Iziguli ezibhekana nezimo ezibuhlungu zidinga izinketho zokusiza ukuphatha izimpawu zabo. Ukulawula okungcono kakhulu kobuhlungu kungatholakala ngokuzama ukukhomba imithi efanelekayo yenkinga ebalulekile bese uzama ukunciphisa ubuhlungu ngemithi ehlukene kanye nokwelashwa okungewona imithi. Funda ngezinhlobo ezahlukene zemithi esetshenziswa ukulawula ubuhlungu.
I-Acetaminophen
I-Tylenol (i-Acetaminophen) isetshenziselwa ukuphatha ubuhlungu.
Ngokungafani nemithi ethile yokuhlunguphaza, iTylenol ayinayo imiphumela elwa nokuvuvukala. Kodwa-ke, ngokuvamile, uma kwenzeka ubuhlungu obungapheli, akukho ukuvuvukala kusayithi lobuhlungu, ngakho-ke iTylenol ingase ibe yindlela efanele yokwelashwa. I-Tylenol iphephile uma isetshenziswe ngendlela efanele, kepha ingaba yingozi uma isetshenziswe ngokweqile. Iziguli kufanele ziqaphele iTylenol ezixubene nemigomo efana nePercocet noma iDarvocet, futhi ingathathi le mithi kanye neTylenol evamile.
Imithi engeyona-Steroidal Anti-Inflammatory (NSAIDs)
Ama-NSAID (afana ne-Ibuprofen, i-Motrin, i-Aleve, njll) ayasiza kakhulu ezimweni zobuhlungu obukhulu , noma ama-flare-ups kuziguli ezinezinhlungu ezingapheliyo. Ama-NSAID ahle kakhulu ekuphatheni izimo zokuvuvukala kubandakanya i-tendonitis, i-bursitis, ne-arthritis. Ngokuvamile, ukusetshenziswa kwe-NSAID kunqunyelwe iziguli ezinezinhlungu ezingapheli ngenxa yokukhathazeka mayelana nokuthuthukiswa kwezinkinga zesisu. Ngesikhathi i-newer, okuthiwa i-COX-2 inhibitors, njenge-Celebrex, yenzelwe ukugwema le nkinga, ukuqaphela kufanele kusetshenziswe uma usebenzisa le mithi isikhathi eside.
Corticosteroids
Njengama-NSAID, i-corticosteroids imithi enamandla yokulwa nokuvuvukala, futhi isetshenziselwa kakhulu ubuhlungu obunzima noma izinkinga zokungabi nalutho zenkinga yokuvuvukala engapheli. I-Corticosteroids ingathathwa ngomlomo (njenge-Medrol, i-Prednisone) noma ijowe ezintanjeni ezithambile noma amalunga (ama- cortisone injections ).
Ama-Narcotics
Ama-Narcotics kufanele acatshangelwe uma ubuhlungu obungenakulawulwa ngenye indlela. Nakuba le mithi ingaba yingozi futhi iyingozi, ingaba yasebenza kakhulu. Nakuba imishanguzo yezokwelapha iyasiza kakhulu ebuhlungu obukhulu, nayo iba nemiphumela emibi kakhulu. Izinhlobo ezincane zokwenza lezi mithi zingaholela ekusebenziseni ngokweqile nokuthuthukiswa kokubekezelelana. Izinketho zesikhathi eside ziba nemiphumela emincane emibi nokulawula kangcono ubuhlungu obungapheli. Izidakamizwa zingaba umlutha uma zisetshenziswa isikhathi eside ngaphandle kokuncipha kancane kancane emthamo, noma uma imithi ithathwa ngenxa yezizathu ngaphandle kobuhlungu.
Ama-Anti-Convulsants
Imithi elwa ne-anti-convulsant iyisigaba semithi esebenza ekunciphiseni ubuhlungu benzwa. Le mithi iguqula umsebenzi wezinzwa kanye namasignali athunyelwa ebuchosheni. Imithi ejwayelekile kakhulu elandelwayo ye-anticonvulsant yezinzwa zesibindi ibizwa nge-Neurontin (Gabapentin). Enye indlela esanda kuvela, ngokukhethekile ukwelashwa kwe-fibromyalgia, ibizwa ngokuthi i-Lyrica (Pregabalin).
Izifo ze-Anesthetics zendawo
Izifo ze-anesthetics zendawo zinganikeza ukuphumula kwesikhashana endaweni. Uma isetshenziselwa ukulimala okungapheli, izinambuzane ze-anesthetics zendawo zivame ukusetshenziselwa njengesiqephu se-topical endaweni yobuhlungu.
I-Lidoderm ifika esikhwameni esetshenziswa esikhumbeni futhi sinciphise ukuzwela kwalendawo.
Ngaphansi
Ubuhlungu obungapheli yinkinga engavamile ukuxazululwa ngokushesha, noma nge ukwelashwa okulodwa. Indlela engcono kakhulu yokwelapha ubuhlungu obungapheli ngokusebenza nodokotela wakho futhi uzama ukuhlasela ubuhlungu ngezinhlobo ezahlukene zokwelapha. Ezinye zokwelapha eziphumelelayo ezibuhlungu obungapheli zibandakanya ukukhwabanisa , i- ice kanye nokushisa kwesicelo , ukusikhipha , nokunye ukwelashwa okunye.
Imithombo:
UMarcus, i-DA "Ukwelashwa Okungapheli Okungapheliyo". Udokotela Womndeni. 2000. 61 (5) Amakhasi 1331-8.
Katz, WA "Izidingo Zesiguli Esibuhlungu" Amer. J. Med. 1998. 105 (1B) Amakhasi 2S-7S.