Ngingaphuza uma ngikuCelebrex noma iMeloxicam?

Imininingwane Yezidakamizwa Ukuxuba

Ubuhlungu, ukuvuvukala nokuqina — ingabe uhlangabezana nalezi zimpawu ezijwayelekile ze isifo samathambo ? Ngokusho kwe- Izikhungo Zokulawulwa Nokuvikelwa Kwezifo (CDC), abantu abadala abayizigidi ezingama-54 e-United States bane-arthritis. Lokho cishe kungu-1 kwabane.

Uma une-arthritis noma esinye isimo sezokwelapha esivuthayo, kungenzeka ukuthi udokotela wakho ukunikeze umuthi ofana nalona I-Celebrex (celecoxib) noma I-Mobic (meloxicam) . Abantu abaningi bayazi ukuthi kufanele uthathe lawa ma-NSAID (izidakamizwa ezingezona ezokulwa nokuvuvukala) ngokudla, kepha kuthiwani ngotshwala?

Ungahlanganisa i-meloxicam notshwala? Noma uCelebrex notshwala? Kuthiwani nge-over-the-counter (OTC) ibuprofen notshwala? Ake sibhekisise ukuxhumana okungenzeka kwezidakamizwa nale mithi notshwala.

Ungakwazi yini ukuphuza utshwala ngemithi ye-arthritis yomlomo?

Ngakho-ke, ama-NSAID notshwala… okokuqala, isendlalelo esincane — ama-NSAID ayatholakala kuwo womabili amafomu e-counter-counter kanye nama-prescription. Ama-anti-inflammatories e-Brand-name OTC afaka UMotrin futhi I-Advil (okuqukethe zombili ibuprofen), U-Aleve (naproxen), kanye ne-Ecotrin ( i-aspirin ).

Imithi kadokotela ifaka imithamo enamandla kakhulu ye- ibuprofen futhi umabhebhana neminye imishanguzo kadokotela efana UCelebrex (celecoxib) neMobic ( meloxicam ), phakathi kwabanye.

Wonke ama-NSAID ane- isixwayiso sebhokisi elimnyama , okuyisixwayiso esiqine kakhulu esidingwa yi-Food and Drug Administration (FDA). Lesi sexwayiso kufaka phakathi ulwazi mayelana nokuphuma kwegazi kwe-GI futhi ithi: Ama-NSAID abangela ingozi eyengeziwe yezenzakalo ezimbi kakhulu emathunjini kubandakanya ukopha, isilonda, nokugcwala kwesisu noma kwamathumbu, okungabulala. Le micimbi ingenzeka nganoma yisiphi isikhathi ngesikhathi sokusetshenziswa nangaphandle kwezimpawu zokuxwayisa. Iziguli esezikhulile zisengozini enkulu yezenzakalo ezinzima zamathumbu. Imininingwane eminingi iyalandela, kufaka phakathi isexwayiso sokuthi izinto ezithile, kufaka phakathi ukusetshenziswa kotshwala, zandisa ubungozi be-GI ukopha ngama-NSAID.

Imininingwane yokuchazwa kwezidakamizwa yawo wonke ama-NSAID, noma ngabe ayimithi kadokotela noma i-over-the-counter, ifaka lesi sexwayiso ngokusetshenziswa kotshwala nobungozi obandayo be-GI ukopha nesilonda esiswini.

Kuyafaneleka futhi ukusho ukuthi iTylenol (i-acetaminophen), evame ukusetshenziselwa isifo samathambo, ayihlukanisiwe njenge-NSAID. Noma kunjalo, UTylenol notshwala , ngokuhlanganiswa, kungaholela ekulimaleni kwesibindi.

Ungakwazi yini ukuxuba utshwala nemithi yama-topical arthritis?

I-Voltaren (i-diclofenac) iyatholakala ngazo zombili ifomu lomlomo kanye nefomu le-gel. Ifomu lezindaba manje seliyatholakala phezu kwekhawunta kanye nangemithi kadokotela. Njengamalungu omndeni wezidakamizwa we-NSAID, womabili amafomula (ithebhulethi yomlomo nejel yama-topical) afaka isexwayiso esifanayo mayelana nokopha kwe-GI notshwala kulwazi olunqunyiwe. Isixwayiso esifanayo siyasebenza ku- Flector (diclofenac) iziqeshana zamahlokohloko. Noma ingasetshenziswa phezulu, le mithi akufanele ihlanganiswe notshwala.

Izimpawu ze-GI opha

Njengoba kushiwo, ukuphuma kwegazi kwe-GI kungumphumela omubi we-NSAID ongavela nganoma yisiphi isikhathi, kepha ingozi iphakeme lapho kuhlanganiswa ama-NSAID notshwala. Uma uhlangabezana nanoma ikuphi kokulandelayo izimpawu , funa usizo lwezokwelapha:

• Igazi elihlanzayo, elibonakala ngombala obomvu noma onsundu onsundu nokuthungwa kwekhofi
• Mnyama, isitulo sokulinda
• Ukuphuma kwegazi
• Ubumhlophe
• Ukuphefumula kanzima
• Ukuquleka
• Ubuhlungu besifuba
• Ubuhlungu besisu noma amajaqamba

Utshwala ne-arthritis: Kuyasiza noma kuyalimaza?

Siyazi ukuthi utshwala abuhlanganisi ngokuphepha nama-NSAID asetshenziselwa isifo samathambo, kodwa ingabe utshwala bungathinta i-arthritis uqobo? Ngabe utshwala bungadala ukuvuvukala kwamalunga?