Izinja ziyizilwane ezifuywayo ezivame kakhulu ezingatholakala kunoma yiliphi ikhaya, njengoba zibonise ukuthi zingabangane abathembekile futhi banobungane kakhulu nabantu abababheka njengabanikazi bazo noma amalungu omndeni. Kodwa-ke, kunezikhathi lapho bengase baphathwe yizifo ezibangela ukuvuvukala okuthile, ngakho-ke uma uzibuza ukuthi iyiphi i-anti-inflammatory engingayinika inja yami? Uzothola impendulo uma uqhubeka ufunda lesi sihloko.
Iyiphi into eqeda ukuvuvukala engingayinika inja yami?
Njengamanje kunenani elikhulu lemikhiqizo eyenziwe ukukhulula nokususa lesi sifo ezilwaneni zethu ezifuywayo, ezigunyazwe izinhlangano ezingenakubalwa kanye nemizimba enekhono zempilo yezilwane. Phakathi esingabala kuzo: i-carprofen, ethengiswa ngaphansi kwenani elikhulu lamagama afana ne-RIMODYL Ezinye izinhlobo zezidakamizwa ziyi: Deracoxib, Firocoxib, Ketoprofen, Meloxicam, ngaphezu kwalezo ezaziwa ngokuthi i-Prednisone ne-Presdinolone. Noma kunjalo, kuyanconywa ukuthi ubonane nodokotela wezilwane kusengaphambili ukuze ukwazi ukuphatha lezi zinto.
Ukusetshenziswa kwezidakamizwa ezingezona ukuvuvukala
Okokuqala, kungavezwa ukuthi ama-analgesics asetshenziswa kakhulu ochwepheshe bezempilo yezilwane ezifuywayo ekwelapheni ubuhlungu obungapheli obuhambisana nokuvuvukala. Lawa makhemikhali aqondise abalamuli bezinhlungu ohlelweni lwezinzwa olumaphakathi nesembozo yenja. Ukusebenza kwalolu hlobo lwe-anti-inflammatories kungenxa yezizathu eziningana: zisebenza njengezidakamizwa ezilwa nokuvuvukala, i-analgesic kanye ne-antipyretic; akhulula ubuhlungu obukhulu nobungapheli, futhi abe namandla aqinile okubopha amaprotheni, ngaleyo ndlela abambelele kahle esicutshini ezihlosiwe.
Izimpawu eziwumphumela wokusetshenziswa zingavela ngemva kwesigamu sehora kuya ehoreni. Kuyaqapheleka futhi ukuthi zihlala usuku olugcwele. Ngakolunye uhlangothi, abanawo ama-immunosuppressants, ngakho-ke angasetshenziswa isikhathi eside. Lesi sigaba semithi yokunciphisa ukuvuvukala sisebenza ku-enzyme i-cyclooxygenase, iphrotheni ekhiqizwa umzimba ebalulekile ekusebenzeni kwemisebenzi ehlukahlukene. Le enzyme ikhuthaza ukukhiqizwa kwezinto ezahlukahlukene, kufaka phakathi i-prostaglandin, ethi:
Ekuqaleni baba nomthelela ebuhlungu, ukuvuvukala kanye nomkhuhlane. Ivikela isisu kanye ne-mucosa yamathumbu. Kuyasiza ukugcina ukugeleza kwegazi ezinsweni futhi kuhileleke ekuhlulekeni kwegazi. Esinye isici okufanele ngicabange ngaso ukuthi iyiphi i-anti-inflammatory engingayinika inja yami ukuthi eminingi yale mikhiqizo yenza ngokumelene ne-enzyme eshiwo, ngakho-ke ayikhiqizi ama-fatty acids ashukumisa imisipha ekhiqiza lesi simo.
Lezi zidakamizwa ezilwa nokuvuvukala engingazinika inja yami, ngokwazo zingaholela ekukhululekeni kwesilwane, nakuba ngakolunye uhlangothi zingaba nemiphumela emibi futhi zihlanganisa ukuhlanza, ukungafuni ukudla kanye nesifo sohudo, okungase kube negazi. Izilonda zesisu noma zamathumbu, ukubhobozwa, ukungasebenzi kwezinso noma isibindi ngisho nokufa kwesilwane nakho kungenzeka. Uma isilwane sakho sibonisa noma yiziphi zalezi zimpawu, yeka ukunikeza umuthi bese uthintana nodokotela wakho wezilwane.
Ingabe i-steroidal anti-inflammatories iyingozi?
Njengesibonakaliso sokuqala, kungavezwa ukuthi ukusetshenziswa kwalolu hlobo lwento equkethe lesi sakhi kunconywa ezimweni ezithile. Ama-Steroids asetshenziselwa ukwelapha ukuvuvukala, ukungezwani komzimba nezifo, kanye nezifo ze-autoimmune. Nokho, le mithi ingaba nemiphumela engemihle, ngakho-ke kubaluleke kakhulu ukuyinikeza njalo ngaphansi kwencwadi kadokotela wezilwane. Okusetshenziswa kakhulu emithini yezilwane yilezi: i-prednisone, i-neopredef ne-dexamethasone. Nakuba ukuphathwa kwe-methylprednisolone ne-triamcinolone nakho kunganconywa.
Ngakolunye uhlangothi, kumakhemikhali aseshiwo kakade, kuphephile ukusho ukuthi i-prednisone ne-prednisolone cishe yizona ezivame kakhulu emithini enqunywe odokotela bezilwane. I-Prednisolone ikhiqizwa emzimbeni isuka ku-prednisone, kodwa izidakamizwa lapho isivele yahlanganiswa khona ngezinye izikhathi iyanqunywa. Ama-steroid enza umsebenzi wawo emzimbeni ngezindlela ezahlukahlukene futhi athinte zonke izinhlelo. Ngakho-ke, ukulawulwa kwezilwane njalo kwenja kunconywa ngesikhathi sokusetshenziswa kokwelashwa.
Okokugcina, kungaqinisekiswa ukuthi njengezinto ezisetshenziselwa ukunciphisa lo mphumela esilwaneni esinaso njengesilwane esifuywayo, lolu hlobo lomphelelisi walolu hlobo lwento esetshenziselwa ukunciphisa ukuvuvukala, njengendlela yomnkantsha wethambo, inomphumela wokunciphisa ukukhululwa kwamangqamuzana amhlophe egazi esilwaneni. Ngakho-ke, baphumelela kakhulu ekwelapheni isifo se-disc (i-herniated disc). Nakuba imithamo esetshenzisiwe iphansi, inemiphumela engemihle ehlanganisa kodwa engagcini ngokuphalaza, isifo sohudo, ukuphola kwenxeba okunensayo, noma izilonda.
Ingabe ukusetshenziswa kwe-acetaminophen noma ibuprofen kufanelekile ezinjeni?
Noma ubani ofuna ukunakekela isilwane, ikakhulukazi izinja, kufanele azi ukuthi lezi zinhlobo zemithi, eklanyelwe abantu ngokuqondile, ayikwazi ukunikezwa yona. Yilabo kuphela abagunyazwe ukusetshenziswa kudokotela wezilwane abangaqinisekisa ukuphepha nokusebenza ngempumelelo kwezinhlobo ezishiwo. Kwezinye izimo, odokotela bezilwane basebenzisa i-ibuprofen ukwelapha ukuvuvukala nobuhlungu ezinjeni. Kodwa-ke, kufanele kucatshangelwe ukuthi kuyingozi ukweqa umthamo futhi kunezinye izidakamizwa ezilwa nokuvuvukala eziklanyelwe zona ngokukhethekile.
I-Aspirin ivame ukutuswa ezinjeni, kodwa kufanele inikezwe izinja ngaphansi kwemiyalelo eqinile kadokotela wakho wezilwane njengoba ingabangela imiphumela engemihle. Kufanele futhi wazi ukuthi lokho okwaziwa nge-acetaminophen kunobuthi ukuze kudliwe ezinjeni. Ngaphezu kokugqamisa, akufaneleki ukunikeza inja yethu noma yimuphi umuthi wolunye uhlobo. Khumbula ukuthi imiphumela emibi yemithi elwa nokuvuvukala ingaba yingozi kakhulu, ibulale ngisho nenja yakho. Akufanele neze unikeze inja yakho noma yimuphi umuthi ngaphandle kokugadwa udokotela wezilwane.
Ngingakwazi ukunikeza inja yami i-Carprofen njenge-anti-inflammatory?
Kuyikilasi lomkhiqizo we-nonsteroidal osetshenziswa ekwelapheni i-osteoarthritis kanye nobuhlungu bangemva kokuhlinzwa ezinjeni. Ikhulula ubuhlungu futhi ikhulise ukuhamba kwezinja ze-arthritic futhi isibe enye yemithi enqunywe kakhulu yezilwane. Kodwa ngisho noma kuwumuthi ophephile, kunemiphumela engemihle evamile ebonwa nanoma iyiphi yalezi zinhlobo zemikhiqizo. Nokho, ukusebenza kwayo kuphakeme futhi ngokuvamile kubekezelelwa kahle yinja.
Kodwa-ke, ukusetshenziswa kwayo kuvinjelwe uma kwenzeka inja iguliswa lesi sithako esisebenzayo, ku-aspirin noma kolunye uhlobo lwezidakamizwa ezingezona ukuvuvukala. Kunconywa ukuthi inja ihlolwe ngokuphelele ngokomzimba, kuhlanganise nokuhlolwa kwegazi, ngaphambi kokuphathwa kwalesi sidakamizwa. Ngokunjalo, kunconywa ukuthi udokotela wezilwane enze ukuqapha ngezikhathi ezithile ngesikhathi inja okufanele iphuze ngayo umuthi. Uma inja yakho inikezwe isidakamizwa esilwa nokuvuvukala nesithako esisebenzayo esikhona futhi sinezimpawu ezingezinhle, yeka ukwelashwa bese ubona udokotela wakho wezilwane.
Ukusetshenziswa kweDeracoxib
Isetshenziswa kulezo zilwane eziye zahlinzwa uhlobo oluthile, njenge-osteoarthritis nakwezinye izimo noma ukulimala okubuhlungu. Ukusebenza kwayo kubonakala ngehora elilodwa noma amabili futhi kubalulekile ukuphatha imithamo ngezikhathi ezishiwo udokotela wezilwane. Imiphumela engemihle ijwayelekile kuzo zonke ezinye ezisesigabeni sayo. Kubalulekile ukuqapha inja, ukuyeka imithi, futhi ngokushesha uxoxe nganoma yiziphi zalezi zimpawu nodokotela wakho wezilwane.
Ngokunjalo, iyisidakamizwa esisebenza ngokusesilinganisweni, ngakho umphumela wawo kufanele unyamalale ezinsukwini ezimbalwa, nakuba esimweni sesibindi noma isifo sezinso unganwetshwa. Akufanele isetshenziswe ezinjeni ezine-hypersensitivity ku-sulfonamides, ezinokungezwani nalesi sithako esisebenzayo, ku-aspirin nabanye balolu hlobo, ezihlushwa isibindi noma isifo sezinso noma ezizalayo, ezikhulelwe noma ezincelisayo. Imithi ethile isebenzisana nalo mkhiqizo, kanye namavithamini athile, izithasiselo, noma imithi yokwelapha ngamakhambi.
Ingabe i-Meloxican yezinja inketho enhle?
Ngenye yezithako ezisebenzayo ezisetshenziswa kakhulu, ngoba isetshenziswa ezimeni ze-osteoarthritis, kanye nezinye izifo zamathambo nemisipha. Ngakolunye uhlangothi, isebenza ngokunciphisa amahomoni emzimbeni abangela ubuhlungu nokuvuvukala futhi i-non-steroidal anti-inflammatory. Ngaphezu kwalokho, ngokuvamile isetshenziswa ngemva kokuhlinzwa noma ukulimala kwakamuva, futhi kubalulekile ukulungisa umthamo kahle, ngoba ukusetshenziswa kwawo ngokweqile kubangela ukuhlanza, isiyezi noma ukuboshwa kwenhliziyo, phakathi kwabanye. Uma ubona indle emnyama, uhudo olunegazi, igazi lokuhlanza, ukungezwani komzimba, noma ezinye izimpawu ezingezinhle, yeka ukwelashwa bese ubonana nodokotela wakho wezilwane.
I-Ficoxib njenge-canine anti-inflammatory
Kuyisithako esisebenzayo emikhiqizweni yezinkampani ezehlukene zemithi ngezinjongo zokwelashwa kwezilwane. Kuyikilasi lama-anti-inflammatory agents asetshenziselwa ukwelapha isifo samathambo nobuhlungu ngemva kokuhlinzwa noma ukuhlukumezeka. Ibuye isetshenziselwe ukwelapha eminye imidlavuza. Iqala ukusebenza amahora angu-1 noma ama-2 ngemva kokuphathwa kwayo. Imiphumela yayo emibi ivamile kunoma yiluphi uhlobo lwale mithi. Akufanele isetshenziswe ezinjeni ezingezwani nayo noma ezinjeni ezinezilonda, izinso, isibindi, noma izinkinga zenhliziyo. Ingakwazi ukusebenzisana neminye imithi kanye namavithamini, izithasiselo, nokwelashwa kwemvelo.
I-Ketoprofen yezinja ezihlushwa ukuvuvukala
Isetshenziselwa ukulawula ubuhlungu obuphakathi nokuvuvukala. Kumele kuqashelwe ukuthi ukusetshenziswa kwayo eMelika akuvunyelwe ezilwaneni ezincane, kodwa e-European Community, njengeCanada, isetshenziselwa ukwakhiwa komlomo kanye nomzali. Ngaphezu kwalokho, yaziwa njenge-inhibitor engakhethi ye-enzyme esikhulume ngayo ekuqaleni futhi okwamanje isetshenziswa emahhashini, kodwa ayivamisile ukusetshenziswa ezinjeni nasemakati, njengoba kukhona eminye enemiphumela emibi embalwa. Ngendlela efanayo, ukuphathwa kwayo kufanele kube ngaphansi kokulawulwa kwezilwane.
Ingabe i-Prednisone ne-Prednisolone eqeda ukuvuvukala inganikwa izinja?
Okokuqala, kufanele kuphawulwe ukuthi lawa ama-corticosteroids asetshenziswa njengama-anti-inflammatory agents. Lezi zigaba ezimbili zinezici ezifanayo, njengoba zifana ngokoqobo, njengoba eyokuqala okukhulunywe ngayo iguqulwa ibe eyesibili esibindini. Futhi, uma kwenzeka kunesifo sesibindi ezilwaneni, uchwepheshe angacela umuthi osevele uqukethe i-prednisolone njengesithako esisebenzayo. Ngokuvamile zinqunyelwe ukwelapha ukulimala kwe-adrenal gland, lapho ukukhiqizwa kwamahomoni e-steroid kunganele.
Ngakolunye uhlangothi, ukubaluleka kokusebenza kwazo kungaqokonyiswa, ngoba kuhle ekwelapheni izifo ezinezinga eliphezulu lokuzivikela komzimba, kanye nokulwa nakho konke ukungezwani komzimba okungavezwa, ikakhulukazi ngenxa yomphumela wabo we-immunosuppressive, okungukuthi, icindezela izimpendulo zamasosha omzimba. Ngokuhambisana nemigqa efanayo, asetshenziswa ekwelapheni ezinye izinhlobo zomdlavuza, isifo samathambo, isifuba somoya, izifo zamathumbu noma zesikhumba, phakathi kwabanye. Kuyimithi ephephile, nakuba kufanele inikezwe udokotela wezilwane.
Imiphumela emibi engaba khona ihlanganisa: ukoma okwandayo, ukuchama, ukwanda kwemizwa yendlala, ukuncipha kwenqubo yokuphola kwesilonda, ukuhlanza. Futhi, kwabanye ochwepheshe, isifo sohudo, ukuphazamiseka kokuziphatha, ukungezwani komzimba nakho kungafakwa kulokhu kushiwo. Ngakolunye uhlangothi, uma isetshenziswa isikhathi eside, inja ingase futhi ibe nesifo sikashukela, izilonda zesimiso sokugaya ukudla, isifo sikaCushing, ukuqothuka kwezinwele, ukuwohloka kwesisu noma izinkinga zenhliziyo. Umuthi kufanele uyekwe kancane kancane.
Iyiphi i-anti-inflammatory yemvelo engingayinika inja yami?
Noma nini lapho isilwane sakho sibhekana nale nkinga futhi sibangela ukungakhululeki, kubalulekile ukuya kuchwepheshe, ngoba kungase kube ngenxa yesizathu esidinga ukwelashwa okuphuthumayo. Ngakolunye uhlangothi, kufanele kuqashelwe ukuthi akufanelekile ukunikeza isilwane sakho ngalezi zinto ngaphandle kokuqala kokubonisana nochwepheshe. Kulabo abanemvelaphi yemvelo noma eluhlaza, kunezinto ezingakwazi ukwelapha ngokuphumelelayo ukuvuvukala ngaphandle kwemiphumela emibi yemithi.
Kodwa-ke, buza udokotela wakho wezilwane mayelana nokusetshenziswa kwazo njengoba zingaba nemiphumela engemihle futhi ezinye zingasebenzisa izithako ezisebenzayo zemithi ehlukahlukene. Phakathi kwama-anti-inflammatories ajwayelekile emvelo aphephile ezinjeni, sithola. I-Arnica, okuwukhilimu othize wezinja futhi ifika ngamaphilisi. Ngakolunye uhlangothi, kukhona i-turmeric, enhle kakhulu ngoba inamandla aphezulu okulwa nokuvuvukala. Ungayifaka ekudleni kwesilwane (ithisipuni lanele).
Okungcono kakhulu yi-organic, ngoba iqukethe ingxenye ephezulu yezinto, isithako sayo esisebenzayo. Ngaphezu kwalokho, inamandla amakhulu e-antioxidant, asebenza kuma-radicals mahhala futhi anciphise ukuvuvukala. Kufanele ukhumbule ukuthi lena futhi i-anticoagulant, ngakho-ke kuhle ukuthi uxhumane nodokotela wakho wezilwane mayelana nokusetshenziswa kwayo. I-Cinnamon nayo inezindawo zokulwa nokuvuvukala futhi ukusetshenziswa kwayo kuphephile esilwaneni. Enjaneni enesisindo esingamakhilogremu angama-20, 1/4 ithisipuni yesinamoni yomhlabathi engezwe ekudleni kabili ngosuku amasonto amabili yanele.
Uma inja yakho izohlinzwa, kufanele uqale uyeke ukuphatha kwayo, ngoba kunengozi yokopha. Ngaphezu kwalokho, olunye uhlobo lomkhiqizo wokunciphisa le nkinga i-hawthorn, esetshenziselwa kakhulu ukukhulula isifo samathambo ngoba isiza umzimba ukuba uzinze i-collagen. Nokho, ingaphazamisa imithi ethile esetshenziselwa ukwelapha isifo senhliziyo ezinjeni. I-Comfrey iphinde ibe yisitshalo esinezinto zokulwa nokuvuvukala kanye ne-analgesic ongayinika isilwane sakho ngokudla noma unamathisele othambile.
Qaphela ngoba iqukethe i-pyrrolizidine, okuyinto ngemithamo ephezulu ingabangela izinkinga zesibindi. Esikhundleni salokho, kukhona i-Boswellia serrata, ephumelelayo ngokumelene nobuhlungu nokuvuvukala futhi ivame ukuhlanganiswa ne-turmeric emithini ye-Ayurvedic. Okokugcina, kunezithako ze-omega-3 ezisebenza kahle kakhulu. Kukhona nezinye eziningi, nakuba kunconywa ukuthi uzisebenzise ngemva kokufunda ngokucophelela izakhiwo zazo, ucabangele imiphumela yazo emibi engase ibe khona kanye nangemvume kadokotela wakho wezilwane.
Uma usithandile lesi sihloko esithi Iyiphi I-Anti-inflammatory engingayinika Inja yami? futhi ufuna ukufunda okwengeziwe ngezinye izihloko ezithakazelisayo, ungabheka izixhumanisi ezilandelayo: