A lokacin da kake neman saurin gaggawa ko kuma wuyan wuya, likita za su iya bayar da shawarar shan magani na shan magani. Amma akwai nau'o'in iri, kuma abin zamba shine sanin abin da za a zabi, kuma me ya sa.
Na farko bari muyi magana game da abin da ake nufi da "iri" na shan magani mai shan ƙyama. Wadannan suna bambanta da "mai aiki," wanda shine abinda ke haifar da canje-canje, misali, rage zafi, rage ƙonewa, da dai sauransu, wanda aka bayyana a kan takardun kunshin magani. (Ayyukan aiki na iya haifar da sakamako mai lalacewa, haka ma, saboda haka wannan yana iya taka muhimmiyar rawa a shawararka na daukar magani daya akan wani.)
Kamar yadda za ku gani, za a iya hadewa cikin sinadarin magunguna. Yayinda ake ci gaba da shan maganin cutar, manyan ɗakunan biyu sune NSAIDs (wadanda basu da magungunan steroidal) da kuma analgesics. Sauran lokutan ba za a yi ba.
Duk dai daya daga cikin kwayoyi da aka kwatanta a nan sune NSAIDs, wanda zai iya rage ciwo, zazzaɓi mai ƙonewa. Masu maganin COX-2, wani nau'i na NSAID, na iya taimakawa wajen magance alamun ku, amma waɗannan kwayoyi suna samuwa ne kawai ta hanyar takardun magani kawai.
Mafi yawancin kwayoyi sun zo tare da jerin dogon sakamako, kuma NSAID ba bambanta ba. Wasu ƙwayar cutar NSAID na iya zama haɗari ga lafiyarka; biyu daga cikin manyan haɗari na shan irin wannan kwayoyi ne cututtukan zuciya da ciwon ciki. Har ila yau, duka biyu suna da matukar tsanani.
Kuma a ƙarshe, ƙwayoyin da aka tattauna a kasa suna samuwa a matsayin takardar sayan magani a cikin ƙananan ƙwayoyin.
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AspirinAspirin ne watakila mafi tsofaffin maganin anti-inflammatory da aka sani ga dan Adam. Acetylsalicylic acid, mai aiki a aspirin, an yi amfani dashi a matsayin mai sauya mai zafi don ƙarni, idan ba millennia (a wasu siffofi).
A matsayin NSAID, aspirin ba kawai rage rage ko zafi wuyansa ba, yana taka rawar gani wajen sarrafa kumburi, wanda zai iya taimakawa wajen ciwo ko rauni.
Abinda yake aiki a aspirin yana aiki ne ta hanyar riƙe da karuwar prostaglandins, wanda shine kwayoyin cututtuka a cikin jiki, da alhakin kumburi , da kuma ciwo.
Ko da yake rare, aspirin na iya samun mummunar tasiri, ba akalla abu ne na matsalolin ciki. Amma ba kamar sauran NSAIDs, aspirin ba, lokacin da aka yi amfani dasu daidai, na iya inganta lafiyar zuciya. Yi magana da likitanku game da wannan idan kuna so ku sani.
Saboda haka, masana da dama sunyi imani da cewa dukkanin NSAIDs, aspirin shine mafi kyawun zabi. Kamfanin Pharmacy, wanda ke da gidan yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizo da kuma rediyo na rediyo, ya nuna wa Public Radio Radio cewa,
"Idan an fitar da mu zuwa tsibirin tsibirin kuma za mu iya ɗauka ɗaya daga cikin sauƙi, za mu zaɓi aspirin."
Dalilin da suka ce shine, tare da kawar da ciwo da kuma rage kumburi, aspirin yana taimakawa rage hadarin cututtuka na zuciya kamar na haɗin zuciya ko bugun jini. Kuma, injin Masana sun ce, shaidu suna nuna cewa aspirin zai iya magance ciwon daji, har ma.
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IbuprofenIbuprofen wani maganin rigakafi ne mai ƙin ƙurar da wasu mutane ke dauka don rage ƙananan ciwo, tausayi, kumburi da kishi saboda cututtuka. Ibuprofen kuma ana amfani dashi don sauke tsoka da tsoka da jinƙan rai saboda rauni.
Alamun sunaye sun haɗa da Motrin, Advil da Nuprin.
Kamar aspirin, ibuprofen wani NSAID ne, wanda ke nufin ba wai kawai ya rage baya ba ko zafi wuyansa amma yana taka muhimmiyar a kunshe da tsarin (ƙonewa) kanta. Magungunan ƙwayoyin ƙwayoyin cuta da masu ciwon kumburi a matsayin masu aiki na hana hana samar da prostaglandins, saboda haka kumburi da zafi.
Hanyoyin lalacewa na iya haɗawa da matsalolin ciki da nakasa na zuciya.
A shekara ta 2015, FDA, bisa tushen binciken da aka sabunta, ya karfafa abubuwan da ake buƙatarwa ga masana'antun kan kunshin ibuprofen da Drug Facts. Wannan shi ne sanar da jama'a game da wasu hadarin da ke tattare da wannan sashi mai aiki.
Ɗaya daga cikin gargadi mafi muhimmanci a wannan sabon sabuntawa shi ne cewa hadarin bugun jini ko ciwon zuciya ya kasance a baya a cikin tsarin kulawa fiye da masana da suka gaskata.
"Babu lokacin amfani da aka nuna ba tare da hadari ba," in ji Judy Racoosin, MD, MPH, Mataimakin Darakta a Hukumar Harkokin Cutar Kwafi, Analysis, da Addiction.
Don kare kanka daga abin da bai dace ba (sabili da haka ya kara haɗari na tsanani ko ma cututtuka masu tasiri) FDA ya ba da shawarar duba abubuwan da ke aiki a cikin Drug Facts label na kowane magani kake ɗauka, kuma ka tabbata cewa ɗaya daga cikinsu yana dauke da NSAID. A wasu kalmomi, kar ka ɗauki fiye da ɗaya NSAID a lokaci guda.
Wani gargadi shine cewa waɗanda suka rigaya suna da cututtukan zuciya, ko waɗanda suka kamu da kwakwalwa na zuciya suna cikin haɗari mafi girma ga wani yanayi na zuciya da jijiyoyin da ke hade da shan ibuprofen ko wasu NSAID.
Idan kun kasance da ciwon zuciya, haɗarinku ga wani (kuma yiwuwar mutuwa daga gare shi) ya fi girma, ma.
Amma kowa da kowa, ba tare da la'akari da irin yanayin kiwon lafiya na zuciya ba sai an sanya shi a mafi haɗari ga shan ibuprofen, FDA ta sanar da mu.
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NaproxenNaproxen , wani NSAID, ana amfani dasu don taimakawa jin zafi saboda mummunan ƙwayar cuta da kuma ciwon maganin. Wannan ya hada da osteoarthritis da ƙananan ƙwayar maganin maganin ƙwayar maganin maganin ƙwayar cuta irin wannan spondylitis.
Kamar yadda sauran magungunan anti-inflammatory, naproxen yayi aiki ta musamman ta hana hanawar prostaglandins.
Alamun sunaye sun hada da Aleve da Naprosyn.
Ka lura cewa yayin da duk NSAIDs (tare da yiwuwar aspirin) tada haɗarin kututtukan zuciya ko bugun jini, akalla binciken daya ya nuna cewa naproxen tada shi a kalla.
Wannan yana iya zama saboda naproxen yana da magungunan magani mai tsawo, inda ibuprofen yayi aiki kaɗan. Yin amfani da miyagun ƙwayoyi mai tsawo bazai buƙaci a dauki shi akai-akai, saboda haka ya sa ka ka zama mummunar haɗari ga sakamako na miyagun ƙwayoyi.
Wannan ya ce, shafin yanar gizo mai suna Drugs.com, ya ce GI yana da nasaba da lalata NSAIDs (watau ciwon ciki da / ko zub da jini) yana ƙara ƙarar da kake dauka irin wannan magani. Suna faɗakar da jama'a su dauki nauyin mafi ƙanƙanci da ake bukata don samar da taimako na jin zafi.
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Tylenol (acetaminophen)Tylenol shine mafi yawancin lokacin da ake amfani da shi a cikin kasuwa. Ana iya ɗaukar shi don jinkiri na gajeren lokacin da kake da sauƙi ko matsakaici ko kuma wuyar wuyanka. Ba NSAID ba.
Tylenol yana taimakawa tsofaffin cututtuka da / ko arthritis . Zai iya aiki ta rage yawan ƙwayar ƙwayar kwakwalwa wadda take tayar da siginar lalacewa, ta haka, yana shafi tsarin kulawa na tsakiya . Har ila yau, yana yin amfani da sanyaya ta hanyar hana masu karuwanci wanda ke taka muhimmiyar rawa a cibiyar kula da zafi.
Amma idan kuna da matsalolin hanta, ko kuma idan kuna cin barasa mai yawa, ya kamata ku yi tafiya da hankali idan ya zo wurin Tylenol. Yana da sauƙin ɗaukar wannan magani, wanda zai haifar da mummunan haɗari ko hanta.
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Shin Maganar Cizon Mutu ne Yake a gare Ka?Marubutan binciken da aka yi a shekara ta 2017 da aka wallafa a cikin mujallar Medicine ya ruwaito cewa yayin da mafi yawan kungiyoyi da kuma mayar da gunaguni ga likitoci sun tafi tare da kawai lokacin sakin lokaci, sun saba dawo (komawa).
Wannan dangantaka mai zafi da haɗin gwiwa ya fi ƙarfin gaske, suna cewa, tsakanin maɓallin farko da mota. Musamman ma, ya fi tsayi na farko da aka fara aiki, yawancin ciwo mai sauƙi zai dawo daga baya. Kuma duk lokacin da ya aikata, zai zama mafi tsanani, kuma yana iya haifar da ƙarin nakasa.
Ta wannan hanyar, karon farko na ciwon baya zai iya zama mafi muni, kuma zai iya taimakawa ga dogon lokaci mai daɗaɗɗen yanayi, don taya.
Mawallafa sun nuna cewa ciwon kanji yana daya daga cikin manyan yanayi biyar a Amurka
Bisa ga wannan duka, kuna iya tabbatar da cewa shan shan magani don baya ko zafi na wucin gadi duka, hakika, aikinku mafi kyau.
Wani bincike na 2017, wanda aka buga a cikin Annals of Rheumatic Diseases , idan aka kwatanta da shan NSAID don ciwo ta kashin baya tare da yin kome ba.
Duk da yake NSAIDs ya taimaka tare da ciwo, ba haka ba ne. A gaskiya ma, marubutan sun kammala cewa babu ainihin nau'ikan maganganun da ke aiki da kyau (idan aka kwatanta da placebo.)
Kuma lokacin da kayi la'akari da haɗari ga GI na jini da / ko ulcers, da / ko haɗarin haɗari don ciwon zuciya ko bugun jini, mai yiwuwa ka so ka sake tunani game da tsarin ciwo na jinƙai - musamman idan jinƙanka yana da kyau sosai.
Wata mashahuriyar dabarun da zaka iya gwadawa shine motsa jiki.
Nazarin binciken da aka buga a cikin littafin Oksner na shekara 2014 yana karfafa ƙarfafawa da / ko wuyan ƙuƙwalwar wuyansa (waɗanda suke a baya kuma suna taimaka maka baka maimakon juyawa ko zagaye na kashin baya) yana taimakawa rage ciwo kuma zai iya taimaka maka ka motsa da sauri da yawa. matsalolin spine. Lokacin da kake zuwa likita game da wuyanka ko kuma ciwon baya, yi la'akari da daukar matakan mai amfani ta hanyar tambayar ta takardun magani a farfadowa na jiki.
> Sources:
> Dreisinger, T., PhD. Aiki a cikin Gudanar da Tarihin Bikin Biki Ochsner J. Spring 2014. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963038/
> FDA ta ƙarfafa gargadin Zuciyar Zuciyar da Rashin Ƙari ga Ƙwayoyin Cutar Kwayoyin Cutar Haramtacciyar Tashin Hoto. FDA Yanar Gizo. An sabunta: Satumba 2016. https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm453610.htm
> Graedon, J. Aspirin vs. NSAIDs: Wanne Ne Mafi Girma? Kamfanin Kasuwanci. Yuli 2013. https://www.peoplespharmacy.com/2013/07/08/aspirin-vs-nsaids-which-is-best/
> Machado G., et. al. Magungunan anti-inflammatory marasa ciwon cututtuka don ciwo ta kashin baya: nazari na yau da kullum da meta-bincike. Ann Rheum Dis. Yuli 2017. https://www.ncbi.nlm.nih.gov/pubmed/28153830
> Naproxen vs Ibuprofen: Menene Difference? Drugs.com yanar gizon. Agusta 2016. https://www.drugs.com/answers/naproxen-ibuprofen-difference-3117722.html
> Sinnott P., et. al. Hanyar ganewar asali na wuyansa mai wuya da kuma baya, 2002 zuwa 2011. Medicine (Baltimore). Mayu 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440123/