NSAID dzinobatsira kugadzirisa kurwadziwa kweArthritis nekuputika
NSAIDs (nonsteroidal anti-inflammatory drugs) yakashandiswa kurapa arthritis kwemakore anopfuura makumi matatu. NSAIDs dzine anti-inflammatory, analgesic (painkilling), uye antipyretic (fever-reducing) properties. Pane zvinhu zvinokosha zvaunofanira kuziva pamusoro peNSAID kuitira kuti mishonga ishandiswe zvakachengeteka uye zvinobudirira.
1. Kune zvikamu zvitatu zveNSAIDs
Ikoko kune zvakagadziriswa salicylates uye kwete-acetylated salicylates.
Aspirin ndiyo inonzi inozivikanwa yakagadzirwa salicylate, inonziwo acetylsalicylic acid. Zvisiri-acetylated salicylates zvinosanganisira choline uye magnesium salicylates. Kune dzakawanda zvekare zveNSAIDS zvinosanganisira:
- Ansaid (zita rinowanzoreva flurbiprofen)
- Arthrotec (zita rinowanzoitwa diclofenac ne misoprostol)
- Aspirin (acetylated / non-acetylated salicylates)
- Celebrex (zita rinonzi celecoxib)
- Clinoril (zita rekuti sulindac)
- Daypro (zita rinonzi oxaprozin)
- Disalcid (zita rinoreva salsalate)
- Dolobid (zita rinoreva diflunisal)
- Feldene (zita rechipiri piroxicam)
- Ibuprofen (mazita emagetsi anosanganisira Motrin, Advil, Mediprin, Nuprin, Motrin IB)
- Indocin (zita rechiito indomethacin)
- Ketoprofen (mazita emagetsi anosanganisira Orudis, Oruvail, Actron, Orudis KT)
- Lodine (zita rechiito rokuti etodolac)
- Mobic (zita rinoreva zita rokuti meloxicam)
- Nalfon (zita rinowanzoreva fenoprofen)
- Naproxen (mazita emagetsi anosanganisira Naprosyn, Aleve, Naprelan, Anaprox)
- Relafen (zita guru rinonzi nabumetone)
- Tolectin (zita rechiito rokuti tolmetin sodium)
- Tora (zita rinowanzoreva choline magnesium trisalicylate)
- Voltaren (zita rinowanzoitwa diclofenac sodium)
Iyo chete COX-2 inosarudza NSAID pamusika iCelebrex (celecoxib). COX-2 kusarudza NSAIDs hazvikwanisi kukonzera zvinetso zvemuviri kupfuura NSAID dzetsika. Zviratidzo zvepamusoro zvepamusoro zvavakaita pakutanga zvakakurumbira asi dzose dzeNSAID dzine dambudziko rekuwedzera kweropa, zvinetso zveputsvo , kuchengetedza kwemvura, uye ngozi dzemoyo.
2. Dzimwe NSAID Inowanikwa muHuru-The-Counter Strength
Kunyangwe iwe uchifanira kushandisa kupfuura-the-counter kana simba remishonga NSAIDs zvinoenderana nemamiriro ako. Kazhinji nokuda kwemaitiro akaoma, sekuputira uye matambudziko, pamusoro-the-counter NSAID dzinogona kushanda zvakanaka. Pamusana pemhando dzisingagumi zveArthritis, simba remishonga rinowanzodiwa.
3. NSAID Dzinoshanda neInhibiting Cyclooxygenase (COX)
Arachidonic acid inosunungurwa kubva pamabhanana phospholipid inopindira kune zvinokonzera kupisa. Prostaglandins inogadzira kupisa kwekupindura. NSAID dzinopesana nekugadzirwa kwe prostaglandin nekudzivisa cyclooxygenase .
4. Chirongwa chepachirongwa cheNSAID hachifaniri kutorwa ne-Over-The-Counter NSAIDs
Kutora mishonga NSAIDs pamwe ne-over-the-counter NSAIDs kana aspirin inowedzera dambudziko remigumisiro yemigumisiro , zvichida kugadzika kweropa . Varwere vanowanzofunga kuti aspirin uye kupfuura-the-counter NSAIDs dzakachengeteka, zvichibva pamusana pokuti havadi mishonga. Hazvisizvo uye ivo vachiri kukwanisa kuita kuti kusawirirana kwemishonga kusakanganise.
5. Migumisiro Yechipupuriro Inogona Kuchinja Pakati Pezvimwe NSAID Zvimwe.
Zvakawanikwa nevatsvakurudzi ndezvekuti:
- Naproxen inoratidzika yakachengeteka zvikuru pamwoyo yematambudziko.
- Celebrex inozivikanwa nokuda kwezvinetso zvishomanana zvemudumbu pane zvisiri zveNSAID zvekare, asi hupenyu huri pangozi.
- Vanhu vakwegura vane dambudziko rekudzivirira kweropa , matambudziko emwoyo, uye zvionda zvinogona kuve nehuwandu hwemigumisiro kubva kune NSAIDs.
6. Varwere Vanonyatsozivikanwa Mwoyo Wezvirwere Haafaniri Kutora chero NSAID
Mune zvimwe zviitiko zvevarwere vane chirwere chemwoyo, pane zvingave zviri nani kurapa maitiro ekurapa zviratidzo zveArthritis pasina ngozi yakawanda. Acetaminophen, somuenzaniso, inogona kunge iri nzira yakanakisisa kune varwere vane chirwere chemwoyo. Kune dzimwe mishonga inorwadza pamwe chete. Varwere vemwoyo vari kutotora aspirin nekuda kwemwoyo yavo vangave vasina kubvumirana neNSAID sezvo kubatana kunowedzera dambudziko remigumisiro .
7. Kune Kuwanda Kwakawanda Mukupindurwa Kwemunhu Pamwechete
Mune mamwe mazwi, nei imwe NSAID inoshanda zvakanaka kune murwere mumwe uye kwete kune imwe? Kusiyana kwema pharmacokinetic pakati peNSAID kunogona kuverenga nezvekusiyana kwerwere ruregerero. Mune mamwe mazwi, kuti mishonga yacho inobatwa sei, inoparadzirwa, inogadziriswa, uye yakabviswa mumuviri inogona kuremekedza zvakasiyana.
8. Inenge 60 muzana yevarwere vachapindura kune chero ipi zvayo inopiwa NSAID
Chiyero cheNSAID kwemavhiki matatu chinofanira kunge chakareba kwenguva yakareba kuti chigadzirire kana chichange chakabudirira uye chichideredza kupisa. Inenge 10 muzana yehutukutu hwevarwere varwere havatauri kune imwe NSAID.
9. Daktari Wako Anofanira Kuziviswa Kana Une Zvimwe Zvirwere Zvoutano
Ziva chiremba wako usati watora NSAID kana uine kana wakambova nemamiriro ezvinhu anotevera:
- Inso yakasakara kana chiropa chinoshanda
- Dambudziko risingazivikanwi neropa
- Recent ulcer, kubuda ropa , gastritis
- Tora ropa shoma
- Tora prednisone kana mamwe steroid
- Low platelet count
- Chirwere cheCrohn kana ulcerative colitis
- Nhoroondo yekurohwa kana zvimwe zvinetso zvemwoyo
- Chirwere cheputi kana chirwere chisingaperi chemapapu
- Kurwisana neASAIDs kana aspirin
- Nasal polyps
- Acid reflux
- Kuberekwa kana kunwisa
- Inwa zvinodarika zvinomwe zvinwiwa zvinodhaka / vhiki kana 2 / zuva
- Vakwegura kupfuura 65
10. Kana Uri Mucheche, Kurukura NSAID Shandisa Daktari Wako
Iyo inowanzopiwa mazano kuvakadzi vane pamuviri ndeyekuti havafanire kushandisa NSAID kunze kwekuti pasina imwe sarudzo kwavari. NSAID dzinofanirwa kudziviswa mukati memakore gumi nemaviri ekupedzisira ekudzivirira nekuda kwezvipingamupinyi kumucheche.
Sources:
Mashoko evarwere pamusoro peNSAIDs. American College of Rheumatology. June 2007.
http://www.rheumatology.org/public/factsheets/nsaids.asp
NSAIDs. Primer paRheumatic Diseases. Mharidzo 12. Yakabudiswa neArthritis Foundation.