Corticoids yog cov tshuaj siv dav hauv cov kws kho tsiaj. Nws muaj zog tiv thaiv kab mob thiab tiv thaiv kab mob muaj txiaj ntsig, thiab ntau qhov tsim nyog, rau kev kho mob ntawm ntau yam kab mob. Txawm li cas los xij, nws txoj kev siv entails qhov tshwm sim ntawm cov teebmeem tsis zoo uas, txawm hais tias pom tau, tsis tuaj yeem zam tau.
Corticosteroids yog cov tshuaj kho mob, uas yog, lawv tau siv los tswj cov tsos mob cuam tshuam nrog qee yam pathologies, tab sis ib zaug kev tswj hwm ntawm cov tshuaj. tshuaj, lub hauv paus pathology tuaj yeem rov tshwm sim vim lawv tsis kho qhov tshwm sim. Txawm hais tias kev siv cov tshuaj corticosteroids yog qhov tseem ceeb rau kev kho mob ntawm ntau yam pathologies, nws raug nquahu kom tshuaj xyuas cov kev hloov pauv tau rau cov tshuaj no txhawm rau txwv lawv siv rau cov xwm txheej uas xav tau. Tom ntej no, hauv tsab xov xwm no ntawm peb qhov chaw, peb sau cov ntsiab lus lwm txoj rau corticosteroids hauv dev
Lwm cov tshuaj tiv thaiv kab mob
Corticosteroids muaj cov tshuaj tiv thaiv kab mob, uas yog vim li cas ib qho kev xaiv tseem ceeb yog lwm cov tshuaj uas muaj cov nyhuv no. Hauv pab pawg no, Non-Steroidal Anti-Inflammatory Drugs sawv tawm, tseem hu ua NSAIDs. Hauv cov dev, qee qhov NSAIDs feem ntau siv yog meloxicam, carprofen, firocoxib, thiab robenacoxib.
NSAIDs muaj cov tshuaj tiv thaiv qis dua li corticosteroids vim lawv ua rau qis qis ntawm cov kab mob o (lub npe hu ua "arachidonic acid cascade"). Tshwj xeeb, lawv ua los ntawm inhibiting cov enzymes COX-1 thiab / lossis COX-2 thiab, qee zaum, enzyme 5-lipooxygenase.
Txawm hais tias NSAIDs tsis tshua muaj zog tiv thaiv kab mob, lawv muaj qhov zoo dua uas, nyob rau tib lub sijhawm rau lawv cov tshuaj tiv thaiv kab mob, lawv muaj qhov tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tua kab mob. Cov nyhuv antirheumaticTsis tas li ntawd, nws tau pom tias lawv tuaj yeem ua los tiv thaiv endotoxic, chondroprotective thiab txawm tias tiv thaiv carcinogenic. Yog li ntawd, NSAIDs tuaj yeem yog lwm txoj hauv kev zoo rau corticosteroids rau kev kho mob me lossis mob me me uas tseem nrog mob me me.
Thaum twg kuv yuav hloov NSAIDs rau corticosteroids?
Hauv qab no, peb piav qhia txog cov xwm txheej tseem ceeb uas siv NSAIDs tuaj yeem hloov kev siv corticosteroids hauv dev:
- Postoperative treatments: nyob rau hauv feem ntau cov kev phais, nws yog tsim nyog los pib ib tug postoperative kev kho mob nrog NSAIDs los kho cov mob me me los yog nruab nrab o. kev ua haujlwm. Txawm li cas los xij, qee qhov kev phais mob hnyav dua (xws li enucleations lossis qee qhov kev phais ntawm cov hlab ntaws) xav tau kev kho mob muaj zog dua, kev tswj hwm ntawm corticosteroids yog qhov tseem ceeb.
- :: xws li mob caj dab, colic lossis cov txheej txheem tom qab raug mob (vim raug xwm txheej, ntog los yog dev sib ntaus). NSAIDs tshwj xeeb tshaj yog muaj txiaj ntsig zoo hauv kev mob o, vim lawv inhibit qhov tsim ntawm prostaglandins, proinflammatory molecules uas tau tsim nyob rau hauv ntau cov txheej txheem mob.
- Contraindications of corticosteroids: kev siv corticosteroids yog contraindicated nyob rau hauv ntau yam txheej txheem, xws li kis kab mob, mob ntshav qab zib mellitus, corneal thiab gastrointestinal ulcers. Hauv cov tsiaj uas raug kev txom nyem los ntawm ib qho ntawm cov kev hloov pauv no thiab xav tau kev kho mob los tiv thaiv, kev siv NSAIDs yuav tsum tau siv raws li corticosteroids yog contraindicated.
Cov koob tshuaj NSAIDs uas yuav muab rau cov dev yuav nyob ntawm cov tshuaj tshwj xeeb. Tsis tas li ntawd, kom tsis txhob muaj kev phiv cuam tshuam nrog kev siv cov tshuaj no, tus kws kho tsiaj uas tsim kev kho mob nrog NSAIDs yuav tsum tau kho cov koob tshuaj kom txog rau thaum .». Ntawd yog, qhov koob tshuaj qis tshaj plaws uas muaj kev cuam tshuam rau txhua tus neeg mob, uas tej zaum yuav qis dua qhov koob tshuaj pom zoo. Qhov koob tshuaj tsawg kawg nkaus no tuaj yeem sib txawv raws sijhawm, yog li nws yuav tsum tau ua raws li kev tshuaj xyuas ib ntus txhawm rau kho cov koob tshuaj raws li tus neeg mob xav tau.
Lwm cov tshuaj tiv thaiv kab mob
Corticosteroids uas tau muab tshuaj ntau heev muaj cov tshuaj tiv thaiv kab mob. Lawv feem ntau yog thawj cov tshuaj siv los kho cov kab mob uas yuav tsum tau siv tshuaj tiv thaiv kab mob vim lawv cov nqi qis thiab lawv cov txiaj ntsig sai thiab zoo. Txawm li cas los xij, nws yog ib qho tseem ceeb rau cov dev uas xav tau hom kev kho mob no tsuas yog los teb rau qee cov tshuaj tiv thaiv kab mob lossis tsis teb rau lawv raws li kev kho mob. Vim li no, nws yog ib qho tsim nyog yuav tsum muaj lwm yam tshuaj kho mob uas tso cai rau kev kho corticosteroid hloov thaum nws tsis zoo.
Qee cov tshuaj tiv thaiv kab mob siv tshuaj kho tsiaj yog azathioprine, cyclosporine, the cyclophosphamide, the mycophenolate mofetil , theleflunomide thiab danazol Cov tshuaj tsis zoo no piv rau cov tshuaj corticosteroids, ntawm ib sab, feem ntau ntawm lawv muaj ib tug Tus nqi siab heev, thiab ntawm qhov tod tes, cov teebmeem feem ntau tshwm sim tom qab dua nrog corticosteroids. Txawm li cas los xij, nyob rau hauv cov xwm txheej uas cov tshuaj corticosteroids tsis zoo lossis tsis muaj contraindicated, hom tshuaj no yuav tsum tau siv.
Thaum twg kuv yuav hloov corticosteroids rau lwm cov tshuaj tiv thaiv kab mob?
Tshwj xeeb, cov xwm txheej uas siv cov tshuaj tiv thaiv kab mob no tuaj yeem ua rau muaj cov hauv qab no:
- Immune-mediated or autoimmune disease: cov no yog pathologies uas lub cev tiv thaiv kab mob tawm tsam thiab rhuav tshem lub cev cov khoom los ntawm kev lees paub lawv. txawv teb chaws. Hauv cov dev, qee yam kab mob autoimmune feem ntau yog mob caj dab rheumatoid, tiv thaiv kab mob hemolytic anemia, kab mob lupus erythematosus, thiab pemphigus foliaceus. Nyob rau hauv tag nrho cov pathologies no, immunosuppressive kho yog tsim nyog los txo cov exacerbated teb uas lub cev tiv thaiv kab mob tsim tawm tsam lub cev lub hlwb.
- Transplants: Ib yam li ntawd, kev hloov pauv hauv nruab nrog cev kuj yuav tsum tau kho cov tshuaj tiv thaiv kab mob los tiv thaiv lub cev tiv thaiv kab mob los ntawm kev tawm tsam kev nthuav tawm ntawm lub cev los yog cov ntaub so ntswg txawv teb chaws.
Txawm li cas los xij, kev kho tshuaj tiv thaiv kab mob yuav tsum tau muab tshuaj los ntawm kws kho tsiaj tshwj xeeb, uas yuav xaiv cov tshuaj uas tsim nyog tshaj plaws rau tus tsiaj thiab nthuav dav cov koob tshuaj thiab kev npaj kho mob.
Natural anti-inflammatories
Ntxiv nrog rau cov tshuaj kho mob, kuj tseem muaj qee yam tshuaj ntuj lossis tshuaj hauv tsev uas tuaj yeem pab tswj qee cov txheej txheem inflammatory. Lawm, cov tshuaj tiv thaiv kab mob yuav tsis muab piv rau cov uas tsim los ntawm corticosteroids, tab sis lawv tuaj yeem pab tau rau kev txo qee cov txheej txheem inflammatory, tshwj xeeb tshaj yog tias lawv mob me.
Ntawm cov tshuaj tiv thaiv kab mob uas tsim nyog rau cov tsiaj no, peb tuaj yeem hais txog cov hauv qab no ua lwm txoj hauv kev rau corticosteroids hauv dev:
- Turmeric: cov txuj lom no muaj curcumin, ib qho khoom xyaw uas muaj cov tshuaj tiv thaiv zoo. Nws tuaj yeem muab ntxiv rau tus tsiaj cov khoom noj, ntawm tus nqi ntawm 15-20 milligrams ib kg ntawm qhov hnyav.
- Arnica montana: lub hauv paus ntawm cov nroj tsuag no muaj derivatives ntawm thymol, uas muaj cov nyhuv anti-inflammatory. Nws tuaj yeem pom muaj nyob rau hauv daim ntawv ntawm cov tshuaj pleev, rau cov tshuaj pleev ib ce, los yog nyob rau hauv daim ntawv ntawm capsules, rau kev tswj qhov ncauj.
- Omega 3 fatty acids: txoj hauv kev yooj yim tshaj kom suav cov fatty acids hauv peb tus dev noj yog los ntawm kev ntxiv qee cov ntses oily rau koj cov khoom noj. Txawm li cas los xij, nws kuj tuaj yeem muab los ntawm cov khoom noj khoom haus raws li cov roj ntses.
- Harpagofito: lub hauv paus ntawm cov nroj tsuag no muaj ntau yam iridoids (harpagoside, harpagids, procumboside) uas muab cov tshuaj tua kab mob zoo thiab tiv thaiv kab mob. Nws yog qhov tshwj xeeb tshaj yog rau kev kho mob caj dab.
- Cold (cryotherapy): tuaj yeem siv rau qhov mob hnyav ua tsaug rau nws cov tshuaj tiv thaiv hauv zos (los ntawm vasoconstriction thiab txo cov metabolism.). Nws tuaj yeem siv tau siv cov pob khov nab kuab los yog cov compresses txias.
Nco ntsoov tias xaiv qhov zoo tshaj plaws lwm txoj rau corticosteroids hauv dev nws yog ib qho tsim nyog yuav tsum muaj cov lus qhia ntawm tus kws tshaj lij, tom qab ntsuas qhov tshwj xeeb ntawm koj tus dev.
