OARSI Ranks Jiyya Gargaɗi ga Knee da Hip Osteoarthritis
Daban magungunan osteoarthritis daban-daban suna bada shawara ga marasa lafiya tare da ciwon haɗin gwiwa, haɓaka, kumburi, da sauran cututtuka osteoarthritis . Magunguna suna rikita rikicewa saboda yawancin maganin kulawa - duk da gaske, suna so su tsallake abin da ba ya aiki da kuma mayar da hankali ga abin da yake. Wadanne maganin osteoarthritis ne mafi kyau?
Cibiyar Osteoarthritis Research Society International (OARSI) ta kafa kwamitin (masanan ilimin lissafi guda biyu, 2 likitoci na farko, likita 1 kothopedic, da kuma masana biyu akan likitoci na asali daga kasashe 6) waɗanda suka yi nazari kan ka'idojin kulawa da suka kasance daga 1945 zuwa Janairu 2006 don gwiwa da hip osteoarthritis .
Daga binciken, kwamitin ya gano jagororin magance 23 game da gudanarwa na gwiwa da kuma osteoarthritis na fata - 6 sun kasance ra'ayi, 5 sun kasance tushen shaida, kuma 12 bisa ga duka masana da kuma binciken bincike. Ta hanyar matsala da ta haɗa da ƙaddamar da ƙididdigar jagororin da ake gudanarwa, nazari na yau da kullum game da bayanan da suka gabata, da kuma yin amfani da su don samar da shawarwari - a karshe 25 an yi kira "jiyya guda ɗaya na shawarwarin da suka dace."
Kowace shawarar da aka ba da shawarar an sanya wani SOR (ƙarfin shawarwarin). SOR ga kowane maganin ya dogara ne akan ra'ayoyin kwamiti na jagoran bayan binciken bincike don kare lafiyar, tasiri, da kuma tasiri. Gwaninta na gwaninta na mambobin kwamitin sun taimaka wajen tsara SOR, ciki har da irin abubuwan da suka fahimta game da hakuri na haƙuri ga magani. Ana nuna SOR a matsayi wanda ya wakilci yawancin mambobin kwamitin 'SOR scores ga kowane shawarwari, inda 0% shine mafi raunin kuma 100% shine mafi karfi.
Alal misali, wani SOR na 97% ya nuna cewa kwamitin, a matsakaici, yayi la'akari da inganci, aminci, da kuma yawan kudin da za'a yi don farfadowa.
OARSI ya jaddada cewa magani mafi kyau ga osteoarthritis ya shafi duka maganin maganin magunguna (likita) da marasa magani (marasa magani). Wannan shi ne babban sanarwa na farko.
Sauran sharuɗɗa 24 sun kasu kashi uku - nonpharmacologic, pharmacologic, da kuma m. Kusa da kowace shawarar da ake kulawa shine SOR kashi.
11 Hanyoyi na Nonpharmacologic for Osteoarthritis
- ilmantarwa game da manufar kulawa da gudanar da kai ta hanyar gyare-gyare na rayuwa (97%)
- aerobic, ƙarfin muscle, da kuma motsa jiki na ruwa (96%)
- ƙimar nauyi (96%)
- masu tafiya (90%)
- mai kulawa ga likitancin jiki (89%)
- ƙusar ƙafa da insoles (77%)
- ƙunƙwarar gwiwa (76%)
- lambar sadarwa ta yau da kullum (66%)
- yanayin yanayin zafi / zafi (64%)
- acupuncture (59%)
- Hanyoyin lantarki mai sassaukarwa (58%)
8 Magungunan Pharmacologic for Osteoarthritis
- Oral NSAIDs (93%)
- acetaminophen (92%)
- Topic NSAIDs da capsaicin (85%)
- rashin ƙarfi da kwayar cutar da kuma narkewar maganin cututtuka na maganin cututtuka (resistant zuwa magani na jiki) (82%)
- intraarticular (cikin haɗin gwiwa) injections na corticosteroids (78%)
- injections intraarticular na hyaluronan (64%)
- glucosamine da / ko chondroitin sulfate don taimako na alama (63%)
- glucosamine sulfate , chondroitin sulfate , da / ko diacerein don yiwuwar ingantawa a cikin gidajen abinci da kuma kewaye da tsarin (41%)
5 Hanyoyin Miki don Osteoarthritis
- Sauye sauyin gwiwar jiki (76%)
- osteotomy da sauran hanyoyin da za a adana su don adana kayan aiki (75%)
- fuska ta hadin gwiwa bayan maye gurbin haɗin gwiwa ya kasa (69%)
- hadin gwiwa (wankewa) da kuma arthroscopic debridement a gwiwa osteoarthritis (60%)
Dokokin tsofaffi don kula da osteoarthritis an ci gaba kafin a yi nazarin NSAID don ciwon zuciya (cututtukan zuciya da bugun jini). Ƙungiyar haɗarin gastrointestinal da hadarin zuciya ya haifar da amfani da NSAID a ƙasa. Kungiyoyi na OARSI sunyi imanin cewa NSAIDs suna da amfani da kwayoyi masu tsinke-kumburi da kuma amfani da gajeren lokaci na iya zama daidai - lokacin da aka yi la'akari akan kowane mutum.
OARSI ba ya bada shawara ga NSAID don amfani da dogon lokaci ba tare da la'akari da tarihin mai haƙuri ba.
Yawanci, akwai gazawar jagorancin jagorancin OARSI. Mutum zai iya nuna rashin daidaituwa ga likitoci a kwamitin - tare da likitocin likitoci da likitoci na asali. Babu shakka mutum ɗaya zai iya nuna batun ƙwarewar da ke tattare da tayar da hankali. Duk da haka, akwai darajar a cikin sabon jagororin, musamman ma marasa lafiya, wadanda ba su da damar yin amfani da dukkanin ka'idodin da suka gabata da kwamitin ya dauka.
Sources:
> Osteoarthritis: Wanne Jiyya Aiki da Kayan Yaya Ba? Osteoarthritis Research Society International (OARSI). Fabrairu 15, 2008.
http://www.oarsi.org/pdfs/pr_080215_guidelines.pdf
> OARSI shawarwari game da kula da hip da gwiwa osteoarthritis, Sashe na II: OARSI tushen shaida, jagoran shawarwari na masana. Osteoarthritis da Guringuntsi. W. Zhang et al. Fabrairu 2008.