Cov neeg ua haujlwm hauv kev ua si thiab cov neeg tseem ceeb yuav tsum nrhiav kev tshiab kom rov zoo dua thiab sib tw zog thiab ntev dua. Qee cov tau tig mus rau cov kws kho mob kom tsis txhob muaj mob los pab tiv thaiv kom tsis txhob mob nqaij hlav tom qab kev tawm dag zog thiab kev pab rov qab. Tsis ntev tas los no cov kev sib tw ntawm kev tiv thaiv tsis ntev los no tau siv ibuprofen thiab lwm yam tshuaj tsis-steroidal anti-inflammatory (NSAIDs) ua ntej thiab thaum sib tw los sib tw los sib tw nrog kev siv ntau tshaj plaws rau qhov ntev tshaj plaws.
Tab sis, qhov no puas ua haujlwm thiab puas ruaj ntseg?
Cov NSAIDs yog nonsteroidal anti-inflammatory drugs. Cov no muaj xws li tshuaj aspirin, ibuprofen (Advil thiab Motrin), naproxen sodium (Aleve), thiab ketoprofen (Orudis KT). Cov NSAIDs tiv thaiv lub cev los ntawm kev tsim cov tshuaj prostaglandins. Prostaglandins yog cov khoom tsim los ntawm lub cev uas ua raws li cov neeg kho kom haum xeeb rau ntau yam kev siv physiologic nrog rau kev tiv thaiv lub plab ob sab thiab tswj cov ntshav siab. Lawv kuj hais kom mob thiab mob.
NSAIDs thaiv tag nrho cov prostaglandins; cov uas ua rau mob zoo li cov neeg uas tiv thaiv lub plab. Yog li, kev noj cov tshuaj NSAIDs qee zaum ua rau mob plab lossis mob plab hnyuv (GI) los ntshav. Txoj kev pheej hmoo ntawm lub plab los yog GI tuaj yeem ua rau siv cov NSAID ntev mus ntev.
Cov NSAIDs thiab Kev Ua Si
Puas yog noj ib qho NSAID tiag tiag los txhawb kev ua kislas? Nws puas tiv thaiv lossis txo cov nqaij mob ? Yog li ntawd, txoj kev tshawb fawb tsis pab txhawb kev siv cov NSAIDs rau cov neeg ncaws pob.
Nov yog qhov lawv pom muaj nyob deb.
Ntau qhov kev tshawb fawb tau pom muaj txiaj ntsim me ntsis ntawm kev noj ibuprofen thiab ceeb toom tias nws yuav npog ncauj, uas tuaj yeem ua rau muaj feem raug mob ntawm kev raug mob.
Ib txoj kev tshawb fawb pom tias siv cov tshuaj 400 mg ibuprofen plaub teev ua ntej kev hnyav txo txoj kev xav ntawm cov leeg nqaij mob, tiam sis tsis tau tiv thaiv mob hlwb raug mob raws li qhia los ntawm creatine kinase, muaj protein nyob hauv cov leeg hlwb thaum tso tawm thaum lawv raug mob.
Cov kev tshawb fawb ntxiv tau ceeb toom tias kev siv cov NSAIDs thaum lub caij sib dhos, xws li Ironman Triathlon, yog txuam nrog kev pheej hmoo siab ntawm kev siv tshuaj tua kab mob exertional hypertension . Cov neeg tshawb xyuas ntseeg tau hais tias qhov kev nyuab siab no yuav yog vim kev hloov kho raum (lub raum) muaj nuj nqi. Cov teeb meem ntsig txog kev hloov kho lub raum ua haujlwm hauv kev ncaws pob tsis nyuaj. Kev haus dej thiab kev txwv tsis pub muaj peev xwm tuaj yeem ua rau lub cev tsis ntog tawm, mob ntsws mob ntsws, thiab mob hnyav, lub raum tsis ua hauj lwm.
Txoj kev tshawb fawb tshaj plaws ntawm txoj kev ntseeg tiag tiag yuav yog qhov uas tau ua rau thaum lub sij hawm khiav ntawm 100-mais Western States txoj kev khiav ntawm haiv neeg. Tus kws tshawb fawb Davi Neiman ntsuas qhov kev siv ibuprofen siv thaum lub caij sib tw los ntawm kev kawm cov khiav ntawm peb pawg: pawg tswj hwm, ib pawg uas siv 600 mg ibuprofen ib hnub ua ntej thiab hnub sib tw thiab ib pab pawg uas siv 1200 mg ibuprofen ib hnub ua ntej thiab nyob rau hnub sib tw.
Kev tshawb nrhiav pom:
- Ob leeg pawg ibuprofen muaj cov ntshav qab zib ntau dua ntawm cov cim (serum C-reactive protein, plasma cytokine, thiab macrophage inflammatory protein) rau cov nqaij leeg.
- Tshaj qhia tau qeeb ntawm pib nqaij ntshiv yog mob tib yam nkaus rau txhua pawg.
- Cov qoob loo zus tau qes tau zoo ib yam nyob thoob plaws txhua pawg.
- Haiv neeg lub sij hawm tsis txawv ntawm cov pab pawg.
- Cov kev pom ntawm kev pom zoo ua txawv txawv tsis txawv ntawm cov pab pawg.
Lub Kab Hauv Qab
Cov kab hauv qab yog ibuprofen siv los ntawm kev twv txiaj kub cev tsis cuam tshuam kev ua tau zoo, mob nqaij los yog mob nyhav tab sis nws muaj feem xyuam nrog kev ntsuas mob thiab kev puas ntawm tes. Nws yog lub tswv yim tsim nyog uas siv cov NSAIDs tsis zoo rau kev ua kis las. Nws, qhov tseeb, ua rau muaj kev phom sij rau qee cov kev sib tw ntawm kev ua si.
Thaum Twg Puas Siv Kev Siv NSAIDs?
Kev siv ntau dua ntawm cov txee cov mob plawv, nrog rau cov NSAIDs, yuav tsum tseg rau kev siv kab mob tom qab mob siab heev. Kev noj qab haus huv thiab kev noj zaub mov zoo nrog rau kev haus dej txaus yuav yog qhov tseem ceeb dua, pab tau thiab kom muaj kev nyab xeeb dua li cov tshuaj noj.
Qhov chaw:
> Donnelly AE, Maughan RJ, Whiting PH. Cov teebmeem ntawm ibuprofen rau qoj-vim raug mob nqaij thiab indices nqaij leeg.
> Rahnama N, Rahmani-Nia F, Ebrahim K. Kev raug rho tawm thiab kev txuam nrog kev ua si ntawm cev nqaij daim tawv thiab ibuprofen rau qeeb-pib mob nqaij nyug. Ntawv Tshaj Tawm Txog Kev Ua Si. 2005 Aug; 23 (8): 843-50.
> Wharam PC, Speedy DB, Noakes TD, Thompson JM, Reid SA, Holtzhausen LM. NSAID siv ntau txoj kev pheej hmoo ntawm kev tsim hyponatremia thaum muaj Ironman triathlon. Tshuaj thiab Kev Ua Si thiab Kev Ua Si. 2006 Hlis; 38 (4): 618-22.