Inoshandiswa Kwenguva refu YeNSAID Safe?
Kana iwe uine marwadzo asingagumi, mikana iwe wakatendeukira kuNSAID nokuda kwekununurwa kwehurombo kamwechete kamwe munguva. Asi kushandiswa kwenguva refu kweNSAIDs yakachengeteka here? Uye chii chinogona kugadzirisa migumisiro? Hezvino izvo zvaunofanira kuziva pamusoro peNSAID zvekutambudzika kusingaperi.
Ndezvipi NSAIDs?
Nonsteroidal anti-inflammatory drugs, kana NSAIDs, marwadzo anorwadza anowanzoshandiswa mukurapa maronda emasumbu uye pamwe chete, zvisinei kuti anogona kushandiswa mukurwadziwa kwehutano pane dzimwe nguva.
NSAIDs dzinowira pasi pekutungamira kweanoridiski dzisina opioid kana mishonga isinganzwisisiki remakwenzi. Kazhinji, kushandisa NSAID kune marwadzo asingagumi kunonyanya kubudirira apo marwadzo ako ane unyoro kana akaenzana.
Kusiyana neopioid , dzakawanda zveNSAID zvinogona kutengwa pamusoro pekambani. Ibuprofen uye naproxen, mbiri dzeNSAID, dzinowanikwa nyore nyore mumatare ezvinodhaka uye zviri nyore. Chiremba-simba NSAID dzekutambudzika kusingaperi zvinowanikwawo kana marwadzo ako akaoma. Mune zviitiko izvi, NSAIDs dzinogonawo kusanganiswa neopioid kuti zvirambe zviri nani kutarisa marwadzo ako.
Nzira dzeNSAID dzinobvisa sei kurwadziwa
NSAIDs dzinoderedza marwadzo munzira mbiri. Kutanga, vanochinja manzwiro ekurwadziwa nekudzivirira mamwe maitiro enhengo anobatanidzwa mukurwadziwa. Chechipiri, vanoita kuti kuderedza kuzvimba kunowanzobatanidzwa nemamwe marudzi ekutambudzika. Dzimwe NSAIDs, zvisinei, zvinoshanda chete pakuderedza kubhekwa kana zvichitorwa pamvura yakakwirira.
NSAID dzakawanda dzinotorwa nemuromo, uye simba rinopesana zvichienderana nerudzi rwemishonga uye kuyerwa kunoshandiswa.
Paunotora NSAID kuti uwane kurwadziwa kusingaperi, unogona kutora purogiramu shoma shoma pamwe chete nemishonga inorwadza kwenguva refu, yakadai seopioid kana anjuju ( adticonvulsant kana an anti-depressant). Izvi zvinonyanya kuitika kana iwe uine kurwadziwa kunorwadza . Kunyange zvakadaro, NSAID yakagara yakareba yekutambudzika kusingaperi inogona kukwana kudzora zviratidzo zvako.
Marudzi eNSAIDs for Chronic Pain
Zvimwe zvinowanzowanikwa pane-the-counter NSAIDs zvinorwadza zvisingaperi zvinosanganisira aspirin , ibuprofen, naproxen uye ketoprofen. Iyi mishonga inorwadza inotengeswa mumhando dzakasiyana dzisina simba uye inogona kusanganiswa nezvimwe zvinoshandiswa, zvakadai se caffeine kana acetaminophen.
Zvinyorwa zvemasimba zveNSAID zvinowanikwawo zvakare. Zvimwe zvinowanzoshandiswa mishonga NSAIDs nokuda kwekutambura kusingaperi zvinosanganisira meloxicam uye celecoxib. Munenge maNSAID ose, zvose zvinyorwa uye pamusoro pekambani, inotorwa nemuromo.
NSAIDs Inochengeteka Here?
Apo NSAIDs zvinoshandiswa nguva dzose pane imwe nguva yakareba, sezvinowanzoitika kune marwadzo asingagumi, kukwanisa kwemigumisiro inowedzera. Uchapupu hunoratidza kuti zvinoita kuti zvinetso zveNSAID zvakabatana zvinowedzera sezvaunokura. Zvimwe zvinowanzovhiringidza zvinosanganisira:
- Kushungurudzwa kwepamu uye zvironda
- Matumbo (GI) kubuda ropa
- Kuwedzerwa mikana yekupwanya
- Kuwedzera kwezviratidzo zvechirwere
- Kuwedzera kwengozi yekurohwa, kurwadziwa kwemwoyo uye ropa
Kana ukaronga kuva paNSAID nokuda kwekutambudzika kusingaperi kwenguva refu, chiremba wako angashandura kuyerwa. Anogona kukupawo mamwe mishonga yemishonga inokonzera mikana yekukudziridza chero ipi zvayo yakataurwa pamusoro apa.
Izvo zvinogona kukanganisa NSAID zvingawedzerwa kana iwe:
- Smoke
- Inwa doro nguva dzose
- Vakuru
- Iva nhoroondo yehosha yemoyo
- Iva nehana yepamusoro yeropa
- Wakave uine zvinetso zveGI
- Iva nehisvo kana chirwere chechiropa
NSAID dzose, zvose zvinyorwa uye nepamusoro pekambani, ikozvino mhemberero dzevheti yemitambo nekuda kwekutonga neDain and Drug Administration. Pasinei nemanyevero, kushandiswa kweNSAID kunoramba kuri imwe yenzira dzakakurumbira dzekudzivirira marwadzo.
Sources:
American Chronic Pain Association. APCA Mishonga uye Upenyu Husingaperi: Kuwedzera 2007.
The American College of Gastroenterology. Ngozi dzeAspirin neNSAIDs.
The Merck Manuals Online Medical Library. Pain: Treatment.
Iko US Food and Drug Administration. COX-2 Selective (inosanganisira Bextra, Celebrex, uye Vioxx) uye Vasingasarudze Siri-Steroidal Anti-Inflammatory Drugs (NSAIDs).