Mapiritsi 10 abwino kwambiri a arthrosis
Chithandizo cha arthrosis ndizovuta komanso zovuta. Njira iliyonse, kaya ndi mapiritsi kapena physiotherapy, imayikidwa ndi dokotala pambuyo pofufuza. Pamodzi ndi rheumatologist, talemba mlingo wa mapiritsi ogwira mtima ochizira arthrosis

"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.

akulimbana bwino ndi ululu wa otsika ndi zolimbitsa mphamvu, sikuwononga mucous nembanemba wa m`mimba thirakiti, ochepa mavuto.
sichidzathandiza ndi ululu waukulu.
onetsani zambiri

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.

amalimbana bwino ndi ululu ndi kutupa, oyenera okalamba.
zambiri contraindications.
onetsani zambiri

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.

sichimakhudza mtima ndi mitsempha ya magazi, imachepetsa ululu ndi kutupa bwino.
zambiri contraindications.

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.

sichichepetsa mapangidwe a articular cartilage, sichimayambitsa zotsatira zoyipa, mtengo wotsika.
zambiri contraindications.

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. 

kupirira bwino ndi ululu (ngakhale kwambiri), sizimayambitsa mavuto a m'mimba.
kungayambitse kugona.

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.

amatha ngakhale kupweteka kwambiri, chiopsezo chochepa cha zovuta m'mimba.
mtengo wokwera kwambiri pagawo, supezeka nthawi zonse m'ma pharmacies.

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.

kumathandiza ngakhale ndi ululu waukulu komanso wopweteka.
m'malo mtengo, mndandanda waukulu wa contraindications.

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.

amachepetsa ululu, amalimbikitsa kubwezeretsa mafupa ndi chichereŵechereŵe minofu.
kwambiri kokha pa koyamba siteji ya matenda.

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.

bwino relieves ululu ndi kutupa, kumapangitsa kubwezeretsedwa kwa mafupa ndi chichereŵechereŵe minofu.
sapezeka kawirikawiri pogulitsa.
onetsani zambiri

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.

amachepetsa ululu ndi kuuma kwa kayendedwe, kaphatikizidwe kake kamapangitsa kuti mankhwalawa azichita bwino.
mtengo wapamwamba.
onetsani zambiri

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?

- CBC, urinalysis, biochemical kusanthula magawo angapo: creatinine, shuga, bilirubin, ALT, AST, gamma-GTP, alkaline phosphatase, mapuloteni okwana, proteinogram, mapuloteni a C-reactive. Awa ndiye mayeso ochepera a labotale omwe angathandize kuwunika momwe zilili. Komanso, malinga ndi zisonyezo, mayeso ena amaperekedwa.

Ndi dokotala uti amene amachiza nyamakazi?

- Katswiri wa rheumatologist ndi orthopedic traumatologist atha kupereka chithandizo chokhazikika. Ngati opaleshoni ikufunika, dokotala wa opaleshoni amaphatikizidwa.

 Ndi zakudya ziti zomwe ziyenera kuchotsedwa muzakudya zopweteka m'malo olumikizirana mafupa?

- Malangizo ofunikira kwambiri ndikupatula zakudya zama carbohydrate ndi mafuta, zomwe zimapangitsa kuti pakhale kunenepa komanso, chifukwa chake, kupsinjika pamalumikizidwe. Izi, choyamba, zimakhudza anthu onenepa kwambiri. Chakudya, makamaka, chiyenera kukhala chokwanira, chathanzi.
  1. Rheumatology: malangizo azachipatala. https://rheumatolog.ru/experts/klinicheskie-rekomendacii/
  2. 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
  3. 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
  4. Karateev AE Kugwiritsa ntchito celecoxib mu rheumatology, cardiology, neurology ndi oncology. https://paininfo.ru/articles/rmj/2361.html
  5. 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

Siyani Mumakonda