10 fualaau sili ona lelei mo arthrosis

O se "ata" masani o se tagata maʻi e maua i le arthrosis o se tina matua matua. Ae e le o lona uiga o tagata paee, tane poʻo talavou ua inisiua mai le arthrosis. Arthrosis e tupu e oo lava i talavou. Pau lava le mea i fafine matutua o loʻo faigofie ona tumu, o lenei faʻamaʻi e sili atu ona taatele.

I soʻo se tulaga, e manaʻomia e le arthrosis le foia o le tele o faʻafitauli i le taimi e tasi: faʻamalolo le tiga, faʻamalosi maso i le sooga faʻamaʻi, ma faʻateleina lona gaoioi. O le mea lea, o auala eseese e aofia ai i togafitiga. O fualaau aoga mo arthrosis, e pei o lea, e le o iai. E iai le tele o vailaʻau e fesoasoani i le foia o faʻafitauli e fesoʻotaʻi ma lenei faʻamaʻi.¹.

Lisi o pito i luga 10 taugofie ma aoga fualaau mo arthrosis e tusa ai ma le KP

I le togafitiga o le arthrosis, o vailaʻau o vaega eseese e faʻaaogaina: analgesics, non-steroidal inflammatory drugs (NSAIDs), faʻagesegese faʻamaʻi-faʻaleleia vailaʻau (sili atu ona lauiloa o chondroprotectors). E filifilia taʻitoʻatasi, ma amanaʻia le tulaga o le faʻamaʻi, tausaga o le maʻi, faʻamaʻi faʻatasi. Ma e tofia i latou e se fomaʻi pe a maeʻa suʻesuʻega ma auʻiliʻiliga. Mafaufau i fualaau taugofie autu mo arthrosis, lea e faatonuina e tagata tomai faapitoa.

1. Paracetamol

O le Paracetamol ose vaila'au fa'ama'i fa'atasi ai ma a'afiaga fa'ama'i ma fa'ama'i, fa'atasi ai ma ni nai a'afiaga. E faʻatonuina e faʻamalolo ai le tiga o le maʻi o le localization eseese, e aofia ai le tiga faʻatasi e fesoʻotaʻi ma le arthrosis.

Paracetamol e le afaina ai le mucous membrane o le gastrointestinal tract. O le mea lea, e talafeagai mo tagata mamaʻi ma faʻafitauli o le gastrointestinal, pe a leai se isi faʻalavelave e faʻatonuina lenei vailaʻau (faʻalavelave matuia i le gaioiga o fatugaʻo poʻo le ate, anemia, ava malosi).

Contraindications: hypersensitivity i vaega o le vailaʻau, faʻalavelave matuia o le ate ma fatugaʻo, tamaiti i lalo ifo o le 6 tausaga.

2. Ibuprofen

O le Ibuprofen o se vaila'au fa'ama'i fa'ama'i ma fa'ama'i. O le vailaʻau e vave faʻafefe mai le gastrointestinal tract, lea e faʻaitiitia ai le lamatiaga o faʻalavelave leaga. Mo le gugu, o le ibuprofen e mafai ona vave fa'aitiitia le tiga ma le fula. O le Ibuprofen e toetoe lava a leai sona aafiaga i le cardiovascular system, o lea ua manatu ai o se tasi o fualaau o filifiliga mo tagata matutua.

Contraindications: manu'a erosive ma ma'i o le gastrointestinal tract, gastric ma duodenal ulcer, ulcerative colitis.

3. Naproxen

O le Naproxen fo'i ose vaila'au e le fa'ama'i fa'ama'i. O le maualalo o le lamatiaga o faʻalavelave mai le fatu ma toto toto o le aoga autu lea o le faʻaaogaina o Naproxen ma lona eseesega tele mai isi NSAIDs. O le vailaʻau o loʻo faʻatonuina e avea o se vailaʻau faʻamaʻi ma anti-inflammatory mo le arthrosis. Ma, e tusa ai ma fautuaga faʻavaomalo, o sina vaega itiiti o Naproxen e mafai ona faʻaaogaina mo le umi o le puipuia o le toe foʻi mai o le gasegase gouty.

Contraindications: tausaga o tamaiti e oʻo atu i le 1 tausaga, manuʻa erosive ma ulcerative o le gastrointestinal tract i le tulaga ogaoga, faʻalavelave matuia o le ate poʻo fatugaʻo, faʻalavelave hematopoiesis².

4. Meloxicam

O se vailaʻau faʻamaʻi e le-steroidal mai le vaega o NSAIDs filifilia (o mea e faʻaumatia ai le mumū e aunoa ma le afaina o le mucosa gastric). O se tasi o igoa tau fefa'ataua'iga o Movalis. O le vailaʻau e faʻafeiloaʻi lelei, aʻo le faʻagesegese, e le pei o nisi NSAIDs, o le faʻavaeina o le cartilage articular. Pe a ave faʻatasi ma aspirin, e le faʻaitiitia ai lona aoga antiplatelet.³.

Contraindications: maitaga ma lactation, lactose intolerance, aspirin, maitaga, decompensated fatu faaletonu.

5. Nimesulide

O le isi vailaʻau faʻamaʻi e le faʻamaʻi faʻamaʻi, e iloa i lalo o igoa tau fefaʻatauaʻiga Nimesil, Nise. O le Nimesulide o loʻo i ai se aʻafiaga faʻapitoa, e faʻafeiloaʻi lelei (pe a leai ni uiga taʻitasi ma faʻalavelave mo le faʻaaogaina) ma e le mafua ai faʻafitauli mai le gastrointestinal tract. Faʻaleleia le aʻafiaga o anticoagulants.

Contraindications: e le fautuaina mo faʻamaʻi ogaoga o le ate, fatugaʻo poʻo le fatu. Contraindicated i fafine maʻitaga ma lactating, faʻapea foʻi ma le faʻalagolago i le ava malosi. 

6. Selecoxib

Celecoxib o loʻo i totonu o le vaega o vailaʻau faʻamaʻi faʻamaʻi e le o ni steroidal ma o loʻo i ai se faʻamatalaga faʻamaʻi ma analgesic aafiaga. Fa'ato'a vave le tiga ile arthrosis. O le maualalo o le lamatiaga o faʻalavelave mataʻutia i le gastrointestinal tract pe a ave Celecoxib faʻamaonia e suʻesuʻega tele.⁴.

Contraindications: hypersensitivity i sulfonamides, maʻi maʻi peptic malosi poʻo le toto i totonu o le gastrointestinal tract, allergy i aspirin poʻo NSAIDs. Faatasi ai ma le faʻaeteete, o le vailaʻau e faʻatonuina mo le solia o le galuega o le ate ma fatugaʻo, faʻamaʻi o le fatu ma toto toto.

7. Arkoxia

Arcoxia e iai etoricoxib. E pei o isi vailaʻau o le vaega NSAID filifilia, o le vailaʻau na faia e faʻaitiitia ai le aʻafiaga leaga o le vailaʻau i luga o le gastrointestinal tract. O le maualalo o le ono tupu mai o faʻafitauli i le gastrointestinal tract o lona faʻaopoopoga sili lea. O le Arcoxia foi e faʻamaʻi lelei ma faʻaumatia faʻailoga o le faʻagasologa o le inflammatory.

Contraindications: ma'i ma'i peptic po'o le toto toto o le manava, allergy i aspirin ma NSAIDs, ma'itaga, faaletonu o le ate ogaoga, fatu fatu, toto maualuga, ma'i fatu ischemic.

8. Chondroitin sulfate

Chondroitin sulfate o se faʻamaʻi faʻasolosolo faʻasolosolo faʻamaʻi faʻaaogaina mo togafitiga umi o le arthrosis. O le vailaʻau e fesoasoani e toe faʻafoʻisia le cartilage ma ponaivi, faʻamalolo tiga faʻatasi, faʻaitiitia le manaʻomia o NSAID. O le aʻafiaga o le togafitiga e faʻaauau pea mo se taimi umi, ae e mafai ona e faʻamoemoe i ai naʻo le amataga o le maʻi.

Contraindications: o le vailaʻau o loʻo faʻatonuina ma le faʻaeteete mo le tafe toto ma se faʻalavelave ia i latou, thrombophlebitis. I le taimi o le maitaga ma le lactation, e faʻasaina, talu ai e leai se faʻamatalaga e uiga i lona aafiaga i le soifua maloloina o se fafine ma se tamaititi i lenei vaitau.

9. Glucosamine sulfate

Glucosamine sulfate ei ai se analgesic ma anti-inflammatory aafiaga, o le mea lea, e mafai ai ona e ave ni nai analgesics ma NSAIDs e faʻamalolo ai le tiga.⁵. O le vailaʻau e faʻafaigofie ai le tuʻuina masani o le calcium i le ponaivi ma faʻamalosia le toe faʻaleleia o le cartilage ma le ponaivi.

Contraindications: phenylketonuria, ogaoga fa'aletonu fatuga'o, ma'itaga ma lactation.

10. Teraflex

O le vailaʻau o loʻo i ai mea aoga e lua - glucosamine hydrochloride ma le sodium chondroitin sulfate. Latou te faʻaosofia le toe faʻafoʻisia o le tino o le cartilage, faʻaleleia le gaioiga faʻatasi, faʻaitiitia le tiga ma faʻaitiitia le malo o gaioiga. E le gata i lea, o vaega o le vailaʻau e maua ai le puipuiga mo le faʻaleagaina o le cartilage mai le faʻaleagaina o gasegase e mafua mai i NSAIDs ma glucocorticoids.

Contraindications: ogaoga faaletonu fatuga'o tumau, maitaga ma lactation.

Auala e filifili ai fualaau mo le arthrosis

E le o le tagata maʻi e filifilia fualaau aoga mo le arthrosis, ae o le fomaʻi, i le amanaia o faʻamaʻi faʻatasi - aemaise lava faʻamaʻi o le cardiovascular system, ate, fatugaʻo, ma ponaivi. O nei mea uma e maua i le taimi o suʻesuʻega ma suʻesuʻega o le maʻi, i luga o suʻega suʻesuʻe.

Taua! Non-steroidal anti-inflammatory drugs i le togafitiga o le arthrosis e manaʻomia e faʻamalolo ai le tiga ma fatuina tulaga lelei mo isi togafitiga. Ae e le mafai ona e inuina nei vailaʻau mo se taimi umi, ina ia aua neʻi faʻaalia le faʻasesega o le maʻi ua alu. I lalo o le faatosinaga a NSAIDs, e le o le arthrosis e alu ese, ae o le tiga. E le gata i lea, o le fa'aaogaina umi o NSAID e ono mafua ai a'afiaga e le mana'omia.

Fa'amatalaga a foma'i e uiga i fualaau mo le arthrosis

"O le togafitiga o le arthrosis e le mafai ona faʻatapulaʻaina i togafitiga faʻasaina, e tatau ona atoatoa," o faʻamatalaga Rheumatologist Alexander Elonakov. - E manaʻomia le faʻamaonia o mea na mafua ai lenei faʻamaʻi ina ia taofiofia lona alualu i luma. O le sini o le togafitiga e le gata ina faʻamalolo le faʻamaʻi ma le tiga, ae faʻapea foi le faatumauina o le malosi o maso ma gaioiga afi. O le taimi lava e faia ai le suʻesuʻega o le arthrosis, matou te malamalama e le alu i se mea. O le faʻaleleia e mafai ona oʻo mai na o ia pe ausia i ni auala eseese. Ae ose faiga masani lea e le mafai ona tatou aafia i le lalolagi atoa. O togafitiga lelei o loʻo faʻatulagaina.

Fesili ma tali lauiloa

Rheumatologist Alexander Elonakov tali fesili lauiloa e uiga i le togafitiga o arthrosis.

punaoa:

1. Rheumatology: ta'iala ile falema'i. https://rheumatolog.ru/experts/klinicheskie-rekomendacii/
2. Karateev AE Naproxen: analgesic tele ma e itiiti le lamatiaga o faʻalavelave cardiovascular. FGBNU Research Institute of Rheumatology. https://cyberleninka.ru/article/n/naproksen-universalnyy-analgetik-s-minimalnym-riskom-kardiovaskulyarnyh-oslozhneniy/viewer
3. Karateev AE Meloxicam: o le "auro uiga" o non-steroidal anti-inflammatory drugs. Fa'amaumauga mo togafitiga. 2014;86(5):99-105. https://www.mediasphera.ru/issues/terapevticheskij-arkhiv/2014/5/030040-36602014515
4. Karateev AE Le faʻaaogaina o le celecoxib i le rheumatology, cardiology, neurology ma le oncology. https://paininfo.ru/articles/rmj/2361.html
5. Chichasova NV, polofesa o le matagaluega o rheumatology ma se vasega o pediatric rheumatology, FPPOV MMA faaigoa. I LATOU. Sechenov. Fa'aonaponei pharmacotherapy o deforming osteoarthritis. https://www.rlsnet.ru/library/articles/revmatologiya/sovremennaya-farmakoterapiya-deformiruyushhego-osteoartroza-90