Uhlu Lwemithi Ejwayelekile YeLupus

-Delile

• Ama-Corticosteroids
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• Eminye imithi
• I-Acetaminophen
• Ama-opioid
• Khuluma nodokotela wakho

Isingeniso

Isystemic lupus erythematosus, noma i-lupus, isifo esingapheliyo sokuzivikela komzimba. Kuzifo ezizimele, amasosha akho omzimba azihlasela ngokwawo. ILupus ibangela ukuthi amasosha omzimba enze iphutha ezicutshini ezinempilo zamagciwane, amagciwane, nokunye ukuhlasela. Uhlelo bese ludala ama-autoantibodies ahlasela izitho zomzimba wakho.

Lokhu kuhlasela kungathinta izingxenye eziningi zomzimba wakho futhi kuvame ukudala izimpawu. ILupus ingathinta amalunga akho, izitho, amehlo, nesikhumba. Kungadala ubuhlungu, ukuvuvukala, ukukhathala nokuqubuka. Isimo sidlula ezikhathini lapho sisebenza kakhulu, okubizwa ngama-flares noma ama-flare-ups. Ungaba nezimpawu eziningi ngalezi zikhathi. ILupus nayo idlula ezikhathini zokuxolelwa. Lezi yizikhathi zomsebenzi owehlisiwe lapho ungahle ube nokuqubuka okumbalwa.

Ama-Corticosteroids

I-Corticosteroids, ebizwa nangokuthi i-glucocorticoids noma i-steroids, ingasiza ekwelapheni izimpawu ze-lupus. Le mithi ilingisa ukuthi i-cortisol isebenza kanjani. ICortisol yihomoni eyenziwa ngumzimba wakho. Kuyasiza ukulwa nokuvuvukala futhi kulawula amasosha akho omzimba. Ukulawula amasosha akho omzimba kunganciphisa izimpawu ze-lupus.

Ukuphuza ama-steroid zihlanganisa:

• umabhebhana
• i-cortisone
• i-hydrocortisone

Ngokuvamile, ama-steroids ayasebenza. Kepha njengazo zonke izidakamizwa, kwesinye isikhathi zingadala imiphumela emibi. Lokhu kungafaka:

• ukuzuza kwesisindo
• ukugcinwa koketshezi noma ukuvuvukala
• induna
• ukucasuka
• inkathazo yokulala
• izifo
• ukukhumuzeka kwamathambo

Ama-steroid ngokuvamile asebenza ngokushesha. Udokotela wakho angakunika ukwelashwa okufushane kwe-steroid kuze kube yilapho izidakamizwa zakho zesikhathi eside ziqala ukusebenza. Odokotela bazama ukunquma isilinganiso esiphansi kunazo zonke se-steroid ngobude besikhathi esifushane ukugwema imiphumela emibi. Lapho udinga ukuyeka ukuthatha i-steroids, udokotela wakho uzonciphisa kancane umthamo wakho ngokuhamba kwesikhathi ukunciphisa ubungozi bemiphumela emibi.

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)

Ama-NSAID asetshenziselwa ukwelapha ubuhlungu, ukuvuvukala nokuqina ngenxa yelupus. Le mithi itholakala njenge-over-the-counter (OTC) nemithi kadokotela. Uma unesifo sezinso esivela ku-lupus, khuluma nodokotela wakho ngaphambi kokuthatha i-NSAID. Ungadinga umthamo ophansi noma udokotela wakho angafuna ukuthi ugweme le mithi.

Ama-OSA NSAID afaka:

• i-aspirin
• ibuprofen (Motrin)
• umabhebhana

Ama-NSAID kadokotela afaka:

• celecoxib (Celebrex)
• i-diclofenac (Voltaren)
• i-diclofenac-misoprostol (i-Arthrotec) (Qaphela: i-misoprostol akuyona i-NSAID. Isiza ukuvikela izilonda zesisu, okuyingozi yama-NSAID.)
• i-diflunisal (Dolobid)
• i-etodolac (i-Lodine)
• i-fenoprofen (Nalfon)
• i-flurbiprofen (i-Ansaid)
• indomethacin (Indocin)
• i-ketorolac (Toradol)
• ketoprofen (Orudis, Ketoprofen ER, Oruvail, Actron)
• i-nabumetone (Relafen)
• umabhebhana
• i-mefenamic acid (iPonstel)
• i-meloxicam (Mobic Vivlodex)
• i-nabumetone (Relafen)
• oxaprozin (Daypro)
• i-piroxicam (Feldene)
• i-salsalate (i-Disalcid)
• sulindac (Umtholampilo)
• i-tolmetin (Tolmetin Sodium, Tolectin)

Imiphumela emibi kakhulu yalawa ma-NSAID ifaka:

• isicanucanu
• isilungulela
• izilonda esiswini noma emathunjini akho
• ukopha esiswini noma emathunjini akho

Ukuthatha isilinganiso esikhulu se-NSAID noma ukusebenzisa le mithi isikhathi eside kwandisa ingozi yokuphuma kwegazi noma izilonda zesisu. Amanye ama-NSAID amnene esiswini kunamanye. Njalo thatha ama-NSAID ngokudla, futhi ungalokothi uwathathe kahle ngaphambi kokulala noma ukulala. Lezi zixwayiso zinganciphisa ubungozi bezinkinga zesisu.

Eminye imithi

I-Acetaminophen

Izidakamizwa ze-OTC ezifana ne-acetaminophen (iTylenol) zinganikeza ukukhululeka ezimpawu zakho ze-lupus. Le mithi ingalawula ubuhlungu futhi yehlise umkhuhlane. Ngokuvamile, i-acetaminophen ingadala imiphumela emibi yamathumbu emathunjini kunemithi kadokotela. Kepha kungadala nezinkinga zezinso nezesibindi. Buza udokotela wakho ukuthi isilinganiso esifanele siphi kuwe. Ukuthatha isilinganiso esifanelekile kubaluleke kakhulu uma unesifo sezinso esivela ku-lupus. Ungahle uzwele kakhulu kwimiphumela emibi evela ku-acetaminophen.

Ama-opioid

Uma ama-NSAID noma i-acetaminophen kungabudambisi ubuhlungu bakho, udokotela wakho angakunika i-opioid. Le mithi yimithi yobuhlungu kadokotela. Banamandla futhi bangenza umkhuba. Eqinisweni, le mithi akuyona imvamisa ukwelashwa komugqa wokuqala kwe-lupus ngenxa yengozi yokulutha. Ama-opioid angakwenza futhi ulale kakhulu. Akufanele neze uphuze le mishanguzo ngotshwala.

Le mithi ihlanganisa:

• i-hydrocodone
• ikhodi
• i-oxycodone

Khuluma nodokotela wakho

Imithi eminingi iyatholakala ukwelapha i-lupus. Azisebenzi ngendlela efanayo zonke. Abanye banciphisa ubuhlungu, ukuvuvukala, nezinye izimpawu, kanti abanye basebenza ngokucindezela amasosha akho omzimba. Izimpawu nobukhulu be-lupus zingahluka phakathi kwabantu, ngakho-ke khuluma nodokotela wakho ngezinketho zakho. Wena nodokotela wakho ningenza uhlelo lokunakekelwa olulungele wena.