Ngezinye izikhathi ama-analgesics anesifo sokuvuvukala kufanele athathe izifundo ezide, ngakho odokotela bakutshela ukuba ukhethe izindlela eziphephile futhi eziphumelelayo kakhulu. Iqembu lalezi zidakamizwa zihlanganisa i-Naise, i-analgesic esebenzayo, engavamile ukuthi ibangele imiphumela emibi emibi. Ngaphambi kokuyisebenzisa, kubalulekile ukuthi ufunde ngokucophelela imiyalelo.
I-Naise - ukwakheka kwethebhulethi
Isithako esisebenzayo sezidakamizwa ezichazwe yi-nimesulide ngesamba se-100 mg ipilisi ngayinye. Lesi sici ingxube ye-chemical non-steroidal evela eqenjini le-sulfonanilide. Iqeda ukukhiqizwa kwama-enzyme okubandakanyeka ekuhlanganiseni abaxhumanisi bobuhlungu, ukuvuvukala nokuvuvukala. Kunezici ezisizayo ezongezwe eNyz - ukuhlanganiswa kuhlanganisa:
- i-calcium hydrogen phosphate;
- isitashi sommbila;
- i-microcrystalline i-cellulose uhlobo 114;
- isitrodium carboxymethyl isitashi;
- i-magnesium stearate;
- i-colloidal silicon dioxide;
- ukuhlanzwa i-talcum powder.
Amaphilisi e-Nyz - yini ewusizo?
I-agent ekhethiwe yezokwelapha inqunyelwe kuphela ukwelashwa okuyisimangaliso, ayisithonya izimbangela zesifo kanye nenkambo yayo. Amaphilisi e-Nyz - izinkomba zokusetshenziswa:
- amazinyo nezinyosi;
- algodismenorea ;
- lumbar sciatica ;
- ubuhlungu esikhathini esilandelayo;
- i-arthralgia;
- i-bursitis ;
- ubuhlungu obungemva kokubuhlungu;
- ukuvuvukala kwezicubu ezithambile, amathonti kanye nemigqa;
- i-myalgia ye-rheumatic kanye neminye imvelaphi;
- i-febrile syndrome;
- i-neuralgia.
Ucwaningo lwezokwelapha lubonise ukuthi i-nimesulide ayigcini nje kuphela ukuqeda ubuhlungu, ukuvuvukala nokuvuvukala, kodwa futhi kuvimbela ukulimala kwezicubu zomzimba, ivimba ukubhujiswa komgogen. Ngenxa yalesi senzo, kunezinkinga eziningi zokungena kwendawo lapho iNyz ibuye isebenze khona, izinkomba ezilandelayo:
- i-articular syndrome phakathi nokukhushulwa okunamandla;
- i-rheumatoid ne-arthritis ye-psoriatic;
- i-osteochondrosis ;
- i-spondylitis e-ankylosing;
- i-syndrome enkulu;
- i-osteoarthritis;
- i-tenosynovitis;
- Isifo sikaBechterew ;
- izinhlungu ze-vertebral ngokumelene nesizinda se-scoliosis nezinye izifo;
- i-osteoarthritis;
- i-tendonitis;
- i-radiculitis;
- ubuhlungu ekuguleni kwe-osteoporosis.
Ungathatha kanjani uNaise kumaphilisi?
Isidakamizwa esethuliwe senza ngokushesha futhi ngempumelelo, kodwa kubalulekile ukulandela izincomo zokusetshenziswa kwayo. Kunconywa ukuthi uxoxe nodokotela ngaphambi kokuphuza i-Nyz - ukusebenzisa izidakamizwa ezingeni elibi kungabangela ukuvela kwemiphumela emibi. Ngaphezu kwalokho, kubalulekile ukucacisa ubude benkambo yokwelapha.
U-Nize angathathwa nini?
Le mithi ibhalwe ngokuyinhloko kubantu abadala. Intsha eneminyaka engu-12 ubudala enesisindo somzimba esingu-40 kg ingathatha amaphilisi e-Nise ngendlela ejwayelekile - 100 mg. Uma isisindo singaphansi, inani le-nimesulide libalwe yi-3-5 mg nge-1 kg. Izingane ezingaphansi kweminyaka engu-3 ubudala, lesi sidakamizwa asikalelwe. Uma ingane isifinyelele esikhathini esibekiwe, ivunyelwe ukusebenzisa amaphilisi e-Naise angaphathekayo ezinganeni ezichithekile emanzini. Zakhiwa ngomthamo we-50 mg wezithako ezisebenzayo epilisi ngalinye.
Ungathatha kanjani uNaise ngamazinyo?
Isidakamizwa esivimba ukuvuvukala esisekelwe ku-nimesulide sisetshenziselwa ukukhululeka usuku olungakahle nangemva kokunyanyiswa kwamazinyo. Kulezi zimo, ngokwe-scheme classic, iNyz inqunywe - amaphilisi avela ngamazinyo athathwa izikhathi ezingu-2 ngosuku ngezinhlamvu eziyi-1 (100 mg). Isilinganiso esiphezulu sosuku nsuku zonke ngu-200 mg. Ochwepheshe bacebisa ukuphuza amaphilisi ngaphambi kokudla, kodwa uma kunezinzwa ezingathandeki endaweni yesisu noma emathunjini, kungcono ukusebenzisa amaphilisi e-Naise ngemva kokudla. Ubude benkambo kubalwa ngabanye, kepha akufanele kudlule izinsuku ezingu-15.
Ungathatha kanjani uNaise nge-osteochondrosis?
Ukubuhlungu emuva, ukuvuvukala nokuvuvukala futhi kunciphisa ngempumelelo i-nimesulide. Ngokuphindaphindiwe kwe-osteochondrosis, kunqunywe indlela ejwayelekile, ukuthi ungathatha kanjani uNaise - 100 mg izikhathi ezimbili ngosuku. Ngokufanayo, amaphilisi asetshenziselwa ukwelashwa okuyisimangaliso kwamanye ama-locomotor disorders nge-syndrome yobuhlungu. Isikhathi sokwelashwa sinqunywa kuye ngobukhulu bezimpawu zomtholampilo, ikakhulukazi izinsuku ezingu-7-12.
Ngingathatha yini uNaise ngekhanda?
I-agent ehlinzekwa ngamakhemikhali inikeza inkinga ekucatshangweni, kodwa hhayi ngaso sonke isikhathi. Ukunciphisa ubuhlungu be-Nasez kunconywa kuphela uma kuhlasela kwenzeka ngemuva kwesizinda:
- ukushisa komzimba okwandisiwe;
- izinqubo zokuvuvukala, isibonelo, i-meningitis;
- i-voltage;
- ukusebenza ngokweqile;
- ukucindezeleka;
- ukungabi nokulala;
- izinguquko ezimweni zesimo sezulu;
- amazinyo;
- izingxabano nemivimbo;
- ukungenelela kokuhlinzwa;
- izinqubo zezokwelapha;
- umsindo;
- Ukucindezeleka kwegazi kuqhuma;
- i-osteochondrosis;
- ukuphulwa kwezimpande zesisindo nezinye izici.
Amaphilisi e-Nyz ayisebenzi uma imbangela yobuhlungu i- migraine . Kule nkinga, akukho mithi engeyona-inflammatory imithi engeyona i-steroid izosiza. Ukusuka ekuhlaselweni kwe-migraine kungcono ukuthatha izidakamizwa ezithinta ngokuqondile imithwalo yegazi ehlanjululwe ebuchosheni, futhi uvimbele ukuzwela kwezimbangi zezintathu ezinezintathu. Imithi enjalo ihlanganisa i-triptans.
Ingakanani ithebhulethi ye-Naise isebenza?
Ubude bomthelela we-analgesic ne-anti-inflammatory buxhomeke esimweni sezinzwa ezingathandeki, amandla abo kanye nesibanga. I-Nase amaphilisi angu-100 amagciwane ayivimbela izinsuku ezingu-0.5. Izinga lokupheka kwe-syndrome lobuhlungu liyehla kancane, ngoba i-nimesulide iqala ukudonswa emzimbeni emva kwamahora amabili no-5-5. Umthelela omkhulu we-analgesic ubonakala emva kwemizuzu engu-20-25 ngemva kokuthatha ithebulethi.
Ngingawuthatha kaningi kangaki uNaise?
Imvamisa ephakanyisiwe yokusetshenziswa kwesidakamizwa esibucayi inqunyelwe izikhathi ezimbili. Ezimweni ezingavamile kakhulu, udokotela angavumela ukusetshenziswa okuphindaphindiwe kwezibhebhe ze-Naise - ukusetshenziswa kwe-agent elwa nokuvuvukala kuvunyelwe esilinganisweni esiphezulu se-400 mg. Amacala ayingqayizivele uma i-nimesulide ishiwo izikhathi ezingu-4 ngosuku itholakala ekusebenzeni kokuhlinzwa. Ngemuva kokusebenza okuthile, ubuhlungu be-syndrome buhlungu kakhulu, futhi ukuze ugweme ukushaqeka, i-analgesic isetshenziselwa umthamo owandile.
Kungakanani uNyz angayithatha amaphilisi?
Ubude be-thérapie ephawulekayo kufanele bufanele isimo. Uchwepheshe kuphela onquma ukuthi zingakanani izinsuku umuntu angathatha uNaise. Isikhathi esiphezulu sokunconywa kokwelashwa izinsuku ezingu-15. Ngokuvamile, i-nimesulide isetshenziselwa ukunyamalala kokuvuvukala nezibonakaliso zokuvuvukala - izinsuku ezingu-7-10 noma ngaphansi. Ngekhanda, ukuya esikhathini, imithi yamahlungu yamazinyo isetshenziswa izinsuku ezingu-2-3 noma kanye.
Ngingathatha uNaise ngotshwala?
Azikho izinkomba eziqondile mayelana nokusetshenziselwa okwenziwa ngesikhathi esisodwa kwe-nimesulide nokusetshenziswa kweziphuzo eziphuza utshwala. Amaphilisi e-Nyce asiza ngekhanda kanye nomkhuhlane ngemuva kwe-hangover syndrome, ukukhulula ngokushesha futhi ngempumelelo isimo. Odokotela kuphela abaphakamisi ukusebenzisa imithi echazwe ngokufana neziphuzo ezishisayo nakubusuku bamaqembu. I-Nayz nokuphuza utshwala akuhambisani kahle, ngoba u-ethanol uyakwazi ukugcina amanzi emzimbeni. Kanye nalo ohlelweni lokugaya ukudla luhlanganisa i-nimesulide, engabangela imiphumela eyingozi.
Amathebulethi we-Nyce - imiphumela emibi
I-agent ehlinzekwa ngamakhemikhali ayitholakali ihambisane nezimo ezingahambisani nezimo. Izibhebhe eziningi zibekezeleleke, iziguli ezingaphansi kuka-5% azikwazi ukuthatha i-Naise - imiphumela emibi zibandakanya:
- isiyezi;
- ukwesaba;
- ukuzwa kwesaba okungenangqondo;
- i-nightmares;
- ukulala;
- ukuvuvukala kobuso;
- ukukhathazeka ngokwezinga le-syndrome;
- ikhanda;
- I-Lyell's syndrome;
- ukuzivikela kwe-immune hypersensitivity;
- ukuqhuma kwesikhumba (imifantu, i-eczema, i-dermatitis);
- ukuphazamiseka kwe-anaphylactic;
- itching;
- ukujuluka okukhulu;
- i-érythema i-erythema multiforme;
- i-angioedema;
- I-Stevens-Johnson syndrome;
- i-necrolysis ye-epidermal enobuthi;
- i-dysuria;
- i-hyperkalemia;
- ukubambezeleka kokukhipha umchamo;
- i-hematuria;
- ukuhluleka kwezinso;
- i-nephritis yangaphakathi;
- ukuvuvukala okuphawulwe kwemiphetho;
- i-oliguria;
- isicasuli;
- ukuqotshwa;
- i-gastritis;
- flatulence;
- isifo sohudo;
- ukuhlanza;
- i-stomatitis;
- ubuhlungu esifundeni se-epigastric;
- Hlala izithambile ezithambile;
- ukukhushulwa kwesilonda se-peptic, i-perforation yesisu noma i-duodenum;
- ukuphuma kwangaphakathi;
- i-hepatitis, kuhlanganise nefomu eligcwalisayo;
- i-cholestasis;
- i-jaundice yezokwelapha;
- ukwanda kwe-transaminase index;
- i-eosinophilia;
- i-anemia;
- i-pancytopenia;
- isikhathi eside sokwanda kwegazi;
- i-thrombocytopenia;
- elibomvu;
- ukukhushulwa kokuhlaselwa kwe-asthma ye-bronchial;
- ukuphefumula;
- i-bronchospasm;
- ukucindezeleka komzimba;
- ukuhamba;
- i-tachycardia;
- umbono obonakalayo noma ukuwohloka kokucaca kwawo;
- isisu;
- ubuthakathaka jikelele, ukwehla ukusebenza kahle;
- ukudonsa okubukhali ekushiseni komzimba.
Kubantu abanezifo ezithile, ingozi yalezi zinkinga iphakeme. Ezimweni ezinjalo, kubalulekile ukusebenzisa uNyz ngokuqapha okukhulu, imiphumela emibi ivame ukubhekwa kulezi zifo ezilandelayo:
- izinso ezikhubazekile nesinye;
- izifo zamehlo;
- umfutho wegazi ophezulu;
- izifo zenhliziyo;
- umonakalo omkhulu wesibindi.
I-Nimesulide iyakwazi ukusabela ngamakhemikhali namanye ama-non-steroidal anti-inflammatory drugs, ngakho ukusetshenziswa kwe-Naise kanye nama-analgesics afanayo ngesikhathi esisodwa kungaholela emiphumeleni engathandeki. Akukhuthazwa ukuthatha imithi ngesikhathi sokukhulelwa. Kutholakale ukuthi lesi sidakamizwa sithinta kabi ukuzala kwesifazane.
Amaphilisi e-Nyz - ukungqubuzana
Abanye abantu bavinjelwe ngokweqile ukuba basebenzise izidakamizwa ezibhekwa njengezokwelapha eNyz, ukuphikisana okulandelayo okulandelayo:
- inhlanganisela ye-polyposis ephindaphindiwe yekhala, ama-sinus e-paranasal, noma i-asthma ye-bronchial nokungahambisani no-acetylsalicylic acid noma ezinye izidakamizwa zobuhlungu obungenayo i-steroidal;
- hypersensitivity kuya kwi-nimesulide noma izithako zokufinyelela izidakamizwa zalesi sidakamizwa;
- i-cerebrovascular, i-gastric esebenzayo, emathunjini noma enye ukuphuma kwegazi;
- Isifo sikaCrohn esiteji sokubuyela emuva;
- i-colonial ulcerative colitis engapheli ngesikhathi sokukhubeka;
- Ukuhluleka kwenhliziyo ehlukunyeziwe;
- izilonda ezinomsoco noma ezilonda ulwelative we-mucosa we duodenum, isisu;
- i-hemophilia nezinye izifo ezenza ukuguqulwa kwegazi;
- noma yisiphi isifo sesibindi esisebenzayo, kuhlanganise ukungasebenzi;
- ukuphuza utshwala;
- i-hyperkalemia;
- ukuhluleka kwe-renal nge-créinine imvume engaphansi kuka-30 ml / iminithi;
- isikhathi emva komshini we-coronary bypass ukuhlanganiswa;
- ukusabela kwe-hepatotoxic ekuqokweni kwezidakamizwa nge-nimesulide ekubunjweni;
- ukusetshenziswa okufanayo kwamakhemikhali angama-hepatotoxic.
Amathebulethi-ama-analgesics uNyz angaqokwa futhi anezimo zemvelo, engahlanganiswa nezifo:
- ukukhulelwa;
- ukuncelisa;
- uneminyaka engaba ngu-3.
I-Analog Naise kumaphilisi
Uma umuthi owethulwe awufanelekile, ungakhetha ikhambi elifanayo. Amathebulethi avela ebuhlungu bukaNise angasuswa kalula yizidakamizwa ezilandelayo:
- Nimesin;
- Remesulid;
- I-Nimid;
- Amoeolin;
- I-Toro-Sanovel;
- I-Nimesulide;
- Alit;
- I-Pansulid;
- Nygan;
- Aponil;
- I-Nunogan;
- I-Oxigan;
- I-Nimegesic;
- I-Affid;
- Nimuspaz;
- I-Mesulide;
- Nimulid;
- Sigan.
Izizukulwane (umphumela ofanayo, nezinye izinto ezisebenzayo):
- Osteal;
- I-Arthromax;
- I-piascladed;
- I-Sinmeton;
- Ibuprofen;
- I-Mig-400;
- I-Citramon;
- Ketanov;
- Indomethacin;
- Diclofenac;
- Sulindak;
- I-Naproxen;
- Celecoxib.