Kutanga muna 2015, FDA yaida kuti vashandi vemishonga isiri-steroidal anti-inflammatory vasimbise nyevero pamabhuku avo emishonga emishonga. Izvi zvinokanganisa zvose zvinyorwa uye kupfuura-the-counter NSAIDs. (Izvi zvinonyeverwa zvinonzi zvinodhaka zvinodhaka zvinodhaka.) Manyevero akasimbiswa zvino anoratidza kuti mishonga isingashandisi zvinokonzera kupisa (NSAIDs) inogona kuwedzera mukana wekurwadziwa kwemwoyo kana kurohwa, izvo zvingatungamirira kurufu. Cherechedza kuti kunyange zvazvo iri NSAID, FDA inoti nyevero yavo yakadzokororwa haina kushanda kune aspirin.
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Nezve Advil uye Ibuprofen RisksAdvil ndeyeNSAID inowanzokurudzirwa kana kunyorerwa kuvanhu vane mitsipa kana mushure. NSAIDs zvinopesana nemapiritsi anozivikanwa kuti anobvisa marwadzo uye kuderedza kuzvimba. Iko dzimwe nguva inopiwa muzvinyorwa zvemishonga zvinokonzera arthritis nemamiriro ekurwa.
Zita rechizvarwa reAppil ibuprofen. Mamwe maitiro eIbuprofen aripo, zvakare, kusanganisira Motrin naAleve. Izvozvo zvakati, FDA inokuyambira kuti utore chinhu chimwechete chekubuprofen pane imwe nguva. Nzira yakanakisisa yekuona kana iwe uri kunwisa zvinopfuura imwe ndeyokuverenga mavara ezvinodhaka zveumwe neumwe zvaunofungidzira uye nekuenzanisa zvavanoita zvinoshandiswa, FDA inozivisa.
Risks vs Benefits
Kufanana nemishonga chero ipi zvayo, kushandiswa kweAppil kunouya nekunogona kubatsiro pamwe chete nezvengozi kuhutano hwako. Izvo zvikomborero, zvechokwadi, ndevimbiso yekuregererwa kwekunorwa, pamwe nekudzivirira kwekudzimba uye saka zvinogona kuvhara mutsvuku pasi pemugwagwa.
Sezvo kune njodzi dzinosvika, dzimwe dzinenge dziri duku, asi dzimwe dzinogona kuuraya.
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Kutambudzika Kwemwoyo KungoziZvokudya uye Drug Administration (FDA) inoti kana ukatora NSAIDs, iyo Advil iri imwe, mikana yekuva nemuviri wepfungwa yakakwirira kudarika vanhu vasingatori chirwere ichi. Mikana yepfungwa inosanganisira zvose kushungurudza mwoyo uye kurohwa.
IHS (muUnited States) inotaura kuti kurwisa kwemwoyo kunoitika apo ropa remoyo rinodziviswa.
Nhau dzakaipa ndeyokuti kunyange kana iwe uri wekutanga NSAID user kana iwe uchiitora munguva pfupi chete, iwe hauna kukanganiswa kubva pamugumo wekurwa kwemwoyo.
Dhiyabhorosi anoti izvi zvikamu zvakakomba zvinogona kuitika sekutanga kwemavhiki mashomanana ekushandisa kweNSAID, kunyange njodzi inogona kunge yakakwirira nekushandiswa kwenguva refu.
"Hapana nguva yekushandiswa inoratidzika kuva isina ngozi," anodaro Judy Racoosin, MD, MPH, Dhigirii mukuru weDhaw's Division.
Zvakakosha kuziva kuti kuuraya kwemwoyo kunogona kuitika pasina kunyeverwa. Ichi ndicho chimwe chikonzero nei kugara mukutaurirana kwakanaka nachiremba wako kunokosha. Kushanda nachiremba wako kunogona kusanganisira zvinhu zvakanyatsorondedzera nhoroondo yemhuri yako yezviitiko zvepfungwa, kuva akatendeseka pamusoro pemabatiro ako ekutsvaira, nekuita kuti uve nehurukuro pamusoro pe cholesterol yako, kuwedzera kweropa uye / kana chirwere cheshuga, sezvo izvi zviyero / mamiriro ezvinhu anorondedzera njodzi dzinokonzerwa kwauri kubva pakutora ibuprofen.
Iyo FDA inokunyeverawo kuti usatora ibuprofen mushure mekunge kana mushure mekugadzirisa arteri bypass graft, inozivikanwawo seCABG. CABG inzira yemoyo.
Zvaunofanira Kuita Kana Iwe Uine Zviratidzo zveMwoyo Wakaipa
Uye pakupedzisira, kana iwe uine zviratidzo zvematambudziko emwoyo , zvakadai sekurwadziwa kwepfuva, kuoma kufema, kushaya simba kamwe kamwe mune rumwe rutivi kana rutivi rwomuviri, rega kutora NSAID uye kutsvaga kurapwa kwekurumidza.
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Stroke RiskKufanana nekurwadziwa kwepfungwa, chirwere chepfungwa ndechiitiko chepfungwa uye chimwe chezvinhu zvinogoneka zvinogadzirisa kutora Advil.
Kurwadza kunoitika apo ropa rinopa kuropi hunovhiringidzika, rinodaro NHS muUnited States. Kurohwa kunogona kuva kwakakomba uye kunogona kuitika pasina kunyeverwa.
Zvizhinji zvechokwadi uye nyevero dzakapoteredza njodzi dzomukati-kunyanya sezvo izvi zvinosanganisira kutora Advil / ibuprofen kana dzimwe NSAID-zvakafanana neaya ekurwadziwa kwemoyo. Izvi zvinosanganisira kuzivikanwa kweDefA 2015 kuti kunyange kushandiswa kwenguva pfupi kunogona kuwedzera dambudziko rako.
Sezvo nechinjodzi chekurwadziwa kwepfungwa, kutora Advil kunogona kukuita kuti uwedzere kutarisana nechirwere kudarika kusatora, kunyange pakutanga kwemishonga. Zvimwechetezvo, vashandisi venguva refu vanogona kunge vane ngozi yakawanda, maererano neCDA.
Zvaunofanira Kuita
Taura nachiremba wako pamusoro pehutano hwako uye uve akatendeseka naye pamusoro pezvinhu zvako zvisina-kunaka-utano hwakanaka sekusvuta. Uyewo iva nechokwadi chekumurega kuti azive kana nhengo chero ipi zvayo yemhuri yako yave yakagadzikwa.
Ndiyo pfungwa yakanaka kudzidza kuti ungaona sei zviratidzo zvekurohwa. Izwi rakanyorwa FAST inzira yakanaka yekuchengetedza iyi ruzivo pedyo. NeFAST, iwe unotarisa zviratidzo zvitatu uye kana dziripo, iwe unotora 1 chiito sezvinotevera:
- Siso - Unven
- Simba - Ruoko rumwe rwakanamatira pasi.
- Slurred Speech
- Nguva yekudana 911 - Chipiri chega chega chinokosha maererano nekuchengetedza hupenyu uye kukwanisa kushanda, saka usanonoka.
Zvechokwadi, ane makore gumi Sophia Tabors weSt. Louis akaita shanduro yake yakarurama yesayenzi "nezvekutaurira kana mumwe munhu ane chirwere, uye chaaifanira kuita." Nemhaka yegadziriro iyi, Sophia akakwanisa kuona apo sekuru vake vaine chirwere. Nhau dze CBS dzinoti aikwanisa kuziva zviratidzo pavakanga vari kuitika uye kutora chiito chakanaka chokuudza amai vake, avo vakabva vadaidza 911. Chiremba akati Sophia nemhinduro dzaamai vake vakakurudzira akabatsira mbuya vaSophia vakawanda kushanda uye pamwe upenyu.
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Dumbu reHoma uye Kuvhara DambudzikoNokuti Advil iri NSAID unogona kunge uri pasi pemigumisiro inobatsira iyo yakagadzirisa dumbu rako uye chirwere chako chekudya. Mienzaniso inosanganisira zvironda, kubuda ropa mumucheka wemudumbu, kana masango mukati mudumbu kana mumukaka. Zvinetso izvi zvinogona kuitika chero nguva panguva yekurapa, zvinogona kuitika pasina kunyevera, uye zvinogona kukonzera rufu. Maererano naDr. Theodore Fields, kuenda kuchiremba kuchipatara chekuvhiyiwa kwakakosha muNew York, zvinetso zveGI zvakadai sekugadzirwa kwemaronda, ndizvo zvinowanzovhiringidza kutora Advil.
Ngozi inogona kunge iri yakakwirira kana iwe uchitora NSAID pamusoro penguva refu, kana wakwegura, uine hutano husina kunaka, uye / kana kunwa zvitatu kana kupfuura zvinwiwa zvinodhaka zuva nezuva uchiri kutora ibuprofen.
Dzimwe nhau dzakanaka: Minda inotaura kuti dumbu uye kugadzikana kunokonzerwa nemigumisiro yakagadzikana nekutora Advil kazhinji haisi yakakomba.
Asi migumisiro yemigumisiro inogona kuitika chero nguva, inotaura. Mune mamiriro akaoma, mushonga weNSAID unogona kuvhiringidza dumbu rako rinogadzirisa zvakadai zvokuti rinokonzera nzvimbo duku. Ichi ndicho chironda. Mune mamiriro ezvinhu akaipisisa, anoti, kudengenyeka kunogona kutungamirira kubuda kweropa mukati, izvo zvinogona kutyisa upenyu.
Dr Fields inoratidza kutora NSAID yako pakuguma kwekudya kwakakwana, kana neine antacid. Anotiwo kana iwe uchiona zviratidzo zvakadai sekurwadziwa kwepamuviri, tarry zvigaro kana ropa muchitsigiro chako, rega kutora mishonga uye kudana chiremba wako ASAP.
Sources:
> CBS / AP. Vasikana vane makore gumi vanoponesa vazukuru, kuburikidza nesangano rakanaka resainzi. CBSNEWS website.
> FDA Mishonga Yekuchengetedzwa Kwemishonga Kukurukurirana: FDA inosimbisa kunyevera kuti kwete-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) inogona kukonzera kushungurudza kwemwoyo kana kurohwa. Zvinodhaka. FDA website. July 9, 2015.
> FDA Inowedzera Kunyeverwa Kwemwoyo Wakaipa uye Dambudziko reStroke yeAri-Steroidal Anti-Inflammatory Drugs. For Consumer. FDA Website. July 9, 2015.
> NHS Choices. Zvimwe zvikanganiso zve ibuprofen. Utano AZ. NHS.UK website.
Theodore R. Fields, T., MD. Nzira Yokuderedza Mishonga Miti Yacho Migumisiro. Mirayiridzo Yekubatsira Kuderedza Dambudziko-Migumisiro yeNSAIDS (Vasingaiti Steroidal Anti-inflammatory Agents).