Antinflammatories: Risks & Considerations
Lokacin da kake da fibromyalgia (FMS) da ciwo na gajiya mai tsanani ( ME / CFS ), za ka iya kawo magunguna daban-daban, ciki har da magungunan magunguna don jin zafi. Yayinda wannan zai taimake ka ka ji da kuma aiki mafi kyau, zai iya zama haɗari. Yana biya don fahimtar kwayoyi da suke samuwa a gare ku.
Yawancin nau'in alamu suna samuwa a kan talikan (OTC), kuma yawancin mu an ba dillalai na likitanci a wasu wurare a cikin rashin lafiya.
Wadannan magunguna kowannensu yana da hatsarin haɗari da yiwuwar illa, kuma wasu zasu iya yin hulɗa tare da wasu magunguna.
Daya daga cikin magunguna masu amfani da kwayoyi masu amfani da kwayoyi ne masu amfani da kwayoyi. Anyi amfani da nau'in anti-inflammatories da ake amfani da su a matsayin NSAIDs, wanda ke tsaye ga kwayoyi masu ƙwayar cuta mai cututtukan steroid. Popular OTC NSAID sun haɗa da:
- Advil, Motrin (ibuprofen)
- Gafara, Naprosyn (naproxen)
- Bayer, Bufferin, Excedrin (Aspirin)
Wadannan magungunan suna samuwa a cikin takaddun bayanai. Sharuɗɗa-kawai NSAIDs sun hada da:
- Relafen (nabumetone)
- Feldene (piroxicam)
- Orudis (ketoprofen)
- Tsarin (diclofenac)
- Lodine (etodolac)
- Celebrex (celecoxib)
Mafi yawancinmu sun saba da amfani da NSAIDs don rage yawan ciwo da kumburi ke haifarwa. Duk da haka, wasu NSAID za su iya rage ciwo ta hanyar kulle ƙananan enzymes waɗanda suke cikin ɓangaren jikinka na mayar da martani ga ciwo mai zafi. Ba a fili ba ko wannan tsari yana da tasiri akan nau'o'in nau'ikan da ke cikin FMS .
Saboda haka, yanayin da likitoci ke da shi shine sanya takaddama ga NSAIDs kuma a maimakon haka sunyi amfani da kwayoyi da ke aiki a cikin tsarin da ke tsakiya, wanda shine inda ake jin zafi mu. Wannan ne bisa ga binciken da aka buga a cikin fitowar ta 2013 na Turai Journal of Medicine.
Wasu bincike sun nuna cewa ƙonewa yana da muhimmiyar rawa a ME / CFS .
Shin flammatory FMS ne ? Ba'a la'akari da shi ba, amma nazarin da Ginevra Liptan, MD, ya wallafa, ya nuna cewa yana kunshi ƙonewa na fascia.
Ko da kuwa wasu takamaiman nauyin kumburi a cikin waɗannan yanayi, mun san cewa mutane da yawa suna daukar NSAIDs don FMS da ME / CFS, kuma wasu da wadannan cututtuka kuma suna daukar NSAID don wasu matsalolin kiwon lafiya wanda ya haɗa da ƙonewa.
RAISUN RAISU
Duk da yake za ka iya samun NSAID a cikin mafi yawan gidajen da saya kusan kusan ko ina, har yanzu suna zuwa da hadarin gaske.
Bisa ga Ma'aikatar Medicine ta Amirka, an yi asibiti fiye da 100,000 saboda NSAID a kowace shekara a Amurka Bugu da ƙari, 15-20,000 mutu kowace shekara daga matsalolin NSAID kamar ulcers da zub da jini na jini, kuma yawancin kashi 60 na NSAID masu amfani zasu iya ci gaba da illa masu lalacewa.
Har ila yau, ana iya danganta NSAID tare da yawan haɗarin mutuwa daga ciwon zuciya ko bugun jini. Wadannan kwayoyi na iya haifar da hanta ko koda matsalolin, kazalika.
Samun guda biyu na NSAID tare da haɗari-haɗari a shekara ta 2004 da aka buga a cikin jaridun Turai na Clinical Pharmacology ya nuna cewa ya kara haɗarin cutar ciwon hanta ko koda koda kashi 500-600 bisa kan amfani da NSAID guda.
Amfani da dogon lokaci, kamar yadda kuke fata tare da yanayin ciwon sanyi, na iya ƙara haɗari.
Wasu matsalolin da aka samo daga amfani na NSAID na iya zama saboda dabi'un mutane game da magungunan OTC. Suna iya tunanin cewa basu da mahimmanci ko haɗari kuma sabili da haka kada su bayar da rahoton yin amfani da su ga likita ko likitan magunguna. Yana da mahimmanci cewa wadannan masana harkokin kiwon lafiya sun san duk abin da kake dauka, ciki har da magungunan OTC da abincin abincin, don haka zasu iya taimaka maka ka guje wa matsaloli masu tsanani.
Hannun hanyoyin NSAID da hulɗar
Bugu da ƙari, haɗarin da ke sama, SAISAI na iya haifar da sakamako mai yawa. Mafi yawan mutane sune:
- Jiɗa
- Vomiting
- Diarrhea
- Tabbatarwa
- Ragewa a ci
- Rash
- Dizziness
- Ciwon kai
- Rashin fata
Wasu daga cikin wadannan cututtukan (sakamako masu narkewa, damuwa, ciwon kai, damuwa) sune magunguna na FMS da ME / CFS. Lokacin da ka fara ɗauka sabon NSAID, yana da muhimmanci a lura da kowane canje-canje a cikin alamun bayyanar da zai iya zama saboda magani.
Hannun na iya yin hulɗa da kyau tare da wasu magunguna, don haka ka tabbata ka yi magana da likitanka da likitan magunguna game da dukkan magunguna.
Saboda ƙidodin NSAID na rage yawan jinin ku na jini, zai iya zama haɗarin haɗuwa da su tare da masu maganin kutsawa (jini mai rarrabe) irin su Coumadin (warfarin).
Idan ana bi da ku don hauhawar jini (cutar hawan jini), kana bukatar ka san cewa NSAIDs zai iya yin maganin jininka ba tare da inganci ba.
Ragewar Hadarinku
Bisa ga FDA, don kare lafiyar ku ya kamata ku yi amfani da NSAID kawai kamar yadda aka tsara, a kashin da ya fi dacewa, kuma don takaice kamar yadda za ku iya.
Lokacin da wahalarka ta ci gaba, wannan shawarar ƙarshe tana da wuya a bi. Tabbatar rahoton duk wani karuwa a cikin illa ga likita. Kwararka na iya son saka idanu masu alamar lafiyar hanta idan kuna daukar NSAID na dogon lokaci.
Shan taba taba da shan barasa zai iya kara yawan haɗarin cutar NSAID ko matsalolin jini, duka biyu na iya haifar da kisa ba tare da gargadi ba kuma zai kashe ka. Tabbatar likitan ku san yadda ake amfani da shan taba da shan giya.
Kalma daga
Dole da likitanku suyi shawara tare ko NSAID ya dace da ku, bisa ga likitocinku, alamu, lafiyar lafiyar ku da kuma salon rayuwar ku. Yana da muhimmanci a lura cewa wani NSAID zai iya aiki mafi alheri a gare ku fiye da wasu, saboda haka yana iya yin gwaji tare da kwayoyi daban-daban don cimma sakamakon mafi kyau.
Idan ba ku ji cewa NSAIDs yana da tasiri a rage rage ku, ku yi magana da likitan ku game da yiwuwar zabi kuma ku yi la'akari da haɗari ga amfanin.
Sources:
Carruthers BM, et. al. Journal of magani na ciki. Oktoba Oktoba; 270 (4): 327-38. Doi: 10.1111 / j.1365-2796.2011.02428.x. Ƙwararrun ƙwayar cuta mai ban mamaki: Yarjejeniya ta Duniya.
Clinard F, et. al. Littafin mujallar Turai na maganin maganin asibiti. 2004 Yuni; 60 (4): 279-83. Ƙungiyar tsakanin amfani da juna ta hanyar NSAID da dama da kuma haɗarin hadarin maganin miyagun kwayoyi. Wani shari'ar / ba na nazari ba daga tsarin Faransanci na Pharmacovigilance.
Kovac SH, et. al. Arthritis da rheumatism. 2008 Feb 15; 59 (2): 227-33. Ƙungiyar halayyar rayuwa ta kiwon lafiya tare da yin amfani da kwayoyi guda biyu da kwayoyi masu amfani da kwayoyi marasa amfani.
Liptan GL. Littafin jarida na aikin jiki da kuma hanyoyin kwantar da hankali. 2010 Jan, 14 (1): 3-12. Fascia: mafarki mai ɓata a cikin fahimtar abubuwan da ke cikin fibromyalgia.
Wolfe F, et al. Jaridar Turai ta jin zafi. 2013 Afr 17 (4): 581-6. Tsarin lokaci na maganin analgesic da magunguna masu amfani da kwayoyi sunyi amfani da haɗin kai cikin fibromyalgia.