Imaphi amaphilisi ezinhlungu ongayinika inja yakho?

Uma inja yakho ngokuzumayo iqala ukuxhuga, ukukhala noma ukuhhewula ngenxa yobuhlungu nokungakhululeki, ngokuqinisekile uzozibuza: hlobo luni lwe-painkiller ongamnika lona? Mhlawumbe into yokuqala efika engqondweni yakho “ukondla” isilwane sakho ngamaphilisi ezinhlungu kusuka ekhithi yakho yosizo lokuqala. Ingabe ilungile? Ngemva kokufunda lesi sihloko, uzofunda ukuthi kungani ama-analgesics abantu eyingozi ezilwaneni.

Umbuzo: Ingabe izidambisi zinhlungu ezitholakala ngaphandle kwekhawunta ukuze zisetshenziswe ezokwelapha ziphephile ezinjeni?

Impendulo:Ezimweni eziningi, cha. Imithi yezinhlungu yokusetshenziswa kwezokwelapha iwela ezigabeni ezimbili eziyinhloko. Eyokuqala ihlanganisa izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-aspirin, ibuprofen ne-naproxen. . Esinye isidambisi sobuhlungu yi-acetaminophen. Kuvame ukungezwa ekubunjweni kwemithi yokwelapha umkhuhlane kanye nomkhuhlane.

Umphumela we-analgesic we-NSAID ufinyelelwa ngokunciphisa ukuvuvukala ngokuvinjelwa kwe-cyclooxygenase, i-enzyme ebhekele ukukhiqizwa kwe-prostaglandin ebangela ukuvuvukala. Kodwa-ke, inani elithile lama-prostaglandin liyadingeka ukuze kugcinwe imisebenzi ethile ebalulekile yomzimba, okuhlanganisa ukugeleza kwegazi okujwayelekile kwezinso nokujiyisa kwegazi. Ukucindezelwa ngokweqile kokukhiqizwa kwe-prostaglandin kungaba yingozi empilweni yenja.

Ngokuphathelene ne-acetaminophen, enciphisa ubuhlungu ngaphandle kokukhulula ukuvuvukala, kunedatha enganele mayelana nendlela yayo yokusebenza. Kodwa-ke, okwaziwayo ngokuqinisekile ukuthi umthamo waso onobuthi, uma udliwe, ungalimaza isibindi nezinso zesilwane.

Umbuzo: Kungani lezi zidakamizwa ziyingozi ezinjeni?

Impendulo: Kunezizathu eziningi zokuthi kungani kuyingozi ukunikeza izinja amaphilisi ezinhlungu ezenzelwe abantu. Okokuqala, kunzima ukunquma umthamo olungile womuthi, ngakho-ke ubungozi bokudlula ngokweqile bukhulu kakhulu. Ngaphezu kwalokho, ezinye izilwane zizwela kakhulu kuma-NSAID, ngakho-ke ngisho nesilinganiso esifanele singaba yingozi. Ingozi iyanda uma uthatha ezinye izidakamizwa, njenge-corticosteroids, noma uma unezimo ezithile zezokwelapha, ezifana nesifo se-gastrointestinal noma isifo sesibindi noma sezinso.

Umbuzo: Kungenzekani uma nginikeza inja yami owodwa wale mithi?

Impendulo: Ukweqisa ngengozi kwezidakamizwa ezidambisa izinhlungu ukuze zisetshenziswe ngokwezokwelapha, kanye nokuzwela kakhulu kuzo, kungabangela isilwane ukuba sihlanze, sihudo, sibe nendle enegazi, singakuthandi ukudla, ukulimala kwezinso noma isibindi, noma ukwehluleka kwezinso noma isibindi - ngisho nokufa.

Umbuzo: Ngingakwazi ukunikeza inja yami i-aspirin yengane?

Impendulo: I-aspirin yezingane, noma umthamo ophansi, kuseyi-NSAID, ngakho ingozi isekhona. Ngisho nangesilinganiso esincane, ithebhulethi ye-aspirin ingalimaza ulwelwesi lwesisu senja, ibangele izilonda nezinkinga zesisu.

Umbuzo: Ingabe zikhona izimo ezingavamile lapho nginganikeza khona inja i-aspirin?

Impendulo: Kwezinye izimo, udokotela wakho wezilwane angase akweluleke ukuthi unikeze isilwane sakho umthamo omncane we-aspirin ukuze unciphise ubuhlungu. Kodwa-ke, kufanele ulandele ngokuqinile imiyalelo yakhe futhi unikeze isilwane isilinganiso esincane esisebenzayo ngenani elincane lezinsuku. Kunoma ikuphi, i-aspirin kufanele isetshenziswe ezinjeni kuphela ngaphansi kokuqondisa okuqondile kukadokotela wezilwane.

Umbuzo: Yimaphi amaphilisi ezinhlungu engingawanikeza inja yami?

Impendulo: Imithi yezinhlungu yokusetshenziswa kwezokwelapha kufanele isetshenziswe abantu kuphela, futhi imithi eminingana yezilwane yenziwe ngokukhethekile ukuze izinja zisize ukuphatha ubuhlungu. Izidambisi zinhlungu zezilwane zihlanganisa i-carprofen, i-firocoxib, ne-meloxicam, okungenzeka inqunywe udokotela wezilwane.

Akekho umnikazi wesilwane esifuywayo ongabekezelela ukuhlupheka kwenja yakhe, ngakho-ke ukujaha ukudambisa izinhlungu ngokushesha ngangokunokwenzeka kuzoba nzima ukukumisa. Kodwa into engcono kakhulu ongayenza esilwaneni esisezinhlungwini ukushayela udokotela wakho wezilwane, ozokweluleka ngekhambi elingcono kakhulu neliphephe kunazo zonke laso.