Shin Asfirin Zai Iya Taimakawa Ciwon Mararsa na Ciwo?

Wadatacce

• Menene binciken ya ce?
• Ta yaya aspirin yake aiki don taimakawa ƙaura?
• Abin da zan sani game da sashi
• Shin asfirin daidai ne a gare ku?
• Shin akwai sakamako masu illa?
• Illolin gama gari
• M sakamako mai tsanani
• Hadin magunguna
• Me kuma zai iya taimakawa wajen taimakawa bayyanar cututtuka na ƙaura?
• Zaɓuɓɓukan rayuwa da na halitta
• Layin kasa

Migraine yana haifar da zafi, raɗaɗin ciwo wanda zai iya wucewa daga awanni kaɗan zuwa kwanaki da yawa. Wadannan hare-haren na iya kasancewa tare da wasu alamun alamun, kamar tashin zuciya da amai, ko ƙwarewar haske da sauti.

Asfirin sanannen sanannen magani ne wanda ba na steroid ba (NSAID) wanda ake amfani da shi don magance ciwo mai sauƙi da matsakaici da kumburi. Ya ƙunshi kayan aiki acetylsalicylic acid (ASA).

A cikin wannan labarin, za mu yi cikakken nazarin shaidun asibiti game da amfani da asfirin a matsayin maganin ƙaura, ƙirar da aka ba da shawara, da kuma yiwuwar sakamako masu illa.

Menene binciken ya ce?

Mafi yawan binciken da ake samu yana nuna cewa babban asfirin yana da tasiri wajen rage ciwo da kumburi da ke tattare da ƙaura.

Nazarin wallafe-wallafe na 2013 ya kimanta karatun inganci na 13 tare da jimlar mahalarta 4,222. Masu binciken sun bayar da rahoton cewa kimanin nauyin miligram 1,000 (MG) na asfirin da aka sha da baki yana da ikon:

• ba da taimako daga ƙaura a cikin awanni 2 don kashi 52 cikin ɗari na masu amfani da asfirin, idan aka kwatanta da kashi 32 cikin ɗari waɗanda suka sha maye gurbinsu
• rage yawan ciwon kai daga matsakaici ko mai tsanani ba ciwo ko kaɗan a cikin mutane 1 cikin 4 da suka sha wannan maganin na asfirin, idan aka kwatanta da 1 cikin 10 da suka sha placebo
• rage yawan tashin zuciya idan aka hada shi da metoclopramide (Reglan) na maganin tashin zuciya fiye da asfirin kadai.

Masu binciken wannan nazarin wallafe-wallafen sun kuma ba da rahoton cewa asfirin yana da tasiri kamar ƙaramin sumatriptan, magani na gama gari don saurin ƙaura, amma ba shi da tasiri kamar babban sumatriptan.

Binciken wallafe-wallafen na 2020 ya ba da rahoton irin wannan sakamakon. Bayan nazarin gwaje-gwajen 13 da bazuwar, marubutan sun yanke shawarar cewa babban maganin asfirin yana da aminci da tasiri ga ƙaura.

Har ila yau marubutan sun bayar da rahoton cewa, karancin maganin aspirin na yau da kullun na iya zama wata hanya mai tasiri ta hana ciwan ƙaura. Wannan, ba shakka, ya dogara da yanayinku kuma ya kamata ku yi magana da likitanku kafin fara kowane magani na yau da kullun.

Wannan binciken ya tallafawa ta hanyar nazarin wallafe-wallafen 2017 na ingantattun karatu takwas. Mawallafin sun yanke shawarar cewa maganin asfirin na yau da kullun na iya rage yawan hare-haren ƙaura.

A takaice, bisa ga binciken asibiti, asfirin yana da tasiri a duka biyun:

• rage ciwo mai saurin ƙaura (babban kashi, kamar yadda ake buƙata)
• rage yawan ƙaura (ƙasa, kashi na yau da kullun)

Kafin ka fara shan maganin asfirin a matsayin matakin kariya, ci gaba da karantawa don gano yadda yake aiki da kuma dalilin da ya sa likitoci da yawa ba za su iya ba da shawarar hakan ba.

Ta yaya aspirin yake aiki don taimakawa ƙaura?

Duk da cewa ba mu san ainihin aikin da ke bayan tasirin aspirin wajen magance ƙaura ba, ƙila abubuwan da ke gaba za su taimaka:

• Angesal. Asfirin yana da tasiri a sauƙaƙa sauƙi zuwa matsakaici zafi da kumburi. Yana aiki ta hana hana samarwar prostaglandins, sunadarai masu kama da hormone waɗanda ke taka rawa cikin ciwo.
• Anti-mai kumburi. Prostaglandins kuma suna taimakawa ga kumburi. Ta hanyar hana samarwar prostaglandin, asfirin yana kuma yin amfani da kumburi, wani ɓangare na hare-haren ƙaura.

Abin da zan sani game da sashi

Likitanka zaiyi la’akari da wasu dalilai domin sanin ko wane irin maganin asfirin ne mai cutarwa da zaka sha. Idan likitanku ya ga cewa asfirin ba shi da wata illa a gare ku, abin da aka ba da shawarar zai dogara ne da tsananin, tsawon lokaci, da kuma yawan alamun cutar ta ƙaura.

Binciken da aka yi kwanan nan yana ba da shawara ga allurai masu zuwa na ƙaura:

• 900 zuwa 1,300 MG a farkon farawar ƙaura
• 81 zuwa 325 MG kowace rana don yawan hare-haren ƙaura

Ya kamata ku yi magana da likitanku game da amfani da asfirin don rigakafin hare-haren ƙaura. Headungiyar Ciwon Kai ta Amurka ta ba da shawarar cewa a ba da umarnin yin maganin rigakafin a kan gwaji na watanni 2 zuwa 3 don kauce wa amfani da yawa.

Shan asfirin tare da abinci na iya taimakawa wajen rage kasadar cututtukan ciki da hanji.

Shin asfirin daidai ne a gare ku?

Asfirin bai dace da kowa ba. Yaran da ba su kai shekara 16 ba za su sha aspirin. Aspirin na iya ƙara haɗarin yaro na kamuwa da cututtukan Reye, ciwo mai sauƙi amma mai tsanani wanda ke haifar da hanta da lalacewar kwakwalwa.

Asfirin yana da ƙarin haɗari ga mutanen da a halin yanzu suke da ko suka taɓa faruwa:

• rashin lafiyan NSAIDs
• matsalolin daskarewar jini
• gout
• lokacin al'ada mai nauyi
• hanta ko cutar koda
• gyambon ciki ko ciwon ciki
• zub da jini a cikin kwakwalwa ko wani tsarin kayan aiki

Sanar da likitanka idan kana da juna biyu. Ana iya amfani da asfirin a cikin yanayi na musamman yayin daukar ciki kamar matsalar daskarewa. Ba a ba da shawarar ba sai dai idan akwai yanayin rashin lafiya wanda ke ba da izinin hakan.

Shin akwai sakamako masu illa?

Kamar yawancin kwayoyi, asfirin yana zuwa da haɗarin yiwuwar cutarwa. Waɗannan na iya zama masu sauƙi ko mafi tsanani. Asfirin nawa kake sha kuma sau nawa kake sha yana iya ƙara haɗarin tasirinka.

Yana da mahimmanci a yi magana da likitanka game da maganin asirin don rage haɗarin yiwuwar sakamako mai illa. Yana da mahimmanci kada a sha aspirin a kullum ba tare da fara magana da likitanka ba.

Illolin gama gari

• ciki ciki
• rashin narkewar abinci
• tashin zuciya
• zub da jini da rauni a cikin sauƙi

M sakamako mai tsanani

• zubar jini a ciki
• gazawar koda
• hanta lalacewa
• cutar bugun jini
• anaphylaxis, mai saurin cutar rashin lafiyan

Hadin magunguna

Asfirin na iya mu'amala da wasu magungunan da kuke sha. Yana da mahimmanci kada a sha asfirin tare da:

• wasu magungunan rage jini, kamar warfarin (Coumadin)
• defibrotide
• dichlorphenamide
• maganin mura na rayuwa
• ketorolac (Toradol)

Tabbatar samarwa likitanka cikakken jerin duka magungunan magani da wadanda basuda magani, kayan ganye, da kuma bitamin da kake sha don kauce ma yiwuwar mu'amala.

Me kuma zai iya taimakawa wajen taimakawa bayyanar cututtuka na ƙaura?

Asfirin yana daya daga cikin magunguna da yawa waɗanda zasu iya taimakawa saukin ƙaura.

Likitanku zaiyi la'akari da abubuwa daban-daban - kamar yadda saurin ƙaurarku ta haɓaka da kuma ko kuna da wasu alamun bayyanar - lokacin tantance waɗanne magunguna suka dace muku.

Magungunan da aka saba bayarwa don saurin kai harin ƙaura sun haɗa da:

• wasu NSAIDs, kamar su ibuprofen (Advil, Motrin) ko naproxen (Aleve, Naprosyn)
• mayuka, kamar sumatriptan, zolmitriptan, ko naratriptan
• ergot alkaloids, kamar su dihydroergotamine mesylate ko ergotamine
• gepants
• ditans

Idan kana da matsakaicin kwanaki huɗu ko fiye na hare-haren ƙaura a kowane wata, likitanka na iya ba da umarnin kwayoyi don rage yawan su.

Wasu magunguna da aka saba bayarwa don taimakawa hana ƙaura sun haɗa da:

• maganin damuwa
• masu cin amanan
• magunguna don hawan jini, kamar masu hana ACE, beta-blockers, ko calcium-channel blockers
• Masu hana CGRP, sabon maganin ƙaura wanda ke toshe kumburi da ciwo
• toxin botulinum (Botox)

Zaɓuɓɓukan rayuwa da na halitta

Hakanan yanayin rayuwa na iya taka rawa a cikin kula da ƙaura. Danniya, musamman, shine ya haifar da ƙaura ta ƙaura. Kuna iya samun sauƙin bayyanar cututtuka na ƙaura ta hanyar yin amfani da dabarun kula da damuwa mai ƙarfi, kamar:

• yoga
• tunani
• motsa jiki
• shakatawa na tsoka

Samun isashen bacci, cin abinci mai kyau, da motsa jiki a kai a kai na iya taimakawa.

Magungunan haɗin kai don ƙaura waɗanda wasu ke samun taimako sun haɗa da:

• biofeedback
• acupuncture
• kayan ganye

Koyaya, ana buƙatar ƙarin bincike don sanin ko waɗannan jiyya suna da tasiri don taimakawa sauƙaƙa alamun cutar ƙaura.

Layin kasa

Masu fassara, ergotamines, gepants, ditans, da NSAIDS sune magunguna na farko don mummunan harin ƙaura. Duk suna da shaidar asibiti don amfanin su.

Asfirin sanannen sanannen NSAID ne wanda ake amfani dashi sau da yawa don magance ciwo mai sauƙi da matsakaici da kumburi.

Bincike ya nuna cewa idan aka sha a cikin allurai masu yawa, asfirin na iya yin tasiri wajan rage radadin ciwon mara na kaura. Ana ɗauka a ƙananan allurai akai-akai, asfirin na iya taimakawa rage yawan ƙaura, amma ya kamata a tattauna tsawon lokaci tare da likitanka.

Kamar yadda yake da yawancin magunguna, asfirin na iya samun illa kuma bazai iya zama lafiya ga kowa ba. Yi magana da mai baka kiwon lafiya don gano idan asfirin yana da lafiya a gare ka azaman maganin ƙaura.