Ukuxhumana kuKhiye Uma Kuqala Ukuphatha Ukuhlupheka Okungapheli
Ungabuza udokotela wakho ukuba aphule izinhlungu zokuphuza uma udinga? Kusobala ukuthi kubalulekile ukuthi uhlanganyele ekusebenzeni kwakho ubuhlungu.
Ubuhlungu obungapheli, okuchazwe kalula, ubuhlungu obuqhubekayo uma kungadingeki. Enye yezingxenye eziyinhloko zokuphatha ubuhlungu obungapheli ukuthola i- painkiller efanele.
Imibuzo Yokuzibuza Ngezinhlungu Zakho
Ngokusho kwe-American Chronic Pain Association (ACPA), indlela engcono kakhulu yokuphatha ubuhlungu ukuthi umuntu axoxe ngokucophelela nodokotela wakhe izingozi ezingase zibhekane nezinzuzo zomuthi omusha (noma olunye ukwelashwa).
Ngamanye amazwi, yiba nomthelela empilweni yakho yobuhlungu, futhi uvule nodokotela wakho obala mayelana nobuhlungu bakho.
Uma ucabanga ukuthi ungadinga i-painkiller eyengeziwe, enamandla noma ehlukile, ukubuza le mibuzo emine kungasiza. Uma uphendula "yebo" kunoma yikuphi okulandelayo, kungenzeka.
- Ingabe uvame ukuzwa ubuhlungu ?
- Ingabe imithi yakho yamanje ayisebenzisi kangako ekulawuleni ubuhlungu bakho?
- Ingabe isimiso sakho sezinsuku zonke siba nzima nakakhulu?
- Ingabe ikhwalithi yakho yokuphila iyancipha?
Yazi Izinketho Zakho
Ngaphambi kokucela imithi enamandla, kuwumqondo omuhle ukufunda mayelana nezinketho zakho. Ngokuvamile, amakilasi amane emithi asetshenziselwa ukwelapha ubuhlungu obungapheli:
- Ama-non-opioids: Lawa afaka i-aspirin, i- NSAID , ne- acetaminophen .
- I-opioids: Eyaziwa nangokuthi izidakamizwa, lezi zihlanganisa i-morphine, i-codeine, i-hydrocodone, i-oxycodone, ne-methadone. Imithi iTramadol isebenza kuma-receptors ama-opioid, nakuba akuyona i-opioid.
- I-analgesics ye-Adjuvant . Le mithi yayisetshenziselwa ukuphatha ezinye izimo, kodwa manje ngezinye izikhathi zisetshenziselwa ukuphumula ubuhlungu. Izibonelo zihlanganisa ezinye izidakamizwa zokucindezeleka kanye nama-anticonvulsants.
- Okunye: Omunye imithi engahambisani ngqo nobuhlungu, njengezidakamizwa zokunciphisa ukuleleka, ukukhathazeka, ukucindezeleka, nokuhlukunyezwa kwemisipha, kungase kube yingxenye yohlelo lwakho lokuphathwa kobuhlungu.
Kukhona nezinketho ezingekho kwemithi ezihlanganisa ne-painkiller (noma okungenzeka yedwa) zingasiza umuntu ukuba aphathe kahle ubuhlungu nokusebenza kwawo ngokugcwele empilweni. Lezi zivame ukubandakanya amasu okuphumuza, ukuzindla kwengqondo , ukunweba, ukwelashwa kokuziphatha-nokuziphatha, nezinhlelo zokuzivocavoca ezifana ne-yoga noma i-tai chi.
Izinketho ezengeziwe zokuphulukisa ubuhlungu ezingenayo ifomu "lepilisi" zingafaka izijovo, ama-patches, noma ngisho nokuhlinzwa.
Ingabe Ngizobukeka Njengomlutha Uma Ngicabanga Udokotela Wami NgamaPhilisi Abanamandla?
Yiqiniso kuyilapho ama-painkillers e-opioid engenye yezidakamizwa ezivame ukuxhashazwa, ukuwacela akusho ukuthi uyilutha.
Abantu abaningi abanezimo ezibuhlungu ezingapheli nje abakwazi ukuphatha ubuhlungu babo nezinye izinhlobo zemithi. Izimo zengqondo mayelana nendima yama-opioid ekulawuleni ubuhlungu nazo ziyashintsha. Ucwaningo lubonisa ukuthi ngokuqapha ngokucophelela, ukulutha umlutha nokuhlukunyezwa ngokuvamile akubheki abantu abanezimo ezibuhlungu ezingapheli.
Abaningi odokotela bazobheka izinzuzo ze-painkiller enamandla ngokumelene nezingozi ezingenzeka. Amaphilisi anamandla anjenge-opioids athatha ingozi ephezulu yokubekezelelana nokuhlukunyezwa, kodwa uma kungenzeka bakhulise izinga lakho lokuphila, bangase bafanele ukuzama.
Izwi elivela
Khumbula, ngenxa yemiphumela emihle, udokotela wakho udinga ukulandelela ngemithi yakho njalo. Ngamanye amazwi, ukuphathwa kwezokwelapha kuyisihluthulelo uma ulawula ubuhlungu bakho obuhlala njalo. Ukususa noma ukuphuza imithi kungakhululekile futhi kuyingozi, ngakho kubaluleke kakhulu lokhu kwenziwa ngaphansi kokuqondiswa nodokotela wakho.
> Imithombo:
> I-American Chronic Pain Association. I-APCA Umthombo Wezinsiza Zokuphuza Imithi Nokuphulukisa: I-2016 Edition.
> Blake S, Ruel B, Seamark C, Seamark D. Okuhlangenwe nakho kweziguli ezidinga izidakamizwa ezinamandla ze-opioid ubuhlungu obungapheli bomdlavuza: Ucwaningo oluqalisiwe ngesiguli. I-British Journal ye-General Practice. 2007 February 1; 57 (535): 101-8.
> Chou R. et al. Imihlahlandlela yemitholampilo yokusetshenziswa kwe-opioid therapy engapheli ekuhluphekeni okungahleliwe okungenayo i-noncancer. I-Journal of Pain. February 2009. Umqulu 10, Issue 2. Amakhasi 113-130.e22.
> Hariharan J, i-Lamb GC, i-Neuner JM. Ukusetshenziswa kwenkontileka ye-opioid yesikhathi eside yesikhathi sokuphathwa okubuhlungu okungapheli kumkhuba wokunakekela oyinhloko. Isikhathi seminyaka emihlanu. I-Journal of General Medicine Internal. 2007 Ephreli; 22 (4): 485-90.
> Isikhungo seNational on Abuse Abuse. (2015). Amathrendi nezibalo.