NSAID-yada waxay ka caawiyaan in ay xanibaan xanuunka arthritis iyo caabuqa
NSAID (daawooyinka nonsteroid anti-inflammatory) ayaa loo isticmaalay in lagu daaweeyo arthritis muddo ka badan soddon sano. NSAIDs waxay leeyihiin anti-bararka, xanuunka (xanaaqa), iyo xakamaynta (xummad-yaraynta) guryaha. Waxaa jira xaqiiqooyin muhiim ah oo aad u baahan tahay inaad ka ogaato NSAIDs si daawooyinka loo isticmaalo si badbaado iyo waxtar leh.
1. Waxaa jira saddex qaybood oo NSAID ah
Waxaa jira salicylates acetylated iyo salicylates aan kaamil ahayn.
Aspirin waa salicylate acetylated acetylated, sidoo kale loo yaqaanno acetylsalicylic acid. Salicylates-non-acetylated salicylates waxaa ka mid ah choline iyo magnesium salicylates. Waxaa jira NSAIDS caadooyin badan oo ay ka mid yihiin:
- Ansaid (Magaca guud ee flurbiprofen)
- Arthrotec (magaca guud ee diclofenac leh misoprostol)
- Aspirin (Salicylates asetylated / nonetetylated)
- Celebrex (magaca guud celecoxib)
- Clinoril (magaca guud ee sulindac)
- Daypro (magaca guud ee oksaprozin)
- Disalcid (magaca guud ee salsalate)
- Dolobid (magaca guud ee diflunisal)
- Feldene (magaca guud ee piroxicam)
- Ibuprofen (magacyada calaamadaha waxaa ka mid ah Motrin, Advil, Mediprin, Nuprin, Motrin IB)
- Indocin (magaca guud ee indomethacin)
- Ketoprofen (magacyada magacoodu waxaa ka mid ah Orudis, Oruvail, Actron, Orudis KT)
- Lodine (magaca guud ee etodolac)
- Mobic (magaca guud ahaan meloksicam)
- Nalfon (magaca guud ee fenoprofen)
- Naproxen (magacyada calaamadaha waxaa ka mid ah Naprosyn, Aleve, Naprelan, Anaprox)
- Relafen (magac guud ah nabumetone)
- Tolectin (magaca guud ee tolmetin sodium)
- Trilisate (Magaca guud ee caloosha magnesium trisalicylate)
- Voltaren (magaca guud ee diclofenac sodium)
Kaliya COX-2 xulashada NSAID ee suuqa waa Celebrex (celecoxib). COX-2 xulashada NSAID-yada waxay u badantahay inay sababto dhibaatooyin caloosha oo ka badan kuwa caadiga ah NSAID-yada. Noocyada ugu weyn ee caloosha ayaa ka dhigay kuwa ugu caansan laakiin dhammaantood NSAIDs waxay leeyihiin halis ah cadaadis dhiig oo sarreeya, dhibaatooyinka kelyaha , xajinta dareeraha, iyo halista wadnaha.
2. Qaar ka mid ah NSAID-yada waxaa laga helaa Xoog-Qaadashada
Hadday tahay inaad isticmaasho xoogga miisaanka ama warqadda rijeetada laguu qoro NSAID waxay kuxirantahay xaaladaada. Caadi ahaan xaaladaha degdega ah, sida murgacashada iyo muruqyada, NSAID-ka ee iskaa-wax-u-qabsiga ayaa si fiican u shaqeyn kara. Noocyada arthritis-ka ee dheeraadka ah, waxaa suuragal ah in loo baahdo dawooyinka rijeetada.
3. NSAID-yada waxay ka shaqeeyaan xakameynta Cyclooxygenase (COX)
Arachidone acid waxaa laga sii daayaa phospholipids xayeysiis ah oo ka jawaab celinaysa kicinta infakshanka. Prostaglandins waxay dejiyaan jawaabta bararka. NSAIDs waxay farageliyaan soo saarida prostaglandins by kicinta cyclooxygenase .
4. Daawooyinka NSAID-ka ee laguu qoro waa inaysan ku xirnayn NSAID-ka-badan
Qaadashada daawooyinka NSAID-yada la socota mid ka mid ah macaamiisha NSAID ama aspirin waxay kordhinaysaa halista saameynta sunta ah , taasoo macquul ah dhiig-bax mareenka . Bukaanku inta badan waxay u maleynayaan in asbiriin iyo shakhsiyaadka aan dukaanka ahayn ee NSAID ay ammaan yihiin, oo ku saleysan xaqiiqda ah in aysan u baahnayn daawo. Taasi maaha kaddibna way awoodaan inay keenaan isdhexgalka daroogada aan loo baahnayn.
5. Saameynnada Laga Yaabo Waxyaabo Loogu Dhaqan Yahay Kuwo NSAID-ga ah qaarkood.
Cilmi baadhayaashu waxay ogaadeen in:
- Naproxen ayaa u muuqata mid ugu badbaado badan nidaamka wadnaha.
- Celebrex waxaa loo aqoonsanayaa dhibaatooyin yar oo caloosha ah marka loo eego NSAID-yada caadiga ah, laakiin khatarta wadnaha ee sarreeya.
- Dadka waayeelka ah ee qaba dhibaatooyin dhiig oo sarreeya , dhibaatooyinka wadnaha, iyo boogaha ayaa laga yaabaa inay halis weyn ugu yeeshaan waxyeelada ka iman karta NSAIDs.
6. Bukaanka qaba Cudurka wadnaha ee la yaqaan waa inaanay qaadan wax NSAID ah
Xaaladaha qaarkood bukaanka qaba cudurka wadnaha, waxaa jiri kara fursado daaweyn caafimaad oo wanaagsan oo lagu xakameyn karo calaamadaha arthritis-ka iyadoon khatar badan. Tusaale ahaan, Acetaminophen, waxay noqon kartaa door wanaagsan oo loogu talagalay bukaanka qaba cudurka wadnaha. Waxa kale oo jira daawooyinka kale ee xanuunka . Bukaannada wadnaha ee horay u qaata asbiriin sababtoo ah xaaladooda wadnaha ma noqon karaan musharax loogu talagalay NSAIDs taniyo isku dhafku wuxuu kordhiyaa halista waxyeelada .
7. Waxaa jira wax badan oo isbeddel ah ee ka jawaab celinta bukaanka
Si kale haddii loo dhigo, maxay sababta NSAID-du gaar ahaan u shaqeyso mid bukaanka ah oo aan u ahayn mid kale? Fikradaha farqiga daawada ee u dhexeeya NSAIDs ayaa laga yaabaa inay ku xisaabtamaan isbedelka jawaab celinta bukaanka. Si kale haddii loo dhigo, sida daroogada loo nuugo, loo qaybiyo, dheef-shiid kiimikaad, iyo laga tirtiro jidhka ayaa laga yaabaa inay xisaabtamaan khilaafaadka shakhsi ahaaneed.
8. Qiyaas ahaan 60 Boqolkiiba Bukaannada ayaa ka jawaabi doona wax kasta oo la siiyo NSAID
Maxkamadeynta NSAID muddo saddex toddobaad ah waa inay ahaato mid dheer oo ku filan oo lagu ogaanayo inay waxtar u leedahay ayna hoos u dhigto caabuqa. Qiyaastii 10 boqolkiiba bukaanada rheumatoid arthritis ma ka jawaabaan wax NSAID ah.
9. Dhakhtarkaagu waa inuu la socodsiiyaa haddii aad qabto shuruudo caafimaad
U sheeg dhakhtarkaaga ka hor intaadan qaadin NSAIDs haddii aad leedahay ama aad qabatay mid ka mid ah shuruudahan soo socda:
- Hoosudhaca kelyaha ama beerka oo yaraaday
- Dhibaatada beerka aan la garanayn
- Boog cusub, dhiigbax caloosha , caloosha
- Qaado dhiig-miirayaasha dhiigga
- Qaado prednizon ama steroids kale
- Tirada qolofta dhiiga
- Cudurka jirrada ee "Crohn" ama "ulcerative colitis"
- Taariikhda istaroogga ama arimaha kale ee wadnaha
- Neef ama sambabada dabadheeraad ah
- Xasaasiyadda NSAID ama Aspirin
- Burooyinka naaska
- Dib-u-ceshad celin
- Uurka ama naas-nuujinta
- Cab cabir ka badan 7 cabitaan khamri / toddobaad ama 2 / maalin
- Ka weyn 65 sano
10. Haddii aad uur leedahay, kala hadal NSAID Isticmaal Dhakhtarkaaga
Talada caadiga ah ee haweenka uurka leh waa in aysan isticmaalin NSAIDs haddii aysan jirin wax kale oo loogu talagalay iyaga. NSAID waa in laga fogaadaa 12-kii toddobaad ee ugu dambeeyey ee uurka sababtoo ah khataraha uur-jiifka ah.
Ilaha:
Macluumaadka bukaanka ku saabsan NSAIDs. Kulliyadda Maraykanka ee Rheumatology. Juun 2007.
http://www.rheumatology.org/public/factsheets/nsaids.asp
NSAIDs. Astaamo ku saabsan Cudurada Rheumatic. Daabac 12. Waxay daabacday Arthritis Foundation.