Yintoni eyenzekayo xa unyango oluqhelekileyo lonyango alugcini intlungu?
Iyintoni Intlungu yokuPhumela?
Intlungu yokuphulukana, ebizwa ngokuba yintlungu yesifo, igama elinikwe intlungu (emibini yomhlaza kunye nomdla ongenawo umhlaza, nangona uninzi owaziwayo malunga nomhlaza wesifo sobuhlungu) obuza ngokukhawuleza kwaye bunzima, xa usuphethwe imilenze yamathambo emilenze ende. (Intlungu "idlula kwiyeza eliqhelekileyo.) Elinye igama lobuhlungu bubuhlungu" buya phezulu. "
Ukugqithisa kunye / okanye intlungu yokuphuka ingaba nzima ngokwaneleyo ukukhubaza okanye ukukukhuphaza. Zenzeka kwiimeko zentlungu emva, intlungu yomhlaza, intlungu ye-neuropathic, kunye nokunye. Ngokuqhelekileyo inxulumene nentlungu yomhlaza. Ukuze intlungu ibonakale njengentlungu yokuphuka, intlungu eqhubekayo kufuneka ibe khona kuqala.
Phantse bonke abantu abaneentlungu eziqhubekayo zentlungu.
Ukuphulukana kweMpawu zoBunzima
Kwisifundo sabo esinesihloko esithi "Impembelelo yonyango lwe-opioid yokuphulukana nentlungu ekusebenziseni nokunyamezela kwe-opioid ende esebenza ixesha elide kwizigulane ezinesihlungu esingapheliyo," epapashwe ngo-Oktobha 2009 kwincwadi ye- British Journal ka-Anaesthia , i-Devulder kunye Abahlobo bethetha ukuba intlungu eqhubekayo ithatha malunga nemizuzu eyi-10 ukunyusa ukunyamezela ngokupheleleyo, kwaye isiqendu singadlulela ukuya kwi (imizuzu engama-60).
Ukuba unentlungu yokuphuphuma kwemizwa, unokuba namava amancinci, amaxesha amaninzi.
Le pateni inceda ekutshintsheni iimpendulo kwiintlungu nakwezinye izinto ezibangelwa abantu abaneentlungu . Imizekelo yale mpendulo iphenduliwe:
Intlungu yokuphuka ingadibanisa oogqirha; Isizathu esinye salokhu kukuba iimpawu zivame ukuzithoba. Ngokudabukisayo, oku kunokukhokelela ekuxilongweni okungafihliyo kunye nangonyango.
Ukuphulukana neMithi yokuPhala
Iingcali malunga nobuhlungu obubuhlungu bukhuthaza ukuba oogqirha ukuba bahlalutye unyango ngamnye kumntu ngamnye. Intlungu yokuphuka idlalwa rhoqo nge-opioid esebenzayo (i-narcotics). Amachiza anikezelweyo ngenxa yentlungu ibizwa ngokuthi "imithi yokuhlangula."
Kukho iintlobo ezininzi zeentlungu ezibangelwa yintlungu, ngoko ke uchonga ngokuchanekileyo ukuba yiyiphi imishanguzo eya kuthethwa ngayo eyakho kufuneka yenziwe ngokubambisana nogqirha wakho. Udokotela wakho uya kufuneka azi malunga nawe, imbali yakho yonyango, imeko yakho yomva, kunye nentlungu yakho yakutshanje. Ukugcina ityati yentlungu okanye idayari kunokukunceda apha ngoba yindlela yokwenza ingxelo yokuba oogqirha bathambekele ekuthembekeni kwiimvavanyo zabo. Ugqirha wakho usebenzisa ulwazi omnike ngalo ngomzekelo, kubangelwa (ukuba unolwazi), ubungqongqo kunye nokuqala kwesiqhelo (s) ukuchonga uhlobo olunalo kwaye uhambelane nonyango oluthile olusebenzayo ngokukhawuleza.
Ngamanye amaxesha, intlungu yokuphulukana ingakwazi ukuqikelela. Kule meko, ugqirha wakho unokuyilindela kwangaphambili kwaye akunike i-opioids esesikhashana. Uhlobo olupheleleyo lwawo mayeza lunikelwa xa ubuhlungu bubuhlungu abukwazi ukuqikelelwa. Le yenye yezona (ezininzi) izizathu zokuba kutheni ukulungelelanisa ngokucacileyo iimpawu zakho kunye nembali yonyango ekumisela ugqirha wakho.
NgokweManchikanti, kunye. al, ngokuphononongwa kwiphephancwadi ye- Pain Physician ngo-2011, kungekhona nje kuphela ubungqina besayensi malunga neentlungu zentlungu, kodwa ukusebenzisa i-opioids ukuyiphatha.
Ababhali babika ukuba unyango lweentlungu (ezingapheli komhlaza) kunye ne-opioid narcotics liye landa kwixesha elishumi elidlulileyo okanye kunjalo, kwaye zithi ukunyuka kokumisela kuye kwabangela ukusetyenziswa kakubi ngamagqirha, kunye nokusetyenziswa kabi kweziyobisi, kwaye ezininzi iingxaki (ezibizwa ngokuba ziziganeko ezichasene neziyobisi.)
Ukuhlaziywa akufumananga ubungqina obubalulekileyo kuyo nayiphi na intlungu yokuphulukana kwintlungu engapheliyo yomhlaza yonyango.
Ababhali bathetha ukuba ukwandiswa kwemithi ye-opioids yeentlungu ezingapheli komhlaza kunokulandelwa ekupheleni kwee-1990 xa iibhodi zonyango zorhulumente zaqala ukukhulula imithetho ephathelele ukusetyenziswa kwesi salo. Ukususela ngoko, ukunyanzeliswa kokumisela i-opioid kuye kwanda kakhulu, kunye noogqirha ngabanye kunye nemibutho enegulana kunye nezigulane ezimeleyo ezimileyo emva kwesi siqhelo.
Ionyango ezingekho phantsi kweziyobisi kunye nekhaya
Ionyango ezingekho phantsi kweziyobisi zingabandakanywa nama-opioids ngenxa yeentlungu. Ugqirha wakho unokukucebisa ukuba unciphise umsebenzi wakho, ukusebenzisa i-ice okanye ukufudumala, okanye kwezinye iindlela zokuhlala ekhaya. Unokubhekisela ekuphatheni okwenyama okanye ukuxilisa, okanye kwiingcali zesikhubekiso senzwa.
Ukudibanisa indlela yokuphila kunye neendlela zokwelapha ezingakumbi kwimigudu yokulawulwa kwentlungu, kubalulekile ukuthetha nodokotela wakho ngqo.
Imithombo:
UBennett D, uBurton AW, Fishman S, et al. Iingcebiso zeplanethi yokuvumelana kunye nokulawulwa kwentlungu. Icandelo 1: Uvavanyo. Pharm Ther. 2005.
UBennett D, uBurton AW, Fishman S, et al. Iingcebiso zeplanethi yokuvumelana kunye nokulawulwa kwentlungu. Icandelo 2: Ulawulo. Kufikeleleka: NgoDisemba 2010. I-PT yoluntu
Devulder J, et. al. Impembelelo yamachiza okuncedisa i-opioid ukuphulukana nentlungu ekusebenzeni nasekunyamezeleni kwe-opioid esebenza ixesha elide kwizigulane ezinesihlungu esingapheliyo. Br J Anaesth. 2009 Oct; 103 (4): 576-85. Epub 2009 Sep 6 6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742451/?tool=pubmed
I-Manchikanti L. Intlungu yokuphulukana kwiintlungu ezingapheli komhlaza: inyaniso, inkolelo, okanye ukusetyenziswa kakubi. Ugqirha wezinhlungu. Matshi-Apreli 2011. Kufumaneka: NgoJuni 2016. http://www.ncbi.nlm.nih.gov/pubmed/21412376
McCarberg BH., Unyango lweentlungu. I-Med Med. 2007 uJan-Feb; 8 iSiza 1: S8-13. http://www.ncbi.nlm.nih.gov/pubmed/17280601
Payne, R., MD, i-Colliflower, E., Ukuqwalaselwa kunye nokuxilongwa kwe-Pain Pain. Uphulo lweMpilo. Vol. 8. Inani leS1. I-American Academy yeMithi yoPilongo. Blackwell Publishing Inc. 2007. Kufinyeleleka ngoDisemba 2010.