Izigulane ezingenayo i-Pain Resin Relief Relief Ingaphendula kwi-ER Opioid Analgesics
Ukuncedwa kweeNgxaki ezingaphelelanga kwi-Osteoarthritis Kudala iingxaki ezininzi
Ngokombiko we-2008 American Journal of Therapeutics , iintlungu ezingapheliyo ezinxulumene ne- osteoarthritis zichaphazela isigulane ngokubangela:
- ukunciphisa umgangatho wobomi
- ukuncipha okanye ukuphazamiseka ukulala
- ubudlelwane boluntu obuthathaka
- umsebenzi wokunciphisa ukuqonda (ukucinga, imemori)
- imida kwimisebenzi yokuphila imihla ngemihla
- umkhiqizo ophantsi
- ukuxhalabisa nokuxinezeleka
Ukuphazamiseka kokulala- kubangelwa intlungu-yimbambano enkulu yezigulane ze-osteoarthritis. Izigulane ezininzi ze-osteoarthritis zinenkathazo yokulala, ukugcinwa kokulala okanye ukuvuka. Ukujongana nazo zonke ezi ngxaki, intlungu ye-osteoarthritis kufuneka ilawulwe kakuhle.
Uninzi lwezigulane ze-osteoarthritis zifumana uhlobo lonyango , kodwa kwiimeko ezininzi kakhulu, abafumene intlungu efanelekileyo. Iziphumo zophando zibonise ukuba izigulane ezingama-3,100 ze-osteoarthritis, ama-25% abike ukunganeliseki ngamayeza abo entlungu. Kwisiqhelo esinganelisekanga, 63% babike ukukhululeka kwentlungu engapheliyo ngelixa i-17% ibhengeze iziphumo ezibi.
Ukuthabatha iipilisi kwiShedyuli ngethuba lokuphucula ukusebenza
Izigulane ezingapheliyo, zilungele ukuthatha imishanguzo yintlungu kwishedyuli. Iinjongo zeshedyuli yesilumko sovavanyo lwesithwaba kukuba kuthathe umthamo olandelayo wezonyango phambi kokuba i-dose yangaphambili iphela.
Ingxaki kukuba, ngenxa yezizathu ezininzi, izigulane ezininzi ze-osteoarthritis azizithathi izilonda zentlungu kwishedyuli, kwaye zivumela intlungu ukuba ibuyele-ke ixhamle ubuhlungu kunye nomnye umthamo. Ukusetyenziswa kwexesha elide okanye ukukhululwa kwemilenze kunokuphucula izigulane ezifumanisa nzima ukunamathela kwishedyuli.
Imenyu ye-Analgesics - Yiyiphi enokuzikhetha?
Izigulane ze-osteoarthritis ezinokutsha zivame ukuzama i-acetaminophen - iyabonwa njenge-analgesic yokuqala ye-osteoarthritis. I-NSAID (izidakamizwa ezichasayo ezingekho komzimba) kunye ne- COX-2 inhibitors zisetyenziselwa ukulawula intlungu ye-osteoarthritis, ingakumbi ukuba udinga ukukhululeka ngaphezu kwe-acetaminophen. Ngenxa yobuhlungu obukhulu, oogqirha bajonga i-opioid analgesics ezingapheliyo ezifana ne- tramadol kunye nama-analgesics ahleliweyo (izinto ezilawulwayo).
Yiyiphi imveliso yokwenza ubuhlungu obuhle?
Iyeza zonyango ezintle ziyakunyamezeleka, zilungele, kwaye zibonelele ngeentlungu zoxolo. Kuya kuba neziyobisi ezingaphantsi kunye kunye nethuba elincinci lemiphumo kunye neyetyhefu ekusebenziseni ixesha elide. Ngaba ukukhululwa okwandisiweyo (ER) i-opioid analgesics imilenze efanelekileyo yeentlungu? Kwezinye izigulane, ewe. Kodwa izigulisi zisebenzisa i-ER opioid analgesics kufuneka ziqaphele iziganeko ezinobungozi kwaye kufuneka zisebenzise kuphela iziyobisi njengoko kuchaziwe.
I-Opioid Analgesics Iyakwazi Ukusebenza Ngempumelelo Xa ichanekile
ER morphine, ER i-oxymorphone, i-CR (ukukhululwa okulawulwayo) i-oxycodone, i-ER transdermal fentanyl, kunye ne-ER tramadol ziphakathi kwee-analgesics zokukhululwa i-opioid ezingenakucingwa ukuba zithintele intlungu ye-osteoarthritis.
Abaphandi baye baphetha ngokuthi xa i-acetaminophen kunye ne-NSAID zingasasebenzi, okanye i-osteoarthritis iyanda kakhulu - I-ER tramadol ingaba yindlela elandelayo efanelekileyo-phambi kokuzama ukulungiswa, iilpaliji ze-opioid.
ER tramadol inamanye amancedo ngaphezu kwezinye ii-analgesics ze-opioid. Enye into, i-tramadol iphumela kwiziphumo ezimbi ezimbalwa kunezinye i-opioids. Ukukhathazeka ngokusetyenziswa kakubi kweziyobisi, umlutha, ukunyamezela, kunye nokuhoxiswa ziqhelekile kwiimpawu ze-opioid. I-analgesics ye-opioid (kuquka i-ER opioid analgesics) inokubangela iingxaki ngokudibanisa, ukudideka, kunye nokuqhawulwa, ngakumbi kwizigulane ezidala.
Njengokuba kukho nawaphi na amayeza, izigulana kufuneka zibe nencokola nodokotela wazo malunga neenzuzo ngokumalunga neengozi zokuthatha ii-analgesics ze-opioid.
Nangona kukho isidingo se-opioid analgesics kwizigulane ezithile ezingazange ziphendule kakuhle okanye ziyeke ukuphendula kwi-acetaminophen, i-NSAID, kunye ne-tridol - opioid analgesics azifanelekanga zonke izigulane.
Iinguqu ze-ER ze-morphine, i-fentanyl, i-oxymorphone, kunye ne-oxycodone zicwangcisiwe, i-analgesics esebenzayo ende:
- I-morphine ye-ER iboniswe ukunyanga okuthethelelekileyo kwintlungu engapheliyo kwizigulane ezithile ze-osteoarthritis. Injongo yokuthabatha le nkunkuma ijikeleze ukuphucula intlungu kunye nokuphucula okuphawulekayo kumgangatho wobomi.
- I-oxymorphone ye-ER ibalwa njengeyona nto ibalulekileyo, intle kakhulu, okanye inhle ngama-80% yezigulane kwisifundo. Yanikezela ukuphucula intlungu kunye nokuphucula ukusebenza kwizigulane ezineentlungu ezingapheliyo i-osteoarthritis.
- I-CR oxycodone iyasebenza ekunciphiseni ubuhlungu obubangelwa yi-osteoarthritis nokuphucula umgangatho wobomi. Nangona kunjalo, i-oxycodone yiyobisi esoloko esitsha kwiimeko zokusetyenziswa kweziyobisi.
- I-ER transdermal fentanyl kufuneka isetyenziswe kuphela zizigulane ezisele zifumana unyango lwe-opioid kwaye zibonise ukunyamezela kwe-opioid. Kuphumelela ukukhulula intlungu ngokuthe ngqo kwintlungu e-osteoarthritis.
Akufanele ube neentlungu ezingapheliyo. Xoxa ngolawulo lobuhlungu kunye nogqirha wakho kwaye ungakulibali ukubuza malunga neenguqulelo zokukhululwa kwee-opioid analgesics. Akunjalo ukhetho olungcono kunonyango kubo bonke abagulayo - kodwa ngaba bayakukhetha unyango?
Umthombo:
Ubuhlungu obungapheliyo be-Osteoarthritis: Iingqalelo ngokukhetha i-Opioid Analgesic. I-American Journal of Therapeutics 15,241-255 (2008). UGibofsky, u-Allan noBarkin, uRobert L.