Created at:1/13/2025
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I-Naproxen iyisidambisi sobuhlungu esisetshenziswa kakhulu kanye nomuthi olwa nokuvuvukala ongaphansi kweqembu lezidakamizwa ezibizwa ngokuthi ama-NSAID (izidakamizwa ezingezona ezama-steroidal anti-inflammatory). Ungase uyazi ngamagama omkhiqizo afana ne-Aleve noma i-Naprosyn, futhi iyatholakala kokubili ngaphandle kwekhawunta nangemiyalelo kadokotela.
Lo muthi usebenza ngokuvimba amakhemikhali athile emzimbeni wakho abangela ubuhlungu, ukuvuvukala, nokuvuvukala. Cabanga ngakho njengokucisha uhlelo lwe-alamu lomzimba wakho uma usebenza ngokweqile. Abantu abaningi bakuthola kuwusizo kuyo yonke into kusukela ekhanda elibuhlungu kuya ebuhlungwini be-arthritis.
I-Naproxen iyisidakamizwa esingeyona i-steroidal anti-inflammatory (NSAID) esinciphisa ubuhlungu, ukuvuvukala, nomkhuhlane emzimbeni wakho. Ithathwa njengesidambisi sobuhlungu obunamandla aphakathi nendawo obunamandla kune-ibuprofen kodwa obumnene kune-opioids kadokotela.
Umuthi uza ngezinhlobo ezahlukene ezihlanganisa amaphilisi avamile, amaphilisi akhishwe isikhathi eside, kanye nokumiswa oketshezi. Ungathola izinguqulo ezinomthamo ophansi ezitholakala ngaphandle kwekhawunta, kuyilapho amandla aphezulu adinga incwadi kadokotela evela kudokotela wakho.
Okuhlukanisa i-naproxen ukuthi inemiphumela ehlala isikhathi eside uma iqhathaniswa nezinye izidambisi zobuhlungu ezivamile. Ngenkathi ungase uthathe i-ibuprofen njalo ngamahora angu-4-6, i-naproxen ngokuvamile isebenza amahora angu-8-12, okwenza kube lula ukuphatha ubuhlungu obuqhubekayo.
I-Naproxen isiza ukuphatha izinhlobo ezahlukene zobuhlungu nokuvuvukala emzimbeni wakho wonke. Isebenza ikakhulukazi ezimweni lapho ubuhlungu nokuvuvukala kukhona khona.
Nawa amakhondishini avamile i-naproxen engasiza ngawo:
Udkt wakho angase futhi anikeze i-naproxen ngezimo ezingavamile njengokuhlaselwa yi-gout, i-bursitis, noma i-tendinitis. Okubalulekile ukuthi i-naproxen isebenza kahle kakhulu uma ukuvuvukala kuyingxenye yenkinga yakho yobuhlungu.
I-Naproxen isebenza ngokuvimba ama-enzyme athile emzimbeni wakho abizwa ngokuthi i-COX-1 ne-COX-2. Lawa ma-enzyme asiza ukudala amakhemikhali abizwa ngokuthi ama-prostaglandins, abangela ubuhlungu, ukuvuvukala, nomkhuhlane uma ulimele noma ugula.
Uma uthatha i-naproxen, empeleni itshela lawa ma-enzyme ukuthi anciphise ukukhiqizwa kwawo kwama-prostaglandins. Lokhu kusho ukuvuvukala okuncane ezicutshini zakho, okuholela ekunciphiseni ubuhlungu nokuvuvukala.
Umuthi uthathwa njengonamandla ngokulinganisela phakathi kwama-NSAID. Inamandla kune-aspirin noma i-ibuprofen kodwa ayinobudlova obuncane kune-NSAID e-prescription-only efana ne-diclofenac. Lokhu kuyenza ibe yinketho emaphakathi enhle kubantu abaningi.
Ngokuvamile uzoqala ukuzwa ukukhululeka kungakapheli ihora elingu-1-2 ngemva kokuthatha i-naproxen, nemiphumela ephezulu yenzeka cishe ngamahora angu-2-4. Ukukhululeka kobuhlungu kungahlala amahora angu-8-12, yingakho ungasidingi ukuyithatha njalo njengeminye imithi yokwelapha ubuhlungu.
Ukuthatha i-naproxen nokudla noma ubisi yindlela yakho engcono kakhulu yokugwema isisu esibuhlungu. Umuthi ungaba nzima esiswini esingenalutho, ngakho ukuba nokuthile esiswini sakho kusiza ukuvikela umugqa wesisu sakho.
Nakhu ukuthi ungayithatha kanjani i-naproxen ngokuphepha nangempumelelo:
Ngokuthatha i-naproxen engathengiswa ngaphandle kwemvume kadokotela, abantu abadala bavame ukuthatha ama-220mg njalo ngamahora angu-8-12. Imithamo kadokotela ingaba phezulu, ngokuvamile ama-250mg, ama-375mg, noma ama-500mg kabili ngosuku. Ngaso sonke isikhathi landela imiyalelo ethile kadokotela wakho noma izinkomba zephakheji.
Uma udla ngaphambi kwalokho, ukudla okulula njengama-crackers, isinkwa esosiwe, noma iyogathi kusebenza kahle. Awudingi ukudla okugcwele, kodwa ukuba nokuthile okwanele ukumboza isisu sakho kwenza umehluko.
Ukuze isetshenziswe ngaphandle kwemvume kadokotela, i-naproxen ngokuvamile kufanele isetshenziswe izinsuku ezingaphezu kweziyi-10 zobuhlungu noma izinsuku ezi-3 zomkhuhlane ngaphandle uma udokotela wakho ethi ngenye indlela. Lokhu kusiza ukuvimbela imiphumela engemihle engase ivele ngokusebenzisa isikhathi eside.
Uma uthatha i-naproxen kadokotela ngezimo ezingamahlalakhona njenge-arthritis, udokotela wakho uzokulandela njalo futhi anqume ubude obufanele. Abanye abantu bangase badinge ukuyithatha izinyanga noma iminyaka ngaphansi kokuqondiswa kwezokwelapha.
Ngenxa yokulimala okukhulu njengokulimala kwemisipha noma ikhanda, ungase udinge i-naproxen izinsuku ezimbalwa kuphela kuze kube yilapho ukuvuvukala kwehla. Lalela umzimba wakho - uma ubuhlungu bakho buba ngcono, ngokuvamile ungalinciphisa umthamo noma uyeke ukuyithatha ngokuphelele.
Ungayeki i-naproxen kadokotela ngokuzumayo uma ubusuyithatha amasonto noma izinyanga. Udokotela wakho angase afune ukunciphisa umthamo wakho kancane kancane ukuze ugweme noma yikuphi ukuvuvukala okubuyayo noma izimpawu zokuhoxa.
Njengazo zonke izidakamizwa, i-naproxen ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle uma isetshenziswa ngendlela efanele. Imiphumela eminingi emibi imnene futhi iyanyamalala njengoba umzimba wakho ujwayela umuthi.
Imiphumela emibi evame kakhulu ongase uyizwe ihlanganisa:
Le miphumela evamile ivamise ukuthuthuka ezinsukwini ezimbalwa ngemva kokuqala umuthi. Ukuthatha i-naproxen nokudla kuvame ukusiza ukunciphisa imiphumela emibi ehlobene nesisu kakhulu.
Imiphumela emibi engathi sína ingenzeka, ikakhulukazi ngokusetshenziswa kwesikhathi eside noma imithamo ephezulu, nakuba ingavamile:
Uma uzwa noma yimiphi imiphumela emibi engathi sína, yeka ukuthatha i-naproxen bese uthintana nomhlinzeki wakho wezempilo ngokushesha. Lezi zimo ezingathi sína zidinga ukunakekelwa kwezokwelapha okusheshayo.
Abantu abathile kufanele bagweme i-naproxen noma bayisebenzise ngaphansi kokugadwa kwezokwelapha okuseduze. Ukuphepha kwakho kuza kuqala, ngakho kubalulekile ukwazi ukuthi ungena yini kunoma yiziphi izigaba ezinobungozi obukhulu.
Akufanele uthathe i-naproxen uma une:
Izimo eziningana zidinga ukuqapha okwengeziwe nokuqashwa kwezokwelapha lapho usebenzisa i-naproxen:
Uma uneminyaka engaphezu kwengama-65, udokotela wakho angase ancome umthamo ophansi noma ukuqapha okuseduze, njengoba abadala benobungozi obukhulu bemiphumela emibi. Njalo xoxa ngomlando wakho wezokwelapha ophelele nomhlinzeki wakho wezempilo ngaphambi kokuqala i-naproxen.
Uzothola i-naproxen ithengiswa ngaphansi kwamagama amaningana omkhiqizo, kokubili ngaphandle kwekhawunta nangokomyalo kadokotela. Igama lomkhiqizo elaziwa kakhulu yi-Aleve, ongayithenga kunoma iyiphi ikhemisi noma esitolo sokudla.
Amagama omkhiqizo ajwayelekile afaka:
Umehluko omkhulu phakathi kwemikhiqizo uvame ukuba ukumboza, indlela yokukhulula, noma ukuthi i-naproxen noma i-naproxen sodium. I-Naproxen sodium imuncwa ngokushesha kancane kune-naproxen ejwayelekile, yingakho i-Aleve isebenzisa leli fomu.
Izinhlobo ezivamile ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngempumelelo njengamagama omkhiqizo. Umkhemisi wakho angakusiza ukuthi ukhethe inketho engabizi kakhulu ehlangabezana nezidingo zakho.
Uma i-naproxen ingakulungele, ezinye izinhlobo zokudambisa ubuhlungu zingase zisebenze kangcono esimweni sakho. Ngayinye inezinzuzo zayo kanye nezinto okufanele zicatshangelwe.
Ezinye izindlela ezingezona ze-NSAID zihlanganisa:
Izinketho zokudambisa ubuhlungu ezingezona ze-NSAID zihlanganisa:
Udokotela wakho angakusiza ukhethe okungcono kakhulu ngokusekelwe esimweni sakho esithile, umlando wakho wezokwelapha, neminye imithi oyithathayo. Ngezinye izikhathi ukuhlanganisa izindlela ezihlukene kusebenza kangcono kunokuncika emuthini owodwa kuphela.
Kokubili i-naproxen ne-ibuprofen ziyizidakamizwa ze-NSAID ezisebenzayo, kodwa zinamandla ahlukene enza ngamunye abe ngcono ezimweni ezithile. Ukukhetha okungcono kuncike ezidingweni zakho ezithile nokuthi umzimba wakho usabela kanjani.
Izinzuzo ze-Naproxen zihlanganisa:
Izinzuzo ze-Ibuprofen zihlanganisa:
Ngezinhlungu ezingathi sína njengobuhlungu bekhanda noma imisipha eqinile, kokubili kungasebenza kahle. Ezimweni eziqhubekayo njenge-arthritis, isikhathi eside se-naproxen sivame ukwenza kube lula. Kodwa-ke, uma unesizungu esizwelayo, i-ibuprofen ingase ibe yindlela engcono.
Abanye abantu basabela kangcono emuthini owodwa kunomunye, ngisho noma besebenza ngendlela efanayo. Kulungile ngokuphelele ukuzama kokubili (ngezikhathi ezihlukene) ukuze ubone ukuthi yini esebenza kangcono emzimbeni wakho.
I-Naproxen, njengamanye ama-NSAID, ingakhuphula ingozi yezinkinga zenhliziyo, ikakhulukazi uma isetshenziswa isikhathi eside noma kubantu asebenenkinga yenhliziyo. Kodwa-ke, ezinye izifundo zikhomba ukuthi i-naproxen ingase ibe nengozi ephansi yenhliziyo uma iqhathaniswa namanye ama-NSAID.
Uma unesifo senhliziyo, umfutho wegazi ophezulu, noma izici eziyingozi zezinkinga zenhliziyo, khuluma nodokotela wakho ngaphambi kokusebenzisa i-naproxen. Bangase batusa umthamo ophansi, isikhathi esifushane, noma ezinye izindlela zokukhulula ubuhlungu. Ungalokothi uyeke imithi yenhliziyo ebekiwe ukuze uthathe i-naproxen ngaphandle kwesiqondiso sezokwelapha.
Uma uthathe i-naproxen eningi kunokunconywayo, ungangeni ekuvaleni, kodwa yithathe ngokungathí sina. Xhumana nodokotela wakho, usokhemisi, noma isikhungo sokulawula ubuthi ngokushesha ukuze uthole isiqondiso esisekelwe ekutheni uthathe okungakanani.
Izimpawu zokweqisa kwe-naproxen zihlanganisa ubuhlungu obukhulu besisu, isicanucanu, ukuhlanza, ukozela, noma ubunzima bokuphefumula. Uma uhlangabezana nalezi zimpawu, funa ukunakekelwa kwezempilo eziphuthumayo ngokushesha. Ukuba nebhodlela lemithi nawe kungasiza abahlinzeki bezempilo ukuthi banqume ukwelashwa okungcono kakhulu.
Uma uphuthelwe umthamo we-naproxen, yithathe ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungaphindi kabili imithamo ukuze ulungise lowo ophuthelwe, ngoba lokhu kwandisa ingozi yakho yemiphumela emibi. Uma uthatha i-naproxen ngesimo esingelapheki futhi uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale emgwaqeni.
Ukusetshenziswa okungaphezu kwe-counter, ungaqeda ukuthatha i-naproxen lapho ubuhlungu bakho noma ukuvuvukala kuthuthuka, ngokuvamile phakathi nezinsuku ezimbalwa kuya evikini. Uma uyisebenzisela ukulimala okukhulu, ungase uqaphele ukuthuthuka phakathi kwezinsuku ezi-2-3.
Ukuze uthole i-naproxen kadokotela esetshenziselwa izimo ezingelapheki, sebenzisana nodokotela wakho ukunquma ukuthi ungasusa nini futhi kanjani. Bangase bafune ukunciphisa kancane kancane umthamo wakho noma bakushintshele ekwelashweni okuhlukile. Ungayeki i-naproxen kadokotela ngokuzumayo ngaphandle kwesiqondiso sezokwelapha, ikakhulukazi uma ubuthatha amasonto noma izinyanga.
I-Naproxen ingasebenzisana nemithi eminingi, ngakho-ke kubalulekile ukutshela udokotela wakho nomuthi wakho ngakho konke okuthathayo, okuhlanganisa imithi engaphezu kwe-counter kanye nezithasiselo.
Ezinye izinto ezibalulekile zokusebenzisana zihlanganisa izinciphisi zegazi (njenge-warfarin), imithi yokucindezela igazi, ezinye izi-NSAID, kanye nemithi ethile yokucindezeleka. Ukuthatha i-naproxen ngale mithi kungandisa ingozi yokopha, kuthinte ukulawulwa kwengcindezi yegazi, noma kubangele ezinye izinkinga. Umhlinzeki wakho wezempilo angakusiza ukuthi uphathe ngokuphepha noma yiziphi izinhlanganisela ezidingekayo.