Tungamira kune Over-the-Counter (OTC) Anti-Inflammatories

Zvemukati

• Zvishandiso
• Mhando dzeNSAID
• Zvimwe zvinokanganisa
• Matambudziko edumbu
• Zvinetso zvemwoyo
• Nguva yekutsvaga kurapwa
• Kubatana kwezvinodhaka
• Zvevana
• Reye chirwere
• Matipi ekushandisa OTC NSAIDs
• Ongorora zvaunoda
• Verenga zvinyorwa
• Zvichengete zvakanaka
• Tora mushonga wakakodzera
• Nguva yekudzivirira NSAIDs
• Tora woenda nazvo

Mhedziso

Over-the-counter (OTC) mishonga mishonga yaunogona kutenga pasina tsamba yechiremba. Nonsteroidal anti-inflammatory drugs (NSAIDs) mishonga inobatsira kudzikisa kuzvimba, izvo zvinowanzobatsira kubvisa marwadzo. Mune mamwe mazwi, iwo anti-anogumbura zvinodhaka.

Heano akajairika zvakanyanya maOTC NSAID:

• yakakwira-dose aspirin
• ibuprofen (Advil, Motrin, Midol)
• naproxen (Aleve, Naprosyn)

NSAID dzinogona kushanda zvakanyanya. Vanowanzo shanda nekukurumidza uye kazhinji vane mashoma mhedzisiro pane corticosteroids, iyo zvakare inoderedza kuzvimba.

Zvakadaro, usati washandisa NSAID, iwe unofanirwa kuziva nezve zvingangoitika mhedzisiro uye kudyidzana kwemishonga. Verenga pamusoro peiri ruzivo pamwe nemazano ekushandisa maNSAID zvakachengeteka uye zvinobudirira.

Zvishandiso

NSAIDs dzinoshanda nekudzivirira prostaglandin, zvinova zvinhu zvinomutsidzira kupera kwemitsipa yako uye kunowedzera marwadzo panguva yekuzvimba. Prostaglandins inoitawo basa mukudzora tembiricha yemuviri wako.

Nekudzivirira mhedzisiro yeprostaglandin, NSAID dzinobatsira kudzikamisa marwadzo ako uye nekudzikisa fivha yako. Muchokwadi, maNSAID anogona kubatsira mukuderedza akawanda marudzi ekusagadzikana, kusanganisira:

• musoro
• musana
• tsandanyama aches
• kuzvimba uye kuomarara kunokonzerwa neArthritis uye mamwe mamiriro ekuzvimba
• kurwadziwa kwekuenda kumwedzi uye kurwadziwa
• kurwadziwa mushure mekuvhiyiwa kudiki
• kupwanya kana kumwe kukuvara

NSAIDs dzinonyanya kukosha kugadzirisa zviratidzo zveArthritis, senge kurwadziwa kwekubatana, kuzvimba, uye kuomarara. NSAID dzinowanzove dzisingadhuri uye dzinowanikwa nyore, saka kazhinji ndiwo mishonga yekutanga yakatemerwa vanhu vane arthritis.

Iyo yekurapa mushonga celecoxib (Celebrex) inowanzo gadzirirwa kwenguva refu-manejimendi ezviratidzo zveArthritis. Izvi zvinodaro nekuti zviri nyore padumbu rako pane mamwe maNSAID.

Mhando dzeNSAID

NSAID dzinodzivirira iyo enzyme cyclooxygenase (COX) kubva mukugadzira prostaglandin. Muviri wako unoburitsa marudzi maviri eCox: COX-1 uye COX-2.

COX-1 inodzivirira mudumbu mako, nepo COX-2 ichikonzera kuzvimba. Mazhinji maNSAID haana kunyatsojeka, zvinoreva kuti anovharira ese ari maviri COX-1 uye COX-2.

Nonspecific NSAIDs dzinowanikwa pamusoro pekambani muUnited States dzinosanganisira:

• yakakwira-dose aspirin
• ibuprofen (Advil, Motrin, Midol)
• naproxen (Aleve, Naprosyn)

Asipasi-dhizeti aspirin haina kujairika yakarongedzwa seNSAID.

Nonspecific NSAID dzinowanikwa nemushonga muUnited States dzinosanganisira:

• diclofenac (Zorvolex)
• zvinyaradzo
• etodolac
• famotidine / ibuprofen (Yakakodzera)
• flurbiprofen
• indomethacin (Tivorbex)
• ketoprofen
• mefenamic acid (Ponstel)
• meloxicam (Vivlodex, Mobic)
• nabumetone
• oxaprozin (Daypro)
• piroxicam (Feldene)
• sulindac

Kusarudza COX-2 inhibitors maNSAID anovhara akawanda COX-2 kupfuura COX-1. Celecoxib (Celebrex) parizvino ndiyo yega inosarudza COX-2 inhibitor inowanikwa nemushonga muUnited States.

Zvimwe zvinokanganisa

Kungoti nekuti iwe unogona kutenga mamwe maNSAID pasina mushonga hazvireve kuti iwo haana kana kukuvadza zvachose. Pane zvinokwanisika mhedzisiro uye njodzi, neyakajairika kuve kushungurudzika mudumbu, gasi, uye manyoka.

NSAIDs dzinoitirwa kushandiswa pano neapo uye kwenguva pfupi. Ngozi yako yemhedzisiro inowedzera iyo yaunoshandisa nguva yakareba.

Nguva dzose taura nemupi wako wezvehutano usati washandisa maNSAID, uye usatore mhando dzakasiyana dzeNSAID panguva imwe chete.

Matambudziko edumbu

NSAID dzinodzivirira COX-1, iyo inobatsira kuchengetedza dumbu rako kupfekedza. Nekuda kweizvozvo, kutora maNSAID kunogona kubatsira kumatambudziko madiki emimba, kusanganisira:

• kugumbuka mudumbu
• gasi
• manyoka
• chirungurira
• kusvotwa uye kurutsa
• kuvimbiswa

Muzviitiko zvakakomba, kutora maNSAID kunogona kutsamwisa dumbu rako rakamonera zvakakwana kukonzera chironda. Zvimwe zvironda zvinogona kutungamira mukubuda ropa mukati.

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita zviratidzo, rega kushandisa iyo NSAID nekukasira uye kufonera mupi wehutano:

• kurwadziwa kwakanyanya mudumbu
• nhema kana chekugara chigaro
• ropa mune chako chigaro

Njodzi yekuvandudza nyaya dzemudumbu yakakwira kune vanhu avo:

• tora maNSAID kazhinji
• vane nhoroondo yezvironda zvemudumbu
• tora ropa rakaonda kana corticosteroids
• vanopfuura makore makumi matanhatu nemashanu

Iwe unogona kudzikisira mukana wako wekuvandudza dumbu nenyaya nekutora maNSAID nechikafu, mukaka, kana antacid.

Kana iwe ukagadzira nyaya dzemudumbu, wako mupi wezvehutano anogona kukukurudzira kuti uchinje kune yakasarudzika COX-2 inhibitor yakadai sa celecoxib (Celebrex). Ivo vane kashoma mukana wekukonzera kurwadziwa kwemudumbu pane nonspecific NSAIDs.

Zvinetso zvemwoyo

Kutora NSAIDs kunowedzera njodzi yako ye:

• kumira kurova kwemoyo
• kutadza kwemoyo
• sitiroko
• kugwamba kweropa

Ngozi yekuvandudza mamiriro aya inowedzera nekushandisa kazhinji uye madosi epamusoro.

Vanhu vane chirwere chemwoyo vane njodzi yakawedzera yekuvandudza nyaya dzine chekuita nemoyo kubva pakutora maNSAID.

Nguva yekutsvaga kurapwa

Rega kutora iyo NSAID nekukurumidza uye tsvaga kurapwa kana iwe ukaona chero cheanotevera zviratidzo:

• kurira munzeve dzako
• kuona kwakadzikama
• mapundu, mikoko, uye kuvaviwa
• kuchengetwa kwemvura
• ropa rako weti kana zvigaro
• kurutsa uye ropa mumarutsi ako
• kurwadziwa kwakanyanya mudumbu
• kurwadziwa pachipfuva
• kukurumidza kurova kwemoyo
• jaundice

Kubatana kwezvinodhaka

NSAID dzinogona kuwirirana nemimwe mishonga. Mimwe mishonga inova isinganyanyi kushanda pavanobatana nemaNSAID. Mienzaniso miviri mishonga yekumanikidza kweropa uye yakaderera-dose aspirin (painoshandiswa seropa rakatetepa).

Mimwe miunganidzwa yemishonga inogona kukonzera zvakakomba mhedzisiro, zvakare. Chenjerera kana ukatora zvinodhaka zvinotevera:

• Warfarin. NSAIDs dzinogona kunyatso kusimudzira mhedzisiro yewarfarin (Coumadin), mushonga unoshandiswa kudzivirira kana kubata ropa rekugwamba. Iko kusanganisa kunogona kutungamira mukunyanyisa kubuda ropa.
• Cyclosporine. Cyclosporine (Neoral, Sandimmune) inoshandiswa kurapa arthritis kana ulcerative colitis (UC). Izvo zvakare zvakatemerwa kune vanhu vakave nekuiswa nhengo. Kuitora neNSAID kunogona kutungamira kukuvara kweitsvo.
• Lithium. Kubatanidza NSAIDs pamwe neyakagadzika-kudzikamisa zvinodhaka lithiamu kunogona kutungamira kune ine ngozi kuvaka ye lithiamu mumuviri wako.
• Asipasi-dhizaini aspirin. Kutora maNSAID ane yakaderera-dose aspirin kunogona kuwedzera njodzi yekukura mudumbu maronda.
• Kusarudza serotonin reuptake inhibitors (SSRIs). Kubuda ropa mukati megadziriro yekugaya kunogona zvakare kuve dambudziko kana iwe ukatora maNSAIDs ane serotonin reuptake inhibitors (SSRIs) inosarudzika.
• Diuretics. Kazhinji hazvisi dambudziko kutora maNSAID kana iwe uchitorawo diuretics. Nekudaro, wako mupi wezvehutano anofanirwa kukutarisa nezve kukwira kweropa uye kukuvara kweitsvo iwe uchizvitora zvese zviri zviviri.

Zvevana

Gara uchitarisa nemupi wako wezvehutano usati wapa chero maNSAID kune mwana ari pasi pemakore maviri. Chiyero chevana chakavakirwa pahuremu, saka verenga iyo dhata chati inosanganisirwa nemushonga kuti uone kuti ingani yekupa kumwana.

Ibuprofen (Advil, Motrin, Midol) ndiyo inonyanya kushandiswa NSAID muvana. Ndiyo chete inobvumidzwa kushandiswa muvana vadiki semwedzi mitatu. Naproxen (Aleve, Naprosyn) inogona kupihwa kuvana vanopfuura makore gumi nemaviri ekuberekwa.

Kunyangwe asipurini inogamuchirwa kuti ishandiswe muvana vane makore anodarika matatu ekuberekwa, vana vane makore gumi nemaviri zvichidzika vanogona kuve nehukuku kana dzihwa vanofanira kudzivirira asipurini nezvigadzirwa zvine izvozvo.

Kupa aspirin kuvana kunogona kuwedzera njodzi yavo kuReye's syndrome, chinetso chakakomba chinokonzera kuzvimba muchiropa nepfungwa.

Reye chirwere

Zviratidzo zvekutanga zveReye's syndrome zvinowanzoitika panguva yekupora kubva kuhutachiona hwehutachiona, senge chickenpox kana furuu. Zvisinei, munhu anogonawo kukura Reye's syndrome mazuva matatu kusvika mashanu mushure mekutanga kwehutachiona.

Zviratidzo zvekutanga muvana vari pasi pemakore maviri ekuberekwa zvinosanganisira chirwere chemanyoka nekukurumidza kufema. Zviratidzo zvekutanga muvana vakura uye vachiri kuyaruka zvinosanganisira kurutsa uye kurara zvisina kujairika.

Zvimwe zviratidzo zvakakomba zvinosanganisira:

• kuvhiringidzika kana kuona zvisizvo
• hunhu kana hutsinye
• kushaya simba kana kuoma mitezo mumaoko nemumakumbo
• pfari
• kurasikirwa kwekuziva

Kutanga kuongororwa uye kurapwa kunogona kuponesa hupenyu. Kana iwe uchifungidzira kuti mwana wako ane Reye's syndrome, tsvaga kurapwa nekukurumidza.

Matipi ekushandisa OTC NSAIDs

Kuti uwane mhinduro dzakanakisa kubva pakurapwa kweOTC, tevera aya matipi.

Ongorora zvaunoda

Mimwe mishonga yeOTC, senge acetaminophen (Tylenol), yakanaka pakubvisa marwadzo asi haibatsire nekuzvimba. Kana iwe uchikwanisa kuvashivirira, NSAIDs ndiyo ingangoita sarudzo iri nani yeArthritis uye mamwe mamiriro ekuzvimba.

Verenga zvinyorwa

Mimwe michina yeOTC inosanganisa mushonga weacetaminophen uye unorwisa-kupisa. NSAID dzinogona kuwanikwa mune imwe inotonhora uye yekurapa mishonga. Ive neshuwa yekuverenga izvo zvinongedzo rondedzero pane ese OTC mishonga kuitira kuti iwe uzive kuti yakawanda sei imwe neimwe yemushonga iwe yauri kutora.

Kutora zvakawandisa zvemushonga unosanganisa zvigadzirwa zvinowedzera mukana wako wemhedzisiro.

Zvichengete zvakanaka

Mishonga yeOTC inogona kurasikirwa nekushanda kwayo pasati pasvika nguva yekupera kana ikachengetwa munzvimbo inopisa, ine hunyoro, senge yemushonga wekugezera mushonga. Kuti dziite dzekupedzisira, dzichengete munzvimbo inotonhorera, yakaoma.

Tora mushonga wakakodzera

Paunenge uchitora OTC NSAID, ita shuwa kuti uverenge uye uteedzere mafambiro. Zvigadzirwa zvinosiyana musimba, saka ita shuwa kuti urikutora chakaringana nguva imwe neimwe.

Nguva yekudzivirira NSAIDs

NSAID haisi zano rakanaka kune wese munhu. Usati watora iyi mishonga, bvunza nemupi wako wezvehutano kana iwe uine kana wakambove:

• zvinopesana neaspirin kana mumwe mushonga unodzora marwadzo
• chirwere cheropa
• kubuda mudumbu kubuda ropa, maronda eronda, kana matambudziko emudumbu
• BP kana chirwere chemwoyo
• chiropa kana hosha yeitsvo
• chirwere cheshuga icho chinonetsa kubata
• nhoroondo yekurohwa kana kurwara nemoyo

Bvunza wako mupi wehutano kana iwe uri pamusoro pemakore makumi matanhatu nemashanu uye waronga kutora maNSAID.

Kana iwe uri nepamuviri, bvunza wako mupi wehutano usati watora maNSAID. akawana kuti kutora NSAIDs pakutanga kwepamuviri wako kunogona kuwedzera njodzi yako yekuparara, asi zvimwe zvidzidzo zvinodiwa.

Kutora maNSAID panguva yetatu trimester yenhumbu haina kukurudzirwa. Vanogona kukonzera tsinga yeropa mumoyo wemwana kuvhara nguva isati yakwana.

Iwe unofanirwa zvakare kutaura kune wako mupi wezvehutano nezve kuchengetedzeka kwekushandisa iyo NSAID kana iwe ukanwa zvitatu kana kupfuura zvinwiwa zvinwiwa pazuva kana kana iwe ukatora mushonga-wekuonda ropa.

Tora woenda nazvo

NSAIDs dzinogona kuve dzakakura kudzikamisa marwadzo anokonzerwa nekuzvimba, uye mazhinji aripo pamusoro pekambani. Kumbira mupiki wako wezvehutano nezve muyero wakakodzera, uye usapfuure iwo muganho.

NSAIDs dzinogona kunge zviri zvemimwe mishonga, saka ive shuwa kuti uverenge iyo mazita eiyo OTC zvinodhaka zvaunotora.