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ʻO kahi "kiʻi" maʻamau o ka mea maʻi me ka arthrosis he wahine ʻelemakule piha. Akā ʻaʻole kēia manaʻo ua hoʻopaʻa ʻia ka poʻe wiwi, nā kāne a ʻōpio paha i ka arthrosis. Loaʻa ka Arthrosis i nā ʻōpio. ʻO ia wale nō i nā wahine ʻelemakule i maʻa i ka piha, ʻoi aku ka maʻi o kēia maʻi.
I kēlā me kēia hihia, pono ka arthrosis e hoʻoponopono i nā pilikia i ka manawa hoʻokahi: hoʻomaha i ka ʻeha, hoʻoikaika i nā ʻiʻo a puni ka hui maʻi, a hoʻonui i kona neʻe. No laila, pili nā ʻano like ʻole i ka mālama ʻana. ʻAʻole loaʻa nā lāʻau lapaʻau kūpono no ka arthrosis. Aia kekahi mau lāʻau lapaʻau e kōkua i ka hoʻoponopono ʻana i nā pilikia pili i kēia maʻi.1.
ʻO ka papa inoa o nā lāʻau lapaʻau maikaʻi loa 10 no ka arthrosis e like me ka KP
I ka mālama ʻana i ka arthrosis, hoʻohana ʻia nā lāʻau lapaʻau o nā hui like ʻole: analgesics, non-steroidal inflammatory drugs (NSAIDs), nā lāʻau hoʻololi i ka maʻi lohi (ʻoi aku ka maikaʻi o ka chondroprotectors). Ua koho ʻia lākou i kēlā me kēia, e noʻonoʻo ana i ka pae o ka maʻi, ka makahiki o ka mea maʻi, nā maʻi concomitant. A koho ʻia lākou e ke kauka ma hope o ka nānā ʻana a me ka nānā ʻana. E noʻonoʻo i nā lāʻau lapaʻau koʻikoʻi no ka arthrosis, i kuhikuhi ʻia e nā loea.
1. Paracetamol
ʻO ka Paracetamol kahi analgesic me nā hopena analgesic a me nā hopena antipyretic, me nā hopena liʻiliʻi. Ua kuhikuhi ʻia e hoʻomaha i ka maʻi ʻeha o nā localization like ʻole, me ka ʻeha hui pū me ka arthrosis.
ʻAʻole hiki i ka Paracetamol ke hōʻino i ka mucous membrane o ka ʻōpū o ka ʻōpū. No laila, kūpono ia i nā poʻe maʻi me nā pilikia o ka ʻōpū, inā ʻaʻohe o lākou contraindications ʻē aʻe i ke kuhikuhi ʻana i kēia lāʻau lapaʻau (nā maʻi koʻikoʻi i ka hana ʻana o nā puʻupaʻa a i ʻole ate, anemia, alcoholism).
Kū'ē: hypersensitivity i nā ʻāpana o ka lāʻau lapaʻau, nā hōʻino koʻikoʻi o ke ake a me nā puʻupaʻa, nā keiki ma lalo o 6 mau makahiki.
2. Ibuprofen
ʻO ka Ibuprofen kahi lāʻau anti-inflammatory a me antirheumatic nonsteroidal. Hoʻopili koke ʻia ka lāʻau lapaʻau mai ka gastrointestinal tract, e hōʻemi ana i ka hopena o nā hopena ʻino. No ka arthritis, hiki i ka ibuprofen ke hoʻemi koke i ka ʻeha a me ka pehu. ʻAʻohe hopena o ka Ibuprofen i ka ʻōnaehana cardiovascular, no laila ua manaʻo ʻia ʻo ia kekahi o nā lāʻau i koho ʻia no ka poʻe ʻelemakule.
Kū'ē: nā maʻi erosive a me ka ulcerative o ka ʻōpū o ka ʻōpū, ka ʻōpū a me ka duodenal ulcer, ulcerative colitis.
3. Naproxen
ʻO Naproxen kekahi lāʻau anti-inflammatory non-steroidal. ʻO ka haʻahaʻa haʻahaʻa o nā pilikia mai ka puʻuwai a me nā kīʻaha koko ka mea nui o ka hoʻohana ʻana iā Naproxen a me kāna ʻokoʻa nui mai nā NSAID ʻē aʻe. Ua kuhikuhi ʻia ka lāʻau lapaʻau ma ke ʻano he analgesic a me ka anti-inflammatory agent no ka arthrosis. A, e like me nā ʻōlelo aʻoaʻo honua, hiki ke hoʻohana ʻia kahi mea liʻiliʻi o Naproxen no ka pale ʻana i ka wā lōʻihi o ka hoʻi hou ʻana o ka maʻi gouty.
Kū'ē: nā makahiki o nā keiki a hiki i ka makahiki 1, nā maʻi erosive a me ka ulcerative o ka ʻōpū o ka ʻōpū i ka pae koʻikoʻi, nā hōʻeha koʻikoʻi o ke ake a me nā puʻupaʻa, nā maʻi hematopoiesis2.
4. Meloxicam
ʻO kahi lāʻau anti-inflammatory non-steroidal mai ka pūʻulu o nā NSAID koho (nā mea e hoʻopau i ka mumū me ka ʻole e hōʻeha i ka mucosa ʻōpū). ʻO kekahi o nā inoa kālepa ʻo Movalis. Hoʻomaopopo maikaʻi ʻia ka lāʻau lapaʻau, ʻoiai ʻaʻole ia e lohi, ʻaʻole like me kekahi mau NSAID, ka hoʻokumu ʻana o ka cartilage articular. Ke lawe pū ʻia me ka aspirin, ʻaʻole ia e hōʻemi i kona pono antiplatelet.3.
Kū'ē: ka hapai a me ka lactation, lactose intolerance, aspirin, hapai, decompensated heart failure.
5. Nimesulide
ʻO kekahi lāʻau anti-inflammatory non-steroidal koho, i ʻike ʻia ma lalo o nā inoa kālepa Nimesil, Nise. He hopena analgesic i haʻi ʻia ʻo Nimesulide, ua ʻae maikaʻi ʻia (inā ʻaʻohe ʻano pilikino a me nā contraindications no ka hoʻohana ʻana) a ʻaʻole ia e hoʻopiʻi i nā hoʻopiʻi mai ka gastrointestinal tract. Hoʻonui i ka hopena o nā anticoagulants.
Kū'ē: ʻAʻole ʻōlelo ʻia no nā pathologies koʻikoʻi o ke ake, nā puʻupaʻa a i ʻole naʻau. Contraindicated i nā wahine hāpai a me ka lactating, a me ka hilinaʻi ʻana i ka waiʻona.
6. Kelekoxib
Aia ʻo Celecoxib i ka hui o nā lāʻau anti-inflammatory non-steroidal a loaʻa kahi hopena anti-inflammatory a me analgesic. Hoʻopau koke i ka ʻeha i ka arthrosis. ʻO ka haʻahaʻa haʻahaʻa o nā hoʻopiʻi pōʻino i ka ʻōpū o ka ʻōpū i ka wā e lawe ai iā Celecoxib i hōʻoia ʻia e nā noiʻi nui.4.
Kū'ē: hypersensitivity i ka sulfonamides, ka maʻi maʻi peptic ikaika a i ʻole ke kahe ʻana o ke koko i loko o ka ʻōpū o ka ʻōpū, allergy i ka aspirin a i ʻole NSAID. Me ka akahele, ua kuhikuhi ʻia ka lāʻau lapaʻau no nā hewa i ka hana o ke ake a me nā puʻupaʻa, nā maʻi o ka puʻuwai a me nā kīʻaha koko.
7. Arkoxia
Loaʻa iā Arcoxia ka etoricoxib. E like me nā lāʻau lapaʻau ʻē aʻe o ka hui NSAID koho, ua hana ʻia ka lāʻau lapaʻau e hōʻemi i ka hopena maikaʻi ʻole o ka lāʻau lapaʻau ma ka gastrointestinal tract. ʻO ka haʻahaʻa haʻahaʻa o ka hoʻomohala ʻana i nā hoʻopiʻi i loko o ka gastrointestinal tract ʻo ia ka mea nui loa. Hoʻopau maikaʻi ʻo Arcoxia a hoʻopau i nā hōʻailona o ke kaʻina inflammatory.
Kū'ē: ka ma'i ma'i peptic a i 'ole ke koko o ka ma'i, ka ma'i i ka aspirin a me ka NSAID, ka hapai, ka ma'i pu'uwai ko'iko'i, ka pau 'ole o ka na'au, ka hypertension arterial, ka ma'i pu'uwai ischemic.
8. Chondroitin sulfate
ʻO Chondroitin sulfate kahi lāʻau hoʻololi hoʻololi i ka maʻi i hoʻohana ʻia no ka mālama lōʻihi o ka arthrosis. Kōkua ka lāʻau lapaʻau e hoʻihoʻi i ka cartilage a me ka iwi iwi, hoʻomaha i ka ʻeha hui, e hōʻemi ana i ka pono o nā NSAID. Hoʻomau ka hopena o ke ʻano o ka mālama ʻana no ka manawa lōʻihi, akā hiki iā ʻoe ke hilinaʻi iā ia wale nō ma ka pae mua o ka maʻi.
Kū'ē: Ua kuhikuhi ʻia ka lāʻau lapaʻau me ka makaʻala no ke kahe koko a me kahi ʻano iā lākou, thrombophlebitis. I ka wā hāpai a me ka lactation, ua contraindicated, no ka mea, ʻaʻohe ʻikepili e pili ana i kona hopena i ke olakino o kahi wahine a me kahi keiki i kēia manawa.
9. Glucosamine sulfate
He analgesic a me ka hopena anti-inflammatory ka Glucosamine sulfate, no laila, hiki iā ʻoe ke lawe i nā analgesics liʻiliʻi a me nā NSAID e hoʻomaha i ka ʻeha.5. Hoʻomaʻamaʻa ka lāʻau lapaʻau i ka waiho maʻamau o ka calcium i loko o ka iwi iwi a hoʻoulu i ka hoʻihoʻi ʻana o ka cartilage a me ka iwi iwi.
Kū'ē: phenylketonuria, hōʻino ʻole o ka renal koʻikoʻi, hāpai a me ka lactation.
10. Teraflex
Aia ka lāʻau lapaʻau i ʻelua mau mea ikaika - glucosamine hydrochloride a me ka sodium chondroitin sulfate. Hoʻoulu lākou i ka hoʻihoʻi ʻana o ka ʻiʻo cartilage, hoʻomaikaʻi i ka neʻe ʻana o ka hui, hoʻemi i ka ʻeha a hoʻemi i ka paʻakikī o nā neʻe. Eia kekahi, ʻo nā ʻāpana o ka lāʻau lapaʻau e hāʻawi i ka pale no ka cartilage i hōʻino ʻia mai ka luku ʻana i ka metabolic i hana ʻia e NSAIDs a me glucocorticoids.
Kū'ē: ʻaʻole hiki i ka maʻi maʻi maʻi, hāpai a me ka lactation.
Pehea e koho ai i nā lāʻau no ka arthrosis
ʻAʻole ka mea maʻi e koho i nā lāʻau lapaʻau kūpono no ka arthrosis, akā ʻo ke kauka, me ka noʻonoʻo ʻana i nā maʻi concomitant - ʻoi aku ka nui o nā maʻi o ka ʻōnaehana cardiovascular, ate, nā puʻupaʻa, a me nā iwi iwi. Loaʻa kēia mau mea a pau i ka nīnau a me ka nānā ʻana i ka mea maʻi, ma ke kumu o nā hoʻokolohua laboratory.
Mea nui! Pono nā lāʻau anti-inflammatory non-steroidal i ka mālama ʻana i ka arthrosis e hoʻomaha i ka ʻeha a hana i nā kūlana maikaʻi no nā lāʻau ʻē aʻe. Akā ʻaʻole hiki iā ʻoe ke lawe i kēia mau lāʻau no ka lōʻihi loa, i ʻole e hoʻokumu i ka manaʻo ua hala ka maʻi. Ma lalo o ka mana o NSAID, ʻaʻole hele ka arthrosis, akā ʻeha. Eia kekahi, hiki i ka hoʻohana lōʻihi o nā NSAID ke kumu i nā hopena ʻaoʻao makemake ʻole.
Nā loiloi o nā kauka e pili ana i nā papa no ka arthrosis
"ʻAʻole hiki ke kaupalena ʻia ka mālama ʻana i ka maʻi arthrosis i ka lāʻau lapaʻau, pono e hoʻopaʻa ʻia," memo rheumatologist Alexander Elonakov. - Pono e hoʻomaopopo i nā kumu i alakaʻi ai i kēia maʻi i mea e paʻa ai kona holomua. ʻO ka pahuhopu o ka lāʻau lapaʻau ʻaʻole wale e hoʻomaha i ke kaʻina hana inflammatory a me ka ʻeha, akā no ka mālama ʻana i ka ikaika o ka ʻiʻo a me ka hana kaʻa. Ke hana ʻia ka ʻike o ka arthrosis, hoʻomaopopo mākou ʻaʻole hele kēia i kahi. Hiki ke hoʻomaikaʻi ʻia ma kāna iho a i ʻole e hoʻokō ʻia ma nā ʻano like ʻole. Akā he hana mau kēia ʻaʻole hiki iā mākou ke hoʻoikaika i ka honua. Ke kūkulu ʻia nei nā lāʻau lapaʻau kūpono.
Nā nīnau a me nā pane kaulana
Ua pane ʻo Rheumatologist Alexander Elonakov i nā nīnau kaulana e pili ana i ka mālama ʻana i ka arthrosis.
He aha nā ho'āʻo e hana inā ʻeha nā ami?
ʻO wai ke kauka e mālama i ka arthritis?
He aha nā meaʻai e hoʻoneʻe ʻia mai ka ʻai ʻana no ka ʻeha hui?
Sources:
- Rheumatology: nā alakaʻi lapaʻau. https://rheumatolog.ru/experts/klinicheskie-rekomendacii/
- Karateev AE Naproxen: analgesic versatile a me ka pilikia liʻiliʻi o nā pilikia cardiovascular. FGBNU Research Institute of Rheumatology. https://cyberleninka.ru/article/n/naproksen-universalnyy-analgetik-s-minimalnym-riskom-kardiovaskulyarnyh-oslozhneniy/viewer
- Karateev AE Meloxicam: ka "mea gula" o nā lāʻau anti-inflammatory non-steroidal. waihona lāʻau lapaʻau. 2014;86(5):99-105. https://www.mediasphera.ru/issues/terapevticheskij-arkhiv/2014/5/030040-36602014515
- Karateev AE Ka hoʻohana ʻana o celecoxib i ka rheumatology, cardiology, neurology a me oncology. https://paininfo.ru/articles/rmj/2361.html
- ʻO Chichasova NV, ke kaukaʻi o ke keʻena o ka rheumatology me kahi papa o ka rheumatology pediatric, FPPOV MMA i kapa ʻia ma hope. LAUA. Sechenov. ʻO ka lāʻau lapaʻau hou o ka osteoarthritis deforming. https://www.rlsnet.ru/library/articles/revmatologiya/sovremennaya-farmakoterapiya-deformiruyushhego-osteoartroza-90