Mataupu
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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?
• 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 le a le umi e mafai ona fa'aaoga ai vaila'au e le fa'agata?
E faʻafefea ona puipuia le mucosa gastric mai aʻafiaga leaga o NSAIDs?
E iai ni NSAID saogalemu?
Punavai o:
- 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
- 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
- 2000-2022. RESISTA O VA'AIGA A RUSIA® RLS ®
- 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
- Tatochenko VK Toe tasi e uiga i antipyretics // VSP. 2007. Nu. 2. URL: https://cyberleninka.ru/article/n/eschyo-raz-o-zharoponizhayuschih-sredstvah