Kuisa nguva iyo inotora kudzidza zvidzidzo zvekutora Aleve kana naproxen zvinogona kukubatsira kudzivisa migumisiro uye zvinetso.
Aleve ( inoshanda inoshandiswa naproxen) isiri-steroidal anti-inflammatory (NSAID) mishonga inoshandiswa pakurwadziwa kwepumusoro, kupera kwemafivha, nekuderedza kuputika. Nokuda kwechiito chayo chinopesana nekuputika, naproxen-kana ichitemerwa kana kutengwa pamusoro pekambani- inogona kubatsira sechikamu chekurapa kwako kumarwadzo kumashure kana arthritis yakatarisana nemamiriro ekunze; izvi zvinosanganisira zvose ankylosing spondylitis (chimiro chokuputika arthritis) uye osteoarthritis.
Nhamba inogona kutengwa pane-the-counter panzvimbo yako yekutengesa madhiraki sechiratidzo cheAleve, kana se-generic. Asi zvichienderana nezviratidzo zvaunopa, chiremba wako angasarudza kuti imwe yepamusoro inogona kunge yakarongeka. Kana zvakadaro, anogona kukupa chiremba.
Iwe Unowanzoshandisa Sei Naproxen?
Kana iwe uri kutora-over-the-counter naproxen kune marwadzo, iyo mirayiridzo iri pahutakiti ichapa imwe piritsi maawa masere kusvika kuma12 chero bedzi iwe une zviratidzo. Iyo mavara ichakutaurirawo kuti zvakakodzera kutora mapiritsi maviri mukati meawa yekutanga, asi kuti hazvina kuchenjera kutora zvinopfuura zviviri mune imwe nguva masere kusvika paawa 12, kana matatu muawa ipi neipi yemawa 24.
Drugs.com inokurudzira kutora 440 mg pamuromo weawa yekutanga sezvaidiwa, uye zvakare 220 mg nemuromo maawa masere kusvika pa12, zvakare, sezvinodiwa. Vanotaurawo kuti mazamu akawanda haafaniri kunge anopfuura 440 mg mune imwe nguva ye8 kusvika 12, kana 660 mune chero nguva yeawa 24.
Zvinhu zvinoshanduka kana chiremba wenyu ari kurondedzera naproxen yemutsipa kana kurwadziwa shure. Muchiitiko ichocho, Drugs.com inotaura kuti chirongwa chekutanga chepaproxen chinorayirwa chinogona kuva pakati pe500 ne 1000 mg, zvichienderana nekuti tablet iri ndiyo yakasunungurwa kana kuti yakasunungurwa yakasunungurwa. Vanotaurawo kuti kunonoka mahwendefa ekubudiswa haakurudziri kurwadziwa kwakanyanya.
Mushure mekutanga mazamu (asi achiripo pazuva rokutanga) chirongwa ndechokutora 275 mg yekurumidza kusununguka piritsi pamuromo maawa matanhatu kusvika masere, kana 550 pamuromo maawa gumi nemaviri zvichidikanwa kuti zviratidzo zvivepo. Asi ramba uchifunga kuti iyo mibare yakawanda yekurumidza kusunungurwa tablet iyo inotorwa musi wekutanga ndeye 1375 mg. Pazuva rinotevera, iro 1100 mg.
Pamapwendefa anochengetedzwa pazuva rekutanga (mushure mekutanga kwemuti), unogona kuwedzera kusvika 1500mg. Asi pamazuva anotevera, chirongwa chacho ndechokuunza muroti kusvika ku 1000mg kana pasi.
Cherechedza kuti imwe nhamba yeAleve ine 200mg naproxen uye 20mg sodium.
Nhamba yeDosage Dosage Information for Arthritis Related Spine Conditions
Pamusoro peosteo uye / kana kuvhiringidzika kweArthritis , iyo yakarongedzerwa kuti inonzi naproxen doses iri pasi.
Apo zvinosvika pamahwendefa ekurumidza kusunungurwa, Drugs.com inoti kutora pakati pe 250 ne500mg nemuromo kaviri pazuva. Zvadaro, kutanga pamasikati maviri, unogona kuwedzera murasi kusvika pa 1500mg mumuromo. Ikoko kune nyevero kune vamwe varwere-ichi chiyero cheyero chinogona kunge chakachengeteka kwemwedzi mitanhatu.
Uri kutora (kana kufunga kutora) naproxen ye ankylosing spondylitis? Kana zvakadaro, iyo inotenderwa ye 750mg kusvika 1000mg nemuromo kamwe chete pazuva, kana 375 kusvika 500mg nemuromo kaviri pazuva.
Uye nokuda kwewasteoarthritis, chirongwa chacho chiri pakati pe 750mg kusvika 1000mg pamuromo kamwe kamwe pazuva.
Kukanganwa Kutora Naproxen
Kana iwe uchinge warasikirwa neipi, tora imwe nokukurumidza iwe uchiyeuka. Chimwe chinenge chiripo kana iri nguva inenge yava nguva yepiri inotevera. Muchiitiko ichocho, tarisirai kusvikira yava nguva yekuitora zvakare. Gara uri pedyo nehutachiona hwemadayari ako uye usamboita miviri iyi mushonga.
Kuchengeta Naproxen
Chengetedza zvakachengetwa yako naproxen nekuichengeta zvakasimba yakavharwa mukati memubhodhoro yakauya mukati, kure nekupisa uye unyoro. Izvi zvinoreva kuti hazviregi kuichengeta muimba yekugezera. Uyewo, naproxen inofanira kuchengetwa pamusana wekupisa. Ramba iyo kana risina nguva, kana iwe usingadizve.
Iwe unogona kukumbira muzvinamori wako nzira yakanakisisa yekuita izvozvo. Ramba uchivhara kunze kwekusvika kwevana.
Mechanism Action Action ya Naproxen
Mishonga yose mukirasi yeNSAID, kusanganisira naproxen, inoshanda zvikuru nekudzivisa kuumbwa kwamakemikari mumutumbi unozivikanwa save prostaglandin . Iyi ndiyo nzira huru iyo mishonga inopa rubatsiro. (Kana iwe uri kufarira, prostaglandin zvinhu zvinotarisirwa, pakati pezvimwe zvinhu, kubudisa kupisa uye kurwadziwa kunokonzerwa naro.)
Funga Nekuchengeteka
Vanhu vazhinji-kusanganisira vazhinji vanoridzika mune zvehutano-vari pasi pekufunga kuti kutora naproxen kunowanzochengeteka.
Pasinei nokuti unozviziva kana kwete, kunyange zvakadaro, iyo inoshandiswa inoshanda mu naproxen haina kukodzera munhu wose. Naproxen yave ichibatanidzwa neyakakomba, uye kunyange inouraya, GI turakiti, itsvo, uye mwoyo yehutano. (Tichazotaura zvakawanda-zvakadzama pamusoro pezviri pasi apa.)
Nemhaka yokuti migumisiro inobatanidza nemishonga iyi inorwadza inowanzova yakakomba mune zvakasikwa, zvakanakisisa kutora chete mari yakakosha, kwenguva shoma nguva inodikanwa.
Chiremba wako ndiye munhu akakurudzira kukubatsira kuti uone kuwanda kwekutora uye nguva yakawanda sei (sekunge kune chero mishonga). Kana akasawanika kutaura newe, tevera mirayiridzo pane papepa zvakanyatsocherechedza, uye / kana kumbira mhizha wako. Asi usatora zvakawanda kana zvishoma kudarika chikamu chinokurudzirwa, uye unamatira nehuwandu hwakakurudzirwa.
Zvimwe Zvingava Zvakaoma Zvikamu Zvakaoma
Sekurwadziwa kunobatsira kwakanyanya uye kupesana-kupisa, naproxen inogonawo kuisa njodzi yakasimba kune utano hwako.
Kutanga, pane izvo zvinogona kuitika zvinogadzirisa. Izvi zvinogona kuratidzira semukoko, kuputika kwemaziso, chirwere, kuputika kweganda, blister, kana kushamiswa. Kana kunyange chimwe chezviratidzo izvi chikaitika, rega kutora naproxen uye kutsvaga kurapwa kwenguva pfupi.
Zvadaro inonyanya kuzivikanwa uye yakakomba chikamu chakaipa chekubuda ropa. Zvakakosha kuramba uchicherechedza-kana iwe uine zviratidzo kana zviratidzo zvekubuda ropa, tsvaga kurapwa nokukurumidza. Kuita izvi kunogona kuponesa hupenyu hwako.
Uye chechitatu ndiyo yakanyatsogadziriswa nehutano hwemwoyo yekutora chero NSAID. Maererano naGregory Curfman, MD, Mhariri Mukuru, Harvard Health Publications, takaona, pamusoro pemakore 12 apfuura kana zvakadaro, humwe uchapupu huripo hunotora kuti kutora NSAIDs hunoisa mungozi kumararamiro epfungwa dzako. Utano hwehutano hwaanotaura hunosanganisira kushaya mwoyo, mwoyo kusakatika uye kurohwa; imwe yengozi yakakonzerwa yakanyanya kukwira ropa.
Kubva pane zvitsvakurudzo zvakawanikwa, FDA, muna 2015, inoda vashandi kuti vasimbise nyevero dzavo pamusoro pezvinetso zvehutano hweCV pane mapurisa eNSAID uye kuiswa mazita. Kunyora ikozvino kunofanira kukuudza kuti dambudziko rako rekurwadziwa kwepfungwa uye kurohwa kunogona kuwedzera, kunyange iwe ukangoshandisa NSAID kwemavhiki mashomanana, uye kuti madhawi akakwirira akatorwa kwenguva yakareba angave akaoma.
Curfman anotaurawo kuti kune varwere vatove vane chirwere chepfungwa, kutora naproxen zvingangove kwete pfungwa yakanaka. Izvi zvingawedzera, anodaro, avo vasina chirwere chemwoyo chinonyatsozivikanwa.
Izvozvo zvakati, apo chidzidzo cheDanish chinokwana 2016 chakawana sangano pakati penguva shomanana ibuprofen kana kuti diclofenac mishonga uye ngozi yekutanga yepfungwa yemwoyo, vakanga vasina kukwanisa kusangana sangano chero ripi zvaro pakati pe naproxen uye zviitiko zvakadaro. Aspirin ichiri kutaridzirwa pasi panjodzi NSAID.
Zviratidzo zvekutsvaga izvo zvinogona kuratidzira chiitiko chepfungwa chinosanganisira kuparadzanisa kana kunzwa kunoenderana nemoyo wako, zvakadai sekurwadziwa kwepfupa, kushaya simba, kufema kwekufema, kutaura kwakashata kana maonero kana kuenzanisa matambudziko. Kusachengetedza kwemhepo kune rimwe chiratidzo chinoda rubatsiro rwechimbichimbi.
Zvimwe Zvimwe Zvinobudirira Pamwe
Kuora kwechiropa chimwe chikonzero chinogona kukanganisa kutora naproxen kana imwe NSAID. Zviratidzo zvechiropa chinokonzera chiropa chinosanganisira kuora mwoyo, kurutsa, kuda kudya, kuchenesa, kupenya kweganda uye / kana maziso, zviratidzo zvakadai semapuranga uye urinhi. Kana uine chimwe cheizvi, rega kutora naproxen uye kutsvaga kurapwa nokukurumidza.
Uye pakupedzisira, heino urongwa hwemimwe migumisiro inogona kunge isingawanzozivikanwi kana kuti yakawanda kupfuura iyo yatakambotaura pamusoro apa. (Cherechedza kuti urongwa hahuna kukwana, saka kana uchida mamwe mashoko chengeta Drugs.com.) Taura nechiremba wako pakarepo kana uchigona kana chimwe chezviratidzo izvi chinoshanda kwauri:
- kuvhiringidza , chirwere kana gasi
- maronda mumuromo
- iwe une nyota chaizvo
- headache
- chinosvibisa kana chinyoro
- anokotsira
- zvinetso zvehope
- kupisa kana kumira mumakumbo kana pamakumbo
- unonzwa sokuti iwe unotonhora
- kuridza munzeve kana mamwe matambudziko anonzwa.
Unofanira Kutora Naproxen?
Zvinogona kuve pachena iye zvino kuti maererano nehuwandu hwehutano hwehutano pamwe chete nekutsvakurudza mutsva pane NSAIDs naproxen haisi iyo yako yakanakisisa yekugadzirisa marwadzo.
Zvechokwadi, kana iwe uine imwe yemamiriro ezvinhu ambotaurwa kare (chirwere chemwoyo, kurwadzisa, matambudziko emimba, zvinetso zveropa) kutora naproxen hazviiti iwe pfungwa yakanaka zvachose, sezvo ichasimudza ngozi yako yekufa. Asi apa pane zvimwe zvishoma zvinofungidzirwa.
Uri nepamuviri here kana kuronga kubata? Kana zvakadaro, unofanira kutaura nachiremba wako usati watora naproxen. Ichi chinodhaka chinogona kukonzera kukanganisa paunotorwa mumakore matatu ekupedzisira ekudzivirira. Inogonawo kupfuura nomumukaka wemucheche kuenda kumucheche uye kuipa.
Pamwe mumitsetse iyoyo, kupa mwana mwana pasi pemakore maviri hakusi kunyorerwa, kunze kwekurairwa nachiremba wako.
Zviri pachena kuti kana uine nhoroondo yezvinetso zvemoyo, kuvhara ropa, kukonzerwa kweropa, kukwikwidzika, zvinetso zvepvo, ropavha kana ropa remaronda, kuongororazve naproxen zvichida uri munharaunda yako. Zvakare, izvi ndezvekuti zvinogona kuwedzera mungozi yako yepfungwa yemwoyo, kana kufa. (Ona pasi apa kuti uwedzere zvakanyanya.) Uye kutora chero chibereko chepaproxen nguva isati yasvika kana mushure mokunge mwoyo unopfurikidza kushanda haugamuchirwi.
Sezvataitaura pamusoro apa, NSAIDs dzinouya nemukana wezvironda, kubuda mukati mudumbu rekumatenga uye mamwe matambudziko eGI maturati. Izvi zvinokonzerwa nematambudziko zvakanyanya. Ramba uchifunga kuti vanogona kuitika chero nguva, uye vangaratidza vasina kunyeverwa kwekare. Vagari vakuru vanogona kunge vari pangozi yakanyanya. Saka kana iwe uine matambudziko eGI, shanda pamwe nachiremba wako kuti uone chirwere chakakwana chekudzivirira marwadzo.
Uyewo, kunwa uye naproxen hazvibatanidzi. Doro inoshandiswa pamwe chete ne naproxen imwe nzira yekuwedzera dambudziko rako kumudumbu uye GI zvinetso.
Mamwe mamiriro ezvinhu angaita kuti mungozi yako ive nemigumisiro yakaipisisa yepaproxen inosanganisira asthma, mapuropa mumhino, kubuda uye kuvhara, kusvuta, ganda rinotarisa chiedza chezuva, uye, sezvatotaurwa kare nezvepfungwa uye chirwere chechiropa kana zvinetso.
Kubatana Kwezvinodhaka uye Kuwedzeresa
Takatotaurirana zvishoma nezvekusanganisa doro uye naproxen; iyo-kwete-kwete! Asi kana iwe ukatora mamwe mishonga yemishonga, ingave (uyewo) kurwadziwa zvinodhaka kana kuti inotonhorera / zvinodhaka zvinodhaka iwe unogona kupedzisira uine kudengenyeka kwechiitiko. (Mazhinji emitambo yeOTC ine NSAIDs, kunyange zvazvo iyo isiri iyo inoshandiswa inoshandiswa iyo inowanikwa mumashambadziro, kana pamapurisa mashefu.) Nokuda kwechikonzero ichi, zvakakosha kuverenga mabhii ose emishonga (OTC uye anorayira) vasati vavhenganisa. Iva nechokwadi kuti uri kuwana chirango chimwe chete cheNSAID munguva yakakodzera nguva (sezvakatsanangurwa kare munyaya ino.)
Kana iwe uchifunga kuti iwe unogona kunge wakanyanyisa, danai 911 kana kuti nzvimbo yako yekudzivirira chepfu nzvimbo.
Tenda kana kwete, kusanganisa kudya kwekudya, miriwo, zvinodhaka zvinodhaka, uye / kana kofi inogona kuwirirana ne naproxen uye kuchinja nzira iyo inoshanda mumuviri wako. Taura nemupiki wako wehutano nezvemeriyamu yakaenzana yega yega uye / kana zvimwe zvinorwadza zvinoderedza zvinhu.
Uye nguva dzose taura nachiremba wako kana iwe uchida kana kuti uchida kurega kutora chero mishonga.
Pamwe nemishonga pamwe nezvimwe zvinhu zvataurwa kare munyaya ino, pasi apa pane urongwa hwemishonga inogona kuwirirana ne naproxen nenzira isina kunaka. Iva nechokwadi chekutaurirana nachiremba wako kana wemishonga kana umwe wako mishonga (s) kana pane urongwa uhwu, kana iwe ukatora mimwe mishonga kana zvinodhaka:
- doro
- alendronate, kutorwa kuti kudzivirira kurasikirwa kwefupa
- dzimwe NSAIDs, kusanganisira aspirin . Kana ukashandisa aspirin kwenguva refu, mikana yako yekubuda ropa inowedzera.
- zvimwe zvinopesana nezvirwere (zvakadai se ibuprofen kana prednisone)
- entecavir, nokuda kwezvirwere-B zvirwere
- cidofovir, kutorwa nokuda kwezvirwere zvemaziso mune varwere veHIV
- cyclosporine, yakapiwa kubvumira varwere
- mapiritsi emvura ( diuretics )
- kuwedzera kwemishonga yemishonga yemishonga, yakadai seACE inhibitors
- vanononoka ropa vakaita seCoumadin , kana mamwe mishonga inobata kana kudzivirira ropa clots
- methotrexate, chemotherapy drug
- pemetrexed, chemotherapy drug
- mishonga yemishonga ine feverfew, garlic, ginger, kana ginkgo biloba
- lithium mishonga yakadai saEskolith Lithobid
Shoko Rinobva
Kunyara kunogona kubatsira pamamiriro ako ezvinhu, asi kuti uite zvakanaka kwazvo iwe unofanise kuishandisa nenzira yakachengeteka. Pasinei nokuti iwe unowana naproxen yako pamusoro pekambani kana sechirairo kubva kuchiremba wako, iva nechokwadi chekutevera mirairo yeiyo uye ugoziva zvinogona kuitika migumisiro nekubatana. Kana iwe uchinzwa kuti chimwe chinhu chisina kunaka, taura nachiremba wako.
> Sources:
> Curfman, G., MD, Editor muna Chief. FDA inosimbisa nyevero kuti NSAID inowedzera kuora mwoyo kwemoyo uye kuipa kwepfungwa. Harvard health Publications. Harvard Medical School. July 2015. http://www.health.harvard.edu/blog/fda-strengthens-warning-that-nsaids-increase-heart-attack-and-stroke-risk-201507138138
> Naproxen. Drugs.com website. Yakapedzisira kushandurwa: April 2017. https://www.drugs.com/naproxen.html
> Sondergaard KB, Weeke P, Wissenberg M, et al. Izvo zvisina-steroidal anti-inflammatory drug use inobatanidza nehuwandu hwekuvhara kunze kwechipatara kusungwa kwemwoyo: nyika yose-nguva-time-control study. European Heart Journal - Cardiovascular Pharmacotherapy. Dec 2016. https://academic.oup.com/ehjcvp/article/doi/10.1093/ehjcvp/pvw041/2739709/Non-steroidal-anti-inflammatory-drug-use-is