Injections a cikin gwiwa gwiwa tare da arthrosis: kwayoyi. Zaɓi, bayanin, umarnin

Babban Greek masanin kimiyya da falsafa Aristotle ya ce: "The motsi - wannan shi ne rai ba." Amma, abin takaici, ba dukan mutane za su iya ji dadin shi da cikakkiyar. Daya a goma mutane a duniya yana fuskantar zafi bayan jiki aiki, crunching a cikin gidajen abinci da kuma ciki stiffness, wanda muhimmanci impairs ingancin rayuwa. Saboda haka shi ya bayyana da farko alamun arthrosis. A cikin labarin, lokacin da shi wajibi ne don ba injections cikin gwiwa hadin gwiwa tare da osteoarthritis, da shirye-shirye da ake bukata domin wadannan hanyoyin.

Mene ne Sanadin osteoarthritis da kuma

Osteoarthritis - a kullum cutar da aka bayyana ta sauka a hankali halakar ciki-articular guringuntsi. Matsayin mai mulkin, cutar bayyana kanta a mazan mutane a sakamakon da na halitta tsufa aiwatar da jiki ta kyallen takarda, amma a 'yan shekarun nan a maza da mata a kan arba'in suna ƙara kamu da cutar.

Wannan shi ne saboda jiki aiki na yawan ya auku muhimmanci: sedentary aiki, da yin amfani da jama'a kai da kuma masu zaman kansu motocin, unbalanced yawan samar - a sakamakon, kiba, wanda qara load a kan gidajen abinci. Kamar yadda wani magani da likitoci bayar da shawarar injections cikin gwiwa hadin gwiwa. Lokacin da kwayoyi suna gudanar osteoarthritis kagaggun baxini hadin gwiwa.

A Sanadin sakandare osteoarthritis iya zama traumatic raunuka. (Bruises, sprains, samu karaya), kuma high load a da 'yan wasa da kuma ma'aikatan wanda fanni na aiki da ake dangantawa da nauyi jiki aiki. Bugu da kari, da preconditions domin ci gaba da cutar iya ƙirƙirar, da kuma sauran abubuwan, kamar autoimmune cututtuka, da cututtuka da kuma kumburi tafiyar matakai, kwayoyin predisposition, endocrine tsarin cututtuka, tafiyar matakai, rayuwa cuta da sauransu.

Kamar yadda guringuntsi karya saukar da

All gidajen abinci a jikin mutum ne kusan m ga tsarin - biyu ko fiye na articular surface, liyi tare da guringuntsi, synovial kewaye a cikin wani jakar da ke ciki na synovial ruwa. Hyaline guringuntsi ne na roba, kuma yana da santsi tsarin, wanda damar rage gogayya a lokacin motsi. Jibin maye da aka yi da da synovial ruwa, saboda na da kansa jini yana ba.

Wannan dukiyar sa da guringuntsi m. Saboda musayar aiwatar kasa ko ma mai girma kaya articular hyaline guringuntsi degenerative canje-canje iya hõre, in babu ko kasa samar da sinadarin gina jiki ta dawo da farfadowa auku sosai a hankali. Thinning na interlayer hyaline guringuntsi take kaiwa zuwa da cewa ya karu gogayya a cikin hadin gwiwa a lokacin motsi, wadda take kaiwa zuwa kara lalata guringuntsi da kuma inganta harkokin ci gaban kumburi tafiyar matakai. A cikin mutane, wannan tsari bayyana na jin zafi, stiffness, iyaka motsi. A wannan mataki, da taimako na iya zo injections cikin gwiwa hadin gwiwa. Reviews kwararru da kuma marasa lafiya game da wadannan hanyoyin nuna su tasiri.

A karshe mataki na wannan pathological aiwatar guringuntsi aka halakar da kuma maye gurbinsu da girma fibrous connective nama. A sakamakon irin canje-canje a cikin hadin gwiwa shi ne maras kyau da kuma iya daina yin ayyuka. Don kauce wa wannan, tambaya hondroprotektory. Farashin ne low kuma ba ka damar amfani da su quite a baje.

Abin baƙin ciki, suka yi aiki ne kawai a matakin farko na lalata guringuntsi, kuma ba su samar da sakamako so a cikin wata amãna Gudun tsari. Bugu da kari, shan wadannan kwayoyi dole ne wani tsawon lokaci, a cikin uku zuwa watanni shida, da kuma a wasu lokuta mutum, kuma har zuwa daya da rabi shekaru, saboda guringuntsi regenerates sosai a hankali. A tsawon lokaci na Hakika, sami yanayin, wani injections a gwiwa da kuma a cikin abin da Dosages kayan - duk da wannan ma'anar da kuma sanya likita domin kowane haƙuri akayi daban-daban, dangane da farko jiha da kuma lura da canje-canje a cikin shakka daga jiyya.

The hanyoyin da jiyya

amosanin gabbai magani iya zama likita da kuma m. M magani unshi da sauyawa na hadin gwiwa - hadin gwiwa sauyawa.

Manufar osteoarthritis magani - to dakatar da kara lalata guringuntsi nama da kuma kiyaye hadin gwiwa aiki.

Wannan magani ya bada sakamako mai kyau, ya kamata a directed ga kau na kumburi, zafi da kuma mayar guringuntsi. A saboda wannan dalili:

• nonsteroidal antiinflammatory jamiái.
• ciki-articular allura da kwayoyi.
• yana nufin gida Warming mataki don inganta jini ya kwarara a cikin shafa yankin (a cikin nau'i na man shafawa, mala'iku kuma creams).
• hondroprotektory.

Non-steroidal anti-kumburi jamiái

Kwayoyi da irin wannan rage ƙonewa, kumburi, da antipyretic da analgesic effects.

Domin magana daga cikin karfi analgesic mataki ne: "Ibuprofen" "Diclofenac sodium" ( "Voltaren"). NSAIDs ba sa asar, sai murna, drowsiness, habituation, miyagun ƙwayoyi dogara, amma dogon lokacin da amfani da su detrimental sakamako a kan mucous membrane na ciki. Saboda haka sanya "Diclofenac" (Shots) ga taimako daga m zafi. Farashin biyar ampoules a wani kunshin na game da ɗari biyu rubles. Application: intramuscularly for biyu - biyar kwana sa'an nan canjawa wuri zuwa ga miyagun ƙwayoyi kwamfutar hannu tsari (idan ya cancanta).

Shi ne kuma zai yiwu a yi amfani da "Ketonala" - injections intramuscularly ko intravenously, kazalika da injectable siffofin "Flamaksa", "Artrozilena". Lokacin gudanar intravenously, da jinkiri tsakanin jiyya ya kamata a kalla 8 hours.

Hormonal corticosteroids da hondroprotektory

Price zama kasa mai muhimmanci idan ya ci nasara zafi, man shafawa, ko creams ne ba tasiri. Lokacin da amosanin gabbai kai m mataki, shi ya zama dace hormonal corticosteroids. Wadannan kwayoyi inganta m da tasiri danniya na kumburi tsari, amma cikin dogon lokacin da amfani da take kaiwa zuwa hadin gwiwa halaka da kuma sau da yawa sa illa halayen.

Saboda haka, daga likitoci rubũta corticosteroids intraarticular magunguna "Diprospan" "Kenalog", "hydrocortisone" a cikin nau'i na injections da ta rage alama cewa za a yi illa zuwa m.

Chondroprotectors - yana da kwayoyi da kuma kwayoyi da inganta da samuwar wani sabon gaba daya tsarin abubuwa da guringuntsi nama. Su regenerate shi da kuma hana kara halaka.

A tsarin chondroprotectors hada biyu key aka gyara: glucosamine da chondroitin sulfate. Wadannan abubuwa ne da ake bukata domin samuwar synovial ruwa, da kuma jikin mutum kullum samar da su da kansa.

bayar

A lokacin, Pharmaceutical kamfanoni kayan kwayoyi chondroitin da glucosamine a cikin wadannan siffofin:

• mafita ga allura.
• creams, man shafawa, mala'iku;
• capsules, powders na baka gwamnati, Allunan.

Akwai uku ƙarnõni na chondroprotectors:

1. A farko - dabba asalin. Ana kullum da kyau jure, da sakamako zo da sauri, amma zai iya bayar da Yunƙurin zuwa allergies. Don wannan nau'in hada da irin kwayoyi a matsayin "rumalon" da "Alflutop".
2. Na biyu - roba shirye-shirye na chondroitin sulfate ( "Chondroxide", "Struktum", "hondrolon", "Mukosat"), glucosamine ( "Don ',' Elbona", "Sustilak") da kuma wani acid-hyaluronic ( "Fermatron", "Synvisc ' "Hyaluron", "hyalgan")
3. Na uku - hadedde (a hade) kwayoyi wadda dauke da daban-daban haduwa da chondroitin da glucosamine ( "Artra", "Teraflex").

Nau'in halaye na gwamnati

Chondroprotectors rarrabuwa dogara ne a kan daban-daban hanyoyi na gwamnati:

1. Ciki-articular allura - mafi inganci hanya, saboda sakamako tasowa da sauri kuma yana da dogon isa. Maimaita wadannan jan dole ne kawai 'yan sau a shekara. Shi ya dace ga formulations dake dauke da hyaluronic acid, kamar "hyalgan", "Fermatron". A ko rashin amfani wannan hanyar hada da cewa da allura a cikin gidajen abinci ne likita magudi da kuma gudanar a wani asibiti yanayi. A mafi yawan lokuta, gwamnati na chondroprotective aiwatar a gwiwa gidajen abinci.
2. Intramuscular allura - dace da kuma yadu used Hanyar gabatar chondroprotectors. A cikin wannan hanya gudanar "Alflutop", "hondrolon", "Artradol", "Hondrogard" da kuma wasu intramuscular shirye-shirye. Dace da marasa lafiya da suke for daban-daban dalilai ba su iya hadiye da kwamfutar hannu ko kwantena, ko da tsanani koda cuta.
3. Capsules da Allunan - mafi yadu amfani da kuma rare Hanyar Drug Administration. Yana ba ya bukatar aseptic yanayi, da shiga tsakani na musamman horar da ma'aikata, dace da kai-gwamnati. Duk da haka, da rashin amfani wannan hanyar ma yana da: dogon hanya na lura, a manyan kwaya nauyi a kan hanta da kuma kodan.
4. External amfani kamar yadda creams, man shafawa, ko mala'iku - da hanyar ne mai kyau a cikin Bugu da kari to baka gwamnati, amma ba a matsayin monotherapy. Hyaluronic acid da kuma chondroitin kusan shiga ta hanyar fata a cikin hadin gwiwa, amma a hade tare da physiotherapeutic hanyoyin permeability daga cikin wadannan abubuwa za a iya ƙara. Kamar yadda obezbolevayuschego za a iya amfani da "Diclofenac" "(Shots). The farashin da kwayoyi ne Topical cikin 200-600 rubles.

A mafi inganci da kwayoyi

Naimbolee tasiri wajen dauke "Alflutop» (SC Biotehnos, SA. Romania). Dalili na shiri ne wani tsantsa daga marine kwayoyin na iri hudu. A defatted tattara aka tsarkake daga impurities da kuma sunadarai. Babban sakamako daga cikin miyagun ƙwayoyi ne da nufin a tsari na tafiyar matakai na rayuwa a cikin guringuntsi nama.

Hakazalika mataki da kwayoyi kamar "Chondroxide", "hondrolon", "Struktum", "Don." Application: intramuscularly, zurfin, 1 ml kullum har mako uku.

Tare da sa hannu a kan aiwatar da manyan gidajen abinci intraarticular gwamnati ne daya ko biyu milliliters kowane shafi hadin gwiwa sau daya a cikin uku ko hudu kwanaki (total biyar ko shida injections), sa'an nan - intramuscular allura, wanda aka za'ayi domin kwana ashirin. A maimaitawa kudi wajibi ne a ciyar da rabin shekara.

Kudi suna samuwa a cikin goma odnomillimetrovyh vials ko kunshe-na biyar ampoules na biyu ml.

M farashin a Pharmacy - 3300 rubles da fakitin.

Da miyagun ƙwayoyi "rumalon"

Wani tasiri magani aka gane a matsayin "rumalon" (CJSC "Bryntsalov A", Rasha). Yana hada da wani bangare na kwakwalwa tsantsa da kuma guringuntsi maruƙa trachea.

Application: kawai ga zurfin intramuscular allura. Domin manya, da kashi ne 1 ml sau uku a mako, ko 2 ml dvzhdy a mako. A tabbatacce sakamakon wannan far su ne riga m, a mako biyu da magani. Cikakken magani Hakika kunshi 25 injections na 1 ml kowane, ko 15, amma tare da 2 ml (don 6-8 makonni). Hakika na injections kamata a maimaita a kalla sau biyu a shekara, ko har zuwa sau hudu a shekara ta wahala a lokacin da cutar kan shekaru da dama.

Samar a kunshe na goma ampoules dauke daya milliliter na tattalin bayani.

M farashin a Pharmacy - daga 1100 rubles da fakitin.

Shirye-shirye tare da glucosamine da chondroitin

Gargajiya da kuma yadu amfani, sũ ne waɗanda jamiái:

1. "Don '- glucosamine halitta ne mai foda na baka bayani da kuma a shirye domin injections a ampoules. Samar da Italian kamfanin Rottapharm. Kunshin farashin daga 900 zuwa 1600 rubles.
2. "Artradol" - chondroitin shiri domin intramuscular allura na samar da Rasha kamfanin "Trivium". A kunshin iya zama 5 ko 10 ampoules na 2 ml. Farashin ne a kusa da 700-1000 rubles da fakitin.
3. "Hondrolon" - chondroitin sulfate bayani a ampules kerarre a Rasha. Daya kunshin farashin daga 1000 zuwa 1300 rubles ƙunshi goma vials.
4. "Struktum" - da shiri na chondroitin sulfate capsules, samar da Faransa m Pierre Fabre Medicament Production. Samuwa ne a biyu dosages - 500 da kuma 250 MG. Price a Pharmacy - game da 700 - 1500 rubles da fakitin.

A hade da glucosamine da chondroitin

Hada warkewa jamiái:

1. "Artra" - Allunan. Samar da American kamfanin UNIPHARM. Sun dauki glucosamine hydrochloride a sashi na 500 MG na sodium chondroitin sulfate da 500 MG, kusan ba illa. Abun da ke ciki - Tablet, 30-120 inji mai kwakwalwa. a cikin kunshin, farashin dabam daga 500 zuwa 1900 rubles, dangane da lambar.
2. "Teraflex" - American m hadaddun shiri Sagmel, ya ƙunshi 400 MG na chondroitin da glucosamine 500 MG, zo a cikin nau'i na creams da capsules. Daya fakitin ƙunshi 30-120 capsules, da farashin dangane da yawan capsules ne 550-1850 rubles.
3. Akwai kuma wani inganta dabara da miyagun ƙwayoyi - "Teraflex Advanced". Ya bambanta daga gargajiya gaban a abun da ke ciki na ba-steroidal anti-kumburi miyagun ƙwayoyi - ibuprofen. A tare da tare da na baka capsules shawarar yin amfani da shirye-shirye na chondroitin da glucosamine topically ( "Teraflex" a cikin wani nau'i na cream).

Injections cikin gwiwa hadin gwiwa arthrosis: hyaluronic acid

Mafi na kowa hyaluronic acid shirye-shirye a Pharmacy ne yanzu:

1. "Ostenil", "Sinokrom" da "Sinokrom forte" - daga Austria da Jamus, "Fermatron" - daga Birtaniya, "Suplazin" - daga Ireland.
2. Ba haka sau da yawa, amma har yanzu akwai irin wannan kwayoyi a matsayin "viscos" (Jamus) da kuma "ViskoPlyus" (Sweden), da Italiyanci "hyalgan", "Gialyuks" (South Korea), US "Synvisc" da "Dyuralan Es Jay."
3. Rasha samar da magungunan ware "Intradzhekt Gialuform" ( "Toskani" Moscow) da kuma "Giastat" (Tula).

hyaluronic acid injections cikin hadin gwiwa ake samar a matsayin ƙãre samfurin a cikin yarwa syringes, wanda sosai dace don amfani.

Ciki-articular injections cikin gwiwa hadin gwiwa tare da osteoarthritis, bisa hyaluronate shirye-shirye shafi cikin waxannan cututtukan zuciya da sauransu a cikin uku kwatance:

• rage gogayya da kuma kara depreciation saboda gaskiyar cewa ya karu adadin synovial ruwa da kuma ta danko.
• maida ciyad da guringuntsi nama Kwayoyin, haka stimulating da farfadowa daga hyaline guringuntsi.
• hana kumburi tafiyar matakai da kuma rage tsananin da cututtuka.

ƙarshe

Za mu iya bayyana cewa allura, hyaluronic acid a cikin gwiwa hadin gwiwa ne da wani zamani ga kayan aiki da magani daga cututtuka hade da musculoskeletal tsarin. da miyagun ƙwayoyi yana mai daukan hankali sakamako da kuma ba ka damar manta game da manifestations na osteoarthritis a matakin farko. Wannan hadari ruwa implant muhimmanci rage load a kan hadin gwiwa, da samar da guringuntsi gina jiki da kuma siffofin da na halitta (na halitta) prosthesis, wanda shi ne sosai kusa a abun da ke ciki na mutum synovial ruwa.

Har ila yau tasiri jamiái ne kayayyakin dauke da glucosamine da chondroitin.

Ciki-articular gwamnati na wadannan kwayoyi yana da wani m da kuma shafe tsawon sakamako.