Chithandizo ndiwofatsa a nyamakazi

Nyamakazi limabweretsa zokhudza zonse connective matenda minofu ndi zotupa zimfundo ka malekezero. Matenda kupata maphunziro a matenda pamafunika yaitali komanso mwadongosolo chithandizo. chithandizo ndiwofatsa a nyamakazi ikuchitika malangizo otsatirawa:

- kuthetsedwa kapena attenuation ululu;

-Reduce kutupa mu Kakhungu synovial zimfundo, kupewa fupa chiwonongeko, limba okhudzidwa mkati ndi ankylosis;

- kupewa mapindikidwe olowa;

- konzanso odwala thupi ndi maganizo.

Ndi exacerbation zakuthwa nyamakazi kuyamba ndi kuikidwa kwa bedi kapena chithandizo wofatsa, immobilization zimfundo akhudzidwa, odana ndi yotupa ndi mankhwala analgesic.

Anti-yotupa mankhwala

NSAIDs ndi wothandizila zofunika amagwiritsidwa ntchito pofuna kuchiza mawonetseredwe pachimake cha matenda monga kukonza mankhwala mu milandu pang'onopang'ono mwapang'onopang'ono nyamakazi. Mu mawonekedwe a mafuta ndi creams NSAIDs ntchito mankhwala apakhungu. Ngakhale NSAIDs ndi analgesic wabwino ndi kanthu antiinflammatory, musati bwanji njira ya matenda ndiponso sizimathandiza kupewa chiwonongeko cha kali articular chichereŵechereŵe. Gulu la mankhwala pamene kutumikiridwa limakhumudwitsa m'mimba zimene zingachititse kuti mankhwala anachititsa gastritis ndi ngakhale zilonda.

mankhwala zoyambirira

Chifukwa cha mankhwala a nyamakazi zimapanga mankhwala ofunikira. Mankhwalawa kusintha kupitirira kwa matenda, zotsatira zawo zikuoneka pang'onopang'ono. Kuti njira zikuluzikulu monga cytotoxic immunosuppressants - salt golide, kukonzekera aminohinolinovogo, D-penicillamine. Mmodzi wa mankhwala ambiri ya gulu - methotrexate mu nyamakazi ali ndi kutchulidwa odana ndi yotupa tingati kubweza kupitilira zina za matendawa ndi kuteteza chichereŵechereŵe minofu ku chiwonongeko.

mankhwala Basic kutumikiridwa pasanafike 3 miyezi mankhwala odwala onse ndi yogwira nyamakazi ndi zopanda phindu pa ntchito NSAIDs. Ngati ntchito mankhwala zofunika sapereka kufunika zotsatira achire m'miyezi awiri kapena atatu, amafuna zina corticosteroid chithandizo.

corticosteroids

Corticosteroids ali analamula kuti ntchito mkulu kutupa, nyamakazi, zokhudza zonse mawonetseredwe ndi kudzipeleka kwa ziwalo, ndi zopanda phindu pa mankhwala a NSAIDs ndi DMARDs.

Corticosteroids, malingana ndi kuopsa kwa kutupa ndi kutumikiridwa mu mlingo wa ku mg ndi 10 mpaka 40 patsiku (lofanana prednisolone). mankhwalawa umagwiritsidwa ntchito kukwaniritsa chikhululukiro khola akutsatiridwa ndi kuchepa pang'onopang'ono mankhwala m'thupi ndipo munthawi yomweyo zoti NSAID.

Nyamakazi Chithandizo ndi corticosteroids amapereka mwamsanga zabwino, koma zingachititse mavuto. Choncho, mankhwala ayenera kukhala pansi pa ulamuliro wa dispensary lofunika.

Pamodzi ndi mankhwala mankhwala a nyamakazi ikuchitika mwa njira thupi. Mogwira ntchito hemosorption, plasmapheresis, lymph ndi immunoadsorption, phonophoresis mankhwala maginito, laser mankhwala. chithandizo Local ndi a intraarticular jekeseni wa mankhwala odana ndi yotupa ndi corticosteroids, yomwe ikuchitika m'madipatimenti apadera Rheumatology.

Odwala chikhululukiro tisonyezeni chipatala chaching'ono mankhwala ntchito achire matope, njira ozocerite ndi spa ofunsira.

Takambirana rheumatoid nyamakazi, zizindikiro, chithandizo cha matenda zimadalira siteji. chithandizo chokwanira nyamakazi adzakhala amachepetsa zina ndi chitukuko cha matendawo.