10 mau lāʻau maikaʻi loa no ka arthrosis
He paio lōʻihi a paʻakikī ka mālama ʻana i ka arthrosis. ʻO kēlā me kēia lāʻau lapaʻau, inā he pill a physiotherapy paha, ua kuhikuhi ʻia e ke kauka ma hope o nā hoʻokolokolo. Me ka rheumatologist, ua hōʻuluʻulu mākou i ka helu o nā lāʻau lapaʻau kūpono no ka mālama ʻana i ka arthrosis.

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.

Hoʻopili maikaʻi me ka ʻeha o ka haʻahaʻa haʻahaʻa a me ka haʻahaʻa haʻahaʻa, ʻaʻole e hōʻino i ka mucous membrane o ka gastrointestinal tract, liʻiliʻi nā hopena ʻaoʻao.
ʻaʻole e kōkua i ka ʻeha nui.
hōʻike hou aku

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.

hoʻokō maikaʻi me ka ʻeha a me ka pehu, kūpono i ka poʻe ʻelemakule.
he mau contraindications.
hōʻike hou aku

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.

ʻAʻole pili i ka puʻuwai a me nā kīʻaha koko, hoʻomaha maikaʻi i ka ʻeha a me ka ʻeha.
he mau contraindications.

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.

ʻAʻole ia e lohi i ka hoʻokumu ʻana o ka cartilage articular, ʻaʻole i kumu i nā hopena ʻaoʻao, ke kumu kūʻai haʻahaʻa.
he mau contraindications.

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. 

hoʻopaʻa maikaʻi me ka ʻeha (ʻoi aku ka paʻakikī), ʻaʻole ia e hoʻopiʻi i nā pilikia mai ka ʻōpū o ka ʻōpū.
hiki i ka hiamoe.

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.

hoʻopaʻa ʻia me ka ʻeha nui, haʻahaʻa haʻahaʻa o nā hoʻopiʻi ma ka ʻōpū o ka ʻōpū.
kumu kūʻai kiʻekiʻe ma ka māhele, ʻaʻole i loaʻa mau i nā lāʻau lapaʻau.

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.

kōkua me ka ʻeha nui a mau loa.
ʻoi aku ke kumukūʻai kiʻekiʻe, kahi papa inoa nui o nā contraindications.

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.

hoʻomaha i ka ʻeha, paipai i ka hoʻihoʻi ʻana o ka iwi a me ka ʻiʻo cartilage.
ʻoi aku ka maikaʻi ma ka pae mua o ka maʻi.

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.

hoʻomaha maikaʻi i ka ʻeha a me ka mumū, hoʻoulu i ka hoʻihoʻi ʻana o ka iwi a me ka ʻiʻo cartilage.
loaʻa ʻole ma ke kūʻai aku.
hōʻike hou aku

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.

hoʻokuʻu i ka ʻeha a me ka paʻakikī o nā neʻe, ʻo ka hui hui e hōʻoia i ka hana pono o ka lāʻau.
kumu kūʻai kiʻekiʻe.
hōʻike hou aku

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?

- CBC, urinalysis, biochemical analysis o kekahi mau ʻāpana: creatinine, glucose, bilirubin, ALT, AST, gamma-GTP, alkaline phosphatase, huina protein, proteinogram, C-reactive protein. ʻO kēia ka liʻiliʻi liʻiliʻi hoʻokolohua hoʻokolohua e kōkua i ka loiloi i ke kūlana. Eia kekahi, e like me nā hōʻailona, ​​ua kuhikuhi ʻia nā hoʻokolohua ʻē aʻe.

ʻO wai ke kauka e mālama i ka arthritis?

- Hiki i ka rheumatologist a me ka traumatologist orthopedic ke kuhikuhi i ka lāʻau conservative. Inā koi ʻia ke ʻokiʻoki, pili ke kauka.

 He aha nā meaʻai e hoʻoneʻe ʻia mai ka ʻai ʻana no ka ʻeha hui?

- ʻO ka ʻōlelo koʻikoʻi nui ʻo ia ka haʻalele ʻana i nā meaʻai momona a me nā meaʻai momona, ka mea e kōkua ai i ka loaʻa ʻana o ke kaumaha a, no laila, ke koʻikoʻi i nā hono. ʻO kēia, ʻo ka mea mua, pili i ka poʻe overweight. ʻO ka meaʻai, ma ke kumu, pono ke kaulike, olakino.
  1. Rheumatology: nā alakaʻi lapaʻau. https://rheumatolog.ru/experts/klinicheskie-rekomendacii/
  2. 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
  3. 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
  4. Karateev AE Ka hoʻohana ʻana o celecoxib i ka rheumatology, cardiology, neurology a me oncology. https://paininfo.ru/articles/rmj/2361.html
  5. 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

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