txheem
Ib qho "portrait" ntawm tus neeg mob nrog arthrosis yog tus poj niam laus plump. Tab sis qhov no tsis tau txhais hais tias cov neeg nyias nyias, cov txiv neej lossis cov hluas muaj kev pov hwm tiv thaiv arthrosis. Arthrosis tshwm sim txawm nyob rau hauv cov hluas. Nws tsuas yog hais tias nyob rau hauv cov poj niam laus uas nquag ua kom puv, tus kab mob no muaj ntau dua.
Nyob rau hauv txhua rooj plaub, arthrosis yuav tsum tau daws ob peb teeb meem ib zaug: txo qhov mob, ntxiv dag zog rau cov leeg nyob ib ncig ntawm tus kab mob, thiab ua kom nws mus. Yog li ntawd, ntau yam txhais tau tias koom nrog hauv kev kho mob. Cov tshuaj zoo rau arthrosis, xws li, tsis muaj nyob. Muaj ntau cov tshuaj uas pab daws cov teeb meem cuam tshuam nrog tus kab mob no.1.
Daim ntawv teev npe ntawm 10 cov tshuaj pheej yig thiab siv tau zoo rau arthrosis raws li KP
Hauv kev kho mob arthrosis, cov tshuaj ntawm ntau pab pawg yog siv: analgesics, non-steroidal inflammatory tshuaj (NSAIDs), slow-acting kab mob-hloov tshuaj (zoo dua hu ua chondroprotectors). Lawv raug xaiv ib tus zuj zus, coj mus rau hauv tus account theem ntawm tus kab mob, lub hnub nyoog ntawm tus neeg mob, cov kab mob concomitant. Thiab lawv raug xaiv los ntawm tus kws kho mob tom qab kuaj thiab tshuaj xyuas. Xav txog cov tshuaj pheej yig tseem ceeb rau arthrosis, uas yog cov kws kho mob tshwj xeeb.
1. Paracetamol
Paracetamol yog ib qho tshuaj tua kab mob nrog tshuaj tua kab mob thiab tshuaj tua kab mob, nrog rau cov kev mob tshwm sim tsawg. Nws tau raug sau tseg los daws qhov mob ntawm qhov sib txawv hauv zos, nrog rau kev sib koom ua ke nrog kev mob arthrosis.
Paracetamol tsis ua kev puas tsuaj rau cov mucous daim nyias nyias ntawm txoj hnyuv. Yog li ntawd, nws yog qhov tsim nyog rau cov neeg mob uas muaj teeb meem hauv plab hnyuv, yog tias lawv tsis muaj lwm yam contraindications rau kev sau cov tshuaj no (mob hnyav hauv kev ua haujlwm ntawm lub raum lossis lub siab, ntshav ntshav, haus dej cawv).
Contraindications: hypersensitivity rau lub Cheebtsam ntawm cov tshuaj, kev ua txhaum loj ntawm lub siab thiab ob lub raum, cov me nyuam hnub nyoog qis dua 6 xyoo.
2. Ibuprofen
Ibuprofen yog nonsteroidal anti-inflammatory thiab antirheumatic tus neeg sawv cev. Cov tshuaj yog sai absorbed los ntawm txoj hnyuv, uas txo qhov kev pheej hmoo ntawm kev phiv tshwm sim. Rau kev mob caj dab, ibuprofen tuaj yeem txo qhov mob thiab o sai sai. Ibuprofen tau xyaum tsis muaj kev cuam tshuam rau cov hlab plawv, yog li nws yog suav tias yog ib qho ntawm cov tshuaj xaiv rau cov neeg laus.
Contraindications: erosive thiab ulcerative lesions ntawm gastrointestinal ib ntsuj av, gastric thiab duodenal ulcers, ulcerative colitis.
3. Naproxen
Naproxen kuj yog ib qho tshuaj uas tsis yog-steroidal anti-inflammatory. Qhov kev pheej hmoo tsawg ntawm cov teeb meem ntawm lub plawv thiab cov hlab ntsha yog qhov zoo ntawm kev siv Naproxen thiab nws qhov txawv ntawm lwm cov NSAIDs. Cov tshuaj yog muab raws li ib tug analgesic thiab anti-inflammatory tus neeg saib xyuas rau arthrosis. Thiab, raws li cov lus pom zoo thoob ntiaj teb, ib qho me me ntawm Naproxen tuaj yeem siv rau kev tiv thaiv mus ntev ntawm kev rov tshwm sim ntawm gouty mob caj dab.
Contraindications: Cov menyuam hnub nyoog txog li 1 xyoos, erosive thiab ulcerative lesions ntawm lub plab hnyuv siab raum nyob rau hauv lub mob hnyav, ua txhaum loj ntawm daim siab los yog ob lub raum, hematopoiesis mob.2.
4. Meloxicam
Cov tshuaj uas tsis yog-steroidal anti-inflammatory los ntawm pab pawg neeg xaiv NSAIDs (cov uas tshem tawm qhov mob tsis ua mob rau lub plab mucosa). Ib lub npe lag luam yog Movalis. Cov tshuaj tau txais txiaj ntsig zoo, thaum nws tsis qeeb, tsis zoo li qee cov NSAIDs, tsim cov pob txha pob txha. Thaum noj ua ke nrog cov tshuaj aspirin, nws tsis txo nws cov txiaj ntsig antiplatelet.3.
Contraindications: cev xeeb tub thiab lactation, lactose intolerance, tshuaj aspirin, cev xeeb tub, decompensated plawv tsis ua hauj lwm.
5. Nimesulide
Lwm cov tshuaj uas tsis yog-steroidal anti-inflammatory siv tshuaj, paub raws li lub npe lag luam Nimesil, Nise. Nimesulide muaj cov nyhuv analgesic tshaj tawm, tau txais txiaj ntsig zoo (yog tias tsis muaj cov yam ntxwv ntawm tus kheej thiab contraindications rau kev siv) thiab tsis ua rau muaj teeb meem hauv plab hnyuv. Txhim kho cov nyhuv ntawm anticoagulants.
Contraindications: tsis pom zoo rau kev mob hnyav ntawm daim siab, ob lub raum lossis lub plawv. Contraindicated nyob rau hauv cev xeeb tub thiab lactating poj niam, raws li zoo raws li nyob rau hauv cawv dependence.
6. Celecoxib
Celecoxib belongs rau pab pawg neeg ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory siv tshuaj thiab muaj ib tug pronounced anti-inflammatory thiab analgesic nyhuv. Ceev nrooj relieves mob hauv arthrosis. Qhov kev pheej hmoo tsawg ntawm cov teeb meem txaus ntshai hauv plab hnyuv thaum noj Celecoxib tau lees paub los ntawm kev tshawb fawb loj.4.
Contraindications: hypersensitivity rau sulfonamides, nquag peptic rwj lossis los ntshav hauv plab hnyuv, ua xua rau cov tshuaj aspirin lossis NSAIDs. Nrog ceev faj, cov tshuaj tau raug sau tseg rau kev ua txhaum ntawm kev ua haujlwm ntawm lub siab thiab lub raum, kab mob ntawm lub plawv thiab cov hlab ntsha.
7. Arkoxia
Arcoxia muaj etoricoxib. Zoo li lwm yam tshuaj ntawm pawg NSAID xaiv, cov tshuaj tau tsim los txo qhov tsis zoo ntawm cov tshuaj ntawm txoj hnyuv. Qhov tsis tshua muaj tshwm sim ntawm kev tsim teeb meem hauv plab hnyuv yog nws qhov loj tshaj ntxiv. Arcoxia kuj zoo tshuaj loog thiab tshem tawm cov cim qhia ntawm cov txheej txheem inflammatory.
Contraindications: active peptic ulcer los yog gastrointestinal los ntshav, ua xua rau cov tshuaj aspirin thiab NSAIDs, cev xeeb tub, mob siab heev, plawv tsis ua hauj lwm, arterial hypertension, ischemic plawv.
8. Chondroitin sulfate
Chondroitin sulfate yog ib yam kab mob qeeb-hloov kho tshuaj siv rau kev kho mob ntev ntawm arthrosis. Cov tshuaj pab kho cov pob txha mos thiab cov pob txha pob txha, txo qhov mob ntawm pob qij txha, txo qhov xav tau NSAIDs. Cov nyhuv ntawm kev kho mob tseem nyob ntev, tab sis koj tuaj yeem suav rau nws tsuas yog thaum pib ntawm tus kab mob.
Contraindications: Cov tshuaj tau sau tseg nrog ceev faj los ntshav thiab nyiam rau lawv, thrombophlebitis. Thaum cev xeeb tub thiab lactation, nws yog contraindicated, vim hais tias tsis muaj ntaub ntawv hais txog nws cov nyhuv rau kev noj qab haus huv ntawm ib tug poj niam thiab ib tug me nyuam lub sij hawm no.
9. Glucosamine sulfate
Glucosamine sulfate muaj cov nyhuv analgesic thiab anti-inflammatory, yog li ntawd, nws tso cai rau koj mus noj tsawg dua analgesics thiab NSAIDs los txo qhov mob.5. Cov tshuaj pab txhawb qhov kev tso tawm ntawm calcium nyob rau hauv cov pob txha cov ntaub so ntswg thiab stimulates lub restoration ntawm pob txha mos thiab pob txha cov ntaub so ntswg.
Contraindications: phenylketonuria, mob raum tsis ua haujlwm, cev xeeb tub thiab lactation.
10. Teraflex
Cov tshuaj muaj ob yam active tshuaj - glucosamine hydrochloride thiab sodium chondroitin sulfate. Lawv txhawb kev rov qab los ntawm cov pob txha mos, txhim kho kev sib koom ua ke, txo qhov mob thiab txo qhov tawv nqaij. Tsis tas li ntawd, cov khoom siv ntawm cov tshuaj muab kev tiv thaiv rau pob txha mos los ntawm kev puas tsuaj ntawm cov metabolism los ntawm NSAIDs thiab glucocorticoids.
Contraindications: mob raum mob hnyav, cev xeeb tub thiab lactation.
Yuav ua li cas xaiv cov tshuaj rau arthrosis
Nws tsis yog tus neeg mob uas xaiv cov tshuaj zoo rau arthrosis, tab sis tus kws kho mob, suav nrog cov kab mob sib kis - tshwj xeeb tshaj yog cov kab mob ntawm cov hlab plawv, daim siab, ob lub raum, thiab cov pob txha pob txha. Tag nrho cov no yog pom thaum lub sij hawm nug thiab kev soj ntsuam ntawm tus neeg mob, nyob rau hauv lub hauv paus ntawm kev sim kuaj.
Tseem ceeb! Cov tshuaj uas tsis yog-steroidal anti-inflammatory siv nyob rau hauv kev kho mob ntawm arthrosis yog xav tau los txo qhov mob thiab tsim kom muaj kev zoo siab rau lwm yam kev kho mob. Tab sis koj tsis tuaj yeem noj cov tshuaj no ntev ntev, thiaj li tsis tsim qhov kev xav tias tus kab mob no ploj mus. Raws li kev cuam tshuam ntawm NSAIDs, tsis yog arthrosis ploj mus, tab sis mob. Tsis tas li ntawd, kev siv NSAIDs mus ntev yuav ua rau muaj kev phiv tsis zoo.
Kev tshuaj xyuas cov kws kho mob txog cov ntsiav tshuaj rau arthrosis
"Kev kho mob ntawm arthrosis tsis tuaj yeem txwv rau kev kho tshuaj, nws yuav tsum ua tiav," sau tseg rheumatologist Alexander Elonakov. - Nws yog ib qho tsim nyog los txheeb xyuas cov xwm txheej uas ua rau muaj tus kab mob no txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhim kho nws. Lub hom phiaj ntawm kev kho mob tsis yog tsuas yog txhawm rau txo cov txheej txheem inflammatory thiab mob, tab sis kuj tswj cov leeg nqaij thiab lub cev muaj zog. Thaum kuaj mob arthrosis, peb nkag siab tias qhov no tsis mus qhov twg. Kev txhim kho tuaj yeem los ntawm nws tus kheej lossis ua tiav hauv ntau txoj hauv kev. Tab sis qhov no yog txheej txheem ntev uas peb tseem tsis tuaj yeem cuam tshuam thoob ntiaj teb. Kev kho kom zoo tsuas yog tsim los.
Nrov lus nug thiab lus teb
Rheumatologist Alexander Elonakov teb cov lus nug nrov txog kev kho mob arthrosis.
Yuav ua li cas kuaj yog tias cov pob qij txha raug mob?
Tus kws kho mob twg kho mob caj dab?
Cov zaub mov twg yuav tsum raug tshem tawm ntawm kev noj zaub mov kom mob pob qij txha?
Qhov chaw:
- Rheumatology: cov txheej txheem kho mob. https://rheumatolog.ru/experts/klinicheskie-rekomendacii/
- Karateev AE Naproxen: ntau yam tshuaj tua kab mob thiab muaj kev pheej hmoo tsawg kawg ntawm cov teeb meem plawv. FGBNU tshawb fawb lub koom haum ntawm Rheumatology. https://cyberleninka.ru/article/n/naproksen-universalnyy-analgetik-s-minimalnym-riskom-kardiovaskulyarnyh-oslozhneniy/viewer
- Karateev AE Meloxicam: "golden txhais tau tias" ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory. Kev kho mob archive. 2014; 86(5):99-105. https://www.mediasphera.ru/issues/terapevticheskij-arkhiv/2014/5/030040-36602014515
- Karateev AE Kev siv celecoxib hauv rheumatology, cardiology, neurology thiab oncology. https://paininfo.ru/articles/rmj/2361.html
- Chichasova NV, tus xibfwb ntawm lub tuam tsev kho mob rheumatology nrog rau chav kawm ntawm cov menyuam yaus rheumatology, FPPOV MMA muaj npe tom qab. KUV. Sechenov. Niaj hnub nimno pharmacotherapy ntawm deforming osteoarthritis. Tsab ntawv xov xwm no tshwm sim thawj zaug https://www.rlsnet.ru/library/articles/revmatologiya/sovremennaya-farmakoterapiya-deformiruyushhego-osteoartroza-90