Izinja zezona zifuywayo zixhaphakileyo ezinokuthi zifunyanwe nakweliphi na ikhaya, kuba zibonakalise ukuba zingamaqabane athembekileyo kwaye zinobuhlobo kakhulu nabantu ababajonga njengabanini okanye amalungu entsapho. Nangona kunjalo, kukho amaxesha apho banokugula zizifo ezibangela ukudumba okuthile, ke ukuba uyazibuza ukuba yeyiphi i-anti-inflammatory endinokuthi ndiyinike inja yam? Uya kufumana impendulo ukuba uqhubeka ufunda eli nqaku.
Yintoni echasene nokudumba endinokuyinika inja yam?
Okwangoku kukho inani elikhulu leemveliso ezenziwe ukukhulula kunye nokususa esi sifo kwizilwanyana zethu zasekhaya, eziye zaqinisekiswa ngamaqumrhu angenakubalwa kunye nemibutho enobuchule kwimpilo yezilwanyana. Phakathi apho sinokukhankanya: i-carprofen, ethengiswa phantsi kwenani elikhulu lamagama afana ne-RIMODYL Ezinye iintlobo zeziyobisi zi: Deracoxib, Firocoxib, Ketoprofen, Meloxicam, ukongeza kwezo zaziwa ngokuba yiPrednisone kunye nePresdinolone. Nangona kunjalo, kuyacetyiswa ukuba udibane nogqirha wezilwanyana kwangaphambili ukuze ukwazi ukulawula ezi zinto.
Ukusetyenziswa kweziyobisi ezichasene nokudumba
Okokuqala, kunokucaciswa ukuba ziyi-analgesics ezisetyenziswa kakhulu ziingcali zempilo yezilwanyana kunyango lweentlungu ezingapheliyo ezinxulumene nokuvuvukala. Ezi khemikhali zijolise kubalamli beentlungu kumbindi wenja kunye ne-peripheral nervous systems. Ukusebenza kolu hlobo lwe-anti-inflammatories ngenxa yezizathu ezininzi: zisebenza njenge-anti-inflammatory, analgesic and antipyretic drugs; zikhulula iintlungu ezibuhlungu kunye nezingapheliyo, kwaye zinamandla okubopha iprotheni, ngaloo ndlela zibambelela kakuhle kwiithishu ezijoliswe kuyo.
Iimpawu ezibangelwa kukusetyenziswa zingavela kwisiqingatha seyure ukuya kwiyure kamva. Kuyaqondwa kwakhona ukuba bahlala usuku olupheleleyo. Ngakolunye uhlangothi, abanalo i-immunosuppressants, ngoko banokusetyenziswa ixesha elide. Olu didi lwamachiza okunciphisa izenzo zokuvuvukala kwi-enzyme cyclooxygenase, iprotheni eveliswa ngumzimba oyimfuneko ekusebenzeni kwemisebenzi eyahlukeneyo. Le enzyme ikhuthaza ukuveliswa kwezinto ezahlukeneyo, kuquka i-prostaglandin, ethi:
Ekuqaleni baba negalelo kwiintlungu, ukudumba nomkhuhlane. Ikhusela isisu kunye ne-intestinal mucosa. Inceda ukugcina ukuhamba kwegazi kwiintso kwaye ibandakanyeka kwi-blood clotting. Omnye umba wokucinga malunga nokuba yeyiphi i-anti-ukudumba endinokuthi ndiyinike inja yam kukuba uninzi lwezi mveliso zenza ngokuchasene ne-enzyme exeliweyo, ngoko ke azivelisi i-acids enamafutha avuselela izihlunu ezenza le nto.
Ezi ziyobisi ezichasayo endinokuzinika inja yam, ngokwazo zingakhokelela ekukhululekeni kwesilwanyana, nangona kwelinye icala zinokuba nemiphumo emibi kwaye zibandakanya ukuhlanza, ukungafuni ukutya kunye nohudo, olunokuba negazi. Izilonda zesisu okanye amathumbu, ukugqobhoza, ukungasebenzi kakuhle kwezintso okanye isibindi kunye nokufa kwesilwanyana nako kunokwenzeka. Ukuba isilwanyana sakho sibonisa nayiphi na kwezi mpawu, yeka ukunika iyeza kwaye uqhagamshelane nogqirha wakho wezilwanyana.
Ngaba i-steroidal anti-inflammatories iyingozi?
Njengomqondiso wokuqala, kunokuchazwa ukuba ukusetyenziswa kolu hlobo lwezinto eziqulethe le nto kucetyiswa kwiimeko ezithile. Iisteroids zisetyenziselwa ukunyanga ukudumba, ukwaliwa, kunye nezifo ezizimelayo. Nangona kunjalo, la mayeza anokuba nemiphumo emibi, ngoko ke kubaluleke kakhulu ukuba uhlale ulawula phantsi komyalelo wezilwanyana. Ezona zisetyenziswa kakhulu kunyango lwezilwanyana zezi: prednisone, neopredef kunye nedexamethasone. Nangona ulawulo lwe-methylprednisolone kunye ne-triamcinolone lunokucetyiswa kwakhona.
Ngakolunye uhlangothi, kwiikhemikhali esele zikhankanyiwe, kukhuselekile ukuthi i-prednisone kunye ne-prednisolone mhlawumbi zezona zixhaphakileyo kumayeza amiselweyo ngoogqirha bezilwanyana. I-Prednisolone iveliswa emzimbeni isuka kwi-prednisone, kodwa ngamanye amaxesha iziyobisi esele zidityanisiwe kuyo ziyamiselwa. Iisteroids ziqhuba umsebenzi wazo emzimbeni ngeendlela ezahlukeneyo kwaye zichaphazela zonke iinkqubo. Ngoko ke, ukulawulwa rhoqo kwezilwanyana zenja kunconywa ngexesha lokusetyenziswa kwonyango.
Ekugqibeleni, kunokuqinisekiswa ukuba njengezinto ezisetyenziselwa ukunciphisa le mpembelelo kwisilwanyana esinaso njengesilwanyana sasekhaya, olu hlobo lokuncedisa olu hlobo lwezinto ezisetyenziselwa ukunciphisa ukuvuvukala, njengendlela yomongo wethambo, inefuthe lokunciphisa ukukhululwa kweeseli ezimhlophe zegazi kwisilwanyana. Ngoko ke, zisebenza kakhulu ekuphatheni isifo se-disc (i-disc herniated). Nangona iidosi ezisetyenzisiweyo ziphantsi, zineziphumo ebezingalindelekanga ezibandakanya kodwa ezingaphelelanga ekugabheni, urhudo, ukuphola kancinci kwenxeba, okanye izilonda.
Ngaba ukusetyenziswa kwe-acetaminophen okanye ibuprofen kufanelekile kwizinja?
Nabani na ojonge ukunyamekela isilwanyana, ngakumbi izinja, kufuneka azi ukuba ezi ntlobo zamayeza, ezenzelwe ngokukodwa abantu, azikwazi ukunikezelwa kubo. Kuphela ezo zivunyiweyo ukuba zisetyenziswe kunyango lwezilwanyana ezinokuqinisekisa ukhuseleko kunye nokusebenza kakuhle kolu didi luchaziweyo.Kwezinye iimeko, oogqirha bezilwanyana basebenzisa ibuprofen ukunyanga ukudumba neentlungu ezinjeni. Nangona kunjalo, kufuneka kuthathelwe ingqalelo ukuba kuyingozi ukudlula idosi kwaye kukho ezinye iziyobisi ezichasayo ezenzelwe zona.
I-Aspirin iyacetyiswa ngokubanzi kwizinja, kodwa kufuneka inikwe izinja phantsi kwemiyalelo engqongqo kagqirha wakho wezilwanyana njengoko inokubangela iziphumo ebezingalindelekanga. Kuya kufuneka uyazi ukuba into eyaziwa ngokuba yi-acetaminophen inetyhefu ukuba isetyenziswe ezinjeni. Ukongeza kokugqamisa, akufanelekanga ukubonelela nayiphi na ichiza lolunye uhlobo lwenja yethu. Khumbula ukuba iziphumo ebezingalindelekanga zamayeza achasene nokudumba zinokuba yingozi kakhulu, zide zibulale inja yakho. Ungaze unike inja yakho naliphi na iyeza ngaphandle kweliso lonyango lwezilwanyana.
Ngaba ndinganika inja yam iCarprofen njenge-anti-inflammatory?
Yiklasi yemveliso ye-nonsteroidal esetyenziswa kunyango lwe-osteoarthritis kunye neentlungu zangasemva kwezinja. Ikhulula intlungu kwaye ikhulise ukuhamba kwezinja ze-arthritis kwaye ibe yenye yezona zonyango ezichazwe ngokubanzi zonyango lwezilwanyana. Kodwa nokuba lichiza elikhuselekileyo, kukho iziphumo ebezingalindelekanga eziqhelekileyo ezibonwa nangayiphi na kwezi ntlobo zeemveliso. Nangona kunjalo, ukusebenza kwayo kuphezulu kwaye ngokuqhelekileyo kunyamezelwa kakuhle yinja.
Nangona kunjalo, ukusetyenziswa kwayo kunqatshelwe kwimeko apho inja iguliswa kwesi sithako esisebenzayo, kwi-aspirin okanye kolunye uhlobo lweziyobisi ezichasayo ezingezo-steroidal. Kunconywa ukuba inja ihlolwe ngokupheleleyo ngokomzimba, kubandakanywa nokuhlolwa kwegazi, ngaphambi kokulawulwa kwesi sidakamizwa. Ngokunjalo, kucetyiswa ukuba ugqirha wezilwanyana abeke iliso ngamaxesha athile ngexesha inja kufuneka ithathe iyeza. Ukuba inja yakho imiselwe iyeza elichasayo ukudumba elinesithako esisebenzayo kwaye ineempawu ezingalunganga, yeka unyango kwaye ubone ugqirha wakho wezilwanyana.
Uncedo lweDeracoxib
Isetyenziswa kwezo zilwanyana ziye zenziwa utyando oluthile, olufana ne-osteoarthritis kunye nakwezinye iimeko okanye ukwenzakala okubuhlungu. Ukusebenza kwayo kubonakaliswa kwiyure enye okanye ezimbini kwaye kubalulekile ukulawula amanani ngamaxesha achazwe ngugqirha wezilwanyana. Iziphumo ebezingalindelekanga ziqhelekile kuzo zonke ezinye kwiklasi yayo. Kubalulekile ukubeka iliso kwinja, ukuyeka unyango, kwaye ngokukhawuleza uxoxe ngazo naziphi na ezi zimpawu kunye nodokotela wakho wezilwanyana.
Ngokunjalo, lichiza elisebenzayo eliphakathi, ngoko ke isiphumo salo kufuneka sinyamalale kwiintsuku ezimbalwa, nangona kwimeko yesibindi okanye isifo sezintso sinokwandiswa. Akufunekanga isetyenziswe kwizinja ezine-hypersensitivity kwi-sulfonamides, ezinokuthi zibe nokwaliwa kwesi sithako esisebenzayo, kwi-aspirin kunye nabanye abalolu hlobo, abaphethwe sisibindi okanye isifo sezintso okanye ezizalayo, ezikhulelweyo okanye ezincancisayo. Amayeza athile asebenzisana nale mveliso, kunye neevithamini ezithile, izongezo, okanye unyango lwezityalo.
Ngaba i-Meloxican yezinja yindlela efanelekileyo?
Yenye yezona zinto zisetyenziswa kakhulu kwizithako ezisebenzayo, kuba isetyenziswa kwiimeko ze-osteoarthritis, kunye nezinye izifo zamathambo kunye nezihlunu. Ngakolunye uhlangothi, lisebenza ngokunciphisa amahomoni emzimbeni obangela intlungu kunye nokuvuvukala kwaye i-non-steroidal anti-inflammatory. Ukongezelela, ngokuqhelekileyo isetyenziswe emva kokuhlinzwa okanye ukulimala kwamva nje, kwaye kubalulekile ukulungisa umthamo kakuhle, ekubeni ukusetyenziswa kwayo ngokugqithiseleyo kubangela ukuhlanza, isiyezi okanye ukubanjwa kwentliziyo, phakathi kwabanye. Ukuba ubona ilindle elimnyama, urhudo olunegazi, igazi lokugabha, ukuchasana nomzimba, okanye ezinye iimpawu ezingalunganga, yeka unyango kwaye udibane nogqirha wakho wezilwanyana.
I-Ficoxib njenge-canine anti-inflammatory
Yinto esebenzayo kwiimveliso zeenkampani ezahlukeneyo zamachiza ngeenjongo zonyango lwezilwanyana. Iyiklasi ye-anti-inflammatory agents ezisetyenziselwa ukunyanga isifo samathambo kunye neentlungu emva kokuhlinzwa okanye ukwenzakala. Ikwasetyenziselwa ukunyanga eminye imihlaza. Iqala ukwenza i-1 okanye i-2 iiyure emva kokulawulwa kwayo. Iziphumo zayo zecala ziqhelekileyo kunye naluphi na uhlobo lwala machiza. Akufunekanga isetyenziswe kwizinja ezingadibaniyo nayo okanye kwizinja ezinezilonda, izintso, isibindi, okanye iingxaki zentliziyo. Inokusebenzisana namanye amayeza kunye neevithamini, izongezo, kunye nonyango lwendalo.
Ketoprofen kwizinja ezinengxaki yokudumba
Isetyenziselwa ukulawula intlungu ephakathi kunye nokuvuvukala. Kufuneka kuqatshelwe ukuba ukusetyenziswa kwayo eMelika akuvunyelwanga kwizilwanyana ezincinci, kodwa kwiYurophu yaseYurophu, njengeKhanada, isetyenziswe ekuqulunqweni komlomo kunye nomzali. Ukongeza, yaziwa njenge-inhibitor engakhethiyo ye-enzyme ebesiyikhankanyile ekuqaleni kwaye ngoku isetyenziswa kumahashe, kodwa ayiqhelekanga ukusetyenziswa kwizinja kunye neekati, kuba kukho ezinye ezineziphumo ebezingalindelekanga ezimbalwa. Ngendlela efanayo, ulawulo lwayo kufuneka luhlale luphantsi kolawulo lwezilwanyana.
Ingaba i-Prednisone ne-Prednisolone echasene nokudumba zinganikwa izinja?
Okokuqala, kufuneka kukhankanywe ukuba ezi zi-corticosteroids ezisetyenziswa njenge-anti-inflammatory agents. Ezi ndidi zimbini zineempawu ezifanayo, kuba ziyafana, kuba eyokuqala ekhankanyiweyo iguqulwa ibe yeyesibini esibindini. Kwakhona, kwimeko yesifo sesibindi kwizilwanyana, ingcali inokucela iyeza esele liqulethe i-prednisolone njengesithako esisebenzayo. Ngokuqhelekileyo zimiselwe ukunyanga umonakalo we-adrenal gland, apho ukuveliswa kweehomoni ze-steroid akwanelanga.
Ngakolunye uhlangothi, ukubaluleka kokusebenza kwazo kunokugxininiswa, kuba zilungile ekunyangeni izifo ezinomlinganiselo ophezulu wokugonywa, kunye nokulwa nazo zonke iingxaki ezinokuthi ziveliswe, ngokukodwa ngenxa yefuthe labo lokukhusela umzimba, oko kukuthi, icinezela iimpendulo ze-immune system. Ngokuhamba nemigca efanayo, zisetyenziselwa unyango lwezinye iintlobo zomhlaza, isifo samathambo, isifo sombefu, izifo zamathumbu okanye zedermatological, phakathi kwabanye. Ngamayeza akhuselekileyo, nangona kufuneka amiselwe ngugqirha wezilwanyana.
Iziphumo ezinokuthi zibekho ziquka: ukwanda konxano, ukuchama, ukunyuka kweemvakalelo zokulamba, ukunciphisa inkqubo yokuphulukisa inxeba, ukuhlanza. Kwakhona, kwezinye iingcali, isifo sohudo, ukuphazamiseka kokuziphatha, ukuchasana nokuchasana nako kunokubandakanywa kule nkcazo. Kwelinye icala, ngokusetyenziswa ixesha elide, inja inokuba nesifo seswekile, izilonda zesistim sokugaya ukutya, isifo sikaCushing, ukulahleka kweenwele, ukuqina kwesisu okanye iingxaki zentliziyo. Ichiza kufuneka liyekwe ngokuthe ngcembe.
Yintoni echasene nokudumba kwendalo endinokuyinika inja yam?
Nanini na xa isilwanyana sakho sifumana le ngxaki kwaye sibangela ukungahambi kakuhle, kubalulekile ukuya kwingcali, kuba inokuba ngenxa yesizathu esifuna unyango oluphuthumayo. Ngakolunye uhlangothi, kufuneka kuqatshelwe ukuba akucebisi ukubonelela isilwanyana sakho ngezi zinto ngaphandle kokubonisana kuqala neengcali. Kwabo bemvelaphi yendalo okanye eluhlaza, kukho izinto ezinokuphatha ngokufanelekileyo ukuvuvukala ngaphandle kwemiphumo emibi yamayeza.
Nangona kunjalo, buza ugqirha wakho wezilwanyana malunga nokusetyenziswa kwazo njengoko zinokuba neziphumo ebezingalindelekanga kwaye ezinye zinokusebenzisana nezithako ezisebenzayo zamayeza ahlukeneyo. Phakathi kwezinto eziqhelekileyo ezichasene ne-inflammatories zendalo ezikhuselekileyo kwizinja, sifumana. I-Arnica, eziziikhrimu ezikhethekileyo zezinja kwaye nazo ziza kwii-capsules. Ngakolunye uhlangothi, kukho i-turmeric, ehle kakhulu kuba inamandla aphezulu okulwa nokuvuvukala. Ungongeza ekutyeni kwesilwanyana (i-teaspoon yanele).
Eyona nto ibhetele i-organic, kuba iqulethe inxalenye ephezulu yezinto, isithako sayo esisebenzayo. Ukongezelela, inamandla aphezulu e-antioxidant, esebenza kwi-radicals yamahhala kunye nokunciphisa ukuvuvukala. Kufuneka ukhumbule ukuba le ikwayi-anticoagulant, ngoko kuyacetyiswa ukuba udibane nogqirha wakho wezilwanyana malunga nokusetyenziswa kwayo. I-Cinnamon nayo ineempawu ezichasayo kwaye ukusetyenziswa kwayo kukhuselekile kwisilwanyana. Kwinja enobunzima obuziikhilogram ezingama-20, i-1/4 ithisipuni yesinamoni yomhlaba eyongezwe ekutyeni kabini ngemini kwiiveki ezimbini yanele.
Ukuba inja yakho iya kwenziwa utyando, kufuneka uqale uyeke ulawulo lwayo, njengoko kukho umngcipheko wokopha. Ukongezelela, olunye uhlobo lwemveliso yokunciphisa le ngxaki yi-hawthorn, esetyenziswa ngokubanzi ukukhulula i-arthritis kuba inceda umzimba ukuba uzinze i-collagen. Nangona kunjalo, inokuphazamisa amayeza athile asetyenziselwa ukunyanga iimeko zentliziyo kwizinja. I-Comfrey ikwasisityalo esine-anti-inflammatory kunye ne-analgesic properties onokuthi unike isilwanyana sakho ngokutya okanye intlama ethambileyo.
Qaphela kuba iqulethe i-pyrrolizidine, enokuthi kwimilinganiselo ephezulu ingabangela iingxaki zesibindi. Endaweni yoko, kukho i-Boswellia serrata, esebenzayo ngokuchasene neentlungu kunye nokudumba kwaye ihlala idityaniswa ne-turmeric kwiyeza le-Ayurvedic. Ekugqibeleni, kukho izongezo ze-omega-3 ezisebenza kakhulu. Kukho nezinye ezininzi, nangona kucetyiswa ukuba uzisebenzise emva kokufunda ngokucophelela iimpawu zabo, uqwalasela imiphumo emibi enokubakho kunye nemvume yogqirha wakho wezilwanyana.
Ukuba ulithandile eli nqaku malunga nokuba yeyiphi i-Anti-inflammatory endinokuyinika inja yam? kwaye ufuna ukufunda ngakumbi malunga neminye izihloko ezinomdla, ungajonga la makhonkco alandelayo: