Kuyankhulana ndikofunika pamene mukufika poyendetsa ululu wosatha
Kodi mungamufunse dokotala wanu kuti akuwombereni kwambiri ngati mukufuna? Mwamtheradi, popeza ndikofunikira kuti mutenge nawo mbali mukumva ululu wanu.
Kupweteka kosautsika, kumangotanthauzira mophweka, ndiko kupweteka kumene kumapitirira pamene sikuyenera. Chimodzi mwa zigawo zikuluzikulu za kuyang'anira kupweteka kosatha ndikupeza bwino painkiller .
Mafunso Odzifunsako Pa Zowawa Zanu
Malingana ndi American Chronic Pain Association (ACPA), njira yabwino kwambiri yothetsera ululu ndi yoti munthu akambirane mosamala ndi dokotala zomwe zingakhale zoopsa potsata phindu la mankhwala atsopano (kapena mankhwala ena).
Mwa kuyankhula kwina, khalani otetezeka m'thupi lanu la ululu, ndipo khalani omasuka ndi dokotala wanu za ululu wanu.
Ngati mukuganiza kuti mungafunike painkiller yowonjezera, yamphamvu, kapena yosiyana, kufunsa mafunso anayi angakhale othandiza. Ngati mutayankha "inde" ku zotsatirazi, mungachite.
- Kodi mumakonda kupweteka kwambiri ?
- Kodi mankhwala anu pakalipano alibe mphamvu poletsa ululu wanu?
- Kodi nthawi zonse mumachita zinthu zovuta?
- Kodi umoyo wanu umachepa?
Dziwani Zosankha Zanu
Musanapemphe mankhwala amphamvu, ndibwino kuti mudziwe za zomwe mungasankhe. Kawirikawiri, magulu anayi a mankhwala amagwiritsidwa ntchito pochiza matenda aakulu:
- Zosagwiritsa ntchito opioids: Awa ndi aspirin, NSAIDs , ndi acetaminophen .
- Opioids: Amatchedwanso mankhwala osokoneza bongo, monga morphine, codeine, hydrocodone, oxycodone, ndi methadone. Tramadol imagwira ntchito pa opioid receptors, ngakhale kuti si opioid.
- Malingaliro a adjuvant . Mankhwalawa ankagwiritsidwa ntchito pochiza matenda ena, koma tsopano akugwiritsidwanso ntchito popumula ululu. Zitsanzo zimaphatikizapo zowonjezereka ndi antiticonstants.
- Zina: Mankhwala ena omwe samathandiza kuchepetsa ululu, monga mankhwala osokoneza bongo, nkhawa, kupsinjika maganizo, ndi mitsempha ya minofu, ikhoza kukhala gawo la regimen yanu yosamalira ululu.
Palinso zosankha zosagwiritsa ntchito mankhwala zomwe zikuphatikizapo painkiller (kapena pokhapokha) zingathandize munthu kuthetsa ululu ndi kugwira ntchito kwathunthu. Izi nthawi zambiri zimaphatikizapo kupanga njira zotsitsimutsa, kusinkhasinkha mwalingaliro , kutambasula, kulingalira-khalidwe labwino, ndi mapulogalamu olimbitsa thupi monga yoga kapena tai chi.
Zosankha zina zopweteka zopweteka zomwe sizilowa mu "mapiritsi" mawonekedwe angaphatikizepo jekeseni, mapepala, kapena opaleshoni.
Kodi Ndiwoneka Ngati Wopanda Mavuto Ngati Ndikufunsa Dokotala Wanga Kuti Akhale Wolimba Painkillers?
Ngakhale ziri zoona kuti opioid painkillers ndi amodzi mwa mankhwala osokoneza bongo omwe amawagwiritsira ntchito kwambiri, kuwapempha iwo sikutanthauza kuti ndinu oledzera.
Anthu ambiri omwe ali ndi zowawa zopweteka sangathe kuthetsa ululu wawo ndi mitundu ina ya mankhwala. Malingaliro okhudza udindo wa opioids mu ululu woyang'anira ululu akusintha. Kafukufuku akuwonetsa kuti mwa kuyang'anitsitsa mosamala, kuledzeretsa ndi kuzunzidwa sizimakhala zovuta kwa anthu omwe ali ndi zowawa zomvetsa chisoni.
Ambiri a madokotala adzawona ubwino wa painkiller wamphamvu kwambiri ndi zoopsa. Odwala amphamvu monga opioids amakhala ndi chiopsezo chachikulu cha kulekerera ndi kuzunzidwa, koma ngati angathe kuwonjezera umoyo wanu, akhoza kukhala oyenerera.
Mawu Ochokera
Kumbukirani kuti chifukwa cha zotsatira zabwino, dokotala wanu amafunika kutsata ndi chithandizo chanu nthawi zonse. Mwa kuyankhula kwina, kuyang'anitsitsa kwachipatala ndikofunika pamene mukuyang'anira kupweteka kwanu kosatha. Kupewera kapena kupititsa patsogolo mankhwala kungakhale kovuta komanso koopsa, kotero ndikofunika kwambiri izi motsogoleredwa ndi dokotala wanu.
> Zotsatira:
> American Chronic Pain Association. APCA Zothandizira Zopweteka Mankhwala ndi Chithandizo: Kusindikiza kwa 2016.
> Blake S, Ruel B, Seamark C, Seamark D. Zochitika za odwala omwe amafunikira mankhwala opioid amphamvu odwala matenda osapweteka a khansa: Kuphunzira koyambitsa matenda. British Journal ya General Practice. 2007 February 1; 57 (535): 101-8.
> Chou R. et al. Malangizo okhudzana ndi kugwiritsira ntchito mankhwala opatsirana opioid osamva kupweteka kwachisawawa. The Journal of Pain. February 2009. Volume 10, Nkhani 2. Masamba 113-130.e22.
> Hariharan J, Lamb GC, Juner Neuner. Mgwirizano wa opioid wa nthawi yaitali umagwiritsidwa ntchito pokonzekera kupweteka kosaneneka m'zochitika zoyang'anira chisamaliro. Chidziwitso cha zaka zisanu. Journal of General Internal Medicine. 2007 April; 22 (4): 485-90.
> Institute of National Drug Abuse. (2015). Miyambo ndi Ziwerengero.