Все болезни опорно-двигательного аппарата являются социально значимыми, ведь нередко они приводят к временной или полной утрате трудоспособности. Их основным признаком является боль, которая присутствует практически постоянно и полностью меняет качество жизни человека. Ученые ведут работу по созданию новых лекарственных средств постоянно, пытаясь разработать новые качественные препараты. Хондропротекторы при артрозе коленного сустава используются совсем недавно. Однако у многих больных и даже у медиков их эффективность вызывает сомнение.
Что представляют собой хондропротекторы?
Хондропротекторы – это большая группа лекарств и биодобавок, о свойствах которых можно догадаться уже исходя из названия. Ведь в переводе с греческого языка chondr обозначает хрящ, а protector – защита. Чтобы разобраться, как именно защищены хрящи и в чем заключается механизм их действия, необходимо вспомнить некоторые анатомические детали. Подвижные элементы человеческого скелета, к которым относятся позвонки и суставы, устланы хрящевой тканью. Благодаря коллагеновым волокнам, глюкозамину и хондроитину, являющимися главными компонентами, хрящ является гладким и прочным.
Помимо этого, хрящи регулярно подвергаются увлажнению синовиальной жидкостью, которая содержит в своем составе гиалуроновую кислоту. Это обеспечивает нормальную двигательную функцию. Однако старение организма или многие другие факторы провоцируют уменьшение количества внутрисуставной смазки, при этом сама ткань хряща теряет свои основные качества, становясь шершавой, тонкой и пористой. Это провоцирует ухудшение суставной подвижности и доставляет человеку боль во время выполнения каких-либо действий.
Это лекарственные препараты, которые применяют для приостановления разрушения хрящевой суставной ткани и ее восстановления
В составе хондропротекторных средств содержатся вещества, присутствующие и в хрящевых тканях. С их помощью можно поддерживать естественный уровень компонентов, требующихся для обычного функционирования хряща, возобновления его структуры и плотной, гладкой поверхности. Однако последнее выполнимо только при условии, если хрящ еще не успел разрушиться, поскольку после истирания использование данных средств не сможет помочь его нарастить. Поэтому медики рекомендуют принимать хондропротекторы на начальных этапах недуга.
Как воздействуют хондропротекторы?
Большинство хондропротекторов изготавливаются на основе глюкозамина и хондроитинсульфата. Глюкозамин – это один из основных элементов, при помощи которых осуществляется синтез веществ. Он является основой хрящевой ткани, а его главной функцией считается защита хряща от влияния свободных радикалов и различного вида повреждений. Кроме этого, с его помощью снимаются отеки и воспаление.
Под влиянием хондроитинсульфата формируются основные элементы хряща: протеогликаны, гликозаминогликаны, гиалуроновая кислота и коллагены. Благодаря ему структуры хряща остаются целостными, ведь он активизирует продуцирование синовиальной жидкости и снимает воспалительный процесс. Однако, как показала практика, эффективность действия хондропротекторов гораздо выше в качестве защитной функции хряща, нежели восстановительной. При существенно разрушенной хрящевой ткани монотерапия препаратами этой группы значительных улучшений не принесет.
В переводе с латинского название «хондропротекторы» дословно обозначает «защитник хряща»
Существующие формы выпуска хондропротекторов
Хондропротекторы предлагаются производителями в нескольких лекарственных формах. В различных ситуациях врач может порекомендовать:
- таблетки (капсулы), которые принимаются перорально;
- растворы, которые вводятся внутримышечно либо прямо внутрь сустава;
- для местного использования – мази либо гели.
Какие хондропротекторы лучше при артрозе коленных суставов, однозначно установить сложно. Это зависит от личных особенностей больного и его реакции на сочетание действующих веществ. Поэтому препарат всегда подбирается врачом индивидуально. По мнению медиков, мази и кремы является малоэффективными. Их активные компоненты практически не затрагивают мягких тканей суставной капсулы. Гораздо действеннее считается прием таблеток, однако целительный эффект препаратов несколько утрачивается из-за прохождения их через ЖКТ. А вот хондропротекторы, попадающие в организм путем инъекций, достаточно эффективны. Но для получения максимально положительного результата требуется локализация спазма сосудов.
Положительные стороны
Больные, страдающие от болей в колеях, нередко интересуется, помогают ли хондропротекторы при артрозе?
Хондропротекторы оказывают эффективное действие при восстановлении функциональности суставов, их структуры, ликвидации болевых ощущений и скованности
При своевременной и комплексной терапии недуга с применением этих препаратов:
- Обеспечивается дневная необходимость важных для нормального функционирования суставов строительных веществ.
- Происходит стимулирование возобновления тканей хрящей.
- Не снижается эффективность воздействия других препаратов, а побочные действия отсутствуют.
Переоценивать возможности этих средств не стоит, поскольку они эффективны на ранних этапах развития заболевания. Кроме этого, во время лечения пациенту, помимо приема лекарств, требуется выполнять целый комплекс других мероприятий, рекомендованных врачом.
В каких случаях показаны хондропротекторы?
Хондропротекторы применяются для лечения болезней, при развитии которых разрушаются хрящи, в большинстве случаев в суставах. Их прием рекомендован при артрозах, артритах, периартритах, спондилезе, остеохондрозе, дистрофических нарушениях хрящей в суставах, пародонтозе, а также при травмировании суставов и в послеоперационный период.
Принимать эти препараты запрещается женщинам при беременности и во время лактации, а также в случае аллергии на какое-либо активное вещество. Также хондропротекторы не рекомендуются употреблять при наличии болезней органов пищеварения.
Основной особенностью механизма их действия является нарастание эффекта восстановления
Особенности выбора препарата
Данная категория препаратов представлена широким выбором, однако подобрать эффективный для определенного пациента получается не сразу. Обычно вначале врач назначает лекарство в виде внутрисуставных или внутримышечных инъекций. Некоторое время спустя, больного переводят на пероральный прием хондропротекторов. Чтобы закрепить эффект, рекомендуется применять мази либо гели. Они хорошо впитываются, не оставляя следов на коже и одежде.
Не стоит забывать о побочных эффектах, которые иногда возникают при приеме этих препаратов. Поэтому перед началом лечения нужно внимательно ознакомиться с инструкцией.
Применение таблеток
Комбинированные таблетки от артроза коленного сустава хондропротекторы отличаются хорошим целительным эффектом. Зачастую назначаются препараты “Артрон комплекс”, “Терафлекс” и “Мовекс”. Их принимают на 1-3-й стадии болезни, комбинируя с использованием мазей. Их прием должен быть длительным. Продолжительность курса обычно больше при сильных деструктивных нарушениях и составляет не менее 3-4 месяцев. Это должны понимать больные, поскольку быстрого эффекта от подобного лечения ждать не приходится. Улучшения наблюдаются постепенно, по мере того как суставной хрящ начнет укрепляться и восстанавливаться.
Действенность монокомпонентных хондропротекторов в таблетках выражена слабее. Из препаратов этой группы медики отдают предпочтение “Глюкозамину”, “Хондроитину”, “Структуму”, “Доне”. По цене они дешевле, нежели комбинированные, но эффективны они только при приеме в самом начале развития гонартроза.
Таблетированные лекарства для приема внутрь — комбинированные (артрон комплекс, мовекс, терафлекс) и монокомпонентные средства (хондроитин, дона, глюкозамин, структум)
Польза мазей
Мази хондропротекторы при артрозе коленного сустава характеризуется самым слабым целебным эффектом. Применять их следует только совместно с другими формами препаратов. Лучше всего активные компоненты всасываются поверхностью кожи в районе сустава во время физиотерапии – процедуры фонофореза.
Введение хондропротекторов внутримышечно
Инъекции с использованием хондропротекторов считаются наиболее оптимальным вариантом при артрозе. Ведь этот вариант предусматривает более высокую скорость вовлечение активных веществ в процесс метаболизма, нежели при приеме таблеток или капсул. Это качество особенно актуально для больных, у которых диагностированы, помимо гонартроза, остеохондроз или артроз какого-либо другого сустава.
По окончании инъекционного курса пациенту обычно рекомендуется переходить на прием таблеток.
Внутрисуставные инъекции
Благодаря такому способу введения активные вещества быстро попадают в очаг патологии и не распространяются по всему организму. Это практически исключает риски возникновения побочных явлений. Выбор препарата для инъекции в коленный сустав осуществляется в соответствии с целью процедуры и общим состоянием здоровья пациента.
Внутрисуставные хондропротекторы при артрозе коленного сустава ранее использовались исключительно при воспалительных процессах и сильных болях. Сегодня разработаны лекарства, которые останавливают дегенеративные процессы. С их помощью происходит активация регенерации пораженного органа, а также доставка в него смазки и питательных элементов.
Комплексное лечение
Хондропротекторы при лечении артроза должны приниматься только совместно с другими препаратами и с четким соблюдением рекомендаций, иначе положительного результата ждать не стоит:
- Важно контролировать свой вес и не допускать резких движений, приводящих к повреждению суставных тканей.
- При лечении артроза нужно регулярно выполнять лечебную зарядку.
- Полезной является и обычная ходьба – больным рекомендуется ходить по ровной поверхности как минимум 30-40 минут в день.
- При любой двигательной активности, приводящей в движение больной сустав, необходим регулярный отдых.
- Недопустимо переохлаждение суставов.
Все это, наряду с постоянным приемом хондропротекторов, играет огромную роль при борьбе с артрозом коленного сустава.
Какой препарат самый лучший
Универсального препарата для лечения гонартроза не существует. Поэтому лучшие хондропротекторы для коленного сустава выбираются для больного в индивидуальном порядке. Препарат может рекомендовать только опытный врач. Без консультации со специалистом самовольный прием хондропротекторов может стать причиной отрицательных последствий. Артролог подскажет наиболее оптимальный вариант, предложит схему лечения и курс приема. В случае необходимости препарат может быть заменен другим видом хондропротектора.
Рассматривая современные хондропротекторы в лечении гонартроза, важно акцентировать внимание на дозировке составляющих веществ. Фармацевтический рынок, помимо лекарственных средств, предлагает БАДы, отличающиеся друг от друга именно дозировкой.
Схема лечения
Первый этап лечения направлен на облегчение симптомов болезни, таких как боль, снижение суставной подвижности и хруст. С этой целью обычно назначаются анальгетики и средства противовоспалительного действия. С их помощью нельзя полностью справиться с заболеванием, однако принимать их необходимо, поскольку подобранные врачом хондропротекторы начинают действовать не сразу, а примерно через 3-7 недель после начала приема. Вначале обычно применяется инъекционный способ введения хондропротекторов в коленный сустав. Период такого лечения зависит от выбранного средства и реакции на него конкретного пациента.
После того как действие хондропротекторов станет заметным, врач снизит дозировку противовоспалительных и обезболивающих препаратов. Больной должен понимать, что при гонартрозе хондропротекторы нужно принимать долго. Только в этом случае можно снизить симптоматику болезни и ее прогрессирование.
Стоимость хондропротекторов
Хондропротекторы относятся к довольно дорогим лекарствам. После консультации с врачом можно найти дешевые аналоги. Однако самостоятельно делать замену одного средства на другое недопустимо. Иногда специалисты прописывают компоненты препаратов хондропротекторов отдельно, без хондроитина и глюкозамина. Цена этих компонентов при приобретении их поодиночке гораздо ниже.
Выбор средства должен быть согласован с лечащим врачом. Иначе рассчитывать на хороший результат сложно, о чем говорят и отзывы людей, страдающих гонартрозом. Те больные, у которых болезнь была диагностирована на ранних стадиях и которые четко придерживаются схемы приема лекарств и рекомендаций медиков, очень быстро приходят к положительным результатам.
Выводы
Хондропротекторы для коленного сустава – важный элемент в лечении артроза. Благодаря им качество жизни пациентов намного улучшается, а риск получения группы инвалидности минимизируется. Главное – выбрать эффективные хондропротекторы при артрозе коленного сустава, и тогда болезнь надолго отступит.
Хондропротекторы – лекарственные препараты, оказывающие регенерирующее действие на хрящевую ткань. Их широко применяют в процессе лечения артроза коленного сустава.
Они благоприятно влияют на пораженный суставной хрящ и уменьшают болевые ощущения.
Показания для приема хондропротекторов
Принцип действия хондропротекторов
При артрозе коленного сустава наблюдаются дистрофические и дегенеративные процессы в тканях, которые приводят к снижению двигательной активности, сильным болевым ощущениям и деформации сустава.
Лечений коленных суставов при артрозе должно базироваться на восстановлении поврежденной хрящевой ткани.
Рекомендуем почитать
Упражнения для тазобедренного сустава при артрозе
Хондропротекторы содержат в своем составе хондроитинсульфат и глюкозамин, которые являются активными веществами, способными:
Часть хондропротекторов содержит в своем составе из активных веществ только хонроитин или глюкозамин. Однако большая часть препаратов имеет в своем составе оба активных компонента, содержащихся в разных пропорциях.
Активное вещество – глюкозамин
Глюкозамин входит в состав хондропротекторов. Он является незаменимым компонентом в синтезе хрящевой ткани, оказывает протекторное действие от свободных радикалов и иных повреждающих веществ. Кроме этого глюкозамин убирает отек и обладает противовоспалительным действием. Теоретически препараты, содержащие такое активное вещество, должны обладать отличным эффектом в восстановлении хрящевой ткани. Однако на практике не всегда удается при монотерапии добиваться желаемых эффектов. При наличии сильных разрушений хрящевой ткани, прием хондропротекторов без вмешательств иных лечебных средств не дает положительных результатов.
Активное вещество – хондроитин
Хондроитин главным образом влияет на фосфорно-кальциевый обмен в хрящевой ткани. Хондроитин представляет собой высокомолекулярное соединение мукополисахарида. Благодаря его свойствам хрящевая ткань наделяется эластичностью. Он влияет на регенерационные процессы и препятствует потере кальция.
Хондропротекторы имеет смысл принимать на первой и второй стадии развития артроза коленных суставов. Особенностью приема хондропротекторов является необходимость их длительного приема. Минимальный курс составляет от 3-6 месяцев приема препаратов, лечение должно осуществляться строго под контролем врача.
Формы выпуска хондропротекторов
Хондропротекторы при артрозе коленных суставов назначаются в таблетированной форме или в виде порошка. Если опираться на отзывы части пациентов, то эффект от приема препаратов может быть заметен уже на 3-4 месяце лечения. Но только после длительного и регулярного приема препаратов – спустя 5-6 месяцев можно говорить о значительном положительном результате. Суточная дозировка должна составлять 2000 мг препарата. Такая высокая дозировка объясняется плохой всасываемостью хондропротекторов при приеме таблеток или порошка из-за высокой молекулярной массы молекулы хондроитина.
Благодаря локальному проникновению активного вещества к месту воспалительного процесса, удается значительно снизить болевой симптом уже после первых процедур.
Курс лечения хондропротекторами в форме инъекций обычно составляет не более 10-20 уколов, далее пациенту назначаются таблетки или порошок данной группы препаратов. Дозировка хондропротекторов при назначении уколов составляет всего 100 мг.
Хондропротекторы в виде мазей назначаются на стадии ремиссии или дополнительно к таблеткам.
Прием даже самых эффективных хондропротекторов на ранней стадии не может дать стойкого положительного эффекта, если не будут предприняты меры в отношении главной причины, вызвавшей развитие заболевания. Первым делом необходимо точно определить какой фактор спровоцировал дегенеративные и дистрофические процессы в хрящевой ткани коленного сустава.
При артрозе коленного сустава следует предпринять меры по борьбе с лишним весом. Лишний вес – это дополнительная нагрузка на суставы, которая самым отрицательным образом сказывается на дальнейшем течении болезни. При медикаментозном лечении хондропротекторами артроза нельзя допускать высокие нагрузки на пораженные суставы, в то же время нужно создать регулярное движение суставам, но с умеренной нагрузкой. При полном покое могут снизиться обменные процессы в области сустава, что неизменно приведет к деформирующим последствиям.
Переохлаждение – это состояние должно быть полностью исключено при артрозе коленного сустава. При наличии хронических очагов инфекции, необходимо незамедлительно устранить причину его развития, в противном случае лечение хондропротекторами может быть не продуктивным.
К ним относятся лекарственные средства натурального происхождения, изготовленные из растительных экстрактов или животного происхождения.
В эту группу входят монопрепараты – очищенная гиалуроновая кислота или глюкозамин.
Препараты комбинированного происхождения. Хондроитинсульфат и глюкозамин, которые могут сочетаться с иными лекарственными веществам, в частности с витаминами, аскорбатом марганца или жирными кислотами. Хондропротекторы могут выпускаться и в сочетании с противовоспалительными средствами.
Мнение специалистов о препаратах
Отзывы медиков о препаратах первого поколения говорят о том, что данная группа скорее имеет эффект плацебо, чем действенный лечебный эффект.Что же касается хондропротекторов второго и третьего поколения, то именно их клинический эффект доказан на практике. Эти препараты применяются в международной практике.
Эффективность лекарственных средств сильно зависит от пути проникновения в организм. Хондропротекторы в виде мазей оказывают местное действие при артрозе. Их втирают в кожу непосредственно в области пораженного сустава. Они способны частично снять воспалительный процесс – устранить боль и уменьшить отек. Однако всасывания в кровь активных веществ практически не происходит, поэтому регенерации хрящевой ткани добиться таким способом невозможно.
Хондропротекторы в таблетках или капсулах принимаются внутрь. Отзывы самих медиков, касательно данного способа потребления этой группы препаратов, сильно разнятся. Многие ставят под сомнение способность хондроитинсульфата и глюкозамина поступать к месту пораженного сустава в неизменном виде, после прохождения через пищеварительный тракт.
Использование хондропротекторов в виде инъекций
Это наиболее эффективная форма препаратов, так как хондропротекторы в виде инъекций поступают непосредственно к сустав или в мышцы.
Сложностью, с которой можно встретиться при использовании данного вида введения препарата – это необходимость снятия спазма сосудов пораженного сустава. Это необходимо для обеспечения высокой лекарственной концентрации активных веществ в суставной ткани.
Внутрисуставной путь попадания лекарственного средства в патологический очаг дает наилучший эффект. Происходит моментальное увлажнение поверхности сустава, питание хрящевой ткани и препятствие стирания суставных поверхностей друг об друга. Хондропротекторы, вводимые внутрь сустава, подразделяют на стандартные препараты и на заменители синовиальной жидкости. Главным недостатком препаратов в инъекциях является их высокая стоимость.
Противопоказания для приема хондропротекторов
- Беременность
- Кормление грудью
- Индивидуальная непереносимость компонентов препарата
- Могут быть побочные эффекты при наличии заболеваний пищеварительной системы, поэтому прием препаратов должен происходить строго под присмотром врача.
Прием хондропротекторов при артрозе не может дать максимально положительного эффекта, если не будет приниматься в комплексе с другими средствами и рекомендациями. Необходимо принять все меры по борьбе с лишним весом, стараться не допускать движений, которые могут привести к дополнительному повреждению тканей суставов. Большое значение в лечении коленного артроза является регулярное выполнение упражнений из лечебно-физкультурного комплекса. Хорошее действие оказывает обычная ходьба, в день рекомендуется проходить хотя бы 20-30 минут пешком по ровной дороге.
Любая двигательная активность, которая приводит в движение патологический сустав, должна сменяться периодом отдыха. Нельзя допускать переохлаждений суставов. Все эти мероприятия играют важную роль при лечении артроза коленного сустава в комплексе с регулярным приемом препаратов хондропротекторов.
Нередко можно видеть отзывы пациентов, принимающих хондропротекторы, говорящие что данные препараты не приносят никакого видимого эффекта при артрозе. Однако стоит напомнить что, во-первых, данная группа препаратов эффективна только на ранних стадиях заболевания, в дальнейшем на поздних стадиях данные препараты, к сожалению, не способны сотворить чудес. Кроме этого в лечении хондропротекторами огромное значение имеет регулярность приема препаратов. Устойчивый эффект в большинстве случаях может быть получен только после 2-4 курсов лечения хондропротекторами. Включая перерывы между приемом препаратов, курс лечения может занять около полутора – двух лет.
Какой препарат самый лучший
Стоит запомнить, что нет универсального средства в лечении. Для каждого пациента и в каждом индивидуальном случае подход к лечению может значительно разниться с другими. Выбор препарата может совершать только лечащий врач!
Самостоятельно начинать прием хондропротекторов, не проконсультировавшись со специалистом, может не только не дать никакого действенного эффекта, но и привести к отрицательным последствиям. Врач-артролог способен подобрать оптимальный препарат, назначить схему его приема и при необходимости вовремя заменить способ приема или вид хондропротектора. При выборе препаратов стоит обращать внимание на дозировку компонентов, входящих в состав. На фармацевтическом рынке кроме лекарственных препаратов имеются еще и БАДы, которые различаются главным образом по дозировке.
Хондропротекторы являются достаточно дорогими препаратами. Их средняя цена колеблется в районе 1500-4000 рублей. Проконсультировавшись с врачом нередко можно подобрать недорогие аналоги, но производить замену одного препарата на другой в самостоятельном порядке не стоит! В некоторых случаях специалисты могут прописать компоненты хондропротекторов по отдельности, т.е. назначив глюкозамин и хондроитин в чистом виде. Стоимость данных компонентов по отдельности значительно ниже, нежели современных хондропротекторов.
Однако все действия по выбору или замене препаратов должны происходить согласованно со специалистом. В противном случае можно нередко слышать отрицательные отзывы о лечении хондропротекторами, что говорит о неправильном и несогласованном подходе к лечению. Люди, которые приступили к лечению на ранних стадиях заболевания, не нарушают схемы приема препаратов и придерживаются рекомендациям врача – добиваются положительного эффекта от лечения.
Лекарства под названием хондропротекторы в медицине известны как крайне эффективные препараты, оказывающие положительное воздействие на хрящевую ткань, которая подверглась разрушению в ходе артроза суставов и иных аналогичных заболеваний. Благодаря данным средствам клетки хрящей получают возможность регенерировать, причем достаточно быстро, а боль при движении, сопровождающая суставные поражения, полностью исчезает. Чаще всего применяются хондропротекторы при артрозе колена (коленного сустава), хотя лечат ими и поражение иных частей опорно-двигательного аппарата.
Помощь для хрящей
Препараты для укрепления и восстановления хрящевой ткани применяются при различных заболеваниях, в числе которых:
- артриты и артрозы;
- остеохондроз;
- спондилез;
- дистрофия суставных хрящей;
- пародонтоз.
Эффективность хондропротекторов велика в случаях помощи хрящам, пострадавшим в результате серьезных травм сустава или после оперативных вмешательств на нем, так как таким образом удается максимально стимулировать активное восстановление поврежденных тканей.
Данные препараты чаще всего являются частью терапии артроза коленного сустава, что обеспечивается благодаря наличию в составе большинства хондропротекторов двух действующих веществ:
- глюкозамина;
- хондроитина.
При поражении суставной конструкции колена артрозом соединительные ткани начинают страдать от активно протекающих дегенеративно-дистрофических процессов, что со временем приводит к ограничению двигательной активности конечности и деформации пораженного коленного сустава, причем сопровождается очень сильной болью. Глюкозамин и хондроитин выполняют основную задачу лекарственного средства, важной частью которого являются: они способствуют восстановлению поврежденных хрящей благодаря тому, что способны активно взаимодействовать с компонентами хрящевых тканей и стимулировать процессы их синтеза. Активная выработка таких веществ, как гиалуроновая кислота, гликозаминогликан, коллаген и протеогликан позволяет подавить дистрофическое поражение суставных хрящевых тканей, восстановить нормальный баланс внутрисуставной жидкости и снять воспаление.
Основные действующие вещества могут присутствовать в хондропротекторе вместе в любой пропорции, хотя есть препараты, содержащие только глюкозамин или только хондроитин. Конкретное лекарство должен выбрать и назначить специалист, способный оценить особенности «поведения» того или иного вещества.
Так активный компонент глюкозамин, не имеющий аналогов, призван ускорять и усиливать синтез хрящевой ткани, а также активно бороться с избытком свободных радикалов и преграждать путь к суставу тех веществ, что потенциально могут нанести ему вред. Препараты с этим веществом помогают снять отек и избавиться от воспаления, хотя принимать их без вспомогательных медикаментозных средств не рекомендуется – для организма монотерапия не всегда проходит без побочных эффектов, да и при серьезных (запущенных) повреждениях без дополнительных компонентов не обойтись.
Средства, содержащие вещество хондроитин, эффективны для борьбы против артроза коленного сустава, так как оказывают положительное воздействие на обменные процессы в хрящевых тканях (в частности, на кальциево-фосфорный баланс). Благодаря таким препаратам хрящи становятся эластичными, а из организма в целом не выводится слишком много кальция, однако применять их с определенной гарантией успеха можно только на 1-2 стадии заболевания.
Хондропротекторы являются средствами достаточно длительного действия – для достижения сколько-нибудь устойчивого положительного эффекта принимать их придется в течение 3-6 месяцев, причем на всем протяжении курса терапии процесс должен контролироваться и корректироваться лечащим врачом.
Формы выпуска и кое-что о лечении
В зависимости от того, как далеко зашло артрозное поражение коленного сустава, специалисты могут назначить хондропротекторы в виде таблеток, порошков, мазей и инъекций.
Таблетки и порошки начинают действовать примерно после 3-4 месяцев регулярного приема, и только спустя 5-6 месяцев можно будет говорить об относительно устойчивом положительном результате, даже с учетом того, что суточная дозировка препаратов является достаточно высокой.
Хотя инъекции препаратов содержат значительно меньшую концентрацию активных веществ, их применение оправдано при необходимости экстренной «доставки» действующих компонентов непосредственно к очагам воспалительных процессов, благодаря чему боль снижается уже после нескольких первых введений. После 10-20 инъекций (стандартного курса) у пациентов отмечается положительная динамика, после чего лечение продолжается приемом таблеток и порошков.
В качестве мазей хондропротекторы используются в период ремиссии, а также как средство, дополняющее таблетки.
Лечение артроза коленного сустава с помощью данных препаратов не принесет эффекта, если ничего не будет предпринято для исключения основных причин заболевания. Именно поэтому еще перед назначением и началом приема каких бы то ни было медикаментов следует пройти полное обследование, чтобы специалист мог определить факторы, спровоцировавшие начало дегенеративно-дистрофических процессов в хрящевых тканях.
После выявления причин болезни и начала терапии пациентам придется заставить себя избавиться от лишнего веса, создающего лишнюю нагрузку на колени и осложняющего течение болезни, а также включить в свою жизнь разумную и умеренную физическую нагрузку. Это важно, так как только таким образом удастся поддерживать нормальные обменные процессы в суставах и предотвратить деформирующие последствия артроза.
Еще одним важным условием положительного результата лечения является забота о том, чтобы больные суставы всегда находились в тепле – малейшее переохлаждение может спровоцировать обострение недуга, новую вспышку воспаления из хронических очагов инфекции. Без соблюдения этого условия (как и без всего перечисленного выше) даже лучшие средства-хондропротекторы при артрозе окажутся бессильными.
Самые известные представители
В числе самых известных и достаточно эффективных препаратов с хондропротекторным действием значится средство под названием Глюкозамина Гидрохлорид с действующим компонентом, носящим идентичное название. Это мелкий, белого цвета порошок, не имеющий запаха, хорошо растворяющийся в воде и превращающийся в напиток для помощи пострадавшим хрящам.
Препарат выполняет функции корректирования протекания процессов метаболизма в суставной конструкции (в тканях костных и хрящевых). Также благодаря его действию в организме нормализуются процессы образования соединительных тканей – костные вообще не могут создаваться без глюкозамина, а в хрящевых без этого компонента не происходит выработка важнейших веществ (гиалуроновой кислоты, мукополисахаридов), из-за чего хрящи не приобретают эластичность и выносливость.
Глюкозамина Гидрохлорид при поражении коленного сустава полезен, так как не только выполняет все вышеперечисленное, но и позволяет нормализовать выработку внутрисуставной жидкости, оказать противовоспалительное воздействие, унять боль, а также успешно подавить дегенеративные изменения, какими характеризуется артроз. Его польза в терапии крайне высока благодаря тому, что основное активное вещество влияет на причину заболевание, а не купирует его симптомы. Кроме того, прием препарата не сопровождается побочными эффектами, так как он совершенно безопасен.
Еще одно медикаментозное средство-хондропротектор, применяющееся в лечении артроза коленного сустава, называется Хондроитина Сульфат с хондроитином в качестве действующего компонента. Этот высокомолекулярный мукополисахарид принимает непосредственное участие в накоплении нужных «строительных материалов» для формирования хрящевой ткани, благодаря чему в хрящах происходит:
- улучшение фосфорно-кальциевого обмена;
- ускорение процессов восстановления тканей;
- угнетение дегенеративных процессов в соединительных тканях;
- подавление деятельности ферментов, являющихся причиной первоначального повреждения.
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