Oko Kufuneka Ukwazi NgezoNarcotics
Abantu abane- fibromyalgia (i-FMS) kunye nesifo esingapheliyo (i- ME / CFS ) sinokuba neempawu ezininzi, kuquka intlungu, kwaye ihlala ithatha inhlanganisela yamachiza amaninzi ukwenzela ukuba uzive ungcono kakhulu. Ngenxa yokuba imithi nganye inomngcipheko wayo, kwaye ezo mngcipheko zingakhula xa zithathwa kunye nezinye iziyobisi, ihlawula ukwazi amayeza akho kakuhle.
Izidakamizwa zokuxhamla, ezibizwa nangokuthi i-opioids okanye i-narcotics, ziqhelekile ukuba zibuhlungu obungapheliyo ezifana ne-FMS kunye ne-ME / CFS. Basebenza ngokulinganisa ikhemikhali yokukhupha intlungu, ebizwa ngokuthi i-pepide ye-opioid, eyenziwa ngumzimba wakho ngokwemvelo. Njengabalingani babo basemvelo, i-opiate iziyobisi zibophelela kwiimvume ezikhethekileyo kwingqondo yakho nasentanjeni yomgudu kwaye usebenze inkqubo yakho yokunceda intlungu.
Iifuthi eziqhelekileyo
Iinqwelo ezininzi ziye zithengiswa kwiimarike ixesha elide, ngokuqhelekileyo zithengi, kwaye ziyafumaneka kwifomu yobudala. Iifutha eziqhelekileyo ziquka:
- i-hydrocodone
- ikhowudi
- oxycodone
- fentanyl
- i-oxymorphone
- i-hydromorphone
- tramadol
- morphine
Ukongezelela, ezinye ii-opiate eziqhelekileyo zidibanisa iziyobisi ezibandakanya i-acetaminophen , e-Tylenol kunye neminye eminye imithi. Ziquka:
- I-Percocet (i-oxycodone / i-acetaminophen)
- I-Ultracet (tramadol / acetaminophen)
- UVicodin (i-hydrocodone / i-acetaminophen)
Ukuba uthatha inxube yezilwanyana, kufuneka uqiniseke ukuba ufunda ingozi yamacandelo omabini.
Ziziphi iindlela eziphumelelayo?
Kwi-FMS, inkolelo jikelele kwiindawo zonyango kukuba i-opiates ayisebenzisayo ngokubhekiselele kwiintlobo zethu zeentlungu. Uphando ngokubanzi lubuyela emva kodwa luphikisana nobungqina bendawo.
Asinalo uphando kwi-opiates ngentlungu ye-ME / CFS. Nangona kunjalo, iintlobo ezimbini zezifo zentlungu ekhethiweyo ziyi- hyperalgesia (intlungu) kunye ne- allodynia (ubuhlungu obuvela kwi-stimuli engaqhelekanga), ezo zombini ziyingxenye ye-FMS, kwaye sinomzimba wobungqina obunayo.
Kwaye ubungqina abukho. Uphando olupapashwe kwi- Cochrane Database yeeVikethi eziSekweni aluphumelelanga ukufumana nayiphi na isilingo esiphezulu soluvo lwe-oxycodone ye-fibromyalgia okanye intlungu engeyona isifo sikasifo sesifo sikashukela.
I-Clinical Journal of Pain ngo-2015 yashicilele isifundo se-opioid yexesha elide kwi-FMS ibone ukuba abantu basebenzisa ii-opiates babonisa ukuphucula ngaphantsi kweempawu kunezo zithatha ezinye iyeza. Abaphandi bathi akukho nto ixhasa ukusetyenziswa kwexesha elide kwi-FMS.
Uphando lwePhando kunye noPhando lweZonyango lithi:
Asikho ubungqina bokuba [i-opioids] imeko ephuculwe ngaphaya kwenkathalo ephezulu kwaye [ba] banokuba negalelo kwimiphumo encomekayo.
Xa ucela abantu abaneemeko malunga nama-opiates, kunjalo, ufumana ibali elihlukile. Uninzi lwabo luthi amanqanaba abo entlungu aphezulu kakhulu ukuba asebenze ngaphandle kwala mayeza. Uninzi loogqirha abayalela, nangona ubungqina obubi. Enyanisweni, uphando oluyiminyaka eyi-11 oluphela ngo-2010 lubonise ukuba izinga le-opiate kwi-FMS likhuphukile lisuka kuma-40 ukuya kuma-46 ekhulwini. Olunye uphando luyabona kwakhona upswing in the use of opiates ukunyanga ubuhlungu besikhathi eside.
Ngoko ke kukuphi oku kungabangela ukungavumelani? Asinalo uphando olucacisa ukuba kutheni, kodwa ezinye izizathu ezinokwenzeka ukuba izigulane ze-FMS zicinga ukuba ezi zonyango ziphumelele ukuba yintoni uphando olubandakanya:
- Impembelelo ye-placebo: Yinto ecacileyo-inkolelo yabantu yokuba into eya kusebenza ingakhokelela ekuphuculeni ukuba izilwanyana okanye olunye unyango aluxanduva.
- Izimo zobuhlungu ezidlulayo: I- FMS iyaziwa ukuba ihambe kunye nezinye iimeko, kwaye mhlawumbi abantu abafumana ukukhululeka kwi-opiates babona ukunciphisa intlungu evela kwenye into, encedisa ubuhlungu bubuhlungu be-FMS.
Naluphi na isizathu (i), idibaniso "ayisebenzi" isigidimi esivela kuluntu lwezonyango, kunye nemimiselo eyandayo yonyulo kunye nokongamela ukusetyenziswa kwe-opiate, kuye kwaholela ekubeni nomsindo omkhulu kunye nentukuthelo kwingingqi yesigulane-ngakumbi abo baye banqatshwa iilisi abazithethayo kubancedisa ukusebenza.
Iingozi zoKhuseleko: Ukugqithisa ngokweqile, ukuLungisa umlhamo, ukuxhatshazwa
Iimfumba ziza neengozi ezininzi, ezinye zonyango, ezinye ezingekho.
Ukugqithiswa kwamanzi kungabulala. Ngamanye amaxesha umphumo wabantu bathatha idilesi eyongezelelweyo kuba owokuqala akazange akhulise intlungu yabo ngokwanelisayo. Ukungasebenzi kwengqondo (i-fibro fog) ehambelana ne-FMS kunye ne-ME / CFS inokukwenza kube nzima ukuba ulandelele xa uthatha amayeza kwaye unokukhokelela ukuba uthathe ngaphezulu ngokukhawuleza.
Kwakhona ukufaka ingozi ekudlulelweni komngcipheko kukunyamezela izidakamizwa. Abantu abaninzi abathwala ii-opiates ixesha elide bahlakulela ukunyamezela, oku kuthetha ukuba iziyobisi azisebenzisiyo njengokuba kwakunjalo. Nangona kunjalo, ngenxa yokuba kuthatha okungakumbi ukuba uzive ukuba impembelelo ayithethi umzimba wakho unako ukuphatha ngaphezulu. Kubalulekile ukuba uhlale uthabathe i-opiates njengoko ulandisiweyo.
Iimpawu zokugqithisa i-opiate ziquka:
- Iqondo lokudandatheka (umz., ukudideka, ukulala, i-coma)
- ukuphefumula kunye / okanye ukuphefumula okungapheliyo
- ukukhawuleza kwenhliziyo
- zixhala
- utywala kunye / okanye ukuphelelwa amandla
- isicaphulelo
- ukuhlanza
- abafundi abanzi
- isikhumba esibanda, isikhumba
Ukuba uyakrokrela okanye omnye umntu uye wangena kwii-ophiates, kubalulekile ukufumana uncedo lwezonyango lwexesha lokhawuleza.
Ukutshaya umlingo kuyingozi kunye nama-opiates. Oku kuye kwafumana ingqalelo enkulu ekunyanzelweni komthetho kunye nabezindaba kwiminyaka yamuva, eyenze abanye oogqirha banqabile ukunyusa ama-opiates kwaye kwenza abanye abantu bakhathazeke ngokubamba.
Nangona kunjalo, uphando oluthile lubonisa ukuba umngcipheko wokulutha umlutha uhle kunokuba ucinga ngokuqhelekileyo, kwaye ubungozi obuninzi bubonakala kubantu abanembali yokusetyenziswa kakubi kweziyobisi neziyobisi.
Ukujongana noloyiko loogqirha ngokumisela izidakamizwa eziyingozi, i-American Pain Society ngo-2009 yanyathelisa eli phepha: Isikhokelo sokusetyenziswa kweNyango ye-Opioid eqhubekayo kwi-Pain Noncancer Pain.
Ngoxhatshazo lwe-opiate, ukugqithisa, kunye nokufa okuqhubekayo kulo lonke ilizwe, ii-CDC ngo-2016 zanikezela izikhokelo zokuBhala ii-Opioids zoPhando oluPhezulu ukujongana neengxaki.
Kwakhona kunokwenzeka ukuba, ngokuhamba kwexesha, i-opiates inokuphakamisa intlungu. Olunye uphando lubonisa ukuba amayeza e-opioid angakhokelela ekunyukeleni ukwanda kweentlobo zentlungu, efana neendlela zeFMS ezikhulisa iimpawu zentlungu. Esi siphumo sibizwa ngokuba yi-opioid-induced hyperalgesia.
Ngenxa yokuba abanye abantu bathabatha i-opiates ukuzizilibazisa, ukufumana ezi zi yobisi kunokukwenza ukuba kujoliswe ngamasela. Abantu abaninzi abayaziyo ukuba unayo izidakamizwa, ngakumbi unokube usengozini yokuhlaselwa.
Iimpembelelo zecala le-Opeate & Interactions
Unokuba nemiphumo emibi kwi-opiates (okanye ezinye iziyobisi) nangona uthabatha njengoko kulandiswe. Ezinye iziphumo zecala zifana neempawu zokugqithisa. Iziphumo eziqhelekileyo ze-opiate ziquka:
- isicaphulelo kunye / okanye ukuhlanza
- kulala
- umlomo owomileyo
- ukuzondwa kwamanzi emva kokuma (ngenxa yokwehla kwexinzelelo lwegazi)
- iingxaki zokucoca
- ukuqothulwa
Imiphumo emibi ingahluka ngezilwanyana, ngoko jonga uluhlu oluthile kumachiza akho. Ngokuqhelekileyo unokufumana ezi kwiiwebhusayithi zebenzi okanye kwikhemisi yakho.
Ukuthatha ii-opiates kunye neentlobo ezithile zeziyobisi kunokubangela ukusebenzisana okungahambiyo, kubandakanywa nokufa. Iziyobisi ezinokuba yingozi xa zidibaniswa nama-opiates ziquka:
- nezinye iintlungu
- u kulala
- i-antihistamines (unyango lwezonyango)
- imisipha yokuphumla
- amayeza okudandatheka, ukuxhalabisa okanye ezinye iingxaki zempilo yengqondo
- utywala
Kwakhona, ezi zizahluka ngeziyobisi. Kubalulekile ukuba uxelele ugqirha wakho kunye nekhemistiki malunga nazo zonke iziyobisi ozithathayo, kuquka nabangaphezu kwe-counter-counter, ukuze banokukunceda ukuphepha ukusebenzisana okuyingozi.
Ukunciphisa Ingozi Yakho
Indlela engcono yokuthatha ezi zi yobisi ngokukhuselekileyo kukulandela imiyalelo kwileta kwaye uhlolisise kabini ukuqinisekisa ukuba izinto ozihlanganisayo zikhuselekile kunye. Unokufuna ukugcina uluhlu lweemithi kwifowuni yakho okanye kwisikhwama ukwenzela ukuba zifumaneke kwabasebenzi abangxamisekileyo xa kunokugqithisa.
Inokukunceda nokuba nelungu lentsapho okanye umhlobo ujonge amayeza akho, okanye ukugcina igalelo lamaxesha owathathayo ukukunceda ukuba ugweme ukuthatha ixesha elide kakhulu.
Ngaba Ulungelo Lwakho Ulungelo?
Nguwe kuphela ugqirha wakho onokugqiba ukuba ngaba i-opiates yinto ekhethekileyo kuwe, ngokusekelwe kwiingxaki zakho, iimpawu, impilo jikelele kunye neendlela zokuphila.
Ukuba ungaziva ukuba i-opiates iphumelele ekunciphiseni intlungu yakho, xela ugqirha malunga neendlela ezinokwenzeka.
Xa ukwenza izigqibo zonyango, qiniseka ukuba ucinga imimiselo esemthethweni enokukwenza kube nzima kuwe ukuzalisa umyalelo wakho, njengokuba kufuneka unikezele umrhumo wephepha kwi-pharmacy yakho nyanga nganye.
Imithombo:
Fitzcharles MA, et al. Uphando lwezobuhlungu kunye nonyango. 2013; 2013: 898493. Ukusetyenziswa kwe-opioid kwi-fibromyalgia inxulumene nemilinganiselo enxulumene nempilo enxulumene nokufundwa kwamaqela.
Gaskell H, et al. Ukuhlaziywa kwesiseko seenkcukacha zeCochrane. 2014 Juni 23; 6: CD010692. I-oxycodone yeentlungu ze-neuropathic kunye ne-fibromyalgia kubantu abadala.
Umdwebi JT, Crofford LJ. Umbhalo we-rheumatology yeklinikhi. 2013 Mar; 19 (2): 72-7. Ukusetyenziswa kwe-opioid engapheliyo kwi-fibromyalgia syndrome: ukuhlaziywa kweklinikhi.
Peng X, et al. Ingxelo yonyango yeentlungu. 2015 Jan; 31 (1): 7-13. Ukuvavanywa kwexesha elide lwe-opioid unyango kwi-fibromyalgia.
Wolfe F, et al. Umbhalo waseYurophu weentlungu. 2013 Ngo-Apr; 17 (4): 581-6. Iipatheni ezide ze-analgesic kunye nokusetyenziswa kweziyobisi eziphambili kunye nokusebenza okuhambisanayo kwi-fibromyalgia.