Zamkatimu
- Mndandanda wa mankhwala 10 otsika mtengo komanso othandiza omwe si a steroidal anti-inflammatory malinga ndi KP
- Momwe mungasankhire mankhwala osagwiritsa ntchito steroidal odana ndi kutupa
- Ndemanga za madokotala za non-steroidal odana ndi kutupa mankhwala
- Mafunso ndi mayankho otchuka
- Chifukwa chiyani mankhwala osagwiritsa ntchito steroidal odana ndi kutupa ali owopsa?
- Kodi pali kusiyana kotani pakati pa steroid ndi non-steroid mankhwala?
- Kodi mankhwala osagwiritsa ntchito steroidal angagwiritsidwe ntchito nthawi yayitali bwanji?
- Momwe mungatetezere chapamimba mucosa ku zotsatira zaukali za NSAIDs?
- Kodi pali ma NSAID otetezeka?
Anthu 30 miliyoni tsiku lililonse amagwiritsa ntchito mankhwala osagwiritsa ntchito steroidal anti-inflammatory kuti athetse ululu. Tiyeni tiwone kusiyana kotani pakati pa magulu osiyanasiyana a NVPS, matenda omwe amaperekedwa, ndi zotsatira zotani zomwe angakhale nazo.
Mndandanda wa mankhwala 10 otsika mtengo komanso othandiza omwe si a steroidal anti-inflammatory malinga ndi KP
1. Aspirin
Aspirin amaperekedwa chifukwa cha ululu wamtundu uliwonse (minofu, mgwirizano, kusamba) ndi kutentha kwa thupi. Mankhwalawa akuphatikizidwa pamndandanda wamankhwala ofunikira a Russian Federation. Aspirin amachepetsanso kuphatikizika kwa mapulateleti wina ndi mnzake ndikuchepetsa magazi, chifukwa chake amatha kuperekedwa kwa nthawi yayitali pamlingo wocheperako popewa matenda amtima. Mlingo waukulu watsiku ndi tsiku ndi 300 mg.
Contraindications:kuchuluka chizolowezi magazi, ana osakwana zaka 15 zakubadwa.
2. Diclofenac
Diclofenac nthawi zambiri amaperekedwa kwa matenda otupa a mafupa (nyamakazi). Komanso, mankhwalawa amagwiritsidwa ntchito mwakhama pa ululu wa minofu, neuralgia, kupweteka pambuyo pa kuvulala kapena opaleshoni, kwa matenda opweteka kumbuyo kwa matenda otupa a m'mwamba ndi m'chiuno (adnexitis, pharyngitis). Mlingo umodzi waukulu kwambiri ndi 100 mg.
Zoyipa: magazi osadziwika chiyambi, m'mimba kapena duodenal chilonda, trimester yotsiriza ya mimba.
3. Ketanov
Ketanov amaperekedwa kwa ululu wapakati kapena woopsa kwambiri. Komanso, mankhwalawa ndi othandiza pa matenda opweteka omwe amatsagana ndi khansa, komanso pambuyo pa opaleshoni. Mphamvu ya analgesic imachitika ola limodzi mutadya, ndipo zotsatira zake zimatheka pambuyo pa maola 1-2. Mlingo waukulu watsiku ndi tsiku ndi 3 mg. Ndikoyeneranso kukumbukira kuti Ketorolac sagwiritsidwa ntchito pochiza ululu wosatha. Musagwiritse ntchito masiku oposa awiri popanda kufunsa dokotala.
Contraindications: mimba, mkaka wa m`mawere, chiwindi kulephera, hypersensitivity kuti NSAIDs, anam`peza erosive zotupa za m`mimba thirakiti pachimake siteji.
4. Ibuprofen
Mankhwalawa amagwiritsidwa ntchito kuti athetse kupweteka kwakanthawi kochepa kapena kutentha thupi ndi chimfine. Kutalika kwa mphamvu ya analgesic kumatenga pafupifupi maola 8. Mlingo wambiri watsiku ndi tsiku ndi 1200 mg, pomwe sikulimbikitsidwa kumwa mankhwalawa kwa masiku opitilira 3 popanda malangizo a dokotala.
Contraindications: hypersensitivity to ibuprofen, erosive and ulcerative matenda komanso magazi am'mimba, mphumu ya bronchial, mtima waukulu, aimpso ndi chiwindi kulephera, kutsekeka kwa magazi, mimba (3 trimester), ana osakwana miyezi itatu, matenda ena a rheumatological (systemic lupus). erythematosus).
5. Ketoprofen
Ketoprofen nthawi zambiri zotchulidwa matenda yotupa mafupa, mafupa ndi minofu - nyamakazi, arthrosis, myalgia, neuralgia, sciatica. Komanso, mankhwalawa ndi othandiza kuthetsa ululu pambuyo povulala, opaleshoni, renal colic. Mlingo waukulu watsiku ndi tsiku ndi 300 mg.
Contraindications: zilonda zam`mimba thirakiti m`mimba, ana osapitirira zaka 18, mimba (3 trimester), kwambiri chiwindi ndi impso kulephera.
6. Nalgesin Forte
Nalgezin Forte amagwiritsidwa ntchito kuthetsa ululu mu matenda otupa a mafupa, mafupa, minofu, mutu ndi migraines. Komanso, mankhwalawa ndi othandiza kutentha thupi pa chimfine. Mlingo waukulu watsiku ndi tsiku ndi 1000 mg. Pogwiritsa ntchito nthawi yayitali, ndikofunikira kuyang'anira ntchito ya impso.
Contraindications+
7. Meloxicam
Meloxicam amaperekedwa kwa nyamakazi zosiyanasiyana (osteoarthritis kapena nyamakazi), chifukwa amachepetsa ululu ndi kutupa. Pankhaniyi, tikulimbikitsidwa kuti tiyambe kumwa mankhwalawa ndi mlingo wocheperako ndikuwonjezera ngati kuli kofunikira. Komanso, mukatenga Meloxicam, zotsatira zoyipa monga kupweteka kwa m'mimba, kutsegula m'mimba, flatulence, nseru ndizotheka.
Contraindications: hypersensitivity kwa zigawo zikuluzikulu za mankhwala, decompensated mtima kulephera, erosive zotupa ndi magazi m`mimba thirakiti, mimba ndi yoyamwitsa, ana osapitirira zaka 12 zakubadwa.
8. Nimesulide
Nimesulide ntchito zosiyanasiyana ululu: mano, mutu, minofu, kupweteka kwa msana, komanso postoperative nthawi, pambuyo kuvulala ndi mikwingwirima. Pazipita mlingo umodzi ndi 200 mg. Pankhaniyi, mankhwala sayenera kumwedwa chimfine ndi SARS. Madokotala amachenjezanso kuti Nimesulide zingayambitse mavuto monga chizungulire, kugona, mutu, thukuta kwambiri, urticaria, kuyabwa khungu.
Contraindications: mimba ndi mkaka wa m`mawere, bronchospasm, urticaria, rhinitis chifukwa kutenga NSAIDs, ana osakwana zaka 12 zakubadwa.
9. Celecoxib
Celecoxib imatengedwa kuti ndi imodzi mwa NSAID zotetezeka kwambiri. Mankhwala ntchito kuthetsa olowa, kupweteka kwa minofu, komanso ntchito kuthetsa kuukira kwa ululu pachimake akuluakulu.1. Madokotala amalangiza kuti ayambe kulandira chithandizo ndi mlingo wocheperako ndikuwonjezera ngati kuli kofunikira.
Contraindications: kuphwanya kwakukulu kwa impso ndi chiwindi, matupi awo sagwirizana ndi kumwa acetylsalicylic acid kapena NSAID zina m'mbiri, III trimester ya mimba, kuyamwitsa.
10. Arcoxia
Zomwe zimagwiritsidwa ntchito muzolembazo ndi etoricoxib. The mankhwala cholinga zochizira ululu aakulu (kuphatikizapo rheumatological matenda), komanso ululu pambuyo opaleshoni mano.2. Mlingo waukulu watsiku ndi tsiku ndi 120 mg.
Contraindications: mimba, mkaka wa m`mawere, erosive ndi anam`peza kusintha mucous nembanemba m`mimba kapena duodenum, yogwira m`mimba magazi, cerebrovascular kapena magazi ena, ana osapitirira zaka 16.
Momwe mungasankhire mankhwala osagwiritsa ntchito steroidal odana ndi kutupa
Mankhwala onse omwe si a steroidal odana ndi kutupa amagawidwa m'magulu angapo. Amasiyana nthawi yakuchita, mphamvu pakuchotsa ululu ndi kutupa, komanso kapangidwe ka mankhwala.3.
Malinga ndi nthawi yakuchitapo kanthu, mankhwala osagwiritsa ntchito steroidal odana ndi kutupa amasiyanitsidwa (nthawi yowonekera pafupifupi maola 6) komanso nthawi yayitali (nthawi yowonekera yopitilira maola 6).
Komanso, ma NSAID amasiyana pakuchita bwino kwa anti-inflammatory effect ndi analgesic effect. Anti-inflammatory effect (kuyambira pamlingo wocheperako) ali ndi: indomethacin - diclofenac - ketoprofen - ibuprofen - aspirin. Malinga ndi kuopsa kwa zotsatira za analgesic (kuchokera pazipita mpaka zochepa): ketorolac - ketoprofen - diclofenac - indomentacin - ibuprofen - aspirin4.
Ndemanga za madokotala za non-steroidal odana ndi kutupa mankhwala
Celecoxib yayamikiridwa ndi madokotala ambiri ngati mankhwala othandiza kwa ululu wosaneneka wa rheumatic. Kuphatikiza apo, Celecoxib imatengedwa ngati "golide muyezo" pachiwopsezo chochepa cha zovuta zam'mimba.
Komanso, akatswiri amalangiza Naproxen, yomwe imalekerera bwino ndi odwala ndipo sichimayambitsa zotsatira zoyipa ikagwiritsidwa ntchito kwa masiku osapitilira 21.5.
Akatswiri ambiri a nyamakazi amatsindika za mankhwala a Etoricoxib (Arcoxia), omwe amathandiza pazochitika zambiri zomwe zimaphatikizapo ululu. Imodzi mwa ubwino wake waukulu ndi yabwino dosing regimen ndi liwiro isanayambike zotsatira.
Mafunso ndi mayankho otchuka
Tinakambirana nkhani zofunika zokhudzana ndi mankhwala osagwiritsa ntchito steroidal odana ndi kutupa ndi wothandizira onse gulu lapamwamba Tatiana Pomerantseva.
Chifukwa chiyani mankhwala osagwiritsa ntchito steroidal odana ndi kutupa ali owopsa?
• NSAIDs - gastropathy (mu 68% ya odwala omwe amamwa mankhwala kwa milungu yosachepera 6) - amawonetseredwa ndi mapangidwe a zilonda, kukokoloka, kutuluka kwa m'mimba, kuphulika;
• impso - kulephera kwaimpso pachimake, kusunga madzimadzi;
• mtima dongosolo - kuphwanya magazi kuundana;
• dongosolo lamanjenje - mutu, vuto la kugona, mavuto a kukumbukira, kuvutika maganizo, chizungulire;
• hypersensitivity - chiopsezo chowonjezeka cha mphumu ya bronchial;
• kuwonongeka kwa chiwindi.
Kodi pali kusiyana kotani pakati pa steroid ndi non-steroid mankhwala?
Kodi mankhwala osagwiritsa ntchito steroidal angagwiritsidwe ntchito nthawi yayitali bwanji?
Momwe mungatetezere chapamimba mucosa ku zotsatira zaukali za NSAIDs?
Kodi pali ma NSAID otetezeka?
Magwero a:
- Karateev AE Celecoxib: kuwunika kogwira mtima ndi chitetezo mzaka khumi zachiwiri zazaka za 2013 // Modern Rheumatology. 4. No. Ulalo: https://cyberleninka.ru/article/n/tselekoksib-otsenka-effektivnosti-i-bezopasnosti-vo-vtorom-desyatiletii-xxi-veka
- Kudaeva Fatima Magomedovna, Barskova VG Etoricoxib (arcoxia) in rheumatology // Modern rheumatology. 2011. No. 2. URL: https://cyberleninka.ru/article/n/etorikoksib-arkoksia-v-revmatologii
- 2000-2022. REGISTER YA MANKHWALA A RUSSIA® RLS ®
- Shostak NA, Klimenko AA Non-steroidal anti-inflammatory drugs - zinthu zamakono zomwe zimagwiritsidwa ntchito. Dokotala. 2013. No. 3-4. Ulalo: https://cyberleninka.ru/article/n/nesteroidnye-protivovospalitelnye-preparaty-sovremennye-aspekty-ih-primeneniya
- Tatochenko VK Apanso za antipyretics // VSP. 2007. No. 2. URL: https://cyberleninka.ru/article/n/eschyo-raz-o-zharoponizhayuschih-sredstvah