Analgesic e osteoarthritis amalunga omzimba: uhlu

Osteoarthritis iyisifo evame kakhulu esithinta amalunga omzimba. Kuqala kwakukholelwa ukuthi le zokugula itholakala kuphela lapho umuntu eguga, njengoba libhekene izinqubo esiwohlozayo-dystrophic oqwangeni amalunga omzimba interlayer. Ngokuvamile lokhu kwenzeka ngenxa okwehlisa engokwemvelo umzimba ukuthi kwenzeka ngeminyaka. Kodwa lesi sifo kungavuka abantu abasebasha ngenxa yokuphila umzimba, imikhuba yokudla engafanele kanye ukucindezeleka phezulu emalungeni. Uma isifo samathambo esasesisibi kungaqali ku isikhathi sokululama, inqubo nolokubhujiswa izicubu uqwanga, ungaya kude. Lokhu ngokuvamile kuholela baxhashazwe we ngokuhlanganyela. Ukwelashwa nokuvikelwa kwezifo kufanele kube eziyinkimbinkimbi. Iningi evame ukusetshenziswa analgesic e-osteoarthritis. izidakamizwa ezinjalo ukuqeda kuphela izimpawu kodwa awayilaphi kwesifo ngokwaso. Kodwa naphezu kwaleli, zingabantu ingxenye enkulu yokwelapha eziyinkimbinkimbi.

Kungani Painkillers

Osteoarthritis eba kancane. Ekuqaleni, abantu bangase bangafuni ngisho uqaphele ukuthi knuckles yakhe ukuthi kukhona okungalungile. Kukhona encane ubuhlungu ezidabukile ngaphansi komthwalo ke kungase crunching bese uchofoza ka ngenkathi ushayela. Ngokungafani imiphumela ukubheduka ukuvuvukala, ubuhlungu osteoarthritis ngokuvamile kakhulu ukuthuthukisa uma iqala emva baxhashazwe isikhathi eside. Futhi ekuseni kukhona ukuqina ngokuhlanganyela.

Ngokuhamba kwesikhathi, ubuhlungu kube kubi nakakhulu, ehlala isikhathi eside. Ngakho kudingeka ubuhlungu osteoarthritis. Lokhu kuyisinyathelo sokuqala esisemqoka ukwelashwa. Kuyinto efiselekayo ukuthi ukwakhiwa abakhethiwe udokotela abayoba acabangele izici ngamunye kanye degree of ukubhujiswa uqwanga. Eziningi zalezi ezidayisa izidakamizwa kuphela kadokotela.

Okudambisa ubuhlungu e osteoarthritis engavumelekile itholakala kuphela uma i-ukumisa izinqubo esiwohlozayo. Analgesics wedwa Awukwazi ukwenza, ngoba isifo isazoqhubeka bathuthuke.

Indlela ukuthatha ubuhlungu osteoarthritis

Ezigabeni zokuqala zesifo ngokuvamile hhayi ubuhlungu eqinile. Abakwazi zenzeka ekuseni noma ngemva kokuphumula futhi ngokuzimela ihlolwe ngesikhathi esithile. Kodwa kule nqubo nolokubhujiswa uqwanga we ungqimba ahlangene ukusonteka of evele articular, ukubhujiswa ithambo amakhanda. Kungenzeka babancwebe ezinzwa izimpande noma imithambo yegazi. Konke lokhu kubangela ubuhlungu obukhulu, okuyinto bona zinyamalale.

Ikakhulukazi wayevame ukusebenzisa analgesics e osteoarthritis ka kwedolo, hip spondyloarthrosis. Ngoba lezi emalungeni bavezwa imithwalo eliphezulu kakhulu, futhi ngokuvamile ubuhlungu eqinile ukuze ungavumeli umuntu ukuhambisa.

Can okudambisa ubuhlungu ngezindlela ezahlukene. Lapho i-osteoarthritis kuvame kakhulu ukuba kusetshenziswe yilezi:

• ekuphathweni esicutshini of ama-NSAID noma analgesics;
• procaine ukuvinjelwa;
• umjovo intraarticular ejenti hormone;
• isicelo yokugcoba analgesic;
• licindezele;
• ukuthatha ubuhlungu imithi ngaphakathi.

Analgesics futhi antispasmodics

"Analgin" libhekisela kumuntu ongeyena kwezidakamizwa ubuhlungu relievers. Kungcono eyaziwa futhi izidakamizwa ezivamile. Kodwa ngenxa ezinkulu eziningana ohlangothini-imiphumela ke esanda siya sincipha isibalo sawo esetshenziswa. Ikakhulukazi ukuthi osteoarthritis kungaba kuphela ukususa okuncane ubuhlungu.

Ngezinye izikhathi ubuhlungu osteoarthritis uvuke spasm imisipha ngenxa ukuvuvukala noma ukuluma kwesikhumba yokuchitheka evele articular. Kulokhu, ukusiza antispasmodic ukuthi aqede ubuhlungu ngenxa muscle. Lokhu "Baclofen", "Mydocalm", "Sirdalud". Basuke ngokuvamile kahle kubekezelelwe futhi cishe awekho Izimo.

Ama-NSAID: izici zohlelo lokusebenza

Ezimweni eziningi, okudambisa ubuhlungu ama-NSAID asetshenziswe arthrosis. Sinenkosi ikhono ukususa ubuhlungu, ukuvuvukala, ukuminyana, ukunciphisa ukuvuvukala. Kunezinhlobo eziningi ama-NSAID. Iningi lawo kwenziwa okusekelwe acid organic. Ngakho-ke, kungalimaza ebusweni ipheshana wokugaya ukudla. Ngaphezu kwalokho, izindlela enjalo iyosithinta ukubunjwa igazi, ekunciphiseni ekunqandeni yephula nezinso. Ngakho-ke, ezithathwe kuphela kadokotela futhi ngaphansi Isikali ngokuqinile elinganiselwe.

Ngaphezu kwalokho, isici ama-NSAID wukuthi amalungiselelo ezahlukene yezenzo ezahlukene. Ngokwesibonelo, "Diclofenac" noma "Indomethacin" isinyathelo endaweni nokususa ubuhlungu ezingeni izicubu abathintekayo. A "paracetamol" kuthinta isimiso sezinzwa esiyinhloko ngu ezivimbela ubuhlungu amaza. Ngakho-ke, ngokuvamile zisebenzisa inhlanganisela yemithi ezimbili noma izindlela eziyinkimbinkimbi.

izidakamizwa Iningi ama-NSAID

Kunezinhlobo ezingaba ngu-40 izinhlobo ezahlukene izidakamizwa kuleli qembu. Kodwa akuwona wonke ngokulinganayo ngempumelelo ngenxa yobuhlungu emalungeni. The njalo kunazo esetshenziswa abanye analgesic e osteoarthritis equkethe ama-NSAID:

• "Aspirin" - lena ithuluzi kunazo owaziwa futhi eside isetshenziswa. Lokhu kuwukhulula ubuhlungu nokuvuvukala, kanye nokusiza ukubambezela ekubhujisweni ngokuhlanganyela. Kodwa acetylsalicylic acid isenzo kancane, ngakho kuyasiza kuphela izigaba sokuqala lesi sifo.
• "Indomethacin" - ingenye ezivame kakhulu ubuhlungu imithi arthrosis. Ngemva kwakho konke lokhu ukulungiselela ngokushesha aqede ubuhlungu, liphinde ngempumelelo ukuqeda ukuvuvukala edema. Singadayiswa ngaphansi "indomethacin" amagama "Indotard", "Indobene", "Revmatin".
• "Diclofenac" futhi amalungiselelo okusekelwe kuyo ngokuvamile ezinqunyiwe osteoarthritis. isinyathelo walo uyalinganisela kahle, izidakamizwa ngokushesha aqede ubuhlungu nokuvuvukala. Kunemithi eminingi ngesisekelo diclofenac "Ortofen", "Diklofen", "Diklobene", "Rapten", "Naklofen", "Barat", nabanye.
• "Ibuprofen" - lena ephephile-non-steroidal ejenti eqeda ukuvuvukala. It is uvunyelwe ukuthatha ngisho phakathi nokukhulelwa kanye lactation. Kodwa ngo-osteoarthritis izidakamizwa abakwazi ukubhekana uhlala esezinhlungwini ezinzima. Ibuprofen kuqukethwe lezi imithi, "Nurofen", "Brufen", "Motrin", "Reumafen".
• "Ketorolac" uyakwazi ukudubula ubuhlungu ngisho namandla. It angathengwa ngaphansi amagama "Ketorol", "Ketalgin", "Dolak."
• "Movalis" - isizukulwane esisha izidakamizwa. Ubizwa kangcono ikubekezelele iziguli. Kodwa uma isetshenziswa ngendlela efanele ngokushesha aqede ubuhlungu nokuvuvukala. Kufanele kusetshenziswe uma kwenzeka ukuthi kudingeka yokwelapha eside.
• "Phenylbutazone" - a painkiller sasivumela eqinile. Lapho hip ngokuhlanganyela arthrosis ngokuvamile lisetshenziswa njengendlela ubuhlungu ngesikhathi esifanayo kakhulu eqinile. Kodwa, ngenxa yesibalo esikhulu yemiphumela emibi, wamiswa isikhathi esifushane, kuphela ukususa kuhlasela.

ejenti hormone

hormone ngama-corticosteroid asetshenziselwa kancane njalo osteoarthritis. Kuphela uma akunakwenzeka ukususa ubuhlungu ngezinye izindlela. Ngokuvamile basuke ukulapha yesikhashana, ngoba kungaholela ekubhujisweni ezinzima ngaphezulu uqwanga. Lokhu kwelashwa kufanele kuphela ukhethe udokotela njengoba ejenti hormone babe Izimo eziningi. Izidakamizwa evamise esetshenzisiwe:

• "Dexamethasone".
• "Kenalog."
• "Hydrocortisone".

izidakamizwa eziningi zanamuhla

Muva nje, analgesics entsha e-osteoarthritis ziye zasetshenziswa. Baye lesiRotuma kodwa okuye kwenziwa kuye kwabonisa kakade ngokwabo njengoba amathuluzi amahle. Yimiphi imithi ingasetshenziswa osteoarthritis:

• "Ambene" - isilungiselela eziyinkimbinkimbi eziqukethe, ngaphandle amaphilisi ezinhlungu amavithamini yeqembu B.
• "Droksaril" ingasetshenziswa okwesikhathi esilinganiselwe ngenxa yokuba khona amathuba okuba nemiphumela engemihle.
• "Nifluril" - ukulungiselela based niflumic acid Ingabangela umonakalo mucosal ka ipheshana wokugaya ukudla.
• "Marwan" ingasetshenziswa isikhathi eside.
• "Arlef 'ebekezelele ngokubhekakade kahle futhi ngokushesha aqede ubuhlungu.

Cauterized ne-osteoarthritis

Lesi sifo, ikakhulu uma nisanda kamuva, kungase kuhambisane sebuhlungwini obunzima. Ngezinye ngumuntu okwaziyo osteoarthritis ka kwamadolo noma hip indlela evamile yokwelapha abantu ngokuvamile umjovo. Futhi ephumelela kunazo naphakathi-ukuvinjelwa.

Omunye izidakamizwa ezijwayeleke kakhulu salokho - "Novocaine". It ukuvinjelwa novocaine isetshenziswa izibhedlela yokwamukelwa kweziguli exacerbation acute osteoarthritis. Ibe isixazululo 1% 20 ml ngokwako kwezicubu ehlanganyelwe noma periarticular. Umjovo kwenziwa njalo ezinsukwini ezingu-4 izikhathi ezimbalwa.

izidakamizwa Intramuscularly noma ngemithambo yegazi iqondiswa ngokuvamile zisekelwe non-steroidal ejenti eqeda ukuvuvukala. Kulokhu, zingabantu isenzo ngokushesha ukuqedwa kwezinhlungu ngamaminithi. Ngokwesibonelo, lapho isingeniso-isikhathi esisodwa "tenoxicam" analgesic umphumela ihlala kufika izinsuku 3. Sici Its ekhethekile ukuthi enza isimiso sezinzwa esiyinhloko, abacindezela ubuhlungu, futhi lingena singene kwezicubu ethintekile, nokususa vspalenie nobuhlungu.

Lapho izindlela kukhona ukusetshenziswa nokungasebenzi umjovo izidakamizwa hormone, njengokuthi "diprospana" noma "Dexamethasone". Ingabe kumele babe kuphela kadokotela. OKUVUMELEKILE ubambe hhayi ningi than 5 imijovo, okufanele ikhefu izinsuku 5 phakathi kwabo.

izimali zangaphandle

Kwezinye izimo ukusetshenziswa amaphilisi ezinhlungu arthrosis kanye imijovo kungenzeka zingenzeki ngenxa Izimo. Ngezinye izikhathi akunakwenzeka ngenxa ukushuba ezibuthakathaka ubuhlungu. Kulokhu, lo analgesics zangaphandle. Ngokuvamile, licindezele "Dimexidum". Basuke dambisa kahle ukuvuvukala, ukunciphisa ukushisa bese ubuhlungu. umphumela Okuhle analgesic onesixazululo ezifana: uhlanganise alinganayo amanani amanzi "Dimexidum" futhi "Ketonal" ngoba umjovo.

Kungasetshenziswa futhi enjalo analgesics zangaphandle osteoarthritis ngokuthi "Bischofite" Bile yezokwelapha, i-iodine turpentine, uviniga, okukhishwe ezakhini izitshalo. Imithi yesintu iye efunde isipiliyoni esiningi infusions amakhambi kanye nezinye izinto ukuze udambise izinhlungu.

Anaesthetising wamafutha e osteoarthritis

Amalungiselelo ngesimo amafutha noma ukhilimu ngenxa yobuhlungu emalungeni kusebenza kakhulu. Benza izinto zibe lula ukuyisebenzisa, banayo ezimbalwa side effects kanye nokuzikhulula ekucindezelweni ngempumelelo ubuhlungu. Manje kukhona imithi eminingi ehlukene zingahlukaniswa zibe amaqembu amaningana:

• wamafutha Isekelwe isicelo ama-NSAID e-osteoarthritis ngokuvamile. Lokhu "Nise", "indometacin", "Ketonal", "Finalgel", "Phenylbutazone", "eside", nabanye.
• Amalungiselelo equkethe capsaicin, elibangela lesi ukusheshisa umzimba nokugeleza kwegazi eliya emisipheni. Lokhu "Nikofleks", "Kapsikam", "Finalgon", "Espoli" nabanye.
• Yokugcoba kokuba ukubunjwa yayo salicylic acid, azigcini nje analgesic, kodwa futhi isenzo eqeda ukuvuvukala. Lokhu "Viprosal", "UBheni-Gay", "Efkamon".
• Amalungiselelo equkethe bee Isihlungu, amafutha ethereal adonse Rathenn. "Apizartron", "Gevkamen", "Potentilla" wamafutha Dikulja kanye namanye amathuluzi amaningi angathengwa ngaphandle kadokotela.

nezinsiza

ukuphathwa okuphoqelekile osteoarthritis ukusetshenziswa chondroprotective. La mathuluzi wedwa musa okudambisa ubuhlungu. Isenzo sabo kuhloswe ukubuyiselwa uqwanga izicubu. Ngakho bangakwazi futhi nomthelela analgesic, kodwa kancane kakhulu. Zonke hondroprotektory esetshenziswa ekwelashweni eziyinkimbinkimbi isikhathi eside.

Indlela ephumelela kakhulu kusho lezo aqukethe okungaphezu kokukodwa izidakamizwa. Kungenzeka chondroitin, glucosamine. Okuvame kakhulu yizidakamizwa ezifana:

• "Teraflex".
• "Artra".
• "Don".
• "Moveks".
• "Alflutop".

Kubalulekile nokukhumbula ukuthi kuphela amaphilisi ezinhlungu ne-osteoarthritis amalunga omzimba ngeke kuholele ikhambi. Lokhu nje ingenye yezindlela yokwelapha eziyinkimbinkimbi. Ngemva ubuhlungu kudamba, ukwelashwa kufanele kuqhutshwe, kungenjalo izimpawu uzobuya futhi.