paunenge uchitsvaga kusununguka kumashure kana kurwadziwa kwemutsipa, chiremba wako angangodaro achida kutora mishonga inorwadza-in-counter. Asi kune mhando dzakasiyana, uye kunyengedza kuziva kuti chii chaunosarudza, uye nei.
Kutanga ngatitaurire pamusoro pezvinorehwa ne "mavara" emishonga inorwadza kupfuura-the-counter. Izvi zvinoratidzirwa ne "zvinoshandiswa zvinoshandiswa," iyo inoshandiswa mumakemikari inoita shanduko, somuenzaniso, kubvisa marwadzo, kuderedza kuputika, nezvimwewo, izvo zvinotaurwa pamatareji emapepa emishonga. (Zvishandiso zvinoshandiswa zvinogona kukonzera migumisiro, zvakare, saka izvi zvinogonawo kuita basa musarudzo yako yokutora mumwe mushonga pane mumwe.)
Sezvauchaona, zvinoshandiswa zvinoshandiswa zvinogona kuunganidzwa pamwechete mumakirasi emishonga. Sezvo kune-over-the-counter zvinorwadza zvinodhaka zvinopinda, mapoka makuru maviri aya NSAIDs (kwete-steroidal anti-inflammatories) uye analgesics (marwadzo anoderedza.) Dzimwe nguva zvinodhaka zvinoshumira zvose zvinangwa; dzimwe nguva hazvizoiti.
Zvose kunze kweimwe yemishonga inotsanangurwa pano inopfuura-the-counter NSAIDs, iyo inogona kuderedza marwadzo, fivha nekuputika. COX-2 inhibitors, imwe rudzi rweNSAID, inogonawo kubatsira mukurapa zviratidzo zvako, asi mishonga iyi inowanikwa nemishonga chete.
Mishonga yakawanda inouya neine rurefu rwemigumisiro, uye NSAIDs haisi yakasiyana. Dzimwe NSAID migumisiro inogona kuva nengozi kuhutano hwako; zviviri zvezvipingamupinyi zvakakura zvekutora rudzi urwu rwezvinodhaka kushungurudzwa kwemwoyo uye kuvhupa kwepamu. Zvakare, zvose zviri zviviri zvakanyanya.
Uye pakupedzisira, mishonga inokurukurwa pasi iri inowanikwa sechirongwa chepamusoro.
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AspirinAspirin ndiyo ndiyo yakare-kare inopesana nekuputira mishonga inozivikanwa nevanhu. Acetylsalicylic acid, iyo inoshandiswa inoshandiswa muAspirin, yakashandiswa semarwadzo ekurwadziwa kwemazana emakore, kana zvisati zvuru (mumarudzi akasiyana-siyana.)
Sangano reNSAID, aspirin haingoratidzi kuderedza shure kana kurwadziwa kwemutsipa, inobatanidzwa mukudzivirira kutuka, izvo zvingave zvichibatsira pakutevera kukuvara kana kushungurudzika.
Iyo inoshandiswa inoshandiswa muAspirin inoita basa rayo nekudzivirira kugadzirwa kwe prostaglandin, iyo inogara kwenguva pfupi makemikari mumuviri, ane mhosva yekuputika , uyewo marwadzo.
Kunyange zvazvo zvisingawanzoitiki, aspirin inogona kuva nemigumisiro yakakomba, kwete iyo yakawanda iyo ine matambudziko emudumbu. Asi kusiyana nedzimwe NSAIDs, aspirin, kana yakashandiswa zvakanaka, inogona kunatsiridza utano hwemwoyo. Taura nachiremba wako nezveizvi kana uchida kuziva zvakawanda.
Nemhaka yeiyo, nyanzvi dzakawanda dzinofunga kuti yezvose zveNSAID, aspirin ndiyo sarudzo yakanakisisa. Dhipatimendi rePeople, iyo inodzidzisa webhusaiti uye hurukuro yehurukuro yakabudiswa paNational Public Radio inobudisa chirevo ichi:
"Dai takatumirwa kune chimwe chitsuwa cherenje uye tikangotora kurwadziwa kumwe chete, tinosarudza aspirin."
Zvikonzero, vanoti, ndeyekuti pamwe nekuderedza kurwadziwa uye kuderedza kuputika, aspirin inobatsira kuderedza dambudziko rezviitiko zvepfungwa zvakadai sekubatanidza mwoyo kana kuti kurohwa. Uye, Pharmacy yevanhu inoti, humwe uchapupu hunoratidza kuti aspirin inogona kupa kupesana nekenza, pamwe chete.
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IbuprofenIbuprofen chirwere chinopesana nekuputira icho vamwe vanhu vanotora kuti vaderedze kurwadziwa kwakanyanya, unyoro, kuzvimba uye kuomesera nekuda kweArthritis. Ibuprofen inoshandiswawo kuderedza musikana aches uye kuchema kunetseka nemhaka yekushungurudzika shure.
Mazita emagetsi anosanganisira Motrin, Advil uye Nuprin.
Kufanana neApirin, ibuprofen inonzi NSAID, iyo inoreva kuti haisi kungoita kuderedza mushure kana kurwadziwa kwemutsipa asi inobatanidzwa muine yekuita (kubvumira) pachako. Anti-inflammatory drugs ne ibuprofen sechinhu chavo chinoshanda chinodzivisa kubudiswa kwe prostaglandin, uye naizvozvo kupisa uye kurwadziwa.
Migumisiro inogona kusanganisira zvinetso zvemudumbu uye zviitiko zvemoyo.
Muna 2015, FDA, yakavakirwa pakutsvakurudza kwakatsvaga, yakasimbisa mazwi ezvinyorwa kune vakugadziri paIbuprofen package uye Drug Facts mazita. Ichi chaiva chokuzivisa vanhu pamusoro pezvipingamupinyi chaihwo zvinosanganiswa nemuiti unoshanda.
Chimwe chezvinhu zvinonyanya kukosha munyaya ino itsva ndeyekuti njodzi yekurohwa kana kurwadziwa kwemoyo iripo kare kare munguva yekurapa kupfuura iyo nyanzvi dzakatanga kutenda.
"Hapana nguva yekushandiswa yakaratidzwa isina njodzi," anodaro Judy Racoosin, MD, MPH, Dhigirii mukuru weDaily's Division of Anesthesia, Analgesia, uye Addiction Products.
Kuti uzvidzivirire kubva pakuwandisa kusingatarisirwi (uye saka kuwedzerwa njodzi yakakomba kana kuti inouraya madhara) FDA inokurudzira kutarisa zvinoshandiswa zvinoshandiswa muDrug Facts label yemishonga imwe neimwe yaunotora, uye iva nechokwadi chokuti chimwe chete chazvo chine NSAID. Mune mamwe mazwi, usatora zvinopfuura imwe NSAID panguva imwe.
Imwe nyevero ndeyokuti avo avo vane utano hwehutano, kana kuti avo vane chirwere chepfungwa mukati mekuvhiya vari pamwero wepamusoro wepfungwa yemwoyo inobatanidzwa nokutora ibuprofen kana imwe NSAID.
Kana iwe wakanga uine chirwere chemwoyo, njodzi yako kune imwe (uye zvichida kunyange kufa kubva kwayo) yakakwirira, zvakare.
Asi munhu wose, pasinei nehupenyu hwavo hwehutano hwehutano hunoiswa pamwero wepamusoro wekutora ibuprofen, FDA inotiudza.
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NaproxenNaproxen , imwe NSAID, inoshandiswa kugadzirisa marwadzo nekuda kwemisumbu yakashata uye arthritis. Izvi zvinosanganisira osteoarthritis uye kuvhiringidza arthritis yakadaro ankylosing spondylitis. A
Sezvimwe nezvimwe zvinopesana nezvinokonzera zvinodhaka, naproxen inoshanda zvikuru nekudzivisa kuumbwa kwe prostaglandin.
Mazita emagetsi anosanganisira Aleve uye Naprosyn.
Cherechedza kuti kunyange zvazvo NSAID dzose (pamwe chete zvichida kunze kweAspirin) inokonzera njodzi yekurwadziwa kwepfungwa kana kushungurudzika, zvidzidzo zvishoma zvinoratidza kuti naproxen inomutsa ichi chiduku.
Izvi zvinogona kuva nokuti naproxen ndeye nguva refu yekuita zvinodhaka, apo ibuprofen iri pfupi kuita. Kushandisa mishonga yakareba kwenguva refu haifaniri kutorwa sezvinowanzoitika, nekudaro kuchikuisa pangozi shomanana yemishonga yemigumisiro.
Izvozvo zvakati, webhusaiti yepamutemo, Drugs.com, inotaura kuti GI yakabatana nemigumisiro yekutora NSAIDs (kureva kuvonda kwemucheche uye / kana kubuda ropa) inowedzera nguva refu iwe uchitora rudzi urwu rwechirwere. Vanonyevera vanhu kuti vatore chete chirwere chakaderera zvakakosha pakuunza marwadzo ekurwadziwa.
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Tylenol (acetaminophen)Tylenol ndiyo inonyanya kushandiswa marwadzo ekudzivirira pamusika. Inogona kutorwa nokuda kwekuzorodzwa kwenguva pfupi kana iwe uine urombo kana hunyoro hushure kana kurwadziwa kwemutsipa. Haisi NSAID.
Tylenol inobatsira maronda anokonzerwa nemashure uye / kana arthritis . Inogona kushanda nekuderedza kuwanda kwemakemikari emuropi anokonzera marwadzo ekurwadza, nokudaro, achikonzera chirwere chepakati chetsitsi . Iyo inobatsirawo kunotonhora kuburikidza nokudzivisa prostaglandin iyo inobatsira muuropi yekupisa-kutonga nzvimbo.
Asi kana iwe uine zvinetso zveropa, kana iwe ukadya doro rakawandisa, iwe unofanirwa kutsika zvakanyanyisa kana zvasvika kuTylenol. Zviri nyore kutora zvakawanda zvechirwere ichi, izvo zvinogona kukonzera kukanganisa kana kuuraya chiropa chekutyisa.
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Kune Mishonga Inorwadza Zvechokwadi Kwauri Here?Vanyori vekuongorora kwe 2017 kwakabudiswa mumagazini inonzi Medicine vanotaura kuti kunyange zvazvo minyengetero yakawanda yemutsipa nekumadzo inounzwa kunachiremba ichienda nechinguva chekufamba kwenguva, inowanzodzoka (dzokare.)
Izvi zvinorwadza uye nguva dzose ukama huri hwakasimba kwazvo, vanoti, pakati pekutanga uye mazviri. Kunyanya, iyo yakareba chikamu chekutanga chinopera, kunyanya kurwadziwa kwemuviri kunenge kuchida kudzoka gare gare. Uye nguva imwe neimwe yainoita, ichava yakaoma, uye inogona kukonzera hurema huzhinji.
Nenzira iyi, denderedzwa yako yekutanga yekurwadziwa shure zvinogona kuita kuti zvizoitika zvinotevera zviwedzere, uye zvinogonawo kuita kuti nguva yakareba isati yasara, zvakare.
Vanyori vanotaura kuti kurwadziwa kwepamuviri ndeimwe yemamiriro mashanu ekudzimisa muSouth America
Zvichipa izvi zvose, iwe unogona kunge uine chokwadi chokuti kutora mishonga yekurwadziwa kwako kumashure kana kumutsipa zvachose, zvechokwadi, iwe nzira yako yakanakisisa yekuita.
Chimwe chidzidzo 2017, ichi chakabudiswa muAnals of Rheumatic Diseases , achifananidza kutora NSAIDs nokuda kwemarwadzo emusana pasina kuita chinhu.
Nepo NSAID dzaibatsira nemarwadzo, hazvina kudaro. Muzvinyorwa, vanyori vanogumisa kuti pane chaizvo zvisiri mhando dzakanyanyisa dzakanyatsoshanda dzinoshanda zvakanaka (zvichienzaniswa ne placebo.)
Uye kana iwe ukaisa pangozi yeGI tract bleeding uye / kana ulcers, uye / kana ngozi yakakwirira yokurwara kwepfungwa kana chirwere, iwe unogona kuongororazve mararamiro ako okurwira marwadzo - kunyanya kana kurwadziwa kwako kwakanyatsonaka.
Imwe nzira yakakurumbira yaunogona kuedza ndiyo yekuvhima.
Chidzidzo che2014 chakabudiswa muOchsner Journal chakasimbisa kusimbiswa kwemashure uye / kana kumutsipa kwemitsipa (iyo iri kumashure uye yakakubatsira iwe kupisa pane kushandura kana kutenderera musana wako) inobatsira kuderedza marwadzo uye inogona kukubatsira kuti ufambe nokukurumidza kupfuura marudzi mazhinji zvinetso zvepora. Paunoenda kuna chiremba pamusoro pemutsipa wako kana kurwadziwa shure, funga kutora nzira inoshandisika yekukukumbira kuburikidza nekumukumbira chiremba kuchipatara chepanyama.
> Sources:
> Dreisinger, T., PhD. Ita mairi muHurumende yeHuru Dzakareruka Pazvakawanda Ochsner J. Spring 2014. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963038/
> FDA Inowedzera Kunyeverwa Kwemwoyo Wakaipa uye Dambudziko reStroke yeAri-Steroidal Anti-Inflammatory Drugs. FDA Website. Yakavandudzwa: Sept 2016. https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm453610.htm
> Graedon, J. Aspirin vs. NSAIDs: Ndechipi Chakanaka? The Pharmacy's People. July 2013. https://www.peoplespharmacy.com/2013/07/08/aspirin-vs-nsaids-which-is-best/
> Machado G., et. al. Kwete-steroidal anti-inflammatory drug for spinal pain: a systematic review and meta-analysis. Ann Rheum Dis. July 2017. https://www.ncbi.nlm.nih.gov/pubmed/28153830
> Naproxen vs Ibuprofen: Chii chakasiyana? Drugs.com website. August 2016. https://www.drugs.com/answers/naproxen-ibuprofen-difference-3117722.html
> Sinnott P., et. al. Nzira dzekutsvaga hutano hwemutsipa nemarwadzo kumashure, 2002 kusvika muna 2011. Medicine (Baltimore). May 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440123/