Antiinflammatories: Ngozi Nekufunga
Paunenge uine fibromyalgia (FMS) uye isingagumi kuneta ( ME / CFS ), unogona kuguma uchitora mishonga yakasiyana-siyana, kusanganisira mishonga inowanikwa yehutano. Kunyange izvo zvingakubatsira kuti unzwe uye ushande zviri nani, zvinogonawo kunge zvine ngozi. Inobhadhara kunyatsonzwisisa mishonga inowanikwa kwauri.
Mhando dzinoverengeka dzepainkillers dzinowanikwa pamusoro pekambani (OTC), uye chikamu chikuru chedu chinopiwa chirairo chepamusoro pavanenge vachirapa pane imwe nguva pakurwara kwedu.
Iyi mishonga imwe neimwe ine ngozi dzayo pachavo uye zvinokonzerwa nemigumisiro, uye vamwe vanogona kuwirirana zvisina kunaka nemimwe mishonga.
Imwe yenzvimbo dzakanyanya kufanana dzepainkillers inopesana nezvinokonzera zvinodhaka. Rudzi runowanzoshandiswa anti-inflammatories runonzi NSAIDs, iyo inomiririra kwete-steroidal anti-inflammatory drugs. Inowanikwa OTC NSAIDs inosanganisira:
- Advil, Motrin (ibuprofen)
- Aleve, Naprosyn (naproxen)
- Bayer, Bufferin, Excedrin (aspirin)
Iyi mishonga inowanikwawo mune zvinyorwa zvine simba. Chirongwa chepachipatara-chete NSAIDs chinosanganisira:
- Relafen (nabumetone)
- Feldene (piroxicam)
- Orudis (ketoprofen)
- Voltaren (diclofenac)
- Lodine (etodolac)
- Celebrex (celecoxib)
Vazhinji vedu tinoziva kushandiswa kweNSAIDs kuderedza marwadzo anokonzerwa nokuputika. Zvisinei, dzimwe NSAID dzinogona kuderedza marwadzo nekudzivirira mamwe maitiro enhengo ari chikamu chemuviri wako kupindura kune zvinorwadza zvinorwadza. Hazvisi pachena kana iyi nzira inoshanda kuburikidza nemhando dzisingawanzo kurwadziwa dzinosangana neFMS .
Nokuda kwechikonzero ichi, chiitiko nevanochiremba ndechokupa maSSAID mashomanana uye panzvimbo pekupa mishonga inoshanda purogiramu yepamusoro yenheyo, iyo apo marwadzo edu anotenda kunobva kubva. Izvo maererano nekutsvakurudza kwakabudiswa munyaya ya2013 yeEuropean Journal of Medicine.
Zvimwe zvidzidzo zvinoratidza kuti kuputira kunobata basa guru muM ME / CFS .
Ko FMS inoputira , kunyange zvakadaro? Zvinowanzoonekwa sokuti hazvive, asi chidzidzo chakanyorwa naGinevra Liptan, MD, chinoratidza kuti chinosanganisira kuvhiringidzwa kwefascia.
Pasinei nedzimwe basa rekuvhiringidza mumamiriro ezvinhu aya, tinoziva kuti vanhu vazhinji vanotora NSAID yehutano hweFMS neE ME / CFS, uye vamwe vane zvirwere izvi vanotorawo NSAID kune mamwe matambudziko ehutano anosanganisira kuvhiringidza.
NSAID Njodzi
Apo iwe unogona kuwana NSAID mumisha yakawanda uye unotenga ivo pose pose, vanoramba vachiuya nematambudziko makuru.
Maererano neAmerican Journal of Medicine, vanhu vanopfuura 100 000 vari muchipatara nekuda kweNSAID gore rimwe nerimwe muUnited States. Kuwedzera, 15-20,000 vanofa gore negore kubva kune zvinetso zvakasangana neNSAID zvakadai sevonda uye kubuda ropa, uye vazhinji vanopera 60 muzana yeNSAID vashandisi vanogona kukura kushaya migumisiro yemigumisiro.
NSAIDs dzinobatanidzwawo nehuwandu hwekufa kubva pamwoyo yekurwisa kana kurohwa. Iyi mishonga inogona kutungamirira kumatambudziko eropa kana zvepso, zvakare.
Kutora NSAID mbiri pamwe chete kune ngozi-yekuongorora 2004 kwakabudiswa muEuropean Journal of Clinical Pharmacology yakaratidza kuti yakawedzera njodzi yekukuvadzwa kwechiropa kana kushaya kwetsvo kubva 500-600 muzana pane kushandiswa kweNSAID imwe chete.
Kushandiswa kwenguva refu, yakadai sokunge iwe unotarisira nehupenyu husingaperi, inogona kuwedzera njodzi idzi.
Zvimwe zvezvinetso zvichibva kushandiswa kweNSAID zvinogona kuva nekuda kwemafungiro evanhu kune OTC madhiragi. Vanogona kufunga kuti havasi ivo vakakosha kana kuti vane ngozi uye saka musati mushumire kushandisa kune chiremba wavo kana kuti chiremba. Zvakakosha kuti vadzidzisi vehutano ava vazive zvose zvauri kutora, kusanganisira OTC zvinodhaka uye zvekudya zvinowedzera, saka vanogona kukubatsira kuti usapinda zvinetso zvakakomba.
NSAID Migumisiro Yechebvu & Kubatana
Mukuwedzera kune njodzi dzakataurwa pamusoro apa, NSAIDs inogona kukonzera migumisiro yakawanda. Zvinonyanyozivikanwa ndezvi:
- Nausea
- Kudzora
- Diarrhea
- Constipation
- Kunoderedza kudya
- Mapundu
- Chizutu
- Headache
- Kukurova
Zvimwe zvemigumisiro iyi (zvinetso zvekudya, chirwere, uchechera, kugona) zvinowanikwawo zviratidzo zveFMS ne ME / CFS. Paunotanga kutenga NSAID itsva, zvakakosha kucherechedza chero kuchinja kwezviratidzo zvingave zvichibva pamishonga.
NSAIDs inogona kuwirirana zvisina kunaka nedzimwe mimwe mishonga, saka iva nechokwadi kuti utaure nachiremba wako uye wemhizha nezvemishonga yako yose.
Nemhaka yokuti NSAID dzinoita kuti ropa rako rikwanise kuvhara, zvinogona kuva nengozi kuvabatanidza ne anticoagulants (blood thinners) dzakadai saCoumadin (warfarin).
Kana uri kurapwa nehutachiona hwepamusoro (kukudzwa kweropa), unofanirwa kuziva kuti NSAID dzingaita kuti mishonga yako isanyanya kushanda.
Kuderedza Dambudziko Rako
Maererano neDFA, kuchengetedza hutano hwako iwe unofanira kungoshandisa NSAID zvakanyatsorayirwa, pamusana wepamusoro, uye kwenguva pfupi sezvaunokwanisa.
Kana marwadzo ako asingagumi, hutano hwekupedzisira hwakaoma kutevera. Iva nechokwadi chekuzivisa chero kuwedzera kwemigumisiro kune chiremba wako. Chiremba wako angada kuongorora zviratidzo zvehutano hwechiropa kana uri kutora NSAIDs kwenguva refu.
Kusvuta fodya uye kunwa doro kunogona kuwedzera mungozi yako yeUSAID-yakakonzerwa nemaronda kana kukonzera matambudziko, ose ayo anogona kukonzera kusangana pasina kunyeverwa uye anogona kukuuraya. Iva nechokwadi chokuti chiremba wako anoziva nezvekusvuta kwako uye kushandisa doro.
Shoko kubva
Iwe uye chiremba wako unofanira kusarudza pamwe chete kana NSAID dzakakodzeri iwe, zvichibva pane zvaunoongorora, zviratidzo, hutano hutano uye mararamiro ezvinhu. Zvakakosha kuziva kuti imwe NSAID inogona kukubatsira iwe kupfuura vamwe, saka inogona kutora kuedza nemishonga yakasiyana-siyana kuti ibudirire mhinduro dzakanakisisa.
Kana iwe usingafungi NSAIDs zvinobudirira pakuderedza marwadzo ako, taura nachiremba wako pamusoro pezvimwe zvinogona kuitika uye ureve njodzi pane zvinobatsira.
Sources:
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Clinard F, et. al. Magazini yeEurope yemakiriniki ekurapa. 2004 Jun; 60 (4): 279-83. Kushamwaridzana pakati pekushandisa kushandiswa kwezvikamu zvakasiyana-siyana zveNSAID uye nengozi yakawandisa yekuita zvinodhaka zvinodhaka. A case / non-case study kubva kuFrench Pharmacovigilance system database.
Kovac SH, et. al. Arthritis uye rheumatism. 2008 Feb 15; 59 (2): 227-33. Sangano rehutano hwehutano hwehupenyu nehuviri hwemishonga yemishonga uye kupfuura-the-counter nonsteroidal anti-inflammatory drugs.
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