Dama na Hand Osteoarthritis a kan rashin lafiya yana da mahimmanci
Kwamitin Ayyukan Taswirar YAKE YAKE YAKE Osteoarthritis
Hanyoyin maganin osteoarthritis na rinjaye yana shafar kashi 20 cikin dari na mutane fiye da shekaru 55. Wata ƙungiya mai kula da Rheumatism (EU European League against Rheumatism) wadda ta bayar da shawarwari a baya don magance cutar ta hip da gwiwa, wanda aka fitar a shekara ta 2006 don maganin magungunan osteoarthritis.
Kungiyar EULAR, ta ƙunshi masana 21 da suka hada da masu ilimin lissafi , da likita mai kwakwalwa, da kuma likitan cikin sauran masu kiwon lafiya, sun binciki binciken bincike na shaida kuma sun cimma yarjejeniya cewa sharuɗɗa 11 da suka shafi tsarin maganin 17 sun fi dacewa don maganin hannun osteoarthitis.
Wadannan shawarwari sun danganta ne daga shawarar da aka ba da shawara sosai don bada shawara mai ƙarfi dangane da matakin shaidar. An lura cewa kawai 6 daga cikin magungunan magani 17 ne ya dogara ne akan shaidar bincike. Sauran shawarwari sun dogara ne akan ƙwarewar asibiti ko bayanan da aka samo daga binciken osteoarthritis na kayan aiki banda hannun.
Shawara Goma sha ɗaya don maganin hannun Osteoarthritis
Kungiyar EULAR ta gabatar da waɗannan shawarwari don gudanarwa da kuma magance magungunan osteoarthritis:
- A haɗuwa da maganin maganin magungunan magani (magani) da marasa magani (wadanda basu magani) ba, an bayar da shawarar su kai tsaye ga magungunan osteoarthritis.
- Dole ne a tsaftace magungunan osteoarthritis ga marasa lafiya. Bayanan haɗari, irin na osteoarthritis, matakin ƙumburi, matakin zafi, rashin ƙarfi, nakasa, ingancin rayuwa, haɓaka, da kuma maganin magunguna dole ne a yi la'akari tare da bukatun mai haƙuri.
- Dole ne a sanar da marasa lafiya game da kariya ta hadin gwiwa kuma a ba su tsarin tsarin aikin.
- Shirin aikace-aikacen (misali shirya mai zafi , koshin wuta, ƙwayar paraffin ) da kuma duban dan tayi na taimakawa wajen kula da osteoarthritis na hannu.
- Don ƙafar yatsotsin hannu, an ba da shawarar zane-zane. Ana bada shawarar yin amfani da ƙwararrun likita don hana wasu nakasa.
- Don ciwo da matsananciyar matsananciyar zafi da kuma lokacin da ba'a da yawancin gidajen abinci, jijiyoyin gida ko magani na farko (misali NSAIDs, capsaicin ) sun fi kyau fiye da jiyya.
- Acetaminophen (misali, Tylenol) shine shawarar analgesic na baka. Har zuwa 4 g / rana an dauki lafiya da tasiri.
- Ga marasa lafiya waɗanda suka sami amsa mai kyau daga acetaminophen, zaɓin na gaba shine maganin NSAID (magungunan marasa lafiya na marasa lafiya) a mafi mahimmancin tasiri, don mafi tsawo tsawon lokaci. Zaɓin NSAID ga kowane mai yin haƙuri dole ne la'akari da hadarin gastrointestinal da haɗarin jijiyoyin jini.
- Glucosamine da chondroitin , waken soya na avocado unsaponifiables , diacerein , da kuma viscosuplationation duk wani maganin jiyya ne don osteoarthritis. Suna iya bayar da taimako tare da rashin ciwo.
- Cigabacin corticosteroid injections suna da tasiri, musamman ma a lokuttan da ake ciwo da osteoarthritis mai zafi.
- An yi amfani da tiyata (misali, arthroplasty, arthrodesis , ko osteotomy) ga marasa lafiya wadanda basu da wata dama tare da magunguna masu mahimmanci. Ana ba da aikin tiyata ga marasa lafiya da ciwo mai tsanani da nakasa daga hannun osteoarthritis.
Me yasa ake buƙatar shawarwarin hadin gwiwa
Osteoarthritis ya shafi hannayensu, kwatangwalo, da gwiwoyi daban.
Abubuwan da ke cikin jiki sun bambanta dangane da yanayin jiki da aiki, kuma marasa lafiya sun bambanta dangane da dacewa da magani da amsawa ga magani.
Soma daga cikin sharuɗɗa 11, a cikin rahoton da ya bayyana a cikin Annals of Rheumatic Diseases , an goyan bayan bayanan binciken:
- ilimi da motsa jiki
- NSAIDs
- COX-2 masu hanawa
- NSAIDs masu mahimmanci
- Harshen kaya
- chondroitin sulfate
Adireshin ACR na Hand Osteoarthritis (2012)
A shekarar 2012, Cibiyar Kwalejin Rheumatology ta Amirka ta inganta shawarwari game da maganin magungunan osteoarthritis. Sun bayar da shawarar da shawarar cewa likitoci sunyi abin da ke biyowa don maganin miyagun kwayoyi:
- Gano ikon yin ayyuka na rayuwar yau da kullum (ADLs)
- Sanya cikin haɗin haɗin kariya
- Samar da kayan aiki, kamar yadda ake bukata, don taimakawa marasa lafiya suyi ADLs
- Yi amfani da yanayin yanayin thermal
- Samar da samfurori ga marasa lafiya da haɗin gwiwa na trapeziometacarpal hadin gwiwa na osteoarthritis
Mahimman shawarwari na maganin maganin maganin maganin maganin maganin maganin ƙwayoyi sun hada da waɗannan (amfani da ɗaya ko fiye na masu biyowa):
- Topic capsaicin
- Topic NSAIDs, ciki har da salicylate na jini
- OMS NSAIDs, ciki har da COX-2 masu hamayya
- Tramadol
ACR da aka ba da shawarar cewa likitocin kiwon lafiya ba su yi amfani da wadannan ba:
- Magungunan da ke cikin intra-articular
- Opioid analgesics
Har ila yau, marasa lafiya da ke da shekara 75 suna amfani da labarun rubutu fiye da na NSAID.
Sources:
Ka'idodin shaidu na shaidun shaida na kulawa da maganin osteoarthritis. Zhang, W. Annals na Rheumatic Diseases. Aka buga a kan layi. Oktoba 17, 2006.
http://ard.bmj.com/content/66/3/377
Kwalejin Kwalejin Rheumatology na Amirka 2012 Dabaran Amfani da Dabbobin Kwayoyin Kwayoyin Tiyata da Magunguna na Osteoarthritis na Hand, Hip, da Knee. Hochberg M. et al. Arthritis Care & Research Vol. 64, No. 4, Afrilu 2012.
http://www.rheumatology.org/Portals/0/Files/ACR%20Recommendations%20for%20the%20Use%20of%20Nonpharmacologic%20and%20Pharmacologic%20Therapies%20in%20OA%20of%20the%20Hand,%20Hip%20and % 20Kee.pdf