Ngaba ndingasela ukuba ndikwiCelebrex okanye iMeloxicam?
Ulwazi lweziyobisi UmdibanisoIntlungu, ukudumba, kunye nokuqina — ngaba uyazibona ezi mpawu ziqhelekileyo isifo samathambo ? Ngokwe- Amaziko oLawulo lweZifo noThintelo (CDC), abadala abazizigidi ezingama-54 eUnited States bane-arthritis. Oko kuphantse kwaba-1 kwaba-4.
Ukuba une-arthritis okanye enye imeko yonyango yokukrala, ugqirha wakho unokuyalela amayeza anje ICelebrex (celecoxib) okanye Imobic (meloxicam) . Abantu abaninzi bayazi ukuba kufuneka uzithathe ii-NSAID (iziyobisi ezichasayo) kunye nokutya, kodwa uthini ngotywala?
Ungadibanisa i-meloxicam kunye notywala? Okanye uCelebrex kunye notywala? Kuthekani malunga ne-over-the-counter (OTC) ibuprofen kunye notywala? Masiqwalasele ngokusondeleyo ukusebenzisana kweziyobisi kunye nala mayeza kunye notywala.
Ngaba ungasela utywala ngamayeza e-arthritis yomlomo?
Ke, ii-NSAID kunye notywala… okokuqala, imvelaphi encinci-ii-NSAID ziyafumaneka kuzo zombini iindlela zokuphikisa kunye neefom zokumiselwa. Igama leBrand-OTC anti-inflammatories libandakanya Imotrin kwaye Yimbi (Zombini eziqulathe ibuprofen), UAleve (naproxen), kunye ne-Ecotrin ( Iasprini ).
Amayeza amiselweyo abandakanya iidosi ezinamandla ibuprofen kwaye iqeqsha kunye namanye amayeza amiselweyo afana ICelebrex (celecoxib) kunye neMobic ( myoxicam ), phakathi kwabanye.
Zonke ii-NSAID zine isilumkiso sebhokisi emnyama , Esisisilumkiso esomeleleyo esifunwa nguLawulo lokutya noLawulo lweziyobisi (FDA). Esi silumkiso kubandakanya ulwazi malunga nokuphuma kwegazi kwi-GI kwaye ithi: ii-NSAID zibangela umngcipheko owandayo weziganeko ezibi zesisu kubandakanya ukopha, ulceration, kunye nokugqobhoza kwesisu okanye amathumbu, anokubulala. Ezi ziganeko zinokwenzeka nangaliphi na ixesha ngexesha lokusetyenziswa kwaye ngaphandle kweempawu zesilumkiso. Izigulana ezigugileyo zisengozini enkulu yeziganeko zesisu esinzulu. Iinkcukacha ezithe kratya zilandela, kubandakanya isilumkiso sokuba izinto ezithile, kubandakanya nokusetyenziswa kotywala, zonyusa umngcipheko we-GI wopha nge-NSAIDs.
Ulwazi lokuchazwa kweziyobisi kuzo zonke ii-NSAID, nokuba ngaba ziyimigqaliselo okanye zingaphezu kwekhawuntari, zibandakanya esi silumkiso malunga nokusetyenziswa kotywala kunye nokwanda komngcipheko we-GI ukopha kunye nesilonda esiswini.
Kukwafanelekile ukukhankanya ukuba iTylenol (i-acetaminophen), eqhelekileyo isetyenziselwa isifo samathambo, ayidweliswanga njenge-NSAID. Nangona kunjalo, UTylenol kunye notywala , ngokudibeneyo, kunokubangela ukulimala kwesibindi.
Ngaba unako ukudibanisa utywala kunye neyeza le-arthritis?
I-Voltaren (diclofenac) iyafumaneka kuzo zombini iifom zomlomo kunye nefom yejeli. Ifom yangomxholo ngoku iyafumaneka ngaphaya kwekhawunta kunye nangommiselo. Njengamalungu osapho lwe-NSAID yeziyobisi, zombini iifomula (ithebhulethi yomlomo kunye nejeli yengxoxo) zibandakanya isilumkiso esifanayo malunga nokopha kwe-GI kunye notywala kulwazi olumiselweyo. Isilumkiso esifanayo siyasebenza Isibonisi (diclofenac) ii-patches ezingumxholo. Nangona zinokusetyenziswa ngokwezihloko, la mayeza akufuneki adityaniswe notywala.
Iimpawu ze-GI zopha
Njengoko kukhankanyiwe, ukuphuma kwegazi kwe-GI ziziphumo ebezingalindelekanga ezinokubakho nangaliphi na ixesha, kodwa umngcipheko uphezulu xa udibanisa ii-NSAID kunye notywala. Ukuba ufumana oku kulandelayo iimpawu , funa unyango:
- Igazi lokuhlanza, elibonakaliswe ngombala obomvu okanye mnyama mnyama kunye nomhlaba wekhofi
- Mnyama, ilindle isitulo
- Ukopha ngokufihlakeleyo
- Ubumhlophe
- Ingxaki yokuphefumla
- Ukufa isiqaqa
- Iintlungu zesifuba
- Iintlungu zesisu okanye iicramps
Utywala kunye ne-arthritis: Ngaba iyanceda okanye iyabulala?
Siyazi ukuba utywala abudibanisi ngokukhuselekileyo nee-NSAID ezisetyenziselwa isifo samathambo, kodwa ngaba utywala bunokuchaphazela isifo samathambo ngokwawo? Ngaba utywala bunokubangela ukudumba ngokudibeneyo?
