Yiba umnikazi wezilwane owaziwa kahle
Eminyakeni eyi-10 eyedlule, imithi embalwa yayitholakala ukuphatha izinja ebuhlungu ekhaya. Izinja zazithengwa noma zihanjiswe esibhedlela sezilwane, zihlanjululwe, zithunyelwa ekhaya ngaphandle kwemithi yobuhlungu. Futhi izinja ezine-arthritis ezibuhlungu zinyuka ngaphandle kwemithi eyayiphephile futhi isebenza isikhathi eside.
Namuhla, isizukulwane esisha sezidakamizwa ezivimbela ukuvuvukala (ama-NSAID) siletha izimpande ezinkulungwaneni zezinja ezine-arthritis, izinkinga ezihlangene, noma ubuhlungu ngemva kokuhlinzwa.
"I-NSAID iphumelela kakhulu ekulawuleni ubuhlungu nokuvuvukala ezinja," kusho uStephen F. Sundlof, uDVM, Ph.D., "Lezi yimithi ewusizo kakhulu esisiza izilwane eziningi ezifuywayo ukuba ziphile."
Imithi Yezinhlungu Zezinja: Imiphumela Yecala
Njenganoma yimiphi imithi, ama-NSAID abeka ingozi yemiphumela emibi noma ukusabela okubi. Ukuphendula okubi kakhulu kunobumnene, kodwa ezinye zingase zibi kakhulu, ikakhulukazi uma imithi yobuhlungu ingasetshenzisiwe ngokusho kweziqondiso. Okunye ukusabela kubangela ukulimala okuphakade noma ngisho nokufa.
"Kubalulekile ukuthi abanikazi bezilwane baqaphele izingozi nezinzuzo zabo zonke izidakamizwa, kuhlanganise nama-NSAID ukuze bakwazi ukwenza izinqumo ezinolwazi mayelana nokunakekelwa kwempilo yezilwane," kusho uSundlof. "Abanikazi abanikeza inja yabo ama-NSAID adinga ukwazi imiphumela emibi ukubuka lokho okubonisa ukuthi isilwane sabo sidinga ukwelashwa."
Imiphumela emibi kakhulu evela kuma-NSAID ihlanganisa ukuhlanza, ukulahlekelwa ukudla, ukucindezeleka, ukuphelelwa amandla, nokuhuda.
Imiphumela emibi kakhulu ibandakanya ukuphuma kwamathumbu, izilonda, izilonda, ukulimala kwezinso nezinkinga zesibindi.
"Imiphumela emibi ye-NSAID iyaziwa kakhulu futhi ibhalwe kahle kakhulu," kusho uMichele Sharkey, iDVM kodwa lolu lwazi aluhlali njalo kumnikazi wesilwane, uthi. "Uma umnikazi wesilwane angakwazi ukubona ukuthi kungenzeka kanjani, ayeke imithi, futhi uthole usizo lwezilwane, kungasho umehluko phakathi komphumela omuhle nenhlekelele."
Ukuphepha nokusebenza
Isikhungo seVeterinary Medicine (CVM) silawula imithi yokusetshenziswa ezilwaneni. Kuye kwavumela ezinye ze-NSAID ukuthi zisetshenziswe ezinja ezinobuhlungu ezivela ezifo ezixubileyo (i-osteoarthritis) noma ubuhlungu ngemva kokuhlinzwa.
Ama-NSAID asiza ukulawula izimpawu ze-arthritis, kufaka phakathi ukuvuvukala, ukuvuvukala, ukuqina, nobuhlungu obuhlangene. Ukuvuvukala (impendulo yomzimba ekucaseni noma ukulimala) kubonakala ngokubomvu, ukufudumala, ukuvuvukala, nobuhlungu. Ama-NSAID asebenza ngokuvimbela ukukhiqizwa kwe-prostaglandins, amakhemikhali omzimba abangela ukuvuvukala.
I-FDA ibheka ama-NSAID avunyelwe ukuba aphephe futhi asebenze uma asetshenziswa ngokusho kwelebuli futhi uma abanikazi bezinja bekwaziswa ngokuphendula okubi okuvamile. I-Veterinarians iya ngokuya iyazi izinzuzo zokubona nokulawula ubuhlungu, kusho uCharles Lemme, DVM, "Siyaqaphela ukuthi izilwane ezifuywayo ziphulukisa kangcono futhi ziyashesha ngokulawula ubuhlungu."
U-Lemme uthi ukugcizelela ukuphathwa kobuhlungu kungaba yingxenye ngenxa yokutholakala kwama-NSAID amasha. "I-NSAID esitholakale manje iyisiphephelo esiningi kunalokho esikutholile ngaphambili futhi sibona imiphumela emibi kakhulu kunangaphambili."
Ngaphambi kokuba isizukulwane esisha sakwa-NSAID sifike, "abantu basebenzisa ama-NSAID njenge-aspirin ngomzamo wokunciphisa ubuhlungu be-arthritic," kusho uMichael Andrews, uDVM, "Sibone umphumela wokusebenzisa kwabo," uyanezela u-Andrews, okhumbula ukubona umthengi ngubani owanikeza inja yakhe aspirin amasonto ayisithupha, izikhathi ezimbili ngosuku.
"Inja yayinekhala elimpompozi elingenakuyeka."
"I-NSAID isetshenziselwa izinja eziningi, futhi iningi lezinkinga liphansi kakhulu," kusho u-Andrews. "Isikhathi sokusebenzisa senza umehluko ekuphepheni. Uma isetshenziselwa usuku noma ezimbili, izingozi ngokuvamile ziphansi kakhulu kunalokho uma zisetshenziselwa isikhathi eside isikhathi somzimba wezifo ezingaguli."
Lapho Izinkinga Zakho Zidinga Izinja
Izidakamizwa ezisetshenziselwa ukulawula ubuhlungu kufanele zinikezwe kuphela uma kunesidingo, futhi kumthamo omncane kakhulu osebenzayo, kusho u-Sharkey. "I-arthritis yaxes and aes. Ezinye izilwane ziba zimbi kakhulu ezimweni ezibandayo. Uma inja ibonakala ithuthuka kuze kube yilapho ingafuni isidakamizwa, umnikazi kufanele axoxe ngokuqhubekayo nokusebenzisa i-NSAID nodokotela wezilwane."
Umnikazi akumele akhiphe i-NSAID esilwaneni, noma ukwandisa umthamo noma imvamisa yesidakamizwa, ngaphandle kwemiyalelo yezilwane, ungeza u-Sharkey.
"Njengabantu abahlukile baphenduka ngokuhlukile kumuthi, indlela inja ngayinye isabela ngayo i-NSAID ehlukahlukene."
Ngenxa yalokhu mpendulo ngayinye, akukho NSAID oyithathwa njengempumelelo kunezinye. Futhi, ngoba yonke i-NSAID ingabangela ukusabela okubi, akekho okubhekwa njengokuphephile kunabanye.
Uma inja imiswe i-NSAID, i-CVM incoma ukuthi abanikazi bezilwane bathathe izinyathelo ezilandelayo. Lokhu kuzoqinisekisa ukuthi baziswa ngokugcwele ngemithi futhi bangenza isinqumo esihle kakhulu sempilo yenja yabo.
Buza Imibuzo bese Utshela Bonke
Buza udokotela wakho wezilwane ngezinzuzo, izingozi, nemiphumela emibi yimuphi umuthi, kuhlanganise nama-NSAID. "Umnikazi wezinja owaziwa yiyona ndlela yokuzivikela engcono kakhulu emiphumeleni emibi evela kuma-NSAID," kusho uSharkey. "Abanikazi kufanele banganqikazi ukubuza imibuzo bese bebuza mayelana nemiphumela emibi noma izibonakaliso okufanele zibuke lapho belapha inja."
Tshela izimpawu zesilwane sakho semfuyo yakho kanye nemithi yamanje, kuhlanganise nemigomo, izidakamizwa ezingaphezu kwemithi, amavithamini, izithako ze-herbal, kanye nemikhiqizo yokulawula umquba.
Ukunika i-NSAIDS neminye imithi ndawonye kungalimaza inja yakho. I-aspirin, isibonelo, ingase ibe yengezelelo olinikeza isilwane sakho, kusho u-Sharkey, futhi akufanele isetshenziswe ngokubambisana ne-NSAID.
Cela iShidi Lolwazi Lomthengi
Abanikazi bezinja kufanele bathole "Ishidi Lolwazi Lomthengi" nayo yonke imithi ye-NSAID. AmaSpredishithi Okwaziswa Kwamakhasimende afana nezifinyezo ezisebenzisekayo ezichaza imiphumela ongayilindela ekusebenziseni lesi sidakamizwa. Kuzokutshela ukuthi yini okuzoxoxa ngayo nodokotela wakho wezilwane ngaphambi kokuba unikeze izidakamizwa, imiphumela emibi engase ibukeke, kanye nolunye ulwazi olubalulekile.
I-FDA isize izinkampani ezenza imithi ezenza ama-NSAID izinja zihlakulele lawa maqashi abanikazi. Izinkampani zibahlinzeka nge-NSAID ngayinye abayithumelayo.
Buza i-veterinarian yakho ishidi uma ungayitholi eyodwa, futhi ufunde ulwazi ngokucophelela ngaphambi kokunikeza imithi enja yakho. Uma udokotela wakho wezilwane engakwazi ukunikeza iWebent Sheet Information Sheet, ungathola owodwa ngokuyinyathelisa kuwebhusayithi ye-CVM noma ngokubiza inombolo yamahhala yenkampani yezidakamizwa.
Thola izivivinyo eziphakanyisiwe
Ama-NSAID avunyelwe ukusetshenziswa ezinja aqukethe ulwazi olulandelayo kumalebula abo:
Zonke izinja kufanele zibe nomlando ophelele kanye nokuhlolwa kwangokwenyama ngaphambi kokuqaliswa kwe-NSAID yokwelapha. Ukuhlola okufanelekayo kwelabhuthri ukuze kutholakale izindinganiso zokuqala zegazi ngaphambi, futhi ngezikhathi ezithile, ukusetshenziswa kwanoma yiliphi i-NSAID kunconywa kakhulu.
Uma udokotela wezilwane uncoma ukuhlolwa kwegazi ngaphambi kokuhlinzeka i-NSAID enjaweni, ungayinqabeli, ucebise u-Sharkey. "Kunezizathu ezinhle zalokho." Ulwazi olutholakala kulezi zivivinyo lungabalulekile ekunqumeni ukuthi ngabe izidakamizwa ziphephile yini ukusebenzisa inja.
Ukuhlola kubaluleke kakhulu ngokusetshenziswa kwe-NSAID yesikhathi eside, njengokuphatha ubuhlungu be-arthritis, kusho u-Andrews. "Kunengqondo ukwenza umsebenzi wokuqala wegazi wokuhlola nokuhlola ngezikhathi ezithile ukuze ubone noma yiziphi izinkinga futhi uqaphele ukuthi isilwane sibekezelela kanjani isidakamizwa ngokuhamba kwesikhathi."
Sebenza Nodokotela Wakho Wezilwane Ukuze Uthole Imithi Engcono Kakhulu
Izinqumo eziningi ze-NSAID ziyatholakala, futhi ukukhetha i-NSAID engcono kakhulu isilwane esithile kubalulekile, kusho u-Sharkey. "Ngezinye izikhathi, inqubo yokuthola okungcono kakhulu ingasho ukushintsha imithi."
I-NSAID yezinja iyatholakala ngezindlela ezihlukahlukene, kufaka phakathi amaphilisi omlomo, amaphilisi ahlaziywayo, ukuphalaza ngomlomo, nokujova. Akuyona yonke imithi etholakalayo kuwo wonke amafomu.
- I-Deramaxx (deracoxib)
- I-Etogesic (etodolac)
- I-Galliprant (i-grapiprant)
- I-Metacam (meloxicam)
- I-Novox (i-carprofen)
- I-Onsior (i-robenacoxib) - itholakale namakati
- I-Orocam (i-melxicam)
- I-Previcox (i-firocoxib)
- I-Rimadyl (i-carprofen)
Ukuphendula Okubi? Misa uMuthi bese Ubiza i-Vet yakho
Uma usola ukusabela okubi kumuthi we-arthritis, yeka ukumisa imithi bese uthintana nodokotela wezilwane ngokushesha. Okunye ukuphendula kunomusa futhi kuhamba ngemva kokuyeka imithi.
Uma unikeza isilwane isilwane se-NSAID, bukela le miiphumela emibi, efakwe ohlwini lweSaziso seKlayenti kanye nelebula lezidakamizwa:
- Nciphisa noma ukwandise ukudla
- Ukuvota
- Shintsha ukunyakaza kwamathumbu (njengehudo noma izitshalo ezimnyama, ezilindile noma ezigazini)
- Shintsha ekuziphatheni (njengokunciphisa noma kwanda izinga lomsebenzi, ukuthunjwa, ukuhlukunyezwa, noma ukungabi nokuxhumana)
- Ukuphuziza kwezinsini, isikhumba, noma abamhlophe kwamehlo (i-jaundice)
- Shintsha imikhuba yokuphuza (imvamisa noma inani elidliwe)
- Shintsha imikhuba yokuchama (imvamisa, umbala, noma iphunga)
- Shintsha esikhumbeni (ubomvu, isikhumba, noma ukukhipha)
Le miphumela emibi iyona evame kakhulu. Kodwa akuyona yonke imiphumela emibi engase ibe khona efakiwe kwiSikhwama Sokwazisa Klayenti noma kulebuli yezidakamizwa. Njalo xhumana nodokotela wakho wezilwane uma unemibuzo mayelana nomuthi we-arthritis yenja yakho.
Okuqala njengenkinga encane kungathuthuka ngokushesha esimweni esiphuthumayo. Umnikazi kufanele akhuthazwe ukuba abize udokotela wakhe wezilwane nganoma yikuphi ukukhathazeka mayelana nomuthi we-arthritis inja yabo eyamukelayo.
Ukucabangela Ngaphansi Kokuqondwa Kwezilwane Zodwa
I-FDA ivume ezinye izidakamizwa eziphikisana nezidakamizwa (anti-inflammatory drugs) (NSAIDs) zokusetshenziswa ezinja. E-United States, i-Onsior yiyona kuphela i-NSAID evunyelwe ukusetshenziswa kwamakati.
Kodwa-ke, izilwane zakudala zingakwazi ukubeka izidakamizwa zomuntu ezilwaneni ngaphandle kokufaka ingozi empilweni yomphakathi. Lolu hlobo lokusetshenziswa lwaziwa ngokuthi yi-ilebula eyengeziwe, noma i-off-ilebula, ngoba kungenxa yokusetshenziswa okungabhalwanga kulebula.
Ukusetshenziswa kwelebula okungeziwe kungasho futhi ukuchaza izidakamizwa ezihlukahlukene ngezinhlobo, ngesimo esihlukile, noma kumthamo ohlukile kunalokho okwakuvunyelwene khona nomuthi. Isibonelo, udokotela wezilwane angase abeke umthamo ophansi we-NSAID izidakamizwa ezivunyelwe izinja ekati elinokuhlanganyela okuvuliwe.
Kodwa-ke, abanikazi bezilwane akufanele banikeze izidakamizwa zabo izilwane ezifuywayo noma bephuze izilwane zabo ngaphandle kokuqondiswa kwezilwane, kusho u-Sharkey.
Izinhlobo ezihlukahlukene zihlanganisa imithi ngokuhlukile, uthi. "Uthatha i-aspirin noma iTylenol nganoma yiluphi usuku olunikeziwe ngekhanda futhi ungacabangi kabili ngakho, kodwa izinja zizwela kakhulu kune-aspirin kunabantu, kanti omunye u-Tylenol angabulala ikati. Abanikazi bezilwane kufanele bahlale besebenza nezilwane zabo zezilwane ukwenza izinqumo zemithi . "
Bika ukusabela okubi
Uma wena noma udokotela wakho wezilwane usola ukuthi ukusabela okubi kuhlobene nokusetshenziswa kwemithi ye-arthritis noma imuphi umuthi, kufanele kubikwe inkampani yezokwelapha. Ngokuvamile, udokotela wezilwane ubika lokho, kodwa uma udokotela wezilwane engenzi, umnikazi kufanele.
Le nkampani, ngokomthetho, kumele ibike yonke impendulo engafanele ku-FDA, ebuka izibonakaliso zemvamisa yokukhula nokuqina kwemiphumela emibi. I-FDA isebenza namafemu okuthola imithi ukubhekana nalezi zenzakalo futhi ithuthukise ikhono lomkhiqizo ukuthi lisetshenziswe ngokuphepha.
Uma kungenakukwazi ukubika izinkinga ngqo kwenkampani yezokwelapha, izilwane zezilwane kanye nabanikazi bakhuthazwa ukuba babike izilwane ze-Veterinary Adverse Drug Experiences (ADEs) kanye nokuhluleka komkhiqizo okusobala ku-ejensi kahulumeni elawula umkhiqizo. Okuhlangenwe nakho okubi nge-NSAID kufanele kubikwe kwi-CVM ye-FDA.
> Umthombo:
> Isikhungo se-FDA seMithi Yezokwelapha. Njengamanje Amalebula avunyelwe wezilwane ezingekho ngaphansi kweSteroidal Anti-Inflammatory (NSAIDs). 2017.
> U-Sharkey M, uBron M, uWilmot L. Iseluleko kubanikazi bezinja abazitholayo izilwane ezifuywayo. Ukuphathwa kwe-US nokuDrug. 2017.