Analgesics Ndi Njira Yothetsera Matenda a Arthritis
Odwala nyamakazi amatha kuchita popanda mankhwala opweteka (analgesic painkillers) chifukwa amaopa kukhala osokoneza bongo. Kodi odwala awa akuchita zoipa kuposa zabwino popewa mankhwala opweteka? Kodi ndi liti pamene mankhwala opweteka ayenera kuuzidwa ngati gawo la dongosolo la mankhwala kwa odwala nyamakazi? Kodi mankhwala opweteka amawagwiritsa ntchito ngati mankhwala a nthawi yaitali kapena mankhwala okonzekera, kapena ayenera kugwiritsidwa ntchito kanthawi kochepa?
Ululu Kawirikawiri Umayendetsedwa Mwachinyengo
Odwala ambiri omwe ali ndi matendawa amamva kupweteka kapena kukhumudwa ngati gawo la chikhalidwe chawo. Kuzindikira odwala kupweteka ndi mbali yofunikira ya chisamaliro cha odwala ndipo amalingaliridwa ndi bungwe loyanjanitsa bungwe lovomerezeka la Healthcare Organizations monga chizindikiro chachisanu chofunika. (Zolemba za Mkonzi: zizindikiro zinayi zofunika kwambiri ndi kuthamanga kwa magazi, kutentha kwakukulu, kutentha, ndi kupuma )
Ngakhale kuti ululu wopweteka umakhudza kwambiri moyo wa odwala, nthawi zambiri sungatheke bwino.
Njira Zothetsera Ululu
Njira zopanda mankhwala
Zomwe sizinagwiritse ntchito mankhwala osokoneza bongo pofuna kuchepetsa kupweteka zimaphatikizapo mankhwala opatsirana monga:
- kusinkhasinkha ndi kumasuka
- kugwidwa
- kusisita
- kuwombera
- zolimbitsa thupi
Njira za Pharmacologic
Mankhwala a Pharmacologic ndi awa:
- zokonzekera zamatsenga
- mankhwala a zitsamba
- zakudya zowonjezera
- anti-depressants
- minofu yopumula
- anti-convulsants
- NSAIDs (mankhwala osagwiritsa ntchito mankhwala oletsa kutupa)
- acetaminophen (Tylenol)
- mankhwala osokoneza bongo (opioid) analgesics (painkillers)
Opioids
Chifukwa cha mphamvu zawo, kugwiritsa ntchito opioids ndi mankhwala omwe amachiza kupweteka kwa minofu. Ntchito yawo, pofuna kupweteka kwa minofu, yawonjezeka kawiri pazaka 20 zapitazo. Zingakhale zothandiza kwambiri kuthandizira kuthetsa ululu wa nthawi yamoto.
Odwala ena adzapeza kuti akhoza kutengedwera masana osati chifukwa cha kugona pamene ena amafunika kuchepetsa ntchito yawo madzulo.
Ngakhale zili ndi ubwino wake, kugwiritsa ntchito opioids kungakhale kovuta. Maphunziro sanayese mokwanira kuopsa kwa kugwiritsa ntchito opioids nthawi yaitali kwa odwala omwe ali ndi matenda osokoneza bongo. Chotsatira chake, chiopsezo cha kuledzera kapena kulekerera mankhwala awa mwa odwalawa sichikudziwika.
Pakhala pali chizoloŵezi chogwiritsa ntchito opioid amphamvu monga hydrocodone (mwachitsanzo, Norco) ndi morphine (MS Contin, Avinza) ngakhale tramadol (Ultram) ndi opioid yofooka yomwe yakhala ikugwiritsidwa ntchito.
Zotsatira Zotsatira
Kuonjezera apo, monga mankhwala ambiri, zotsatirapo zimakhalapo kuwonjezera pa kugona ndipo zimaphatikizapo kunyoza, kudzimbidwa, ndi kukhumudwa. Ambiri angayambitse zizindikiro monga kutengeka, nkhawa, komanso zizindikiro zina ngati ataima mwadzidzidzi.
- Pezani Kutaya
- Fecal Impaction
- Kuledzera kwa opioid
Dr. Scott Zashin anati, "Kawirikawiri, ndikulangiza odwala ambiri amayesetsa kuti ayambe kulamulira ululu wawo wopanda mankhwala kapena mankhwala osamalidwa popanda mankhwala."
Scott J. Zashin, MD, ndi pulofesa wothandizira pa yunivesite ya Texas Southwestern Medical School, Division of Rheumatology, ku Dallas, Texas. Dr. Zashin nayenso ndi dokotala wopita kuchipatala cha Presbyterian ku Dallas ndi Plano. Iye ndi mnzanga wa American College of Physicians ndi American College of Rheumatology ndi membala wa American Medical Association. Dr. Zashin ndi mlembi wa Arthritis Without Pain - The Miracle Anti Anti-TNF Blockers ndi wothandizira wa Matenda Achilengedwe.
> Chitsime:
> Fitzcharles et al, Arthritis ndi Rhumatism. Vol 52 no 12, Dec 2005.