Zimene Mukuyenera Kudziwa Ponena za Narcotics
Anthu omwe ali ndi fibromyalgia (FMS) ndi matenda otopa ( ME / CFS ) akhoza kukhala ndi zizindikiro zambiri, kuphatikizapo kupweteka, ndipo nthawi zambiri zimatenga mankhwala angapo kuti amve bwino. Chifukwa chakuti mankhwala aliwonse amakhala ndi chiopsezo chake, ndipo zoopsazi zikhoza kuwonjezeka pamene zimatengedwa ndi mankhwala ena, zimapindulitsa kudziwa mankhwala anu bwino.
Mankhwala osokoneza bongo, omwe amadziwikanso kuti opioids kapena mankhwala osokoneza bongo, amadziwika kuti amamva kupweteka kosatha monga FMS ndi ME / CFS. Amagwira ntchito mofanana ndi mankhwala omwe amachititsa ululu, omwe amatchedwa pepide opioid, yomwe thupi lanu limapanga mwachibadwa. Mofanana ndi anzawo achilengedwe, opiate mankhwalawa amamatira kuzipangizo zina mu ubongo wanu ndi msana ndi kuyambitsa dongosolo lanu lopweteka.
Opiates Omwe
Opiates angapo akhala ali pamsika kwa nthawi yaitali, kawirikawiri ndi yotsika mtengo, ndipo alipo mu mawonekedwe achibadwa. Opiates ophatikizapo ndi awa:
- hydrocodone
- codeine
- oxycodone
- fentanyl
- oxymorphone
- hydromorphone
- tramadol
- morphine
Kuonjezerapo, ma opiates omwe amagwiritsidwa ntchito kawirikawiri ndi mankhwala osakaniza omwe amakhalanso ndi acetaminophen , omwe ali mu Tylenol ndi mankhwala ena ambiri. Zikuphatikizapo:
- Percocet (oxycodone / acetaminophen)
- Ultracet (tramadol / acetaminophen)
- Vicodin (hydrocodone / acetaminophen)
Ngati mukugwiritsa ntchito mankhwala osokoneza bongo, muyenera kuonetsetsa kuti mumaphunzira kuopsa kwa zigawo zonsezi.
Kodi Opiates Ndi Othandiza Bwanji?
Mu FMS, chikhulupiliro chonse kuchipatala ndi chakuti opiates sagwira ntchito moopsya motsutsana ndi mitundu yosiyanasiyana ya ululu. Kawirikawiri kafukufuku amatsutsa zimenezi koma amatsutsana ndi umboni wapadera.
Tilibe kufufuza pa opiates kuti ululu wa ME / CFS. Komabe, mitundu iwiri yowawa ya matendawa ndi hyperalgesia (kupweteka kwa kupweteka) ndi kudwala (ululu kuchokera ku zovuta zomwe sizimapweteka), zomwe ziri mbali imodzi ya FMS, ndipo tiri ndi umboni wochulukirapo pamenepo.
Ndipo umboniwo si wabwino. Kafukufuku wofalitsidwa mu Cochrane Database of Reviews Systematic adalephera kupeza mayesero apamwamba, apamwamba kwambiri a oxycodone a fibromyalgia kapena ululu wosagwidwa ndi matenda a shuga.
Clinical Journal of Pain mu 2015 inafalitsa kafukufuku wa mankhwala a opioid kwa nthawi yaitali mu FMS inapeza kuti anthu ogwiritsa ntchito opiates amasonyeza kuchepa kwa zizindikiro kusiyana ndi omwe amatenga mankhwala ena. Ochita kafukufuku adanena kuti panalibe chithandizo chogwiritsa ntchito mankhwalawa kwa nthawi yaitali mu FMS.
Kafukufuku Wofufuzidwa ndi Kuchiritsidwa umati:
Tilibe umboni wakuti [opioids] amatha kusintha bwino kwambiri kuposa momwe amachitira ndipo [iwo] angakhale atathandizira zotsatira zochepa.
Mukapempha anthu omwe ali ndi zovuta zokhudzana ndi opiates, mumapeza nkhani yosiyana. Ambiri amati mavuto awo amatha kupitirira popanda kugwira mankhwalawa. Madokotala ambiri amawalamula, mosasamala kanthu za umboni wosayenerera. Ndipotu, kafukufuku wina wa zaka 11 womaliza mu 2010 anasonyeza kuti chiwerengero cha opiate mu FMS chidawonjezeka kuchoka pa 40 peresenti kufika 46 peresenti. Kafukufuku wina amadziwanso kuti akugwiritsa ntchito opiates kuti athetse ululu wautali.
Kotero nchiyani chiri kuseri kwa kusagwirizana uku? Tilibe kafukufuku wosonyeza chifukwa chake, koma zifukwa zina zomwe odwala FMS amaganiza kuti mankhwalawa ndi othandiza kwambiri zomwe kafukufuku amasonyeza zikuphatikizapo:
- Zotsatira za placebo: Ndizochitika zozizwitsa bwino-chikhulupiliro cha anthu chakuti chinachake chidzagwira ntchito chingathe kutsogolera kusintha komwe mankhwala kapena mankhwala ena alibe.
- Mavuto opweteka: FMS imadziwika kuti imakhala ndi mavuto ena ambiri, ndipo mwina anthu omwe amapeza mpumulo wa opiates akuwona kuchepetsa ululu kuchokera ku chinthu china, chomwe chimathandizanso kumva chisoni cha FMS.
Zomwe zili choncho, zowonjezereka "sizigwira ntchito" uthenga wochokera kuchipatala, kuphatikizapo malamulo owonjezereka ndi kuyang'anira ntchito yogwiritsira ntchito opiate, zachititsa kuti ukali ndi mkwiyo ukhale wochuluka pakati pa anthu odwala - makamaka awo omwe anakanidwa mankhwala omwe amati amawathandiza kugwira ntchito.
Zoopsa Zowopsa: Kutaya Kwambiri, Kusokoneza Bongo, Kuponderezedwa
Ophika amabwera ndi zoopsa zambiri, ena azachipatala, ena osati.
Kuwonjezera pa madzi kungathe kupha. Nthawi zina zimakhala zotsatira za anthu omwe amamwa mlingo wochulukirapo chifukwa woyamba sanathetsere ululu wawo mokwanira. Kulephera kuganizira za FMS ndi ME / CFS kungakulepheretseni kuti muzindikire pamene mudatenga mankhwala ndikutsogolera kuti mutenge mofulumira.
Kuwonjezera pa vuto la kuwonjezera pa matenda ndi kulekerera kwa mankhwala. Anthu ambiri omwe amatenga opiates amatenga nthawi yaitali kulekerera, kutanthauza kuti mankhwalawa sali othandiza kwa iwo monga kale. Komabe, chifukwa choti zimatengera zambiri kuti muzimva zotsatira sizikutanthauza kuti thupi lanu lingathe kugwira zambiri. Ndikofunika kuti nthawi zonse mutenge opiates monga mwadongosolo.
Zizindikiro za overdose opiate zikuphatikizapo:
- kupsinjika maganizo (mwachitsanzo, kusokonezeka, kugona, kukomoka)
- kupuma pang'ono ndi / kapena kosapuma
- kuthamanga mtima kwa mtima
- kupweteka
- chizungulire ndi / kapena kutaya
- kunyoza
- kusanza
- ophunzira okhazikika
- khungu, chimbudzi
Ngati mukuganiza kuti inu kapena munthu wina wadzaza opiates, ndi bwino kupeza thandizo lachipatala nthawi yomweyo.
Kuledzeretsa ndi kotheka ndi opiates. Izi zakhala zikuyang'anitsitsa kwambiri ndikutsata malamulo ndi zofalitsa zamakono m'zaka zaposachedwapa, zomwe zachititsa madokotala ena kusayesa kulamula opiates ndikuwapangitsa anthu ena kudandaula chifukwa chowatenga.
Komabe, kafukufuku wina amasonyeza kuti chiopsezo choledzera ndi chochepa kuposa momwe anthu ambiri amaganizira, ndipo chiwopsezo chachikulu chikuwoneka kuti chiri mwa anthu omwe ali ndi mbiri ya kugwiritsa ntchito mankhwala osokoneza bongo komanso kuledzeretsa.
Kuti athetse madandaulo a madokotala pofotokoza mankhwala omwe angakhale ozunguza bongo, bungwe la American Pain Society mu 2009 linasindikiza pepala ili: Malangizo Othandizira Kugwiritsa Ntchito Opioid Therapy mu Matenda Osakanikirana Osatha.
Pokhala ndi nkhanza za opiate, kuwonjezereka, ndi imfa ikukwera mdziko lonse, CDC mu 2016 inapereka malangizo othandizira opioids for Chronic Pain kuti athetse mavuto.
N'zotheka kuti, patapita nthawi, opiates amatha kupweteka. Kafukufuku wina amasonyeza kuti mankhwala opioid angapangitse kuwonjezereka kwa mitundu ina ya ululu, mofanana ndi momwe FMS imathandizira zizindikiro zopweteka. Izi zimatchedwa hyperalgesia.
Chifukwa chakuti anthu ena amatenga opiates zosangalatsa, okhala ndi mankhwalawa akhoza kukupangitsani inu kuwombera kwa akuba. Anthu ambiri omwe akudziwa kuti muli ndi mankhwalawa, mumakhala poika chiopsezo kwambiri.
Opiate zoyipa Zotsatira & Kuyanjana
Mukhoza kukhala ndi zotsatira zoyipa kwa opiates (kapena mankhwala ena) ngakhale pamene mukuzitenga monga momwe zanenera. Zotsatira zina zimakhala zofanana ndi zizindikiro zowonjezereka. Zotsatira zoyipa za opiate zikuphatikizapo:
- kunyoza ndi / kapena kusanza
- kugona
- Mlomo wouma
- chizungulire paima (chifukwa cha madontho a magazi)
- mavuto akukota
- kudzimbidwa
Zotsatira zoyipa zimasiyana ndi mankhwala, choncho yang'anani mndandanda wa mankhwala anu. Nthawi zambiri mukhoza kupeza izi pa webusaiti ya opanga kapena pa pharmacy yanu.
Kutenga opiates ndi mitundu ina ya mankhwala kungayambitse kuyanjana, kuphatikizapo imfa. Mankhwala omwe angathe kukhala owopsa ngati opiates ali ndi awa:
- mankhwala ena opweteka
- mankhwala ogona
- antihistamines (mankhwala osokoneza bongo)
- minofu yopumula
- mankhwala ovutika maganizo, nkhawa kapena matenda ena am'maganizo
- mowa
Apanso, izi zimasiyana ndi mankhwala. Ndikofunika kuti udziwitse dokotala ndi wazamankhwala za mankhwala onse omwe mukuwagwiritsa ntchito, kuphatikizapo owonjezera, kuti athe kukuthandizani kupeĊµa kuyanjana koopsa.
Kuchepetsa Vuto Lanu
Njira yabwino kwambiri yogwiritsira ntchito mankhwalawa mosamala ndi kutsatira malangizo ku kalata ndi kufufuza kawiri kuti zitsimikiziranso kuti zinthu zomwe mumagwirizanitsa zili zotetezeka pamodzi. Mungafune kulemba mndandanda wa mankhwala pa foni yanu kapena thumba la ndalama kuti athe kupezeka kwa ogwira ntchito mwachangu ngati mwadodometsa.
Zingathandizenso kukhala ndi mamembala kapena bwenzi lanu kuti ayang'ane mankhwala anu, kapena kuti muzilemba nthawi yomwe mumawatenga kuti akuthandizeni kupewa kupewa mofulumira kwambiri.
Kodi Ophika Ndi Oyenera Kwambiri?
Inu nokha ndi dokotala wanu mumatha kusankha ngati opiates ndi abwino kwa inu, pogwiritsa ntchito matenda anu, zizindikiro, thanzi lanu lonse, ndi moyo wanu.
Ngati simukuona kuti opiates ali othandiza kuthetsa ululu wanu, kambiranani ndi dokotala za njira zina zomwe zingatheke.
Mukamapanga chithandizo chamankhwala, onetsetsani kuti mukuwona malamulo omwe angakulepheretseni kuti mubwezereni mankhwala anu, monga kupatseni mankhwala pamapepala anu pamwezi uliwonse.
Zotsatira:
Fitzcharles MA, et al. Kafukufuku wopweteka ndi mankhwala. 2013; 2013: 898493. Kugwiritsiridwa ntchito kwa opioid mu fibromyalgia kumagwirizanitsidwa ndi njira zolakwika zokhudzana ndi thanzi labwino m'magulu ophunzirira a gulu.
Gaskell H, et al. Zolemba zamakono za Cochrane. 2014 Jun 23; 6: CD010692. Oxycodone wa ululu wa m'magazi ndi fibromyalgia mwa akuluakulu.
Wojambula JT, Crofford LJ. Journal of rheumatology. 2013 Mar; 19 (2): 72-7. Kugwiritsidwa ntchito kwa opioid m'maganizo a fibromyalgia: kubwereza kuchipatala.
Peng X, et al. Buku la Clinical of pain. 2015 Jan; 31 (1): 7-13. Kufufuza kwa nthawi yaitali za mankhwala opioid mu fibromyalgia.
Wolfe F, et al. Magazini ya ku Europe ya ululu. 2013 Apr; 17 (4): 581-6. Mapuloteni ambiri omwe amagwiritsa ntchito mankhwala osokoneza bongo komanso othandizira kugwiritsira ntchito mankhwala a fibromyalgia.