Imithi Yokuqala Yomugqa we-Pain Acne Backin

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Imithi Yokuqala Yobuhlungu Bokuqala Yezinhlungu Ze-Back Back Pain

Imithi Yokuqala Yobuhlungu Bokuqala Yezinhlungu Ze-Back Back Pain

Abaningi bethu abavuki ekuseni balindele ukulimaza iminyango yethu. Ngakho lapho kwenzeka, singase singazi kahle ukuthi senzeni ngakho.

Iningi lamacala okubulala ubuhlungu bokuqala ekhona ekuhluphekeni okuphansi okubuhlungu, kepha akusebenzi bonke ngokulingana kahle. Futhi abaningi balaba abazange bazibonakalise ngokuqondile lapho ucwaningo lwezokwelapha lubafaka ekuvivinyweni.

Ngokufanayo, udokotela wakho angase asikisele noma anikeze amanye alawa madakamizwa, ngakho-ke kukuthi ukwazi ukuthi ngayinye iphumelela kanjani inkinga ozama ukuyixazulula (kulokhu ubuhlungu obunzima bokubuya emuva kanye / noma ukulimala.)

Emakhasini alandelayo, uzothola amaqiniso ngezinye zezinkinga ezivame ukwenziwa ubuhlungu bezinhlungu ezibuhlungu kakhulu. I-2 kuya ekhasini lokugcina kulolu chungechunge luchaza ukuthi yini okufanele uyenze ukuze uphinde uphumelele ngokomzimba. Hhayi, okungenani ukubuyela emsebenzini nasemisebenzini yakho yasendlini, noma kunjalo.

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Imithi engeyona-Steroidal Anti-Inflammatory (NSAIDs)

Imithi engeyona-Steroidal Anti-Inflammatory (NSAIDs)

Odokotela bavame ukuphakamisa ama-NSAID, okuyisigama semithi engaqinisekisiwe yokulwa nokuvuvukala. Ama-NSAID asetshenziselwa ukunciphisa ukuvuvukala okungaze kwenzeke ngemuva kokulimala. Zibuye zisetshenziselwe ukukhulula ubuhlungu. Leli klasi lezidakamizwa lihlukile ku-Tylenol, okuyiyona insizakalo yokuhlushwa kuphela.

Ukubuyekezwa kokusebenza okuqhathaniswa no-2016 okushicilelwe yi-Agency for Healthcare Research and Quality (AHRQ) kubonile ukuthi ukuthatha ama-NSAID kunganikeza ukuphumula okungcono kunokuba uthathe indawo ye-placebo. Futhi isibuyekezo se-Cochrane Database * sithole ukuthi ama-NSAID angase akhiphe ngezinga elifanayo lokuphumula kobuhlungu njenge-Tylenol. Khumbula, noma kunjalo, lezi zifundo zibuyekezwe zaziphansi, noma ezingcono kakhulu, zekhwalithi elinganisiwe.

Ukubuyekezwa kwe-Cochrane kuphinde kutholakale (futhi, ubufakazi obuncane bekhwalithi) ukuthi ukuthatha ama-NSAID kubangele izinkinga eziningi zamathumbu kunokuthatha iTylenol.

Okuhlobene: Ngaphezu KweMithi Yokuhlukunyezwa Kwezinhlungu Zezinkukhu Nezinhlungu Emuva

* Ukudalula: Ngingumbuyekezi womthengi we-Cochrane Back and Neck Group.

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Ama-Relaxers ama-Skeletal Muscle

Ama-Relaxers ama-Skeletal Muscle

Izikhathi eziningi emva kokulimala, imisipha ibambe futhi ihambe. I-spasms ingaba buhlungu kakhulu; bangakwazi futhi ukuphazamisa imisebenzi yakho evamile ngoba benza kube nzima ukuhambisa.

Udokotela wakho angase anikeze ukuphumula kwemisipha ngokubambisana nenqubo yokwelapha ngokomzimba ukukusiza ukuthi uhlanganyele ngokugcwele ohlelweni lwakho lokuzivocavoca. (Ama- squelettic muscle relaxers atholakale kuphela ngomuthi .)

Ukubuyekezwa kwe-AHRQ okukhulunywe ngaye ekuqaleni kwatholakala ubufakazi obulinganiselayo bokuthi izidumbu zezinhlanzi zezinhlanzi zazingcono kunama-placebos ekufezeni ukukhululeka kobuhlungu.

Okuhlobene: Indlela Yokuqeda Ukusabalalisa Kwemisipha Emuva

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Ama-opioids ne-Acute Low Back Pain

Ama-opioids ne-Acute Low Back Pain

Odokotela abaningi banikeza imishanguzo ye-opioid njengendlela yokwelashwa kokuqala kwe-back back or neck neck, kodwa i-World Health Organization (WHO) nabanye bayelulekisa ngokumelene nalo.

Esikhundleni salokho, i-WHO iluleka ukuba uthathe indlela ephuthumayo yokuphumula ubuhlungu, ngokuqala ukuphulukisa ubuhlungu obungenayo i-opioid njenge-aspirin noma i-paracetamol, futhi mhlawumbe i-adjuvant (isibonelo, ama-muscle relaxers).

Uma ubuhlungu buqhubeka noma buba bubi nakakhulu, i-WHO iphakamisa ama-opioid amancane afana ne-codeine. Futhi uma lokho kungasebenzi, i-WHO incoma ukuthatha i-opioid eqinile njenge-morphine uze uzwe ubuhlungu.

Isihloko esivela ku- American Family Physician esifingqa izincomo ezisekelwe ekucwaningeni ngezinkinga zokuphulukisa ubuhlungu zithi ngaphambi kokuphenduka ama-opioids kuphela, kudingeke ukuba uthathe leli klasi lezidakamizwa ngokuhambisana nokuhlenga ubuhlungu obungenawo opioid. Kodwa ngaphambi kwalokho, batusa ukuba bathathe i-acetaminophen (i-Tylenol) kuqala, bese ibuprofen noma i-naproxen (okungukuthi, i-NSAID) kanye ne-NSAID elandelayo ye-CoX-2 ekhethiwe. Uma usadinga usizo, ngaleso sikhathi, batusa ukuthatha inhlanganisela yama-opioid / engekho opioid.

Kungani zonke izivimbelo kuma-opioids?

Imithi ye-opioid yizinambuzane, okusho ngokuyithatha, ugibela ingozi yokuba umlutha.

Okungenani ngezinga elithile, lokhu kuyisimo "sokuqapha umthengi". I- British Medical Journal ibika ukuthi ngaphezu kwengxenye yazo zonke abasebenzisi abajwayele i-opioid babika ukuthi banezinhlungu emuva. Lesi sihloko sithi futhi i-opioids manje isigaba samadakamizwa esivame ukusetshenziswa kakhulu e-US Empeleni, kunqunywe izikhathi ezingu-2 kuya kwezingu-3 eNyakatho Melika kunaseYurophu, abalobi basitshela.

Funda Ukubuyekezwa Kwebhuku: Iqiniso elibuhlungu nguDkt. Lyn Webster.

Nakuba ukubuyekezwa kwe-AHRQ kutholile ukuthi ukuthatha i-opioids cishe kuzonikeza ukuphumula okungcono kunokuba uthathe imishanguzo ye-placebo, amandla alobu bufakazi abulelwe "aphansi."

Akukhona lokho kuphela, kodwa imithi ingase ingabi nayo yonke into ephumelelayo. I- British Medical Journal ithi ukuthatha ama-opioid akubonakali ukusheshisa iziguli ukuba zibuyele emsebenzini noma ukuthuthukisa ukusebenza kwabasebenzi abanezinhlungu ezibuhlungu emuva.

Futhi isifundo se-2015 eshicilelwe ku- Journal of Family Practice sathola ukuthi ukuthatha ama-opioid ngobuhlungu obungapheli obuyisifo sangemuva sanikeza ukuphumula okuncane ngesikhathi esifushane (

Okuhlobene Nalokho Okumele Uyenze Ngezinhlungu Ezibuhlungu Emuva

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Ukulandela i-Back Or Neck Injury - Indlela Yokusebenza Ngaphinde

Ukulandela i-Back Or Neck Injury - Indlela Yokusebenza Ngaphinde

Imithi osuyifunde ngayo yonke inhloso yokukhulula ubuhlungu. Akekho okuhle kakhulu ekusizeni iziguli zithuthukise ukusebenza kwazo ngokomzimba ngemuva kokulimala.

Ukuze uthuthukise ikhono lakho lokusebenza, indaba ihlukile kancane. Ngokuvamile, indlela ehlukene yezifundo iveza imiphumela emihle kakhulu. Kungenzeka ukuthi imiphumela ehlangene yohlelo lwezokwelapha yilapho eyokubuyisela ekuthumeni.

Ngokwesifundo se-2015 eshicilelwe encwadini ye- Orvosi Hetilap , i-physiotherapy eyenziwe ngokwezifiso futhi eqondiswayo, ukwelashwa kokuziphatha okucatshangelwayo kanye nezinhlelo zokuqeqeshwa okufutshane yizo zokwelashwa zokuqala zokuqala zokubuyisela ukusebenza ngokomzimba.

Futhi ungacabangi ukuthi udinga ukuhlinzwa ngokuzenzakalelayo ngemuva kokulimala kanzima noma emuva - ngokuqinisekile ngaphambi kokuzama ukwelapha nokuzivocavoca, okungenani. Ukwelashwa kugcinwe ukuguqulwa, futhi emva nje kokuhluleka kokwelashwa okulondolozayo, abalobi bezocwaningo baphetha ngokuthi.

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Isigaba Imithombo

_Imithombo:

_{Berland, D., MD, futhi. al. Ukusetshenziswa Okuhlelekile kwama-opioid wokuphathwa kwe-Chronic Nonterminal Pain. I-American Family Physician. Agasti 2012. http://www.aafp.org/afp/2012/0801/p252.html}

_{I-Berthelot J., iDarrieutort-Lafitte C., Le Goff B., ama-opioids ama-Maugars Y. Strong ngenxa yobuhlungu obungenangqondo ngenxa yezifo ze-musculoskeletal: Awuphumelelanga kakhulu kune-acetaminophen noma i-NSAID. I-Joint Bone Spine. Dec 2015 Ukutholakala: Mashi 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, Brodt E. Noninvasive Treatments for Low Back Pain [Inthanethi]. Ukubuyekezwa kokusebenza kokuqhathaniswa kwe-AHRQ. I-Rockville (MD): I-Agency for Research Care and Quality (US); 2016 Feb. Umbiko weNombolo: 16-EHC004-EF. http://www.ncbi.nlm.nih.gov/pubmed/26985522}

_{UDeyo, R., Von Korff, M., Duhrkoop, D. Opioids ngenxa yezinhlungu eziphansi emuva. BMJ. Jan 2015. Kufinyelelwe: March 2016. http://www.bmj.com/content/350/bmj.g6380}

_{I-Chapparo, L., i-Opioids iqhathaniswa ne-placebo noma ezinye izifo zokwelashwa okungapheli okubuhlungu. I-Cochrane Database Syst Rev. Aug. 2013.}

_{I-Illés S., ubuhlungu obuphansi emuva: nini nokuthi yini okufanele uyenze. I-Orv Hetil. Aug 2015 Ukutholakala: Mashi 2016. http://www.ncbi.nlm.nih.gov/pubmed/26256495}

_{UJonathan P., Dalziel S., uLamdin R., Miles-Chan J., Frampton C. Izidakamizwa ezingekho-steroidal anti-inflammatory ngokumelene namanye ama-analgesic omlomo ngomuthi wokulimala okunamandla. Cochrane Database Syst Rev. Julayi 2015. Kufinyelelwe kuMashi 2016. http://www.ncbi.nlm.nih.gov/pubmed/26130144}

_{I-World Health Organization. Izinkombandlela zokwelapha Ngezinhlungu. Iwebhusayithi ye-WHO. http://www.who.int/medicines/areas/quality_safety/guide_on_pain/en/}