Dual masu amfani da NSAID sun kara yawan halayen hanyoyin
Magungunan anti-inflammatory mai cututtuka (NSAIDs) sune mahimmanci ga mutane da yawa da cututtukan zuciya. Duk da haka shan shan magani fiye da ɗaya a cikin wannan rukuni ba wai kawai yana bayar da kima ba amma zai iya zama mummunan haɗari. Mene ne ainihin NSAID, menene haɗari, da kuma wace magunguna ne aka haɗa a cikin wannan rukunin domin ku tabbatar da cewa ba ku daɗaɗɗɗa biyu a kan irin nau'in kwayoyi?
Mene ne kwayoyin cutar anti-inflammatory marasa ciwon steroidal (NSAIDs)?
Magungunan anti-inflammatory wadanda basu da kariya (NSAIDs) sune magungunan kwayoyi wanda aka saba wa su don magance cututtuka .
Tun da yake NSAIDs suna samuwa duka biyu ta takardar sayan magani da kuma kan kanjin, wasu mutane sun ƙare daukar nau'ikan NSAID guda biyu.
Mutane na iya zaɓar su dauki NSAID guda biyu saboda rashin wadataccen ciwo ko kuma saboda basu gane cewa kwayoyi sun kasance a cikin magungunan magani ba. Yin amfani da daban-daban NSAID tare ba shi da kyau kuma ba kyakkyawan ra'ayi ba, tun da yin haka zai iya ƙara haɗari da cututtukan lalacewar da ba'a so ba da kuma abubuwan da suka faru.
Popular NSAIDs Have Risks
Kuna iya tunanin ciwon ciki kamar yadda ya dace da shan magani kamar Advil, amma akwai yiwuwar halayen halayen da ya kamata ka sani.
Gubar jinin jini: Miliyoyin mutane suna daukar NSAID a kowace rana don cututtukan zuciya, ciwo mai tsanani, da hanzari.
An kiyasta cewa kimanin mutane 100,000 ne ke asibiti da kuma tsakanin 15,000 da 20,000 suka mutu a kowace shekara daga cututtuka da kuma zub da jini na gastrointestinal dangane da amfani da NSAID. (Don fahimtar irin wannan, kimanin mata 40,000 ke mutuwa daga ciwon nono a kowace shekara.) Asusun NSAID na kashi 60 cikin dari na takardun da aka saya da su, da kuma mutanen da suke amfani da NSAID don kowane dalili, kashi daya zuwa kashi biyu zasu sami GI zub da jini.
Da yake magana ne kawai game da cututtukan arthritis, marasa lafiya miliyan 14 sun dauki NSAID a kai a kai-har zuwa kashi 60 cikin dari wanda zasu fuskanci sakamakon ilimin gastrointestinal sakamakon sakamako. Rashin haɗari ya fi girma a cikin waɗanda suka tsufa, waɗanda suke shan aspirin ko masu jini, wadanda suka dauki wasu nau'o'in da kuma maganin NSAID, kuma idan an yi amfani da fiye da ɗaya magani a cikin wannan rukuni.
Ciwon zuciya da haɗarin bugun jini: Yin amfani da NSAID yana haɗuwa da haɗarin ƙwayar zuciya ko bugun jini wanda zai haifar da mutuwa-kuma hadarin ya tashi ga marasa lafiya waɗanda suke amfani da su na dogon lokaci ko suna da cututtukan zuciya. Akwai wasu NSAID da ke dauke da kwayar cutar ta zuciya fiye da wasu, kuma yana da mahimmanci ka yi magana da likitanka game da bayyanar cututtuka na arthritis da kuma na sirri ko tarihin iyali na cututtukan zuciya da kuma abubuwan haɗari. An cire likitan maganin Vioxx daga kasuwar wannan dalili.
Lalace koda: Ko da magunguna na NSAID da aka yi amfani da ƙananan yanayi zai iya haifar da mummunan rauni na koda ( raunin raguwa babba ). A duniya duka an kiyasta cewa mutane miliyan 2.5 suna fama da mummunan rauni saboda NSAID kowace shekara.
Shawarwari don Amfani da Tsaro na NSAIDs
FDA ta bada shawarar cewa don amfani da lafiya na NSAIDs, dole ne a dauki magani:
- Kamar yadda aka tsara
- A kashin da ya fi dacewa da zai yiwu
- Don mafi tsawo lokacin da ake bukata
An bayar da rahoto cewa yawancin mutane sukan bayar da rahoto game da yin amfani da su na NSAIDs. Binciken ya gano cewa mutanen da ba su bayar da rahoto game da magungunan NSAID sun yi imanin cewa kwayoyi ba su da muhimmanci saboda suna samuwa ba tare da takardun magani ba. Wannan ba gaskiya bane kuma dalili daya ne (akwai wasu) dalilin da ya sa mutane su sa likita su fahimci duk abin da suke da shi ko abincin da suke ci.
Rashin sanar da likitan likita na amfani da magungunan ƙwayoyi yana daya daga cikin dalilan da mutane ke amfani da su ta amfani da kwayoyi guda biyu a wannan rukuni ko da yake yana da haɗari.
Samun guda biyu NSAIDs yana da ƙari
Rashin haɗari da haɗuwa tare da daukar biyu NSAIDs yana da muhimmanci. Wani binciken tsofaffi wanda aka buga a cikin Jarida na Turai na Clinical Pharmacology ya tabbatar da cewa hadarin mummunar haɗin gwiwar cutar da ke haifar da rauni ga hanta da kuma mummunan ƙwayar cutar ta kasance sau 6 zuwa sau 7 mafi girma a lokuttan da aka ruwaito ta amfani da su guda biyu na NSAIDs. Duk da haka duk da wannan sanarwa, haɗarin ya ci gaba. Wani bincike na shekara ta 2017 ya gano cewa a cikin tsofaffi da ke dauke da NSAID, an yi amfani da rashin amfani da kashi 70 bisa dari.
Kada ka bari wannan ya faru da ku. Yi amfani da NSAID da lafiya da kuma dacewa. Idan ka riga ka yi amfani da takardar izini na NSAID, duba tare da likitanka kafin ka ɗauki wasu magunguna.
Drugs Classified as NSAIDS
Don kaucewa shan fiye da ɗaya NSAID, yana da muhimmanci a san abin da ake amfani da kwayoyi a wannan aji. Yana da mahimmanci a lura cewa za a iya sayar da kwayar magani a ƙarƙashin wasu nau'ikan alamomin. Alal misali, ibuprofen shine magani ne a Advil, Motrin, Nurofen, da sauransu. Ana iya hade NSAID tare da wani magani.
Akwai manyan nau'o'in NSAIDs guda uku. Wadannan sun haɗa da salicylates (duka acetylated kamar su aspirin wadanda basu da albasarta,) gargajiya NSAIDs (kamar Advil,) da masu hanawa COX-2, kamar Celebrex. ABIN da aka saba amfani dasu don magance cututtuka sun hada da:
- Actron (ketoprofen)
- Ƙara (naproxen)
- Anaprox (naproxen)
- Ansaid (flurbiprofen)
- Arthrotec (diclofenac tare da misoprostol)
- Aspirin (acetylsalicylic acid)
- Advil (ibuprofen)
- Cataflam (diclofenac potassium)
- Celebrex (celecoxib)
- Clininil (sulindac)
- Daypro (oxaprozin)
- Disalcid (Salsalate)
- Dolobid (matsala)
- Feldene (piroxicam)
- Ibuprofen (sunayen sun hada da Motrin, Advil, Mediprin, Nuprin, Motrin IB)
- Indocin (indomethacin)
- Ketoprofen (sunaye sun hada da Orudis, Oruvail, Actron, Orudis KT)
- Lodine (etodolac)
- Meclomen (meclofenamate sodium)
- Mobic
- Motrin (ibuprofen)
- Nalfon (fenoprofen)
- Naprelan (naproxen)
- Naprosyn (naproxen)
- Naproxen (sunayen sun hada da Naprosyn, Aleve, Naprelan, Anaprox)
- Orudis (ketoprofen)
- Oruvail (ketoprofen)
- Ponstel (mefanamic acid)
- Relafen (nabumetone)
- Zaɓi (tolmetin sodium)
- Karfin (choline magnesium trisalicylate)
- Tsarin (diclofenac sodium)
Ƙarƙashin Ƙari akan Ana Karuwa fiye Da Ɗaya NSAID
Samun fiye da ɗaya NSAID yayi kadan don inganta kulawar ciwo, amma yana ƙara ƙara haɗarin haɗarin kullun da halayen halayen. Wannan ya ce, mutane da yawa sun ƙare ta amfani da fiye da ɗaya daga cikin wadannan magunguna a lokaci guda. Wani ɓangare na matsala shi ne cewa wadannan magunguna suna samuwa duka biyu ta takardar sayan magani da kan-da-counter, kuma idan likitan ka san abin da ke shan magani ba tare da izini ba, ba za a iya gane kuskure ba.
Bugu da ƙari, sau biyu a kan NSAIDs, akwai tasiri mai tasiri da haɗin kai tsakanin magunguna masu amfani da cututtuka. Hanya mafi kyau don rage damarka na mummunar tasiri shi ne a hankali a tattauna kowace magani da kake ɗauka tare da likitan ka da likitan ka. Tare da kurakurai na likita suna ci gaba da zama na uku na dalilin mutuwar a Amurka, yana buƙatar yin hankali.
> Sources:
> Kasper, Dennis L .., Anthony S. Fauci, da Stephen L .. Hauser. Ka'idodin Magungunan Hoto na Harrison. New York: Ilimin Mc Graw Hill, 2015. Print.
> Luciano, R., da kuma Mr. Perazella. NSAIDs: Raunin daji mai tsanani (Raunataccen Renal). UpToDate . Updated 03/01/17.
> Sostres, C., Gargallo, C. da L. Angel. Nonsteroidal Anti-Flammatory Drugs da Upper da Lower Gastrointestinal Mucosal Damage. Arthritis Research da Far . 2013. 12 (Sanya 3): S3.