Top 10 Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
NSAIDs - "magic" piritsi remusoro, kurwadza kwezino, kuenda kumwedzi, tsandanyama kana kurwadziwa kwemajoini. Zvakakosha kunzwisisa kuti kwete-steroidal anti-inflammatory drugs inobvisa chete chiratidzo, asi haibatsiri chikonzero chaicho chemarwadzo.

30 miriyoni vanhu zuva nezuva vanoshandisa isiri-steroidal anti-kuzvimba mishonga yekunyaradza marwadzo. Ngationei kuti ndeupi musiyano uripo pakati pemapoka akasiyana eNVPS, kuti ndeapi zvirwere zvavanonyorerwa, uye ndeapi mhedzisiro yavangave nayo.

Rondedzero yepamusoro gumi isingadhuri uye inoshanda isiri-steroidal anti-inflammatory drugs maererano neKP

1. Aspirin

Aspirin inonyorerwa marwadzo emhando ipi neipi (tsandanyama, majoini, kuenda kumwedzi) uye tembiricha yepamusoro yemuviri. Mushonga uyu wakabatanidzwa mune rondedzero yemishonga yakakosha yeRussian Federation. Aspirin zvakare inoderedza kusungirirwa kwemaplatelet kune mumwe nemumwe uye kutetepa ropa, saka inogona kurongerwa kushandiswa kwenguva refu pachiyero chakaderera chekudzivirira chirwere chemoyo. Iyo yakawanda yezuva nezuva dosage ndeye 300 mg.

Contraindications:kunyanya kuda kubuda ropa, vana vari pasi pemakore gumi nemashanu.

yakakodzera marwadzo emhando ipi zvayo, mutengo unodhura.
nekushandiswa kwenguva refu, ine mhedzisiro yakaipa pamudumbu; zvinokwanisika kukura kwebronchial asthma inobatanidza ne aspirin.
ratidza zvakawanda

2. Diclofenac

Diclofenac inonyanya kurongerwa zvirwere zvinoputika zvemajoini (arthritis). Uyewo, mushonga wacho unoshandiswa zvakasimba pakurwadziwa kwetsandanyama, neuralgia, marwadzo mushure mekukuvadzwa kana kuvhiyiwa, nokuda kwekurwadziwa kwechirwere chinopesana nehutachiona hwehutachiona hwepamusoro uye chiuno chechiuno (adnexitis, pharyngitis). Iyo yakanyanya kuwanda dosage ndeye 100 mg.

Contraindication: kubuda ropa kusingazivikanwe kwakabva, mudumbu kana duodenal ulcer, yekupedzisira trimester yekuzvitakura.

universal application; kune marudzi akawanda ekusunungurwa (gel, mapiritsi).
nekuchenjerera kunorayirwa kune vakwegura; contraindicated mu edema.

3. Ketanov

Ketanov inonyorerwa marwadzo epakati kusvika kune akanyanya kusimba. Zvakare, mushonga uyu unoshanda mukurwadziwa kwechirwere chinoperekedza cancer, uye mushure mekuvhiyiwa. Iyo analgesic effect inoitika 1 awa mushure mekudya, uye iyo yakanyanya mhedzisiro inowanikwa mushure memaawa 2-3. Iyo yakawanda yezuva nezuva dosage ndeye 40 mg. Izvo zvakakoshawo kuyeuka kuti Ketorolac haishandiswe kurapa kurwadziwa kusingaperi. Usashandise mazuva anopfuura maviri usina kubvunza chiremba.

Contraindications: pamuviri, kuyamwisa, kusashanda kwechiropa, hypersensitivity kune NSAIDs, ulcerative erosive maronda emudumbu muchikamu chakaoma.

inonzi analgesic effect; inoshanda kune chero kurwadziwa (kunze kwekusingaperi).
simba rakaipa rakaipa pane gastric mucosa.

4. Ibuprofen

Mushonga unoshandiswa kubvisa marwadzo enguva pfupi kana kupisa nedzihwa. Nguva yeanalgesic effect inotora anenge maawa masere. Iyo yakawanda yezuva nezuva dosage ndeye 8 mg, nepo isingakurudzirwe kutora mushonga kwemazuva anopfuura matatu pasina kurudziro yachiremba.

Contraindications: hypersensitivity kune ibuprofen, erosive uye ulcerative zvirwere uye kubuda ropa kwegastrointestinal turakiti, bronchial asthma, yakanyanya cardiac, renal uye hepatic insufficiency, ropa clotting disorder, pamuviri (3rd trimester), vana vari pasi pemwedzi mitatu yekuberekwa, zvimwe zvirwere zverheumatological (systemic lupus erythematosus).

universal application; kwenguva refu analgesic effect.
rondedzero yakawanda yezvinopesana, haigone kutorwa kwenguva yakareba kupfuura mazuva matatu.
ratidza zvakawanda

5. Ketoprofen

Ketoprofen inowanzogadzirirwa zvirwere zvinoputika zvemapfupa, majoini uye tsandanyama - arthritis, arthrosis, myalgia, neuralgia, sciatica. Zvakare, mushonga uyu unoshanda pakubvisa marwadzo mushure mekukuvadzwa, kuvhiyiwa, renal colic. Iyo yakawanda yezuva nezuva dosage ndeye 300 mg.

Contraindications: peptic ulcers of the gastrointestinal turakiti, vana vari pasi pemakore gumi nemasere, pamuviri (18rd trimester), chiropa chakakomba uye kukanganisa kwetsvo.

inonzi analgesic effect; akakodzera marwadzo akasiyana-siyana.
kushandiswa kwekamwe chete kunokurudzirwa; zvinokanganisa maitiro emimba.

6. Nalgezin Forte

Nalgezin Forte inoshandiswa kubvisa marwadzo muzvirwere zvinoputika zvemajoini, mapfupa, tsandanyama, musoro uye migraines. Uyewo, mushonga wacho unoshanda kune fever panguva yekutonhora. Iyo yakawanda yezuva nezuva dosage ndeye 1000 mg. Nekushandisa kwenguva refu, zvinodikanwa kutarisa kushanda kwetsvo.

Contraindications: erosive uye ulcerative maronda emudumbu muchikamu cheacute, hematopoietic disorders, kukanganisa kwakanyanya kweitsvo nechiropa, vana vari pasi pemakore gumi nemaviri, hypersensitivity kune naproxen nedzimwe NSAID.

universal application; inoshanda se antipyretic.
rondedzero yakawanda ye contraindications.

7. Meloxicam

Meloxicam inorayirwa siyana arthritis (osteoarthritis kana rheumatoid arthritis), sezvo inokurumidza uye zvinobudirira kubvisa marwadzo uye kuzvimba. Muchiitiko ichi, zvinokurudzirwa kuti utange kurapwa nehuwandu hwehuwandu uye kuwedzera kana zvichidiwa. Zvakare, kana uchitora Meloxicam, mhedzisiro yakadai sekurwadziwa mudumbu, manyoka, flatulence, kuda kurutsa.

Contraindications: hypersensitivity kune zvikamu zvemushonga, kuora mwoyo kukundikana, zvipembenene zvinoputika uye kubuda ropa kwepamuviri, pamuviri uye kuyamwisa, vana vari pasi pemakore gumi nemaviri.

inonzi analgesic effect mu rheumatological zvirwere.
zvinobvira nemigumisiro; kudiwa kwekuchenjerera kusarudzwa kwepimo.

8. Nimesulide

Nimesulide inoshandiswa kumarudzi akasiyana-siyana ekurwadziwa: mazino, kutemwa nemusoro, tsandanyama, kurwadziwa shure, uyewo munguva ye postoperative, mushure mekukuvara uye mavanga. Chiyero chepamusoro che 200 mg. Muchiitiko ichi, mushonga haufaniri kutorwa kune dzihwa uye SARS. Vanachiremba vanoyambirawo kuti Nimesulide inogona kukonzera mhedzisiro yakadai sedzungu, kurara, kutemwa nemusoro, kudikitira zvakanyanya, urticaria, ganda rinokwenya.

Contraindications: pamuviri uye lactation, bronchospasm, urticaria, rhinitis inokonzerwa nekutora NSAIDs, vana vari pasi pemakore gumi nemaviri.

kwenguva refu analgesic effect (anopfuura maawa gumi nemaviri).
contraindicated mufivha panguva dzihwa, zvinokanganisa gastrointestinal turakiti.

9. Celecoxib

Celecoxib inoonekwa seimwe yeNSAID dzakachengeteka. Mushonga wacho unoshandiswa kubvisa marwadzo emajoini, mhasuru, uye unoshandiswawo kubvisa kurwiswa kwemarwadzo akanyanya muvakuru.1. Vanachiremba vanokurudzira kutanga kurapwa nedosi shoma uye kuwedzera kana zvichidiwa.

Contraindications: kutyorwa kwakanyanya kweitsvo uye chiropa, allergic reactions pakutora acetylsalicylic acid kana mamwe maNSAID munhoroondo, III trimester yekuzvitakura, lactation.

yakachengeteka kune gastrointestinal mucosa, inobatsira nemhando dzakasiyana dzemarwadzo.
kusarudzwa kwedosi kunodiwa.

10. Arcoxia

Mushonga unoshanda uri mukuumbwa ndeye etoricoxib. Mushonga unoitirwa kurapwa kwemarwadzo asingagumi (kusanganisira rheumatological zvirwere), pamwe nekurwadziwa mushure mekuvhiyiwa kwemazino.2. Iyo yakawanda yezuva nezuva dosage ndeye 120 mg.

Contraindications: pamuviri, lactation, erosive uye ulcerative kuchinja mu mucous membrane yemudumbu kana duodenum, kushanda mudumbu kubuda ropa, cerebrovascular kana kumwe kubuda ropa, vana vari pasi pemakore gumi nematanhatu.

inonzi analgesic effect.
haina kuderedza kupisa, haibatsiri nemhando dzose dzemarwadzo.

Nzira yekusarudza non-steroidal anti-inflammatory drugs

Mishonga yose isiri-steroidal anti-inflammatory yakakamurwa kuva mapoka akawanda. Dzinosiyana munguva yekuita, kushanda mukubvisa marwadzo nekuzvimba, uye chimiro chemakemikari.3.

Zvinoenderana nehurefu hwechiito, kupfupika-kuita (kuratidzwa nguva yeanenge maawa matanhatu) uye kwenguva refu-kuita (kuratidzwa kweanopfuura maawa matanhatu) isiri-steroidal anti-kuzvimba mishonga inosiyaniswa.

Zvakare, NSAIDs dzinosiyana mukubudirira kweiyo anti-inflammatory effect uye analgesic effect. Anti-inflammatory effect (kubva pakakwirira kusvika padiki) ine: indomethacin - diclofenac - ketoprofen - ibuprofen - aspirin. Zvinoenderana nekuoma kweanalgesic effect (kubva pakukwirira kusvika padiki): ketorolac - ketoprofen - diclofenac - indomentacin - ibuprofen - aspirin4.

Ongororo yevanachiremba nezve isiri-steroidal anti-inflammatory drugs

Celecoxib yakarumbidzwa nevarapi vakawanda semushonga unoshanda wemarwadzo asingaperi erheumatic. Uye zvakare, Celecoxib inoonekwa se "goridhe chiyero" kune yakaderera njodzi yekunetsekana kwegastrointestinal.

Zvakare, nyanzvi dzinokurudzira Naproxen, iyo inoshivirirwa zvakanaka nevarwere uye isingakonzeri mhedzisiro kana ichishandiswa kwemazuva anopfuura makumi maviri nerimwe.5.

Vazhinji verheumatologists vanosimbisa mushonga weEtoricoxib (Arcoxia), unoshanda kune akawanda mamiriro anosanganisira kurwadziwa. Imwe yemabhenefiti ayo makuru ndeye nyore dosing regimen uye nekukurumidza kwekutanga kwemhedzisiro.

Mibvunzo nemhinduro dzakakurumbira

Takakurukura nyaya dzakakosha dzine chekuita neasiri-steroidal anti-inflammatory drugs ne mushandi mukuru chikamu chepamusoro Tatyana Pomerantseva.

Sei isiri-steroidal anti-inflammatory drugs ine ngozi?

- NVPS ine njodzi nekuti inogona kukonzera mhedzisiro. Zvinonyanya kukosha kwavari:

• NSAIDs - gastropathy (mu68% yevarwere vanotora zvinodhaka kwemavhiki mashoma e6) - inoratidzwa nekuumbwa kwezvironda, kuputika, kubuda ropa, kuputika;

• itsvo - acute renal failure, kuchengetwa kwemvura;

• hurongwa hwemwoyo - kukanganisa kweropa rekuvhara maitiro;

• hurongwa hwekutya - musoro, matambudziko ekurara, matambudziko ekuyeuka, kuora mwoyo, chizuru;

• hypersensitivity - kuwedzera kwengozi yekuvandudza bronchial asthma;

• kukanganisa kuchiropa.

Ndeupi musiyano uripo pakati pe steroid uye isiri-steroid zvinodhaka?

-Steroid anti-inflammatory drugs mishonga yehomoni. Uye nonsteroidal zvinodhaka ari organic acids. Kusiyana neNSAIDs, steroid mishonga inokanganisa metabolic maitiro emuviri uye immune system. Mishonga yeSteroid inorayirwa kana chiitiko chechirwere chepamusoro, pamberi pemaitiro ezvirwere kubva kune dzimwe nhengo nehurongwa, kurwadziwa kusingaperi, kurwadziwa kwemajoini (mu rheumatology), kana kusashanda kweNSAIDs kana kupesana kwavari.

Inguva yakareba sei mishonga isiri steroidal inogona kushandiswa?

NSAIDs mishonga yemarwadzo isingarapi chinokonzera marwadzo. Saka, iwe unogona kutora zvinodhaka uri wega pasina kupfuura mazuva mashanu. Kana kurwadziwa kunoramba kuchienderera mberi, iwe unofanirwa kubvunza chiremba.

Nzira yekudzivirira sei gastric mucosa kubva kune hukasha mhedzisiro yeNSAIDs?

- Zvakakosha kutora proton pump inhibitors (PPIs) mukuwirirana nekosi yeNSAIDs. MaPPIs anosanganisira Omeprazole, Pariet, Nolpaza, Nexium. Iyi mishonga inoderedza kubudiswa kwehydrochloric acid nemasero emucosal anokosha uye inopa imwe dziviriro kune gastric mucosa.

Pane maNSAID akachengeteka here?

Iko hakuna non-steroidal anti-kuzvimba mishonga yakachengeteka zvachose kune hutano. Kungoti kuomarara kwemhedzisiro mune mamwe mishonga kushoma. Naproxen uye Celecoxib inoonekwa seyakachengeteka.
  1. Karateev AE Celecoxib: kuongororwa kwekuita uye kuchengetedzeka mugumi rechipiri rezana ramakore re2013 // Yemazuvano Rheumatology. 4. Nhamba XNUMX. URL: https://cyberleninka.ru/article/n/tselekoksib-otsenka-effektivnosti-i-bezopasnosti-vo-vtorom-desyatiletii-xxi-veka
  2. Kudaeva Fatima Magomedovna, Barskova VG Etoricoxib (arcoxia) mu rheumatology // Modern rheumatology. 2011. Nhamba 2. URL: https://cyberleninka.ru/article/n/etorikoksib-arkoksia-v-revmatologii
  3. 2000-2022. KUNYORWA KWEZVINODHAKA RUSSIA® RLS ®
  4. Shostak NA, Klimenko AA Non-steroidal anti-inflammatory drugs - zvemazuva ano zvekushandisa kwavo. Clinician. 2013. Nhamba 3-4. URL: https://cyberleninka.ru/article/n/nesteroidnye-protivovospalitelnye-preparaty-sovremennye-aspekty-ih-primeneniya
  5. Tatochenko VK Zvakare nezve antipyretics // VSP. 2007. Nhamba 2. URL: https://cyberleninka.ru/article/n/eschyo-raz-o-zharoponizhayuschih-sredstvah

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