Amaphilisi angu-10 angcono kakhulu e-arthrosis
Ukwelashwa kwe-arthrosis kungumzabalazo omude futhi onzima. Noma yiliphi ikhambi, kungakhathaliseki ukuthi amaphilisi noma i-physiotherapy, inqunywe udokotela ngemva kokuhlolwa. Kanye nodokotela wamathambo, sihlanganise isilinganiso samaphilisi asebenzayo okwelapha i-arthrosis

"Umfanekiso" ojwayelekile wesiguli esine-arthrosis ngowesifazane osekhulile oyisidudla. Kodwa lokhu akusho ukuthi abantu abancane, abesilisa noma abasha bane-insured ngokumelene ne-arthrosis. I-arthrosis yenzeka ngisho nasebancane. Ukuthi nje kwabesifazane asebekhulile abajwayele ukugcwala, lesi sifo sivame kakhulu.

Kunoma yikuphi, i-arthrosis idinga ukuxazulula izinkinga eziningana ngesikhathi esisodwa: ukukhulula ubuhlungu, ukuqinisa imisipha ezungeze ilunga eligulayo, futhi ukwandise ukuhamba kwayo. Ngakho-ke, izindlela ezihlukahlukene zokwelashwa zihilelekile. Amaphilisi asebenzayo e-arthrosis, njengalokhu, awekho. Kunenqwaba yemithi esiza ekuxazululeni izinkinga ezihambisana nalesi sifo.1.

Uhlu lwamaphilisi ayi-10 aphezulu angabizi futhi asebenzayo e-arthrosis ngokusho kwe-KP

Ekwelapheni i-arthrosis, izidakamizwa zamaqembu ahlukene zisetshenziswa: ama-analgesics, izidakamizwa ezingekho-steroidal ukuvuvukala (ama-NSAID), izidakamizwa ezishintsha izifo ezihamba kancane (ezaziwa kangcono ngokuthi ama-chondroprotectors). Bakhethwa ngabanye, kucatshangelwa isigaba sesifo, iminyaka yesiguli, izifo ezihambisanayo. Futhi baqokwa udokotela ngemva kokuhlolwa nokuhlaziywa. Cabanga ngamaphilisi amakhulu angabizi kakhulu e-arthrosis, anqunywe ochwepheshe.

1. I-Paracetamol

I-Paracetamol iyi-analgesic ene-analgesic ne-antipyretic imiphumela, enemiphumela emibi embalwa uma kuqhathaniswa. Kunqunyelwe ukukhulula ubuhlungu be-syndrome yendawo ehlukene, kuhlanganise nobuhlungu obuhlangene obuhambisana ne-arthrosis.

I-Paracetamol ayibangeli umonakalo kulwelwesi lwamafinyila lwepheshana lesisu. Ngakho-ke, kufanelekile ezigulini ezinezinkinga zesisu, uma zingenayo enye i-contraindication ekunqumeni lesi sidakamizwa (ukuphazamiseka okukhulu ekusebenzeni kwezinso noma isibindi, i-anemia, ukuphuza utshwala).

Ukungafani: i-hypersensitivity ezingxenyeni zomuthi, ukwephulwa okukhulu kwesibindi nezinso, izingane ezingaphansi kweminyaka engu-6 ubudala.

ibhekana kahle nobuhlungu bezinga eliphansi nelilinganiselwe, alilimazi ulwelwesi lwamafinyila lomgudu wamathumbu, imiphumela emibi embalwa.
ngeke kusize ngobuhlungu obukhulu.
bonisa okuningi

2. Ibuprofen

I-Ibuprofen iyi-ejenti engeyona ye-steroidal elwa nokuvuvukala kanye ne-antirheumatic. Umuthi udonswa ngokushesha emgudwini wamathumbu, onciphisa ubungozi bokusabela okubi okungenzeka. Nge-arthritis, ibuprofen inganciphisa ngokushesha ubuhlungu nokuvuvukala. I-Ibuprofen cishe ayinawo umthelela ohlelweni lwenhliziyo, ngakho-ke ithathwa njengenye yezidakamizwa ezikhethwa ngabantu asebekhulile.

Ukungafani: izilonda ezigugulekayo nezinezilonda emathunjini, izilonda zesisu kanye ne-duodenal, i-ulcerative colitis.

ibhekana kahle nobuhlungu nokuvuvukala, ilungele asebekhulile.
ama-contraindications amaningi.
bonisa okuningi

3. I-Naproxen

I-Naproxen futhi iyisidakamizwa esingeyona i-steroidal eqeda ukuvuvukala. Ingozi ephansi yezinkinga ezivela enhliziyweni nasemithanjeni yegazi yiyona inzuzo enkulu yokusebenzisa i-Naproxen kanye nomehluko wayo omkhulu kwamanye ama-NSAID. Umuthi unqunywe njenge-ejenti ye-analgesic ne-anti-inflammatory ye-arthrosis. Futhi, ngokwezincomo zomhlaba jikelele, inani elincane le-Naproxen lingasetshenziswa ekuvimbeleni isikhathi eside ukuphindaphinda kwe-gouty arthritis.

Ukungafani: ubudala bezingane kuze kube unyaka ongu-1, izilonda ezigugulekayo kanye nezilonda ze-gastrointestinal tract esigabeni esibi, ukwephulwa okukhulu kwesibindi noma izinso, ukuphazamiseka kwe-hematopoiesis.2.

ayithinti inhliziyo nemithambo yegazi, ikhulula ubuhlungu nokuvuvukala kahle.
ama-contraindications amaningi.

4. I-Meloxicam

Isidakamizwa esingena-steroidal esilwa nokuvuvukala esivela eqenjini lama-NSAID akhethiwe (lawo aqeda ukuvuvukala ngaphandle kokulimaza i-mucosa yesisu). Elinye lamagama ohwebo yiMovalis. Isidakamizwa sibekezelelwa kahle, kuyilapho singanciphisi, ngokungafani namanye ama-NSAID, ukwakheka kwe-articular cartilage. Uma ithathwa kanye ne-aspirin, ayikunciphisi ukusebenza kwayo kwe-antiplatelet.3.

Ukungafani: ukukhulelwa nokuncelisa, ukungabekezelelani kwe-lactose, i-aspirin, ukukhulelwa, ukuhluleka kwenhliziyo okubolile.

ayibambezeli ukwakheka kwe-articular cartilage, cishe ayibangeli imiphumela emibi, intengo ephansi.
ama-contraindications amaningi.

5. Nimesulide

Esinye isidakamizwa esingena-steroidal esilwa nokuvuvukala, esaziwa ngaphansi kwamagama okuhweba Nimesil, Nise. I-Nimesulide inomphumela we-analgesic ophinyiselwe, ibekezelelwa kahle (uma kungekho zimpawu zomuntu ngamunye kanye ne-contraindication yokusetshenziswa) futhi ingabangeli izinkinga ezivela emgudwini wesisu. Ithuthukisa umphumela wama-anticoagulants.

Ukungafani: akunconywa kuma-pathologies anzima esibindi, izinso noma inhliziyo. I-Contraindicated kwabesifazane abakhulelwe nabancelisayo, kanye nokuxhomeka kotshwala. 

ibhekana kahle nobuhlungu (ngisho nobukhulu), ayibangeli izinkinga ezivela emgudwini wamathumbu.
kungase kubangele ukozela.

6. ICelecoxib

I-Celecoxib ingeqembu lezidakamizwa ezingezona ukuvuvukala futhi inomphumela wokulwa nokuvuvukala kanye ne-analgesic. Ngokushesha kukhulula ubuhlungu be-arthrosis. Ingozi ephansi yezinkinga eziyingozi emgudwini wesisu lapho uthatha i-Celecoxib iqinisekiswa izifundo eziningi.4.

Ukungafani: i-hypersensitivity ku-sulfonamides, isilonda se-peptic esisebenzayo noma ukopha emgudwini wamathumbu, ukungezwani ne-aspirin noma ama-NSAID. Ngokuqapha, umuthi unqunyelwe ukwephulwa komsebenzi wesibindi nezinso, izifo zenhliziyo nemithambo yegazi.

ibhekana nobuhlungu obukhulu, ingozi ephansi yezinkinga emgudwini wamathumbu.
intengo ephezulu uma kuqhathaniswa esigabeni, ayitholakali njalo emakhemisi.

7. I-Arkoxia

I-Arcoxia iqukethe i-etoricoxib. Njengezinye izidakamizwa zeqembu elikhethiwe le-NSAID, umuthi wadalwa ukunciphisa umphumela omubi womuthi epheshaneni lesisu. Amathuba amancane okuba nezinkinga emgudwini wesisu ukuhlanganisa kwawo okukhulu. I-Arcoxia iphinde ibulale izinzwa futhi iqede izimpawu zenqubo yokuvuvukala.

Ukungafani: isilonda se-peptic esisebenzayo noma ukopha emathunjini, ukungezwani ne-aspirin nama-NSAID, ukukhulelwa, ukungasebenzi kahle kwesibindi, ukwehluleka kwenhliziyo, umfutho wegazi ophakeme, isifo senhliziyo ye-ischemic.

isiza ngisho nasezinhlungwini ezinzima futhi ezingapheli.
intengo ephakeme kunalokho, uhlu olukhulu lwe-contraindication.

8. I-Chondroitin sulfate

I-Chondroitin sulfate iyisidakamizwa esisebenza kancane sokuguqula isifo esisetshenziselwa ukwelashwa kwesikhathi eside kwe-arthrosis. Umuthi usiza ukubuyisela uqwanga kanye nezicubu zamathambo, ukhulula ubuhlungu obuhlangene, unciphisa isidingo sama-NSAID. Umphumela wenkambo yokwelashwa uqhubeka isikhathi eside, kodwa ungathembela kuwo kuphela esigabeni sokuqala sesifo.

Ukungafani: umuthi unqunywe ngokuqapha ukopha kanye nokuthambekela kubo, i-thrombophlebitis. Ngesikhathi sokukhulelwa kanye ne-lactation, i-contraindicated, ngoba ayikho idatha mayelana nomthelela wayo empilweni yowesifazane nengane ngalesi sikhathi.

ikhulula ubuhlungu, ikhuthaza ukubuyiselwa kwezicubu zethambo ne-cartilage.
ephumelela kakhulu kuphela esigabeni sokuqala sesifo.

9. I-Glucosamine sulfate

I-Glucosamine sulfate inomphumela we-analgesic kanye ne-anti-inflammatory, ngakho-ke, ikuvumela ukuthi uthathe ama-analgesics ambalwa nama-NSAID ukukhulula ubuhlungu.5. Umuthi usiza ukubekeka okuvamile kwe-calcium esicutshini samathambo futhi ukhuthaze ukubuyiselwa koqwanga nezicubu zethambo.

Ukungafani: phenylketonuria, ukwehluleka okukhulu kwezinso okungapheli, ukukhulelwa kanye nokuncelisa.

ikhulula kahle ubuhlungu nokuvuvukala, ivuselela ukubuyiselwa kwezicubu zethambo ne-cartilage.
akuvamile ukutholakala endalini.
bonisa okuningi

10. I-Teraflex

Umuthi uqukethe izinto ezimbili ezisebenzayo - i-glucosamine hydrochloride ne-sodium chondroitin sulfate. Zikhuthaza ukubuyiselwa kwezicubu ze-cartilage, zithuthukise ukuhamba kwamalunga, zinciphise ubuhlungu futhi zinciphise ukuqina kokunyakaza. Ngaphezu kwalokho, izingxenye zomuthi zihlinzeka ngokuvikeleka kwe-cartilage eyonakele ekubhujisweni kwe-metabolic okubangelwa ama-NSAID nama-glucocorticoids.

Ukungafani: ukwehluleka okukhulu kwezinso okungapheli, ukukhulelwa kanye nokuncelisa.

ikhulula ubuhlungu nokuqina kokunyakaza, ukubunjwa okuhlangene kuqinisekisa isenzo esisebenzayo somuthi.
intengo ephezulu.
bonisa okuningi

Ungawakhetha kanjani amaphilisi e-arthrosis

Akusona isiguli esikhetha amaphilisi asebenzayo e-arthrosis, kodwa udokotela, ecabangela izifo ezihambisanayo - ikakhulukazi izifo zesimiso senhliziyo, isibindi, izinso, nomnkantsha wamathambo. Konke lokhu kutholakala ngesikhathi sokubuzwa nokuhlolwa kwesiguli, ngesisekelo sokuhlolwa kwaselabhorethri.

Kubalulekile! Izidakamizwa ezingezona ukuvuvukala ekwelapheni i-arthrosis ziyadingeka ukuze kudambise izinhlungu nokudala izimo ezivumayo kwezinye izindlela zokwelapha. Kodwa awukwazi ukuthatha le mithi isikhathi eside, ukuze ungadali inkohliso yokuthi lesi sifo siphelile. Ngaphansi kwethonya lama-NSAID, hhayi i-arthrosis iyahamba, kodwa ubuhlungu. Ngaphezu kwalokho, ukusetshenziswa isikhathi eside kwama-NSAID kungase kubangele imiphumela emibi engadingeki.

Izibuyekezo odokotela mayelana amaphilisi for arthrosis

"Ukwelashwa kwe-arthrosis akukwazi ukuphelela ekwelapheni izidakamizwa, kufanele kuphelele," kuphawula rheumatologist Alexander Elonakov. - Kubalulekile ukukhomba izici eziholele kulesi sifo ukuze kuquke ukuqhubeka kwaso. Umgomo wokwelapha awukona nje ukukhulula inqubo yokuvuvukala nobuhlungu, kodwa futhi nokugcina amandla emisipha nomsebenzi wemoto. Ngokushesha lapho ukuxilongwa kwe-arthrosis kwenziwa, siyaqonda ukuthi lokhu akuyi ndawo. Intuthuko ingase izizele ngokwayo noma izuzwe ngezindlela ezihlukahlukene. Kodwa lena inqubo engapheli esingeke sikwazi ukuba nomthelela emhlabeni jikelele. Ukwelashwa okusebenzayo kwenziwa kuphela.

Imibuzo nezimpendulo ezidumile

Isazi se-Rheumatologist u-Alexander Elonakov siphendula imibuzo ethandwayo mayelana nokwelashwa kwe-arthrosis.

Yiziphi izivivinyo okufanele zenziwe uma amalunga ebuhlungu?

I-CBC, i-urinalysis, ukuhlaziywa kwamakhemikhali e-biochemical kwemingcele eminingana: i-creatinine, i-glucose, i-bilirubin, i-ALT, i-AST, i-gamma-GTP, i-alkaline phosphatase, iphrotheni ephelele, i-proteinogram, i-C-reactive protein. Lokhu ukuhlola kwaselabhorethri okuncane okuzosiza ukuhlola isimo. Ngaphezu kwalokho, ngokwezinkomba, ezinye izivivinyo zinqunyelwe.

Imuphi udokotela owelapha isifo samathambo?

– Isazi se-rheumatologist kanye ne-orthopaedic traumatologist banganikeza ukwelashwa okulondolozayo. Uma kudingeka ukuhlinzwa, udokotela ohlinzayo uhilelekile.

 Yikuphi ukudla okufanele kususwe ekudleni ngenxa yobuhlungu obuhlangene?

- Izincomo ezibaluleke kakhulu ukukhipha ukudla okunama-carbohydrate namafutha, okufaka isandla ekuzuzeni isisindo futhi, ngenxa yalokho, ukucindezeleka emalungeni. Lokhu, okokuqala, kuthinta abantu abakhuluphele ngokweqile. Ukudla okunomsoco, ngokomthetho, kufanele kube okulinganiselayo, okunempilo.
  1. I-Rheumatology: imihlahlandlela yomtholampilo. https://rheumatolog.ru/experts/klinicheskie-rekomendacii/
  2. I-Karateev AE Naproxen: i-analgesic eguquguqukayo futhi enengozi encane yezinkinga zenhliziyo nemithambo yegazi. I-FGBNU Research Institute of Rheumatology. https://cyberleninka.ru/article/n/naproksen-universalnyy-analgetik-s-minimalnym-riskom-kardiovaskulyarnyh-oslozhneniy/viewer
  3. I-Karateev AE Meloxicam: "incazelo yegolide" yezidakamizwa ezingezona ukuvuvukala. Ingobo yomlando yokwelapha. 2014;86(5):99-105. https://www.mediasphera.ru/issues/terapevticheskij-arkhiv/2014/5/030040-36602014515
  4. I-Karateev AE Ukusetshenziswa kwe-celecoxib ku-rheumatology, cardiology, neurology kanye ne-oncology. https://paininfo.ru/articles/rmj/2361.html
  5. Chichasova NV, uprofesa womnyango we-rheumatology onekhosi ye-rheumatology yezingane, i-FPPOV MMA eqanjwe ngemuva. KWABO. Sechenov. I-pharmacotherapy yesimanje ye-deforming osteoarthritis. https://www.rlsnet.ru/library/articles/revmatologiya/sovremennaya-farmakoterapiya-deformiruyushhego-osteoartroza-90

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