Nā lāʻau, injection, a me nā mea kōkua no ka arthritis

Hiki i ka ʻeha, ka pehu ʻana, a me ka ʻoʻoleʻa o ka rumati ke kaupalena i kāu neʻe. Hiki i nā lāʻau ke kōkua i ka mālama ʻana i kāu mau ʻōuli i hiki ai iā ʻoe ke hoʻomau i ke alakaʻi i kahi ola ola. E kamaʻilio me kāu mea mālama ola e pili ana i nā lāʻau i kūpono iā ʻoe.

Hiki i nā mea hōʻoluʻolu over-the-counter ke kōkua me kāu ʻōuli ʻōmaʻomaʻo. "Over-the-counter" ʻo ia hoʻi hiki iā ʻoe ke kūʻai i kēia mau lāʻau me ka ʻole o ka lāʻau.

Paipai ka hapa nui o nā kauka i ka acetaminophen (e like me Tylenol) ma mua. Loaʻa nā hopena ʻē aʻe ma mua o nā lāʻau ʻē aʻe. Mai lawe ma mua o 3 gram (3,000 mg) i ka lā. Inā loaʻa iā ʻoe nā pilikia o ke ake, e kamaʻilio mua i kāu kauka e pili ana i ka nui o ka acetaminophen e pono ai nāu.

Inā hoʻomau kou ʻeha, hiki i kāu kauka ke ʻōlelo i nā lāʻau anti-inflammatory non-steroidal (NSAIDs). ʻO nā ʻano o nā NSAID me aspirin, ibuprofen, a me naproxen.

Lawe i ka acetaminophen a i ʻole kekahi pill ʻeha ma mua o ka hoʻomaʻamaʻa maikaʻi ʻana. Akā, mai hoʻonui i ka hoʻoikaika kino no ka mea ua lawe ʻoe i ka lāʻau.

ʻO nā NSAID a me ka acetaminophen i nā lāʻau kiʻekiʻe, a i ʻole lawe ʻia no ka manawa lōʻihi, hiki ke hana i nā hopena ʻino loa. Inā ʻoe e lawe i nā mea hōʻoluʻolu i nā lā he nui, e haʻi i kāu mea hāʻawi. Pono ʻoe e kiaʻi ʻia no nā hopena ʻaoʻao. Makemake paha kāu mea lawelawe e nānā iā ʻoe me nā hoʻokolohua koko.

ʻO Capsaicin (Zostrix) kahi kalima ʻili e hiki ke kōkua i ka hōʻoluʻolu i ka ʻeha. ʻIke paha ʻoe i kahi mehana, huhū i ka wā e kau mua ai i ka kirimima. Hele aku kēia manaʻo ma hope o kekahi mau lā o ka hoʻohana. Hoʻomaka pinepine ka hoʻomaha ʻeha ma waena o 1 a 2 mau pule.

Loaʻa nā NSAID i ke ʻano o ka ʻili kirī ma kahi kūʻai a i ʻole ma ke kuhikuhi ʻana. E nīnau i kāu mea hāʻawi inā kūpono paha kēia iā ʻoe.

ʻO ka lāʻau lapaʻau i kapa ʻia he corticosteroids hiki ke hoʻopili ʻia i loko o ka ami e kōkua ai me ka pehu a me ka ʻeha. Hiki i ke kōkua ke mau no nā mahina. ʻOi aku ka maikaʻi ma mua o 2 a i ʻole 3 mau kī ʻana i ka makahiki. Hana pinepine ʻia kēia mau pana ma ke keʻena o kāu kauka.

Ke hele a ʻeha ka ʻeha ma hope o kēia mau injection, hoʻowalewale paha ʻoe e hoʻi i nā hana i hōʻeha ʻia i kou ʻeha. Ke loaʻa ʻoe i kēia mau injection, noi aku i kāu kauka a i ʻole mea hoʻoponopono kino e hāʻawi iā ʻoe i nā hoʻomaʻamaʻa a hoʻolōʻihi i mea e hōʻemi ai i ka manawa o kou ʻeha e hoʻi ai.

ʻO Hyaluronic acid kahi waiwai i loko o ka wai o kou kuli. Kōkua ia i ka lubricate i ka ami. Ke loaʻa ʻoe i ka maʻi kō, ʻo ka hyaluronic acid i loko o kou hui e lahilahi a liʻiliʻi ka maikaʻi.

• Hiki i kāu kauka ke hoʻopili i kahi ʻano o ka hyaluronic acid i loko o kāu hui e kōkua i ka lubricate a pale iā ia. Kāhea ʻia kēia i kekahi manawa i ka wai hui pū ʻia, a i ʻole viscosupplementation.
• ʻAʻole hiki i kēia mau injection ke kōkua i kēlā me kēia kanaka a ʻoi aku ka liʻiliʻi o nā hoʻolālā olakino e uhi i kēia mau injection.

Loaʻa pū ka puʻuwai puʻupuʻu. Eia nō naʻe, hou kēia mālama ʻana. E kamaʻilio me kāu mea hāʻawi ma mua o ka loaʻa ʻana o ka injection.

Hana maoli ke kino i nā glucosamine a me chondroitin sulfate. He mea nui lākou no ka cartilage olakino i kou hui. Hele mai kēia mau mea ʻelua i loko o ka palapala hoʻopihapiha a hiki ke kūʻai ʻia ma luna o ka pā.

Hiki i ka glucosamine a me ka chondroitin sulfate kōkua ke kōkua i ka mālama ʻana i ka ʻeha. Akā ʻaʻole lākou e kōkua i ka hui e ulu i ka cartilage hou a i ʻole mālama i ka maʻi arthritis mai ka ʻino. Paipai kekahi mau kauka i kahi manawa hoʻokolokolo o 3 mau mahina e ʻike ai inā kōkua ʻo glucosamine a me chondroitin.

ʻO S-adenosylmethionine (SAMe, i haʻi ʻia ʻo "sammy") kahi ʻano hana a ke kanaka i hana ʻia i loko o ke kino. ʻO nā hoʻopiʻi e hiki i ka SAMe ke kōkua i ke kōkō, ʻaʻole hōʻoia maikaʻi.

Pākuʻi - nā lāʻau lapaʻau; Pākuʻi maʻi - steroid injections; Pākuʻi - hoʻopili; Pākuʻi - acid hyaluronic

Palaka JA. Nā hiʻohiʻona olakino o ka osteoarthritis. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 181.

Hochberg MC, Altman RD, ʻApelila KT, et al. Nā ʻōlelo aʻoaʻo a ke Kulanui ʻAmelika o Rheumatology 2012 no ka hoʻohana ʻana i nā nonpharmacologic a me nā lāʻau lapaʻau i ka osteoarthritis o ka lima, ka ʻū, a me ke kuli. Hoʻolaha Hoʻolaha Hoʻolaha Hoʻolaha (Hoboken). 2012; 64 (4): 465-474. PMID: 22563589 www.ncbi.nlm.nih.gov/pubmed/22563589.