He aha e nga pire anti-inflammatory?

Ko te tukanga inflammatory - he, i roto i te whānui, whakautu tūturu o te tinana ki te ngana o whakataki o kaiao ke i roto i reira. Ko te kupu, iti te lesion te ki kaihoko hopuhopu, me te ngaro. Ko te tinana e kore e taea ki te whakaea ki te mate tonu. I roto i te tikanga e kore e ki te arahi ki tino kino ki whēkau me te kopa, ara ka taea te takahi ratou o ratou mahi, maha whakamahi i taero anti-inflammatory. Te kore ratou, e taea e koe ki te whai huatanga o te maimoatanga etiotrop. Ki te korero tatou e pā ana ki te akoranga ma'i o pūnahanaha mate inflammatory o kiko tūhonohono, me i reira ko te mōrea o hauātanga o te manawanui, te whakamahi o te raau taero anti-inflammatory rite wawe rite taea he tika noa.

E wehea pire anti-inflammatory katoa ki toru ngā kāwai matua: steroids, steroidal-kore, me te mahi puhoi.

steroids

Ēnei ngā corticosteroids. I te tīmatanga, i enei ahiri: cortisone a hydrocortisone i takea mai i nadpochesnikov. Na he maha o enei moni tapiritia taero waihanga: prednisolone, methylprednisolone, pārōnaki fluorinated - dexamethasone, triamcinolone, flumethasone, betamethasone. Steroids mātātoa Tautāwhitia phospholipase A2, me tenei faaiteiteraa te anti-inflammatory pānga. Ko te tohu mo te whakamahi o steroids he momo kaha katoa o te rūmātiki. Treatment roa, ki runga ki te 2 marama, maha ngā ki taero kore-steroidal.

Tikanga mahi puhoi

Ēnei papa antiinflammatory whakamahia ki te hamani pāpaka pūnahanaha o te kiko tūhonohono o te kaikōiwi. Tenei pānga puhoi rongoā taketake maimoatanga, e faaite ake i roto i te marama torutoru. Ko ētahi o ēnei koura moni hingamin (delagil, chloroquine), penicillinamine, cytostatics, me ētahi atu.

Nonsteroidal taero anti-inflammatory (NSAIDs)

Ko te noa tino tenei rōpū. Nonsteroidal anti-inflammatory papa ano hoki te tango antipyretic me analgesic mahi. rongonui nui kua whakaratohia reira he whānui o te mahi me te kakama tiketike. Katoa ra, e tango i tenei rōpū o taero neke atu i te 30 miriona tangata i te ao, o nei tata hawhe ko runga te tau o 60 tau. hoko tokomaha iwi taero i pharmacies kahore te whakahaunga.

E wehea NSAIDs ki ngā rōpū e hāngai ana i runga i te hanganga matū me te aratau o mahi. Ko te tuatahi ko ngā te tiketike tōtika anti papa. Tenei salicylates (tae atu ahipirini mohiotia katoa), pyrazolidine (phenylbutazone), pārōnaki indoleacetic (indomethacin, sulindac) me phenylacetic (diclofenac) waikawa, oxicams (piroxicam me etahi atu.), Derivatives o te waikawa propionic (ketaprofen ibuprofen, naproxen, me ētahi atu ) .. Tenei rōpū hoki ngā etahi pārōnaki kore-waikawa, hei tauira, alkanones (namubeton), pärönaki sulfonamide (nimesulide, rofecoxib).

Formulations o te rōpū tuarua i te mahi anti-inflammatory ngoikore. Enei, na te ara, e pā ana paracetamol rongonui.

hāngai ana te mahi o NSAIDs te i runga i te inhibition o cyclooxygenase (Cox) - he paru whai wāhi i roto i te prostaglandin kōtuitanga. Ko modulators o te tukanga inflammatory nga whakamutunga, te whakaputa i te ahua o te mamae, me te ohorere hūpeke i roto i te pāmahana (kirika).

NSAIDs i maha ngā pānga taha, engari i roto i nga tau tata nei i timata ki te puta i te whakatupuranga hou o taero (meloxicam, tenoxicam, nabumetone, solpafleks) e tīpakongia tautāwhi i prostaglandins, nui te whakaiti i te tūponotanga o te whakawhanake i enei pōauautanga kino. Mōhio o te tokomaha nui o ngā pānga taha nui, i rawe ki ki paturopi maha, he maha pai drugs anti-inflammatory, ki te mea he he ha faingamālie ki te whiriwhiri.