An ƙera Salicylates a matsayin NSAIDs
Maganin magana, salicylates shine gishiri ko ester na salicylic acid. Yawancinmu mun sani cewa an samo aspirin daga salicylic acid. Aspirin yana da alamun da ake kira acetylsalicylic acid. An raba salicylates zuwa ƙungiyoyi biyu, acetylated da nonacetylated. Duk da yake aspirin ne acetylated, misalai na salicylates ba tare da sunadarai sun hada da Disalcid (salsalate), Dabba (choline magnesium trisalicylate), da Pepto-Bismol (bismuth subsalicylate).
Wani, wanda ake kira Dolobid (diflomasiyya), ba ya samuwa a Amurka.
Yadda ake amfani da Salicyates
An samo ta a cikin wasu tsire-tsire, irin su fararen willow barkatai da ganye na wintergreen, salicylates an yi imani da cewa suna da tasiri mai kyau akan kwari da cututtuka na shuka. A shekara ta 1860, salicylic acid an haɗakar da shi don amfani da amfani da yawa. Magunguna, salicylic acid yana da analgesic (raunin zafi), anti-inflammatory, da kuma anti-pyretic. Kuma, saboda zai iya taimakawa zafi da kuma rage ƙonewa da zazzaɓi, salicylic acid ya zama kamar Trifecta na magani. Duk da haka, a aikace-aikacen da ake buƙata don tabbatar da wannan amsa, salicylic acid zai iya haifar da matsalolin gastrointestinal. Idan an cinye cikin manyan allurai, mafi girma daga abin da aka tsara don sakamako na warkewa, salicylic acid zai iya zama mai guba. Bugu da ƙari, wasu mutane na iya zama rashin lafiyar salicylic acid. Baya ga amfani da shi a maganin, ana amfani da salicylates a cikin maganin abinci, a cikin maganin antiseptics, kuma suna da wasu kaddarorin da suke taimakawa wajen hana ci gaban kwayar cuta, kashe naman gwari, da kuma kawar da fata mai mutuwa (keratolytic, kamar yadda yake a Kerasol).
Gastrointestinal da cututtukan zuciya da jijiyoyin jini tare da Salicylates
Ba kamar aspirin ba, wanda ke hana sallar platelet kuma sabili da haka ya kara hadarin zub da jini, mahaɗan marasa galihu basu da tasiri sosai a kan plalets. A sakamakon haka, sun kasance mafi kusantar su haifar da zub da jini ko zubar da jini a cikin allurai da ake bukata don rage yawan kumburi da ciwo na amosanin gabbai.
A wani ɓangaren kuma, akalla idan aka kwatanta da aspirin ƙananan, babu wani nazari don tallafawa cewa salicylates marasa adadi ne cardioprotective. A gaskiya, kamar sauran NSAID (masu maganin magungunan ƙwayoyin cuta marasa amfani) , yin amfani da su zai iya haifar da haɗari mai tsanani na abubuwa masu tasowa na zuciya, irin su ciwon zuciya.
Kamar yadda masanin ilimin lissafi, Scott J. Zashin, MD, ya ce, "Ko aspirin ta zama mai asibirin ko asibirin ba tare da nazarin ba. Bugu da ƙari, ga ilmina, babu wani binciken da aka buga da aka kwatanta da inganci ko kare lafiyar ciki na salicylates wanda ba shi da ƙwayoyin cuta da kuma masu haɓaka COX-2 . "
Nazarin da aka samo game da salicylates sun kasance mazan. Wani binciken da aka wallafa a Jaridar Rheumatology ya kwatanta tasirin salsalate (wani salicylate wanda ba shi da albarkatu) zuwa Voltaren (diclofenac) . An kammala cewa salsalate da diclofenac sun kasance masu tasiri sosai kuma za'a iya daukar salsalate a madadin sauran NSAIDs.
Wani binciken kuma, wanda aka buga a Journal of Rheumatology, yayi nazarin sakamakon shekarun haihuwa a kan tsofaffi ga masu tsofaffi da cututtukan arthritis . Duk da shan kashi kadan na salicylates fiye da ƙananan ƙungiyar mutane a cikin binciken, an haɗu da tsofaffi tsofaffi da ƙara yawan ƙwayar cuta.
Dr. Zashin ya ci gaba, "Bisa ga abin da na gani, al'amuran NSAIDs da COX-2 masu maƙasudin su ne, a gaba ɗaya, masu amfani da magungunan da suka fi dacewa don magance ciwo da kuma kumburi na cututtuka. a cikin marasa lafiya da aka zaɓa tare da haɓakar jini ko ulcers. "
Kalma Daga
Shekaru da suka wuce, salicylic acid ko aspirin ita ce magungunan farko da aka yi amfani da ita wajen sarrafa ciwo na arthritis. Wannan ya zama kamar ƙara rage ƙonewa wani abu ne a lokacin. Yanzu, akwai kwayoyi masu yawa daga abin da za su zabi. Kullum ya yi tunanin zama mai lafiya, da mawuyaci ta kwatanta da sauran kwayoyi, salicylates wani zaɓi ne wanda likitoci da marasa lafiya zasu dauka.
Yana da hankali a gare ku da likitanku suyi la'akari da tarihin lafiyar ku (misali, ulcers, cututtukan zuciya) lokacin da za a zabi a tsakanin zabin miyagun ƙwayoyi.
> Sources:
> Bombardier C. et al. Salsalate, Nemocetylated Salicylate, Ya zama Mai Kyau kamar yadda Diclofenac a cikin marasa lafiya tare da Rheumatoid Arthritis. Salsalate-Diclofenac Study Group. Jaridar Rheumatology. 1995. Afrilu; 22 (4): 617-24.
> Grigor RR et al. Ƙunƙarar Salicylate a cikin marasa lafiya tsofaffi tare da Ritumatoid Arthritis. Journal of Rheumatology 1987. Feb; 14 (1): 60-66.
> Salicylates. Drugs.com.