Magungunan Magungunan Narcotic Pain na Magunguna
Idan kana fama da ciwo mai tsanani kuma ka yi kokarin duk abin da zaka iya don taimaka maka ciwo, opioids (narcotics) na iya zama hanyar da ka zaɓa ka ɗauka. Duk da yake yin amfani da waɗannan wutan lantarki masu karfi ( analgesics ) don maganin ciwo mai tsanani ba da daɗewa ba, waɗannan kwayoyi zasu iya tasiri da lafiya lokacin da aka dauki su a karkashin kulawar likita.
Ga abin da ya kamata ka sani kafin ka yanke shawara idan opioids ya dace maka.
Menene Opioids?
Opioids daga ɗayan wurare uku: Wasu suna samo daga tsire-tsire, wasu suna sana'a a cikin wani lab, da sauransu, kamar endorphins, suna faruwa a jiki. Opioids suna da tasiri a cikin maganin ciwo mai tsanani. A gaskiya ma, ana amfani da su akai-akai don ciwo mai tsanani, irin su ciwo na matsanancin ciwo, da kuma ciwo mai tsanani da cututtuka irin su ciwon daji ke haifarwa.
Nau'ikan Opioids
Dangane da bukatunku, za ku iya ɗaukar ɗaya daga cikin nau'ikan nau'i na opioids da ake amfani dasu don magance ciwo na kullum . Daga cikin jinsin magani da ake kira opioids, akwai bambancin da yawa.
Na farko, za a iya tsara opioids a matsayin mai aiki na tsawon lokaci ko maganin maganin zafi.
Opioids kuma bambanta da juna a hanyar da aka ba su. Wasu suna ba da izini ta hanyar IV a hannu, hannu, ko cikin tashar jiragen ruwa ko layi. Wasu suna ba da ladabi, wasu za a iya ba da su a matsayin maɗaukaki, kuma wasu sun zo cikin nau'i wanda ke amfani da fata.
Ana iya ba da wasu opioids a hanyoyi fiye da ɗaya, amma wasu suna iyakance ga hanya guda kawai kawai.
Wani muhimmin mahimmanci shi ne, wasu opioids, irin su oxycodone ad hydromorphone ne "madaidaiciyar narcotics. Wasu, irin su Tylenol # 3 da Vicodin , za a iya hade tare da wasu masu kisan gilla kamar Tylenol (acetominophen.)
Wani bangare na opioids, wanda aka bayyana a matsayin agonist / antagonist, hada magungunan don rage yawan ciwo da kuma rage yawan yiwuwar dogara. Wadannan sun hada da buprenorphine da butorphanol.
Abubuwan Tafiyar Opioid da Sauran Matsaloli
Mutane da yawa tare da ciwo na kullum suna jurewa irin wannan samfurin na tsawon shekaru ba tare da haɓaka miyagun ƙwayoyi ba, ko kuma ba tare da tasowa ga jiki ba akan miyagun ƙwayoyi. Duk da haka, dogara da jarabawa sune damuwa damuwa.
Abin baƙin ciki shine, yawancin masu fama da ciwo mai tsanani waɗanda ke daukar tsauraran suna iya kuskuren suna suna "addicts," ko da basu yi daidai da ka'idojin da ake dasu ba. Akwai wasu lokuta akwai wani ɓatacciyar lalacewar da ke haɗuwa da shan maganin ciwon maganin narkewa, wanda zai iya zama takaici ga mutumin da ke fama da ciwo mai tsanani.
Bugu da ƙari, juriya da dogara da jiki, opioids suna da wasu abubuwan da zasu iya tasiri. Wadannan sun haɗa da:
- Rashin fata
- Rikici
- Jiɗa
- Tabbatarwa
- Urinary riƙewa
- Dama mai wuya
- Jima'i dysfunction
- Low saukar karfin jini
- Itching sensations
Opioids suna shafar tsofaffi da yara fiye da manya, saboda haka dole ne a kula da waɗannan yawanci sosai. Sau da yawa, likitoci za su fara samin maganin opioid kadan kuma sannu-sannu su ƙara su har sai an fara samun magani.
Wasu magunguna za su iya yin hulɗa da kyau tare da opioids, ana buƙatar saka idanu sosai idan ka kuma ɗauki wasu takardun magani akai-akai. Tabbatar sanar da likitan ku da wasu magunguna da kuke ɗaukar, ciki har da waɗanda aka saya a kan counter, don kaucewa rikitarwa, kamar maganin ƙwayar cuta.
Babu shakka, saboda damuwa da rikicewa wanda zai iya faruwa a matsayin tasirin maganin wadannan magunguna, amma kamar yadda batun batun jaraba ya faru, binciken da aka yi kwanan nan ya gano cewa tuki yayin amfani da opioids don ciwo na kullum bai kara tsanantawa ba.
CDC Sharuɗɗa don Bayyana Opioids don Balance Mai Girma
Bisa ga yawan karuwa a kan abubuwan da ke da alaka da amfani da kwayoyin cutar marasa ciwo, Cibiyoyin Kula da Cututtuka da Cututtuka (CDC) sun ba da umarnin don amfanin lafiyar mutane a cikin masu fama da ciwo.
Wasu daga cikin waɗannan sharuɗɗa 12 sun haɗa da:
- 1. Kada a yi amfani da opioids a matsayin farfadowa na "layi na farko" don jin zafi na kullum. Dole ne a yi amfani da wasu magunguna marasa magani na farko kafin su fara amfani da su. Lokacin da ake buƙatar kayan aiki, ya kamata a yi amfani da su tare da sauran hanyoyin magancewa (don rage yawan aikin da ake bukata a wasu dalilai.) Magunguna marasa magani na marasa lafiya sun haɗa da kwayoyin cutar anti-inflammatory marasa amfani da steroidal irin su Advil (ibuprofen), antidpressictive tricyclic , da magungunan magunguna (anticonvulsants) kamar Neurontin ( gabapentin .)
- 2. Dole ne a kafa manufofi na farfadowa. Dole ne a ƙaddara cewa ƙarawa a farfadowa na opioid zai inganta aiki ko ingancin rayuwa da yawa don yin fuskantar matsaloli masu tasiri mai yiwuwa.
- 3. Tattaunawar likita mai haɗari dole ne ya faru inda wanda ya fahimci ya fahimci fili da hadarin da amfani na amfani da opioids don magance ciwo.
- 4. Yau da farko za'a yi amfani da samfurori da aka saki (wanda ya bambanta da opioids na dogon lokaci).
- 5. Ya kamata a ba da izinin mafi yawan maganin magani. (Akwai Tables waɗanda suka kwatanta nau'i na daban-daban na narcotics idan za ku sauya daga wata magani zuwa wani.)
- 6. Ya kamata a ba da takaddama na rukunin narcotics don mummunar zafi da ke faruwa a kan ciwo mai tsanani.
- 7. Ana buƙatar bin goge. Da farko a cikin magani, ya kamata a yi ziyara a asibitin sau ɗaya a mako ko akalla sau da yawa a wata. Lokacin da ake amfani da waɗannan magunguna dogon lokaci, ya kamata a kimanta amfani da su a kalla a kowane watanni uku kuma idan jin zafi ba ya inganta akan magani ya kamata a tsaya.
- 8. Dole ne likitoci suyi amfani da hanyoyi don rage amfani da magunguna. Wannan na iya haɗawa da yin amfani da agonist / antagonist haɗi idan akwai yiwuwar cin zarafi.
- 9. Dole ne likitoci suyi amfani da bayanan POMP don tabbatar da wani likita ba shi da ka'idojin kayan aiki don rage haɗarin overdoses.
- 10. Ya kamata a yi amfani da jarrabawar ƙwayar ƙwayar ƙwayoyi don tabbatar da cewa mutum yana amfani da maganin da aka ba shi magani kuma baya amfani da kwayoyi wanda zai iya tsangwamar da magani.
- 11. Idan idan ya yiwu, kada a haɗu da opioids tare da benzodiazepines.
- 12. Idan dogara akan opioids ya faru, likitoci dole ne su kasance a shirye su bayar da maganin zafin jiki.
Me yasa Kayi amfani da Opioids a Duk?
Tare da jayayya da yawa game da amfani da su a cikin yanayin ciwo mai tsanani, za ka yi mamakin dalilin da yasa likitoci ya rubuta su. Sakamakon haka, opioids suna da matukar tasiri a rage rage ciwo, da kuma mutane da yawa waɗanda ba su sami taimako daga wasu jiyya ba don samun taimako kawai ta hanyar amfani da opioid. Ga waɗannan mutane, amfanin amfanin opioids yana da hatsari. Abubuwan lalacewa marasa kyau da kuma yiwuwar dogara bazai faru a kowane hali ba. Ga mutane da yawa tare da ciwo na kullum, opioids zai iya taimakawa su sake dawo da rayuwarsu.
Kafin ka fara aiki a kan opioids, likitanka ya kamata yayi cikakken bincike da kuma shawarwari na yau da kullum don duba yanayinka. Wasu likitoci na iya farawa tare da gwaji na opioid, ƙananan ƙara yawan kashi yayin da kake kallo don matsalolin rikice-rikice.
Sources:
Kamfanin Campos-Outcalt, D. Opioids na Balance mai tsanani: CDC ta 12 Shawara. Labarai na Ayyukan Iyali . 2016. 65 (12): 906-909.
Cibiyoyin Kula da Cututtuka da Cututtuka. Rashin ƙuntatawa da Mutuwa na Bayani (Weekly Report) (MMWR). CDC Sharuɗɗa don Tattaunawa Opioids na Balance Pain - Amurka, 2016. Updated 03/18/16. https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm
Chou, R., Devo, R., da kuma J. Friedly. Magungunan Pharmacologic System na Kwanan baya na Kwanan baya Kwanan baya: Binciken Tsaro na Cibiyar Kasuwancin Amirka. Annals na Internal Medicine . 2017 Feb 14. (Epub gaba da bugu).
Schumacher, M., Jongen, S., Knoche, A. et al. Hanyoyin Harkokin Opioid a kan Gudanar da Ayyuka a marasa lafiya na marasa lafiya. Psychopharmacology . 2017 Feb 12. (Epub gaba da bugu).