ʻO 10 mau lāʻau anti-inflammatory nonsteroidal kiʻekiʻe (NSAID)
NSAID - he pila "magic" no ka ʻeha poʻo, ka ʻeha niho, ka menstrual, ka ʻiʻo a i ʻole ka ʻeha hui. He mea nui e hoʻomaopopo i nā lāʻau anti-inflammatory non-steroidal e hoʻopau wale i ka hōʻailona, ​​akā ʻaʻole pili i ke kumu o ka ʻeha.

30 miliona mau kānaka i kēlā me kēia lā e hoʻohana i nā lāʻau anti-inflammatory non-steroidal no ka hoʻomaha ʻana i ka ʻeha. E noʻonoʻo kākou i ka ʻokoʻa ma waena o nā hui like ʻole o NVPS, no nā maʻi i kuhikuhi ʻia ai lākou, a he aha nā hopena ʻaoʻao e loaʻa iā lākou.

Ka papa inoa o nā lāʻau anti-inflammatory non-steroidal kiʻekiʻe 10 e like me ka KP

1. Aspirin

Ua kuhikuhi ʻia ʻo Aspirin no ka ʻeha o kēlā me kēia ʻano (muscular, joint, menstrual) a me ke kiʻekiʻe o ka wela o ke kino. Aia kēia lāʻau lapaʻau i ka papa inoa o nā lāʻau koʻikoʻi o ka Russian Federation. Hoʻemi ʻo Aspirin i ka hoʻopili ʻana o nā platelets i kekahi i kekahi a hoʻokaʻawale i ke koko, no laila hiki ke kuhikuhi ʻia no ka hoʻohana lōʻihi ma kahi haʻahaʻa haʻahaʻa no ka pale ʻana i nā maʻi cardiovascular. ʻO ka nui loa o kēlā me kēia lā he 300 mg.

Kū'ē: hoʻonui i ke koko, nā keiki ma lalo o 15 makahiki.

kūpono no ka ʻeha o kēlā me kēia ʻano, ke kumukūʻai kūpono.
me ka hoʻohana lōʻihi, he hopena maikaʻi ʻole ia ma ka ʻōpū; hiki i ka ulu ʻana o ka hānō bronchial e pili ana me ka aspirin.
hōʻike hou aku

2. Diclofenac

Hoʻomaopopo pinepine ʻia ʻo Diclofenac no nā maʻi ʻeha o nā hui (arthritis). Eia kekahi, hoʻohana ikaika ʻia ka lāʻau lapaʻau no ka ʻeha o ka ʻiʻo, neuralgia, no ka ʻeha ma hope o ka hōʻeha a i ʻole ka hana ʻana, no ka maʻi ʻeha e pili ana i ke ʻano o nā maʻi ʻeha o ka ʻōpū hanu kiʻekiʻe a me ka pelvis liʻiliʻi (adnexitis, pharyngitis). ʻO 100 mg ka palena kiʻekiʻe loa.

Contraindications: ke koko ʻike ʻole ʻia ke kumu, ka ʻōpū a i ʻole ka duodenal ulcer, ka makahiki hope o ka hāpai ʻana.

hoʻohana honua; aia kekahi mau ʻano o ka hoʻokuʻu ʻana (gel, papa).
me ka akahele ua kauoha ʻia i ka poʻe ʻelemakule; contraindicated i ka edema.

3. Ketanov

Ua kuhikuhi ʻia ʻo Ketanov no ka ʻeha o ke ʻano haʻahaʻa a koʻikoʻi. Eia kekahi, ʻoi aku ka maikaʻi o ka lāʻau lapaʻau i ka maʻi ʻeha e pili ana i ka maʻi kanesa, a ma hope o ke ʻoki ʻana. Loaʻa ka hopena analgesic 1 hola ma hope o ka ʻai ʻana, a loaʻa ka hopena kiʻekiʻe ma hope o 2-3 mau hola. ʻO ka nui loa o kēlā me kēia lā he 40 mg. He mea kūpono hoʻi e hoʻomanaʻo ʻaʻole hoʻohana ʻia ʻo Ketorolac e mālama i ka ʻeha mau. Mai hoʻohana i ʻoi aku ma mua o ʻelua mau lā me ka nīnau ʻole ʻana i ke kauka.

Kū'ē: hāpai keiki, lactation, ate hemahema, hypersensitivity i NSAIDs, ulcerative erosive lesions o ka gastrointestinal tract i ka acute pae.

ʻōlelo ʻia ka hopena analgesic; pili i kekahi ʻeha (koe wale nō ka maʻi maʻi).
he hopena maikaʻi ʻole i ka mucosa ʻōpū.

4. Ibuprofen

Hoʻohana ʻia ka lāʻau e hoʻopau i ka ʻeha pōkole a i ʻole ke kuni me ke anu. ʻO ka lōʻihi o ka hopena analgesic e pili ana i 8 mau hola. ʻO ka nui loa o kēlā me kēia lā ʻo 1200 mg, ʻoiai ʻaʻole ia e ʻōlelo ʻia e lawe i ka lāʻau lapaʻau no nā lā ʻoi aku ma mua o 3 mau lā me ka ʻole o ke kauka.

Kū'ē: hypersensitivity i ka ibuprofen, erosive a me ka ulcerative maʻi a me ke koko o ka gastrointestinal tract, bronchial asthma, koʻikoʻi cardiac, renal a me hepatic insufficiency, koko clotting maʻi, hapai (3rd trimester), keiki ma lalo o 3 mahina o ka makahiki, kekahi rheumatological maʻi (systemic lupus erythematosus).

hoʻohana honua; hopena analgesic lōʻihi.
kahi papa inoa o nā contraindications, ʻaʻole hiki ke lawe ʻia ma mua o 3 mau lā.
hōʻike hou aku

5. Ketoprofen

Hoʻomaʻamaʻa pinepine ʻia ʻo Ketoprofen no nā maʻi ʻeha o nā iwi, nā ʻāʻī a me nā ʻiʻo - arthritis, arthrosis, myalgia, neuralgia, sciatica. Eia kekahi, ʻoi aku ka maikaʻi o kēia lāʻau lapaʻau no ka hoʻomaha ʻana i ka ʻeha ma hope o ka trauma, ʻokiʻoki, renal colic. ʻO ka nui loa o kēlā me kēia lā he 300 mg.

Kū'ē: nā maʻi maʻi peptic o ka ʻōpū o ka ʻōpū, nā keiki ma lalo o 18 mau makahiki, ka hāpai ʻana (3rd trimester), ka ate koʻikoʻi a me ka hāʻule ʻole o ka puʻupaʻa.

ʻōlelo ʻia ka hopena analgesic; kūpono no nā ʻeha like ʻole.
hoʻohana ʻia hoʻokahi wale nō manawa; hoʻopilikia maikaʻi ʻole i ka ʻōpū o ka ʻōpū.

6. Nalgezin Forte

Hoʻohana ʻia ʻo Nalgezin Forte e hoʻomaha i ka ʻeha i nā maʻi ʻeha o nā hui, iwi, nā ʻiʻo, nā poʻo a me nā migraines. Eia kekahi, ʻoi aku ka maikaʻi o ka lāʻau i ke kuni i ke anuanu. ʻO ka nui loa o kēlā me kēia lā he 1000 mg. Me ka hoʻohana lōʻihi, pono ia e nānā i ka hana o ka kidney.

Kū'ē: erosive a me ka ulcerative lesions o ka gastrointestinal tract i ka acute phase, hematopoietic disorders, koʻikoʻi impairment o ka puʻupaʻa a me ka ate hana, keiki ma lalo o 12 makahiki makahiki, hypersensitivity i naproxen a me na NSAIDs.

hoʻohana honua; maikaʻi ma ke ʻano he antipyretic.
kahi papa inoa o nā contraindications.

7. Meloxicam

Kau ʻia ʻo Meloxicam no nā maʻi ʻē aʻe (osteoarthritis a i ʻole rheumatoid arthritis), no ka mea, hoʻopau koke ia i ka ʻeha a me ka mumū. I kēia hihia, koi ikaika ʻia e hoʻomaka i ka mālama ʻana me ka liʻiliʻi liʻiliʻi a hoʻonui inā pono. Eia kekahi, i ka lawe ʻana i ka Meloxicam, hiki i nā hopena ʻaoʻao e like me ka ʻeha o ka ʻōpū, ka maʻi maʻi, flatulence, nausea.

Kū'ē: hypersensitivity i nā ʻāpana o ka lāʻau lapaʻau, decompensated heart failure, erosive lesions a me ke koko o ka gastrointestinal tract, hāpai a me ka hānai ʻana, nā keiki ma lalo o 12 mau makahiki.

ʻōlelo ʻia ka hopena analgesic i nā maʻi rheumatological.
hiki i nā hopena ʻaoʻao; ka pono no ke koho pono ana.

8. Nimesulide

Hoʻohana ʻia ʻo Nimesulide no nā ʻano ʻeha like ʻole: niho, poʻo, ʻiʻo, ʻeha hope, a me ka wā postoperative, ma hope o nā ʻeha a me nā ʻeha. ʻO ka nui o ka nui hoʻokahi he 200 mg. I kēia hihia, ʻaʻole pono e lawe ʻia ka lāʻau no ke anu a me ka SARS. Hoʻomaopopo pū nā kauka e hiki i ka Nimesulide ke hana i nā hopena ʻaoʻao e like me ka dizziness, hiamoe, headache, excessive sweating, urticaria, itchy skin.

Kū'ē: hapai a me ka lactation, bronchospasm, urticaria, rhinitis ma muli o ka lawe ʻana i nā NSAID, nā keiki ma lalo o 12 mau makahiki.

ka hopena analgesic lōʻihi (ʻoi aku ma mua o 12 mau hola).
contraindicated i ke kuni i ke anu, hoopilikia i ka gastrointestinal tract.

9. Kelekoxib

Manaʻo ʻia ʻo Celecoxib kekahi o nā NSAID palekana loa. Hoʻohana ʻia ka lāʻau lapaʻau e hōʻoluʻolu i ka ʻeha a me ka ʻeha o ka ʻiʻo, a hoʻohana ʻia hoʻi e hoʻomaha i ka hoʻouka ʻana o ka ʻeha nui i nā pākeke.1. Manaʻo nā kauka e hoʻomaka i ka mālama ʻana me ka liʻiliʻi liʻiliʻi a hoʻonui inā pono.

Kū'ē: nā hōʻeha koʻikoʻi o nā puʻupaʻa a me ka ate, nā hopena maʻi i ka lawe ʻana i ka acetylsalicylic acid a i ʻole nā ​​​​NSAID ʻē aʻe i ka mōʻaukala, III trimester o ka hāpai ʻana, lactation.

palekana no ka mucosa gastrointestinal, kōkua i nā ʻano ʻeha like ʻole.
Pono ke koho dosage.

10. Arcoxia

ʻO ka mea ikaika i loko o ka haku mele ʻo etoricoxib. Hoʻohana ʻia ka lāʻau lapaʻau no ka mālama ʻana i ka ʻeha mau loa (me nā maʻi rheumatological), a me ka ʻeha ma hope o ka ʻoki niho.2. ʻO ka nui loa o kēlā me kēia lā he 120 mg.

Kū'ē: hāpai keiki, lactation, erosive a me ka ulcerative hoʻololi i loko o ka mucous membrane o ka opu a duodenum, ikaika gastrointestinal koko, cerebrovascular a 'ē aʻe koko, keiki ma lalo o 16 makahiki.

haʻi ʻia ka hopena analgesic.
ʻaʻole e hoʻemi i ke kuni, ʻaʻole e kōkua i nā ʻano ʻeha a pau.

Pehea e koho ai i nā lāʻau anti-inflammatory non-steroidal

Hoʻokaʻawale ʻia nā lāʻau anti-inflammatory non-steroidal āpau i mau pūʻulu. ʻOkoʻa lākou i ka lōʻihi o ka hana, ka maikaʻi i ka hoʻomaha ʻana i ka ʻeha a me ka mumū, a me ke ʻano kemika.3.

E like me ka lōʻihi o ka hana, ʻokoʻa ka hana pōkole (manawa hōʻike ma kahi o 6 mau hola) a me ka hana lōʻihi (ʻoi aku ma mua o 6 mau hola) nā lāʻau anti-inflammatory non-steroidal.

Eia kekahi, ʻokoʻa nā NSAID i ka hopena o ka hopena anti-inflammatory a me ka hopena analgesic. Loaʻa ka hopena anti-inflammatory (mai ka nui a hiki i ka liʻiliʻi): indomethacin - diclofenac - ketoprofen - ibuprofen - aspirin. E like me ke koʻikoʻi o ka hopena analgesic (mai ka nui a hiki i ka liʻiliʻi): ketorolac - ketoprofen - diclofenac - indomentacin - ibuprofen - aspirin4.

Nā loiloi o nā kauka e pili ana i nā lāʻau anti-inflammatory non-steroidal

Ua hoʻomaikaʻi ʻia ʻo Celecoxib e nā kauka he mea lapaʻau maikaʻi no ka ʻeha rheumatic mau loa. Eia kekahi, ua manaʻo ʻia ʻo Celecoxib i ka "pae gula" no ka haʻahaʻa haʻahaʻa o nā hoʻopiʻi gastrointestinal.

Eia kekahi, ʻōlelo ka poʻe loea iā Naproxen, ka mea i ʻae maikaʻi ʻia e nā maʻi a ʻaʻole e hoʻokau i nā hopena ʻaoʻao ke hoʻohana ʻia no nā lā 21.5.

He nui nā rheumatologists e hōʻike ana i ka lāʻau Etoricoxib (Arcoxia), kahi kūpono no nā kūlana he nui e pili ana i ka ʻeha. ʻO kekahi o kāna mau pono nui he regimen dosing kūpono a me ka wikiwiki o ka hoʻomaka ʻana o ka hopena.

Nā nīnau a me nā pane kaulana

Ua kūkākūkā mākou i nā pilikia nui e pili ana i nā lāʻau anti-inflammatory non-steroidal me kauka laula ka mahele kiekie loa Tatyana Pomerantseva.

No ke aha e pilikia ai nā lāʻau anti-inflammatory non-steroidal?

- He pōʻino ka NVPS no ka mea hiki iā lākou ke hana i nā hopena ʻaoʻao. ʻO ka mea maʻamau o lākou:

• NSAIDs - gastropathy (ma 68% o nā mea maʻi e lawe ana i nā lāʻau lapaʻau no ka liʻiliʻi o 6 mau pule) - hōʻike ʻia e ka hoʻokumu ʻana o nā maʻi ʻeha, erosions, gastric bleeding, perforations;

• nā puʻupaʻa - ka hōʻino ʻole o ka renal, ka paʻa ʻana o ka wai;

• ka'ōnaehana cardiovascular - hō'ino i nā ka'ina hana koko;

• pūnaeho nūnū - poʻo, pilikia moe, pilikia hoʻomanaʻo, puʻuwai, dizziness;

• hypersensitivity - hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka hānō bronchial;

• poino i ke ake.

He aha ka ʻokoʻa ma waena o nā lāʻau steroid a me nā lāʻau non-steroid?

- ʻO nā lāʻau anti-inflammatory steroid nā lāʻau hormonal. A ʻo nā lāʻau lapaʻau nonsteroidal he mau ʻakika organik. ʻAʻole like me nā NSAID, pili nā lāʻau steroid i nā kaʻina metabolic i loko o ke kino a me ka ʻōnaehana pale. Ua kuhikuhi ʻia nā lāʻau steroid i ka wā o ka hana maʻi kiʻekiʻe, i ke alo o nā kaʻina pathological mai nā ʻāpana ʻē aʻe a me nā ʻōnaehana, ka ʻeha mau, ka ʻeha hui (i ka rheumatology), inā ʻaʻole pono nā NSAID a i ʻole contraindications iā lākou.

Pehea ka lōʻihi e hoʻohana ʻia ai nā lāʻau nonsteroidal?

ʻO nā NSAID nā lāʻau hōʻeha ʻaʻole mālama i ke kumu o ka ʻeha. No laila, hiki iā ʻoe ke lawe i nā lāʻau lapaʻau iā ʻoe iho no nā lā 5. Inā mau ka ʻeha, pono ʻoe e nīnau i ke kauka.

Pehea e pale ai i ka mucosa o ka ʻōpū mai nā hopena koʻikoʻi o nā NSAID?

- Pono pono e lawe i ka proton pump inhibitors (PPIs) e like me ka papa o NSAID. Aia nā PPI i ka Omeprazole, Pariet, Nolpaza, Nexium. ʻO kēia mau lāʻau lapaʻau e hoʻemi i ka huna ʻana o ka waika hydrochloric e nā sela mucosal kūikawā a hāʻawi i kahi pale i ka mucosa ʻōpū.

Aia nā NSAID palekana?

ʻAʻohe lāʻau anti-inflammatory non-steroidal i palekana loa no ke olakino. ʻO ia wale nō ka liʻiliʻi o ka paʻakikī o nā hopena ʻaoʻao i kekahi mau lāʻau. ʻO Naproxen a me Celecoxib ka mea palekana loa.
  1. Karateev AE Celecoxib: ka loiloi o ka pono a me ka palekana i ka lua o nā makahiki he 2013st // Modern Rheumatology. 4. ʻAʻole. HKH: https://cyberleninka.ru/article/n/tselekoksib-otsenka-effektivnosti-i-bezopasnosti-vo-vtorom-desyatiletii-xxi-veka
  2. Kudaeva Fatima Magomedovna, Barskova VG Etoricoxib (arcoxia) i ka rheumatology // Modern rheumatology. 2011. No. 2. HKH: https://cyberleninka.ru/article/n/etorikoksib-arkoksia-v-revmatologii
  3. 2000-2022. KAKAU O NA LAAU LAAU O RUSIA® RLS ®
  4. Shostak NA, Klimenko AA Non-steroidal anti-inflammatory drugs — nā ʻano hou o kā lākou hoʻohana. Kauka. 2013. Helu 3-4. HKH: https://cyberleninka.ru/article/n/nesteroidnye-protivovospalitelnye-preparaty-sovremennye-aspekty-ih-primeneniya
  5. ʻO Tatochenko VK hou e pili ana i nā antipyretics // VSP. 2007. No. 2. HKH: https://cyberleninka.ru/article/n/eschyo-raz-o-zharoponizhayuschih-sredstvah

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