Izidakamizwa ezichaseneyo ezichasayo zimiselwe ukunciphisa ukuvutha kwezilonda. Eyona nto ibaluleke kakhulu ngamayeza kule njongo kwizifo ezibonakaliswa yinkqubo engapheliyo yokuvuvukala, engakhokelela ekukhubazekeni.
Iindidi zezilwanyana ezichasayo
Iziyobisi ezichasayo zingenye yezona zinto ziyinhloko zonyango:
- i-rheumatoid arthritis;
- osteoarthritis;
- osteochondrosis;
- gout;
- rheumatism;
- i-hernia yomgudu;
- neuralgia;
- i-renal kunye ne-bilic colic;
- myositis;
- nzakala kunye ne
- ezinye izifo zentliziyo, izifo zentsholongwane.
Iziyobisi ezingavumelekanga okanye ezikhuselweyo xa zi:
- isifo sesilonda;
- ukuphazamiseka kwegazi;
- ukukhulelwa kunye nokuhlaselwa;
- ukuxhatshazwa kwezi zonyango;
- izifo zesifo;
- izifo zenhliziyo;
- imilenze ye-varicose;
- ngokuzenzekelayo.
Iziyobisi ezingezange-inflammatory
Izidakamizwa ezichasayo ezingenakuvuthayo zonyango zisetyenziselwa ukwelashwa okunzima kwi-bone, muscle kunye ne-tistic tissue. Ubungqina bezobisi ezingekho mbambano kukuba zisusa inkqubo yokuvuvukala nayiphi na i-genesis kunoma yiphi indawo. Izidakamizwa ezichasene nezidakamizwa (non-steroidal anti-inflammatory drugs) (i-NSAID) zizidakamizwa ezisetyenziswa kakhulu kwihlabathi, njengoko zisebenza njenge-anesthetic.
I-NSAID yokuqala kwimbali ye-pharmacy yayiyi-aspirin, eyatholakala kwi-bark ye-willow kwi-18 leminyaka. Ngesiseko se-salicylic acid, enye, amalungiselelo anamhlanje anomphumo ofanayo kwaye, ngelishwa, nemiphumo emibi efana nayo iveliswayo-impembelelo embi kwimpilo yesisu kunye ne-duodenum, isibindi kunye ne-circulatory system. Ukunciphisa amathuba okuba nemiphumo emibi emva kokuthatha izidakamizwa ezichasene nezidakamizwa zolu hlobo, oogqirha abacetyiswa ukuba badlule i-dosage evumelekileyo.
Ii-NSAID zoluhlobo olutsha ngokusekelwe kwezinye izixhobo zineempembelelo ezichasene nezichasayo kunye nokuthatha ixesha elide, kodwa azincinci amathuba okubangela iingxaki ezahlukeneyo nangona kufakwa ixesha elide. Ezi zi yobisi ziquka i-Meloxicam, i-Piroxicam (i-derivatives ye-oxicam), i-Nabumetone, i-Diclofenac (i-derivatives ye-phenylacetic acid), i-Ibuprofen, i-Ketotifen (i-derivatives ye-propionic acid) kunye nabanye.
Izidakamizwa ezichasayo zeSteroidal
Amachiza ayingxenye ye-hormone ye-drug-inflammatory group iqela kakhulu kunezilwanyana ezingekhoyo-steroid. Ezi zi yobisi zivelisa ngesiseko se-hormone ye-adrenal gland - i-cortisol. Indlela yokwenza izidakamizwa ze-steroid kukunyanzeliswa kwendawo ye-immune system. Imiphumo emibi kunye nokuchasene kwezilwanyana zeli qela likhulu kunezo ze-NSAID, kwaye ziyalelwe ukuba:
- isisombululo esinamandla esiya esikhumbeni;
- i-rheumatoid arthritis;
- ukuvuvukala kwemithambo yegazi;
- i hepatitis;
- myositis;
- ukutshitshiswa.
Iziyobisi ezichasene ne-steroid ezichasene nazo:
- ukukhulelwa nokuncelisa;
- ubukho bentsholongwane okanye i-virus;
- ukuphuma kwamanzi;
- i-immunodeficiency;
- ukuguguleka okukhulu kwamalungu;
- ukuthatha imithi yokwehlisa igazi;
- esele yenziwe ngamagciwane amathathu esilungiselelo steroid.
Izidakamizwa ezichasene nezilwanyana
Izidakamizwa ezibandakanyekayo ezichasayo ziyi-agents ezibandakanya izixhobo eziliqela, ngaloo ndlela zandisa kakhulu impembelelo yokwelapha kwezi zi yobisi. Ixesha eliqhelekileyo elisetyenziselwa ukusetyenziswa kwezidakamizwa ezidibeneyo lidiclofenac, kodwa lidibanisa namavithamini, i-paracetamol, i-lidocaine kunye nezinye izinto ezisebenzayo.
Izidakamizwa ezichasayo-uludwe
Ukuphumelela ukuthabatha amalungiselelo okulwa nokuvuvukala kwimeko nganye umntu ugqirha uyakwazi kuphela. Izidakamizwa ezichasayo ezingabhubhisiyo zivimbela i-enzyme yomzimba ejongene nokuveliswa kwe-prostaglandins-izinto ezibangelwa ubuhlungu nokuvuvukala. Ukusebenzisa izilungiso ezahlukeneyo zeli qela ukuqiniswa kwamanyathelo akunakwenzeka - kuya kubangela ukwanda kweempembelelo. Ukusetyenziswa kwezidakamizwa ezichasene nezidakamizwa ze-steroidal ngaphandle kokumisela ugqirha kunokubangela ukuba uxinzelelo lwegazi, ukuphazamiseka kwegazi, ukuxhatshazwa kwegazi kumzimba kubasetyhini, i-osteoporosis.
Iipilisi ezinokutsha
Iipilisi kunye neepilisi ezichasayo ziyimithi ethengwa kakhulu. Le fomu ikulungele ukusetyenziswa, ngoko ke izidakamizwa ezithandwa kakhulu zihlala zifumaneka ngefomathi:
- I-Nimesulide - imiselwe intlungu ebuhlungu kwiimisipha, izilwanyana, umgudu;
- I-Celecoxib - esebenzayo kwi-arthrosis, i-osteochondrosis;
- I-Meloxicam - iboniswa kwi-arthritis, i-ostearthrosis, i-spondyloarthritis;
- Ibuprofen - inqunywe nge-syndrome yeentlungu eziphakathi kweentlungu, ukuvuvukala kwe-periosteum, umkhuhlane.
Iinjongo ezichasayo
Iziyobisi ezinjengeenjini zineempembelelo ezichasayo nezichasayo ngokukhawuleza kuneeplatethi. Ukongeza, ijojo ingenziwa ngokusondeleyo ekugxininiseni, okukhawuleza ukukhawuleza kokuhamba kwezidakamizwa zibe zicubu ezinokutsha. Imfuno enkulu kakhulu yezidakamizwa ezichasayo zamalungu, izihlunu, ithambo:
- I-Xefokam, i-Movalis - iyasebenza kwi-arthrosis, iyafumaneka nangendlela yamacwecwe;
- I-Diclofenac - icetyiswa ukuba i-osteochondrosis, i-radiculitis, i-lumbago, ukuvuvukala kweethambo zamathambo, iyafumaneka kwakhona kwiifomethe;
- I-Nurofen, i-Ketonal-esebenzayo kwiindawo ezivuthayo, zineenkcenkcazo ezimbalwa kunye nemiphumo emibi;
- I-Hydrocortisone, i-Kenalog, i- Prednisolone- steroid yokulungiselela, isetyenziswe njengesiphumo esinxamisekileyo sokuvuvukala kakhulu kunye nesifo esibuhlungu (i-opiates substitution), ijoje ngqo ngqo ekujoliswe kuyo.
Iifomoshini ezichasayo
Usulelo lwangena kwizitho zentombi zobuncwane kwaye lubangele i-thrush, ukuvuvukala komlomo wesibeleko okanye i-fibroma, kufuna ukuba kusetyenziswe i-suppositories ye-vaginal anti-inflammatory, ngenxa yokuba impilo yowesifazane kunye nenzala yakhe incike kwixesha elifanelekileyo kunye nomgangatho wonyango. Ukusetyenziswa kwe-suppositories ezichanekileyo ezichasayo, ezisetyenzisiweyo, ukunyanga kugxininisa ukugxilwa kwi-rectum kunye nezitho ezikufuphi. Ukongeza, unyango kunye ne-suppositories linciphisa umngcipheko weempembelelo. Uluhlu lwee-suppositories ezichasayo:
- I-Indomethacin , iDiclofenac, Ibuprofen, i-Paracetamol, i-Movalis, i-Voltaren, i-Flamax-isetyenziselwa ukunciphisa iinkqubo ezivuthayo kwi-rectum okanye kwi-vagina, kunye ne-cystitis, neuralgia, neuritis kwaye xa kungenakwenzeka ukusebenzisa izidakamizwa ezichasayo kwezinye iifom;
- Isalathisi - iifastoli zamanzi zesisu zisetyenziselwa unyango lokuvutha kwezitho zeplavic;
- Fluomizin, Terzhinan - esetyenziselwa unyango lwe-endometritis, i-adnexitis;
- I-Ultraproct, i-Proctosedil yipilisi ye-steroid esetyenziselwa i-hemorrhoids, fissures, paraproctitis;
- I-Posterizan - i-immunomodulating kunye ne-anti-inflammatory suppositories, isetyenziselwa ukuvuvukala kwe-rectum kwaye emva kwemisebenzi yokukhawulezisa ukuphilisa.
Amafutha anqabileyo
I-ointment yindlela ephumelelayo yeziyobisi ukusetyenziswa kwangaphandle, kwezinye iimeko, amafutha asetyenziselwa ukufakwa kwisini okanye kwi-rectum. Izixhobo ezisetyenziswa ngokuqhelekileyo kwioli e-anti-steroidal anti-inflammatory i-diclofenac, ibuprofen, ketoprofen. Amafutha anqabisayo:
- I-Orthofen, i-Nurofen, i-Ketonal, i-Meloxicam-ilungiselelo elingenalo i-steroid yokunyanga ukuvuvuka ngaphandle, ngokugqithisa isondlo sesisu.
- I-Sinalar, i-Momat, i-Akriderm-steroidal-anti-inflammatory ointments, icetyiswa oogqirha kwiimeko xa ukunciphisa i-immunity imfuneko yendawo-ngenxa yezifo zesikhumba, iimeko zokutshatyalaliswa, i-hepatitis, i-allergies, i-pathologies, izifo, iingxaki ze-vascular.
I-cream evukisayo
Uludwe lwezilwanyana ezingekho-steroidal ezichasayo ngefrimu ziquka amagama kunye namalungiselelo amaninzi aveliswa ngendlela yeoli. I-krimu yifomu elula ngakumbi yesicelo sangaphandle, kwaye izinto ezisetyenziswayo ziyazisebenzisa okufanayo kuzo zonke izidakamizwa ezichasayo. Amagama ezidalwa ezichasayo:
- Ketoprofen, Arthrosilen, Indovazin, Diklovit - i-non-steroid creams, isetyenziselwa ukunyanga izifo zesikhumba, amanxeba;
- Umama, izidakamizwa ze-Akriderm - steroid, ezisetyenziselwa ukunyanga i-allergies, i-arthritis.
Gels anti-inflammatory
I-Gel - enye indlela yezilwanyana ukusetyenziswa kwangaphandle, ilula ngokulula kwaye ingashiyi ifilimu eneglasi. Uluhlu lwezilwanyana ezichasayo ngefom ye-gel:
- I-Sinalar, i-Bematetazon-steroid amalungiselelo okunyanga izifo zesikhumba, ukunyamezela, ukuhamba kunye nokubetha;
- I-Diklak-gel, i-Voltaren, i-Fastum-gel, iFinalagel, i-Indovazin - isetyenziselwa ukunyanga iintlungu nokuvuvukala kwiimisipha.
Amaconsi anqabileyo anamehlo
Amaconsi anqabileyo anamehlo asetyenziselwa ukunyanga izifo ze-ophthalmic. Ezi zidakamizwa ezichasayo ziveliswa kunye kunye ngaphandle kwe-steroids. Uninzi lwamaconsi angamaxabiso angathengwa kuphela emva kokufumana isigqirha esivela kugqirha, kuba nje kuphela ochwephesha oqeqeshiweyo unokuqwalasela zonke izibonakaliso kunye nokuchasene.
Amaxesha amaninzi amiselweyo amaconsi atshabalalayo:
- I-Dexamethasone isisombululo sokujoba iqela le-steroid, elisetyenziselwa njengamahla ehlopha ukuphatha i-blepharitis, i-keratitis, i-scleritis, i-conjunctivitis (ngaphandle kwenkqubo engenanto);
- I-Diclofenac iyilwayo engeyi-steroid ekhupha ukubomvu, ukuvuvukala, ukuvuvukala kwintlungu, emva kokuhlinzwa;
- I-Indocollir yiyilisi engeyiyo-steroid, isetyenziselwa emva kwemisebenzi kwi-eyeballball, ukwenzela unyango lwe-conjunctivitis, i-miosis, i-macula;
- I-Diklo-F - amaconsi angenayo i-steroid, emiselwe emva kokutyunjwa kwe-cataract nezinye izibilini zeso lesimo esingenasifo;
- I-Tebridex - isilwanyana sidibanisa isenzo esichasayo kunye nesigxina se-antimicrobial, sisetyenziselwa ukuvuvukala okubangelwa izifo ezincinci.