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Chii chinonzi NSAID?

Chii chinonzi NSAID?Zvinodhaka Info

NSAID runyorwa | Chii chinonzi NSAID? | Mashandiro avo | Zvishandiso | Ndiani anogona kutora NSAID? | Kudzivirirwa | Zvimwe zvinokanganisa | Mariro





Kana iwe wakambosangana nemhando ipi neipi yekurwadziwa kana kuzvimba, mikana iwe watora mushonga weNSAID wekurwadziwa kwenguva pfupi (analgesic athari). NSAIDs is nonsteroidal anti-anogumbura zvinodhaka. Inoshandiswa muvana nevakuru, ivo vanobatsira akawanda akasiyana maronda anogona kukonzera marwadzo kana kuzvimba. Verenga pamusoro kuti udzidze zvese nezveNSAIDs- zvinosanganisira zvakajairika mazita emhando, mashandisiro, uye ruzivo rwekuchengetedza. Iyi chati inonyora akajairika maNSAID uye ruzivo rwemitengo.



Chinyorwa cheNSAIDs

Zita reBrand (zita regeneral) Avhareji yemari mutengo wegeneral SingleCare mutengo Dzidza ZVIMWE
Advil, Motrin (ibuprofen) * $ 50 pa30, 800 mg mapiritsi Tora ibuprofen coupons Ibuprofen ruzivo
Aleve, Anaprox, Anaprox DS, Naprosyn, Naprelan (naproxen) * $ 53 pa 30, 500 mg mapiritsi Tora naproxen coupons Naproxen ruzivo
Celebrex (celecoxib) $ 360 pamakumi matatu, 200 mg makapisi Tora Celebrex coupon Celebrex ruzivo
Clinoril (sulindac) $ 65 ye60, 200 mg mapiritsi Tora Clinor coupon Clinoril ruzivo
Feldene (piroxicam) $ 183 kwemakumi matatu, 10 mg makapisi Tora Feldene coupon Feldene ruzivo
Indocin (indomethacin) $ 32 kwemakumi matatu, 50 mg makapisi Tora Indocin coupon Indocin ruzivo
Lodine (etodolac) $ 70 ye60, 400 mg mahwendefa Tora Lodine coupon Rodine ruzivo
Mobic (meloxicam) $ 210 kwemakumi matatu, 15 mg mahwendefa Tora Mobic coupon Zvinyorwa zveMobic
Orudis (ketoprofen) $ 52 ye30, 75 mg mahwendefa Tora Orudis coupon Orudis ruzivo
Relafen (nabumetone) $ 80 ye60, 500 mg mapiritsi Tora Relafen coupon Relafen ruzivo
Toradol (ketorolac) $ 127 ye20, 10 mg mahwendefa Tora Toradol coupon Toradol ruzivo
Voltaren, Voltaren-XR (diclofenac sodium, muromo) $ 25 ye30, 50 mg mahwendefa Tora Voltaren (muromo) coupon Voltaren (muromo) ruzivo
Voltaren gel (diclofenac, musoro wenyaya) * $ 82 ye 100-gramu chubhu Tora Voltaren (misoro) koponi Voltaren (topical) ruzivo

* Inowanikwa mune yekunyora uye OTC mafomu

Dzimwe NSAID dzinosanganisira:

  • Ansaid (flurbiprofen)
  • Arthrotec (diclofenac / misoprostol)
  • Cataflam (diclofenac potasium)
  • Daypro (oxaprozin)
  • Disalcid (salsalate)
  • Dolobid (diflunisal)
  • Flector (diclofenac misoro)
  • Meclomen (meclofenamate)
  • Nalfon (fenoprofen)
  • Pennsaid (diclofenac misoro)
  • Ponstel (mefenamic asidhi)
  • Solaraze (diclofenac misoro)
  • Tolectin (tolmetin)
  • Zipsor (diclofenac potasium)

Chii chinonzi NSAID?

Nonsteroidal anti-anogumbura mishonga inozivikanwa mishonga inorapa kurwadziwa uye kuzvimba kubva kune akasiyana mamiriro senge arthritis, musana kurwadziwa, uye kutemwa nemusoro. Vanogona zvakare kubatsira kudzikisa fivha. Kunyangwe paine akawanda ekuraira maNSAID, mamwe anowanikwa pamusoro peiyo-the-counter (OTC) sa aspirin uye ibuprofen.

Ziva kuti Tylenol, iyo ine acetaminophen, inowanzo kutaurwa nemishonga iyi, asi Tylenol haisi NSAID.



NSAID dzinoshanda sei?

NSAIDs dzinoshanda nekudzivirira ma enzyme anonzi COX-1 uye COX-2. COX inomirira cyclooxygenase. Aya ma enzymes anogadzira prostaglandin, ayo anokonzera kurwadziwa uye kuzvimba. Nekudzivirira aya enzymes, muviri wako unoburitsa mashoma ma prostaglandin, zvichikonzera kurwadziwa kushoma uye kuzvimba. ( Celebrex iri NSAID iyo iri COX-2 inhibitor. Nekuvharira chete COX-2, panogona kuve nemhedzisiro yakaipa padumbu.)

NSAID dzinoshanda uye dzinogona kudzora marwadzo, dzichichengetedza varwere kubva kunotora mishonga yakasimba seopioid, iyo ine mhedzisiro yakakomba uye mukana wakakura wekushungurudzwa uye kuvimba.

Paunenge uine hunyoro kusvika pakati nepakati marwadzo kana kuzvimba kunoda iyo NSAID, mamwe matanho anogona kubatsira futi. Kumbira mupi wako wezvehutano nezvekurapwa pane mamwe maratidziro ekurwadziwa senge chando kana kupisa, kurapwa kwepanyama, uye zororo.



Ndeapi maNSAID anoshandiswa?

NSAID dzinobatsira pamamiriro akasiyana siyana anokonzeresa kurwadziwa nekudzikisira, senge:

  • Musana
  • Tsvina inorwadza
  • Kukuvara kwemitambo / kupwanya
  • Kutemwa nemusoro
  • Kupindwa nechando
  • Kutambudzika kwemeno
  • Rheumatoid arthritis
  • Vechidiki rheumatoid arthritis
  • Osteoarthritis
  • Tendonitis
  • Ankylosing spondylitis
  • Chingwa kuravira
  • Bursitis
  • Kumwedzi

Sezvo zvinoratidza chaiko zvichisiyana pakati pezvigadzirwa, bvunza nyanzvi yezvehutano kuti vapiwe mazano ekurapa marapirwo angave akanakira mamiriro ako.

Ndiani anogona kutora NSAID?

Asi

Vazhinji varume vakuru vanogona kutora maNSAID kunze kwekunge vawira pasi pemapoka akarambidzwa pazasi.



Vakadzi

Vazhinji vakadzi vakuru vanogona kutora maNSAID kunze kwekunge vawira muchikamu chakatemerwa chakanyorwa pazasi. Vakadzi vane nhumbu havafanirwe kutora maNSAID mumutatu wetatu wekuzvitakura nekuti anogona kukonzera kukuvara kwakanyanya kumwana asati aberekwa.

Vana

Dzimwe NSAID dzisinganyorerwi, senge Advil naMotrin, dzinowanikwa kune vana vakura kupfuura mwedzi mitanhatu, asi ive shuwa yekutarisa dosi yakakodzera nachiremba wevana kana wemishonga. Dosing inosiyana nekuumbwa, zera, uye huremu. Mamwe mafomati akawedzera kukosheswa, zvichireva kuti mwana anowana mushonga wakawanda muhuwandu hudiki. Ndokusaka zvakakosha kuti uverenge iyo Zvinodhaka Chokwadi chitambi zveicho chigadzirwa, uye ongorora kaviri nemubatsiri wako wezvehutano kana usina chokwadi. Zvakare, shandisa kapu ye dosing kana sirinji yemuromo kuyera muyero wakakodzera. Usashandise makapu ekuyeresa ekicheni, sezvo aya anogona kunge asiri iwo ekuyera mishonga.



Kunyangwe Aleve aripo OTC, haifanire kushandiswa muvana vadiki vane makore gumi nemaviri ekuberekwa.

Prescription NSAIDs inosiyana maererano nezera uye zvinoratidza, saka bvunza wako mupi wezvehutano kana iwe uine mibvunzo.



Vakuru

NSAIDs dziri pa Beers Chinyorwa yemishonga inogona kunge isina kukodzera kune vakuru vakuru. Pane njodzi yakakwira yekubuda ropa mudumbu kana maronda muvanhu vakura kupfuura makore makumi manomwe nemashanu ekuberekwa. Kutora proton pump inhibitor senge Prilosec inogona kudzikisa njodzi yemhedzisiro, asi haibvise njodzi. Vakwegura vakuru vanofanirwawo kudzivirira NSAIDs nekuda kwekuwedzera njodzi yekutadza kwemoyo, kuchengetedza kwemvura, uye kukuvara kweitsvo.

NSAID dzakachengeteka here?

NSAID zvinorambidzwa

Usatore NSAIDS kana iwe:



  • Izvo zvinokonzeresa kune chero maNSAID.
  • Iva nenhoroondo yeasthma kana allergic reaction kubva kuaspirini kana mamwe maNSAID.
  • Vari kuda kuva (kana kungova navo) CABG kuvhiyiwa.
  • Ari mune yechitatu trimester yepamuviri. Kana iwe uri wekutanga kana wechipiri trimester, kana kana iwe uri kuyamwisa, bvunza wako wezvehutano wezvehutano kuti uwane kurapwa kuraira.

NSAID yambiro

Ese maNSAID ane nhema bhokisi yambiro . Nyevero yebhokisi dema ndiyo yambiro yakakomba zvakanyanya sezvinodiwa neDFA (United States Chikafu neDrug Administration). Yambiro iyi inosanganisira:

  • Njodzi yemwoyo : NSAID dzinokonzera kuwedzera kwengozi yekuvhara ropa, kurwisa kwemoyo, uye kurohwa, izvo zvinogona kuuraya. Njodzi iripo pakutanga kwekurapa, uye iyo njodzi inowedzera iyo yakareba iyo mushonga unoshandiswa. NSAIDs hadzifanirwe kushandiswa pamberi kana mushure mecoronary artery bypass graft (CABG) kuvhiya.
  • Uturu hwepamuviri (GI) njodzi : NSAID dzinowedzera mukana wekubuda ropa, kutsamwa kwemudumbu mudumbu / ulcers, uye kuputika kwedumbu uye ura. Izvi zvinogona kuuraya. Aya matambudziko eGI anogona kuitika chero nguva panguva yeNSAID yekushandisa uye pasina yambiro. Njodzi zvinhu zvinosanganisira vakuru vakuru uye varwere vane nhoroondo yeGI kubuda ropa uye / kana maronda.

Dzimwe yambiro dzinosanganisira:

  • Muzviitiko zvisingawanzoitika, matambudziko echiropa anogona kuitika. Zvinogona kuve zvakakomba kana kufa. Zivisa chiremba wako kana iwe uine zviratidzo senge kusvotwa, kuneta, kuchenesa, kurwadziwa kwepamuviri, jaundice, kana manyoka.
  • Ropa rekumanikidza rinofanira kuongororwa panguva yekurapa.
  • Nekuti maNSAIDs anowedzera njodzi yekukundikana kwemoyo uye edema, ivo vanowanzo fanirwa kudzivirirwa mune vanhu vane kukomba kwemoyo kwakanyanya.
  • Kushandiswa kwenguva refu kunogona kukonzera matambudziko eitsvo uye kunofanirwa kudzivirirwa kune varwere vane chirwere cheitsvo chemberi.
  • Tora rubatsiro rwechimbichimbi rwekurapa kana zviratidzo zveanaphylactic reaction zvikaitika, sekurumwa, kunetseka kufema, kana kuzvimba kwemiromo, kumeso, kana rurimi.
  • NSAID dzinogona kukonzeresa kuita kwakakomba kweganda seStevens-Johnson Syndrome kana chepfu epidermal necrolysis (TEN). Izvi zvinogona kuuraya uye kuitika pasina yambiro. Rega kutora iyo NSAID uye uwane rubatsiro rwechimbichimbi kana uine ganda maitiro. Usatora NSAIDs kana iwe wakambove nekupindurwa kweganda kune NSAID.
  • NSAID dzinogona kukonzera kupererwa neropa. Ngozi yekubuda ropa kubva kuNSAIDs inowedzera nekushandiswa kwemamwe madhiragi senge corticosteroids, anticoagulants (senge warfarin), antiplatelets, kana SSRI kana SNRI antidepressants.
  • Kana iwe ukatora NSAID kwenguva yakareba, bvunza chiremba wako nezve bvunzo bvunzo. Nekuda kwenjodzi dzese dzakabatana neNSAIDs, zvakanakisa kutora yakaderera dhosi inogoneka, kwenguva ipfupi yenguva. Kana iwe uri kushandisa OTC NSAID, bvunza chiremba wako usati waishandisa kweanopfuura mazuva gumi. Kurwadziwa kusingaperi kungangoda mumwe mushonga.

Udza mupi wako wezvehutano nezvese mishonga yaunotora, kusanganisira tsamba, OTC, uye mavitamini, kuti iye ave nechokwadi chekuti NSAID yakachengeteka nemimwe mishonga yaunotora. NSAID dzinobatana nemimwe mishonga senge SSRI kana SNRI antidepressants, anticoagulants, lithium, ACE inhibitors, ARBs, uye diuretics.

NSAIDs hadzifanirwe kushandiswa mune yechitatu trimester yepamuviri, nekuti inogona kukonzera kukuvadza kwakanyanya kumwana asati aberekwa.

NSAID inoyeuka

Vioxx naBextra vaive vese COX-2 inhibitors ayo akabviswa pamusika nekuda kwematambudziko akakomba emwoyo.

Unogona here kutora maNSAID uchiri nepamuviri kana kuyamwisa?

Usatore maNSAID mune yechitatu trimester yepamuviri. Iyi mishonga inogona kukonzera kutyisidzira hupenyu kumwana asati aberekwa. Kana iwe uri wekutanga kana wechipiri trimester, kana kana uri kutotora NSAID uye uone kuti une nhumbu, bvunza wako mupi wezvehutano kutungamirwa

Kana iwe uri kuyamwisa, bvunza wako wezvehutano wezvehutano wezvechiremba kuraira.

NSAID dzinodzorwa zvinhu here?

Kwete, maNSAID haasi zvinhu zvinodzorwa.

Kazhinji NSAIDs mhedzisiro

NSAID marwadzo ekudzora anowanzo bvumidzwa mushe asi anogona kukonzera akawanda mhedzisiro, mamwe acho anogona kuve akakomba. Mhedzisiro inowanzoitika inosanganisira GI (gastrointestinal) mhedzisiro senge kurwadziwa kwepamuviri, kuzvimbirwa, manyoka, gasi, kuora moyo, kusvotwa, uye kurutsa. Dzungu rinowanzoitikawo.

Zvimwe, zvakakomba mhedzisiro zvinogona kuitika. Izvi zvinogona kusanganisira:

  • Zvinetso zvemwoyo sekurwadziwa kwemoyo, sitiroko, kuwedzerwa kweropa (hypertension), kana kukundikana kwemoyo
  • Itsvo kana matambudziko echiropa
  • Zvinetso zveGI sekubuda ropa uye maronda mudumbu uye ura
  • Masero matsvuku eropa
  • Hupenyu hunotyisidzira hupenyu kana allergic reaction
  • Asthma inorwisa varwere vechirwere

Kana uine chimwe chezviratidzo izvi, tora kurapwa kwekukurumidzira:

  • Kunetseka kufema kana kupfupika kwekufema
  • Kurwadziwa pachifuva
  • Kushaya simba mune rimwe divi remuviri
  • Kutaura kwakadzikira
  • Kuzvimba kwechiso kana huro

Rega kutora NSAID yako uye udane chiremba wako pakarepo kana iwe uine chimwe chezviratidzo izvi:

  • Nausea
  • Kunzwa kuneta zvisina kujairika kana kushaya simba
  • Kuchema, kuputika kweganda, kana blisters ine fever
  • Yero yeganda kana chena yemeso
  • Zviratidzo zvakaita sefuru
  • Kusvipa ropa
  • Dema, mira, kana zvituru zvine ropa
  • Kuzvimba kwemaoko / makumbo / maoko / tsoka

Iri harisi rondedzero izere yemhedzisiro. Bvunza wako mupi wezvehutano kuti uwane yakazara rondedzero yemhedzisiro

Marii yakawanda sei maNSAID?

NSAIDs chisarudzo chakakurumbira pakati pevapi vezvehutano nekuti ivo havangoshanda chete asi havadhure zvakare. Unogona kutenga maOTC NSAIDs emadhora mashanu zvichikwira, zvinoenderana nesaizi pasuru nekuumbwa. Prescription-simba NSAID zvakare ane hupfumi, nemitengo inosiyana nechigadzirwa, simba, uye huwandu. Unogona kugara uchishandisa yemahara Kadhi reSingleCare kuchengetedza mari pane yako NSAID mushonga uye kunyangwe maOTC mafomu aine mushonga unoshanda.