Daim ntawv teev cov mob raum mob caj dab

Zoo Siab

• DMARDs thiab kev siv roj ntsha
• Janus txuam kinase inhibitors
• Tshuaj Ntsiav Tshuaj
• Nonsteroidal anti-inflammatory tshuaj (NSAIDs)
• Ibuprofen (Advil, Motrin IB, Nuprin)
• Naproxen sodium (Aleve)
• Aspirin (Bayer, Bufferin, St. Joseph)
• Tshuaj NSAIDs
• Diclofenac / misoprostol (Arthrotec)
• Tshuaj pleev capsaicin (Capsin, Zostrix, Dolorac)
• Diclofenac sodium tshuaj pleev gel (Voltaren 1%)
• Diclofenac sodium tshuaj pleev daws (Pennsaid 2%)
• Opioid tshuaj mob
• Corticosteroids
• Kev txhaj tshuaj tiv thaiv kab mob
• Nqa Nyiaj

Txheej txheem cej luam

Kev mob caj dab (RA) yog hom mob thib ob, uas cuam tshuam rau kwv yees li 1.5 lab Asmeskas. Nws yog ib qho mob ua mob los ntawm tus mob autoimmune. Tus kab mob no tshwm sim thaum koj lub cev tawm tsam nws cov nqaij ntshiv zoo. Qhov no ua rau liab, o, thiab mob.

Lub hom phiaj tseem ceeb ntawm RA siv tshuaj tiv thaiv yog o. Qhov no pab tiv thaiv kev sib koom ua ke. Nyeem rau kom paub txog ntau txoj kev kho mob RA.

DMARDs thiab kev siv roj ntsha

Kab mob-hloov kho cov tshuaj antirheumatic (DMARDs) yog siv los txo qhov mob. Tsis zoo li lwm yam tshuaj uas ua rau mob yooj yim thiab mob ib ntus, DMARDs tuaj yeem ua rau qeeb qeeb ntawm RA. Qhov no txhais tau tias koj yuav muaj cov tsos mob tsawg dua thiab tsawg dua thaum ua haujlwm.

Cov DMARD feem ntau siv los kho RA suav nrog:

• hydroxychloroquine (Plaquenil)
• leflunomide (Arava)
• methotrexate (Trexall)
• sulfasalazine (Azulfidine)
• minocycline (Minocin)

Cov roj ntsha yog tshuaj siv tshuaj. Lawv ua haujlwm los ntawm thaiv cov kev mob tshwj xeeb ua los ntawm cov kab mob tiv thaiv lub cev. Qhov no txo ​​qis kev mob tshwm sim los ntawm RA. Cov kws kho mob tau sau ntawv tso cai tshuaj lom thaum lub DMARDs ib leeg tsis txaus los kho tus mob RA. Kev qhia txog roj ntsha tsis tau pom zoo rau cov neeg uas muaj lub cev tsis muaj zog lossis muaj kab mob. Qhov no yog vim tias lawv tuaj yeem nce koj qhov kev pheej hmoo kis mob hnyav.

Txoj kev lom neeg (biologics) feem ntau muaj xws li:

• abatacept (Orencia)
• rituximab (Rituxan)
• tocilizumab (Actemra)
• anakinra (Kineret)
• adalimumab (Humira)
• etanercept (Enbrel)
• infliximab (Nco)
• certolizumab pegol (Cimzia)
• golimumab (Simponi)

Janus txuam kinase inhibitors

Koj tus kws kho mob yuav sau cov tshuaj no yog tias DMARDs lossis roj ntsha tsis ua haujlwm rau koj. Cov tshuaj no cuam tshuam cov noob thiab kev ua ntawm cov kab mob tiv thaiv kab mob hauv lub cev. Lawv pab tiv thaiv kev o thiab nres kev puas tsuaj rau cov pob qij txha thiab cov ntaub so ntswg.

Janus txuam kinase inhibitors suav nrog:

• tofacitinib (Xeljanz, Xeljanz XR)
• baricitinib

Baricitinib yog ib yam tshuaj tshiab uas tseem raug sim. Cov kev tshawb fawb pom tias nws ua haujlwm rau cov neeg uas tsis muaj kev vam meej nrog DMARDs.

Cov kev mob tshwm sim ntau dua ntawm cov tshuaj no suav nrog:

• mob taub hau
• cov mob ua pa sab saud, xws li mob ntsws lossis mob khaub thuas
• txhaws ntswg
• los ntswg
• mob caj pas
• zawv plab

Tshuaj Ntsiav Tshuaj

Acetaminophen muaj nyob rau ntawm lub txee (OTC) yam tsis muaj daim ntawv yuav los ntawm koj tus kws kho mob. Nws los ua cov tshuaj noj ntawm qhov ncauj thiab qhov quav qhov quav. Lwm yam tshuaj zoo dua ntawm kev txo qhov mob thiab kho mob hauv RA. Qhov no yog vim hais tias cov tshuaj acetaminophen tuaj yeem kho qhov mob me rau qhov mob ib nrab, tab sis nws tsis muaj ib qho kev ua los tiv thaiv. Qhov no txhais tau tias nws tsis ua haujlwm zoo los kho RA.

Cov tshuaj no muaj qhov ua rau muaj teeb meem mob siab, nrog rau daim siab ua haujlwm. Koj tsuas yog yuav tsum noj ib cov tshuaj uas muaj acetaminophen ib zaug.

Nonsteroidal anti-inflammatory tshuaj (NSAIDs)

NSAIDs yog ib qho ntawm cov feem ntau siv tshuaj RA. Tsis zoo li lwm cov tshuaj tiv thaiv kev mob, NSAIDs zoo li muaj txiaj ntsig zoo los kho cov tsos mob ntawm RA. Qhov no yog vim lawv tiv thaiv o.

Qee tus neeg siv OTC NSAIDs. Txawm li cas los xij, cov tshuaj NSAIDs muaj muaj zog nrog cov ntawv sau tshuaj.

Kev phiv los ntawm NSAIDs suav nrog:

• lub plab voos
• mob rwj
• yaig lossis hlawv lub qhov los ntawm koj lub plab lossis hnyuv
• mob plab los ntshav
• raum puas tsuaj

Tsawg tsawg zaus, cov kev mob tshwm sim no tuaj yeem ua rau tuag taus (ua rau tuag). Yog tias koj siv NSAIDs ntev, koj tus kws kho mob yuav soj ntsuam koj lub raum ua haujlwm. Qhov no yuav tshwj xeeb yog tias koj twb muaj mob raum.

Ibuprofen (Advil, Motrin IB, Nuprin)

OTC ibuprofen feem ntau yog NSAID. Tsuas yog tias koj tus kws kho mob tau qhia koj, koj yuav tsum tsis txhob siv tshuaj ibuprofen ntau tshaj ob peb hnub hauv ib zaug. Noj cov tshuaj no rau sijhawm ntev dhau lawm tuaj yeem ua rau mob plab tau los. Qhov kev pheej hmoo no yuav ntau dua rau cov neeg laus.

Ibuprofen muaj nyob hauv qhov ua tau zoo thiab. Hauv cov qauv tshuaj, cov tshuaj ntau dua. Ibuprofen tseem tuaj yeem ua ke nrog lwm hom kev mob tshuaj hu ua opioids. Piv txwv ntawm cov tshuaj ua ke no muaj xws li:

• ibuprofen / hydrocodone (Vicoprofen)
• ibuprofen / oxycodone (Combunox)

Naproxen sodium (Aleve)

Naproxen sodium yog ib qho tshuaj OTC NSAID. Feem ntau nws tau siv los ua lwm txoj rau ibuprofen. Qhov no yog vim tias nws ua rau muaj kev phiv ntau me ntsis. Cov qauv tshuaj ntawm cov tshuaj no muab cov tshuaj noj kom muaj zog.

Aspirin (Bayer, Bufferin, St. Joseph)

Tshuaj aspirin yog lub tshuaj pab qhov ncauj. Nws tau siv los kho qhov mob me, kub taub hau, thiab o. Nws kuj tseem siv tau los tiv thaiv kev mob plawv thiab mob stroke.

Tshuaj NSAIDs

Thaum OTC NSAIDs tsis daws koj cov tsos mob RA, koj tus kws kho mob yuav sau ntawv rau NSAID. Cov no yog cov tshuaj tiv thaiv qhov ncauj. Cov kev xaiv uas nquag muaj xws li:

• celecoxib (Celebrex)
• ibuprofen (tshuaj-dag zog)
• nabumetone (Relafen)
• naproxen sodium (Anaprox)
• naproxen (Naprosyn)
• piroxicam (Feldene)

Lwm cov NSAIDs suav nrog:

• diclofenac (Voltaren, Diclofenac Sodium XR, Cataflam, Cambia)
• diflunisal
• indomethacin (Indocin)
• ketoprofen (Orudis, Ketoprofen ER, Oruvail, Actron)
• etodolac (Lodine)
• fenoprofen (Nalfon)
• flurbiprofen
• ketorolac (Toradol)
• meclofenamate
• mefenamic acid (Ponstel)
• meloxicam (Mobic)
• oxaprozin (Daypro)
• sulindac (Clinoril)
• salsalate (Disalcid, Amigesic, Marthritic, Salflex, Mono-Gesic, Anaflex, Salsitab)
• tolmetin (Tolectin)

Diclofenac / misoprostol (Arthrotec)

Diclofenac / misoprostol (Arthrotec) yog ib qho tshuaj noj hauv qhov ncauj uas sib xyaw nrog NSAID diclofenac nrog misoprostol. NSAIDs tuaj yeem ua rau lub plab mob. Cov tshuaj no pab tiv thaiv lawv.

Tshuaj pleev capsaicin (Capsin, Zostrix, Dolorac)

Capsaicin pleev cov tshuaj pleev OTC tuaj yeem daws cov mob me me los ntawm RA. Koj txhuam cov lee no rau ntawm thaj chaw uas mob ntawm koj lub cev.

Diclofenac sodium tshuaj pleev gel (Voltaren 1%)

Voltaren gel 1% yog NSAID rau kev siv tshuaj pleev. Qhov no txhais tau tias koj tshiav nws ntawm koj cov tawv nqaij. Nws raug pom zoo los kho mob mob pob txha, suav nrog hauv koj txhais tes thiab lub hauv caug.

Cov tshuaj no ua rau muaj kev phiv zoo sib xws rau cov ncauj NSAIDs. Txawm li cas los xij, tsuas yog li 4 feem pua ​​ntawm cov tshuaj no tau nqus rau hauv koj lub cev. Qhov no txhais tau tias koj yuav tsis tshua muaj kev phiv.

Diclofenac sodium tshuaj pleev daws (Pennsaid 2%)

Diclofenac sodium (Pennsaid 2%) yog cov tshuaj pleev siv rau mob mob hauv caug. Koj txhuam nws ntawm koj lub hauv caug txhawm rau txo qhov mob.

Opioid tshuaj mob

Cov tshuaj opioids yog cov tshuaj ua kom muaj zog ntau tshaj plaws ntawm lub khw. Lawv tsuas yog muaj cov tshuaj xaj yuav tshuaj. Lawv ua rau hauv cov ncauj lus thiab cov ntawv sau tuaj. Cov tshuaj opioids tsuas yog siv hauv kev kho mob RA rau cov neeg uas mob hnyav RA uas mob hnyav xwb. Cov tshuaj no tuaj yeem yog txoj kev coj ua. Yog tias koj tus kws kho mob muab tshuaj opioid rau koj, lawv yuav saib xyuas koj zoo.

Corticosteroids

Corticosteroids tseem hu ua steroids. Lawv tuaj noj tshuaj hauv qhov ncauj thiab txhaj tshuaj. Cov tshuaj no tuaj yeem pab txo tus mob hauv RA. Lawv kuj tseem tuaj yeem pab txo qhov mob thiab puas tsuaj los ntawm o. Cov tshuaj no tsis tau pom zoo rau siv ntev.

Cov kev mob tshwm sim tuaj yeem suav nrog:

• ntshav qab zib kom ntau
• mob plab
• ntshav siab
• cov kev mob tshwm sim hauv siab, xws li txob taus thiab dhau los
• cataracts, los yog clouding ntawm lub lens hauv koj lub qhov muag
• txha txha caj qaum

Cov tshuaj steroid siv rau RA suav nrog:

• betamethasone
• prednisone (Deltasone, Sterapred, Ua Kua Npav)
• dexamethasone (Dexpak Taperpak, Decadron, Hexadrol)
• cortisone
• hydrocortisone (Cortef, A-Hydrocort)
• methylprednisolone (Medrol, Methacort, Depopred, Predacorten)
• prednisolone

Kev txhaj tshuaj tiv thaiv kab mob

Cov tshuaj no tawm tsam kev puas tsuaj los ntawm tus kab mob autoimmune xws li RA. Txawm li cas los xij, cov tshuaj no tseem tuaj yeem ua rau koj muaj mob thiab kis tau yooj yim dua. Yog tias koj tus kws khomob muab ib cov tshuaj rau koj, lawv yuav saib xyuas koj zoo thaum kho.

Cov tshuaj no tuaj qhov ncauj thiab tuaj txhaj tshuaj. Lawv suav nrog:

• cyclophosphamide (Cytoxan)
• cyclosporine (Gengraf, Neoral, Sandimmune)
• azathioprine (Azasan, Imuran)
• hydroxychloroquine (Plaquenil)

Nqa Nyiaj

Ua haujlwm nrog koj tus kws kho mob kom nrhiav tau RA kev kho mob uas ua haujlwm zoo tshaj rau koj. Nrog rau ntau cov kev xaiv muaj, koj thiab koj tus kws kho mob yuav pom muaj ib qho uas txo koj cov tsos mob RA thiab txhim kho koj lub neej kom zoo.