NSAIDs Dzinowanzoshandiswa Kurapa Kurapa Kurapa
Kana ukaverenga mazita e-over-the-counter relievers, iwe uchaona mazano pamusoro pekutaura nachiremba wako kana kurwadziwa kwako kunogara kwenguva yakareba kupfuura kwevhiki kana kupfuura. Zvechokwadi, kana uine kurwadziwa kusingaperi, marwadzo ako angangodaro akagara kwemwedzi yakawanda kana kupfuura. Izvi hazvirevi kuti mishonga isingabatsiri-kupisa (NSAIDs) haina kukodzera kurapwa kwenguva refu .
Chaizvoizvo, NSAIDs dzinowanzoshandiswa kuchengetedza kusingaperi kwemarwadzo ekurwa uye arthritis. Vanogonawo kutorwa pamwe nemamwe mishonga inorwadza seypioid kana analgesics adjuvant kugadzirisa kurwadziwa .
NSAID dzakawanda dzinowanikwa kune-over-the-counter purchase, kunyange mafomu akasimba angada chiremba chiremba. Dzimwe NSAIDs dzinowanikwa chete muzvinyorwa zvesimba. Idzi ndidzo dzinoshandiswa kunyanya kushandiswa NSAID dzekutambudzika kusingaperi.
Over-the-Counter NSAIDs for Chronic Pain
- Aspirin (Bayer) : Aspirin imwe yeNSAID dzekare kare uye yave yakapoteredza kwemakore anopfuura zana. Inowanikwa nyore nyore uye inodhura. Aspirin inoshanda kuburikidza nemusoro wepfungwa, musonda aches uye kurwadziwa uye kurwadziwa kweArthritis. Aspirin inewo ropa rakaonda; vanhu vazhinji vanogara vachitora aspirin kuderedza dambudziko ravo rekugadzira mavhatti, izvo zvinogona kutungamirira kurwisa yemwoyo kana kurohwa. Zvisinei, chiito chayo chekuchera ropa chinoreva kuti chero rudzi rwekubuda ropa runotora nguva yakareba kuti ruve pasi pesimba. Aspirin inogona kuvhiringidza gumbo remukati, kunyange zvazvo zviputi zvinoputika zviripo kuti zvidzivirire izvi.
- Ibuprofen (Advil, Motrin) : Ibuprofen inonzi NSAID inowanzoshandiswa kurapa misoro, misuli aches uye sprains (kusanganisira kurwadziwa kwekumusoro) uye kurwadziwa kweArthritis. Inoshanda nekuvhara dzimwe maitiro enokonzera kuvhiringidza panzvimbo yekukuvara kana kutsamwa. Ibuprofen inowanzosimba kupfuura aspirin uye inowanzoshungurudza kumudumbu. Zvisinei, chironda chemudumbu chinenge chichigadzirisa chikamu chekushandisa kwenguva refu ibuprofen. Ibuprofen haisi kukurudzirwa kuvanhu vane mafungiro kana chirwere chechiropa, kana kune avo vanogara vachinwa mvura yakawanda yewaini.
- Naproxen (Aleve) : Naproxen iyi NSAID yakafanana ne ibuprofen. Inogona kushandiswa kudzora misoro yepamusoro, musumbu aches uye kurwadziwa kweArthritis. Kana uri kutora-the-counter naproxen, zvisinei, iwe unogona kutora zvishoma pane iwe waizoda ibuprofen kana aspirin. Naproxen inowanzoita gentler mudumbu kupfuura aspirin, zvisinei, kushandiswa kwenguva refu kunogona kukonzera kudumbuka (GI) kutambudzika kana kukuvara.
- Ketoprofen (Orudis) : Ketoprofen inonzi NSAID inowanzoshandiswa kudzora marwadzo osteoarthritis uye rheumatoid arthritis; zvisinei, iyo inoshandawo kuburikidza nemusoro wemusoro uye kurwadziwa kwemisonda. Ketoprofen inoshanda zvakadai se ibuprofen uye naproxen, kunyange zvingave zvakanyanya kuvhiringidza kumudumbu. Kushandiswa kwenguva refu ketoprofen kunogona kutungamirira kuhutachiona kana kukuvadzwa kwechiropa, uye hazvikurudzirwi kuvanhu vanogara vachinwa mvura yakawandisa (kana yakawanda) yakawanda yewaini.
Chiremba NSAIDs for Chronic Pain
- Meloxicam ( Mobic ) : Meloxicam inonzi NSAID inowanzoshandiswa kurapa marwadzo eArthritis, kusanganisira osteoarthritis uye rheumatoid arthritis. Meloxicam inononoka kusvika mudumbu kupfuura dzimwe dzakawanda dzeNSAID, kusanganisira ketoprofen, iyo inoshandiswa kushandiswa zvakafanana. Zvisinei, kushandisa meloxicam nguva dzose kunogona kukuisa pangozi yeGI dambudziko.
- Celecoxib (Celebrex) : Celecoxib inonzi NSAID inoshandiswa iyo inobatsira kudzora marwadzo akabatana uye arthritis, musasa aches uye kurwadziwa uye kurwadziwa kunosangana nekuputika. Sezvakaita meloxicam, ndeimwe yezvigadzirwa zveNSAID zvemimba yako; zvisinei, kushandiswa kwenguva yakareba celecoxib kunogona kuendesa kuchirwere uye kubuda kweGI. Panewo humwe hutano hwezviitiko zvepfungwa zvevanhu vanotora celecoxib kwenguva refu, zvakadai sekurwadziwa kwemwoyo kana kurohwa.
NSAID Kuchengetedza uye Kusingaperi Kuchema
Zvose zveNSAID zvekutambudzika kusingaperi, kusanganisira izvo zvakatengwa kupfuura-the-counter, zvino zvinosanganisira FDA kunyeverwa nekuda kwezvinetso zvingangodaro. Pasinei neizvi, vanoramba vari imwe yezvikwata zvakakurumbira zvezvinodhaka zvinoshandiswa kurapa kurwadziwa kusingaperi.
Chirongwa cheNSAID chekutambudzika kusingaperi chinogona kukurudzirwa kushandiswa kwenguva refu kana mumwe munhu ane ngozi yakawanda yeGI zvinetso. Vanhu ava vanogona kusanganisira vakwegura uye chero ani ane nhoroondo yezvironda kana zvimwe zvinetso zvekubuda ropa.
Kana iwe ukatora NSAID kuti uwane kurwadziwa kusingaperi, usashamisika kana chiremba wako achiongorora nguva dzose ropa rako. Zvingangodaro NSAID inodhaka inogona kudziviswa nekuongorora zvose zviri kuwedzera ropa rako uye maitiro ako ekusika. Kana maitiro ako achiita seanenge aripo, chiremba wako angashandura mishonga yako kana kupa mamwe madhiragi kuti arwise chero zvingangodaro zvinetso.
Sources:
American Chronic Pain Association. APCA Mishonga uye Upenyu Husingaperi: Kuwedzera 2007. Yakasvika 6/21/09. http://www.theacpa.org/documents/ACPA%20Meds%202007%20Final.pdf
The Merck Manuals Online Medical Library. Pain: Treatment. Yakasvika 6/21/09. http://www.merck.com/mmhe/sec06/ch078/ch078d.html
Patino FG, Olivieri J, Allison JJ, Mikuls TR, Moreland L, Kovac SH, Juarez L, Munhu S, Curtis J, naSaag KG. Nonsteroidal Antiinflammatory Drug Toxicity Kuongorora uye Kuchengetedza Zvidzidzo. Nyaya yeRheumatology. 2003 Dec; 30 (12): 2680-8
Iko US Food and Drug Administration. COX-2 Selective (inosanganisira Bextra, Celebrex, uye Vioxx) uye Vasingasarudze Siri-Steroidal Anti-Inflammatory Drugs (NSAIDs). Yakasvika 6/21/09. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm103420.htm