Sab saum toj 10 Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
NSAIDs - ib ntsiav tshuaj "magic" rau mob taub hau, toothache, kev coj khaub ncaws, mob leeg lossis mob pob qij txha. Nws yog ib qho tseem ceeb kom nkag siab tias cov tshuaj uas tsis yog-steroidal anti-inflammatory tsuas yog tshem tawm cov tsos mob, tab sis tsis txhob cuam tshuam qhov mob heev.

30 lab tus tib neeg niaj hnub siv cov tshuaj uas tsis yog tshuaj steroidal los tiv thaiv qhov mob. Cia peb txheeb xyuas seb qhov sib txawv ntawm cov pab pawg sib txawv ntawm NVPS, rau cov kab mob twg lawv tau sau tseg, thiab cov kev mob tshwm sim uas lawv yuav muaj.

Daim ntawv teev npe ntawm 10 pheej yig thiab siv tau zoo uas tsis yog-steroidal tshuaj tiv thaiv kab mob raws li KP

1. Aspirin

Cov tshuaj Aspirin tau sau tseg rau qhov mob ntawm txhua qhov xwm txheej (cov leeg nqaij, sib koom ua ke, kev coj khaub ncaws) thiab ua kom lub cev kub. Cov tshuaj no muaj nyob rau hauv daim ntawv teev cov tshuaj tseem ceeb ntawm Lavxias teb sab Federation. Aspirin kuj txo cov adhesion ntawm platelets rau ib leeg thiab thins cov ntshav, yog li nws tuaj yeem raug sau tseg rau kev siv mus sij hawm ntev ntawm tus nqi qis rau kev tiv thaiv kab mob plawv. Qhov siab tshaj plaws noj txhua hnub yog 300 mg.

Contraindications: nce ntshav siab, cov menyuam yaus hnub nyoog qis dua 15 xyoos.

haum rau qhov mob ntawm txhua qhov xwm txheej, tus nqi pheej yig.
nrog rau kev siv ntev, nws muaj qhov tsis zoo rau lub plab; muaj peev xwm loj hlob ntawm bronchial hawb pob txuam nrog tshuaj aspirin.
qhia ntau ntxiv

2. Diclofenac

Diclofenac feem ntau yog tshuaj rau cov kab mob ntawm cov pob qij txha (mob caj dab). Tsis tas li ntawd, cov tshuaj nquag siv rau cov leeg mob, neuralgia, rau qhov mob tom qab raug mob lossis kev ua haujlwm, rau qhov mob mob tiv thaiv keeb kwm yav dhau los ntawm cov kab mob ua pa ntawm lub ntsws thiab lub plab me me (adnexitis, pharyngitis). Qhov siab tshaj plaws ib koob tshuaj yog 100 mg.

Cov Tshuaj Tiv Thaiv: los ntshav tsis paub keeb kwm, plab lossis duodenal rwj, lub xeem peb lub hlis twg ntawm cev xeeb tub.

universal daim ntawv thov; muaj ntau hom kev tso tawm (gel, ntsiav tshuaj).
nrog ceev faj yog muab rau cov neeg laus; contraindicated nyob rau hauv edema.

3. Ketanov

Ketanov raug muab tshuaj rau qhov mob ntawm nruab nrab mus rau hnyav hnyav. Tsis tas li ntawd, cov tshuaj muaj txiaj ntsig zoo hauv qhov mob ua rau mob qog noj ntshav, thiab tom qab phais. Cov nyhuv analgesic tshwm sim 1 teev tom qab noj, thiab qhov siab tshaj plaws tau ua tiav tom qab 2-3 teev. Qhov siab tshaj plaws noj txhua hnub yog 40 mg. Nws tseem tsim nyog nco ntsoov tias Ketorolac tsis yog siv los kho mob ntev. Tsis txhob siv ntau tshaj ob hnub yam tsis tau sab laj nrog kws kho mob.

Contraindications: cev xeeb tub, lactation, daim siab tsis ua hauj lwm, hypersensitivity rau NSAIDs, ulcerative erosive lesions ntawm lub plab hnyuv ib ntsuj av nyob rau hauv lub mob.

pronounced analgesic nyhuv; siv tau rau txhua qhov mob (tshwj tsis yog mob ntev).
muaj zog tsis zoo rau lub plab mucosa.

4. Ibuprofen

Cov tshuaj no yog siv los txo qhov mob luv luv lossis ua npaws nrog mob khaub thuas. Lub sij hawm ntawm cov nyhuv analgesic kav li 8 teev. Qhov siab tshaj plaws noj txhua hnub yog 1200 mg, thaum nws tsis pom zoo kom noj cov tshuaj ntau tshaj 3 hnub yam tsis muaj kws kho mob pom zoo.

Contraindications: hypersensitivity rau ibuprofen, erosive thiab ulcerative kab mob thiab los ntshav ntawm lub plab hnyuv ib ntsuj av, bronchial hawb pob, mob plawv, lub raum thiab hepatic insufficiency, ntshav coagulation mob, cev xeeb tub (3rd trimester), cov me nyuam hnub nyoog qis dua 3 lub hlis, qee cov kab mob rheumatupic (system. erythematosus).

universal daim ntawv thov; ntev ntev analgesic nyhuv.
Ib daim ntawv teev npe dav dav ntawm contraindications, tsis tuaj yeem noj ntev dua 3 hnub.
qhia ntau ntxiv

5. Ketoprofen

Ketoprofen feem ntau yog muab rau cov kab mob ntawm cov pob txha, pob qij txha thiab cov leeg - mob caj dab, arthrosis, myalgia, neuralgia, sciatica. Tsis tas li ntawd, cov tshuaj no muaj txiaj ntsig zoo rau kev kho mob tom qab raug mob, phais, lub raum colic. Qhov siab tshaj plaws noj txhua hnub yog 300 mg.

Contraindications: peptic ulcers ntawm txoj hnyuv, cov menyuam yaus hnub nyoog qis dua 18 xyoo, cev xeeb tub (3rd trimester), mob siab heev thiab raum tsis ua haujlwm.

pronounced analgesic nyhuv; haum rau ntau yam mob.
tsuas yog pom zoo siv ib zaug; negatively cuam tshuam rau lub plab zom mov.

6. Nalgezin Forte

Nalgezin Forte yog siv los txo qhov mob ntawm cov kab mob ntawm cov pob qij txha, pob txha, cov leeg, mob taub hau thiab migraines. Tsis tas li ntawd, cov tshuaj muaj txiaj ntsig zoo rau kub taub hau thaum mob khaub thuas. Qhov siab tshaj plaws noj txhua hnub yog 1000 mg. Nrog rau kev siv ntev, nws yog ib qho tsim nyog los saib xyuas lub raum ua haujlwm.

Contraindications: erosive thiab ulcerative lesions ntawm lub plab hnyuv ib ntsuj av nyob rau hauv lub mob hnyav, hematopoietic ntshawv siab, mob heev raum thiab siab ua hauj lwm, cov me nyuam hnub nyoog qis dua 12 xyoo, hypersensitivity rau naproxen thiab lwm yam NSAIDs.

universal daim ntawv thov; siv tau raws li ib tug antipyretic.
ib daim ntawv teev ntau ntawm contraindications.

7. Meloxicam

Meloxicam yog tshuaj rau ntau yam mob caj dab (osteoarthritis los yog rheumatoid mob caj dab), raws li nws sai thiab zoo relieves mob thiab o. Hauv qhov no, nws raug pom zoo kom pib kho nrog qhov tsawg kawg nkaus thiab nce ntxiv yog tias tsim nyog. Tsis tas li ntawd, thaum noj Meloxicam, cov kev mob tshwm sim xws li mob plab, raws plab, flatulence, xeev siab.

Contraindications: hypersensitivity rau lub Cheebtsam ntawm cov tshuaj, decompensated plawv tsis ua hauj lwm, erosive lesions thiab los ntshav ntawm lub plab hnyuv ib ntsuj av, cev xeeb tub thiab pub niam mis, cov me nyuam hnub nyoog qis dua 12 xyoo.

pronounced analgesic nyhuv nyob rau hauv cov kab mob rheumatological.
muaj feem cuam tshuam; qhov yuav tsum tau ua tib zoo xaiv ntau npaum li cas.

8. Nimesulide

Nimesulide yog siv rau ntau hom mob: kho hniav, mob taub hau, mob leeg, mob nraub qaum, nrog rau lub sijhawm ua haujlwm tom qab, tom qab raug mob thiab bruises. Qhov siab tshaj plaws ib koob tshuaj yog 200 mg. Hauv qhov no, cov tshuaj yuav tsum tsis txhob noj rau cov mob khaub thuas thiab SARS. Cov kws kho mob tseem ceeb toom tias Nimesulide tuaj yeem ua rau muaj kev phiv xws li kiv taub hau, tsaug zog, mob taub hau, tawm hws ntau, urticaria, khaus tawv nqaij.

Contraindications: cev xeeb tub thiab lactation, bronchospasm, urticaria, rhinitis tshwm sim los ntawm kev noj NSAIDs, cov menyuam yaus hnub nyoog qis dua 12 xyoos.

Ntev ntev analgesic nyhuv (ntau tshaj 12 teev).
contraindicated nyob rau hauv kub taub hau thaum mob khaub thuas, adversely cuam tshuam rau lub plab zom mov.

9. Celecoxib

Celecoxib yog suav tias yog ib qho ntawm cov NSAIDs zoo tshaj plaws. Cov tshuaj no yog siv los txo kev sib koom tes, mob leeg, thiab tseem siv los txo qhov mob ntawm cov neeg laus.1. Cov kws kho mob pom zoo kom pib kho nrog qhov tsawg kawg nkaus thiab nce ntxiv yog tias tsim nyog.

Contraindications: Kev ua txhaum loj ntawm lub raum thiab daim siab, kev tsis haum tshuaj rau kev noj acetylsalicylic acid lossis lwm yam NSAIDs hauv keeb kwm, III trimester ntawm cev xeeb tub, lactation.

nyab xeeb rau lub plab hnyuv mucosa, pab nrog ntau hom mob.
Kev xaiv ntau npaum yog yuav tsum tau.

10. Arcoxia

Lub active tshuaj muaj nyob rau hauv lub composition yog etoricoxib. Cov tshuaj yog npaj rau kev kho mob ntawm qhov mob ntev (nrog rau cov kab mob rheumatological), nrog rau mob tom qab phais hniav.2. Qhov siab tshaj plaws noj txhua hnub yog 120 mg.

Contraindications: cev xeeb tub, lactation, erosive thiab ulcerative hloov nyob rau hauv lub mucous daim nyias nyias ntawm lub plab los yog duodenum, nquag plab hnyuv los ntshav, cerebrovascular los yog lwm yam los ntshav, cov me nyuam hnub nyoog qis dua 16 xyoo.

pronounced analgesic nyhuv.
tsis txo qhov kub taub hau, yuav tsis pab txhua yam mob.

Yuav ua li cas xaiv cov tshuaj uas tsis yog-steroidal anti-inflammatory

Tag nrho cov tshuaj uas tsis yog-steroidal anti-inflammatory yog muab faib ua ob peb pawg. Lawv sib txawv nyob rau hauv lub sij hawm ntawm kev ua, kev ua tau zoo ntawm relieving mob thiab o, thiab cov qauv tshuaj.3.

Raws li lub sijhawm ua haujlwm, kev ua haujlwm luv luv (lub sijhawm raug mob txog 6 teev) thiab ua haujlwm ntev (ntev ntev tshaj 6 teev) cov tshuaj uas tsis yog tshuaj steroidal anti-inflammatory yog qhov txawv.

Tsis tas li ntawd, NSAIDs txawv ntawm qhov ua tau zoo ntawm cov nyhuv anti-inflammatory thiab analgesic nyhuv. Cov tshuaj tiv thaiv kab mob (los ntawm qhov siab tshaj plaws mus rau qhov tsawg kawg nkaus) muaj: indomethacin - diclofenac - ketoprofen - ibuprofen - aspirin. Raws li qhov hnyav ntawm cov nyhuv analgesic (los ntawm qhov siab tshaj plaws mus rau qhov tsawg): ketorolac - ketoprofen - diclofenac - indomentacin - ibuprofen - aspirin4.

Kev tshuaj xyuas cov kws kho mob txog cov tshuaj uas tsis yog steroidal anti-inflammatory

Celecoxib tau raug qhuas los ntawm ntau tus kws kho mob raws li kev kho mob zoo rau mob rheumatic. Tsis tas li ntawd, Celecoxib raug suav hais tias yog "tus qauv kub" rau kev pheej hmoo tsawg ntawm kev mob plab hnyuv.

Tsis tas li, cov kws tshaj lij pom zoo rau Naproxen, uas tau txais txiaj ntsig zoo los ntawm cov neeg mob thiab tsis ua rau muaj kev phiv thaum siv tsis pub dhau 21 hnub.5.

Ntau tus kws kho mob rheumatologists qhia txog cov tshuaj Etoricoxib (Arcoxia), uas zoo rau ntau yam mob uas cuam tshuam nrog kev mob. Ib qho ntawm nws cov txiaj ntsig tseem ceeb yog kev siv tshuaj yooj yim thiab ceev ntawm qhov pib ntawm cov nyhuv.

Nrov lus nug thiab lus teb

Peb tau tham txog cov teeb meem tseem ceeb ntsig txog cov tshuaj uas tsis yog-steroidal anti-inflammatory tshuaj nrog cov kws qhia dav dav qeb siab tshaj Tatiana Pomerantseva.

Vim li cas cov tshuaj uas tsis yog-steroidal anti-inflammatory yog txaus ntshai?

- NVPS yog qhov txaus ntshai vim tias lawv tuaj yeem ua rau muaj kev phiv. Feem ntau ntawm lawv:

• NSAIDs - gastropathy (hauv 68% ntawm cov neeg mob noj tshuaj tsawg kawg yog 6 lub lis piam) - tshwm sim los ntawm kev tsim cov kab mob, erosions, gastric los ntshav, perforations;

• ob lub raum – mob raum tsis ua hauj lwm, tso kua dej;

• kab mob plawv – ua txhaum ntawm cov ntshav txhaws;

• paj hlwb – mob taub hau, teeb meem pw tsaug zog, teeb meem nco, kev nyuaj siab, kiv taub hau;

• hypersensitivity – nce kev pheej hmoo ntawm kev mob hawb pob bronchial;

• puas rau daim siab.

Dab tsi yog qhov txawv ntawm cov tshuaj steroid thiab cov tshuaj tsis-steroid?

- Cov tshuaj steroid anti-inflammatory yog tshuaj hormonal. Thiab cov tshuaj nonsteroidal yog cov organic acids. Tsis zoo li NSAIDs, cov tshuaj steroid cuam tshuam rau cov txheej txheem metabolic hauv lub cev thiab lub cev tsis muaj zog. Cov tshuaj steroid raug muab tshuaj rau hauv cov kab mob siab, thaum muaj cov txheej txheem pathological los ntawm lwm yam kabmob thiab lub cev, mob ntev, mob pob qij txha (hauv rheumatology), thaum tsis muaj txiaj ntsig ntawm NSAIDs lossis contraindications rau lawv.

Ntev npaum li cas cov tshuaj nonsteroidal siv tau?

NSAIDs yog cov tshuaj tua kab mob uas tsis kho qhov ua rau mob. Yog li, koj tuaj yeem noj tshuaj ntawm koj tus kheej tsis pub dhau 5 hnub. Yog tias qhov mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob.

Yuav ua li cas tiv thaiv lub plab mucosa los ntawm kev txhoj puab heev ntawm NSAIDs?

- Nws yog ib qho tsim nyog yuav tsum noj cov tshuaj proton twj tso kua mis inhibitors (PPIs) ua ke nrog cov NSAIDs. PPIs suav nrog Omeprazole, Pariet, Nolpaza, Nexium. Cov tshuaj no txo ​​qis kev tso tawm ntawm hydrochloric acid los ntawm cov cell mucosal tshwj xeeb thiab muab qee qhov kev tiv thaiv rau lub plab mucosa.

Puas muaj NSAIDs nyab xeeb?

Tsis muaj cov tshuaj uas tsis yog-steroidal anti-inflammatory tshuaj uas muaj kev nyab xeeb kiag li rau kev noj qab haus huv. Nws tsuas yog tias qhov hnyav ntawm cov kev mob tshwm sim hauv qee cov tshuaj muaj tsawg dua. Naproxen thiab Celecoxib yog suav tias yog kev nyab xeeb tshaj plaws.
  1. Karateev AE Celecoxib: kev ntsuam xyuas ntawm kev ua tau zoo thiab kev nyab xeeb nyob rau hauv lub xyoo caum thib ob ntawm lub xyoo pua 2013 // Niaj hnub nimno Rheumatology. 4. No. 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) hauv rheumatology // Niaj hnub rheumatology. 2011. No. 2. URL: https://cyberleninka.ru/article/n/etorikoksib-arkoksia-v-revmatologii
  3. Xyoo 2000-2022. CEEB TOOM NTAWM RUSSIA® RLS ®
  4. Shostak NA, Klimenko AA Non-steroidal anti-inflammatory tshuaj - niaj hnub kev siv. Kws kho mob. 2013. No. 3-4. URL: https://cyberleninka.ru/article/n/nesteroidnye-protivovospalitelnye-preparaty-sovremennye-aspekty-ih-primeneniya
  5. Tatochenko VK Ib zaug ntxiv txog tshuaj tua kab mob // VSP. 2007. No. 2. URL: https://cyberleninka.ru/article/n/eschyo-raz-o-zharoponizhayuschih-sredstvah

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