Ama-Analgesics Iyindlela Yokulawula Ubuhlungu Bama-Arthritis
Ezinye iziguli ze- arthritis zizama ukwenza ngaphandle kwemithi yobuhlungu (ama-painful analinks) ngoba besaba ukugqilaza. Ingabe lezi ziguli zenza umonakalo ongaphezu kokuhle ngokugwema imithi yobuhlungu? Kunini lapho kufanele khona imithi yokuhlunguphazwa okufanele ibekwe njengengxenye yelungiselelo lokwelapha iziguli ze-arthritis? Ingabe imithi yokwelapha ifaneleka njengokwelashwa kwesikhashana noma ukwelashwa kwesondlo, noma kufanele isetshenziswe kuphela isikhathi esifushane?
Ubuhlungu Buvame Ukuphathwa Ngokungalungile
Iningi leziguli ezinezimo ze- rheumatic zizwa ubuhlungu noma ukungakhululeki njengengxenye yesimo sabo. Ukuqaphela iziguli ubuhlungu buyisici esibalulekile sokunakekelwa kwesineke futhi kubhekwa yiKhomishana Joint Yokugunyazwa Kwezinkampani Zokunakekelwa Kwezempilo njengesikhombisa esibalulekile. (Inothi lomhleli: ezinye izibonakaliso ezine ezibalulekile ziwumfutho wegazi, ukushisa okuyisisekelo, ukushisa nokuphefumula )
Naphezu kokuthi ubuhlungu obungapheli buyithinta kakhulu izinga lempilo yeziguli, kuvame ukuphathwa kahle.
Izinyathelo Zokulawula Ubuhlungu
Izinyathelo ezingekho-pharmacologic
Izinyathelo ezingekho-pharmacologic zokulawula ubuhlungu zibandakanya ukwelashwa okulawulwa yizokwelapha ezifana nalokhu:
- ukuzindla nokuphumula
- i-hypnosis
- ukusikhipha
- i-acupuncture
- ukuzivocavoca
Izinyathelo ze-Pharmacologic
Imithi ye-Pharmacologic ihlanganisa:
- amalungiselelo enhloko
- imithi yamakhambi
- izithako zokudla
- anti-depressants
- imisipha yokuphumula
- anti-convulsants
- Ama-NSAID (izidakamizwa ezingekho-steroidal anti-inflammatory)
- i-acetaminophen (i-Tylenol)
- i-narcotic (i-opioid) i-analgesics (i-painkillers)
Ama-opioids
Ngenxa yokusebenza kwabo, ukusebenzisa ama-opioids kuyindlela ejwayelekile yokwelapha ubuhlungu besishukela. Ukusebenzisa kwabo, ukuphatha ubuhlungu besisu, sekuphindwe kabili eminyakeni engama-20 edlule. Kungaba usizo kakhulu ukusiza ukulawula ubuhlungu be- flao periodic .
Ezinye iziguli zizothola ukuthi zingathathwa phakathi nosuku futhi zingabangeli ubuthongo lapho abanye bezodinga ukunciphisa ukusetshenziswa kwabo kusihlwa.
Naphezu kwezinzuzo zabo, kukhona okungahle kwenzeke ekusebenziseni ama-opioid. Izifundo azihlolisanga ngokwanele ingozi yokusebenzisa isikhathi eside i-opioid kwiziguli ezinezimo ezingapheli zesishukela. Ngenxa yalokho, ingozi yokulutha umlutha noma ukubekezela kule mithi kulezi ziguli aziwa.
Kuye kwaba nokuthambekela kokusebenzisa ama-opioid anamandla afana ne- hydrocodone (isb., I-Norco) ne-morphine (i-MS Contin, i-Avinza) nakuba i- tramadol (i-Ultram) i-opioid ebuthakathaka yokwenziwa komsebenzi ezuze ukusetshenziswa kabanzi.
Okuqhamuka uma udla imishanguzo
Ngaphezu kwalokho, njengemithi eminingi, imiphumela emibi ikhona ngaphezu kokulala nokufaka izinhlanzi, ukuqothulwa nokukhubazeka kwengqondo. Abaningi bangabangela izimpawu zokuhoxiswa njengesizungu, ukukhathazeka, kanye nezinye izimpawu zomzimba uma beyeka ngokuzumayo.
- Khuthaza ukuhoxiswa
- Impact Impaction
- Ukudakwa ngokwe-opioid
UDkt. Scott Zashin uthe, "Ngokuvamile, ngincoma ukuthi iziguli eziningi zizama ukulawula ubuhlungu obungapheli bokuqala ngezinqubo zokwelapha ezingekho kwemithi noma izidakamizwa ze-pharmacologic ngaphandle kwempahla yokulutha."
UScott J. Zashin, MD, uprofesa wothisha owelashwa eYunivesithi yaseTexas Southwestern Medical School, Division of Rheumatology, eDallas, eTexas. UDkt. Zashin naye uyidokotela ozoya esibhedlela sasePresbyterian yaseDallas nasePlano. Ungumunye we-American College of Physicians kanye ne-American College of Rheumatology kanye nelungu le-American Medical Association. UDkt. Zashin ungumbhali we- Arthritis Without Pain - The Miracle of Anti-TNF Blockers kanye nombhali we-Natural Arthritis Treatment.
> Umthombo:
> Fitzcharles et al, Arthritis kanye neRheumatism. I-Vol 52 no-12, Dec 2005.