Izinzuzo zezeMpilo, ukusetshenziswa, imiphumela emibi, amathiphu nokuningi
Uma uhlala nobuhlungu, wazi kahle ukuthi kunzima kanjani ukuphatha. Kungenzeka ukuthi uzwile nge-capsaicin (isithako esisebenzayo kupelepele). Uma isetshenzisiwe ngesimo sekhanda, amafutha, i-gel, i-lotion noma i-transdermal isikhumba, isikhumba se-capsaicin sicatshangelwa ukuthi sinikeze ukuphumula kobuhlungu ngokushintsha okwesikhashana indlela umzimba wakho uhamba ngayo ubuhlungu.
Kungani Abantu Basebenzisa I-Capsaicin Cream?
Uma kusetshenziswe esikhumbeni, i-capsaicin ibonakala ibangele ukuhlaselwa kwendawo ngemuva kwesikhashana sokucasuka.
I-Capsaicin cream kuthiwa ikhulula ubuhlungu obubangelwa izimo ezahlukene, kufaka phakathi:
- Ukuhlungu obusemhlane
- Gout
- Izikhwehlela, ezifana nezinsizwa ze-cluster
- Ubuhlungu obuhlangene, njengobunzima bamadolo
- I-neuropathy
- I-osteoarthritis
- I-neuralgia ye-posterpetic
- I-rheumatoid arthritis
- Sciatica
- Izikhwama
- I-tendonitis, njenge-tennis elbow
- I-neuralgia ye-Trigeminal
Izinzuzo ze-Topical Capsaicin: Ingabe Isebenza?
Izifundo eziningana zokuqala ziphakamisa ukuthi i-capsaicin yama-topical inganikeza izinhlobonhlobo zezinzuzo zempilo. Nakhu ukubuka okutholakele kusuka ocwaningweni olutholakalayo:
1) Ubuhlungu obungapheli Neuropathic Pain
Ekubuyekezeni okushicilelwe kwi- Database Cochrane Yokuhlolwa Okuhlelekile ngo-2017, abacwaningi basungula izivivinyo eziyisishiyagalombili ezishicilelwe ngaphambili (ezibandakanya abahlanganyeli abangu-2488) ukuhlola ukusebenza kwe-high-concentration capsaicin patch kubantu abanezifo ezingapheli ze-neuropathic (ubuhlungu obubangelwa ukulimala emithanjeni , noma ukulimala noma isifo) kusuka kulezi zimo ezilandelayo:
- I-neuralgia ye-posterpetic
- I-HIV-neuropathy
- I-peripheral neuropathy ye-diabetes
Lo mbiko uveze ukuthi inamba encane yabahlanganyeli abaphethe i-patch babike ukuthi "baningi" noma "kakhulu" baphuthukisiwe ngemuva kokusebenzisa i-capsaicin patch.
Ukubuyekezwa kwangaphambilini kwaphetha ngokuthi idatha emaphaketheni e-low-concentration ase-capsaicin (aqukethe amaphesenti angaphansi kwe-capsaicin) ayenele ukwenza izincomo zokwelapha futhi ephakamisa ukuthi ayiphumelelanga.
I-concentration ephakeme (amaphesenti ayisishiyagalombili) i-capsaicin patch ivunywe yi-US Food and Drug Administration (FDA) yokuphathwa kobuhlungu be-neuralgia ubuhlungu. Ngenxa yobuhlungu bokuqala nokuzwa okuvuthayo, isiqeshana sisetshenziswa ngaphansi kokuhlinzekwa kwezinzwa zendawo yilabo bezokwelapha emtholampilo noma esibhedlela.
2) i-osteoarthritis
Embikweni oshicilelwe ku- Osteoarthritis and Cartilage ngo-2014, ochwepheshe bezokwelapha bahlola ubufakazi ngokusetshenziswa kwezidakamizwa nezidakamizwa ezingekho izidakamizwa ze-osteoarthritis ukunikeza imihlahlandlela yokuphathwa kwe-osteoarthritis yamadolo.
Kulo mbiko, i-capsaicin yabhekwa njengabantu abafanelekile abane-osteoarthritis yamadolo kuphela (kunokuba i-osteoarthritis ehlanganisiwe) engenazo ezinye izimo zezempilo ezifanele.
Okuhlobene: Izixazululo ze-Osteoarthritis Pain
3) Ubuhlungu obubuyela emuva
Ngombiko oshicilelwe ku- Spine ngo-2016, abacwaningi basungula izivivinyo ezishicilelwe ngaphambili ezahlola ukusebenza kwemithi yokwelashwa (kubandakanya i-capsaicin ukhilimu noma i-plaster) kubantu abanezinhlungu ezibuhlungu emuva, futhi bathola ukuthi i-capsaicin inciphisa ubuhlungu ngaphezu kwe-placebo. Nokho, abalobi bathi ukuhlolwa okungeziwe kuyadingeka ukuqhathanisa izindlela zokwelashwa ezikwelapha.
Okuhlobene: Yonke Indlela Yokwemvelo Yokubuyisa Emuva
4) Ezinye izimo
I-capsaicin yochungechunge iphinda ihlolwe ngokubamba, i-cannabis hyperemesis syndrome (isimo esingabangela ukusetshenziswa kwesikhathi eside somswakama), ubuhlungu be-pelvic, futhi njengokwelashwa kwesibili kwe-vulvodynia.
Imiphumela Ezingenakwenzeka
Ucwaningo lubike ukusabela kwesikhumba endaweni embi (njengokuzwakala okuvuthayo, ubuhlungu, ukuhlambalaza nokubomvu kwesikhumba) esikhathini sokuqala sokwelashwa okwehliswa ngemva kwamasonto amabili kuya kokwelashwa.
I-patch yokugxila ephezulu ingabangela ubuhlungu, ukuvuvukala, ukukhwehlela, ukuvuvukala, ubomvu, nokubhula isikhumba, ubuhlungu bukhulayo ezinsukwini ezimbili zokuqala (ngokuvamile okudinga imithi yobuhlungu) bese kancane kancane kwehla.
Umfutho wegazi ophakeme owedlule uye waphawula, ikakhulukazi nge-capsaicin ephezulu yokuhlushwa. Ingozi ibhekwa njengenkulu kulabo abanesifo senhliziyo esesandulela.
Uma unesifo somswakama esingapheli, thintana nomhlinzeki wakho wezempilo ngaphambi kokusebenzisa i-capsaicin ukhilimu.
Abantu abane-HIV-neuropathy baye babika isifo sohudo, ukulahlekelwa isisindo, kanye nomjovo ngemuva kokusetshenziswa kwe-patch concentration.
Ukuphepha kwezicelo zesikhathi eside, eziphindaphindiwe ze-concentration high capsaicin aziwa. Uma ukhulelwe noma uncelisa, khuluma nodokotela wakho.
Nge-punch high concentration, ukuzwa okuvuthayo nobuhlungu ngezinye izikhathi kuchazwa njengokuzwa "ukushisa kwelanga okubi".
Amathiphu
Nazi ezinye amathiphu uma usebenzisa i-capsaicin cream:
- Uma usebenzisa i-capsaicin ukhilimu, gwema ukuxhumana ngamehlo namangqamuzana, bese ugeza izandla emva kwalokho.
- Nakuba abantu ngezinye izikhathi basebenzisa amaglavu uma befaka i-capsaicin ukhilimu ekhaya, i-capsaicin ingadlulisa ngama-gloves ase-latex.
- I-Capsaicin akufanele isetshenziswe ngamanxeba avulekile noma isikhumba ephukile.
- Ukunakekela kufanele kuthathwe ukuze ugweme ukuxhumana nokhilimu nabanye, ikakhulukazi nezingane kanye nezilwane ezifuywayo.
- Uma usebenzisa i-capsaicin cream ezinyaweni zakho, kufanele ihlanganiswe ukuze igweme ukungcolisa phansi (nokusakaza i-capsaicin).
- Ama-cool, amaphakethe owomile ahlanganiswe ngendwangu kuthiwa anciphisa ukuzwa okuvuthayo okwenzeka ngemuva kokusebenza. Zisebenza kuphela ngezikhathi ezincane ukugwema ukulimaza isikhumba.
Okubalulekile
Nakuba kungekhona wonke umuntu ophendula ukhilimu we-capsaicin, kungasiza abanye abantu ukuthi baphathe ubuhlungu ngokuhambisana nokuphathwa okujwayelekile. Ukhilimu udinga izinhlelo zokusebenza ezijwayelekile futhi unemiphumela emibi. Izindwangu eziphakeme zokugxila zisetshenziswa esimweni sezokwelapha. Nakuba kungadingi izinhlelo zokusebenza zansuku zonke, zingabangela ukushisa okukhulu nobuhlungu ezinsukwini zokuqala ngemuva kokuthi zisetshenziswe.
Uma ucabangela ukuzama ukhilimu we-capsaicin noma yimuphi omunye uhlobo lwe-capsaicin yama-topical, khuluma nomhlinzeki wakho wezempilo ukuze ubone ukuthi kukufanele yini futhi uthole ukuthi yini ongayilinda kumthamo ophakanyisiwe.
Imithombo:
> Derry S, Moore RA. I-capsaicin yochungechunge (ukuhlushwa okuphansi) ngenxa yobuhlungu obungapheli be-neuropathic kubantu abadala. I-Cochrane Database Syst Rev. 2012 Sep 12; (9): CD010111.
> Derry S, Rice njengoba AS, Cole P, Tan T, Moore RA. I-capsaicin yochungechunge (ukuhlushwa okuphezulu) ngenxa yobuhlungu obungapheli be-neuropathic kubantu abadala. Cochrane Database Syst Rev. 2017 Jan 13; 1: CD007393.
> Gagnier JJ, Oltean H, van Tulder MW, Berman BM, Bombardier C, Robbins CB. Imithi Yamagciwane Embuzweni Ophansi Emuva: Ukubuyekezwa Kwe-Cochrane. Isiphambano (Phila Pa 1976). 2016 Jan; 41 (2): 116-33.
> McAlindon TE, Bannuru RR, Sullivan MC, et al. Imihlahlandlela ye-OAR for the non-surgical management of knee osteoarthritis. I-osteoarthritis. 2014 Mar; 22 (3): 363-88.
> Ukuziphendulela: Ulwazi oluqukethwe kule sayithi luhloswe ngezinjongo zemfundo kuphela futhi aluthathi iseluleko, ukuxilongwa noma ukwelashwa ngudokotela ovunyelwe. Akuhloselwe ukumboza zonke izinyathelo zokuqapha, ukusebenzisana kwezidakamizwa, izimo noma imiphumela emibi. Kufanele ufune ukunakekelwa okusheshayo kwezokwelapha kunoma yiziphi izinkinga zezempilo bese uthintana nodokotela wakho ngaphambi kokusebenzisa enye imithi noma wenze ushintsho ohlelweni lwakho.