Odwala omwe akuvutika ndi zinthu zowawa amafunikira njira zomwe zingathandize kuthana ndi zizindikiro zawo. Njira yabwino yopweteka ikhoza kupezeka poyesa kulondola mankhwala oyenera omwe akuyambitsa vutoli ndikuyesera kuchepetsa kupweteka ndi mankhwala osiyana ndi mankhwala osakhala mankhwala. Phunzirani za mitundu yosiyanasiyana ya mankhwala othetsera ululu.
Acetaminophen
Tylenol (Acetaminophen) imagwiritsidwa ntchito pochiza ululu.
Mosiyana ndi mankhwala ena opweteka, Tylenol alibe zotsutsana ndi zotupa. Kawirikawiri, pakakhala kupweteka kosalekeza, palibe kutupa komwe kumachitika pa ululu, ndipo motero Tylenol ikhoza kukhala yoyenera kusankha mankhwala. Tylenol imakhala yotetezeka ikagwiritsidwa ntchito moyenera, koma ikhoza kukhala yoopsa ikagwiritsidwa ntchito mopitirira muyeso. Odwala ayenera kudziwa za Tylenol yomwe imasakanizidwa ndi mankhwala monga Percocet kapena Darvocet, osatenga mankhwalawa komanso Tylenol.
Mankhwala Osamva Steroidal Anti-Inflammatory (NSAIDs)
NSAIDs (monga Ibuprofen, Motrin, Aleve, ndi zina zotero) zimapindulitsa kwambiri pakakhala zowawa zazikulu , kapena zopweteka kwa odwala omwe amavutika kwambiri. NSAIDs ndi zabwino kwambiri pochiza zinthu zotupa kuphatikizapo tendonitis, bursitis, ndi nyamakazi. Kawirikawiri, ntchito ya NSAID ndi yoperewera kwa odwala opweteka kwambiri chifukwa cha nkhawa zokhudza kukula kwa mavuto a m'mimba. Pamene atsopano, otchedwa COX-2 inhibitors, monga Celebrex, adapangidwa pofuna kupeŵa vutoli, chenjerani ziyenera kugwiritsidwa ntchito pogwiritsira ntchito mankhwalawa kwa nthawi yaitali.
Corticosteroids
Monga momwe zilili ndi NSAIDs, corticosteroids ndi mankhwala amphamvu otsutsa-kutupa, ndipo amagwiritsidwa ntchito bwino popweteketsa kwambiri kapena pakutha kwa vuto lalikulu la kutupa. Corticosteroids ikhoza kutengedwa pamlomo (monga Medrol, Prednisone) kapena jekeseni m'matenda kapena mapuloteni ( cortisone jekeseni ).
Mankhwala osokoneza bongo
Mankhwala osokoneza bongo ayenera kulingalira ngati ululu sungathe kulamulidwa mosiyana. Ngakhale mankhwalawa akhoza kukhala owopsa komanso osokoneza bongo, akhoza kukhala othandiza kwambiri. Ngakhale mankhwala osokoneza bongo ndi othandiza pa ululu waukulu, amakhalanso ndi zotsatira zoopsa. Mitundu yaying'ono ya mankhwala awa ingayambitse kugwiritsira ntchito mopambanitsa komanso kukula kwa kulekerera. Kusankha nthawi yaitali kumakhala ndi zotsatira zochepa komanso kumapweteka kwambiri. Mankhwala osokoneza bongo amatha kugwiritsa ntchito mankhwala osokoneza bongo akamagwiritsidwa ntchito kwa nthawi yaitali popanda kuchepetsa kuchepa kwa mlingo, kapena ngati mankhwalawa amatengedwa chifukwa cha zifukwa zina osati kupweteka.
Anti-Convulsants
Mankhwala osokoneza bongo ndiwo gulu la mankhwala omwe amathandiza kuchepetsa ululu wa mitsempha. Mankhwala awa amachititsa kusintha kwa mitsempha ndi zizindikiro zomwe zimatumizidwa ku ubongo. Mankhwala omwe amadziwika kwambiri ndi mankhwala osokoneza bongo amatchedwa Neurontin (Gabapentin). Chinthu china chimene chatulukira posachedwa, makamaka chithandizo cha fibromyalgia, amatchedwa Lyrica (Pregabalin).
Anesthetics Kumidzi
Anesthetics wamba amatha kupumula kwa kanthaŵi kochepa. Pogwiritsidwa ntchito pakakhala kupweteka kosalekeza, amadzimadzi am'thupi amtunduwu amagwiritsidwa ntchito ngati chigamba cham'mwamba kumalo opweteka.
Lidoderm imabwera patch yomwe imagwiritsidwa ntchito khungu ndipo imachepetsa kukhudzidwa kwa dera lino.
Pansi
Kupweteka kwapweteka ndi vuto lomwe silimangokambidwa mofulumira, kapena ndi mankhwala amodzi. Njira yabwino yothetsera kupweteka kosatha ndikugwira ntchito ndi dokotala ndikuyesera kulimbana ndi ululu ndi mitundu yosiyanasiyana ya mankhwala. Mankhwala ena omwe amathandiza kupweteka kwambiri amachititsa kuti thupi lizikhala ndi mavitamini , ayezi ndi kutentha , kupaka minofu , ndi zina zothandizira.
Zotsatira:
Marcus, DA "Chithandizo cha Nonmalignant Chronic Pain" Amer. Family Physician. 2000. 61 (5) Masamba 1331-8.
Katz, WA "Zofunikira za Wodwala Wowawa" Amer. J. Med. 1998. 105 (1B) Masamba 2S-7S.