10 Vailaau Fa'asa'o Fa'ama'i (NSAIDs)
NSAIDs – o se piliki “magic” mo le ulu tiga, tiga o le nifo, ma'i masina, maso po'o tiga sooga. E taua le malamalama o le non-steroidal anti-inflammatory drugs naʻo le faʻaumatiaina o le faʻailoga, ae le afaina ai le mafuaʻaga tonu o le tiga.

30 miliona tagata i aso uma e faʻaaogaina vailaʻau faʻamaʻi e le faʻamaʻi faʻamaʻi mo le faʻamaʻi tiga. Se'i tatou va'ai pe o le a le eseesega i le va o vaega eseese o le NVPS, o fa'ama'i e fa'atonuina, ma o a a'afiaga e ono iai.

Lisi o pito i luga 10 taugofie ma aoga non-steroidal anti-inflammatory drugs e tusa ai ma le KP

1. Aspirini

Aspirin e faʻatonuina mo tiga o soʻo se natura (muscular, sooga, manstrual) ma le maualuga o le vevela o le tino. O lenei vailaʻau o loʻo aofia i le lisi o vailaʻau taua a le Russian Federation. Aspirin e faʻaitiitia ai foi le pipii o platelets i le tasi ma le isi ma faʻamaʻi le toto, o lea e mafai ai ona faʻatonuina mo le faʻaaogaina umi i se fua maualalo mo le puipuia o faʻamaʻi cardiovascular. Ole maualuga ole fua ole aso ole 300 mg.

Contraindications: fa'ateleina le ma'i toto, tamaiti i lalo o le 15 tausaga le matutua.

talafeagai mo tiga o soʻo se natura, tau taugofie.
faʻatasi ai ma le faʻaaogaina umi, e i ai se aafiaga le lelei i le manava; mafai ona tupu aʻe o le sela bronchial e fesoʻotaʻi ma aspirin.
faʻaali atili

2. Diclofenac

O le Diclofenac e masani ona faʻatonuina mo faʻamaʻi faʻamaʻi o sooga (arthritis). E le gata i lea, o le vailaʻau o loʻo faʻaaogaina malosi mo le tiga o maso, neuralgia, mo le tiga pe a maeʻa manuʻa poʻo gaioiga, mo le tiga faʻamaʻi i tua o faʻamaʻi faʻamaʻi o le pito i luga o le manava ma le pelvis laiti (adnexitis, pharyngitis). Ole maualuga ole fua ole fua ole 100 mg.

Faʻafitauli: toto e le iloa le amataga, manava po'o le duodenal ulcer, tolu masina mulimuli o le maitaga.

fa'aoga lautele; e tele ituaiga o faʻamalolo (gel, papa).
ma le faʻaeteete ua faʻatonuina i tagata matutua; contraindicated i edema.

3. Ketanov

Ketanov ua faʻatonuina mo le tiga o le feololo i le ogaoga. E le gata i lea, o le vailaʻau e aoga i le tiga faʻamaʻi e faʻatasi ma le kanesa, ma pe a uma le taotoga. Ole a'afiaga ole analgesic e tupu ile 1 itula pe a mae'a le ingestion, ma o le maualuga maualuga e maua ile 2-3 itula. Ole maualuga ole fua ole aso ole 40 mg. E taua foi le manatuaina o le Ketorolac e le faʻaaogaina e togafitia ai tiga masani. Aua le fa'aaogaina le sili atu i le lua aso e aunoa ma le fa'atalanoaina o se foma'i.

Contraindications: maitaga, lactation, ate faaletonu, hypersensitivity i NSAIDs, ulcerative manua erosive o le gastrointestinal tract i le tulaga ogaoga.

fa'ailoa a'afiaga analgesic; talafeagai mo soʻo se tiga (sei vagana ai le faʻamaʻi).
se aafiaga le lelei malosi i le gastric mucosa.

4. Ibuprofen

O le vailaʻau e faʻaaogaina e faʻamalolo ai le tiga pupuu poʻo le fiva i le malulu. Ole umi ole a'afiaga ole analgesic e tusa ole 8 itula. Ole maualuga ole fua ole aso ole 1200 mg, ae e le fautuaina e ave le vailaʻau mo le sili atu i le 3 aso e aunoa ma se fautuaga a le fomaʻi.

Contraindications: hypersensitivity i ibuprofen, erosive ma ulcerative faʻamaʻi ma le toto o le gastrointestinal tract, sela bronchial, fatu ogaoga, fatuga ma le ate le atoatoa, faʻalavelave faʻalavelave toto, maʻitaga (3rd trimester), tamaiti i lalo o le 3 masina le matutua, nisi faʻamaʻi rheumatological (systemic lupus erythematosus).

fa'aoga lautele; aafiaga analgesic umi umi.
se lisi tele o contraindications, e le mafai ona umi atu nai lo le 3 aso.
faʻaali atili

5. Ketoprofen

Ketoprofen e masani ona faʻatonuina mo faʻamaʻi faʻamaʻi o ponaivi, sooga ma maso - gugu, arthrosis, myalgia, neuralgia, sciatica. E le gata i lea, o lenei vailaʻau e aoga mo le faʻamaloloina o le tiga pe a uma le faʻalavelave, taotoga, colic renal. Ole maualuga ole fua ole aso ole 300 mg.

Contraindications: ma'i ma'i peptic o le gastrointestinal tract, tamaiti i lalo ifo o le 18 tausaga le matutua, maitaga (3rd trimester), ogaoga ate ma fatuga'o faaletonu.

fa'ailoa a'afiaga analgesic; talafeagai mo tiga eseese.
e na'o le tasi le taimi e fa'aoga ai; e afaina ai le gastrointestinal tract.

6. Nalgezin Forte

Nalgezin Forte e faʻaaogaina e faʻamalolo ai le tiga i faʻamaʻi faʻamaʻi o sooga, ponaivi, maso, ulu ma ulu. E le gata i lea, e aoga le vailaʻau mo le fiva i le taimi o le malulu. Ole maualuga ole fua ole aso ole 1000 mg. Faatasi ai ma le faʻaaogaina umi, e tatau ona mataʻituina le gaioiga o fatugaʻo.

Contraindications: manu'a erosive ma ulcerative o le gastrointestinal tract i le vaega ogaoga, faaletonu hematopoietic, faaletonu ogaoga o fatugaʻo ma le ate, tamaiti i lalo o le 12 tausaga, hypersensitivity i naproxen ma isi NSAIDs.

fa'aoga lautele; aoga e pei o se antipyretic.
se lisi tele o contraindications.

7. Meloxicam

O le Meloxicam e fa'atonuina mo le gasegase oona (osteoarthritis po'o le rheumatoid arthritis), aua e vave ma lelei e fa'amama ai le tiga ma le mumū. I lenei tulaga, e matua fautuaina e amata togafitiga ma se laʻititi laʻititi ma faʻateleina pe a manaʻomia. E le gata i lea, pe a ave le Meloxicam, o aʻafiaga e pei o le tiga o le manava, manava manava, faʻafefe, faʻavauvau e mafai.

Contraindications: hypersensitivity i vaega o le fualaau faasaina, decompensated fatu faaletonu, erosive lesions ma le toto o le gastrointestinal tract, maitaga ma susu, tamaiti i lalo o le 12 tausaga.

fa'ailoa a'afiaga fa'ama'i i fa'ama'i rheumatological.
a'afiaga e ono tutupu mai; le mana'omia mo le filifilia ma le faaeteete o fua.

8. Nimesulide

Nimesulide e faʻaaogaina mo ituaiga eseese o tiga: nifo, ulu tiga, maso, tiga i tua, faʻapea foʻi ma le taimi mulimuli, pe a maeʻa manuʻa ma manuʻa. Ole fua tasi maualuga ole 200 mg. I lenei tulaga, e le tatau ona ave le vailaʻau mo le malulu ma le SARS. E lapata'i fo'i foma'i o le Nimesulide e mafai ona mafua ai a'afiaga e pei o le niniva, tulemoe, ulu, afu tele, urticaria, mageso le pa'u.

Contraindications: maitaga ma lactation, bronchospasm, urticaria, rhinitis mafua mai i le tagofia o NSAIDs, tamaiti i lalo o le 12 tausaga.

faaumiumi aafiaga analgesic (sili atu i le 12 itula).
contraindicated i le fiva i le taimi o le malulu, e afaina ai le gastrointestinal tract.

9. Selecoxib

Celecoxib o se tasi o NSAID sili ona saogalemu. O le vailaʻau e faʻaaogaina e faʻamalolo ai sooga, tiga o maso, ma faʻaaogaina foi e faʻamalolo ai se osofaʻiga o tiga ogaoga i tagata matutua.1. E fautuaina e fomaʻi le amata togafitiga i se tui maualalo ma faʻateleina pe a manaʻomia.

Contraindications: faʻalavelave matuia o fatugaʻo ma le ate, faʻafitauli faʻafefe i le ave o le acetylsalicylic acid poʻo isi NSAID i le talafaasolopito, III trimester o le maitaga, lactation.

saogalemu mo le gastrointestinal mucosa, fesoasoani i ituaiga eseese o tiga.
e mana'omia le filifilia o fua.

10. Arcoxia

O le mea malosi o loʻo i totonu o le tuufaatasiga o le etoricoxib. O le vailaʻau e faʻamoemoe mo le togafitia o tiga tumau (e aofia ai faʻamaʻi rheumatological), faʻapea foʻi ma le tiga pe a uma taotoga nifo.2. Ole maualuga ole fua ole aso ole 120 mg.

Contraindications: maitaga, lactation, erosive ma ulcerative suiga i le mucous membrane o le manava po o le duodenum, totoga gastrointestinal malosi, cerebrovascular po o isi toto, tamaiti i lalo o le 16 tausaga.

fa'ailoa a'afiaga analgesic.
e le faaitiitia le fiva, e le fesoasoani i ituaiga uma o tiga.

E fa'afefea ona filifili vaila'au fa'ama'i e le fa'ama'i

O vailaʻau faʻamaʻi uma e le-steroidal e vaevaeina i ni vaega. E eseese i latou i le umi o le gaioiga, aoga i le faʻamaloloina o le tiga ma le mumū, ma le fausaga o vailaʻau.3.

E tusa ai ma le umi o le gaioiga, o le gaioiga puupuu (vaitaimi faʻaalia e tusa ma le 6 itula) ma le umi (vaitaimi faʻaalia e sili atu i le 6 itula) faʻamaʻi faʻamaʻi faʻamaʻi e le o ni steroidal.

E le gata i lea, e eseese NSAID i le aoga o le anti-inflammatory effect ma le analgesic effect. O a'afiaga fa'ama'i (mai le maualuga i le la'ititi) e iai: indomethacin – diclofenac – ketoprofen – ibuprofen – aspirin. E tusa ai ma le malosi o le faʻamaʻi faʻamaʻi (mai le maualuga i le laʻititi): ketorolac - ketoprofen - diclofenac - indomentacin - ibuprofen - aspirin4.

Fa'amatalaga a foma'i e uiga i vaila'au fa'ama'i e le fa'ama'i

Celecoxib ua viia e le tele o fomaʻi o se togafitiga lelei mo tiga masani o le rumatika. E le gata i lea, o le Celecoxib ua taʻua o le "tulaga auro" mo le maualalo o le lamatiaga o faʻafitauli o le manava.

E le gata i lea, e fautuaina e le au atamamai le Naproxen, lea e talia lelei e tagata gasegase ma e le mafua ai aʻafiaga pe a faʻaaogaina mo le sili atu i le 21 aso.5.

O le tele o fomaʻi faʻamaʻi faʻamamafa le vailaʻau Etoricoxib (Arcoxia), lea e aoga mo le tele o tulaga e aʻafia ai le tiga. O se tasi o ona faʻamanuiaga autu o se faʻatonuga faʻaoga talafeagai ma le saoasaoa o le amataga o le aafiaga.

Fesili ma tali lauiloa

Sa matou talanoaina mataupu taua e fesoʻotaʻi ma non-steroidal anti-inflammatory drugs ma fomai aoao le vaega aupito maualuga Tatyana Pomerantseva.

Aiseā e mataʻutia ai vailaʻau faʻamaʻi e le-steroidal?

- NVPS e matautia ona e mafai ona mafua ai aʻafiaga. Le sili ona taatele o latou:

• NSAIDs - gastropathy (i le 68% o tagata mamaʻi o loʻo faʻaaogaina fualaau mo le itiiti ifo i le 6 vaiaso) - faʻaalia i le faʻavaeina o maʻi, erosions, gastric toto, perforations;

• fatuga'o - fa'aletonu fatuga'o, taofi le suavai;

• cardiovascular system - soliga o le fa'atupu toto;

• faʻalavelave faʻalavelave - ulu tiga, faʻafitauli moe, faʻafitauli o le mafaufau, atuatuvalega, niniva;

• hypersensitivity – fa'atuputeleina a'afiaga e maua i le sela;

• fa'aleagaina le ate.

O le a le eseesega i le va o le steroid ma le non-steroid drugs?

– O vailaʻau faʻamaʻi faʻamaʻi faʻamaʻi o vailaʻau o hormonal. Ma o vailaʻau e le faʻamaʻiina o ni vailaʻau faʻaletino. E le pei o NSAID, o vailaʻau faʻamaʻi e aʻafia ai gaioiga faʻasolosolo i totonu o le tino ma le tino puipuia. O vailaʻau faʻamaʻi e faʻatonuina i le tulaga o faʻamaʻi maualuga, i le i ai o faʻamaʻi faʻamaʻi mai isi totoga ma faiga, tiga masani, tiga faʻatasi (i le rheumatology), i le tulaga o le le aoga o NSAIDs poʻo faʻalavelave ia i latou.

O le a le umi e mafai ona fa'aaoga ai vaila'au e le fa'agata?

O NSAIDs o vailaʻau faʻamaʻi e le togafitia le mafuaʻaga o le tiga. O le mea lea, e mafai ona e inu na o oe e le sili atu i le 5 aso. Afai e tumau pea le tiga, e tatau ona e faʻafesoʻotaʻi se fomaʻi.

E faʻafefea ona puipuia le mucosa gastric mai aʻafiaga leaga o NSAIDs?

- E manaʻomia le faʻaogaina o le iniseti pamu proton (PPIs) e tutusa ma le faagasologa o NSAIDs. PPI e aofia ai Omeprazole, Pariet, Nolpaza, Nexium. O nei vailaʻau e faʻaitiitia ai le faʻaogaina o le hydrochloric acid e ala i sela mucosal faʻapitoa ma maua ai se puipuiga i le mucosa gastric.

E iai ni NSAID saogalemu?

E leai ni vailaʻau faʻamaʻi faʻamaʻi e leai ni vailaʻau e matua saogalemu mo le soifua maloloina. E na'o le ogaoga o a'afiaga i nisi o vaila'au e fa'aitiitia. Naproxen ma Celecoxib ua manatu e sili ona saogalemu.
  1. Karateev AE Celecoxib: iloiloga o le aoga ma le saogalemu i le lua sefulu tausaga o le 2013st seneturi // Modern 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) i le rheumatology // Rheumatology faʻaonapo nei. 2011. Nu. 2. URL: https://cyberleninka.ru/article/n/etorikoksib-arkoksia-v-revmatologii
  3. 2000-2022. RESISTA O VA'AIGA A RUSIA® RLS ®
  4. Shostak NA, Klimenko AA Non-steroidal anti-inflammatory drugs - vaega faʻaonaponei o lo latou faʻaogaina. Falema'i. 2013. Nu.3-4. URL: https://cyberleninka.ru/article/n/nesteroidnye-protivovospalitelnye-preparaty-sovremennye-aspekty-ih-primeneniya
  5. Tatochenko VK Toe tasi e uiga i antipyretics // VSP. 2007. Nu. 2. URL: https://cyberleninka.ru/article/n/eschyo-raz-o-zharoponizhayuschih-sredstvah

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