Dhaawaca beerka ee daroogada

Dhaawaca beerka ee dawadu keento waa dhaawac ku dhaca beerka oo dhici kara markaad daawooyinka qaarkood qaadato.

Noocyada kale ee dhaawaca beerka waxaa ka mid ah:

• Cagaarshowga fayraska
• Cagaarshowga khamriga
• Cagaarshowga iswada
• Xad dhaafka birta
• Beerka dufanka leh

Beerku wuxuu jirka ka caawiyaa inuu jabiyo dawooyinka qaarkood. Kuwaas waxaa ka mid ah daawooyinka qaarkood oo aad ka iibsatid miiska lagaa iibsado ama bixiyahaaga daryeelka caafimaad uu kuu qoro. Si kastaba ha noqotee, hawshu way ka gaabisaa dadka qaarkood. Tani waxay kaa dhigi kartaa inaad u badan tahay inaad ku dhaawacdo beerka.

Daawooyinka qaar waxay ku sababi karaan cagaarshowga qaadasho yar, xitaa haddii habka burburka beerka uu caadi yahay. Qiyaaso badan oo daawooyin ah waxay dhaawici karaan beerka caadiga ah.

Daawooyin badan oo kala duwan ayaa sababi kara cagaarshowga daroogada ku dhaca.

Xanuun joojiyeyaasha iyo qandho yareeyeyaasha ay ku jiraan acetaminophen ayaa ah sababaha ugu badan ee dhaawaca beerka, gaar ahaan marka lagu qaato qadar ka badan inta lagu taliyay. Dadka u cabba khamriga xad dhaafka ah waxay u badan tahay inay yeeshaan dhibaatadan.

Daawooyinka neerfaha ee anti-bararka (NSAIDs), sida ibuprofen, diclofenac, iyo naproxen, ayaa sidoo kale sababi kara cagaarshow daroogo daroogo.

Daawooyinka kale ee u horseedi kara dhaawaca beerka waxaa ka mid ah:

• Amiodarone
• Steroids dhiska
• Kiniiniyada ka hortagga uurka
• Chlorpromazine
• Erythromycin
• Halothane (nooc suuxdin ah)
• Methyldopa
• Isoniazid
• Methotrexate
• Statins
• Dawooyinka Sulfa
• Tetracyclines
• Amoxicillin-clavulanate
• Qaar ka mid ah dawooyinka ka-hortagga suuxdinta

Calaamadaha waxaa ka mid noqon kara

• Calool xanuun
• Kaadi madow
• Shuban
• Daal
• Qandho
• Madax xanuun
• Cagaarshow
• Cunto xumo
• Lalabbo iyo matag
• Firiiric
• Saxaro midab cad ama dhoobo leh

Waxaa lagaa qaadi doonaa baaritaano dhiig si loo hubiyo shaqada beerka. Enzymes-ka beerka ayaa sare u kici doona haddii aad leedahay xaaladda.

Bixiyahaagu wuxuu sameyn doonaa baaritaan jireed si uu u hubiyo beerka iyo calool jilicsanaanta ballaartay qaybta kore ee midig ee aagga caloosha. Firiiric ama xummad ayaa laga yaabaa inay qayb ka tahay falcelinta daroogada qaarkood ee saameeya beerka.

Daaweynta kaliya ee gaarka ah ee kiisaska badan ee dhaawaca beerka ee ay keento qaadashada daroogada ayaa ah in la joojiyo daawada dhibaatada keentay.

Si kastaba ha noqotee, haddii aad qaadatay qiyaaso badan oo ah 'acetaminophen', waa inaad ku daaweyso dhaawaca beerka ee qaybta gargaarka degdegga ah ama daweynta kale ee degdegga ah sida ugu dhakhsaha badan.

Haddii calaamaduhu daran yihiin, waa inaad nasataa oo aad iska ilaalisaa jimicsi culus, aalkolo, acetaminophen, iyo walxaha kale ee wax u dhimi kara beerka. Waxaa laga yaabaa inaad u baahato inaad dheecaan ka hesho xididka haddii lallabbada iyo mataggu aad u xun yihiin.

Dhaawaca beerka ee daroogada keena badanaa badiyaa wuxuu ku baaba'aa maalmo gudahood ama toddobaadyo kadib markaad joojiso qaadashada daawada sababtay.

Marar dhif ah, dhaawaca beerka ee daroogada sababa wuxuu u horseedi karaa beerka hawlgab.

Wac adeeg bixiyahaaga haddii:

• Waxaad isku aragtaa calaamadaha dhaawaca beerka ka dib markaad bilowdo qaadashada daawo cusub.
• Waxaa lagaa helay dhaawac beerka oo ay sababtay daroogada calaamadahaaguna kama soo fiicnaanayaan kadib markaad joojiso qaadashada daawada.
• Waxaad yeelataa calaamado cusub.

Marna ha u isticmaalin in ka badan inta lagugula taliyay ee dawooyinka miiska la iska iibsado ee ay ku jiraan acetaminophen (Tylenol).

HA QAADIN daawooyinkan haddii aad cabto si xad dhaaf ah ama joogto ah; kala hadal bixiyahaaga wixii ku saabsan qiyaasaha badbaadada leh.

Had iyo jeer u sheeg daryeel bixiyahaaga dhammaan daawooyinka aad qaadato, oo ay ku jiraan dawooyinka aan lagaa iibsan karin iyo dhirta ama diyaarinta dheeriga ah. Tani aad ayey muhiim u tahay haddii aad qabto cudurka beerka.

Kala hadal bixiyahaaga wixii ku saabsan daawooyinka kale ee aad u baahan karto inaad iska ilaaliso. Takhtarkaaga ayaa kuu sheegi kara daawooyinka adiga kuu habboon.

Cagaarshow sun; Cagaarshowga dawadu keento

• Nidaamka dheefshiidka
• Hepatomegaly

Chalasani NP, Hayashi PH, Bonkovsky HL, iyo al. Tilmaamaha Caafimaadka ee ACG: ogaanshaha iyo maaraynta daawada idiosyncratic ee dhaawaca beerka. Am J Gastroenterol. 2014; 109 (7): 950-966. PMID: 24935270 www.ncbi.nlm.nih.gov/pubmed/24935270.

Chitturi S, Teoh NC, Farrell GC. Dheef-shiid kiimikaadka cagaarshowga iyo cudurka beerka ee ay sababaan daroogooyinka. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 88.

Devarbhavi H, Bonkovsky HL, Russo M, Chalasani N. Dhaawaca beerka ee daroogada ku dhaca. Gudaha: Sanyal AJ, Boyer TD, Lindor KD, Terrault NA, eds. Zakim iyo Boyer's Hepatology. 7aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 56.

Aragtida ND. Beerka iyo xameetida. In: Kumar V, Abbas AK, Aster JC, eds. Robbins iyo Cotran Pathologic Aasaaska Cudurka. 9aad. Philadelphia, PA: Elsevier Saunders; 2015: cutubka 18.