Ama-NSAID ajwayele ukusetshenziselwa ukwelashwa okuphulukako okungapheli
Uma ufunda ilebula yezinhlungu eziningi zokunciphisa izinhlungu, uzothola iseluleko mayelana nokuxhumana nodokotela wakho uma ubuhlungu bakho buhlala isikhathi esingaphezu kwesonto noma kunjalo. Yiqiniso, uma unesihlungu esingapheli, ubuhlungu bakho cishe buhlale izinyanga eziningi noma ngaphezulu. Lokhu akusho ukuthi izidakamizwa ezingezona ukuvuvukala (non-steroidal anti-inflammatory drugs) (NSAIDs) azifanelekile ukwelashwa okubuhlungu okungapheli .
Eqinisweni, ama-NSAID ajwayele ukusetshenziselwa ukulawula ubuhlungu obukhulu obungokomzimba nezifo zamathambo. Kungabuye kuthathwe ngaphezu kweminye imithi yobuhlungu njenge- opioids noma i- analgesics ye-adjuvant yokuphatha ubuhlungu bokuphuza .
Ama-NSAID amaningi atholakala ekuthengeni okungaphezu kwe-counter, nakuba amafomu aqinile angadinga isigwebo somdokotela. Amanye ama-NSAID atholakale kuphela emandleni kadokotela. Lezi yi-NSAID ezivame ukusetshenziswa kakhulu ngobuhlungu obungapheliyo.
Ama-NSAID angaphezu kwe-Counter for Pain Chronicle
- I-Aspirin (Bayer) : I-Aspirin ingenye ye-NSAID endala futhi ikhona cishe iminyaka engaphezu kwengu-100. Itholakala kalula futhi engabizi. I-aspirin iyasebenza ngokumelene nekhanda, izinhlungu zomzimba nezihlungu nobuhlungu be-arthritis. I-aspirin iphinde ibe negazi elincane; Abantu abaningi bavame ukuthatha i-aspirin ukunciphisa ingozi yokuthuthukisa ama-clots, okungaholela ekuhlaselweni kwenhliziyo noma ngesifo sohlangothi. Kodwa-ke, isenzo saso sokugcoba igazi sisho noma yiluphi uhlobo lokuphuma kwegazi oluzothatha isikhathi eside ukuze lulawulwe. I-aspirin ingamcasula isilonda sesisu, kodwa amafomu aphethweyo ayatholakala ukuze aphikisana nalokhu.
- U-Ibuprofen (Advil, Motrin) : i-Ibuprofen iyi-NSAID evame ukusetshenziselwa ukuphatha izinhlungu zekhanda, ama-muscle aches and sprains (kufaka phakathi ubuhlungu emuva) nobuhlungu be-arthritis. Isebenza ngokuvimbela ama-enzyme athile abangela ukuvuvukala endaweni yokulimala noma ukucasuka. Ngokuvamile i-Ibuprofen inamandla kune-aspirin futhi ivame ukucasula ngesisu. Kodwa-ke, izilonda zesisu zisengumphumela omuhle wokusetshenziswa kwe-ibuprofen yesikhathi eside. Ibuprofen ayikhuthazwa abantu abanesifo sezinso noma isibindi, noma kulabo abavame ukuphuza isilinganiso esiningi sokuphuza utshwala.
- I- Naproxen (i-Aleve) : I-Naproxen iyi-NSAID efana ne-ibuprofen. Ingasetshenziswa ukulawula ukuphathwa ikhanda, ubuhlungu be-muscle nobuhlungu be-arthritis. Uma uthatha i-naproxen engaphezu kwe-counter, noma kunjalo, ungase uthathe isikhathi esingaphansi kunalokho ongayenza ibuprofen noma i-aspirin. I-Naproxen ivame ukugaya esiswini kune-aspirin, noma kunjalo, ukusebenzisa isikhathi eside kungadala ukucindezeleka noma ukulimala kwamathumbu emathunjini (GI).
- I-Ketoprofen (i-Orudis) : I-Ketoprofen iyi-NSAID evame ukusetshenziselwa ukulawula kokubili ubuhlungu be-osteoarthritis no-rheumatoid arthritis; Kodwa-ke, ibuye isebenze ngokumelene nekhanda kanye nezinhlungu zomzimba. I-Ketoprofen isebenza ngendlela efana ne-ibuprofen ne-naproxen, nakuba kungase kuthukuthelise kakhulu isisu. Ukusetshenziswa kwesikhathi eside kwe-ketoprofen kungaholela ekulimaleni kwezinso noma kwesibindi, futhi akukhuthazwa abantu abaphuza njalo amanzi amaningi (noma ngaphezulu).
I-NSAID ye-prescription ye-Pain Chronicle
- I-Meloxicam (i- Mobic ) : I-Meloxicam iyi-NSAID yesiguli esetshenziswa kaningi ukuphatha ubuhlungu be-arthritis, kuhlanganise ne-osteoarthritis ne-arthritis ye-rheumatoid. I-Meloxicam isisindo esiswini kunamanye ama-NSAID amaningi, kufaka phakathi i-ketoprofen, evame ukusetshenziselwa ukuxilongwa okufanayo. Noma kunjalo, ukusebenzisa i-meloxicam njalo kungase kukubeke engozini yokucindezeleka kwe-GI.
- I-Celecoxib (Celebrex) : I-Celecoxib iyinhlangano ye-NSAID yesidakamizwa esisiza ukulawula ubuhlungu obuhlangene no-arthritis, izinhlungu zomzimba nezihlungu nobuhlungu obuhambisana nokuvuvukala. Njenga-meloxicam, ingenye ye-NSAID enhle kakhulu yesisu sakho; Kodwa-ke, ukusetshenziswa kwe-celecoxib isikhathi eside kungase kuholele ezilonda nasegayeni le-GI. Kukhona futhi ingozi yemicimbi yenhliziyo kubantu abathatha i-celecoxib isikhathi eside, njengokuhlasela kwenhliziyo noma isifo sohlangothi.
I-NSAID Ukuphepha Nokuhlupheka Okungapheli
Wonke ama-NSAID wezinhlungu ezingapheliyo, kuhlanganise nalabo abathengiwe ngaphezulu, manje ahlanganisa izixwayiso ze-FDA ngezinkinga zabo ezingahle zibe khona. Naphezu kwalokhu, baqhubeka beyodwa yamakilasi athandwa kakhulu ezidakamizwa asetshenziselwa ukuphatha ubuhlungu obungapheli.
I-NSAID yesidakamizwa yokubuhlungu okungapheli inganconywa ukuthi isebenzise isikhathi eside uma umuntu enengozi eyengeziwe yokwehluleka kwe-GI. Laba bantu bangabandakanya abantu abadala kanye nanoma ubani onomlando wezilonda noma ezinye izinkinga zokuphuma kwegazi.
Uma uthatha ama-NSAID ngobuhlungu obungapheli, ungamangazi uma udokotela wakho ehlola njalo igazi lakho. I-NSAID enobungozi engaba khona ingagwenywa ngokuqapha kokubili inani lakho legazi namazinga akho e-creatine. Uma amazinga akho ebonakala engakaboni, udokotela wakho angashintsha imithi yakho noma anikeze izidakamizwa ezengeziwe ukulwa nanoma yiziphi izinkinga ezingase zibe khona.
Imithombo:
I-American Chronic Pain Association. Imithi ye-APCA nokuPhepha OkuPhezulu: Isongezo 2007. Ithole ngo-6/21/09. http://www.theacpa.org/documents/ACPA%20Meds%202007%20Final.pdf
I-Merck Manuals Medical Library Library. Ubuhlungu: Ukwelashwa. Ifinyelele ngo-6/21/09. http://www.merck.com/mmhe/sec06/ch078/ch078d.html
Patino FG, Olivieri J, Allison JJ, Mikuls TR, Moreland L, Kovac SH, Juarez L, Umuntu S, Curtis J, noSaag KG. Ukuqapha Ukudakwa Kokudakwa Kwezidakamizwa Nezokuphepha. Journal of Rheumatology. 2003 Dec; 30 (12): 2680-8
Ukuphathwa Kwezokudla Nezidakamizwa zase-US. I-COX-2 Ekhethiwe (ihlanganisa i-Bextra, i-Celebrex, ne-Vioxx) kanye nezidakamizwa ezingezona ezakhethiyo ezingezona ezama-anti-inflammatory drugs (NSAIDs). Ifinyelele ngo-6/21/09. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm103420.htm