Zamkatimu
"Chithunzi" chodziwika bwino cha wodwala arthrosis ndi mayi wachikulire wonenepa. Koma izi sizikutanthauza kuti anthu owonda, amuna kapena achinyamata ali ndi inshuwaransi motsutsana ndi arthrosis. Arthrosis imapezeka ngakhale kwa achinyamata. Kungoti mu amayi achikulire omwe amakonda kukhuta, matendawa ndi ofala kwambiri.
Mulimonsemo, arthrosis imafuna kuthetsa mavuto angapo nthawi imodzi: kuthetsa ululu, kulimbitsa minofu yozungulira fupa la matenda, ndikuwonjezera kuyenda kwake. Choncho, chithandizochi chimagwiritsidwa ntchito zosiyanasiyana. Mapiritsi ogwira mtima a arthrosis, motero, kulibe. Pali mankhwala angapo omwe amathandiza kuthetsa mavuto okhudzana ndi matendawa.1.
Mndandanda wa mapiritsi 10 otsika mtengo komanso othandiza a arthrosis malinga ndi KP
Pochiza arthrosis, mankhwala amagulu osiyanasiyana amagwiritsidwa ntchito: analgesics, non-steroidal inflammatory drugs (NSAIDs), mankhwala ochepetsa matenda ochedwa pang'onopang'ono (odziwika bwino monga chondroprotectors). Amasankhidwa payekhapayekha, poganizira siteji ya matendawa, zaka za wodwalayo, matenda opatsirana. Ndipo amasankhidwa ndi dokotala pambuyo pofufuza ndi kusanthula. Ganizirani mapiritsi otsika mtengo a arthrosis, omwe amaperekedwa ndi akatswiri.
1. Paracetamol
Paracetamol ndi analgesic ndi analgesic ndi antipyretic zotsatira, ndi zochepa zotsatira zake. Iwo analamula kuti athetse ululu syndrome osiyana kutanthauzira, kuphatikizapo ululu olowa kugwirizana ndi arthrosis.
Paracetamol sichimayambitsa kuwonongeka kwa mucous nembanemba ya m'mimba. Choncho, ndi abwino kwa odwala matenda a m'mimba, ngati alibe contraindications zina popereka mankhwala (zovuta kwambiri pakugwira ntchito kwa impso kapena chiwindi, kuchepa magazi m`thupi, uchidakwa).
Contraindications: hypersensitivity kwa zigawo zikuluzikulu za mankhwala, kwambiri kuphwanya kwa chiwindi ndi impso, ana osakwana zaka 6 zakubadwa.
2. Ibuprofen
Ibuprofen ndi nonsteroidal odana ndi kutupa ndi antirheumatic wothandizira. The mankhwala mofulumira odzipereka kwa m`mimba thirakiti, amene minimize chiopsezo zotheka chokhwima zimachitikira. Kwa nyamakazi, ibuprofen imatha kuchepetsa ululu ndi kutupa mwachangu. Ibuprofen ilibe mphamvu pamtima, chifukwa chake imatengedwa kuti ndi imodzi mwamankhwala osankhidwa okalamba.
Contraindications: erosive ndi anam`peza zotupa za m`mimba thirakiti, chapamimba ndi duodenal zilonda, zilonda zam`matumbo.
3. Naproxen
Naproxen ndi mankhwala osagwirizana ndi kutupa. Chiwopsezo chochepa cha zovuta zochokera kumtima ndi mitsempha yamagazi ndi mwayi waukulu wogwiritsira ntchito Naproxen ndi kusiyana kwake kwakukulu ndi ma NSAID ena. Mankhwalawa amalembedwa ngati analgesic ndi anti-inflammatory agent kwa arthrosis. Ndipo, molingana ndi malingaliro apadziko lonse lapansi, Naproxen pang'ono ingagwiritsidwe ntchito popewera kwanthawi yayitali kuyambiranso kwa gouty nyamakazi.
Contraindications: ana azaka mpaka 1 chaka, erosive ndi zilonda zotupa za m`mimba thirakiti pachimake siteji, kwambiri kuphwanya kwa chiwindi kapena impso, hematopoiesis matenda.2.
4. Meloxicam
Mankhwala osagwiritsa ntchito steroidal odana ndi kutupa kuchokera ku gulu la NSAIDs (omwe amachotsa kutupa popanda kuvulaza m'mimba mucosa). Limodzi mwa mayina amalonda ndi Movalis. Mankhwala bwino analekerera, pamene si m'mbuyo, mosiyana NSAIDs ena, mapangidwe articular chichereŵechereŵe. Mukamwedwa pamodzi ndi aspirin, sizichepetsa mphamvu yake ya antiplatelet.3.
Contraindications: mimba ndi kuyamwitsa, lactose tsankho, aspirin, mimba, decompensated mtima kulephera.
5. Nimesulide
Wina kusankha sanali steroidal odana ndi kutupa mankhwala odziwika pansi pa malonda mayina Nimesil, Nise. Nimesulide ali ndi kutchulidwa analgesic tingati bwino analekerera (ngati palibe munthu makhalidwe ndi contraindications ntchito) ndipo sayambitsa mavuto a m`mimba thirakiti. Imawonjezera mphamvu ya anticoagulants.
Contraindications: osavomerezeka kwa matenda oopsa a chiwindi, impso kapena mtima. Contraindicated mu apakati ndi kuyamwitsa amayi, komanso kudalira mowa.
6. Celecoxib
Celecoxib ndi gulu la non-steroidal odana ndi yotupa mankhwala ndi kutchulidwa odana ndi kutupa ndi analgesic kwenikweni. Mwamsanga kuthetsa ululu arthrosis. Chiwopsezo chochepa cha zovuta zowopsa m'mimba mukamamwa Celecoxib zimatsimikiziridwa ndi maphunziro ambiri.4.
Contraindications: hypersensitivity to sulfonamides, yogwira zilonda zam`mimba kapena magazi m`mimba thirakiti, ziwengo aspirin kapena NSAIDs. Mosamala, mankhwalawa amaperekedwa chifukwa chophwanya ntchito ya chiwindi ndi impso, matenda amtima ndi mitsempha yamagazi.
7. Arkoxia
Arcoxia ili ndi etoricoxib. Mofanana ndi mankhwala ena a gulu la NSAID losankhidwa, mankhwalawa adalengedwa kuti achepetse kuopsa kwa mankhwalawa pamimba ya m'mimba. Kuchepa kwapang'onopang'ono kwa zovuta m'matumbo am'mimba ndiko kuphatikiza kwake kwakukulu. Arcoxia imathandizanso kuti azitha kugona komanso kuthetsa zizindikiro za kutupa.
Contraindications: yogwira chironda chachikulu kapena m`mimba magazi, ziwengo aspirin ndi NSAIDs, mimba, kwambiri chiwindi kukanika, mtima kulephera, matenda oopsa, ischemic matenda a mtima.
8. Chondroitin sulphate
Chondroitin sulphate ndi mankhwala ochepetsa pang'onopang'ono omwe amagwiritsidwa ntchito pochiza matenda a arthrosis kwa nthawi yayitali. Mankhwalawa amathandiza kubwezeretsa chichereŵechereŵe ndi fupa minofu, kuthetsa ululu olowa, kuchepetsa kufunika NSAIDs. Zotsatira za njira ya chithandizo zimapitilirabe kwa nthawi yayitali, koma mutha kudalira pa gawo loyambirira la matendawa.
Contraindications: mankhwala zotchulidwa mosamala magazi ndi chizolowezi iwo, thrombophlebitis. Pa mimba ndi mkaka wa m`mawere, izo contraindicated, popeza palibe deta za mmene thanzi la mayi ndi mwana panthawi imeneyi.
9. Glucosamine sulphate
Glucosamine sulfate imakhala ndi analgesic komanso anti-inflammatory effect, chifukwa chake, imakulolani kuti mutenge mankhwala ochepetsa ululu ndi ma NSAID ochepa kuti muchepetse ululu.5. Mankhwala facilitates yachibadwa mafunsidwe kashiamu mu fupa minofu ndi kumapangitsa kubwezeretsa chichereŵechereŵe ndi fupa minofu.
Contraindications: phenylketonuria, aakulu aimpso kulephera, mimba ndi kuyamwitsa.
10. Teraflex
Mankhwalawa ali ndi zinthu ziwiri zogwira ntchito - glucosamine hydrochloride ndi sodium chondroitin sulfate. Amathandizira kubwezeretsedwa kwa minofu ya cartilage, kupititsa patsogolo kusuntha kwa mafupa, kuchepetsa ululu ndi kuchepetsa kuuma kwa kayendetsedwe kake. Kuphatikiza apo, zigawo za mankhwalawa zimateteza chiwombankhanga chowonongeka ku chiwonongeko cha metabolic chomwe chimayambitsidwa ndi NSAIDs ndi glucocorticoids.
Contraindications: aakulu aimpso kulephera, mimba ndi kuyamwitsa.
Momwe mungasankhire mapiritsi a arthrosis
Si wodwala amene amasankha mapiritsi ogwira mtima a arthrosis, koma dokotala, poganizira matenda omwe amagwirizana nawo - makamaka matenda a mtima, chiwindi, impso, ndi mafupa. Zonsezi zimapezeka panthawi ya mafunso ndi kufufuza kwa wodwalayo, pamaziko a mayesero a labotale.
Zofunika! Non-steroidal anti-inflammatory mankhwala pochiza arthrosis amafunikira kuti athetse ululu ndikupanga mikhalidwe yabwino yamankhwala ena. Koma simungatenge mankhwalawa kwa nthawi yayitali, kuti musapange chinyengo chakuti matendawa apita. Mothandizidwa ndi NSAID, osati arthrosis, koma ululu. Kuphatikiza apo, kugwiritsa ntchito nthawi yayitali kwa NSAID kungayambitse zotsatira zosafunikira.
Ndemanga za madokotala za mapiritsi a arthrosis
"Machiritso a arthrosis sangakhale ndi mankhwala ozunguza bongo, ayenera kukhala athunthu," akutero rheumatologist Alexander Elonakov. - Ndikofunikira kuzindikira zomwe zidayambitsa matendawa kuti mukhale ndi mayendedwe ake. Cholinga cha mankhwala sikuti athetse kutupa ndi kupweteka, komanso kukhalabe ndi mphamvu ya minofu ndi ntchito zamagalimoto. Mwamsanga pamene matenda a arthrosis apangidwa, timamvetsetsa kuti izi sizikupita kulikonse. Kuwongolera kungabwere kokha kapena kutheka m'njira zosiyanasiyana. Koma iyi ndi njira yosatha yomwe sitingathe kukhudza padziko lonse lapansi. Mankhwala ogwira mtima akungopangidwa.
Mafunso ndi mayankho otchuka
Katswiri wa zamoyo dzina lake Alexander Elonakov amayankha mafunso otchuka okhudza chithandizo cha arthrosis.
Ndi mayeso otani omwe ayenera kuchitidwa ngati mafupa akupweteka?
Ndi dokotala uti amene amachiza nyamakazi?
Ndi zakudya ziti zomwe ziyenera kuchotsedwa muzakudya zopweteka m'malo olumikizirana mafupa?
Sources:
- Rheumatology: malangizo azachipatala. https://rheumatolog.ru/experts/klinicheskie-rekomendacii/
- Karateev AE Naproxen: mankhwala osokoneza bongo komanso omwe ali ndi chiopsezo chochepa cha zovuta zamtima. FGBNU Research Institute of Rheumatology. https://cyberleninka.ru/article/n/naproksen-universalnyy-analgetik-s-minimalnym-riskom-kardiovaskulyarnyh-oslozhneniy/viewer
- Karateev AE Meloxicam: "njira yagolide" ya mankhwala osagwiritsa ntchito steroidal odana ndi kutupa. Archive achire. 2014;86(5):99-105. https://www.mediasphera.ru/issues/terapevticheskij-arkhiv/2014/5/030040-36602014515
- Karateev AE Kugwiritsa ntchito celecoxib mu rheumatology, cardiology, neurology ndi oncology. https://paininfo.ru/articles/rmj/2361.html
- Chichasova NV, pulofesa wa dipatimenti ya rheumatology ndi maphunziro a Pediatric rheumatology, FPPOV MMA wotchulidwa pambuyo pake. IWO. Sechenov. Pharmacotherapy yamakono ya deforming osteoarthritis. https://www.rlsnet.ru/library/articles/revmatologiya/sovremennaya-farmakoterapiya-deformiruyushhego-osteoartroza-90