Qhia rau Kev Tshuaj Tiv Thaiv Tsis Yooj Yim (OTC) Cov Kev Cuam Tshuam Hlob

Zoo Siab

• Kev Siv
• Cov Hom NSAIDs
• Sab sij huam
• Cov teeb meem hauv plab
• Lub plawv mob tom qab
• Thaum twg thiaj li yuav tsum tau nrhiav tshuaj
• Cov tshuaj sib cuam tshuam
• Rau menyuam
• Reye's syndrome
• Cov lus qhia siv OTC NSAIDs
• Ntsuas koj cov kev xav tau
• Nyeem cov ntawv lo
• Khaws lawv kom zoo
• Noj cov tshuaj kom raug
• Thaum twg kom zam NSAIDs
• Nqa Nyiaj

Txheej txheem cej luam

Cov tshuaj yuav tom kiab khw (OTC) yog cov tshuaj uas koj tuaj yeem yuav yam tsis muaj kws kho mob sau. Cov tshuaj nonsteroidal anti-inflammatory (NSAIDs) yog cov tshuaj uas pab txo qhov mob, uas feem ntau pab daws qhov mob. Hauv lwm lo lus, lawv yog cov tshuaj tiv thaiv.

Ntawm no yog OTC cov NSAIDs nquag muaj:

• high-koob tshuaj aspirin
• ibuprofen (Advil, Motrin, Midol)
• naproxen (Aleve, Naprosyn)

NSAIDs tuaj yeem siv tau zoo heev. Lawv zoo li ua haujlwm tau sai thiab feem ntau muaj cov kev phiv tsawg dua li corticosteroids, uas kuj txo qis o.

Txawm li cas los xij, ua ntej koj siv ib qho NSAID, koj yuav tsum paub txog cov kev phiv thiab cov tshuaj sib cuam tshuam. Nyeem rau ntawm cov ntaub ntawv no thiab cov lus qhia txog kev siv NSAIDs kev nyab xeeb thiab zoo li cas.

Kev Siv

NSAIDs ua haujlwm los ntawm thaiv cov prostaglandins, uas yog cov tshuaj uas ntxim rau koj txoj hlab ntaws thiab txhim kho qhov mob thaum mob o. Prostaglandins tseem ua lub luag haujlwm hauv kev tswj koj lub cev kub.

Los ntawm kev cuam tshuam rau cov tshwm sim ntawm prostaglandins, NSAIDs pab daws koj qhov mob thiab txo qis koj ua npaws. Qhov tseeb, NSAIDs tuaj yeem muaj txiaj ntsig zoo hauv kev txo ntau yam kev tsis xis nyob, suav nrog:

• mob taub hau
• mob nraub qaum
• mob ib ce
• o thiab mob hnyav los ntawm kev mob caj dab thiab lwm yam mob
• coj khaub ncaws thiab mob ib ce
• mob tom qab kev phais mob me
• mob pob txha los yog lwm yam kev raug mob

NSAIDs tseem ceeb tshwj xeeb rau kev tswj hwm cov tsos mob ntawm mob caj dab, xws li mob sib koom tes, o, thiab txhav. NSAIDs zoo li pheej yig thiab siv tau yooj yim, yog li lawv feem ntau yog thawj cov tshuaj kho mob rau cov neeg muaj mob caj dab.

Cov tshuaj celecoxib (Celebrex) feem ntau tau siv tshuaj kho lub sijhawm ntev ntawm cov tsos mob caj dab. Qhov no vim tias nws yooj yim dua rau koj lub plab dua li lwm cov NSAIDs.

Cov Hom NSAIDs

NSAIDs thaiv cov enzyme cyclooxygenase (COX) los ntawm tsim prostaglandins. Koj lub cev ua ob hom COX: COX-1 thiab COX-2.

COX-1 tiv thaiv koj lub plab daim tawv nqaij, thaum COX-2 ua rau o. NSAIDs feem ntau tsis tseem ceeb, uas txhais tau tias lawv thaiv ob qho COX-1 thiab COX-2.

NSApecific NSAIDs uas muaj nyob hauv cov txee hauv Tebchaws Meskas suav nrog:

• high-koob tshuaj aspirin
• ibuprofen (Advil, Motrin, Midol)
• naproxen (Aleve, Naprosyn)

Cov tshuaj aspirin tsawg tsawg tsis muab cais tawm raws li NSAID.

Nonspecific NSAIDs uas muaj muag nrog cov tshuaj hauv Tebchaws Meskas suav nrog:

• diclofenac (Zorvolex)
• diflunisal
• etodolac
• famotidine / ibuprofen (Vimxis)
• flurbiprofen
• indomethacin (Tivorbex)
• ketoprofen
• mefenamic acid (Ponstel)
• meloxicam (Vivlodex, Mobic)
• nabumetone
• oxaprozin (Daypro)
• piroxicam (Feldene)
• sulindac

Xaiv COX-2 inhibitors yog NSAIDs uas thaiv ntau dua COX-2 dua li COX-1. Celecoxib (Celebrex) yog tam sim no tsuas xaiv COX-2 inhibitor muaj los ntawm cov tshuaj hauv Tebchaws Meskas.

Sab sij huam

Tsuas yog vim koj tuaj yeem yuav qee lub NSAIDs yam tsis muaj ntawv sau tsis tau txhais tau tias lawv tsis muaj kev phom sij kiag li. Muaj cov kev mob tshwm sim thiab txaus ntshai, nrog rau feem ntau ua mob plab, roj, thiab raws plab.

NSAIDs yog tsim rau qee lub sijhawm thiab siv sijhawm luv. Koj qhov kev pheej hmoo rau cov kev mob tshwm sim ntau dua qhov koj siv ntev dua.

Nco ntsoov nrog koj tus kws saib xyuas kev noj qab haus huv ua ntej siv NSAIDs, thiab tsis txhob noj ntau yam tshuaj NSAIDs tib lub sijhawm.

Cov teeb meem hauv plab

NSAIDs thaiv COX-1, uas pab tiv thaiv koj lub plab daim ntaub. Raws li qhov tshwm sim, kev noj NSAIDs tuaj yeem pab txhawb kev mob plab hnyuv, suav nrog:

• mob plab
• roj
• zawv plab
• Kev mob siab
• xeev siab thiab ntuav
• cem quav

Yog muaj mob hnyav dua, kev noj cov NSAIDs tuaj yeem ua rau koj lub plab zom mov txaus ua rau mob rwj. Qee qhov mob txhab tuaj yeem ua rau ntshav los sab hauv.

Yog koj muaj cov tsos mob li hais hauv qab no, tsum tsis siv NSAID tam sim ntawd thiab hu rau koj tus kws kho mob:

• mob plab heev
• dub lossis tarry quav
• cov ntshav hauv koj cov quav

Txoj kev pheej hmoo ntawm kev tsim teeb meem plab yog siab dua rau cov neeg uas:

• noj NSAIDs ntau zaus
• muaj keeb kwm ntawm lub plab ua txhab
• muab cov ntshav ua nyias ntshav lossis corticosteroids
• twb dhau hnub nyoog 65 xyoos

Koj tuaj yeem txo qhov koj muaj feem yuav ua mob plab los ntawm noj NSAIDs nrog zaub mov, mis, lossis antacid.

Yog tias koj txhim kho cov teeb meem hauv plab, koj tus kws kho mob tuaj yeem txhawb koj kom hloov mus rau qhov kev xaiv COX-2 inhibitor xws li celecoxib (Celebrex). Lawv tsis tshua muaj peev xwm ua rau mob plab dua li cov tsis muaj NSApes.

Lub plawv mob tom qab

Kev noj cov NSAIDs ua rau koj muaj feem ntau rau:

• plawv nres
• lub plawv tsis ua hauj lwm
• mob stroke
• ntshav txhaws

Txoj kev pheej hmoo ntawm kev tsim cov mob no nce nrog kev siv ntau thiab ntau dua ntawm cov tshuaj.

Cov neeg muaj kab mob plawv yog cov muaj pheej hmoo ntau dua los ntawm cov teeb meem ntsig txog lub plawv los ntawm kev noj NSAIDs.

Thaum twg thiaj li yuav tsum tau nrhiav tshuaj

Tsum tsis noj cov NSAID tam sim ntawd thiab nrhiav kev kho mob yog tias koj pom muaj cov tsos mob hauv qab no:

• coov hauv koj lub pob ntseg
• qhov muag plooj
• xoo pob, khaus, thiab khaus
• kua ceev rov qab muaj
• cov ntshav hauv koj cov zis lossis cov quav
• ntuav thiab cov ntshav hauv koj ntuav
• mob plab heev
• mob hauv siab
• lub plawv dhia ceev ceev
• dajntoo

Cov tshuaj sib cuam tshuam

NSAIDs tuaj yeem cuam tshuam nrog lwm cov tshuaj noj. Qee cov tshuaj yuav ua tsis tau zoo thaum lawv siv nrog NSAIDs. Ob qho piv txwv yog cov tshuaj kho ntshav siab thiab cov tshuaj aspirin tsawg (thaum siv los ua ntshav ib leeg dua).

Lwm cov tshuaj sib txuas ua ke tuaj yeem ua rau muaj kev mob tshwm sim loj heev, ib yam nkaus. Kev xyuam xim yog tias koj siv cov tshuaj hauv qab no:

• Warfarin. NSAIDs tuaj yeem txhim kho cov nyhuv ntawm warfarin (Coumadin), cov tshuaj siv los tiv thaiv lossis kho cov ntshav txhaws. Qhov sib xyaw ua ke tuaj yeem ua rau muaj ntshav ntau dhau.
• Cyclosporine. Cyclosporine (Neoral, Sandimmune) yog siv los kho tus mob caj dab los yog ulcerative colitis (UC). Nws yog ntawv kom kho rau cov neeg uas twb muaj kev hloov khoom nruab nrog. Noj nws nrog ib qho NSAID tuaj yeem ua rau lub raum puas tsuaj.
• Lithium. Ua ke nrog cov NSAIDs nrog cov tshuaj tswj kev ua kom lub siab ntsws lithium tuaj yeem ua rau muaj kev phom sij ntawm cov roj ntsha lithium hauv koj lub cev.
• Cov tshuaj aspirin tsawg-koob. Kev noj cov NSAIDs nrog cov tshuaj aspirin tsawg yuav ua rau muaj kev pheej hmoo ua mob plab.
• Xaiv serotonin reuptake inhibitors (SSRIs). Los ntshav hauv lub plab zom mov kuj yuav muaj teeb meem yog tias koj noj NSAIDs nrog tshuaj serotonin reuptake inhibitors (SSRIs).
• Kev tshuaj ntsuab. Nws ib txwm tsis muaj teeb meem noj NSAIDs yog tias koj noj cov tshuaj diuretics. Txawm li cas los xij, koj tus kws kho mob yuav tsum saib xyuas koj kom ntshav siab thiab lub raum puas thaum koj noj ob qho tib si.

Rau menyuam

Nco ntsoov nrog koj tus kws saib xyuas kev noj qab haus huv ua ntej muab cov NSAIDs rau ib tus menyuam hnub nyoog qis dua 2 xyoos. Cov koob tshuaj rau cov menyuam yaus yog ua raws qhov hnyav, yog li nyeem daim ntawv qhia ntau npaum li cas nrog cov tshuaj txhawm rau txiav txim muab ntau npaum li cas rau koj tus menyuam.

Ibuprofen (Advil, Motrin, Midol) yog cov tshuaj NSAID feem ntau siv rau menyuam yaus. Nws tseem yog tib qho kev pom zoo siv rau cov menyuam yaus muaj hnub nyoog txog 3 hlis. Naproxen (Aleve, Naprosyn) tuaj yeem muab rau cov menyuam muaj hnub nyoog 12 xyoos.

Txawm hais tias cov tshuaj aspirin raug pom zoo rau kev siv rau cov menyuam yaus hnub nyoog 3 xyoos, cov menyuam hnub nyoog 17 thiab qis dua uas yuav mob qaib qhua lossis mob khaub thuas yuav tsum zam cov tshuaj aspirin thiab cov khoom muaj nws.

Kev muab tshuaj aspirin rau menyuam yaus tuaj yeem ua rau muaj kev pheej hmoo ntxiv rau Tus Mob Reye's syndrome, qhov mob hnyav uas ua rau muaj teeb meem ntawm daim siab thiab lub hlwb.

Reye's syndrome

Cov tsos mob thaum ntxov ntawm Tus Mob Reye feem ntau tshwm sim thaum lub sij hawm rov zoo los ntawm kev kis kab mob, xws li qhua dej lossis mob ua npaws. Txawm li cas los xij, ib tus neeg tuaj yeem tuaj yeem txhim kho Reye's syndrome li 3 rau 5 hnub tom qab pib mob.

Cov tsos mob tshwm sim thawj zaug hauv cov menyuam yaus hnub nyoog qis dua 2 xyoos thiab kev ua pa sai. Cov tsos mob thawj zaug hauv cov menyuam yaus thiab cov hluas muaj xws li ntuav thiab tsaug zog txawv.

Cov tsos mob hnyav dua suav nrog:

• tsis meej pem lossis tso kev ntseeg tawm
• txhoj puab heev lossis siv tsis tau
• tsis muaj zog lossis tuag tes tuag taw hauv caj npab thiab ceg
• qaug dab peg
• tsis nco qab

Kev paub kuaj ntxov thiab kho tuaj yeem cawm neeg txoj sia. Yog koj xav tias koj tus menyuam muaj tus mob Reye tus mob, nrhiav kev kho tamsid.

Cov lus qhia siv OTC NSAIDs

Yuav kom tau txais txiaj ntsig zoo tshaj plaws los ntawm koj li kev kho mob OTC, ua raws li cov lus qhia no.

Ntsuas koj cov kev xav tau

Qee cov tshuaj OTC, xws li acetaminophen (Tylenol), yog qhov zoo rau txo qhov mob tab sis tsis pab kho mob. Yog tias koj tuaj yeem tiv taus lawv, NSAIDs tej zaum qhov kev xaiv zoo dua ntawm kev mob caj dab thiab lwm yam mob.

Nyeem cov ntawv lo

Qee cov khoom lag luam OTC muab cov tshuaj acetaminophen thiab tshuaj los tiv thaiv. NSAIDs tuaj yeem nrhiav pom nyob rau qee qhov tshuaj tiv thaiv mob khaub thuas thiab mob khaub thuas. Nco ntsoov nyeem cov npe tshuaj nyob rau ntawm tag nrho cov tshuaj OTC yog li koj paub ntau npaum li cas ntawm txhua yam tshuaj koj tau noj.

Noj ntau dhau ntawm cov khoom xyaw nquag rau hauv kev sib xyaw ua ke yuav ua rau koj muaj kev pheej hmoo.

Khaws lawv kom zoo

Cov tshuaj OTC tuaj yeem plam lawv cov hauj lwm zoo ua ntej hnub tas sij hawm yog tias khaws cia rau hauv qhov chaw sov thiab noo, xws li chav txee tshuaj chav dej. Ua kom lawv kawg, khaws cia rau qhov chaw txias thiab qhuav.

Noj cov tshuaj kom raug

Thaum noj OTC NSAID, nco ntsoov nyeem thiab ua raws cov lus qhia. Cov khoom lag luam sib txawv hauv lub zog, yog li xyuas kom koj tau noj kom raug txhua lub sijhawm.

Thaum twg kom zam NSAIDs

NSAIDs tsis yog ib lub tswv yim zoo rau txhua tus neeg. Ua ntej noj cov tshuaj no, nrog koj tus kws kho mob tham yog tias koj muaj lossis muaj:

• kev ua xua rau cov tshuaj aspirin lossis lwm yam mob huam
• ntshav ntshav
• mob plab los ntshav, mob rwj, lossis mob hnyuv
• ntshav siab los yog kab mob plawv
• mob siab los yog mob raum
• mob ntshav qab zib uas nyuaj los tswj hwm
• keeb kwm ntawm mob stroke lossis lub plawv nres

Tham nrog koj tus kws kho mob yog tias koj muaj hnub nyoog 65 xyoos thiab npaj siv tshuaj NSAIDs.

Yog tias koj cev xeeb tub, sab laj nrog koj tus neeg saib xyuas kev noj qab haus huv ua ntej siv NSAIDs. tau pom tias kev noj NSAIDs thaum ntxov cev xeeb tub yuav ua rau muaj kev phom sij rau koj lub plab, tab sis yuav tsum muaj kev tshawb fawb ntxiv.

Tsis pom zoo kom noj NSAIDs nyob rau lub hlis thib peb ntawm cev xeeb tub tsis tau pom zoo. Lawv tuaj yeem ua rau cov hlab ntshav ntawm tus menyuam lub siab nyob rau lub sijhawm ntxov.

Koj yuav tsum nrog koj tus kws saib xyuas kev noj qab haus huv tham txog kev nyab xeeb ntawm kev siv NSAID yog tias koj haus cawv peb hnub lossis ntau dua ib hnub lossis lossis koj noj tshuaj muaj ntshav tawm.

Nqa Nyiaj

NSAIDs yuav zoo rau daws qhov mob tshwm sim los ntawm mob o, thiab ntau yam muaj nyob ntawm txee. Nug koj tus kws kho mob txog qhov noj ntau npaum li cas, thiab tsis txhob pub tshaj qhov txwv ntawd.

NSAIDs yuav yog cov khoom xyaw rau qee yam tshuaj noj, yog li nco ntsoov nyeem cov ntawv sau ntawm cov tshuaj OTC uas koj noj.