10 mapiritsi akanakisa eArthrosis
Kurapa kweArthrosis inguva refu uye yakaoma. Chero mishonga, ingave mapiritsi kana physiotherapy, inorayirwa nachiremba mushure mekuongororwa. Pamwe chete ne rheumatologist, takanyora chiyero chemapiritsi anoshanda ekurapa arthrosis

"Mufananidzo" wemurwere ane arthrosis mukadzi akwegura akapfava. Asi izvi hazvirevi kuti vanhu vatete, varume kana vechidiki vane inishuwarenzi yekurwisa arthrosis. Arthrosis inowanikwa kunyange kune vechidiki. Ndizvo chete kuti mumadzimai akwegura anowanzoita kuzara, chirwere ichi chinowanzoitika.

Chero zvazvingava, arthrosis inoda kugadzirisa matambudziko akawanda panguva imwe chete: kubvisa marwadzo, kusimbisa mhasuru dzakapoteredza chirwere chinorwara, uye kuwedzera kufamba kwayo. Nokudaro, nzira dzakasiyana-siyana dzinobatanidzwa mukurapwa. Mapiritsi anobudirira eArthrosis, akadaro, haapo. Kune huwandu hwemishonga inobatsira mukugadzirisa matambudziko ane chekuita nechirwere ichi.1.

Rondedzero yemapiritsi gumi asingadhuri uye anoshanda eArthrosis maererano neKP

Mukurapa arthrosis, mishonga yemapoka akasiyana-siyana anoshandiswa: analgesics, non-steroidal inflammatory drugs (NSAIDs), inononoka-kuita zvirwere-kugadzirisa zvinodhaka (zviri nani zvinozivikanwa sechondroprotectors). Vanosarudzwa mumwe nomumwe, vachifunga nezvedanho rechirwere, zera remurwere, zvirwere zvinosangana. Uye vanogadzwa nachiremba mushure mekuongorora uye kuongorora. Funga nezvemapiritsi makuru asingadhuri eArthrosis, ayo anorayirwa nenyanzvi.

1. Paracetamol

Paracetamol ianalgesic ine analgesic uye antipyretic mhedzisiro, ine mashoma maside mhedzisiro. Inorayirwa kuti ibvise marwadzo ekurwadziwa kwenzvimbo dzakasiyana-siyana, kusanganisira marwadzo akabatana ane arthrosis.

Paracetamol haikonzeri kukanganisa kune mucous membrane yemudumbu turakiti. Nokudaro, zvakakodzera kuvarwere vane matambudziko emudumbu, kana vasina zvimwe zvinopesana nekuraira zvinodhaka izvi (kushungurudzika kwakakomba mukushanda kweitsvo kana chiropa, kupererwa neropa, kudhakwa).

Contraindications: hypersensitivity kune zvikamu zvezvinodhaka, kukanganisa kwakanyanya kwechiropa neitsvo, vana vari pasi pemakore matanhatu.

inobata zvakanaka nemarwadzo ekudzika uye pakati nepakati, haikuvadzi mucous membrane yemudumbu, mashoma mhedzisiro.
hazvizobatsiri nekurwadziwa kwakanyanya.
ratidza zvakawanda

2. Ibuprofen

Ibuprofen isiri-steroidal anti-inflammatory uye antirheumatic agent. Mushonga wacho unokurumidza kutorwa kubva mudumbu remudumbu, izvo zvinoderedza njodzi yezvinogona kuitika zvakashata. Kune arthritis, ibuprofen inogona kukurumidza kuderedza marwadzo uye kuzvimba. Ibuprofen haina kana mhedzisiro pane yemoyo system, saka inoonekwa seimwe yemishonga inosarudzwa kune vakura.

Contraindications: erosive uye ulcerative maronda emudumbu turakiti, gastric uye duodenal maronda, ulcerative colitis.

inobata zvakanaka nemarwadzo uye kuzvimba, zvakakodzera kune vakwegura.
zvakawanda contraindications.
ratidza zvakawanda

3. Naproxen

Naproxen zvakare isiri-steroidal anti-inflammatory drug. Ngozi yakaderera yematambudziko kubva pamwoyo nemidziyo yeropa ndiyo inonyanya kukosha yekushandisa Naproxen uye kusiyana kwayo kukuru kubva kune dzimwe NSAIDs. Mushonga unorayirwa seanalgesic uye anti-inflammatory agent ye arthrosis. Uye, maererano nemazano epasi rose, shoma shoma yeNaproxen inogona kushandiswa kwenguva refu yekudzivirira kwekudzoka kwegouty arthritis.

Contraindications: zera revana kusvika kune 1 gore, erosive uye ulcerative maronda emudumbu turakiti muacute nhanho, kukanganisa kwakanyanya kwechiropa kana itsvo, hematopoiesis kusagadzikana.2.

haikanganisi mwoyo nemidziyo yeropa, inobvisa marwadzo uye kuzvimba zvakanaka.
zvakawanda contraindications.

4. Meloxicam

A non-steroidal anti-inflammatory drug kubva kuboka rekusarudza NSAIDs (iyo inobvisa kuzvimba pasina kukuvadza gastric mucosa). Rimwe remazita ekutengesa ndiMovalis. Mushonga wacho unobvumirwa zvakanaka, asi haunonoke, kusiyana nedzimwe NSAIDs, kuumbwa kwe articular cartilage. Kana inotorwa pamwe chete ne aspirin, haideredze kushanda kwayo kweantiplatelet.3.

Contraindications: pamuviri uye lactation, lactose kusashivirira, aspirin, pamuviri, decompensated mwoyo kukundikana.

hainonoke kuumbwa kwearticular cartilage, inenge isingakonzeri mhedzisiro, mutengo wakaderera.
zvakawanda contraindications.

5. Nimesulide

Imwe yakasarudzwa isiri-steroidal anti-inflammatory drug, inozivikanwa pasi pezita rekutengesa Nimesil, Nise. Nimesulide ine chirevo cheanalgesic effect, inobvumirwa zvakanaka (kana pasina munhu hunhu uye contraindications pakushandisa) uye haakonzeri matambudziko kubva gastrointestinal turakiti. Inowedzera mhedzisiro ye anticoagulants.

Contraindications: hazvikurudzirwe kune zvakanyanya pathologies zvechiropa, itsvo kana moyo. Contraindicated muvakadzi vane pamuviri uye vanoyamwisa, uyewo mukudhakwa nedoro. 

inobata zvakanaka nemarwadzo (kunyangwe akanyanya), haakonzeri matambudziko kubva mudumbu remukati.
zvinogona kukonzera hope.

6. Celecoxib

Celecoxib ndeyeboka re-non-steroidal anti-inflammatory drugs uye ine inonzi anti-inflammatory uye analgesic effect. Kurumidza kubvisa marwadzo mu arthrosis. Ngozi yakaderera yematambudziko ane njodzi mudumbu remukati kana uchitora Celecoxib inosimbiswa nezvidzidzo zvakawanda.4.

Contraindications: hypersensitivity kune sulfonamides, inoshanda peptic ulcer kana kubuda ropa mudumbu remudumbu, allergy kune aspirin kana NSAIDs. Nekuchenjerera, mushonga unotarirwa kukanganisa mubasa rechiropa neitsvo, zvirwere zvemwoyo nemidziyo yeropa.

inobata kunyangwe nekurwadziwa kwakanyanya, njodzi yakaderera yematambudziko mudumbu remudumbu.
mutengo wakanyanya muchikamu, hauwanzo kuwanikwa muma pharmacy.

7. Arkoxia

Arcoxia ine etoricoxib. Kufanana nemimwe mishonga yeboka rakasarudzwa reNSAID, mushonga wacho wakagadzirwa kuti uderedze kuipa kwemushonga pamakumbo emimba. Mukana wakaderera wekuita matambudziko mudumbu redumbu ndiko kuwedzera kwayo kukuru. Arcoxia zvakare inobudirira anesthetize uye inobvisa zviratidzo zvekuzvimba.

Contraindications: active peptic ulcer kana gastrointestinal kubuda ropa, allergy kune aspirin neNSAIDs, pamuviri, kusashanda zvakanaka kwechiropa, kutadza kushanda kwemoyo, arterial hypertension, ischemic heart disease.

inobatsira kunyange nekurwadziwa kwakanyanya uye kusingaperi.
pane mutengo wakakwira, rondedzero hombe ye contraindications.

8. Chondroitin sulfate

Chondroitin sulfate chirwere chinononoka-chinogadzirisa chirwere chinoshandiswa kwenguva refu yekurapa arthrosis. Mushonga unobatsira kudzorera cartilage uye pfupa, kubvisa marwadzo emajoini, kuderedza kudiwa kweNSAIDs. Mhedzisiro yekosi yekurapa inopfuurira kwenguva yakareba, asi iwe unogona kuvimba nayo chete padanho rekutanga rechirwere.

Contraindications: mushonga unorayirwa nekuchenjerera kubuda ropa uye tsika kwavari, thrombophlebitis. Panguva yekuzvitakura uye kuyamwisa, inopikiswa, nekuti hapana data ine chekuita kwayo pahutano hwemukadzi nemwana panguva ino.

inobvisa marwadzo, inokurudzira kudzorerwa kwefupa uye cartilage tishu.
inonyanya kushanda chete panguva yekutanga yechirwere.

9. Glucosamine sulfate

Glucosamine sulfate ine analgesic uye anti-inflammatory effect, saka, inokubvumira kutora mashoma analgesics uye NSAIDs kuti ubvise marwadzo.5. Mushonga unofambisa kugadzika kwekarusiyamu mumapfupa emapfupa uye unokurudzira kudzorerwa kwekashwa uye mapfupa emapfupa.

Contraindications: phenylketonuria, kutadza kusingaperi kwetsvo, pamuviri uye lactation.

zvakanaka kunobvisa marwadzo uye kuzvimba, kunokurudzira kudzoreredzwa kwemapfupa uye cartilage tishu.
kashoma kuwanikwa pakutengeswa.
ratidza zvakawanda

10. Teraflex

Mushonga une zvinhu zviviri zvinoshanda - glucosamine hydrochloride uye sodium chondroitin sulfate. Vanokurudzira kudzorerwa kwecartilage tissue, kunatsiridza kufamba kwemajoini, kuderedza marwadzo uye kuderedza kuoma kwekufamba. Mukuwedzera, zvikamu zvemushonga zvinopa dziviriro kune yakakuvadzwa cartilage kubva mukuparadzwa kwemetabolism kunokonzerwa neNSAIDs uye glucocorticoids.

Contraindications: zvakakomba zvisingaperi renal kukundikana, pamuviri uye lactation.

inobvisa marwadzo uye kuoma kwekufamba, iyo yakasanganiswa yakagadzirwa inovimbisa kushanda kunoshanda kwemushonga.
mutengo wakakwirira.
ratidza zvakawanda

Nzira yekusarudza mapiritsi eArthrosis

Haisi murwere anosarudza mapiritsi anobudirira eArthrosis, asi chiremba, achifunga nezvezvirwere zvinosangana - kunyanya zvirwere zvehutano hwemwoyo, chiropa, itsvo, uye mwongo. Zvose izvi zvinowanikwa panguva yekubvunzurudzwa uye kuongororwa kwemurwere, pamusana pekuongororwa kwe laboratory.

Zvinokosha! Non-steroidal anti-inflammatory drugs mukurapa arthrosis inodiwa kubvisa marwadzo uye kugadzira mamiriro akanaka kune mamwe marapirwo. Asi iwe haugoni kutora mishonga iyi kwenguva yakareba, kuitira kuti usagadzira kunyengera kuti chirwere chaenda. Pasi pesimba reNSAIDs, kwete arthrosis inoenda, asi kurwadziwa. Mukuwedzera, kushandiswa kwenguva refu kweNSAID kunogona kukonzera migumisiro isingadikanwi.

Ongororo yevanachiremba nezve mahwendefa e arthrosis

"Kurapwa kwearthrosis hakugone kuganhurirwa kukurapa kwezvinodhaka, kunofanirwa kunge kwakazara," anodaro rheumatologist Alexander Elonakov. - Zvakakosha kuziva zvikonzero zvakakonzera chirwere ichi kuitira kuti ive nekukura kwayo. Chinangwa chekurapa hachisi chete kusunungura nzira yekuzvimba uye kurwadziwa, asiwo kuchengetedza simba remhasuru uye mota basa. Pangosvika kuongororwa kwearthrosis, tinonzwisisa kuti izvi hazvisi kuenda kupi. Kuvandudza kunogona kuuya kwega kana kuwanikwa nenzira dzakasiyana-siyana. Asi iyi inguva isingaperi yatisingakwanise kupesvedzera pasi rose. Mishonga inobudirira iri kungogadzirwa.

Mibvunzo nemhinduro dzakakurumbira

Rheumatologist Alexander Elonakov anopindura mibvunzo yakakurumbira pamusoro pekurapa arthrosis.

Ndezvipi zviedzo zvinofanira kuitwa kana majoini achirwadza?

- CBC, urinalysis, biochemical analysis of anoverengeka parameters: creatinine, glucose, bilirubin, ALT, AST, gamma-GTP, alkaline phosphatase, proteinogram, C-reactive protein. Iri ndiro diki diki bvunzo rabhoritari inozobatsira kuongorora mamiriro. Uyezve, maererano nezviratidzo, mamwe maedzo anotemerwa.

Ndeupi chiremba anorapa arthritis?

- Rheumatologist uye orthopedic traumatologist inogona kuraira kurapwa kwekuchengetedza. Kana kuvhiyiwa kuchidiwa, chiremba anovhiya anobatanidzwa.

 Ndezvipi zvokudya zvinofanira kubviswa kubva pakudya kwemarwadzo emajoini?

- Kurudziro inonyanya kukosha ndeyekubvisa carbohydrate uye chikafu chine mafuta, izvo zvinoita kuti uremu uwedzere uye, nekudaro, kunetseka pamajoini. Izvi, chekutanga, zvine chekuita nevanhu vakafuta. Kudya, mumusimboti, kunofanirwa kuve kwakadzikama, kune hutano.
  1. Rheumatology: mirayiridzo yekliniki. https://rheumatolog.ru/experts/klinicheskie-rekomendacii/
  2. Karateev AE Naproxen: inochinja-chinja analgesic uye ine njodzi shoma yehutano hwemoyo. FGBNU Research Institute yeRheumatology. https://cyberleninka.ru/article/n/naproksen-universalnyy-analgetik-s-minimalnym-riskom-kardiovaskulyarnyh-oslozhneniy/viewer
  3. Karateev AE Meloxicam: iyo "yegoridhe zvinoreva" yeasiri-steroidal anti-anopisa zvinodhaka. Therapeutic archive. 2014;86(5):99-105. https://www.mediasphera.ru/issues/terapevticheskij-arkhiv/2014/5/030040-36602014515
  4. Karateev AE Kushandiswa kwecelecoxib mu rheumatology, cardiology, neurology uye oncology. https://paininfo.ru/articles/rmj/2361.html
  5. Chichasova NV, purofesa wedhipatimendi rerheumatology ane kosi yevana rheumatology, FPPOV MMA yakatumidzwa zita. THEM. Sechenov. Mazuva ano pharmacotherapy ye deforming osteoarthritis. https://www.rlsnet.ru/library/articles/revmatologiya/sovremennaya-farmakoterapiya-deformiruyushhego-osteoartroza-90

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