Daaweynta Xanuunka Rains iyo Daawooyinka Daawada Dheeraadka ah
Xanuunka xanuunku waa ujeeddada daaweynta asaasiga ah ee daawooyinka osteoarthritis. Bararka xawaareynta ah, oo ku dhici kara osteoarthritis, ayaa sidoo kale lagu xakameynayaa qaadashada dawooyinka osteoarthritis.
Daawooyinka Analgesic
Qalabka neefta waa daawo loo isticmaalo si loo yareeyo xanuunka. Qalabka neefsashada waxay ku dhalinaysaa xanuun joojin adoo joojiya calaamadaha xanuunka ee maskaxda ku socda ama ay faragaliyaan tarjumaadda maskaxda ee calaamadaha, iyada oo aan soo saarin suuxdinta ama miyir beelid.
Waxaa jira asal ahaan laba nooc oo ah xanuunka loo yaqaan 'non-narcotics' iyo 'narcotics'.
Analgesics Non-narcotic
Acetaminophen waa daaweynta bilawga ah ee lagu taliyey College College of Rheumatology loogu talagalay daaweynta osteoarthritis, gaar ahaan miskaha iyo jilbaha. Qaar ka mid ah bukaannada, waxay heli karaan dawooyinka nonsteroid anti-inflammatory (NSAIDs) si ay u ahaato mid wax ku ool ah xanuunka xanuun joojinta acetaminophen. Waxaa jira daraasado iyo doodo taas oo ah mid wax ku ool ah - acetaminophen ama NSAIDs? Gabagabada ayaa ah in xulashooyinka daweynta ay tahay in shakhsi ahaan loo qaato.
Qalabka narkotikada
Xanuunada daroogada ee Narcotic waxaa mararka qaarkood loogu talagalay bukaanka qaba osteoarthritis daran oo ku fashilmay fursado kale oo daaweyn ah. Ultram (tramadol) waa non-narcotic laakiin daroogadu wuxuu leeyahay tallaabo nacros-la mid ah iyo sidoo kale xanuun xanibaya guryaha. Ultram ayaa lagu soo warramey in uu yareeyo isticmaalka NSAID oo si wax ku ool ah ugu daaweyn karta xanuunka halista ah ee loogu talagalay bukaanka osteoarthritis.
Analgesics maaddooyinka
Xanuunnada maadada jirka ah waa kiriimyada ama xarriijimaha kale ee la isku qaabiyey ee loo isticmaalo si wadajir ah. Waxa lagu iibin karaa bakhaarka. Maaddooyinka firfircoon waxaa ka mid ah:
- Counterirritants - saliida jiilaalka, qaxwaha, xijaabka
- Salicylates
- Capsaicin
Maandooriyeyaasha Lidka-Xakameyn Daroogada (NSAIDs)
NSAIDs ayaa lagu muujiyey in ay waxtar u leeyihiin osteoarthritis ee daraasado kala duwan.
Maadaama ay NSAID-yadu badankoodu yihiin waxtarka siman ee xanuunka, go'aanka ah NSAID ay isticmaali karto waxay ku saleysan tahay qiimaha, jadwalka qiyaasta, iyo halista saameynaha. Halista qandhada caloosha iyo mindhicirka, iyo sidoo kale halista wadnaha, waa in loo tixgeliyaa isticmaalka NSAID.
NSAIDs waxaa ka mid ah:
- Ansaid (Flurbiprofen)
- Arthrotec (Diclofenac / Misoprostol)
- Cataflam (Diclofenac potassium)
- Clinoril (Sulindac)
- Daypro (Oxaprozin)
- Dolobid (Diflunisal)
- Feldene (Piroxicam)
- Ibuprofen (Motrin, Advil)
- Indocin (Indomethacin)
- Ketoprofen (Orudis, Oruvail)
- Lodin (Etodolac)
- Miisaaniyeyaasha (Maklofenamate)
- Mobic (Meloxicam)
- Nalfon (Fenoprofen)
- Naproxen (Naprosyn, Aleve)
- Ponstel (Mefenamic Acid)
- Relafen (Nabumetone)
- Tolectin (Tolmetin)
- Voltaren (Diclofenac Sodium)
COX-2 Xannibaadayaasha Xulashada
COX-2 xannibaadayaasha xaddidan ayaa leh awood yar oo u nugul sunta caloosha oo ka yaryar NSAID-yada. Dhakhtarkaagu waa inuu tixgeliyaa faa'iidooyinka iyo khatarta iyo weliba tixgelinta kharashka marka aad dooranayso NSAID ama COX-2 inhibitor ugu fiican.
NSAIDs waxay u shaqeeyaan xakameynta waxqabadka enzyme, cyclooxygenase, oo loo yaqaano COX. Cilmi-baadhis ayaa muujisay in ay jiraan laba nooc, oo loo yaqaano COX-1 iyo COX-2. NSAID-yadu waxay saameeyeen labadaba. COX-1 wuxuu ku lug leeyahay ilaalinta nudaha caafimaadka leh, halka COX-2 ay ku lug leedahay wadada bararka.
COX-2 xannibaadayaasha xaddidan waxay noqdeen qayb ka mid ah NSAIDs, iyo doorasho wanaagsan oo loogu talagalay bukaanada khatarta ugu jira sunta caloosha.
Isla markiiba, waxaa jiray seddex sedex COX-2 oo xakameynaya suuqa: Celebrex, Vioxx, iyo Bextra. Inkastoo labadii sanno ee ugu dambeeyay laga saaray suuqa, Celebrex waa COX-2 xaddidaad keli ah oo la heli karo.
Cirbadaha Lagu Hayo
Bukaansocteritiritis-ka bukaanku wuxuu ka faa'iideysan karaa irbadaha corticosteroid intra-cysticosteroid .
Cirbado kale oo lafdhabar u ah oo laga yaabo inay ka faa'iidaystaan bukaanka osteoarthritis-ku waxay ku lug leeyihiin cirbadaha laf-dhabarka ah ee hargabka ama derajooyinka (tusaale, Sawiris, Orthovisc , Hyalgan, Euflexxa, Supartz).
Nidaamkan waxaa loo yaqaana sidii loo xoojin lahaa viskosupplementation.
Ilaha:
Astaamo ku saabsan Cudurada Rheumatic. Daabac 12. Waxaa daabacay Arthritis Foundation. Fursadaha Daweynta Osteoarthritis. Arthritis Foundation.