Mankhwala osiyanasiyana odana ndi kutupa amaperekedwa kuti athetse kutupa m'matumbo. Mankhwalawa ndi ofunika kwambiri pa matenda omwe amadziwika ndi ndondomeko yotupa yopitirirabe, yomwe ingabweretse kulemala.
Mitundu ya mankhwala odana ndi yotupa
Mankhwala osokoneza bongo ndi chimodzi mwa zigawo zazikulu za mankhwala:
- nyamakazi ya nyamakazi;
- osteoarthritis;
- osteochondrosis;
- gout;
- rumatism;
- hernia wa msana;
- chisokonezo;
- colic renal ndi biliary;
- myositis;
- kuvulala ndi kupopera;
- matenda ena a mtima, matenda a mimba.
Kuletsedwa kapena kutsekedwa mankhwala odana ndi kutupa pamene:
- matenda a zilonda zam'mimba;
- kusokoneza magazi;
- mimba ndi lactation;
- chifuwa kwa mankhwala awa;
- matenda a impso;
- matenda a mtima;
- mitsempha ya varicose;
- matenda osokoneza bongo.
Mankhwala osagwiritsa ntchito mankhwala oletsa kutupa
Mankhwala osagwiritsa ntchito mankhwala opatsirana amachiritsira amagwiritsidwa ntchito pa mankhwala opweteka chifukwa cha kutupa mafupa, mafupa ndi minofu. Chinthu chodziwika bwino cha mankhwalawa mwachisawawa ndikuti amachotsa njira yotupa ya majeremusi aliwonse kumalo alionse. Mankhwala otsutsana ndi kutupa (nonsteroidal anti-inflammatory drugs) (NSAIDs) ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pa dziko lonse lapansi, pamene amachititsa ngati mankhwala osokoneza bongo.
NSAID yoyamba m'mbiri ya pharmacy inali aspirin, yomwe inatengedwa kuchokera ku makungwa a msondodzi m'zaka za zana la 18. Potsatira maziko a salicylic acid, zina, zamakonzedwe zamakono ndi zofanana zofanana ndipo, mwatsoka, zimakhala ndi zotsatira zofanana - zotsatira zolakwika pa umoyo wa m'mimba ndi duodenum, chiwindi ndi ma circulation. Pofuna kuchepetsa mavuto omwe amatha chifukwa chotsatira mankhwala osagwiritsa ntchito mankhwala otero, madokotala sakulimbikitsidwa kuti apitirire mlingo woyenera.
NSAID za mtundu watsopano pamaziko a zigawo zikuluzikulu zimakhala zowonjezereka zotsutsana ndi zotupa komanso zochita zambiri, koma sichikhoza kuchititsa mavuto osiyanasiyana ngakhale kuvomereza kwa nthawi yaitali. Mankhwalawa akuphatikizapo Meloxicam, Piroxicam (omwe amachokera ku oxicam), Nabumetone, Diclofenac (zochokera ku phenylacetic acid), Ibuprofen, Ketotifen (zochokera ku propionic acid) ndi zina.
Steroidal anti-inflammatory drugs
Mankhwala omwe ali mbali ya gulu la anti-inflammatory drug group ndi amphamvu kuposa mankhwala osagwiritsa ntchito mankhwala osokoneza bongo. Mankhwalawa amabweretsa chifukwa cha mahomoni a adrenal glands - cortisol. Njira yogwiritsira ntchito mankhwala a steroid ndi kuponderezedwa kwa chitetezo cha m'deralo. Zotsatira zoyipa ndi zotsutsana ndi mankhwala a gululi ndi zazikulu kuposa za NSAID, ndipo zimaperekedwa kuti:
- mphamvu yothandizira khungu;
- nyamakazi ya nyamakazi;
- kutupa kwa mitsempha ya magazi;
- chiwindi;
- myositis;
- mawu owopsya.
Contraindicated steroid anti-inflammatory mankhwala ndi:
- mimba ndi kuyamwitsa;
- kukhalapo kwa mabakiteriya kapena matenda a tizilombo;
- kuthekera kwa magazi;
- chithunzi;
- kusokonezeka kwakukulu kwa ziwalo;
- kutenga mankhwala ochepetsa magazi;
- kale yopangidwa ndi jekeseni zitatu za kukonzekera kwa steroid.
Kuphatikizapo mankhwala odana ndi zotupa
Mankhwala otsutsana ndi zotupa ndi othandizira omwe amaphatikiza zigawo zingapo, motero amachulukitsa kwambiri zotsatira za kuchiza kwa mankhwalawa. Kawirikawiri amagwiritsa ntchito mankhwala otsutsana ndi kutupa pamodzi ndi diclofenac, koma amawaphatikiza ndi mavitamini, paracetamol, lidocaine ndi zinthu zina zogwira ntchito.
Mankhwala osokoneza bongo - mndandanda
Kupindula kuti atenge kukonzekera kutsutsa-kutupa payekhapayekha ngati dokotala angathe. Mankhwala otsutsana ndi kutupa amachititsa kuti mavitamini a thupi apangidwe ndi prostaglandin - zinthu zomwe zimayambitsa kupweteka ndi kutupa. Kugwiritsa ntchito kukonzekera kosiyana kwa gulu lino kuti likhale lolimbikitsana ndizosatheka - lidzapangitsa kuwonjezereka kwa zotsatira. Kugwiritsiridwa ntchito kwa mankhwala otchedwa steroidal anti-inflammatory mankhwala popanda kudula dokotala kungayambitse matenda oopsa, kupweteka kwa magazi, masculinization a thupi mwa akazi, matenda otupa mafupa.
Mapiritsi otsutsa-kutupa
Painkillers ndi mapiritsi otsutsa-kutupa ndiwo mankhwala ogula kwambiri. Fomu iyi ndi yabwino yogwiritsira ntchito, choncho mankhwala omwe amadziwika kwambiri nthawi zonse amakhalapo pamapiritsi:
- Nimesulide - imayikidwa kuti ululu waukulu mu minofu, ziwalo, msana;
- Celecoxib - yothandiza arthrosis, osteochondrosis;
- Meloxicam - amasonyezedwa ku nyamakazi, ostearthrosis, spondyloarthritis;
- Ibuprofen - imaperekedwa ndi matenda opweteka ambiri omwe amamva ululu, kupweteka kwa periosteum, malungo.
Majekeseni odana ndi kutupa
Mankhwalawa ali ngati majekeseni ali ndi zotsatira zawo zotsutsa komanso zotupa kwambiri mofulumira kuposa mapiritsi. Kuwonjezera apo, jekeseni ikhoza kuchitidwa pafupi kwambiri ndi kuyang'ana kwa kutupa, komwe kumafulumira kwambiri kutuluka kwa mankhwala mu zida zowonongeka. Chofunika kwambiri chotsutsana ndi zotupa mankhwala pa ziwalo, minofu, fupa:
- Xefokam, Movalis - ndi othandiza kwa arthrosis, imapezekanso ngati mapiritsi;
- Diclofenac - ikulimbikitsidwa kwa osteochondrosis, radiculitis, lumbago, kutupa kwa minofu ya mafupa, imapezekanso ngati mapiritsi;
- Nurofen, Ketonal - yogwira ntchito zozizira zosiyanasiyana, zotsutsana ndi zotsatira zake;
- Hydrocortisone, Kenalog, Prednisolone - steroid yokonzekera, yogwiritsidwa ntchito ngati chithandizo chodzidzimutsa kuvulala kwakukulu ndi matenda opweteka kwambiri (amalowetsa opiates), amalowetsedwa mwachindunji kumalo otayika.
Anti-inflammatory suppositories
Kugonjera kunalowa mu ziwalo zoberekera zazimayi ndipo kunayambitsa kutentha, kutupa kwa chiberekero kapena fibroma, kumafuna kugwiritsa ntchito mankhwala osokoneza bongo omwe amatsutsana ndi kutupa, popeza kuti thanzi la mkazi ndi ana ake limadalira nthawi yake komanso mankhwala abwino. Mankhwala othandizira oletsa kutupa amagwiritsidwa ntchito, ngati kuli kotheka, kuchiza kugwidwa kowopsya m'magulu ndi ziwalo zili pafupi. Kuwonjezera apo, mankhwala ndi suppository amachepetsa chiopsezo cha zotsatira. Mndandanda wa anti-inflammatory suppositories:
- Indomethacin , Diclofenac, Ibuprofen, Paracetamol, Movalis, Voltaren, Flamax - amagwiritsidwa ntchito pofuna kuthetsa zotupa m'matumbo kapena m'mimba, komanso cystitis, neuralgia, neuritis komanso pamene sizingatheke kugwiritsa ntchito mankhwala osokoneza bongo mwa mitundu ina;
- Kutalika - mankhwala opatsirana amaliseche amagwiritsidwa ntchito pochiza kutupa kwa ziwalo zouma;
- Fluomizin, Terzhinan - amagwiritsidwa ntchito pa mankhwala a endometritis, adnexitis;
- Ultraproct, Proctosedil ndi mankhwala a steroid omwe amagwiritsidwa ntchito pa ziwalo za m'mimba, fissures, paraproctitis;
- Posterizan - immunomodulating ndi anti-inflammatory suppositories, amagwiritsidwa ntchito pa kutupa kwa rectum ndi pambuyo ntchito pofuna kupititsa machiritso.
Mafuta otsutsa-kutupa
Mafuta ndi mawonekedwe ogwiritsira ntchito mankhwala osokoneza bongo, nthawi zina mafuta amagwiritsidwa ntchito pophatikizapo mukazi kapena kachilombo. Zomwe zimagwiritsidwa ntchito kawirikawiri zigawo za mankhwala osagwiritsa ntchito steroidal anti-inflammatory ndi diclofenac, ibuprofen, ketoprofen. Mafuta otsutsa-kutupa:
- Orthofen, Nurofen, Ketonal, Meloxicam - osati steroid akukonzekera kuchipatala kunja, kupyolera m'mimba.
- Sinalar, Momat, akriderm - steroidal anti-inflammatory ointment, amauzidwa ndi madokotala pakakhala vuto loti chitetezo cha m'deralo chikhale chofunika - matenda a khungu, matenda oopsa, chiwindi cha chiwindi, matenda a mitsempha, minofu pathologies, manyowa, matenda aakulu.
Anti-inflammatory kirimu
Mndandanda wa mankhwala osakanikirana ndi otsekemera omwe ali ngati mankhwala a kirimu amaphatikizapo mayina ndi mazokonzedwe ambiri omwe amapangidwa monga mafuta. Chobirira ndi mawonekedwe abwino kwambiri omwe amagwiritsidwa ntchito kunja, ndipo zinthu zogwira ntchito zimagwiritsidwa ntchito chimodzimodzi kwa mankhwala onse odana ndi kutupa. Maina a zowononga zotupa:
- Ketoprofen, Arthrosilen, Indovazin, Diklovit - zopanda mankhwala, zimagwiritsidwa ntchito pochizira matenda, khungu;
- Momat, Akriderm - steroid mankhwala, ankagwiritsa ntchito kuchiza matenda, nyamakazi.
Gels anti-inflammatory
Gel - mtundu wina wa mankhwala kuti ugwiritse ntchito kunja, umangowonongeka mosavuta ndipo susiya filimu yambiri. Mndandanda wa mankhwala otsutsa-kutupa mu mawonekedwe a gel:
- Sinalar, Bematetazon - steroid akukonzekera kuchiza matenda a khungu, matendawa, limodzi ndi kuyabwa;
- Diklak-gel, Voltaren, Fastum-gel, Finalagel, Indovazin - amagwiritsidwa ntchito pofuna kupweteka ndi kutupa mu minofu, ziwalo.
Madontho odana ndi zotupa
Madontho odana ndi zotupa amagwiritsidwa ntchito pochizira matenda ophthalmic. Mankhwala odana ndi kutupa amapangidwa pamodzi ndi popanda steroid. Madontho ambiri a maso angagulidwe pokhapokha atalandira mankhwala kuchokera kwa dokotala, popeza katswiri wodziwa yekha angaganizire zizindikiro ndi zosiyana.
Madontho omwe amatsutsidwa kwambiri ndi maso:
- Dexamethasone ndi njira yothetsera jekeseni wa steroid, yomwe imagwiritsidwa ntchito monga madontho a maso kuti athetse blepharitis, keratitis, scleritis, conjunctivitis (popanda purulent process);
- Diclofenac ndi mankhwala osachiritsira omwe amachepetsa kufiira, kutupa, kutupa m'maso, kuchitidwa opaleshoni;
- Kuthetsa mankhwala ndi mankhwala osagwiritsa ntchito steroid, amagwiritsidwa ntchito pambuyo pa ntchito pa diso, kuti athetse conjunctivitis, miosis, macula;
- Diklo-F - madontho osakanizidwa ndi steroid, operekedwa opaleshoni ya cataract ndi zina zotupa za diso lachilombo;
- Tebridex - mankhwalawa amaphatikizapo zotsutsana ndi zotupa ndi mankhwala ophera tizilombo toyambitsa matenda, amagwiritsidwa ntchito chifukwa cha kutupa chifukwa cha matenda opatsirana pogonana.