Manyan Magungunan Anti-Inflammatory 10 marasa steroidal (NSAIDs)
NSAIDs - kwayar "sihiri" don ciwon kai, ciwon hakori, haila, tsoka ko ciwon haɗin gwiwa. Yana da mahimmanci a fahimci cewa magungunan anti-inflammatory marasa steroidal kawai suna kawar da alamar, amma ba su shafi ainihin dalilin ciwo ba.

Mutane miliyan 30 a kullum suna amfani da magungunan da ba na steroidal anti-inflammatory ba don jin zafi. Bari mu gano menene bambanci tsakanin ƙungiyoyi daban-daban na NVPS, waɗanne cututtuka ne aka rubuta su, da kuma irin illolin da za su iya samu.

Jerin manyan 10 marasa tsada kuma masu tasiri marasa amfani da magungunan hana kumburi a cewar KP

1. Aspirin

An wajabta aspirin don jin zafi na kowane yanayi (na tsoka, haɗin gwiwa, haila) da kuma yawan zafin jiki. Wannan magani yana cikin jerin mahimman magunguna na Tarayyar Rasha. Aspirin kuma yana rage mannewar platelets da juna kuma yana siriri jini, don haka ana iya rubuta shi don amfani na dogon lokaci a ɗan ƙaramin sashi don rigakafin cututtukan zuciya. Matsakaicin adadin yau da kullun shine 300 MG.

Contraindications: ƙãra hali zuwa zubar jini, yara a ƙarƙashin shekaru 15.

dace da zafi na kowane yanayi, farashi mai araha.
tare da amfani mai tsawo, yana da mummunar tasiri akan ciki; yiwu ci gaban Bronchial fuka hade da aspirin.
nuna karin

2. Diclofenac

Diclofenac ne mafi sau da yawa wajabta ga kumburi cututtuka na gidajen abinci (arthritis). Har ila yau, ana amfani da miyagun ƙwayoyi sosai don ciwon tsoka, neuralgia, don jin zafi bayan raunin da ya faru ko aiki, don ciwo mai zafi a kan tushen cututtuka na kumburi na fili na numfashi na sama da ƙananan ƙashin ƙugu (adnexitis, pharyngitis). Matsakaicin adadin guda ɗaya shine 100 MG.

Yardajewa: zub da jini wanda ba a san asalinsa ba, ciki ko duodenal miki, na karshe trimester na ciki.

aikace-aikacen duniya; akwai nau'ikan saki da yawa (gel, allunan).
tare da taka tsantsan an wajabta wa tsofaffi; contraindicated a cikin edema.

3. Ketanov

An wajabta Ketanov don jin zafi na matsakaici zuwa mai tsanani. Har ila yau, miyagun ƙwayoyi yana da tasiri a cikin ciwo mai zafi wanda ke tare da ciwon daji, da kuma bayan tiyata. Sakamakon analgesic yana faruwa sa'a 1 bayan cin abinci, kuma ana samun matsakaicin sakamako bayan sa'o'i 2-3. Matsakaicin adadin yau da kullun shine 40 MG. Har ila yau, ya kamata a tuna cewa ba a amfani da Ketorolac don magance ciwo mai tsanani. Kada ku yi amfani da fiye da kwanaki biyu ba tare da tuntubar likita ba.

Contraindications: ciki, lactation, hanta gazawar, hypersensitivity zuwa NSAIDs, ulcerative erosive raunuka na gastrointestinal fili a cikin m mataki.

bayyana analgesic sakamako; m ga kowane ciwo (sai dai na kullum).
mummunan tasiri mai karfi akan mucosa na ciki.

4. Ibuprofen

Ana amfani da miyagun ƙwayoyi don rage zafi na ɗan lokaci ko zazzabi tare da mura. Tsawon lokacin tasirin analgesic yana ɗaukar kimanin sa'o'i 8. Matsakaicin adadin yau da kullun shine 1200 MG, yayin da ba a ba da shawarar shan miyagun ƙwayoyi ba fiye da kwanaki 3 ba tare da shawarar likita ba.

Contraindications: hypersensitivity zuwa ibuprofen, erosive da ulcerative cututtuka da zub da jini na gastrointestinal fili, Bronchial fuka, ciwon zuciya mai tsanani, koda da hanta rashin isasshen jini, jini clotting cuta, ciki (3rd trimester), yara a karkashin 3 watanni, wasu rheumatological cututtuka (systemic lupus). erythematosus).

aikace-aikacen duniya; dogon m analgesic sakamako.
babban jerin contraindications, ba za a iya ɗaukar fiye da kwanaki 3 ba.
nuna karin

5. Ketoprofen

Ana yin amfani da Ketoprofen sau da yawa don cututtuka masu kumburi na kasusuwa, gidajen abinci da tsokoki - arthritis, arthrosis, myalgia, neuralgia, sciatica. Har ila yau, wannan magani yana da tasiri don kawar da ciwo bayan rauni, tiyata, renal colic. Matsakaicin adadin yau da kullun shine 300 MG.

Contraindications: ulcers na gastrointestinal fili, yara a kasa da shekaru 18, ciki (3rd trimester), mai tsanani hanta da koda gazawar.

bayyana analgesic sakamako; dace da daban-daban raɗaɗi.
An ba da shawarar yin amfani da lokaci ɗaya kawai; mummunan tasiri ga gastrointestinal fili.

6. Nalgezin Forte

Ana amfani da Nalgezin Forte don rage zafi a cikin cututtuka masu kumburi na gidajen abinci, kasusuwa, tsokoki, ciwon kai da migraines. Har ila yau, maganin yana da tasiri ga zazzabi a lokacin sanyi. Matsakaicin adadin yau da kullun shine 1000 MG. Tare da amfani mai tsawo, wajibi ne don saka idanu akan aikin koda.

Contraindications: lalata da cututtukan cututtuka na gastrointestinal tract a cikin m lokaci, cututtuka na hematopoietic, mummunan aiki na koda da hanta, yara a karkashin shekaru 12, hypersensitivity zuwa naproxen da sauran NSAIDs.

aikace-aikacen duniya; tasiri a matsayin antipyretic.
wani m jerin contraindications.

7. Meloxicam

An wajabta Meloxicam don cututtuka daban-daban (osteoarthritis ko rheumatoid amosanin gabbai), kamar yadda yake sauri da kuma yadda ya kamata ya kawar da ciwo da kumburi. A wannan yanayin, ana ba da shawarar sosai don fara jiyya tare da ƙaramin sashi kuma ƙara idan ya cancanta. Har ila yau, lokacin shan Meloxicam, sakamako masu illa kamar ciwon ciki, zawo, flatulence, tashin zuciya yana yiwuwa.

Contraindications: hypersensitivity ga aka gyara na miyagun ƙwayoyi, decompensated zuciya gazawar, erosive raunuka da zub da jini na gastrointestinal fili, ciki da kuma nono, yara a karkashin 12 shekaru.

pronounced analgesic sakamako a rheumatological cututtuka.
yiwuwar illa; da bukatar a hankali zaɓi na sashi.

8. Nimesulide

Ana amfani da Nimesulide don nau'o'in ciwo daban-daban: hakori, ciwon kai, tsoka, ciwon baya, da kuma a cikin postoperative zamani, bayan raunuka da raunuka. Matsakaicin adadin guda ɗaya shine 200 MG. A wannan yanayin, kada a sha miyagun ƙwayoyi don mura da SARS. Likitoci sun kuma yi gargadin cewa Nimesulide na iya haifar da illa kamar su amai, bacci, ciwon kai, yawan zufa, urticaria, fata mai raɗaɗi.

Contraindications: ciki da lactation, bronchospasm, urticaria, rhinitis lalacewa ta hanyar shan NSAIDs, yara a karkashin 12 shekaru.

dogon analgesic sakamako (fiye da 12 hours).
contraindicated a zazzabi a lokacin sanyi, adversely rinjayar da gastrointestinal fili.

9. Celecoxib

Ana ɗaukar Celecoxib ɗaya daga cikin amintattun NSAIDs. Ana amfani da miyagun ƙwayoyi don sauƙaƙa haɗin gwiwa, ciwon tsoka, kuma ana amfani dashi don sauƙaƙa harin mummunan ciwo a cikin manya.1. Likitoci sun ba da shawarar fara jiyya tare da ƙaramin adadin kuma ƙara idan ya cancanta.

Contraindications: mummunan cin zarafi na kodan da hanta, rashin lafiyan halayen shan acetylsalicylic acid ko wasu NSAIDs a cikin tarihi, III trimester na ciki, lactation.

lafiya ga mucosa na gastrointestinal fili, yana taimakawa tare da nau'ikan zafi daban-daban.
ana buƙatar zaɓin sashi.

10. Arcoxia

Abubuwan da ke aiki a cikin abun da ke ciki shine etoricoxib. An yi amfani da miyagun ƙwayoyi don maganin ciwo mai tsanani (ciki har da cututtuka na rheumatological), da kuma ciwo bayan tiyata na hakori.2. Matsakaicin adadin yau da kullun shine 120 MG.

Contraindications: ciki, lactation, erosive da ulcerative canje-canje a cikin mucous membrane na ciki ko duodenum, aiki gastrointestinal zub da jini, cerebrovascular ko wasu zub da jini, yara a karkashin 16 shekaru.

pronounced analgesic sakamako.
baya rage zazzabi, ba zai taimaka tare da kowane irin zafi ba.

Yadda za a zabi magungunan anti-inflammatory marasa steroidal

Duk magungunan da ba steroidal anti-inflammatory an raba su zuwa kungiyoyi da yawa. Sun bambanta a tsawon lokacin aiki, tasiri a cikin kawar da ciwo da kumburi, da tsarin sinadaran.3.

Dangane da tsawon lokacin aikin, gajeriyar aiki (lokacin fallasa na kimanin sa'o'i 6) da kuma dogon aiki (lokacin fallasa fiye da sa'o'i 6) an bambanta magungunan anti-inflammatory marasa steroidal.

Har ila yau, NSAIDs sun bambanta a cikin tasirin tasirin anti-mai kumburi da tasirin analgesic. Tasirin anti-mai kumburi (daga matsakaici zuwa mafi ƙarancin) suna da: indomethacin - diclofenac - ketoprofen - ibuprofen - aspirin. Dangane da tsananin tasirin analgesic (daga matsakaici zuwa mafi ƙarancin): ketorolac - ketoprofen - diclofenac - indomentacin - ibuprofen - aspirin4.

Reviews na likitoci game da wadanda ba steroidal anti-mai kumburi kwayoyi

Celecoxib ya sami yabo daga likitoci da yawa a matsayin magani mai mahimmanci don ciwo na rheumatic na kullum. Bugu da ƙari, ana ɗaukar Celecoxib a matsayin "ma'auni na zinariya" don ƙananan haɗari na rikitarwa na ciki.

Har ila yau, masana sun ba da shawarar Naproxen, wanda majiyyata ke jurewa da kyau kuma baya haifar da lahani idan aka yi amfani da shi ba fiye da kwanaki 21 ba.5.

Yawancin masu ilimin rheumatologists suna haskaka da miyagun ƙwayoyi Etoricoxib (Arcoxia), wanda ke da tasiri ga yawancin yanayi wanda ya haɗa da ciwo. Ɗaya daga cikin manyan fa'idodinsa shine tsarin kulawa mai dacewa da kuma saurin farawa na sakamako.

Shahararrun tambayoyi da amsoshi

Mun tattauna batutuwa masu mahimmanci da suka shafi magungunan anti-inflammatory marasa steroidal tare da babban likita mafi girma category Tatyana Pomerantseva.

Me yasa magungunan da ba steroidal anti-mai kumburi suna da haɗari?

– NVPS suna da haɗari saboda suna iya haifar da illa. Mafi yawanci daga cikinsu:

• NSAIDs - gastropathy (a cikin 68% na marasa lafiya da ke shan kwayoyi don akalla makonni 6) - bayyanar da samuwar ulcers, yashwa, zub da jini na ciki, perforations;

• kodan - m gazawar koda, riƙe ruwa;

• tsarin zuciya da jijiyoyin jini - cin zarafi na tsarin jini;

• tsarin juyayi - ciwon kai, matsalolin barci, matsalolin ƙwaƙwalwar ajiya, damuwa, dizziness;

• hypersensitivity - ƙara haɗarin haɓakar asma na bronchial;

Lalacewar hanta.

Menene bambanci tsakanin magungunan steroid da marasa steroid?

– Steroid anti-kumburi kwayoyi ne hormonal kwayoyi. Kuma magungunan marasa steroidal sune Organic acid. Ba kamar NSAIDs ba, magungunan steroid sun shafi tsarin tafiyar da rayuwa a cikin jiki da tsarin rigakafi. An wajabta magungunan steroid idan akwai babban aiki na cututtuka, a gaban tsarin tafiyar da cututtuka daga wasu gabobin da tsarin, ciwo mai tsanani, ciwon haɗin gwiwa (a cikin rheumatology), idan akwai rashin tasiri na NSAIDs ko contraindications zuwa gare su.

Har yaushe za a iya amfani da magungunan marasa steroidal?

NSAIDs sune magungunan kashe zafi waɗanda ba sa magance dalilin ciwon. Saboda haka, za ku iya shan kwayoyi da kanku ba fiye da kwanaki 5 ba. Idan ciwon ya ci gaba, ya kamata ku tuntubi likita.

Yadda za a kare mucosa na ciki daga mummunan tasirin NSAIDs?

- Wajibi ne a dauki proton pump inhibitors (PPIs) a layi daya tare da tsarin NSAIDs. PPIs sun haɗa da Omeprazole, Pariet, Nolpaza, Nexium. Wadannan kwayoyi suna rage fitar da acid hydrochloric ta kwayoyin mucosal na musamman kuma suna ba da kariya ga mucosa na ciki.

Akwai amintattun NSAIDs?

Babu magungunan da ba na steroidal anti-inflammatory waɗanda ke da cikakken aminci ga lafiya. Sai dai kawai tsananin illar da ke tattare da wasu magunguna ya ragu sosai. Ana ɗaukar Naproxen da Celecoxib mafi aminci.
  1. Karateev AE Celecoxib: kimanta inganci da aminci a cikin shekaru goma na biyu na karni na 2013 // Rheumatology na zamani. 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) a cikin ilimin rheumatology // Rheumatology na zamani. 2011. No. 2. URL: https://cyberleninka.ru/article/n/etorikoksib-arkoksia-v-revmatologii
  3. 2000-2022. RIJISTA NA MAGUNGUNAN RUSSIA® RLS ®
  4. Shostak NA, Klimenko AA Non-steroidal anti-kumburi kwayoyi - zamani al'amurran da suka shafi amfani. Likitan likitanci. 2013. Na 3-4. URL: https://cyberleninka.ru/article/n/nesteroidnye-protivovospalitelnye-preparaty-sovremennye-aspekty-ih-primeneniya
  5. Tatochenko VK Har yanzu game da antipyretics // VSP. 2007. No. 2. URL: https://cyberleninka.ru/article/n/eschyo-raz-o-zharoponizhayuschih-sredstvah

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