Kodi Ibuprofen Ingakuchepetseni Kuyenda Kwa Nthawi Yanu?

Zamkati

• Kodi ndizotheka kuchepetsa nthawi yolemetsa yoyenda ndi ibuprofen?
• Ndani angafune kufufuza ma NSAID kuti achepetse nthawi yayitali?
• Koma kumbukirani: Kugwiritsa ntchito NSAID kwanthawi yayitali kumatha kukhala ndi zotsatirapo.
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Ngati munaperekapo upangiri wapaintaneti nthawi yayitali (ndani sanatero?), Mwina mwawonapo tweet ya virus yomwe imati ibuprofen imatha kuchepetsa kusamba.

Pambuyo pa Twitter wogwiritsa ntchito @girlziplocked adanena kuti adaphunzira za kugwirizana pakati pa ibuprofen ndi nthawi pamene akuwerenga Buku Lopanga Nthawi ndi Lara Briden, mazana a anthu adayankha kuti samadziwa za kulumikizanako.

Zapezeka, ndizowona: Ibuprofen (ndi mankhwala ena osagwiritsa ntchito zotupa, kapena ma NSAID) atha kuchepetsa kuchepa kwa nthawi, atero Sharyn N. Lewin, katswiri wazamankhwala wa gynecologic board, MD

Umu ndi momwe zimagwirira ntchito: Ma NSAID amagwira ntchito pochepetsa kupanga kwa thupi zinthu zotupa monga prostaglandins, malinga ndi USC Fertility. "Prostaglandins ndi lipids omwe ali ndi mitundu ingapo yamahomoni" m'thupi, monga kuyambitsa ntchito ndikupangitsa kutupa, mwazinthu zina, akutero ob-gyn Heather Bartos, MD

Prostaglandins amapangidwanso maselo am'magazi am'mimba amayamba kutuluka m'chiberekero, ndipo amakhulupirira kuti ma prostaglandin ndiwo makamaka amayambitsa zipsinjo zodziwika bwino zomwe zimadza ndikutuluka magazi, akutero Dr. Bartos. Magulu apamwamba a prostaglandin amatanthauzira kuti magazi azisamba kwambiri ndikumva kupweteka kwambiri, akuwonjezera. (Zogwirizana: Maulendo 5 Awa Adzathetsa Nthawi Yanu Yovuta Kwambiri)

Choncho, kumwa ibuprofen sikungathandize kuchepetsa kukokana, komanso kumachepetsanso kuyenda kwa nthawi yolemetsa-zonsezi mwa kuchititsa kuchepa kwa kuchuluka kwa prostaglandin kuchokera ku chiberekero, akufotokoza Dr. Lewin.

Ngakhale izi zingawoneke ngati njira yosangalatsa yothanirana ndi msambo wolemetsa, wopweteka, pali zambiri zofunika kuziganizira musanadumphe pagululi. Nazi zomwe muyenera kudziwa.

Kodi ndizotheka kuchepetsa nthawi yolemetsa yoyenda ndi ibuprofen?

Choyambirira komanso chofunikira kwambiri, khudzani ndi doc yanu kuti muwonetsetse kuti ndibwino kuti mutenge kwambiri ibuprofen - zilizonse kulingalira. Mukakhala bwino, mlingo woyenera kuti muchepetse kuyenda kwa nthawi yayitali umakhala pakati pa 600 ndi 800 mg wa ibuprofen kamodzi patsiku ("mlingo waukulu" kwa anthu ambiri omwe amatenga NSAID kuti athetse ululu, atero Dr. Bartos), kuyambira pa tsiku loyamba la magazi. Mlingo watsiku ndi tsiku ukhoza kupitilizidwa masiku anayi kapena asanu, kapena mpaka kusiya kusamba, atero Dr. Lewin.

Kumbukirani: Ibuprofen sangatero kwathunthu kuthetsa nthawi yoyenda magazi, ndipo kafukufuku wothandizirayo ndi wocheperako. Kuwunikanso mu 2013 kafukufuku wofufuza kasamalidwe ka magazi akumwa msambo wambiri, wofalitsidwa munyuzipepala yazachipatala Obstetrics ndi Gynecology, akusonyeza kuti kutenga NSAIDs kungachepetse magazi ndi 28 mpaka 49 peresenti kwa iwo omwe ali ndi nthawi yochuluka (zofukufukuzo sizinaphatikizepo anthu omwe ali ndi magazi ochepa kapena ochepa). Ndemanga zaposachedwa kwambiri zosindikizidwa pa intaneti mu Database ya Cochrane Yopenda Mwadongosolo adapeza kuti ma NSAID ndi "othandiza modzichepetsa" pochepetsa kutuluka magazi msambo, pozindikira kuti mankhwala ena omwe amagwiritsidwa ntchito pochepetsa kuchepa kwa nthawi - kuphatikiza ma IUD, tranexamic acid (mankhwala omwe amathandiza kuthandizira magazi kuundana), ndi danazol (mankhwala omwe amagwiritsidwa ntchito kwambiri kuchiza endometriosis) - "ndiwothandiza kwambiri." Chifukwa chake, ngakhale kutenga ibuprofen kuti muchepetse kuthamanga kwa nthawi yayitali sikukhala njira yopusitsa, ikhoza kukhala njira yabwino kwa iwo omwe nthawi zina (osati nthawi yayitali) akutaya magazi komanso kutsekula msambo. (Zogwirizana: Mutha Kubwezeredwa Zogulitsa Zanthawi Yanthawi, Chifukwa cha Coronavirus Relief Act)

"Malinga ngati mulibe zotsutsana ndi kutenga [NSAIDs], zikhoza kukhala zowonongeka kwakanthawi [kwa nthawi yolemetsa]," akutero Dr. odwala omwe amagwiritsa ntchito njirayi. "Pali maphunziro ochepa okhudza momwe zimagwirira ntchito bwino pazambiri, koma mwachisawawa ndawona bwino," akufotokoza.

Ndani angafune kufufuza ma NSAID kuti achepetse nthawi yayitali?

Kutuluka kwakukulu kungakhale chizindikiro cha matenda angapo, kuphatikizapo endometriosis ndi polycystic ovary syndrome (PCOS), pakati pa ena. Poganizira izi, ndikofunika kulankhula ndi dokotala wanu za zomwe mwakumana nazo ndi kutaya magazi kwambiri m'mimba kuti mutsimikizire ngati ibuprofen ndi njira yoyenera kwa inu, akutero Dr. Bartos.

"Zachidziwikire kwa azimayi omwe ali ndi endometriosis, momwe ma prostaglandin amakhala okwera, nthawi yayitali komanso yolemetsa ndipo imayambitsa kukokana kwakukulu-ma NSAID ndi mankhwala abwino makamaka kwa azimayi omwe akufuna njira yopanda mahomoni" kuti athandizire kuchepetsa magazi, akufotokoza. Koma kachiwiri, palinso mankhwala omwe amaperekedwa ndi mankhwala, monga tranexamic acid, omwe amatha kuchepetsa kuyenda kwa nthawi yolemetsa motetezeka komanso mogwira mtima, akuwonjezera. "Njira zamadzimadzi monga piritsi yolerera kapena Mirena IUD ndizothandizanso" kuposa kuchuluka kwa ma NSAID, makamaka kwakanthawi, "akutero Dr. Lewin.

Nanga bwanji kuchedwa nthawi yanu yokhala ndi ibuprofen kapena ma NSAID ena: "Ibuprofen siinaphunzirepo pochedwetsa nthawi yanu," koma ndikuti zotheka kuti kumwa mankhwalawa "kungachedwetse [kusamba] kwa kanthawi kochepa kwambiri," akufotokoza Dr. Bartos. (Makamaka, Cleveland Clinic inanena kuti NSAIDs mwina kuchedwetsa nthawi yanu "osapitirira tsiku limodzi kapena awiri," ngati simutero.)

Koma kumbukirani: Kugwiritsa ntchito NSAID kwanthawi yayitali kumatha kukhala ndi zotsatirapo.

Palinso vuto lina lalikulu lomwe mungaganizire pano: momwe ntchito ya NSAID yayitali, makamaka, ingakhudzire thanzi lanu. Kwa anthu ambiri, kugwiritsa ntchito NSAIDs monga ibuprofen kuti kuchepetsa kutuluka kwa nthawi yolemetsa kumangotanthauza kuchitidwa "kamodzi pakapita nthawi," osati ngati njira yanthawi yayitali yotaya magazi ambiri, malinga ndi Cleveland Clinic. Mukagwiritsidwa ntchito nthawi yayitali, ma NSAID amatha kuonjezera chiopsezo cha matenda a impso ndi zilonda zam'mimba, pakati pa nkhani zina zaumoyo, akutero Dr. Bartos.

Mfundo yofunika: "Ngati nthawi yovuta ndi nkhani yanthawi yayitali, nthawi zambiri timakambirana progesterone IUD kapena china chake chomwe chimagwiritsidwa ntchito kwanthawi yayitali," akutero Dr. Bartos. "Ibuprofen sichingathetse vuto lililonse, koma imathandiza kwambiri pazovuta komanso zovuta." (Nazi zinthu zina zomwe mungayesere ngati mwakhala mukutuluka magazi kwambiri nthawi yanu.)

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