamizwa Ezingazange Zisuse Steroidal Anti-Inflammatory. Kubathengi. Iwebhusayithi ye-FDA. NgoJulayi 9, 2015.

> Izinketho ze-NHS. Imiphumela emibi ye-ibuprofen. Ezempilo AZ. Iwebhusayithi ye-NHS.UK.

_{U-Theodore R. Fields, T., MD. Indlela Yokunciphisa Imiphumela Yecala Lezidakamizwa. Imihlahlandlela Yokusiza Ukunciphisa I-Side-Imiphumela Ye-NSAIDS (Ama-non-Steroidal Anti-inflammatory Agents).}