Dhiig kar - daawo la xiriirta

Dhiig karka ay daroogada keento waa dhiig kar sare oo ay keento walax ama daawo kiimiko ah.

Cadaadiska dhiigga waxaa go'aamiya:

• Inta dhiig ee wadnuhu soo tuuro
• Xaaladda qalabka wadnaha
• Qiyaasta garaaca wadnaha
• Awooda wadista wadnaha
• Baaxadda iyo xaaladda halbowlayaasha

Waxaa jira dhowr nooc oo dhiig kar ah:

• Dhiig-karka aasaasiga ah ma laha sabab la heli karo (astaamo hiddo-wadayaal badan oo kala geddisan ayaa gacan ka geysta dhiig-karka lama huraanka ah, mid kasta oo leh saameyn yar).
• Dhiig-karka sare wuxuu ku dhacaa cillad kale.
• Dhiirrigelinta daroogada ay keento waa nooc dhiig-kar sare oo ay keento jawaab celinta walax ama daawo kiimiko ah.
• Uur-dhiig karka uurka.

Walxaha kiimikada iyo daawooyinka sababi kara dhiig karka waxaa ka mid ah:

• Acetaminophen
• Khamriga, amfetamines, ecstasy (MDMA iyo derivies), iyo kookayn
• Kahortagayaasha Angiogenesis (oo ay kujiraan tyrosine kinase inhibitors iyo monoclonal antibodies)
• Dawooyinka lidka ku ah diiqadda (oo ay ku jiraan venlafaxine, bupropion, iyo desipramine)
• Madadaalo madow
• Caffeine (oo ay ku jiraan kafeega ku jirta qaxwada iyo cabbitaanka tamarta)
• Corticosteroids iyo mineralocorticoids
• Ephedra iyo waxyaabo kale oo badan oo geedo ah
• Erythropoietin
• Estrogens (oo ay ku jiraan kaniiniyada ka hortagga uurka)
• Immunosuppressants (sida cyclosporine)
• Daawooyin badan oo miiska laga iibsado sida qufaca / hargabka iyo dawooyinka neefta, gaar ahaan marka qufaca / dawada qabow lala qaato dawooyinka murugada qaarkood, sida tranylcypromine ama tricyclics
• Dawooyinka dhanjafka
• Wasakhda sanka
• Nikotiin
• Daawooyinka anti-bararka ee nonsteroidal (NSAIDs)
• Phentermine (daawo miisaan lumis ah)
• Testosterone iyo steroids kale oo anabolic ah iyo daroogooyinka waxqabadka kordhiya
• Hoormoonka tayroodhka (marka si xad dhaaf ah loo qaato)
• Yohimbine (iyo laga soosaaray Yohimbe)

Dhiig-karka dib-u-celinta wuxuu dhacaa marka cadaadiska dhiiggu kaco ka dib markaad joojiso qaadashada ama hoos u dhigista qiyaasta daawada (caadi ahaan daawo yareysa dhiig karka).

• Tani waxay caan ku tahay daawooyinka xannibaya nidaamka neerfayaasha naxariista leh sida beta blockers iyo clonidine.
• La hadal dhakhtarkaaga si aad u aragto haddii daawadaadu u baahan tahay in tartiib tartiib loogu dhejiyo ka hor intaadan joojin.

Waxyaabo kale oo badan ayaa sidoo kale saameyn ku yeelan kara cadaadiska dhiigga, oo ay ku jiraan:

• Da'da
• Xaaladda kelyaha, nidaamka neerfaha, ama xididdada dhiigga
• Hiddo-wadaha
• Cunnooyinka la cuno, miisaanka, iyo doorsoomayaasha kale ee jirka la xiriira, oo ay ku jiraan qadarka soodhiyamka ee lagu daray cuntooyinka warshadaysan
• Heerarka hormoonnada kala duwan ee jirka
• Mugga biyaha ee jirka

Dhiig-kar - daawo la xiriirta; Dhiig karka ay sababaan daroogada

• Dhiig karka daroogada
• Dhiig kar aan la daaweyn
• Dhiig kar

Bobrie G, Amar L, Faucon AL, Madjalian AM, Azizi M. Dhiig-karka iska caabinta. Gudaha: Bakris GL, Sorrentino MJ, eds. Dhiig-karka: Wehel u ah Braunwald's Cudurka Wadnaha. 3aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 43.

Charles L, Triscott J, Dobbs B. Dhiig-baxa Sare: ogaanshaha sababta salka ku haysa. Am Fam Dhakhtarka. 2017; 96 (7): 453-461. PMID: 29094913 pubmed.ncbi.nlm.nih.gov/29094913/.

Grossman A, Messerli FH, Grossman E. Daroogo ay sababtay dhiig kar - waa sabab aan la mahadin oo keenta dhiig kar sare. Eur J Pharmacol. 2015; 763 (Pt A): 15-22. PMID: 26096556 pubmed.ncbi.nlm.nih.gov/26096556/.

Jurca SJ, Elliott WJ. Maaddooyinka caadiga ah ee gacan ka geysan kara dhiig-karka iska caabiya, iyo talooyinka lagu xaddidayo saamayntooda caafimaad. Curr Hypertens Rep. 2016; 18 (10): 73. PMID: 27671491 pubmed.ncbi.nlm.nih.gov/27671491/.

Peixoto AJ. Dhiig karka sare. Gudaha: Gilbert SJ, Weiner DE, eds. Aasaaska Aasaasiga Qaranka ee Kelyaha. 7aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 66.