Kubhekwa kunowanzobva kune duodenum kana mudumbu, asi kunogonawo kukura kubva mumukati mukuru. Kunyange zvazvo zviratidzo zvinonyevera zvinowanzoitika, zvakadai sekushushikana kwepamuviri kana ropa-rima, vamwe varwere-kunyanya vakwegura-vangave vasisina nyevero vasati vawedzera kubuda ropa.
Mukuwedzera kune akwegura, zvimwe zvipingamupinyi zvinokonzerwa nekugadzirisa uku zvinosanganisira kushandiswa kweNSAID yakawanda (semuenzaniso, pamusoro pe-the-counter ibuprofen pamwe chete nemirairo yeNSAIDs), ropa rakanyanyisa sa aspirin kana coumadin (ropa rakapisa), corticosteroids , kusvuta, kudhakwa zvinodhaka , uye nhoroondo yepamusoro yezvironda zvepamu uye kubuda kweropa . Mukuwedzera, vamwe varwere vangangodaro vakananga kune mabhakitiriya H. pylori pane imwe nguva muupenyu hwavo. Iyi bhakitiriya inonyanya kufanana inosanganiswa nehuwandu hwehutachiona hwehutachiona.
Nenzira yakanaka, kune avo vanorwara kutora NSAIDs kuti vararame arthritis yavo, kune nzira dzekudzikisa dambudziko rezvironda uye zvinetso kubva kune zvionda zvakadai sekugadzika kweropa. Takabvunza Scott J. Zashin, MD (a rheumatologist) uye akakurudzira nzira idzi 9 dzekuderedza ngozi yekubuda ropa kubva kuNSAIDS.
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Shandisa Mafuta seChipiri kune Mamwe NSAIDsFunga nezvemamwe marwadzo anononoka akadai seTylenol kana tramadol . Panewo marapirwo ehutano hwehutano hunowanikwa munzvimbo dzinosanganisira:
- Thermacare patches (moist heat)
- mafuta anonhuwira akadai saBenGay
- mishonga inoshandiswa NSAID gelisi kana mapepa anoshandisa diclofenac ( Voltaren gel )
Kunyange zvazvo diclofenac iri NSAID, kushandiswa kwaro kunogona kuderedza nhamba yeNSAID muropa uye kuderedza ngozi yekubuda ropa.
Nhengo dzeNSAID dzinogona kunge dzisina kukodzera kusarudzwa. Panogona kunge kune imwe nzira yekugadzirisa zvinorwadza, pasina mikana yemigumisiro yakakomba.
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Rongedza Chinangwa Chako Chekuderedza Njodzi YeZvibuko ZvimweZvakakosha kutora chirwere chakanyanya kudarika cheNSAID chakakosha kuti usunungure zviratidzo zvako. Nokuderedza kuyerwa kweroji kusvika kune yakaderera, iwe unoderedza dambudziko remigumisiro.
Chimwe chirevo chaunofunga kufunga-nechiremba wako chibvumirano-ndechokutora NSAID yako sezvinodikanwa sezvinopesana zuva nezuva. Nokuita kudaro, iwe unenge uri kuderedza dambudziko rematambudziko makuru.
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Tora Nzvimbo Yakachengeteka yeNSAIDsIzvo chete: Rega kutora zvinopfuura imwe NSAID. Izvozvo zvingaita sezvinoreva mashoko akajeka asi vamwe varwere vangatora maviri nekuda kwekusunungurwa kwekutambudzika kwakakwana. Vangave vasingazivi zvose zvinodhaka (somuenzaniso, iyo-over-the-counter NSAID uye NSAID yemishonga) mune imwechete yekurapa mishonga yechirwere. Kutora NSAID mbiri mbiri kune ngozi-iyo inogona kuwedzera njodzi yezvakaipa zvisina kunaka uye zviitiko zvakakomba zvakaipa.
Tora mishonga yako sezvinorayirwa. Kana uine mibvunzo, usazeza kubvunza chiremba wako kana wemhizha.
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Celebrex Capsules Kuderedza Dambudziko RekupedzisiraIwe unofanirwa kusarudza kusarudza NSAID, yakadai salsalate, iyo inogona kuva nehuwandu hwehutachiona hwekuita ropa kana uchienzanisa nedzimwe NSAIDs. Uyezve, diclofenac, etodolac, meloxicam , uye Celebrex ndeyeNSAID dzinogona kuva nehuwandu hwehutachiona.
Pano pane tsanangudzo yakanyatsodzidza inoratidza kuti Celebrex inogona kuderedza dambudziko rekubuda kubva mumutsipa mukuru. Taura nechiremba wako kuti uone kana Celebrex ingadai iri yakakosha iwe. Usakanganwa kunyange, Celebrex yakasungirirwa, pane imwe nhanho, kufungidzira njodzi. Iko kuenzanisa-kuisa njodzi uye kuipa.
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Proton Pump Inhibitor Inoderedza Dambudziko RekupedzisiraKubatanidza NSAID neproton pump inhibitor (PPI) kunogona kuderedza dambudziko remuviri kana cheodenal ulcer. Izvi zvinokosha kune varwere pane ngozi yakawanda. PPI inosanganisira Prilosec (inowanikwa pane-the-counter), Aciphex, Prevacid, Protonix, uye Nexium. Panewo chibereko chinosanganisira naproxen uye Prevacid mune chimwe chigadzirwa.
Pamwe ne PPI, misoprostol (Cytotec) inogona kuderedza dambudziko rekuonda. Ichi chigadzirwa chinofanirwa kutorwa kanomwe kana zuva nechikafu kuti chiwane kuchengetedzwa kwakanyanya, asi kumwe kudzivirira kunowanikwa kana kutorwa kaviri zuva rega rega. Ichi chigadzirwa chinowanikwawo pamwe chete nediclofenac. Misoprostol pamwe chete nediclofenac inotengeswa seArthrotec . Misoprostol inopesana nevakadzi vane pamuviri kana kuti vanogona kutora pamuviri nekuti zvinogona kukonzera kusununguka kwepamuviri.
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Usarega Zvirwere ZvirwereRongedza nguva dzose nhaurirano nachiremba wako kuti uende kune dzimwe zviratidzo zvaungave nazvo. Ita kuti ropa rako riite basa rinotarirwa chero zviratidzo zvekubuda ropa. Kana iwe ukatora NSAIDs, izvi zvinofanira kuva chikamu chetsika yako yekutevera newachiremba wako.
Nekushanda nesimba, zvinokwanisika kubata zviratidzo pakutanga uye kudzivisa mamiriro ezvinhu anonetsa. Sezvo NSAID dzakaziva njodzi, vose murwere uye chiremba vanofanira kunge vachitsvaga zviratidzo zvekubuda ropa.
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Tsvaga kuna H. PyloriFunga kuongororwa, uye kana yakanaka, inobatwa neH H. pylori mabhakiteriya kuderedza dambudziko rekudzivirira chironda. H. pylori (inoratidzwa pamusoro apa) inogona kubudirira mudumbu rako kana kuti chikamu chekutanga chemukati mako uye yakabatanidzwa nehuwandu hwehutachiona.
Kutaura zvazviri, H. hutachiona hwehutachiona ndicho chikonzero chinowanzovhiringidza chekuonda kwemudumbu, uye zvinokonzera kuputika kwemuviri wechipfu.
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Tora NSAID paDumbu RakazaraHazvishamisi kuvarwere vanotora NSAIDs kukudziridza zviratidzo zvemavhu. Kutora mishonga pazara mudumbu kunogona kuwedzera kushivirira.
Kutora NSAIDs mudumbu risina chinhu kunowedzera mukana wekuvandudza maronda-kunyange iwe uri kuzviita iye zvino pasina chinetso. Dambudziko ringangodaro riri kuve rakanyarara. Kuti urege kuvepo, iva nechokwadi chekutora NSAID nechingwa.
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Dzivisa Steroid Zvinodhaka NSAIDsDzivisa steroid zvinodhaka (corticosteroids), kana zvichibvira, pamwe chete neNSAIDs. Vamwe vanachiremba vanogona kuenzanisa nhamba yakaderera ye prednisone neNSAID asi funga kuwedzera PPI kana izvi zvakakodzera.
Coumadin neNSAIDs vanobatanidzawo kuwedzera kuve kwehutachiona kana kubuda ropa. Taura nachiremba wako nezvekuderedza dambudziko rako rekudzivirira zvironda zvekubuda ropa paunotora NSAIDs. Ndiyo hurukuro inokosha yaunofanira kuva nayo nechiremba wako.
Mhinduro yakapiwa naScott J. Zashin, MD, purofesa mupurezidhendi mudzidzisi paYunivhesiti yeTexas Southwestern Medical School, Division of Rheumatology, muDallas, Texas. Dr. Zashin zvakare ari kuenda kuchiremba muPresbyterian Hospitals yeDallas uye Plano. Iye ishamwari yeAmerican College of Physicians uye American College of Rheumatology uye nhengo yeAmerican Medical Association. Dr. Zashin munyori weArthritis Pas Pain - Mirairo yeAnti-TNF Blockers uye mubati wenhengo yeAtmal Arthritis Treatment.