Mankhwala Oyambirira Akumapeto kwa Ululu Wosatha

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Njira Yoyamba Yopweteka Kwambiri Kuti Muthandize Kubwezeretsa Kwambiri

Njira Yoyamba Yopweteka Kwambiri Kuti Muthandize Kubwezeretsa Kwambiri

Ambiri a ife sitimadzuka m'mawa tikuyembekeza kuvulaza misana yathu. Kotero pamene izo zichitika, ife sitikudziwa kwenikweni choti tichite nazo izo.

Amphawi ambiri oyambitsa ululu amakhalapo chifukwa cha ululu wowawa, koma onse sagwira ntchito mofanana. Ndipo ambiri mwa awa sanadziwonetsere okhaokha pamene kufufuza kwachipatala kumawaika iwo ku yeseso.

Zomwezo, dokotala wanu akhoza kupereka malingaliro kapena kuika ena mwa mankhwalawa, kotero ziri kwa inu kuti mudziwe momwe aliyense alili wovuta pa vuto lomwe mukuyesera kuthetsa (mukumenepa ululu wowawa kwambiri kapena / kapena kuvulala.)

M'masamba otsatirawa, mupeza zokhudzana ndi zina zomwe zimawidwa kupweteka kwambiri chifukwa cha ululu wopweteka kwambiri. Tsamba lachiŵiri lokhazikika m'mndandandawu likufotokoza zomwe mungachite kuti mutha kubwereranso. Chabwino, mwina kuti mubwerere kuntchito ndi ntchito zanu zapakhomo, komabe.

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Mankhwala Osamva Steroidal Anti-Inflammatory (NSAIDs)

Mankhwala Osamva Steroidal Anti-Inflammatory (NSAIDs)

Nthawi zambiri madokotala amalimbikitsa ma NSAID, omwe amadziwika ndi mankhwala osagwiritsa ntchito mankhwala oletsa kutupa. NSAID zimagwiritsidwa ntchito kuchepetsa kutupa komwe kumakhala kosawonongeka kumachitika pambuyo pa kuvulala. Amagwiritsidwanso ntchito kuthetsa ululu. Kalasi iyi ya mankhwala ndi yosiyana ndi Tylenol, yomwe imapweteka kwambiri.

Kukonzekera kwabwino kwa 2016 kofalitsidwa ndi bungwe la Healthcare Research and Quality (AHRQ) linapeza kuti kutenga NSAID kungapereke mpumulo wabwino kusiyana ndi kutenga placebo. Ndipo ndemanga ya Cochrane Database * inapeza kuti NSAID zingathetsere phindu lofanana la Tylenol. Komabe, kumbukirani, kufufuza kumeneku kunakambidwa kunali kochepa kwambiri, kapenanso kopambana, khalidwe labwino.

Ndemanga ya Cochrane inapezanso (kachiwiri, umboni wochepa) kuti kutenga NSAID kunayambitsa mavuto ochuluka a m'mimba kusiyana ndi kutenga Tylenol.

Zokhudzana: Pazifukwa Zopweteka Zopweteka Mutu ndi Ululu Wakumbuyo

* Kuwulula: Ndine wofufuza wogula kwa Cochrane Back ndi Neck Group.

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Skeletal Muscle Relaxers

Skeletal Muscle Relaxers

Nthaŵi zambiri pambuyo povulala, minofu imagwira ndi kulowa m'mimba. Mafupa angakhale owawa kwambiri; Zingasokonezenso ntchito zanu nthawi zonse chifukwa zimapangitsa kuti zisamuke.

Dokotala wanu angapereke mankhwala othandizira kuti azikhala otetezeka mthupi mwathu pogwiritsa ntchito chithandizo chamankhwala kuti akuthandizeni kuchita nawo pulogalamu yanu yonse. ( Mafupa osungunula amatha kupezeka ndi mankhwala.)

Kukambirana kwa AHRQ kotchulidwa koyambirira kunapezekanso umboni wosatsutsika wakuti ziwalo zamaliseche zotsitsimula zinali zabwino kuposa malobos kuti akwaniritse kupumula kwa ululu.

Zokhudzana: Mmene Mungathetsere Mafupa Amtundu Wotsitsa

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Opioids ndi Pafupipafupi Zovuta Kumbuyo

Opioids ndi Pafupipafupi Zovuta Kumbuyo

Madokotala ambiri amapereka mankhwala opioid monga mankhwala oyamba opweteka kumbuyo kapena kumutu, koma World Health Organization (WHO) ndi ena amalangiza motsutsana nazo.

M'malo mwake, WHO imalangiza kupititsa patsogolo kupweteka, kuyamba ndi kupweteka kwa opioid monga aspirin kapena paracetamol, ndipo mwina adjuvant (mwachitsanzo, matenda osokoneza bongo.) Omwe anganene, amathandiza kuthetsa nkhawa.

Ngati kupweteka kumapitirira kapena kukulirakulira, WHO ndiye amalimbikitsa opioid yofatsa monga codeine. Ndipo ngati izo sizigwira ntchito, WHO imalimbikitsa kutenga opioid amphamvu monga morphine mpaka mutamva kupweteka kwaulere.

Nkhani ina mu American Family Physician yomwe ikufotokozera mwachidule zotsatiridwa zafukufuku okhudza kupweteka kwa opweteka zimanena kuti musanayambe kupita kuchipatala chokha, kutengera mankhwalawa kuphatikizapo kupweteka kwa opioid sikoyenera. Koma ngakhale izi zisanachitike, amalimbikitsa kutenga acetaminophen (Tylenol) choyamba, kenako ibuprofen kapena naproxen (ie, NSAIDs) ndi zotsatira, CoX-2 zosankha za NSAID. Ngati mukufunikira thandizo, panthawiyi, amalimbikitsa kutenga opioid / osati opioid.

Nchifukwa chiyani Zitetezero Zonse pa Opioid?

Mankhwala opioid ndi mankhwala osokoneza bongo, omwe amatanthauza kuwatenga, mumakhala ndi chiopsezo chotengeka.

Mwakutero ndithu, uwu ndi "wogula samalani" mkhalidwe. Bungwe la British Medical Journal linanena kuti oposa theka la ogwiritsira ntchito opioid nthaŵi zonse amanena kuti ali ndi ululu wopweteka. Nkhaniyi imanenanso kuti ma opioids tsopano ndi omwe amagwiritsa ntchito mankhwala osokoneza bongo ku US Ndipotu, amauzidwa 2 mpaka 3 kumpoto kwa America kuposa momwe aliri ku Ulaya, olemba amatiuza ife.

Werengani Bukhu Loyamba: Choonadi Chowawa cha Dr. Lyn Webster.

Ngakhale kupenda kwa AHRQ kunapeza kuti kutenga opioids kungapangitse kupumula kwabwinoko kusiyana ndi kumwa mankhwala a placebo, mphamvu ya umboni umenewu inalembedwa "pansi."

Osati kokha, koma mankhwala sangakhale abwino kwambiri. Nyuzipepala ya British Medical Journal inanena kuti kutenga opioid sikuwoneka kuti ikufulumizitsa abwerere kubwerera kuntchito kapena kusintha ntchito kuntchito omwe ali ndi ululu wopweteka kwambiri.

Ndipo phunziro la 2015 lofalitsidwa mu Journal of Family Practice linapeza kuti kutenga opioids kwa kupweteka kwanthawi yaitali kumbuyo kunapereka mpumulo wachete mu nthawi yayifupi (

Zokhudzana: Zimene Mungachite Kuti Muvutike Kwambiri

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Pambuyo Pambuyo Pambuyo Pambuyo la Nkhonya - Momwe Mungayambitsidwenso Ntchito

Pambuyo Pambuyo Pambuyo Pambuyo la Nkhonya - Momwe Mungayambitsidwenso Ntchito

Mankhwala omwe mwawawerengawa amatanthauza kuthetsa ululu. Palibe othandiza makamaka odwala omwe akuwongolera kuti azigwira ntchito pambuyo povulazidwa.

Pofuna kukonza luso lanu labwino, nkhaniyi ndi yosiyana kwambiri. Kawirikawiri, njira yosiyana siyana imapindula kwambiri. Zikutheka kuti zotsatira zowonjezera za pulogalamu yachipatala idzakhala yomwe ikubwezeretsani ku ntchito.

Malingana ndi kafukufuku wa 2015 wofalitsidwa mu nyuzipepala ya Orvosi Hetilap , thupi lokhazikika ndi lotsogolera, mankhwala omwe amachititsa kuti anthu azidziŵa bwino ndi mapulogalamu afupipafupi ndiwo njira zothandizira kuti athe kubwezeretsa thupi.

Ndipo musaganize kuti mukufunika kupita ku opaleshoni mutatha kupweteka kwambiri kapena kupweteka kumbuyo. Opaleshoni imasungidwa kuti ikhale yosadetsedwa, ndipo atangopereka mankhwala osamalidwa, olemba mabukuwo amatha.

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Nkhani Sources

_Zotsatira:

_{Berland, D., MD, ndi. al. Kugwiritsa Ntchito Opioids Mwakhama Poyendetsa Chisokonezo Chosawonongeka cha Nonterminal. American Family Physician. August 2012. http://www.aafp.org/afp/2012/0801/p252.html}

_{Berthelot J., Darrieutort-Lafitte C., Le Goff B., Maugars Y. Strong opioids chifukwa cha kupweteka kwachisawawa chifukwa cha matenda a minofu: Osagwira ntchito kuposa acetaminophen kapena NSAID. Zowonjezereka Fupa. Dec 2015 Opezeka: March 2016. http://www.ncbi.nlm.nih.gov/pubmed/26453108}

_{Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, Fu R, Dana T, Kraegel P, Griffin J, Grusing S, Mankhwala Opatsirana a Brodt E. Opanda Pachifukwa Chakumbuyo Kwambiri [Internet]. Kuchita Kufananitsa kwa AHRQ Zongowonjezera. Rockville (MD): Bungwe la Healthcare Research ndi Quality (US); 2016 Feb. Nopoti: 16-EHC004-EF. http://www.ncbi.nlm.nih.gov/pubmed/26985522}

_{Deyo, R., Von Korff, M., Duhrkoop, D. Opioid chifukwa cha ululu wopweteka kwambiri. BMJ. Jan 2015. Kupezeka: March 2016. http://www.bmj.com/content/350/bmj.g6380}

_{Chapparo, L., Opioids poyerekeza ndi placebo kapena mankhwala ena opweteka kwambiri kumbuyo. Cochrane Database Rev. Aug. 2013.}

_{Illés S., Kupweteka Kwambiri Kumbuyo: nthawi ndi choti achite. Orv Pita. Aug 2015 Kupezeka: March 2016. http://www.ncbi.nlm.nih.gov/pubmed/26256495}

_{Jones P., Dalziel S., Lamdin R., Miles-Chan J., Frampton C. Odwala mankhwala osagwiritsidwa ntchito poletsa kutupa poyerekeza ndi mankhwala ena opweteka a pamlomo chifukwa chovulala kwambiri. Msonkhano wa Cochrane Rev. July 2015. Wapezeka mu March 2016. http://www.ncbi.nlm.nih.gov/pubmed/26130144}

_{Bungwe la World Health Organization. Njira Zothandizira Pa Ululu. Webusaiti ya WHO. http://www.who.int/medicines/areas/quality_safety/guide_on_pain/en/}