Bayanin Saukarwa na Raɗaɗi da Magungunan Magunguna
Saurin jin zafi shine ainihin burin maganin magungunan osteoarthritis. Ƙunƙarar ciwon da ke ciki, wanda zai iya faruwa tare da osteoarthritis, kuma an cire shi ta hanyar shan maganin osteoarthritis.
Magungunan analgesic
Magungunan jima'i ne na kwayoyi da ake amfani da su don taimakawa jin zafi. Magunguna suna haifar da ta'aziyya ta hanyar hana ƙananan sigina zuwa cikin kwakwalwa ko kuma ta tsangwama ga fassarar ƙwaƙwalwar ƙwaƙwalwar sakonni, ba tare da haifar da samuwa ba ko asarar sani.
Akwai nau'i nau'i biyu na analgesics: wadanda ba narcotics da narcotics.
Abubuwan da ba'a da narcotic analgesics
Acetaminophen shine farfadowa na farko wanda Mashawarcin Rheumatology na Amirka ya ba da shawarar don maganin osteoarthritis, musamman ma a kan saurin gwiwa da gwiwoyi. Wasu magunguna, duk da haka, zasu iya samun kwayoyi masu kare cututtuka marasa amfani (NSAIDs) don su fi tasiri ga jin daɗin jin zafi fiye da adetaminophen. Akwai nazari da muhawara akan abin da yafi tasiri - acetaminophen ko NSAIDs? Tsayawa akan shi shine cewa zaɓuɓɓukan magani dole ne a tsallake su.
Narcotic Analgesics
A wasu lokuta ana daukar nauyin analgesics na Narcotic don marasa lafiya tare da mai tsanani osteoarthritis wadanda suka gaza sauran zaɓuɓɓukan magani. Ultram (tramadol) ba narcotic ba amma magani yana da narcotic-kamar aikin da kuma ciwon ragewa Properties. An bayar da rahotanni Ultra don rage amfani da NSAID kuma yadda ya dace da ciwo mai tsanani ga marasa lafiya na osteoarthritis.
Topical Analgesics
Topical analgesics ne creams ko wasu samar da rubs amfani da shafi da aka haɗa a waje. An sayar da su a kan-da-counter. Ayyuka masu aiki sun hada da:
- Counterirritors - wintergreen man, camphor, eucalyptus
- Salicylates
- Capsaicin
Magungunan anti-inflammatory na nonsteroidal (NSAIDs)
An nuna alamar NSAID mai tasiri ga osteoarthritis a wasu nazarin.
Tun da yawancin NSAIDs suna da inganci don taimako na jin zafi, yanke shawarar wanda NSAID zai yi amfani da shi zai iya dogara ne akan farashin, jadawalin lissafi, da hadarin sakamako masu illa. Rashin ciwon gastrointestinal da kuma cututtuka na koda, da halayen zuciya, dole ne a yi la'akari da yin amfani da NSAID.
SAISAI sun haɗa da:
- Ansaid (Flurbiprofen)
- Arthrotec (Diclofenac / Misoprostol)
- Cataflam (Diclofenac potassium)
- Clinicil (Sulindac)
- Daypro (Oxaprozin)
- Dolobid (Diflunisal)
- Feldene (Piroxicam)
- Ibuprofen (Motrin, Advil)
- Indocin (Indomethacin)
- Ketoprofen (Orudis, Oruvail)
- Lodine (Etodolac)
- Karshen (Meclofenamate)
- Mobic (Meloxicam)
- Nalfon (Fenoprofen)
- Naproxen (Naprosyn, Aleve)
- Ponstel (Mefenamic Acid)
- Relafen (Nabumetone)
- Zaɓi (Tolmetin)
- Voltaren (Diclofenac Sodium)
COX-2 Masu hana Yan Zaɓuɓɓuka
Masu sakawa COX-2 masu zaɓin ƙananan suna da ƙananan ƙananan ciwo gastrointestinal fiye da na al'ada NSAIDs. Dole likita ya yi la'akari da amfani da hadari da kuma la'akari da farashin yayin zabar mafi kyawun maƙilcin NSAID ko COX-2 a gare ku.
Hannun NSAID na aiki ta hanyar hana aikin enzyme, cyclooxygenase, wanda aka fi sani da COX. Bincike ya bayyana cewa akwai nau'i biyu, da ake kira COX-1 da COX-2. SAIGASI suna shafi duka siffofin biyu. COX-1 yana da hannu wajen rike nama mai lafiya, yayin da COX-2 yana cikin hanyar ƙonewa.
COX-2 masu hanawa masu zabe sun zama asusun na NSAIDs, kuma mafi kyau ga marasa lafiya a hadari don maye gurbin gastrointestinal.
A wani lokaci, akwai masu haɓaka masu zaɓaɓɓu guda uku COX-2 a kasuwa: Celebrex, Vioxx, da Bextra. Duk da yake an cire biyu na karshe daga kasuwa, Celebrex shine kawai mai kwakwalwa mai zaɓi COX-2.
Magungunan Inganci
Osteoarthritis marasa lafiya tare da hadin gwiwa fuska ko bayyana ƙonewa iya amfana daga intra-articular corticosteroid injections .
Wani magungunan da aka yi amfani da shi wanda zai iya amfani da marasa lafiya na osteoarthritis na kwantar da hankali ya ƙunshi allurar rigakafi na hyaluronan ko samfurori (misali, Synvisc, Orthovisc , Hyalgan, Euflexxa, Supartz).
Anyi amfani da tsari a matsayin viscosuplationation.
Sources:
Mahimmanci a kan cututtuka na Rheumatic. Ɗaukaka 12. Da Cibiyar Arthritis ta wallafa. Osteoarthritis Jiyya Zabuka. Arthritis Foundation.