Kab lus yuav muab cov npe ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory.
Exacerbation ntawm cov kab mob ntawm tus txha nqaj qaum, nrog rau cov pob qij txha, yog inevitably nrog mob, thiab, ntxiv rau, inflammatory txheej txheem. Lub luag haujlwm tseem ceeb ua ntej muab tshuaj kho ntxiv yog kev kho mob nrog rau kev tshem tawm cov tshuaj tiv thaiv inflammatory. Cov tshuaj tiv thaiv kab mob tuaj yeem pab daws qhov teeb meem no.
Daim ntawv teev npe dav dav ntawm cov tshuaj tiam tshiab no ua rau nws muaj peev xwm xaiv cov tshuaj zoo tshaj plaws hauv txhua qhov xwm txheej. Nws ua rau tsis muaj kev txiav txim siab los tham txog kev sib tw vim tsis muaj cov tshuaj analogues uas tuaj yeem ua rau tib lub sijhawm muaj kev tiv thaiv kab mob, analgesic thiab antipyretic. Nyob rau hauv peb tsab xov xwm peb yuav tham txog qhov tseeb anti-inflammatory tshuaj. Nyob rau hauv qhov mob, lawv yog indispensable.
Cov nyiaj no ua li casua haujlwm?
Kev mob feem ntau tshwm sim nrog mob, o, liab ntawm cov ntaub so ntswg, ua npaws thiab convulsions. Prostaglandins ncaj qha koom nrog hauv kev txhim kho cov txheej txheem zoo li no. Cov txheej txheem ntawm kev tsim prostaglandins ncaj qha nyob ntawm cov enzymes cyclooxygenase, uas cuam tshuam los ntawm cov tshuaj tiv thaiv. Cyclooxygenase muaj ob lub isoforms nquag nrog lawv tus kheej cov haujlwm tshwj xeeb:
- Ntxiv rau kev ua lub luag haujlwm rau cov tsos ntawm prostaglandins, cyclooxygenase tiv thaiv lub plab mucosa los ntawm kev cuam tshuam cov txiaj ntsig ntawm platelets. Cov tshuaj uas tsis muaj kev xaiv thiab inhibit cyclooxygenases provoke ib tug loj tus naj npawb ntawm cov kev phiv sib txawv.
- Cyclooxygenase yog ib qho enzyme tshwj xeeb uas tsis muaj nyob rau hauv cov qauv, nws yog synthesized nyob rau hauv qhov kev txiav txim ntawm lwm tus neeg nruab nrab. Qhov kev xaiv ntawm qhov cuam tshuam ntawm cov tshuaj tshiab tshaj plaws yog raws li kev thaiv cov enzyme tshwj xeeb no.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj tiv thaiv niaj hnub no tsim cov tshuaj muaj zog tshaj plaws, tsis txhob ua rau muaj kev vam khom thiab kev quav tshuaj.
Kev txhim kho tshiab ntawm cov tshuaj tiv thaiv kab mob
Tsis zoo li glucocorticoids, cov tshuaj no tsis muaj cov tshuaj hormones thiab tsis ua rau muaj kev tsis haum xeeb loj hauv cov ntshav qab zib lossis kub siab. Tab sis qhov thaiv ntawm cyclooxygenase ua rau tsis yog tsuas yog txo qhov mob, thiab tib lub sijhawm cov txheej txheem inflammatory, tab sis kuj muaj kev cuam tshuam rau lub plab mucosa, feem ntau ua rau.zoo li ulcers. Cov tshuaj coated uas tiv thaiv lawv los ntawm kev tawg hauv plab tsis muaj peev xwm sib tw vim lawv cov kev cuam tshuam rau lub plab.
Non-steroidal anti-inflammatory tshuaj ntawm tiam tshiab muaj kev xaiv thiab qhov no yog qhov txawv ntawm cov tshuaj yav dhau los. Lawv ua tiav kev tsim cov cyclooxygenase, inhibiting zus tau tej cov prostaglandins. Cov tshuaj ntawm pawg tshiab tsis tau poob lawv cov txiaj ntsig, thiab qhov cuam tshuam tsis zoo ntawm cov ntshav txhaws, thiab, ntxiv rau, ntawm lub plab mucosa thiab cov haujlwm tseem ceeb ntawm cov platelets tsawg. Cov tshuaj tiv thaiv kab mob tshiab kawg muaj cov khoom nram qab no:
- Cov tshuaj tiv thaiv kab mob yog vim qhov txo qis hauv kev tsim cov inflammatory mediators, thiab, ntxiv rau, txo qis permeability ntawm cov phab ntsa vascular.
- Thaiv cov kab mob inflammatory ua rau txo qis ntawm cov paj hlwb receptors, zoo cuam tshuam rau qhov mob.
- Qhov kev txiav txim ntawm cov chaw ntsuas kub ua kom nws ua tau los ua kom muaj kev tiv thaiv kab mob.
Tom ntej, xav txog cov xwm txheej uas siv cov tshuaj tiv thaiv kab mob tsim nyog.
Thaum twg kuv yuav tsum noj tshuaj tiv thaiv kab mob?
Qhov kev ua tau zoo ntawm cov tshuaj no tau pom nyob rau hauv kev kho cov kab mob uas muaj nrog kev mob, mob, ua npaws lossis o. Feem ntauCov tshuaj tiv thaiv kab mob yog muab los ntawm kws kho mob los kho tag nrho cov npe ntawm cov kab mob. Lawv kuj tuaj yeem siv los ntawm cov neeg mob ntawm lawv tus kheej. Cov tshuaj no yog siv rau hauv cov xwm txheej hauv qab no:
- Tiv thaiv keeb kwm yav dhau los ntawm exacerbation ntawm cov kab mob ntawm lub cev muaj zog nrog txhua yam mob caj dab, thiab nrog rau cov kab mob xws li arthrosis, osteochondrosis, spinal hernia, thiab lwm yam.
- Cov tshuaj no zoo heev thaum raug mob, bruises, sprains thiab lwm yam. Cov tshuaj tiv thaiv kab mob rau pob qij txha yog nrov.
- Nyob rau hauv muaj mob hnyav thaum lub sij hawm mob siab los yog lub raum colic.
- Yog muaj mob taub hau lossis mob gynecological.
- Rau qhov mob ntawm lub sijhawm tom qab phais.
- Kom txo qhov kub, tsis hais nws lub hauv paus chiv keeb.
- Qee yam tshuaj los ntawm pab pawg no yog siv los tiv thaiv lub plawv nres, mob stroke, thiab, ntxiv rau, kho cov kab mob neurological.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias txhua yam tshuaj muaj cov lus qhia. Kev tswj tus kheej ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory tshuaj rau kev kho mob ntawm ntau yam kab mob tuaj yeem ua rau muaj qhov tshwm sim tsis zoo.
Leej twg yuav tsum tsis txhob raug kho nrog cov tshuaj no?
Txawm tias qhov kev tsim kho tshiab kawg no tseem tsis tau tiv thaiv cov tshuaj los ntawm qhov tsis xav tau ntawm lub cev. Txhawm rau zam qee qhov tsis zoo, nws yog qhov zoo tshaj kom tsis txhob siv cov hauv qab no:
- Ib tug neeg muaj teeb meem nrog cov hlab ntsha lossis nrog lub plawv.
- Thaum muaj mob plab lossis hnyuv.
- Nyob rau hauv lub raum loj pathologies.
- Tawm tsam keeb kwm ntawm ntshav siab, thiab, ntxiv rau, yog tias muaj teeb meem nrog ntshav txhaws.
Nws yog ib qho tseem ceeb uas yuav tsum tau hais tias cov poj niam cev xeeb tub thiab lactating yog nruj me ntsis txwv tsis pub cov tshuaj tiv thaiv kab mob tshiab no.
Kev faib cov tshuaj tiv thaiv kab mob
Kev tshawb fawb tshuaj pharmacological hauv kev tsim cov tshuaj tshiab uas muaj txiaj ntsig zoo dua nrog kev sib tw siab vim txo cov kev mob tshwm sim ntawm lub cev tam sim no tseem ua haujlwm tsis tu ncua. Muaj txog kaum tsib pawg ntawm cov tshuaj nyob rau hauv pawg no ntawm kev ua lag luam hnub no. Kev faib tawm ntawm cov tshuaj tiv thaiv kab mob faib ua ob pawg:
- thawj tiam ntawm cov tshuaj yog cov npe uas muaj cov tshuaj xws li Aspirin nrog rau Naproxen, Ibuprofen, Voltaren, Nurofen, Diclofenac, Diklak, Movimed, "Metindol" thiab "Butadion"
- Tshiab tiam tshiab ntawm cov tshuaj tiv thaiv kab mob suav nrog Movalis, thiab, ntxiv rau, Nise nrog Nimesil thiab Celebrex.
Muaj lwm qhov kev faib tawm ntawm cov tshuaj tsis-steroidal tshuaj tiv thaiv kab mob. Cov tshuaj muaj pes tsawg leeg ntawm cov tshuaj tiam tshiab muab faib ua cov tshuaj acidic thiab non-acidic:
- Salicylates suav nrog "Diflunisal" nrog"Aspirin".
- Phenylacetic acid tshuaj suav nrog Diclofenac nrog rau Indomethacin, Tolmetin, Sulindac, Etodolac thiab Aceclofenac.
- Pyrazolidines suav nrog cov npe tshuaj hauv daim ntawv ntawm Phenylbutazone, Oxyphenbutazone thiab Azapropazone.
- Anthranilic acid xav tias yog tshuaj hu ua Mefenaminate.
- Propionic acid derivatives suav nrog cov npe loj ntawm cov tshuaj tiv thaiv kab mob, suav nrog Ibuprofen nrog rau Ketoprofen, Nabumeton, Pirprofen, Benoxaprofen, Flurbiprofen, Fenbufen, Fenoprofen, Naproxen thiab lwm yam.
- Cov tshuaj ntawm isonicotinic acid yog "Amizon". Cov npe tshuaj tiv thaiv kab mob tsis xaus ntawm no.
- Tus paub zoo "Analgin" yog ib qho txiaj ntsig ntawm pyrazolone.
- Oxycams yog cov tshuaj uas tsis yog-steroidal anti-inflammatory zoo tshaj plaws. Cov npe ntawm cov tshuaj no suav nrog Meloxicam, nrog rau Piroxicam, Tenoxicam thiab Lornoxicam. Cov txiaj ntsig ntawm cov nyiaj no ntawm lub cev feem ntau yog ntev heev. Thiab txawm tias lawv cov nqi tseem ceeb, ua tsaug rau lawv qhov kev ua tau zoo, ib tus tuaj yeem tham txog lawv qhov kev sib tw.
- tshuaj tsis yog kua qaub suav nrog Rofecoxib, nrog rau Nimesulide thiab Celecoxib.
Cov tshuaj tiv thaiv kab mob dab tsi rau cov mob khaub thuas yog qhov zoo tshaj plaws, tsuas yog tus kws kho mob tuaj koom tuaj yeem txiav txim tau raug. Kev ua tau zoo ntawm kev kho mob ib txwm nyob ntawm ntau yam ntawm tus kheej.
Kev xaiv cov tshuaj sib txawv
Cov yam ntxwv sib piv ntawm cov tshuaj tsis-steroidal anti-inflammatory ua rau nws muaj peev xwm txheeb xyuas qhov zoo tshaj plaws ntawm lawv cov kev cuam tshuam hauv ntau yam xwm txheej:
- Cov tshuaj tiv thaiv tau hais tawm tuaj yeem ua tiav thaum kho nrog Diclofenac, Indomethacin, Flurbiprofen thiab Piroxicam.
- Ketorolac, Ketoprofen, Indomethacin thiab Diclofenac tuaj yeem khav theeb ntawm kev sib tw siab hauv kev kho mob.
- Kev ua tau zoo tiv thaiv keeb kwm yav dhau los ntawm qhov txo qis hauv cov tshuaj xws li Aspirin, Nurofen thiab Nise.
Nws yuav tsum tau nco ntsoov tias lub npe lag luam ntawm cov tshuaj yuav txawv ntawm lub npe thoob ntiaj teb. Hauv qhov no, thaum yuav cov tshuaj, koj yuav tsum tau them sai sai rau cov khoom xyaw nquag hauv cov khoom xyaw.
Tshiab tiam tshuaj tiv thaiv kab mob
Cov tshuaj uas muaj nyob rau tiam tshiab no muaj txiaj ntsig zoo raws li lub zog ntawm lawv qhov cuam tshuam. Vim qhov tseeb hais tias tawm tsam keeb kwm ntawm lawv cov kev siv, qee qhov teeb meem raug txo qis, cov tshuaj no, ntxiv rau, muaj kev sib tw heev.
Tab sis nws yog ib qho tseem ceeb uas yuav tau xav txog tias txawm tias cov tshuaj tsis zoo tshaj plaws tuaj yeem ua rau muaj kev phom sij rau kev noj qab haus huv, yog li koj yuav tsum tsis txhob pib noj cov tshuaj yam tsis tau nyeem cov lus piav qhia, contraindications thiab tsis nrog koj tus kws kho mob tham. Tom ntej no, cia peb saib cov tshuaj tiv thaiv kab mob tshiab kawg.
Movalis
Tus thawj coj ntawm cov tshuaj tiv thaiv kab mob tuaj yeem raug hu ua tshuaj hu ua "Movalis", uas muaj lub sijhawm ntev ntawm kev kis thiab raug tso cai siv mus ntev.
Cov tshuaj no muaj cov tshuaj tiv thaiv kab mob, uas ua rau nws muaj peev xwm coj nws tawm tsam keeb kwm ntawm osteoarthritis, ankylosing spondylitis, rheumatoid mob caj dab thiab lwm yam. Cov tshuaj no tsis yog deprived ntawm cov tshuaj tua kab mob, thiab tib lub sij hawm antipyretic zog. Movalis tiv thaiv cov pob txha mos zoo. Cov tshuaj no yog siv rau cov hniav thiab mob taub hau. Kev txiav txim siab ntawm ntau npaum li cas, nrog rau txoj kev tswj hwm, ncaj qha nyob ntawm qhov hnyav, thiab, ntxiv rau, ntawm hom kab mob.
Kev siv "Nimesulide"
Raws li cov nyhuv analgesic ntawm qhov kev txiav txim, cov tshuaj no dhau ntau ntawm nws cov khoom sib tw. Nws cov txiaj ntsig tau ua tiav hauv nees nkaum feeb. Nws cov khoom yog siv los txo qhov mob paroxysmal. Cov tshuaj no txo qhov mob, muab cov nyhuv antioxidant ntawm lub cev, cuam tshuam rau collagen fibers thiab pob txha mos nyob rau hauv parallel.
Cov tshuaj no yog tshuaj tiv thaiv keeb kwm ntawm kev raug mob, mob caj dab thiab mob hniav, nrog rau thaum cov hlab ntsha raug pinched. Cov tshuaj no zoo heev zam los ntawm cov neeg mob. Nws tsis tshua ua rau kiv taub hau, mob taub hau, tsaug zog, kub siab, xeev siab, lossis khaus.
Kev kho mob nrog Xekofam
"Xekofam" belongs rau pawg oxycams. Txoj kev kho no muaj lub sijhawm tshem tawm ntawm lub cev txuas ntxiv. Kev npamtshuaj nyob rau hauv lub cev kav mus txog rau kaum ob teev. Cov tshuaj no txo qhov mob zoo heev uas nws feem ntau piv rau morphine. Cov tshuaj tsis ua rau muaj kev quav tshuaj thiab tsis cuam tshuam rau lub paj hlwb. Qhov kev txiav txim siab ntawm qhov siv ntau zaus yog ua nyob ntawm tus neeg ntsuas tus neeg mob.
Yam tshuaj tiv thaiv kab mob uas tsis yog-steroidal sib koom ua ke xaiv?
Siv Rofecoxib
Lub npe ntau dua rau cov tshuaj no yog "Denebol". Cov tshuaj no yuav txo qhov mob, o thiab o. Nws yog tshuaj rau mob polyarthritis, bursitis, rheumatoid mob caj dab, ntau yam kev raug mob, thiab hais txog. Cov cuab yeej nthuav tawm pab tib neeg kom tshem tawm qhov mob ntawm keeb kwm ntawm neuralgia, osteochondrosis, radicular syndrome thiab toothache. Muaj tseeb tiag, cov tshuaj no tsis pom zoo siv los ntawm cov neeg uas tau mob plawv, thiab, ntxiv rau, rau cov menyuam yaus hnub nyoog qis dua kaum ob xyoos. Nws tsis haum rau cov poj niam cev xeeb tub thiab cov neeg mob uas muaj teeb meem plawv lossis raum.
Non-steroidal anti-inflammatory tshuaj rau kev kho pob qij txha tuaj yeem yuav ntawm txhua lub tsev muag tshuaj.
Kev kho mob nrog Celecoxib
Cov tshuaj no tuaj yeem txo tus neeg mob tus mob yog tias nws muaj osteochondrosis, arthrosis thiab lwm yam kab mob. Cov tshuaj uas tau nthuav tawm no txo qis qhov mob ntawm tib neeg, thiab, ntxiv rau, zoo tiv thaiv qhov mob. Kev mob tshwm sim ntawm Celecoxib ntawm lub plab zom mov feem ntau yog tsawg lossisploj lawm.
Tam sim no, cov tshuaj tiv thaiv kab mob tseem ceeb tseem ceeb hauv kev kho mob ntau yam. Tab sis koj yuav tsum tsis txhob hnov qab tias lawv tsuas yog tshem tawm cov tsos mob uas cuam tshuam tsis zoo rau koj txoj kev noj qab haus huv, thiab kev kho tus kab mob tshwj xeeb yuav tsum tau ua nrog lwm cov tshuaj thiab cov txheej txheem.
Dab tsi yog qhov tseem ceeb kom paub thaum kho nrog cov tshuaj tiv thaiv niaj hnub no?
Txhua tiam tshiab tshuaj tiv thaiv kab mob rau kev kho pob qij txha yog dav heev. Nrog osteochondrosis, cov tshuaj no tau sau rau hauv daim ntawv ntawm kev txhaj tshuaj, thiab ua ib feem ntawm kev tswj hwm qhov ncauj, cov ntsiav tshuaj nrog cov tshuaj ntsiav yog siv. Suppositories yog tsim ncaj qha rau kev siv lub qhov quav, thiab rau kev siv sab nraud muaj ntau ntau yam gels thiab tshuaj pleev.
Tab sis cov tshuaj no yuav raug contraindicated yog cov neeg mob muaj ib tug neeg intolerance ntxiv rau tej yam khoom ntawm cov tshuaj. Tshwj xeeb, cov neeg mob uas muaj hnub nyoog laus yuav tsum tau ceev faj heev thaum noj cov tshuaj no. Thiab tawm tsam keeb kwm ntawm kev kho mob, cov neeg mob no xav tau kev saib xyuas ntawm tus kws kho mob, uas yuav saib xyuas lawv lub raum thiab lub siab.
Kev siv tshuaj tiv thaiv kab mob tsis pom zoo rau kev kho mob ntawm cov neeg mob uas nws txoj haujlwm yuav tsum tau ua kom muaj kev mloog zoo, raug, cov tshuaj tiv thaiv sai thiab kev sib koom tes ntawm kev txav, vim tias raug rau cov tshuaj no tuaj yeem ua rau qaug zog nrog rau kev qaug zog thiab mob taub hau.mob.
Nws yuav tsum tau nco ntsoov tias tsuas yog siv cov tshuaj tiv thaiv kab mob hauv kev kho mob osteochondrosis, thiab, ntxiv rau, mob caj dab thiab lwm yam kab mob zoo sib xws, nws tsuas yog tsis yooj yim sua kom ua tiav kev kho mob, txij li cov tshuaj no tau npaj. tsuas yog kom tshem tau qhov mob thiab txo qhov mob. Txhawm rau kho kom zoo ntawm ib tus kab mob, lwm yam tshuaj thiab kev kho mob sib txawv yuav tsum tau ua.
Nws yog ib qho tseem ceeb kom tsis txhob hnov qab tias kev siv cov tshuaj tiv thaiv kab mob mus ntev rau kev kho mob ntawm ntau yam kab mob tuaj yeem ua rau cov kev mob tshwm sim tsis zoo, yog li ntawd, tsis tas yuav tshuaj thiab saib xyuas cov kws kho mob tsis tu ncua, kho nrog cov no. tshuaj tsis tau.
