NSAIDs na taimakawa wajen taimakawa jinƙai da ciwon ƙwayar cutar
An yi amfani da NSAID (anti-inflammatory drugs) don magance cututtukan arthritis har tsawon shekaru talatin. Sassan NSAID suna da anti-inflammatory, analgesic (painkilling), da kuma antipyretic (ciwon zazzabi). Akwai abubuwa masu muhimmanci da ya kamata ka sani game da NSAIDs don amfani da magunguna a cikin aminci da kuma yadda ya dace.
1. Akwai sassa uku na NSAIDs
Akwai salicylates acetylated da salicylates wadanda basu da albasarta.
Aspirin shine mafi kyawun salicylate acetylated, wanda ake kira acetylsalicylic acid. Salicylates marasa tayi sun hada da choline da magnesium salicylates. Akwai matakan gargajiya na gargajiya da suka hada da:
- Ansaid (sunan mahaifa flurbiprofen)
- Arthrotec (sunan mahaifa diclofenac tare da misoprostol)
- Aspirin (acetylated / salicylates non-acetylated)
- Celebrex (sunan mahaifa celecoxib)
- Clinilil (sunan mahaifa sulindac)
- Daypro (jinsin sunan oxaprozin)
- Disalcid (sunan salsalate na jigilar jini)
- Dolobid (sunan jigilar sunan jabu)
- Feldene (sunan mahaifa piroxicam)
- Ibuprofen (sunayen sun hada da Motrin, Advil, Mediprin, Nuprin, Motrin IB)
- Indocin (sunan jinsin sunan indomethacin)
- Ketoprofen (sunaye sun hada da Orudis, Oruvail, Actron, Orudis KT)
- Lodine (sunan mahaifa etodolac)
- Mobic (sunan jinsin mai suna)
- Nalfon (Generic sunan fenoprofen)
- Naproxen (sunayen sun hada da Naprosyn, Aleve, Naprelan, Anaprox)
- Relafen (jigilar sunan nabumetone)
- Zaɓi (sunan jinsin tolmetin sodium)
- Farfesa (sunan jinsin sunan choline magnesium trisalicylate)
- Tsarin (sunan mahaifa diclofenac sodium)
Kadai kawai COX-2 zaɓi NSAID akan kasuwa shine Celebrex (celecoxib). Tsarin COX-2 masu zaɓaɓɓiyar maƙasudin su ba su iya haifar da matsalolin ciki kamar yadda aka saba da su na NSAID. Mahimmancin labarun su sun kasance sun fi sani amma dukkanin NSAID suna da hadarin cutar hawan jini, matsalolin koda , damun ruwa, da kuma hadarin zuciya.
2. Wasu NSAID suna samuwa a Ƙarƙashin Ƙari
Ko yakamata ya kamata ka yi amfani da kan-da-counter ko ƙarfin takalmin ƙarfi NSAIDs ya dogara da yanayinka. Yawancin lokaci don yanayi mai tsanani, kamar raguwa da damuwa, Ƙididdiga masu ƙanƙanta na NSAID zasu iya aiki sosai. Domin yawan cututtuka na arthritis, ana iya buƙatar ƙarfin takardun magani.
3. Ayyukan NSAIDs ta hanyar hana Cyclooxygenase (COX)
An fitar da acid Arachidonic daga membrane phospholipids a sakamakon maganin cututtuka. Prostaglandins sun kafa maganganun ƙwayar cuta. HASANYARWA suna tsangwama ga samar da prostaglandins ta hanyar hana cyclooxygenase .
4. Kada a yi amfani da Dokokin NSAIDs tare da Tsararrun NSAIDs
Samun takaddun shaida NSAID tare da takaddama na NSAIDs ko aspirin ya ƙara haɗari na illa mai cutarwa , yiwuwar zubar jini . Magunguna sukanyi tunanin cewa aspirin da kuma wadanda ba su da kariyar NSAID suna da lafiya, bisa ga gaskiyar cewa basu buƙatar takardar sayan magani ba. Wannan ba lamari ba ne kuma suna iya haifar da hulɗar magungunan ƙwayoyi marar kyau.
5. Hanyoyi na Ƙungiya Za Su Yi Nisa tsakanin Tsakanin Ƙidaya NSAIDs.
Abin da masu bincike suka gano shine:
- Naproxen ya bayyana mafi aminci ga tsarin kwakwalwa.
- An gane Celebrex saboda rashin matsalolin ciki fiye da na NSAID na gargajiya, amma haɗariyar zuciya.
- Dattawan da ke da matsala tare da cutar hawan jini , matsalolin zuciya, da ulcers zasu iya fuskanci haɗari daga sakamakon NSAIDs.
6. Marasa lafiya tare da Ciwon Zuciyar Marasa Bai kamata Ya Sami Duk NSAID ba
A wasu lokuta na marasa lafiya marasa lafiya da cututtukan zuciya, za'a iya samun mafi alhẽri maganin kulawa don tabbatar da bayyanar cututtukan cututtuka ba tare da la'akari da haɗari ba. A misali, Acetaminophen na iya kasancewa mafi kyau ga marasa lafiya marasa lafiya. Akwai wasu magunguna magunguna . Masu lafiya marasa lafiya da suke shan aspirin saboda yanayin zuciyarsu bazai zama dan takara na NSAIDs tun lokacin haɓaka haɓaka haɗarin hadarin sakamako .
7. Akwai Mahimmancin Mahimmanci a Amsar Aminci na Mutum
A wasu kalmomi, me yasa wani NSAID na musamman yayi aiki ga mai haƙuri kuma ba don wani ba? Bambancin bambance-bambancen na pharmacokinetic tsakanin NSAIDs na iya ƙididdiga ga canzawa a cikin amsa mai haƙuri. A wasu kalmomi, yadda ake amfani da miyagun ƙwayoyi, rarraba, gyare-gyaren, da kuma kawar da ita a cikin jiki zai iya lissafta kowane bambancin mutum.
8. Game da 60 Kashi na marasa lafiya Za su amsa duk wani ba da kyauta NSAID
Wata fitina ta NSAID na makonni uku ya kamata ya isa isa ya kafa idan zai kasance tasiri da kuma rage kumburi. Kimanin kashi 10 cikin dari na marasa lafiya na cututtuka na rheumatoid basu amsa wani NSAID ba.
9. Dole ne Dole Dogaye da Kwarewa Idan Kana Da Wasu Dokokin Kulawa
Sanar da likitanku kafin daukar NSAIDs idan kuna da ko sunyi wani sha'idodi masu zuwa:
- Rage koda ko hanta aiki
- Matsalar rashin hanta
- Recent ulcer, ciki zub da jini , gastritis
- Ɗauki zanen jini
- Yi amfani da prednisone ko wasu steroids
- Low countlet count
- Crohn ta cutar ko ulcerative colitis
- Tarihin bugun jini ko wasu matsalolin zuciya
- Asthma ko yanayi na yau da kullum
- Sigar jiki zuwa NSAIDs ko aspirin
- Nasal polyps
- Aclu reflux
- Ciki ko nono
- Sha fiye da sha bakwai na sha / mako ko 2 / rana
- Ya tsufa fiye da 65
10. Idan Kana Ciki, Tattauna Yin amfani da NSAID tare da Dokarka
Shawarar shawara ga mata masu juna biyu shine cewa kada su yi amfani da NSAID sai dai idan babu wani zaɓi a gare su. Dole ne a kauce wa NSAID a cikin makonni 12 da suka gabata na ciki saboda hadarin da ke ciki ga tayin.
Sources:
Bayani ga marasa lafiya game da NSAIDs. Kwalejin Amirka na Rheumatology. Yuni 2007.
http://www.rheumatology.org/public/factsheets/nsaids.asp
NSAIDs. Mahimmanci a kan cututtuka na Rheumatic. Darasi na 12. An wallafa ta asalin Arthritis.