Iimpawu zokuQala koLwabizo lwePilati eLawulayo

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IiMpawu zokuQala zokuPhathwa kweMpawu zoLwaphulo oluPhezulu oluPhambili

IiMpawu zokuQala zokuPhathwa kweMpawu zoLwaphulo oluPhezulu oluPhambili

Uninzi lwethu aluvuki kusasa silindele ukulimaza umqolo wethu. Ngoko xa kwenzeka, asikwazi ukuba nantoni na ukuyenza malunga nayo.

Uninzi lwababulali beentlungu zokuqala ezikhuselekileyo zikhoyo ngenxa yeentlungu ezibuhlungu, kodwa awona onke asebenza ngokulinganayo. Kwaye abaninzi baninzi abazange bazibonakalise ngokuqinisekileyo xa uphando lwezobugqirha lubafaka uvavanyo.

Ngokufanayo, ugqirha wakho unokubonisa okanye ubeke ezinye zezi zi yobisi, ngoko kuya kuwe ukuba wazi ukuba ngempumelelo ngayiphi na ingxaki ozama ukuyixazulula (kulo mzekelo ubuhlungu obukhulu buhlungu kunye / okanye ukulimala.)

Kwiphepha elilandelayo, uya kufumana iinyani malunga neengxaki eziqhelekileyo eziqhelekileyo zokuxubulisa intlungu. I-2 ukuya kwiphepha elidlulileyo kule ngqungquthela ichaza ukuba yintoni oyenzayo ukuze ufumane ubuchule bakho bokubuya. Hayi, ubuncinane ukuba ubuyele emsebenzini nasemisebenzini yakho yasekhaya, kunjalo.

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Imithi engekho-Steroidal Anti-Inflammatory Medication (NSAIDs)

Imithi engekho-Steroidal Anti-Inflammatory Medication (NSAIDs)

Oogqirha badla ngokucetyiswa ii-NSAID, okuyigama elichazwe ngamachiza angenayo i-steroidal anti-inflammatory. Ii-NSAID zisetyenziselwa ukunciphisa ukutshaya okungafunekiyo ukuba kwenzeke emva kokulimala. Ziye zisetyenziselwa ukunciphisa intlungu. Eli klasi leziyobisi lihluke kwiTylenol, okuyiyo intlungu ekhuphayo kuphela.

Ukuhlaziywa kobuchule bokuqhathaniswa kwe-2016 epapashwe yi-Arhente yoPhando lwezeMpilo kunye neMigangatho (AHRQ) yabona ukuba ukuthatha ii-NSAID kunokunika intlungu engcono kunokuba uthathe indawo ye-placebo. Kwaye ukuhlaziywa kweDatabase yaseCchrane * kufumene ukuba i-NSAID inokuvelisa ngesantya esifanayo sokunceda intlungu njengoTylenol. Khumbula, nangona kunjalo, iiphononongo ezihlaziyiweyo ziphantsi zonke, okanye zingcono, eziyimpumelelo.

Ukuhlaziywa kweCochrane kwakhona kufumaneke (kwakhona, ubungqina obuncinane bobuchule) obuthatha ii-NSAID kubangele ubunzima bezintlungu kunokuba bathathe iTylenol.

Idibeneyo: Ngaphandle kweMvavanyo yokuPhukisa ubuhlungu beNgxowa neNtlungu

* Ukwazisa: Ndingumbuyekezi womthengi weComrane Back and Neck Group.

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Abahlaziyi beMisipha

Abahlaziyi beMisipha

Amaxesha amaninzi emva kokulimala, izihlunu zithatha kwaye zingena kwi-spasm. I-Spasms ingaba buhlungu kakhulu; banokuphazamisa imisebenzi yakho rhoqo ngenxa yokuba kunzima ukuhamba.

Ugqirha wakho unokumisela ukuba ahlaziye isisipha ngokuzibandakanya kunye nekhosi yezobugcisa ukunceda ukuba uthathe inxaxheba ngokupheleleyo kwinkqubo yakho yokuzilolonga. (I- Skeletal muscle relaxers ifumaneka kuphela ngomyalelo.)

Ukuphononongwa kwe-AHRQ okukhankanywe kwangaphambili kufumene ubungqina obunokulinganisela bokuthi abahlaziyi be-squelettic muscle babengcono kuneendawo zokuhlala ukuze bazuze intlungu.

Idibeneyo: Indlela yokuLahla i-Backscle Spasms

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I-opioids kunye ne-Down Low Pain Pain

I-opioids kunye ne-Down Low Pain Pain

Oogqirha abaninzi banikezela unyango lwe-opioid njengonyango lokuqala lomhlaza weentlungu ezibuhlungu okanye zentamo, kodwa i-World Health Organisation (WHO) kunye nabanye bacebisa malunga nalo.

Kunoko, i-WHO icebisa ukuthatha indlela ehamba phambili yokuphulukana nentlungu, ngokuqala nge-opioid intlungu yokubuyisela intlungu njenge-aspirin okanye i-paracetamol, kwaye mhlawumbi i-adjuvant (umzekelo, i-squitus muscle relaxers).

Ukuba intlungu iqhubeka okanye ibuhlungu, i-WHO iphakamisa i-opioids elula njengekhowudi. Kwaye ukuba oko kungasebenzi, WHO ikhuthaza ukuba uthathe i-opioids eqinile njengokwenza i-morphine de ube intlungu ekhululekile.

Inqaku kwi- American Family Physician elishwankathela iingcebiso ezijoliswe kuphando malunga nokuhluthwa kwintlungu ithi ngaphambi kokuya kwi-opioids kuphela, ukuthatha le klasi yeziyobisi kudibaniselwano ne-non-opioid pain reliever icetyiswa. Kodwa nangaphambi koko, batusa ukuba bathathe i-acetaminophen (iTylenol) kuqala, ngoko ibuprofen okanye i-naproxen (oko kukuthi, i-NSAID) kunye ne-Next, ii-NSAID ezikhethiweyo ze-CoX-2. Ukuba usadinga uncedo, ngelo xesha, bancomela ukuthatha inhlanganisela ye-opioid / engekho i-opioid.

Kutheni zonke iziThotho kwiiOpioids?

Imithi ye-opioid i-narcotics, oku kuthetha ngokubamba, ubeka umngcipheko wokuba ngumlutha.

Ubuncinane ngandlela-thile, lo "ngumthengi uqaphele" imeko. I- British Medical Journal ibikela ukuba ngaphezu kwesigamu sabo bonke abasebenzisi be-opioid abahlala bebika ukuba baneentlungu. Le nqaku ithi kwakhona i-opioids ngoku i-classic drug prescribed class in the US. Enyanisweni, imiselwe ama-2 ukuya kwezi-3 kwiNyakatho yeMerika kunokuba iYurophu, abalobi bayasitshela.

Funda Ukuhlaziywa Kweencwadi: Inyaniso Ebuhlungu NguDkt. Lyn Webster.

Nangona uhlolo lwe-AHRQ lufumene ukuba ukuthatha i-opioids kuya kubangela ukuphucula intlungu kunokuba uthathe imithi ye-placebo, amandla alobu bungqina "aphantsi".

Akunjalo kuphela, kodwa iyeza lingaba lilo lonke elisebenzayo. I- British Medical Journal ichaza ukuba ukuthatha i-opioids ayibonakali ukukhawuleza ukubuyela kwabagulayo emsebenzini okanye ukuphucula ukusebenza kwabasebenzi abanentlungu ebuhlungu.

Kwaye uphando lwe-2015 olupapashwe kwi- Journal of Family Practice lufumene ukuthatha i-opioids ngenxa yeentlungu ezingapheliyo emva kwexesha elifutshane linika ukukhululeka okufutshane kwixesha elifutshane (

Idibeneyo: Yintoni enokuyenza ngePilly Back Pain

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Ukulandela i-Back Or Neck Injury - Indlela yokusebenza kwakhona

Ukulandela i-Back Or Neck Injury - Indlela yokusebenza kwakhona

Amayeza oye wawafunda ngawo onke ayethetha ukunciphisa intlungu. Akukho nto ibaluleke kakhulu ekuncedeni izigulane ziphucule ukusebenza kwazo emva kokulimala.

Ukuphucula ikhono lakho lokusebenza, ibali lihlukile. Ngokubanzi, indlela eyahlukeneyo yezifundo ivelisa iziphumo ezilungileyo. Kungenzeka ukuba iziphumo ezidibeneyo zeprogram yokwelapha iya kuba yintoni ekukubuyisela kuyo.

Ngokomxholo we-2015 opapashwe kwiphephancwadi i- Orvosi Hetilap , i- physiotherapy eyenziwa ngumntu kunye nolawulo olukhokelwayo, ukunyangwa kwengqondo kunye neenkqubo ezincinci zokuqeqesha kuyindlela yokonyango yokuqala yokubuyisela ukusebenza komzimba.

Kwaye ungacingi ukuba kufuneka uqhutywe ngokuzenzekelayo emva kokuhlinzwa emva kwentlungu okanye ukulimala kwangemva - ngokuqinisekileyo kungekhona ngaphambi kokuba uzame unyango kunye nokuzivocavoca, ubuncinane. Ugqirha ugcinwa ukuguga, kwaye emva kokusulela kweyeza elondolozayo, abaphengululi bokufunda baphetha.

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Imithombo yeSiqendu

_Imithombo:

_{Berland, D., MD, kunye. al. Ukusetyenziswa ngokulinganayo kwama-Opioids ekuLawuleni i-Non-Terminal Pain. WaseMerika ugqirha. Agasti 2012. http://www.aafp.org/afp/2012/0801/p252.html}

_{UBerlotlot J., uDarrieutort-uLafitte C., uLe Goff B., ii-Maugars Y. ezinamandla ze-opioids ngenxa yeentlungu ezingekho komhlaza ngenxa yezifo ze-musculoskelet: Azingasebenzi ngaphezu kwe-acetaminophen okanye ii-NSAID. I-Bone Joint Bone. Disemba 2015 Kufikeleleke: Matshi 2016. http://www.ncbi.nlm.nih.gov/pubmed/26453108}

_{I-Chou R, i-Deyo R, i-Friedly J, i-Skelly A, i-Hashimoto R, i-Weimer M, i-Fu R, i-Dana T, i-Kraegel P, i-Griffin J, i-Grusing S, i-Brodt E. Iingxaki ezingabonakaliyo zonyango eliphantsi. I-AHRQ Ukuphononongwa kokuPhathelene nokuPhumelela. I-Rockville (MD): I-Arhente yoPhando lwezeMpilo kunye neMigangatho (i-US); 2016 Feb. Ingxelo yeNombolo: 16-EHC004-EF. http://www.ncbi.nlm.nih.gov/pubmed/26985522}

_{UDeyo, R., Von Korff, M., Duhrkoop, D. i-Opioids yeentlungu ezisezantsi. BMJ. Jan 2015. Kufumaneka: Matshi 2016. http://www.bmj.com/content/350/bmj.g6380}

_{Chapparo, L., i-Opioids efaniswa ne-placebo okanye ezinye izifo zentlungu engapheliyo. Cochrane Database Syst Rev. Aug. 2013.}

_{I-Illés S., intlungu ephantsi emva: nini kunye nento enokuyenza. I-Orv Hetil. Agasti 2015 Kufikeleleke: Matshi 2016. http://www.ncbi.nlm.nih.gov/pubmed/26256495}

_{UJonathan P., uDalziel S., uLamdin R., uMiles-Chan J., uFrampton C. Izidakamizwa ezingekho-steroidal ezichasene nezidakamizwa ngokumelene nezinye izalathisi zomlomo zenzelwa ukulimala kancinci. I-Cochrane Database Syst Rev. Julayi 2015. Kufumaneka ngo-Matshi 2016. http://www.ncbi.nlm.nih.gov/pubmed/26130144}

_{Umbutho WezeMpilo Wehlabathi. Izikhokelo Zonyango Ngezobuhlungu. Website yeWHO. http://www.who.int/medicines/areas/quality_safety/guide_on_pain/en/}