Imimiselo yokuXhobisa ubuhlungu kunye neMilwa yokuLawulwa kweMpilo
Uncedo lweentlungu luyinjongo yokuphambili yonyango lwee-osteoarthritis. Ukuvuvukala kwendawo, okungenzeka nge-osteoarthritis, kwakhona kukhululeka ngokuthatha amayeza e-osteoarthritis.
Ulwaphulo lweMali
I-Analgesics yinkalo yeziyobisi ezisetyenziselwa ukunciphisa intlungu. Ama-Analgesics enza inkululeko yokuphucula intlungu ngokuthintela iintlungu ezibangelwa ingqondo okanye ngokuphazamisa ukuchazwa kwengqondo kweempawu, ngaphandle kokuvelisa i-anesthesia okanye ukulahleka kwengqondo.
Kukho iintlobo ezimbini ze-analgesics: ezingekho ze-narcotics kunye nezidakamizwa.
Iingcali zengxubevange
I-Acetaminophen yonyango lokuqala elinconywe yi-American College of Rheumatology ekwenzeni unyango lwe-osteoarthritis, ngokukodwa kwiiminyango namadolo. Kodwa ezinye izigulane zinokufumana izidakamizwa ezichasene nezidakamizwa (anti-inflammatory drugs) (i-NSAIDs) ukuba ziphumelele ngakumbi ukuphumula intlungu kune-acetaminophen. Kukho iiphononongo kunye neengxoxo malunga nokusebenza kakuhle - i-acetaminophen okanye i-NSAID? Isiphetho kukuba ukhetho lwezonyango kufuneka lube ngumntu ngamnye.
Ulwaphulo lweNkathazo
Ngamanye amaxesha ama-analgesics atyunjiweyo kwizigulane ezine-osteoarthritis ezinzima eziye zahluleka ezinye iindlela zokwenza unyango. I-Ultram (tramadol) ayinayo i-narcotic kodwa isilwanyana sinokuthatha isenzo senzosi kunye neentlungu zokunciphisa iipropati. I-Ultram iye yabikwa ukunciphisa ukusetyenziswa kwe-NSAID kwaye iphathe kakuhle intlungu yokuphucula izigulane ze-osteoarthritis.
Uhlalutyo lweengqungquthela
Iimpawu ze-analgesics ziyi-creams okanye ezinye iirubs ezifakwe kwi-joint joint. Zathengiswa ngaphezu kwe-counter. Izithako ezibandakanya ziquka:
- I-Counterirritants - ioli ye-wintergreen, i-camphor, i-eucalyptus
- Salicylates
- ICapsaicin
Izidakamizwa ezichasayo eziNcinci (i-NSAID)
Ii-NSAID ziboniswe ukuba zisebenzise i-osteoarthritis kwizifundo ezahlukahlukeneyo.
Ekubeni i-NSAID ezininzi zinokuphumelela ngokulinganayo kwintlungu yoxolo, isigqibo sokuba iNSAID isisebenzise inokusekelwe kwiindleko, ishedyuli yesilinganiso kunye nomngcipheko weempembelelo. Umngcipheko wesisu kunye neengozi zentliziyo, kufuneka ziqwalaselwe ngokusetyenziswa kwe-NSAID.
IiNSAID ziquka:
- I-Ansaid (Flurbiprofen)
- Arthrotec (iDiclofenac / Misoprostol)
- Cataflam (Diclofenac potassium)
- Clinoril (Sulindac)
- Daypro (Oxaprozin)
- Dolobid (Diflunisal)
- Feldene (Piroxicam)
- Ibuprofen (Motrin, Advil)
- Indocin (Indomethacin)
- Ketoprofen (Orudis, Oruvail)
- Lodine (Etodolac)
- Meclomen (Meclofenamate)
- I-Mobic (i-Meloxicam)
- Nalfon (Fenoprofen)
- I Naproxen (i Naprosyn, iAleve)
- IPonstel (i-Mefenamic Acid)
- Relafen (Nabumetone)
- Tolectin (Tolmetin)
- I-Voltaren (i-Diclofenac Sodium)
I-COX-2 Inhibitors Ekhethiweyo
I-COX-2 i-inhibitors ekhethileyo inokuba yinto encinci yokwenyuka kwesisu kunokuba i-NSAID yendabuko. Ugqirha wakho kufuneka acinge ngeenzuzo ngokubhekiselele engozini kwaye ujonge neendleko xa ukhetha i-NSAID okanye i-COX-2 inhibitor.
Ii-NSAID zisebenza ngokuthintela umsebenzi we-enzyme, i-cyclooxygenase, yaziwa nangokuthi yi-COX. Uphando luye lwabonisa ukuba kukho iifom ezimbini, ezibizwa ngokuba yi-COX-1 kunye ne-COX-2. Ii-NSAID zichaphazela zombini iifom. I-COX-1 ibandakanyekile ekugcineni izicubu ezinempilo, ngelixa i-COX-2 ibandakanyeka kwindlela yokuvuvukala.
I-COX-2 i-inhibitors ekhethiweyo yaba yi-subset ye-NSAID, kunye nokukhetha okungcono kwizigulane ezisengozini yokutywala isisu.
Ngesinye isikhathi, kwakukho i-COX-2 inhibitors ekhethiweyo kwimarike: i-Celebrex, iVixx kunye ne-Bextra. Nangona ezimbini zokugqibela zisuswe kwiimarike, iCelebrex yiyo kuphela i-COX-2 inhibitor yokukhetha ekhoyo.
Izifo ezikhoyo
Izigulane ze-Osteoarthritis ezinokuxhatshazwa ngokubambisana okanye ukuvutha kwamanye amazwe kungenelwa kwiijokelelo ze-corticosteroid zangaphakathi .
Olunye ujoyi olusendaweni oluya kunceda izigulane ze-knee osteoarthritis zibandakanya injini-articular injection ye- hyaluronan okanye i-derivatives (umzekelo, i-Synvisc, i- Orthovisc , i-Hyalgan, i-Euflexxa, i-Supartz).
Inkqubo yaziwa ngokuba yi-viscosupplementation.
Imithombo:
I-Primer kwi-Rheumatic Diseases. Ukushicilelwa 12. Kushicilelwe yi-Arthritis Foundation. Osteoarthritis Unyango lweZonyango. Arthritis Foundation.