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痛风发作怎么办?两招搞定关节痛!

时间:2016-08-16 作者: 丁香园—痛风医生

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TONGFENGBUFAZUOSHI,HENDUOPENGYOUHUIWANGLETADECUNZAI。YIDANFAZUO,WOMENYOUCHANGHUIHOUHUIMOJI:ZAOZHIDAOWOJIUBUCANJIAZUOTIANDEPIJIUJULE,YIHOUYIDINGYAOTINGYISHENGDEBANIAOSUANJIANGXIALAI......

JIXINGTONGFENGXINGGUANJIEYANJISHIBUYUZHILIAO,YIBANZAI 1~2 ZHOUHOUYEHUIZIXINGHUANJIE,DANXIANGXINMEIRENYUANYIDENGLIANGZHOU。

TONGSHI,GUANJIEYANFANFUFAZUOHUIDAOZHIGUANJIEJIXINGHETONGFENGSHIXINGCHENG,HAIKENENGZHUANBIANWEIMANXINGTONGFENGXINGGUANJIEYAN。

SUOYIZAITONGFENGJIXINGFAZUOSHIYINGJINZAOJINXINGZHILIAO。XIAMIANWOMENJIULAIKANKAN,TONGFENGFAZUOSHIGAIRUHEZHITONG。


第一招:药物止痛

DUIYUZHITONGYAO,XIANGXINDAJIADOUBUMOSHENG。TONGFENGJIXINGFAZUOSHIDEZHITONGYAOWUZHUYAOYOU:QIUSHUIXIANJIAN、FEIZAITILEIKANGYANYAO、TANGPIZHIJISU。

通常发作时用药越早,效果越好。对于初次服用这些药物的病友,一定要在医生的指导下服用。


秋水仙碱

QIUSHUIXIANJIANSHITONGFENGZHITONGDETEXIAOYAOWU,DANYOUPENGYOUZAIFUYONGHOUCHUXIANOUTU、FUXIEDENGFUZUOYONG,ZHEIDUOYUYONGYAOJILIANGGUODAYOUGUAN。

YIWANGQIUSHUIXIANJIANDEYONGFASHI,MEIXIAOSHIFUYONG 0.5 mg,ZHIDAOTENGTONGHUANJIEHUOCHUXIANOUTUFUXIESHITINGZHIJIALIANG。DANYANJIUFAXIAN,DAJILIANGYINGYONGQIUSHUIXIANJIANHEXIAOJILIANGLIAOFADELIAOXIAOXIANGDANG,ERXIAOJILIANGLIAOFADEFUZUOYONGZEXIANZHUJIANSHAO。

因此目前主张副作用少而疗效并不降低的小剂量疗法:每次 0.5 mg,每日一次或两次,每日总量不超过 1.5 mg。

ERQIEFABING 24 XIAOSHINEIYINGYONGXIAOGUOHAO,DANSHENGONGNENGBUQUANDEHUANZHEYAOZUNYIZHUDIAOZHENGJILIANG。CIWAI,QIUSHUIXIANJIANYUYOUXIEYAOWUZHIJIANHUIHUXIANGYINGXIANG,RUGUOZAIFUYONGQIUSHUIXIANJIANDETONGSHIHAIZAISHIYONGQITAYAOWU,YINGXIANXIANGYISHENGZIXUN。


秋水仙碱使用注意:

RUFASHENGOUTU、FUXIEDENGFANYING,YINGJIANXIAOYONGLIANG,YANZHONGZHEYINGLIJITINGYAO;

GUSUIZAOXUEGONGNENGBUQUAN、YANZHONGXINZANGBING、SHENGONGNENGBUQUANJIWEICHANGDAOJIHUANZHESHENYONG;

YONGYAOQIJIANYINGDINGQIJIANCHAXUEXIANGJIGAN、SHENGONGNENG;

NVXINGHUANZHEZAIFUYAOQIJIANJITINGYAOHOULIUGEYUENEI,XUYAOBIYUN。


非甾体类抗炎药(NSAIDs)

CHUANTONGDEFEIZAITILEIKANGYANYAOCHANGYINQIWEICHANGDAOCHUXUE、SHENZANGSUNSHANGDENGFUZUOYONG,BAOKUOYINDUOMEIXIN、BULUOFENDENG。

XINXING NSAIDs DEWEICHANGDAOBULIANGFANYINGMINGXIANJIANGDI,ERLIAOXIAOBUYAYUCHUANTONGYAOWU,DANTAMENDOUKENENGHUICHUXIANXINXUEGUANFANGMIANDEFUZUOYONG,YINCIHEBINGXINXUEGUANJIBINGDEHUANZHEYINGSHENZHONGXUANZE。

CILEIYAOWUYINGZAICANHOUFUYONG,YIJIANSHAOWEICHANGDAOFUFANYING,CHUXIANWEIBUBUSHISHIKETONGSHISHIYONGHUWEIYAO。


糖皮质激素

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TANGPIZHIJISUKEYIXUNSUHUANJIETENGTONG,JIANQINGGUANJIEDECHONGXUESHUIZHONG,DANTINGYAOHOUYIFUFA,SUOYIGAIYAOJINYONGYUTONGFENGZHENGZHUANGFEICHANGYANZHONGQIEFANFUFAZUODEHUANZHE,QIEBUKEZHANGQISHIYONG。

JUBUGUANJIEQIANGNEIZHUSHEYAOBIKOUFUXIAOGUOHAO、FUZUOYONGXIAO,YINCIDANGTONGFENGJIXINGYANZHENGJUXIANYU 1~2 GEGUANJIESHI,ZUIHAOXUANZEJUBUGUANJIEQIANGNEIZHUSHEJISU。

LINGWAIJISUZUIHAOHEQIUSHUIXIANJIANLIANHESHIYONG,YIMIANTINGYAOHOUFUFA;DANJINLIANGBIMIANHEFEIZAITILEIKANGYANYAOLIANYONG,YIMIANJIAZHONGDUIWEINIANMODESUNSHANG。


第二招:非药物止痛

TONGFENGFAZUOSHI,SHIYONGQIUSHUIXIANJIAN、FEIZAITILEIKANGYANYAOHUOZHETANGPIZHIJISU,DOUNENGQIDAOMINGXIANDEXIAOGUO。BUGUOCHULEYAOWU,XIAMIANZHEILIUGEBANFAYEYOUZHUYUHUANJIETENGTONG。


局部冷敷

TONGFENGFAZUOSHI,KESHIYONGBINGDAIHUOZHEBINGKUANGQUANSHUILENGFUTENGTONGGUANJIECHU 20~30 FENZHONG。LENGFUNENGJIANQINGJUBUYANZHENGHETENGTONG。

ZHUYI,QIANWANBIEREFUHUOYONGRESHUIPAOJIAO,WENDUSHANGSHENGHUISHIYANZHENGFANYING、SHUIZHONGJIAZHONG,GENGJIATENGTONG。

JUBULENGFUNENGZANSHIJIANQINGTENGTONG,TONGSHIYOUTONGFENGDEPENGYOUFANYING,LENGFUHOUYOUGENGTONGDEQINGKUANG。YINCI,DAJIAZUIHAONENGGENJUZIJIDEQINGKUANGJUEDINGYAOBUYAOLENGFU。


多喝水

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DUOHESHUICAINENGCHANSHENGGENGDUODENIAOYE,DAIZOUGENGDUODENIAOSUAN,TONGSHIYUFANGNIAOLUJIESHI。

ZHENGCHANGRENMEITIANPAINIAOLIANG,PINGJUNYUE 1.5 L,ERDUIYUTONGFENGDEPENGYOUYINGBAOZHENGMEITIAN 2 L YISHANGDEYINSHUILIANG。

DIRELIANG、PIANJIANXINGDEYINPINSHIHENSHIHETONGFENGBINGYOUDE,BIRUSUDASHUI。DANGRAN,BUXIHUANSUDASHUIDEPENGYOUYEKEYIXUANZEBAIKAISHUI、DANCHASHUI。


抬高下肢

痛风发作时,疼痛部位通常都会存在水肿的情况,因此可利用「水往低处走」的原理,抬高下肢减轻水肿。比如,睡觉时在脚下垫一个枕头、下床活动时缩短站立时间。


别拿鞋折磨自己

TONGFENGFAZUOSHI,GUANJIEYOUTENGYOUZHONG,ZAICHUANYISHUANGXIEDEHUAJIUSHIXUESHANGJIASHUANG。RUGUOYOUDEBINGYOUBUDEBUZOUDONGDEHUA,YIDINGYAOCHUANYISHUANGKUANSONGDEXIE。

CIWAI,CHUANWAZIYEYOUJIANGJIU,RUGUOTIANQIBIJIAOHANLENGYEKEYICHUANWAZI,ZHISHIWAZIYEBIETAIJINLE。


转移注意力

YOUDEPENGYOUZAITONGFENGFAZUOSHI,JIUTANGZHEBUDONGLE,DAJIADOUDONGZHEIZHONGTONG。DANRUGUOTANGCHUANGSHANGBUDONG,YIXINZHIXIANGZHEGUANJIETENG,WANQUANCHENJINQIZHONGDEHUA,TENGTONGHUIMINGXIAN。

SUOYITONGFENGFAZUOSHI,SHIZHEZHUANYIYIXIAZIJIDEZHUYILI,KANKANDIANYING、DUOSHUOSHUOHUA,ZHUANYIYIXIAZHUYILI。


控制饮食

KONGZHIYINSHIXUYAOZUODAOLIANGDIAN,YISHIJINJIU,ERSHIJIANSHAOGAOPIAOLINGSHIWUDESHERU。JIUJING、GAOPIAOLINGDESHERUDOUHUISHENGGAONIAOSUAN,YINGXIANGTONGFENGDEKONGZHI。

BIETONGFENG

SHIWUPIAOLINGSUISHOUCHA!