Isifo esinjalo segciwane njengesifo samathambo asigcini nje kuphela sibize izinga lempilo, okubangela ukuphazanyiswa okungapheli emisebenzini yemoto, kodwa futhi kunciphisa ubude bayo. Ngakho-ke, kubaluleke kakhulu ukuthuthukisa kahle uhlelo lwezokwelapha oluzophuthuma ukuqhubekela phambili kwezilwane nokusekela izinqubo zokuvuselela kwezicubu. Ukwelashwa okuyinhloko kwe-arthritis yamadolo okuhlangene izidakamizwa ezenzelwe ukumisa inqubo yokuvuvukala, isifo sobuhlungu, kanye nokubuyiselwa kwezicubu ezinqanyuliwe zomzimba.
Yimiphi imithi yokwelapha i-arthritis yamadolo?
I-complexical complex of the preparations for therapeutic conservative of the ecabanga ukugula ihlanganisa izindlela ezivela kumaqembu alandelayo:
- uchungechunge olwenqabela ukuvuvukala olungenalo isifo steroidal;
- izidakamizwa eziyisisekelo zokuvimbela (immunosuppressors);
- glucocorticosteroids ;
- amalungiselelo eziphilayo;
- abasebenza nge-chondroprotectors;
- abaphulukisi;
- imithi eyengeziwe.
Ake sicabangele kabanzi ngalolu hlobo lwama-amalungiselelo.
Imithi ephumelelayo yokulwa nokuvuvukala kwe-arthritis ne-arthrosis yamadolo
Amagama alandelayo asetshenziselwa imithi engeyona i-steroid:
- I-Ketalgin;
- Lornoxicam;
- Ketorolac;
- Artoxane;
- I-Nimesil;
- I-Tenoxicam;
- I-Voltaren;
- Ketanov;
- Diclofenac;
- I-Celecoxib;
- Ibuprofen;
- Meloksikam;
- I-Nimesulide.
Ingxenye eyinhloko yokwelashwa kwe-arthritis yegciwane yizidakamizwa eziyisisekelo eziphikisayo:
- I-Arava (i-Leflunomide);
- I-Methotrexate;
- Sulfasalazine;
- I-Hydroxychloroquine;
- I-Cyclosporine.
I-glucocorticosteroids yokwelapha i-arthritis ne-arthrosis
Iqembu elichazwe ngemithi lingasetshenziswa ngendlela ehlelekile nakwezinye izindawo, endaweni yangakini.
Esimweni sokuqala, izidakamizwa ozikhethelayo yi-Prednisolone ezinamaphesenti aphansi.
Ngezijovo ze-periarticular and intraarticular, okulandelayo kusetshenziselwa:
- Triamsinolone;
- I-Hydrocortisone;
- I-Betamethasone;
- I-Methylprednisolone.
Izidakamizwa zemvelo ekwelapheni isifo samathambo njengesifo esisha ekwelapheni izifo ezihlangene Kubalulekile ukucacisa ukuthi uhlobo lwemithi ephathelene nalutho aluhlangene nezithako zokudla. Amalungiselelo e-biological enza ukuvimbela okunenhloso yezimbangela eziyinhloko zokuvuvukala, igama labo libizwa ngokusetshenziswa kwe-biotechnology kwinqubo yokukhiqiza.
Kunconywa ukuthi usebenzise amagama alandelayo ofanayo okufanayo:
- Adalimumab;
- Abatasept;
- Rituximab;
- Anakinra;
- I-Infliximab;
- I-Etanersept.
E-Russia, imithi emibili kuphela ephuma kuleli qembu yabhaliswa: Ukubuyisela emuva (ngokusekelwe ku-infliximab) naku-Mabter (ngokusekelwe ku-rituximab).
Izidakamizwa-izimbangela ze-arthritis yamadolo
Kusho ukubuyiselwa kwezicubu zomzimba ezitholakalayo zitholakala emafayeleni wezindlela ezahlukene.
I-Oral (i-powders, amaphilisi, ama-capsules):
- Structum;
- I-Fortart ye-Forte;
- Don;
- I-Chondroitin Ultra;
- I-Teraflex;
- I-Arthra;
- I-Chondrosamine.
Amafutha:
- I-Chondroxide;
- Chondroitin Akos;
- I-Chondroart.
Izifo zokufakelwa kwe-intramuscular:
- I-Alflutop ;
- Mukosat;
- Rumalon.
Izixazululo zokuphathwa kwangaphakathi:
- I-Fermatron;
- Ostenil;
- i-hyaluronic acid.
Yimiphi imithi yokwelashwa yokuphatha i-arthritis yamadolo?
Ukumisa isifo sobuhlungu emisebenzini yezokwelapha, kunconywa ukuthi usebenzise kokubili ama-analgesics angewona ama-narcotic nama-opiates. Iningi livame ukhethe amagama afana nezidakamizwa:
- Valdecoxib;
- I-Paracetamol neCodeine;
- Etoricoxib;
- Rofecoxib;
- I-Celecoxib;
- Lumiracoxib;
- I-Naproxen;
- I-Aspirin;
- I-Tramadol;
- I-Morphine (engavamile).
Imithi eyengeziwe yokwelapha i-arthritis ne-arthrosis
Njengokwelapha okusekelayo kanye nokubonisa uphawu, kuphakanyiswa ukuthatha lezi zinhlobo zezidakamizwa ezilandelayo:
- amavithamini;
- amino acid;
- amaminerali;
- ama-probiotics;
- i-antioxidants;
- ama-enzyme.
Ukuzikhethela kwabo kwenziwa ngokuvumelana nezidingo zesiguli.