Ngabe i-Ibuprofen inganciphisa Ngempela Isikhathi Sakho?

-Delile

• Ingabe kuphephile ukunciphisa ukugeleza kwesikhathi esindayo nge-ibuprofen?
• Ngubani ongafuna ukuhlola ama-NSAID ukunciphisa ukuhamba kwesikhathi okunzima?
• Kodwa khumbula: Ukusetshenziswa kwe-NSAID yesikhathi eside kungaba nemiphumela.
• Buyekeza kwe-

Uma ngabe uke wathola iseluleko sesikhathi esiningi ku-inthanethi (ubani ongakasitholi?), Cishe uke wayibona i-tweet yegciwane ethi ibuprofen inganciphisa ukugeleza kokuya esikhathini.

Ngemuva kokuthi umsebenzisi we-Twitter u-@girlziplocked ethe ufunde mayelana nokuxhumana phakathi kwe-ibuprofen nezikhathi ngenkathi efunda Ibhukwana Lokulungisa Isikhathi nguLara Briden, amakhulu abantu aphendule athi awakaze azi ngokuxhumeka.

Kuyavela ukuthi kuyiqiniso: I-Ibuprofen (nezinye izidakamizwa ezingezona ukuvuvukala, noma ama-NSAID) inganciphisa ngempela ukugeleza kwesikhathi esindayo, kusho udokotela wezifo zabesifazane ogunyazwe yibhodi uSharyn N. Lewin, M.D.

Nakhu ukuthi kusebenza kanjani: Ama-NSAID asebenza ngokunciphisa ukukhiqizwa komzimba kwezinto ezivuthayo ezifana ne-prostaglandins, ngokusho kwe-USC Fertility. "Ama-Prostaglandins ngama-lipids anemiphumela efana ne-hormone" emzimbeni, njengokunciphisa ukusebenza kwabasebenzi nokudala ukuvuvukala, phakathi kweminye imisebenzi, kusho i-ob-gyn eqinisekisiwe yebhodi u-Heather Bartos, M.D.

Ama-Prostaglandins nawo akhiqizwa lapho amangqamuzana e-endometrium eqala ukuchitheka esibelethweni, futhi kukholelwa ukuthi ama-prostaglandin ikakhulu abangela lezo zinhlungu ezijwayele kakhulu ezeza nokopha esikhathini, kuchaza uDkt Bartos. Amazinga aphezulu e-prostaglandin ahumusha ekuqedeni ukopha kokuya esikhathini kanye nasezinkalweni ezibuhlungu kakhulu, uyanezela. (Okuhlobene: La ma-5 Moves Azodambisa Ama-Cramps Esikhathi Sakho Esibi Kunazo Zonke)

Ngakho-ke, ukuthatha ibuprofen akunakusiza kuphela ekunciphiseni amajaqamba, kodwa futhi kunganciphisa ukuhamba kwesikhathi okunzima — konke lokhu kungadala ukwehla kwezinga lokukhiqizwa kweprostaglandin esibelethweni, kuchaza uDkt Lewin.

Nakuba lokhu kungase kubonakale kuyindlela ekhangayo yokubhekana nomjikelezo wokuya esikhathini osindayo, ocindezelayo, kuningi okufanele kucatshangelwe ngaphambi kokugxumela kule bandwagon. Nakhu okudingeka ukwazi.

Ingabe kuphephile ukunciphisa ukugeleza kwesikhathi esindayo nge-ibuprofen?

Okokuqala nokubalulekile, isisekelo sokuthintana nodokotela wakho ukuze wenze isiqiniseko sokuthi kuphephile ukuthi uphuze imithamo ephezulu ye-ibuprofen— noma yikuphi isizathu. Uma usuthole lokho KULUNGILE, isilinganiso esinconyiwe sokunciphisa ukugeleza kwesikhathi esinzima siphakathi kuka-600 no-800 mg we-ibuprofen kanye ngosuku (okuyiqiniso ukuthi "umthamo omkhulu" kubantu abaningi abathatha i-NSAID ukuze kutholakale ubuhlungu obukhulu, kuphawula uDkt. Bartos), ukuqala ngosuku lokuqala lokopha. Lo mthamo wansuku zonke ungaqhutshwa izinsuku ezine noma ezinhlanu, noma kuze kuyeke ukuya esikhathini, kusho uDkt Lewin.

Khumbula: Ibuprofen ngeke ngokuphelele ukuqeda ukugeleza kwegazi kwesikhathi, futhi ucwaningo olusekela indlela lilinganiselwe kakhulu. Ukubuyekezwa kuka-2013 kwezifundo ezihlola ukuphathwa ukopha okukhulu kokuya esikhathini, okushicilelwe kujenali yezokwelapha I-Obstetrics neGynecology, iphakamisa ukuthi ukuthatha ama-NSAID kunganciphisa ukopha ngamaphesenti angu-28 kuya kwangu-49 kulabo abathola ukugeleza kwesikhathi esindayo (izifundo ezibuyekeziwe azizange zifake noma yibaphi abantu abanokopha okulinganiselwe noma okuncane). Ukubuyekezwa kwakamuva okushicilelwe online ku Database leCochrane lokubuyekezwa okuhlelekile ithole ukuthi ama-NSAID "asebenza ngesizotha" ekwehliseni ukopha okunzima kokuya esikhathini, ephawula ukuthi eminye imithi ejwayele ukusetshenziselwa ukunciphisa ukuhamba kwesikhathi okunzima-kufaka phakathi ama-IUDs, i-tranexamic acid (umuthi osebenza ukusiza ukugoqa kwegazi ngempumelelo), ne-danazol (umuthi osetshenziswa kakhulu ukwelapha i-endometriosis) - "isebenza kangcono." Ngakho-ke, ngenkathi ukuthatha i-ibuprofen ukunciphisa ukuhamba kwesikhathi okunzima akuyona indlela engenangqondo, kungaba yindlela enhle kulabo ababhekana nokugeleza kokuya esikhathini okunzima (hhayi okungapheli). (Okuhlobene: Ekugcineni Ungakwazi Ukuthola Imbuyiselo Yemikhiqizo Yesikhathi, Ngenxa Yomthetho Wokusiza NgeCoronavirus)

"Uma nje ungenakho ukuphikisana nokuthatha [ama-NSAID], kungaba ukulungisa okwesikhashana [ukugeleza kwesikhathi esinzima]," kusho uDkt. iziguli ezisebenzisa le ndlela. "Kunezifundo ezilinganiselwe ekusebenzeni kwayo ngqo ngokwedatha, kodwa ngokwedlulele ngibone impumelelo enhle," uyachaza.

Ngubani ongafuna ukuhlola ama-NSAID ukunciphisa ukuhamba kwesikhathi okunzima?

Ukugeleza kwesikhathi esindayo kungaba wuphawu lwezimo zempilo ezimbalwa, okuhlanganisa i-endometriosis kanye ne-polycystic ovary syndrome (PCOS), phakathi kokunye. Unalokho engqondweni, kubalulekile ukukhuluma nodokotela wakho ngokuhlangenwe nakho kwakho ngokuphuma kwegazi okunzima ukuya esikhathini ukuqinisekisa ukuthi ibuprofen iyona ndlela ekufanele yini, kusho uDkt Bartos.

"Ngokuqinisekile kwabesifazane abane-endometriosis, lapho amazinga e-prostaglandin ephezulu, izinkathi zinde futhi zinzima futhi zibangela amajaqamba amakhulu-ama-NSAID ayindlela yokwelapha enhle ikakhulukazi kwabesifazane abafuna inketho engeyona eye-hormonal" ukusiza ukunciphisa ukopha, uyachaza. Kodwa futhi, kukhona nemithi kadokotela, efana ne-tranexamic acid, enganciphisa ukuhamba kwesikhathi esindayo ngokuphepha nangempumelelo kakhudlwana, uyanezela. "Izinketho zamahomoni njengephilisi lokulawula ukuzalwa noma i-Mirena IUD zisebenza kakhulu" kunezilinganiso eziphezulu zama-NSAID, ikakhulukazi isikhathi eside," kusho uDkt. Lewin.

Indlela yokwenza ukubambezela isikhathi sakho nge-ibuprofen noma amanye ama-NSAID: "Ibuprofen ayizange ifundwe ekubambezeleni isikhathi sakho," kodwa ngokusobala kungenzeka ukuthi ukuthatha le mithamo ephezulu yezikhathi ezithile "kungalibazisa [isikhathi sakho] isikhathi esifushane kakhulu," kuchaza uDkt. Bartos. (Ngokuqondile, iCleveland Clinic ibika ukuthi ama-NSAID kungenzeka ukubambezela isikhathi sakho "kungapheli usuku noma ezimbili," uma kunjalo.)

Kodwa khumbula: Ukusetshenziswa kwe-NSAID yesikhathi eside kungaba nemiphumela.

Kukhona enye inkinga enkulu okufanele icatshangelwe lapha: okungukuthi, ukusetshenziswa kwe-NSAID yesikhathi eside, ngokuvamile, kungathinta impilo yakho. Kubantu abaningi, ukusebenzisa ama-NSAID afana ne-ibuprofen ukunciphisa ukugeleza kwesikhathi esindayo kuhloswe kuphela ukuthi kwenziwe "kanye ngesikhashana," hhayi njengendlela yesikhathi eside yokopha okukhulu kokuya esikhathini, ngokusho kweCleveland Clinic. Uma esetshenziswa isikhathi eside, ama-NSAID angakwazi ukukhulisa ingozi yezinkinga zezinso nezilonda zesisu, phakathi kwezinye izindaba zezempilo, kusho uDkt Bartos.

Iphuzu eliyinhloko: "Uma izikhathi ezinzima ziyinkinga yesikhathi eside, siyovame ukuxoxa nge-progesterone IUD noma okuthile okwenzelwe ukusetshenziswa isikhathi eside," kusho uDkt Bartos. "I-Ibuprofen ngeke ilungise noma iyiphi inkinga, kodwa ikhulula kakhulu imijikelezo esindayo, enzima." (Nazi izinto eziningi ongazama uma wopha kakhulu esikhathini sakho.)

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