10 mafi kyawun kwayoyi don arthrosis

Halin "hoton" na majiyyaci tare da arthrosis tsohuwar mace ce mai girma. Amma wannan baya nufin cewa bakin ciki mutane, maza ko matasa suna da inshora daga arthrosis. Arthrosis yana faruwa har ma a cikin samari. Sai dai a cikin tsofaffin mata masu saurin cikawa, wannan cuta ta fi yawa.

A kowane hali, arthrosis yana buƙatar magance matsaloli da yawa a lokaci ɗaya: sauƙaƙa ciwo, ƙarfafa tsokoki a kusa da haɗin gwiwa mara lafiya, da haɓaka motsi. Saboda haka, hanyoyi daban-daban suna shiga cikin maganin. Magunguna masu inganci don arthrosis, kamar haka, ba su wanzu. Akwai magunguna da yawa waɗanda ke taimakawa wajen magance matsalolin da ke tattare da wannan cuta.¹.

Jerin manyan kwayoyi 10 marasa tsada da inganci don arthrosis bisa ga KP

A cikin maganin arthrosis, ana amfani da kwayoyi na kungiyoyi daban-daban: analgesics, magungunan ƙwayoyin cuta marasa steroidal (NSAIDs), magungunan jinkirin maganin cututtuka (wanda aka fi sani da chondroprotectors). An zaba su akayi daban-daban, la'akari da matakin cutar, shekarun marasa lafiya, cututtuka masu haɗuwa. Kuma likita ne ke nada su bayan bincike da bincike. Yi la'akari da manyan kwayoyi marasa tsada don arthrosis, waɗanda ƙwararrun likitoci suka tsara.

1. Paracetamol

Paracetamol magani ne na analgesic tare da analgesic da antipyretic effects, tare da kadan illa. An wajabta shi don kawar da ciwo mai zafi na wurare daban-daban, ciki har da ciwon haɗin gwiwa da ke hade da arthrosis.

Paracetamol baya haifar da lalacewa ga mucous membrane na gastrointestinal tract. Saboda haka, ya dace da marasa lafiya da matsalolin gastrointestinal, idan ba su da wasu contraindications don rubuta wannan magani (m rashin lafiya a cikin aiki na kodan ko hanta, anemia, barasa).

Contraindications: hypersensitivity ga abubuwan da ke cikin miyagun ƙwayoyi, cin zarafi mai tsanani na hanta da kodan, yara a karkashin 6 shekaru.

2. Ibuprofen

Ibuprofen wakili ne wanda ba steroidal anti-mai kumburi da antirheumatic wakili. Ana amfani da miyagun ƙwayoyi da sauri daga sashin gastrointestinal, wanda ya rage haɗarin yiwuwar mummunan halayen. Don maganin arthritis, ibuprofen na iya rage zafi da kumburi da sauri. Ibuprofen kusan ba shi da wani tasiri a kan tsarin zuciya da jijiyoyin jini, saboda haka an dauke shi daya daga cikin magungunan zabi ga tsofaffi.

Contraindications: cututtuka masu lalacewa da cututtuka na gastrointestinal tract, ciki da duodenal ulcers, ulcerative colitis.

3. Naproxen

Naproxen kuma magani ne wanda ba steroidal anti-inflammatory ba. Ƙananan haɗari na rikitarwa daga zuciya da jini shine babban amfani da amfani da Naproxen da babban bambanci daga sauran NSAIDs. An wajabta miyagun ƙwayoyi azaman analgesic da anti-mai kumburi wakili ga arthrosis. Kuma, bisa ga shawarwarin kasa da kasa, za a iya amfani da ƙananan adadin Naproxen don dogon lokaci na rigakafi na sake dawowa na gouty arthritis.

Contraindications: yara shekaru har zuwa shekara 1, erosive da ulcerative raunuka na gastrointestinal fili a cikin m mataki, mai tsanani take hanta ko kodan, hematopoiesis cuta.².

4. Meloxicam

Magungunan anti-inflammatory marasa steroidal daga ƙungiyar NSAIDs masu zaɓaɓɓu (waɗanda ke kawar da kumburi ba tare da cutar da mucosa na ciki ba). Ɗaya daga cikin sunayen kasuwancin shine Movalis. An yi haƙuri da miyagun ƙwayoyi da kyau, yayin da ba ya raguwa, sabanin wasu NSAIDs, samuwar guringuntsi na articular. Lokacin da aka sha tare da aspirin, ba ya rage tasirin antiplatelet.³.

Contraindications: ciki da kuma lactation, lactose rashin ha} uri, aspirin, ciki, decompensated zuciya gazawar.

5. Nimesulide

Wani zaɓi wanda ba steroidal anti-kumburi magani, da aka sani a karkashin kasuwanci sunayen Nimesil, Nise. Nimesulide yana da tasirin analgesic bayyananne, yana jurewa da kyau (idan babu halaye na mutum da contraindications don amfani) kuma baya haifar da rikitarwa daga sashin gastrointestinal. Yana haɓaka tasirin anticoagulants.

Contraindications: ba a ba da shawarar ga cututtuka masu tsanani na hanta, kodan ko zuciya. Contraindicated a cikin mata masu juna biyu da masu shayarwa, da kuma dogaro da barasa. 

6. Celecoxib

Celecoxib yana cikin rukunin magungunan da ba steroidal anti-kumburi kwayoyi da kuma yana da wani pronounced anti-mai kumburi da analgesic sakamako. Da sauri yana kawar da ciwo a cikin arthrosis. Ƙananan haɗarin haɗari masu haɗari a cikin ƙwayar gastrointestinal lokacin shan Celecoxib an tabbatar da shi ta hanyar nazarin taro⁴.

Contraindications: hypersensitivity zuwa sulfonamides, aiki peptic miki ko zub da jini a cikin gastrointestinal fili, rashin lafiyar aspirin ko NSAIDs. Tare da taka tsantsan, an wajabta miyagun ƙwayoyi don cin zarafi a cikin aikin hanta da kodan, cututtuka na zuciya da jini.

7. Arkoxia

Arcoxia ya ƙunshi etoricoxib. Kamar sauran kwayoyi na zaɓaɓɓen ƙungiyar NSAID, an halicci miyagun ƙwayoyi don rage mummunan tasirin miyagun ƙwayoyi akan ƙwayar gastrointestinal. Ƙananan yuwuwar haɓaka rikice-rikice a cikin sashin gastrointestinal shine babban ƙari. Har ila yau, Arcoxia yana da tasiri sosai kuma yana kawar da alamun tsarin kumburi.

Contraindications: ciwon peptic mai aiki ko zubar jini na gastrointestinal, rashin lafiyar aspirin da NSAIDs, ciki, rashin aikin hanta mai tsanani, ciwon zuciya, hauhawar jini, cututtukan zuciya na ischemic.

8. Chondroitin sulfate

Chondroitin sulfate magani ne mai saurin aiwatar da cututtukan da ake amfani da shi don maganin arthrosis na dogon lokaci. Magungunan yana taimakawa wajen dawo da guringuntsi da nama na kasusuwa, yana kawar da ciwon haɗin gwiwa, rage buƙatar NSAIDs. Sakamakon tsarin jiyya ya ci gaba na dogon lokaci, amma zaka iya dogara da shi kawai a farkon matakin cutar.

Contraindications: da miyagun ƙwayoyi an wajabta tare da taka tsantsan ga zub da jini da kuma hali zuwa gare su, thrombophlebitis. A lokacin daukar ciki da kuma lactation, shi ne contraindicated, tun da babu bayanai game da tasirinsa a kan lafiyar mace da yaro a wannan lokaci.

9. Glucosamine sulfate

Glucosamine sulfate yana da tasirin analgesic da anti-mai kumburi, don haka yana ba ku damar ɗaukar ƙarancin analgesics da NSAIDs don rage zafi.⁵. Magungunan yana sauƙaƙe ajiyar al'ada na alli a cikin nama na kasusuwa kuma yana ƙarfafa dawo da guringuntsi da nama na kashi.

Contraindications: phenylketonuria, matsanancin gazawar koda, ciki da lactation.

10. Taraflex

Magungunan ya ƙunshi abubuwa biyu masu aiki - glucosamine hydrochloride da sodium chondroitin sulfate. Suna tayar da maido da nama na guringuntsi, inganta motsin haɗin gwiwa, rage zafi da rage ƙin motsi. Bugu da ƙari, abubuwan da ke cikin miyagun ƙwayoyi suna ba da kariya ga guringuntsi da aka lalace daga lalacewa ta hanyar NSAIDs da glucocorticoids.

Contraindications: mai tsanani na kullum na koda gazawar, ciki da kuma lactation.

Yadda za a zabi kwayoyi don arthrosis

Ba mai haƙuri ba ne ya zaɓi kwayoyi masu tasiri don arthrosis, amma likita, yin la'akari da cututtuka masu haɗuwa - musamman cututtuka na tsarin zuciya, hanta, kodan, da kasusuwa. Ana samun duk wannan a lokacin tambayoyi da gwajin majiyyaci, bisa ga gwaje-gwajen dakin gwaje-gwaje.

Muhimmin! Magungunan anti-inflammatory marasa steroidal a cikin maganin arthrosis ana buƙatar don rage zafi da kuma haifar da yanayi mai kyau don sauran jiyya. Amma ba za ku iya shan waɗannan magunguna na dogon lokaci ba, don kada ku haifar da tunanin cewa cutar ta tafi. A ƙarƙashin rinjayar NSAIDs, ba arthrosis ba ya tafi, amma zafi. Bugu da ƙari, yin amfani da dogon lokaci na NSAIDs na iya haifar da illa maras so.

Reviews na likitoci game da Allunan don arthrosis

"Maganin arthrosis ba zai iya iyakance ga maganin miyagun ƙwayoyi ba, dole ne ya zama cikakke," bayanin kula rheumatologist Alexander Elonakov. – Wajibi ne a gano abubuwan da suka haifar da wannan cuta domin a shawo kan ci gabanta. Manufar farfadowa ba kawai don sauƙaƙe tsarin kumburi da zafi ba, amma har ma don kula da ƙarfin tsoka da aikin motsa jiki. Da zaran an gano cutar arthrosis, mun fahimci cewa wannan ba ya zuwa ko'ina. Ingantawa na iya zuwa da kansa ko kuma a samu ta hanyoyi daban-daban. Amma wannan tsari ne na yau da kullun wanda har yanzu ba za mu iya yin tasiri a duniya ba. Ana samar da ingantattun jiyya ne kawai.

Shahararrun tambayoyi da amsoshi

Rheumatologist Alexander Elonakov amsa mashahuran tambayoyi game da maganin arthrosis.

Sources:

1. Rheumatology: jagororin asibiti. https://rheumatolog.ru/experts/klinicheskie-rekomendacii/
2. Karateev AE Naproxen: m analgesic kuma tare da kadan hadarin rikitarwa na zuciya da jijiyoyin jini. Cibiyar Nazarin Rheumatology ta FGBNU. https://cyberleninka.ru/article/n/naproksen-universalnyy-analgetik-s-minimalnym-riskom-kardiovaskulyarnyh-oslozhneniy/viewer
3. Karateev AE Meloxicam: "Ma'anar zinare" na magungunan anti-inflammatory marasa steroidal. Taskar magani. 2014; 86 (5): 99-105. https://www.mediasphera.ru/issues/terapevticheskij-arkhiv/2014/5/030040-36602014515
4. Karateev AE Amfani da celecoxib a rheumatology, cardiology, neurology da oncology. https://paininfo.ru/articles/rmj/2361.html
5. Chichasova NV, farfesa na sashen ilimin rheumatology tare da tsarin ilimin cututtukan yara, FPPOV MMA mai suna bayan. SU. Sechenov. Magunguna na zamani na lalata osteoarthritis. https://www.rlsnet.ru/library/articles/revmatologiya/sovremennaya-farmakoterapiya-deformiruyushhego-osteoartroza-90