Kodi Ndi Njira Yabwino Yothetsera Mankhwala Opanda Kutupa?
Odwala ambiri amalembedwa mankhwala osakanikirana ndi otsekemera (omwe nthawi zambiri amatchedwa NSAID) omwe amachititsa mitundu yambiri ya mafupa kuphatikizapo nyamakazi , tendonitis , ndi bursitis . Mankhwalawa ndi othandiza makamaka chifukwa amathandiza kuchepetsa kupweteka, komanso amathandiza kuchepetsa kutupa ndi kutupa.
Komabe, monga mankhwala aliwonse, pali zoopsa komanso zopindulitsa, ndipo anthu ayenera kusamala musanayambe botolo kuti athetse vuto lawo.
Ngakhale mankhwala amatha kukhala mankhwala abwino komanso othandiza kwa minofu imeneyi, pakhoza kukhala njira zina zotetezeka kwa mankhwala. Musanayambe kumwa mankhwala alionse, kambiranani za ubwino ndi chiopsezo ndi dokotala wanu, ndipo khalani otsimikiza kuti dokotala wamkulu akudziwa mankhwala atsopano omwe mukuwatenga, makamaka ngati mukuwutenga nthawi zonse.
NSAID Zopangirako Zopindulitsa?
NSAID zimapezeka ponseponse komanso mankhwala. Ndikofunika kumvetsetsa kuti ngakhale pali kusiyana pakati pa ma ARV ndi mankhwala osagwiritsidwa ntchito, kusiyana kumeneku sikungathetseretu zizindikiro. Odwala ambiri amapeza yankho lawo labwino kuchokera ku NSAID zapamwamba.
Sipanakhalepo phunziro losonyeza kuti NSAID zatsopano (zotchedwa COX-2 inhibitors), NSAID zamankhwala , kapena NSAID zamtengo wapatali , zimapweteka kapena zimapweteka kwambiri kusiyana ndi mankhwala ambiri a NSAID. Kafukufuku wambiri akuyang'ana zotsatira za NSAID zachitidwa pogwiritsira ntchito ibuprofen.
Chofunika Chotani?
Kawirikawiri odwala angayankhidwe mosiyana ndi mankhwala ndi mankhwala osiyana. Ichi ndi chifukwa chake mankhwala ena athandiza zizindikiro zanu pomwe ena alibe zotsatira. Izi si zachilendo, ndipo zimakhala zovuta kufotokoza kuti mankhwala omwe amapindula kwambiri amaperekedwa.
Njira yabwino yodziwira kuti NSAID ili yabwino kwa inu ndi kuyesa njira zosiyanasiyana. Kawirikawiri dokotala amalimbikitsa NSAID imodzi, ndipo ngati chitetezo chokwanira cha zizindikiro sichipezeka m'mabata angapo akuchiritsidwa, NSAID ina ingayesedwe.
Chimodzi mwa zifukwa zomveka zoganizira za mankhwala atsopano, monga mankhwala, monga Celebrex kapena Mobic, ndizoti izi zingatengedwe ngati mlingo umodzi tsiku lililonse. Kuonjezera apo, ziwalo za COX-2 zimaganiziridwa kukhala ndi zotsatira zochepa m'mimba. Chifukwa cha zomwe zingatheke kuti asakhale ndi vuto la m'mimba, madokotala angalimbikitse COX-2 inhibitors kwa odwala omwe ali ndi chiopsezo cha zilonda zamagazi kapena m'mimba .
Njira Yotetezera Kutentha Kwambiri
Mankhwala si njira yokhayo yothetsera kutupa komanso kusokonezeka. Pamene tikudziŵa bwino ndikumvetsetsa zotsatira za zotsatira za mankhwala alionse, odwala ambiri ndi madokotala omwe ali ndi chidwi ndi njira zopanda mankhwala kuti athetse kutupa. Pali njira zambiri zomwe anthu amalankhulira kutupa. Ena ali ndi chitsimikizo cha sayansi kuposa ena, koma ambiri ali otetezeka kuyesa.
Malo abwino oyambira ndi mankhwala a RICE a kutupa, omwe amaimira: kupuma, ayezi, kuponderezana, ndi kukwera.
Mankhwala ena omwe angakhale othandiza akuphatikizapo zakudya ndi zakudya zowonjezereka bwino, mankhwala opatsirana kumalo opweteka, ndi ntchito zomwe timachita.
Njira yowonongeka kawirikawiri yowononga kutupa zomwe ndikuziwona mwa odwala anga ndi kupumula. Izi sizikutanthauza kuti kupuma kwa maseŵera, koma nthawi zambiri izi zikutanthauza kulola kuti thupi lovulazidwa likhale lopumula kuntchito zomwe zingapitirize kutupa. Tili ndi moyo wotanganidwa womwe sungalole mpumulo, koma kunyalanyaza zizindikiro za kutupa kungapitirize vuto. Choncho, fufuzani njira zopumula thupi lanu lovulazidwa kuti mulole kutupa kusagwedezeke ndi njira yobweretsera kuti iwonetseke.
Zotsatira:
Berger, RG "Mankhwala osakanikirana ndi osagwira ntchito: Osankha Zochita Zabwino" J. Am. Acad. Ortho. Opaleshoni., Oct 1994; 2: 255 - 260.