Kev kho tshuaj yog txoj hauv kev zoo tshaj plaws kom tshem tau ntau yam kab mob. Tau kawg, kuj tseem muaj cov kev kho mob pej xeem uas peb feem ntau siv rau, tab sis feem ntau nws muaj peev xwm kov yeej cov kab mob tsuas yog thaum siv tshuaj.
Tib lub sijhawm, ib tus yuav tsum ceev faj thaum xaiv cov tshuaj no lossis cov tshuaj ntawd. Kev tshaj tawm kev tawm tsam hnyav ntawm ntau lub tuam txhab tshuaj deprives tib neeg ntawm txoj cai kom ua siab ntev txiav txim siab. Qhia, qee cov tshuaj Western ua, qhov tseeb, cov khoom ua tiav ib nrab uas tau sim rau cov neeg mob hauv CIS raws li lub ntiaj teb thib peb. Tsis tas li ntawd, cov tuam txhab lag luam kws tshuaj hauv tsev tau tshaj tawm cov roj rau hluav taws.
Osteochondrosis
Hnub no, osteochondrosis yog cov kab mob ntau tshaj plaws ntawm cov kab mob musculoskeletal. Hauv qhov no, qhov xav tau kev kho kom zoo yog qhov tseem ceeb dua li qhov qub. Lub luag hauj lwm ntawm cov tshuaj nyob rau hauv cov ntaub ntawv no yog txo mus rau qhov kho ntawm qhov chaw kho mob manifestations ntawm tus kab mob thiab lub slowing down ntawm degenerative-dystrophic hloov.tus txha caj qaum.
Lub tswv yim ntawm kev kho tshuaj ntawm osteochondrosis hauv txhua kis tuaj yeem txiav txim siab los ntawm tus kws kho mob uas tuaj koom, suav nrog qhov hnyav ntawm tus kab mob thiab muaj qhov hloov pauv ntawm tus txha nraub qaum. Kev noj tshuaj rau tus kheej yog kev poob siab heev, txawm li cas los xij, qhov no siv tau rau txhua yam kab mob.
Yuav kho osteochondrosis, muaj qee cov tshuaj:
- tshuaj tiv thaiv kab mob;
- muscle relaxants;
- tshuaj tua kab mob;
- neuroprotectors.
Cov tshuaj no tau txais kev pom zoo lawm, yog li lawv tau siv dav los kho osteochondrosis. Xav txog cov tshuaj no kom ntxaws me ntsis.
tshuaj tiv thaiv kab mob
Cov tshuaj no yog tsim los tiv thaiv cov txheej txheem inflammatory raws li cov kab mob pathological zuj zus. Qhov no suav nrog cov tshuaj glucocorticosteroid thiab cov tshuaj uas tsis yog-steroidal, tab sis txhua tus ntawm lawv muaj nws tus kheej cov lus qhia rau kev siv.
Glucocorticosteroid tshuaj yog muab rau cov kab mob autoimmune. Tab sis nyob rau hauv tas li ntawd, xws li ib tug tshuaj kho mob ntawm osteochondrosis kuj yuav muab tshuaj rau arthrosis ntawm articular ntsiab ntawm qaum. Lawv kuj tuaj yeem los hloov qhov tsis muaj txiaj ntsig ntawm NSAIDs. Piv txwv li, ua ke ntawm Dexamethasone thiab Diprospan.
cov tshuaj uas tsis yog steroid yog thawj kauj ruam hauv kev kho degenerative-dystrophic hloov pauv. Nyob rau hauv lem, lawv muab faib ua ob pebhom:
- Cov tshuaj tua kab mob ("Ketorol", "Analgin", "Ketonal").
- tshuaj tiv thaiv kab mob ("Metindol", "Naproxen", "Diclofenac").
- Tshuaj nrog ob hom teebmeem sib npaug ("Meloxicam", "Nimesil", "Celecoxib").
Raws li kev tshawb fawb ntawm cov tshuaj uas tsis yog-steroidal nrog cov tshuaj tiv thaiv kab mob, cov tshuaj hauv qab no tau txais txiaj ntsig zoo:
- Y"Diclofenac".
- "Nimesulide".
- Y"Aceclofenac".
- "Meloxicam".
- "Ketorolac".
- "Celecoxib".
"Aceclofenac", "Ketorolac", "Diclofenac" muaj peev xwm nres qhov mob hauv lub sijhawm luv, uas ua rau pom tseeb tias lawv siv thaum muaj tus kab mob hnyav. Tom qab tsib hnub, ib chav kawm raug pom zoo siv kev npaj hauv daim ntawv ntawm cov ntsiav tshuaj: Nimesulide, Celecoxib, Meloxicam. Cov tswv yim zoo li no tau ua pov thawj nws tus kheej zoo hauv kev kho mob ntawm ncauj tsev menyuam osteochondrosis, lumbar thiab thoracic.
Cov nyiaj no twb muaj lub luag haujlwm rau kev kho mob ntawm cov leeg nraub qaum. Raws li txoj cai, cov ntsiav tshuaj tau sau tseg rau kev kho mob osteochondrosis, tab sis Mydocalm tuaj yeem siv rau hauv daim ntawv txhaj tshuaj. Qhov zoo tshaj plaws yog Tizanidin thiab Baclofen.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
Ntawm cov tshuaj no yog "Katadolon" thiab "Flupirtine", uas yog cov tshuaj uas tsis yog tshuaj narcotic analgesic. Nyob rau hauv cov ntaub ntawv ntawm osteochondrosis, analgesics tsuas yog sau los ntawm tus kws kho mob, nws tsis pom zoo kom txiav txim siab li no ntawm koj tus kheej.
"Katadolon" yog siv los tshem tawm qhov mob ntawm qhov mob nkaus xwb, nrog rau qhov mob ntev nws siv tsis muaj nuj nqis. Ib qho txiaj ntsig zoo ntawm cov tshuaj tua kab mob uas tau teev tseg yog tias lawv tau qhia nyob rau hauv cov ntaub ntawv ntawm contraindications uas twb muaj lawm rau cov tshuaj uas tsis yog-steroidal anti-inflammatory tshuaj (NSAIDs).
Cov koob tshuaj yog 100 mg mus txog 4 zaug hauv ib hnub, thaum qhov siab tshaj plaws tsis tshaj 600 mg.
Neuroprotectors
Nyob rau hauv lub xub ntiag ntawm cov tsos mob, kev kho mob tshuaj nrog cov tshuaj tiv thaiv neuroprotective yog txo kom kho cov kev hloov pauv pathochemical hauv paj hlwb. Ua tsaug rau lawv, qhov sib npaug ntawm cov metabolism, cov tshuaj tiv thaiv nruab nrab yog tswj hwm, thiab lawv kuj muaj peev xwm ua kom muaj kev ruaj khov ntawm daim nyias nyias. Cov tshuaj no suav nrog ntau yam:
- nootropics;
- cov tshuaj vascular (vasoactive agents);
- Yantioxidants;
- adaptogens;
- tshuaj sib xyaw.
"Octolipen" hauv kev kho mob osteochondrosis ua cov tshuaj antioxidant uas normalizes metabolic tshua. Rau tib lub hom phiaj, "Mexidol" tuaj yeem muab rau cov neeg mob hnyavCov tsos mob ntawm compression-ischemic syndrome, uas cuam tshuam rau lub ncauj tsev menyuam osteochondrosis.
Raws li cov tshuaj vasoactive, cov no yog cov tshuaj hauv qab no:
- "Cavinton", "Pentoxifylline", "Stugeron", "Teonikol" - lawv txhim kho cov khoom rheological ntawm cov ntshav thiab microcirculation.
- "Troxevasin", "Aescusan" - belongs rau chav kawm venotonic ntawm cov tshuaj. Tsis tas li ntawm no tuaj yeem raug ntaus nqi rau venotonic "Detralex" ntawm kev siv rational thiab "Eufillin", uas tsis tshua siv.
- "Cinnarizine" yog qhov tseem ceeb ntawm calcium channel blocker.
- "Actovegin", "Berlition" - xyuas kom normalization ntawm metabolism hauv cov ntaub so ntswg puas.
Raws li txoj cai, kev kho tshuaj nrog cov tshuaj no yog ua los ntawm cov tshuaj tee dej (lub cev saline lossis 5% qabzib) hauv tsev kho mob. Tom qab chav kho mob no, cov ntsiav tshuaj raug sau.
Sciatica
Nws yuav tsis yog exaggeration hais tias peb qaum yog lub hauv paus ntawm lub neej. Tab sis nws muaj tus txha caj qaum, los ntawm ntau cov paj hlwb emanate. Cov cuab yeej no tswj kev ua haujlwm ntawm ntau lub tshuab hauv tib neeg lub cev. Thiab tam sim no ib tug tsuas yog xav txog qhov kev puas tsuaj rau cov hlab ntsha no tuaj yeem ua rau. Lawv compression lossis o ua rau muaj kev loj hlob ntawm cov kab mob zoo li sciatica.
Pathology feem ntau manifests nws tus kheej nrog mob hnyav nyob rau hauv ntau qhov chaw, uas yog xyaumimmobilizes tus neeg mob. Yog tias ib tug neeg tsis paub txog kev muaj tus kab mob sciatica, nws tuaj yeem hu ua tus neeg zoo siab, vim qhov no yog kab mob txaus ntshai heev uas tsis muaj so.
Kev kho mob ntawm sciatica nrog tshuaj txo qis kom txo qhov mob thiab tshem tawm cov leeg nqaij. Tsuas yog tsis zoo li ntau lwm yam kab mob, kev siv tshuaj tsuas yog ib ntus xwb, thiab kev rov qab los tsuas yog luv luv xwb.
Vim li no, koj yuav tsum siv cov kev pabcuam ntawm tus kws kho mob zaws lossis hirudotherapy tom qab kev kho mob uas siv txoj kev kho mob. Yog li ntawd, cov xwm txheej ntawm lub cev yuav muaj zog, thiab sciatica yuav tawm ntawm tus neeg ib zaug thiab rau tag nrho.
tshuaj tiv thaiv sciatica
Sciatica tuaj yeem yog lumbar, thoracic, ncauj tsev menyuam, thiab thawj hom yog ntau dua. Thiab txij li thaum sciatica yog tus cwj pwm los ntawm qhov mob hnyav, thawj qhov uas yuav tsum tau ua yog tshem tawm qhov mob. Rau lub hom phiaj no, tus kws kho mob tau sau cov tshuaj tua kab mob, uas suav nrog cov tshuaj "Nise" (cov ntsiav tshuaj). Tsuas yog cov nyhuv ntawm cov tshuaj no, noj qhov ncauj, tsis tshwm sim tam sim ntawd, tab sis tom qab ib pliag.
Txawm li cas los xij, xibtes ceg ntawm kev sib tw rau kev tshem tawm cov tsos mob thiab kev kho tshuaj ntawm sacral sciatica (lumbar) tseem yog cov leeg nqaij so. Thiab txij li thaum cov tshuaj no yog, qhov tseeb, narcotic analgesics, lawv raug tso tawm nruj me ntsis raws li cov tshuaj ntawm tus kws kho mob tuaj koom. Ua tsaug rau cov neeg ua haujlwm no, cov leeg pob txha tau so, cov ntshav ncig tau zoo dua, thiab vim yog cov khoom siv hauv nruab nrab,siab rau paj hlwb.
Tsuas yog cov leeg nqaij so muaj kev phiv, yog li lawv tau muab tshuaj nrog ceev faj. Tib lub sijhawm, nws tseem ceeb heev uas yuav tsum ua raws li txhua tus kws kho mob cov lus qhia, thiab tus neeg mob tus mob yuav tsum tau saib xyuas tas li.
Sciatica thiab NSAIDs
Nyob rau hauv kev kho mob sciatica, koj tsis tuaj yeem ua yam tsis muaj kev pab ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory, lossis NSAIDs. Feem ntau ntawm cov tshuaj no tsis tau tsuas yog los tiv thaiv inflammatory, tab sis kuj analgesic thiab decongestant teebmeem. Txawm hais tias cov tshuaj no muaj yam tsis muaj tshuaj, lawv yuav tsum tsis txhob noj yam tsis muaj kev saib xyuas.
Txwv tsis pub, tsis yog cov tsos mob ntawm lumbar sciatica tseem nyob, thiab kev kho tshuaj yuav tsis muaj txiaj ntsig. Yog li ntawd, qhov no tuaj yeem ua rau txoj kev loj hlob ntawm pathologies ntawm lub plab zom mov. Tsis tas li ntawd, kev ua txhaum ntawm cov ntshav txhaws tsis suav nrog. Yog li ntawd, kev kho mob ntev ntev tuaj yeem ua rau raug mob, tsis muaj txiaj ntsig.
Tab sis yuav ua li cas yog tias xav tau kev kho mob mus ntev? Nyob rau hauv cov ntaub ntawv no, me ntsis xaiv cov tshuaj anti-inflammatory siv tshuaj. Kev mob tshwm sim tom qab noj lawv yog qhov tsawg heev. Kev ua tau zoo tshaj plaws tshwm sim ua ke nrog cov vitamins B.
YEffectiveness of ointments
Nrog sciatica, mob hnyav heev uas nws tseem tsis tuaj yeem kov qhov chaw cuam tshuam. Vim li no, kev kho mob ntawm tus kab mob yog nqa tawm nyob rau hauv ib tug complex yam. Qhov kev txiav txim ntawm cov tshuaj pleev raws li cov neeg sawv cev sab nraud tsuas yog txhawm rau txo qhov mob hnyav.
Thiab tib lub sijhawm, muv lossis nab venom tuaj yeem ntxiv rau cov khoom sib xyaw no,capsicum, formic lossis camphor cawv thiab lwm yam ua kom sov. Kev siv tau zoo ntawm kev kho mob ntawm lumbar sciatica (piv txwv li) suav nrog:
- "Viprosal".
- "Nise-gel".
- "Voltaren-gel".
- "Capsitrin".
- "Alorom" - tsuas yog thaum tsis muaj daim tawv nqaij.
- "Finalgon".
Ntxiv rau, Ketonal gel kuj tseem siv tau, uas muaj ketoprofen, uas muaj cov nyhuv tiv thaiv kab mob thiab txo cov haujlwm ntawm qhov mob receptors.
kab mob me nyuam yaus
Ib tug menyuam lub cev txawv ntawm tus neeg laus: nws hnov mob sib txawv rau cov kab mob, thiab yog li ntawd cov kev kho mob txawv. Tus kws kho menyuam yaus koom nrog kev kuaj mob, xaiv cov kev kho mob uas tsim nyog, nrog rau kev tiv thaiv. Nws kuj yog lub luag haujlwm tiv thaiv kev noj qab haus huv ntawm cov menyuam yaus. Nws yog pediatrics uas cuam tshuam nrog kev kawm ntawm tus menyuam lub cev thiab cov kab mob. Cov tshuaj no muaj ntau yam qhia:
- Kev sib raug zoo - tiv thaiv kev mob ntawm menyuam yaus, kev ntsuas kev sib raug zoo cuam tshuam rau kev noj qab haus huv ntawm tus menyuam.
- Clinical - kuaj mob, kho mob ntawm cov menyuam yaus, kho dua tshiab.
- Kev tshawb fawb - txheeb xyuas cov kev kho tshiab.
- Prophylactic - tiv thaiv kev txhim kho ntawm cov kab mob, txiav txim siab qhov ua rau lawv tshwm sim, tshem tawm cov teeb meem tsis zoo.
- Environmental - kev kawm txog kev cuam tshuam ntawm cov yam ntxwv ntawm kev noj qab haus huv ntawm menyuam yaus.
Tam sim no txij li thaum yug tus menyuam, nws raug saib xyuastus kws tshaj lij. Thaum pib, tus kws kho mob neonatologist saib xyuas nws tus mob, thiab tom qab tso tawm hauv tsev kho mob maternity, tus kws kho mob menyuam yaus. Nyob rau tib lub sijhawm, tus kws kho mob tsis tsuas yog saib xyuas lub cev ntawm tus neeg mob me xwb, tab sis kuj saib xyuas kev loj hlob ntawm kev puas siab puas ntsws, kev xav thiab kev xav.
Feem ntau, cov menyuam yaus muaj kev kis kab mob (mob khaub thuas, mob khaub thuas, SARS thiab lwm yam), cov kab mob ntawm cov hlab ntsws (asthma, mob ntsws, mob ntsws), thiab ua xua. Lawv kuj feem ntau raug kev txom nyem los ntawm cov kab mob endocrine thiab lub cev tiv thaiv kab mob.
Tsuas yog kws kho menyuam yaus yuav tsum tau sau tshuaj kho thiab tsis muaj lwm tus. Kev kho tus kheej ntawm no kuj tsis tsim nyog, txwv tsis pub txoj hauv kev no tuaj yeem ua rau muaj kev cuam tshuam tsis zoo. Raws li txoj cai, cov kev kho mob ntawm sciatica nrog tshuaj yog nqa tawm nyob rau hauv ib tug complex thiab nyob rau hauv ob peb theem. Qhov tseem ceeb tshaj plaws yog nrhiav kev pab los ntawm ib tus kws tshaj lij hauv lub sijhawm.
Tom qab txoj kev kho tseem ceeb, nws yog ib qho tsim nyog yuav tsum noj cov vitamins, uas yuav pab ua kom rov zoo. Kev tiv thaiv ntawm cov menyuam yaus yog qhov tseem ceeb tshwj xeeb, vim tias nws yooj yim dua los tiv thaiv kab mob dua li kho nws tom qab. Nyob rau tib lub sijhawm, nws yog ib qho tsim nyog tsis yog tsuas yog ua kom tus menyuam saib xyuas kev nyiam huv, kev ua haujlwm niaj hnub, tab sis kuj tseem ua kom ntub dej ntawm qhov chaw. Ua kom tawv nqaij, huab cua ntshiab, noj zaub mov kom zoo, qoj ib ce - tag nrho cov no kuj siv rau kev tiv thaiv.
kab mob sib kis
Thawj yam uas kws kho mob pom zoo thaum tus neeg mob yws txog qhov mob hauv pob qij txha yog kev yuav cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob hauv lub tsev muag tshuaj. Ua ntej koj yuav tsum tshem tawm qhov mob syndrome thiab tshem tawmmob. Qhov txiaj ntsig tseem ceeb ntawm kev kho tshuaj yog tias nws ua haujlwm sai.
Tib lub sijhawm, muaj ib qho lus ceeb toom: yog tias qhov no yog kab mob sib kis mob hnyav, kev kho tshuaj yuav tsis zoo. Tsis tas li ntawd, qee cov tshuaj muaj kev phiv loj heev. Hauv qhov no, lawv tsis pom zoo siv mus sij hawm ntev kom tsis txhob muaj kev hem thawj rau kev noj qab haus huv.
Kev kho mob pob qij txha nrog tshuaj muaj xws li hauv qab no:
- NSAIDs (Aspirin, Ibuprofen, Diclofenac, Nimesulide, Meloxicam).
- Vasodilator tshuaj ("Pentoxifylline", "Actovegin", "Eufillin", lipoic acid).
- Miorelaxants ("Tolperisone", "Baclofen", "Tizanidine").
- Steroid hormones ("Hydrocortisone", "Diprospan", "Celeston").
- Chondroprotectors (kev npaj muaj chondroitin sulfate thiab glucosamine).
Cov NSAIDs tau teev saum toj no muaj qhov ua haujlwm triple: kev mob nyem, txo qhov kub thiab txias, thiab txo cov txheej txheem inflammatory. Nws tsis pom zoo kom noj cov tshuaj no tsis tuaj yeem tswj hwm, txwv tsis pub muaj teeb meem nrog lub plab thiab ob lub raum. Ib chav kawm luv xwb yuav tau txais txiaj ntsig.
Vasodilator cov tshuaj tsuas yog qhov tseem ceeb rau kev nqaim lossis nyem cov hlab ntsha vim deformation lossis o ntawm cov leeg.
Tshuaj kho mob opob qij txha los ntawm cov leeg nqaij relaxants pab tshem tawm cov leeg nqaij, uas tshwm sim vim compression ntawm paj hlwb. Raws li qhov tshwm sim, kev txav mus los tau txwv ntxiv, thiab qhov mob tau nce ntxiv. Cov chav kawm ntawm cov tshuaj no kuj tseem nyob luv luv, vim tias lwm yam kabmob ntawm lub cev yuav raug tua.
Steroid hormones, raws li txoj cai, raug sau rau hauv cov ntaub ntawv thaum lwm yam txhais tau tias tsis pab nrog mob hnyav thiab mob ua haujlwm. Feem ntau, cov tshuaj no raug txhaj ncaj qha rau hauv qhov sib koom ua ke. Nws kuj tseem siv cov kev kho mob luv luv rau cov laj thawj pom tseeb.
Raws li rau chondroprotectors, ua tsaug rau lawv, cov pob txha mos yog synthesized, thiab vim li no, arthrosis, osteochondrosis thiab lwm yam kab mob pathological raug tshem tawm. Cov no yog cov tshuaj uas muaj txiaj ntsig zoo, yog li kev kho mob yuav tsum muaj tsawg kawg yog 6 lub hlis.
Kev nyuaj siab
Tam sim no, tshuaj kho cov hlab ntsha qee zaum dhau los ua qhov tsim nyog ua ntej vim muaj kev ntxhov siab tas li uas cov neeg nyob hauv txhua lub nroog tau ntsib. Qhov no, nyob rau hauv lem, muaj qhov tsis zoo rau peb lub cev. Nws yog nws qhov txhaum uas muaj ntau yam kab mob tshwm sim.
Kev kho mob nrog kev siv tshuaj tshem tawm cov teeb meem cuam tshuam ntawm ntau yam uas ua rau muaj qee yam tsos mob ntawm kev puas siab puas ntsws. Nyob rau tib lub sijhawm, ib tug neeg yuav chim siab, qee zaum apathy tshwm sim, qee zaum txawm tias ntau dhau, thiab txhua qhov xwm txheej tsis zoo tuaj yeem ua tsis tau.
Cov tshuaj zoo tuaj yeem suav tau raws li hauv qab no:
- "Novopassit" yog tshuaj ntsuab npaj nrog cov nyhuv sedative. Nws yuav tsum tau noj rau lub sijhawm ntev, nrog nws cov kev pab koj tuaj yeem tshem tawm cov neurosis, normalize lub siab lub ntsws, txhim kho kev pw tsaug zog.
- "Afobazole" yog ib qho tsis muaj zog tranquilizer uas pab txo kev ntxhov siab ntau ntxiv. Feem ntau, kev ntxhov siab ua rau mob plab hnyuv, uas kev kho mob nrog cov tshuaj no ua haujlwm zoo.
- "Tenoten" - suav nrog hauv pawg tshuaj anxiolytics. Thaum noj, cov ntshav ncig ntawm lub hlwb txhim kho, lawv tuaj yeem ua rau cov hlab ntsha, txo kev ntxhov siab.
- "Persen" - kuj yog hais txog cov khoom lag luam raws li cov nroj tsuag extract. Nws tuaj yeem siv tau yog tias muaj kev ntxhov siab, kev puas siab puas ntsws, insomnia overcomes.
Cov tshuaj tau teev tseg muaj cov nyhuv me me thiab nyab xeeb. Lawv raug qhia rau me me mus rau nruab nrab kev ntxhov siab thiab kev ntxhov siab. Ntxiv mus, yog tias kev npaj tshuaj ntsuab tsis pab, ces twb tau siv cov tshuaj muaj zog, uas suav nrog Phenibut thiab Phenazepam.
Tab sis ib zaug ntxiv, cov tshuaj muaj txiaj ntsig hauv txhua qhov xwm txheej tuaj yeem raug sau los ntawm kws kho mob neuropathologist lossis kws kho mob hlwb. Yog li ntawd, nws yog qhov zoo tshaj los sab laj nrog cov kws kho mob tshwj xeeb yog tias tsim nyog kho mob.
