Inogona kuenzanisa kuora kwemabvi emabvi
Zvidzidzo zvidzidzo zvakataurwa munyaya yaJuly 2005 yeArthritis & Rheumatism yakaratidza kuti kurapwa nemishonga inorwisa mabhakitiriya doxycycline kunogona kuderedza kufambira mberi kweasteoarthritis . Doxycycline is antibiotic yekirasi yemishonga inonzi tetracyclines.
Panenge muna 2005 Doxycycline Study
Vatsvakurudzi vakafananidza kushandiswa kwe doxycycline kune placebo, mushure mekunyora vakadzi vanopfuura 400 vakabatwa nemabvi arthritis sevadzidzi vanoongorora.
Vadzidzi vaidzidza vakaiswa mumapoka maviri, vachigamuchira 100 mg ye doxycycline kaviri zuva rimwe nerimwe kana placebo kwema2,5. Vatsvakurudzi vakatsvaga zvakakonzerwa ne doxycycline panzvimbo yakabatana yemabvi akabatwa.
Kutevera mwedzi gumi nematanhatu ekurapa, zviitiko zvakaratidza kuti chiyero chekurasikirwa kwemajoni panzvimbo yegondo rakakanganiswa chaive ne40% pasi pakati pevatori vechikamu vanotora doxycycline kune avo vakatora placebo. Pakupera kwemakore maviri nehafu gore, kurasikirwa kwekubatana kwepakati kwaive 33% pasi muboka iro raitora doxycyline kupfuura muboka re placebo. Doxycycline yakabatanidzwawo nevatadzi vashoma-yakataurwa kuwedzera mumarwadzo eguhu. Vatsvakurudzi vakabvuma, zvakadaro, kuti yega yepamusoro yekutambudzika yakanga yakaderera mumapoka ose maviri.
Chidzidzo che2005 chaiva chidzidzo chekutanga che doxycycline sechinhu chinogona kurapwa kweasteoarthritis. Panguva iyoyo, zvakataurwa kuti zvimwe zvidzidzo zvaizodiwa kuti zvigadzirise zvawanikwa.
Mhinduro kubva kuna Dr. Zashin
Panyaya ye doxycycline uye osteoarthritis, rheumatologist Scott Zashin, MD akati, "Kutanga pane zvose, ichi chidzidzo chakasiyana-siyana pakuti chaive chidzidzo chenguva refu chakaona mishonga kuti isangogadzirisa marwadzo, asiwo kudzivirira kufambira mberi ye osteoarthritis yemabvi.
Kunyange zvazvo chidzidzo chacho chisina kuratidza pachena kuti muromo doxycycline wakashanda mukuderedza kurwadziwa, pane uchapupu hwekuti pakanga pasina kuwedzera kweiyoostearthritis (kureva,, kurasikirwa kwechikara) kune varwere pamishonga inorwisa mabhakitiriya. Vanyori vanotaura zvakajeka kuti mishonga inorwisa mabhakitiriya yainzwika kuti ishande zvichienderana nezvayo zvinopesana nekuvhiringidza zvinhu, uye kwete nekuda kwehutachiona hwayo. "
Dr. Zashin akaenderera mberi achiti, "Chidzidzo ichi chinorevei kuvarwere vane osteoarthritis?" Matambudziko maviri emakiriniki anokosha kuvarwere uye vanachiremba vanosanganisira kana mishonga inoderedza kusawirirana uye kana kwete here kana murwere angada kubatanidzwa pamwe chete mune ramangwana. , zvakaoma kuratidzira kwenguva refu-doxycyline yekununurwa kwezviratidzo . Kune rumwe rutivi, zvinotoneka kuti varwere vanotora mishonga inorwisa mabhakitiriya vangave vashoma kuti vashandise kubatanidza mune ramangwana nekuda kwekuderera kwekubatana kwemajoka pahudhiograph. Zvinosuruvarisa kuti, kupindura mubvunzo uyu, nguva yakareba yekudzidza ingada kudiwa .. Mimwe mibvunzo yekufunga ndeyekuti varwere vangada kuramba vari pamishonga inorwisa mabhakitiriya nguva dzose kuti vabatsire kuderedza kusanganisa pamwe pamwe nekudzivirira kushandiswa kwekugoverana pamwe chete uye chii chinogona kuve nemigumisiro kubva kune iyi yakareba- term regimen.
Imwe mubvunzo ndeyokuti kana kwete mwedzi wemwedzi 30 kurapwa nemishonga iyo, pachayo, inoderedza mikana yokuti munguva refu, varwere ivavo vangave vashoma kuti vaite chirwere. Tariro, boka iri revarwere rinogona kuramba richidzidzwa mune remangwana kuti ribatsire kupindura mibvunzo. "
2012 Cochrane Review ye Doxycycline yeOsteoarthritis
Muna 2012, chiitiko chakabudiswa neCoorgrane reongororo ye doxycycline ye osteoarthritis yakatanga kubudiswa muna 2009. Kudzokorora kwakaratidza uchapupu muzvinyorwa zvezvokurapa zvainge zvichitsvaga migumisiro ye doxycycline pamarwadzo uye mumuviri basa kune varwere vane osteoarthritis muhudyu kana mabheji paanoenzaniswa to placebo.
Zvidzidzo zviviri chete zvinosanganisira vanhu 663 zvakawanikwa kuti zvakakosha uye zvakabatanidzwa mukudzokorora. Kuongororwa kwakagumisa kuti mhirizhonga ye doxycycline pazviratidzo zvehutano hwehasteoarthritis haisi hutachiona hunokosha. Vadzidzi vakadzidza vakaverenga marwadzo avo ehu 1.9 pamwero we 0 (kusarwadziwa) kusvika 10 (kurwadziwa kwakanyanya) kuenzaniswa nekuvandudzika kwema 1.8 points yevarindi vepa placebo mushure memwedzi gumi nemana.
Migumisiro yadzo kuongorora zvakare yakaratidza kuti mhirizhonga ye doxycycline panyaya yehutachiona yakanga isiri muchipatara inokosha. Kuvandudzwa kwehutano hwepanyama kwaingova 1.4 chete zvichienderana nezvikamu 1,2 patafura yegumi yevatori vechikamu vakatora doxycycline pamwe ne placebo, maererano.
Yakave ichitaridzwawo mukuongororwa kwekuti 20% yevatori vechikamu vakatora doxycycline vakawana migumisiro (yerudzi chero ipi zvayo) vachienzanisa ne15% yevaya vakatora placebo. Pakupedzisira, rubatsiro rwe doxycycline rwakabatana nokurasikirwa kwekubatana nzvimbo iyo yakatanga kuziviswa yakaonekwa shoma uye yekusagadzikana kwechirongwa chekliniki mukuongorora kweCochrane.
> Sources:
> Migumisiro yeDoxycycline Mukufambira mberi kweOsteoarthritis: Zviwanikwa zveRandomized, Placebo-Controled, Double Tri Blind Trial. Brandt KD et al. Arthritis & Rheumatology. July 2005.
> Doxycycline yeOsteoarthritis yeKnee kana Hip. da Costa BR et al. The Cochrane Library. November 2012.