Ii-Analgesics Ngaba Ziyindlela YokuLawula I-Arthritis Pain
Ezinye izigulane ze- arthritis zizama ukwenza ngaphandle kwemithi yeentlungu (i-paingeic painkillers) ngenxa yokuba bayesaba ukuba ngumlutha. Ngaba izi gulane zenza ingozi ngakumbi kunokuba zilungele ngokuphepha ukunyangwa kwamayeza? Kufuneka nini ukuba iilwimi zentlungu zibekwe njengenxalenye yesicwangciso sonyango sezilwanyana ze-arthritis? Ingaba unyango olufanelekileyo olufanelekileyo njengonyango lwangexesha elide okanye unyango lokulondoloza, okanye kufuneka lusetyenziswe kuphela ixesha elifutshane?
Ubuhlungu buvame ukulawulwa kakubi
Uninzi lwezigulane ezineemeko ze-rheumatic ziba nobuhlungu okanye zibuhlungu njengenxalenye yazo. Ukuqwalaselwa kwezigulane iintlungu kubaluleke kakhulu ekunyamekelweni kwesigulane kwaye iqwalaselwa yiKhomishini edibeneyo yokuVunywa kweMpilo yeZizwe njengesiqalo sesibini esibalulekileyo. (Inqaku lomhleli: ezinye iimpawu ezine ezibalulekileyo zixinzelelo lwegazi, ukushisa okubalulekileyo, i-pulse kunye nokuphefumula )
Nangona ukuba ubuhlungu obungapheliyo buchaphazela umgangatho wobomi bezigulane, ngokuqhelekileyo kulawulwa kakubi.
Amanyathelo okuLawula ubuhlungu
Imilinganiselo engekho-pharmacologic
Amanyathelo angekho-pharmacologic ukulawula intlungu kubandakanya unyango olawulwa nguthambo olunjenge:
- kucamngca nokuphumula
- hypnosis
- ukusila
- i-acupuncture
- ukusetyenziswa
Iimvavanyo ze-Pharmacologic
Iyeza zonyango ziquka:
- amalungiselelo eendaba
- a mayeza
- izondlo zokutya
- ezichasayo
- imisipha yokuphumla
- ezichasayo
- Ii-NSAID (izidakamizwa ezingekho-steroidal anti-inflammatory)
- i-acetaminophen (iTylenol)
- i-narcotic (i-opioid) i-analgesics (i-painkillers)
Opioids
Ngenxa yokusebenza kwabo, ukusebenzisa i-opioids yindlela eqhelekileyo yokunyanga intlungu ye-musculoskeal. Ukusetyenziswa kwabo, ukunyanga intlungu ye-musculoskeal, uye waphinda kabini kwiminyaka engama-20 edluleyo. Zingaba luncedo kakhulu ekuncedeni ukulawula intlungu yeengqungquthela zexesha .
Ezinye izigulane ziya kufumana ukuba ziyakuthathwa ngexesha lemini kwaye zingabangeli ubuthongo xa abanye befuna ukunciphisa ukusetyenziswa kwabo kusihlwa.
Naphezu kweenzuzo zabo, kunokukhokelela ekusebenziseni i-opioids. Izifundo azange zihlolisise ngokwaneleyo umngcipheko wokusetyenziswa kwexesha elide lwe-opioids kwizigulane ezineemeko ezingapheliyo ze-musculoskeletal. Ngenxa yoko, umngcipheko wokulutha okanye ukunyamezela kule myeza ayiziwayo.
Kukho ukutyeba ukusebenzisa ii-opioid ezinamandla ezifana ne- hydrocodone (umz., Norco) kunye ne-morphine (MS Contin, Avinza) nangona i- tramadol (i-Ultram) i-opioid engenakuthathaka esetyenziswa ngokubanzi.
Imiphumela
Ukongezelela, njengamachiza amaninzi, iziphumo ezibekhoyo zikhona ngaphezu kokulala, kwaye zibandakanya isisulu, isambiso kunye nokukhubazeka kwengqondo. Uninzi lunokubangela iimpawu zokuhoxisa, ukuxhalaba, kunye nezinye iimpawu zomzimba ukuba zime ngokukhawuleza.
- Ukuyeka ukuKhutshwa
- Impembelelo yeFecal
- Ukuxilisa i-Opioid
UDkt. Scott Zashin wathi, "Ngokuqhelekileyo, ndincoma izigulane ezininzi zizame ukulawula intlungu yabo engapheliyo kunye neyeza ezingekho kwi-pharmacologic okanye i-pharmacologic therapies ngaphandle kwezilwanyana eziluthayo."
UScott J. Zashin, MD, uprofesa oncedisayo kwikliniki kwiYunivesithi yaseTexas Southwestern Medical School, iCandelo leRheumatology, eDallas, eTexas. UDkt. Zashin naye uhamba noogqirha kwii-Hospital zasePresbyterian zaseDallas nasePlano. Ungumntu we-American College of Physicians kunye ne-American College of Rheumatology kunye nelungu le-American Medical Association. UDkt. Zashin ngumlobi weArthritis ngaphandle kobuhlungu - Ummangaliso we-Anti-TNF Blockers kunye nombhali-mbhali we-Natural Arthritis Treatment.
> Umthombo:
> Fitzcharles et al, Arthritis kunye neRheumatism. I-Vol 52 no-12, ngo-2005.