Menene ya faru a lokacin da ciwon ciwo na farko ba ya ci gaba da ciwo ba?
Mene ne Buga Wuta?
Raunin zubar da ciki, wanda ake kira episodic pain, shine sunan da aka ba da ciwo (duka ciwon daji da marasa ciwon daji, ko da yake an san da yawa game da ciwon daji na ciwon daji) wanda ya zo sosai da sauri, lokacin da aka rigaka bi da ku magunguna masu dogon lokaci. (Raunin "ya warke ta hanyar shan magani.) Wani suna don ciwo mai tsanani shine" tartsatsi ".
Rashin fuska da / ko ciwo mai tsanani zai iya zama mai tsanani sosai don ƙuntatawa ko haɓaka ku. Suna faruwa ne a lokuta na ciwon baya, ciwon daji, ciwon neuropathic, da sauransu. An hade shi da ciwon ciwon daji. Domin an gano ciwo a matsayin ciwo mai tsanani, ciwo mai ci gaba dole ne a fara.
Kusan duk mutanen da ke da ciwo mai tsanani suna fama da ciwo.
Breakthrough Pain Kwayoyin cuta
A cikin binciken da ake kira "Impact na maganin ceto na ceto ga masu fama da ciwo mai tsanani da kuma jurewa na dindindin aiki a cikin marasa lafiya da rashin ciwo mai tsanani", wanda aka wallafa shi a watan Oktobar 2009 na Birtaniya na Anaesthia , Devulder da kuma abokan tarayya sun ce cewa ciwo mai tsanani yana daukan kimanin minti 10 don yalwatawa sosai, kuma wannan matsala na iya wucewa har zuwa minti 60.
Idan kana da ciwon haɗari na ciwon daji, za ka iya samun ɗan gajeren lokaci, karin lokuta masu yawa.
Wannan tsari yana taimakawa wajen sauya maganganu da ciwo da sauran matsalolin da ke cikin mutanen da ke fama da ciwo . Misalan wadannan maganganun da suka canza sun haɗa da:
Binciken zubar da ciki na iya tsoratar likitoci; Ɗaya daga cikin dalili shine wannan bayyanar cututtuka ya zama mahimmanci. Abin baƙin ciki, wannan zai haifar da ganewar asirin da kuma rashin lafiya.
Breakthrough Magunguna Magunguna
Masana kan ciwo mai tsanani kullum bayar da shawara ga likitoci cewa su kera jiyya ga kowane mutum haƙuri. An shawo kan ciwon shawo kan cutar ta hanyar maganin tumatir (narcotics). Magunguna da aka ba don ciwo mai tsanani ana kiransa "magani na ceto."
Akwai nau'o'in ciwo mai yawa, don haka ƙayyade abin da magani zai magance naka ya kamata a yi a haɗin gwiwa tare da likitan ku. Dole likitanku na bukatar sanin ku, tarihin lafiyarku, yanayinku na baya, da kuma ciwo na kwanan nan. Tsayawa da sakon layi ko diary zai taimaka maka a nan domin yana da wani rahoto kai tsaye cewa likitoci sun dogara ga ƙididdigar su. Kwararku yana amfani da bayanin da ka ba ta game da layi, hanyar (idan kana da wannan bayani), ƙarfin, da kuma farawa na ɓangaren (s) don sanin wane nau'in da kake da shi kuma ya dace da wani magani na opioid mai sauri.
Wani lokaci, za a iya kwatanta ciwo mai tsanani. A wannan yanayin, likitanku na iya tsammanin shi a gaba kuma ya ba ku kayan aiki na hanzari. Za a iya ba da wata magunguna daban-daban daban-daban idan ba za a iya kwatanta ciwo mai tsanani ba. Wannan shi ne daya daga cikin dalilai (dalilan) da ya sa yana da kyau don sadarwa da lafiyarku da tarihin likita zuwa likitanku.
A cewar Manchikanti, et. al, a cikin wani rahoto da aka buga a mujallar Lafiya likita a 2011, ba kawai akwai babu wani kimiyya kimiyya ga abin da ke faruwa na ciwo mai tsanani, amma amfani da opioids don magance shi ne ake zargi.
Mawallafa sun bayar da rahoton cewa maganin cututtuka na maganin cutar marasa lafiya wanda ya kamu da cutar a cikin shekaru goma da suka gabata, ko kuma haka, kuma ya tabbatar da cewa tsinkayar da aka tsara ta haifar da mummunar amfani da likitoci, da kuma yin amfani da miyagun ƙwayoyi, da yawa rikitarwa (wanda ake kira miyagun kwayoyi.)
Binciken ya samo wata shaida mai mahimmanci ga kowane nau'i na ciwo mai tsanani a cikin wallafe-wallafen likita na marasa ciwon daji.
Mawallafa sunyi bayanin cewa kara yawan cututtuka na opioids ga marasa ciwon ciwon ciwon daji na yau da kullum za a iya ganowa a farkon shekarun 1990 lokacin da asibitocin jihohin sun fara sasanta dokoki game da amfani da wannan abu. Tun daga wannan lokacin, bada shawarwari ga takaddama na opioid ya girma sosai, tare da masu likita da magungunan marasa lafiya da marasa lafiya wadanda ke tsaye a bayan wannan aikin.
Magunguna marasa lafiya da magungunan gida don bugun jini
Magunguna marasa magani ba za a iya haɗuwa da opioids ba banda ciwo. Kwarar ku na iya ba ku shawara akan iyakokinku, don yin amfani da kankara ko zafi, ko wasu hanyoyin maganin gida. Yana iya mayar da kai ga lafiyar jiki ko warkarwa, ko kuma likita don ƙwaƙwalwar jijiya.
Don haɓaka salon rayuwa da kuma hanyoyin kwantar da hankalin ku a cikin cikewar gwagwarmayar ciwo, yana da muhimmanci a yi magana da likitan ku kai tsaye.
Sources:
Bennett D, Burton AW, Fishman S, et al. Ƙungiyoyin shawarwari game da kima da kuma kula da ciwo mai tsanani. Sashe na 1: Bincike. Pharm Ther. 2005.
Bennett D, Burton AW, Fishman S, et al. Ƙungiyoyin shawarwari game da kima da kuma kula da ciwo mai tsanani. Sashe na 2: Gudanarwa. Samun shiga: Dec 2010. PT Community
Devulder J, et. al. Rashin tasiri na magani na ceto don samun ciwo mai tsanani a kan inganci da kuma jurewa na tsawon aiki na opioids a marasa lafiya tare da ciwo mai tsanani. Br J Anaesth. 2009 Oktoba; 103 (4): 576-85. Agusta 2009 Satumba 6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742451/?tool=pubmed
Manchikanti L. Taron ciwo a cikin ciwon rashin ciwon daji na yau da kullum: gaskiyar, fiction, ko zalunci. Likita mai zafi. Maris-Afrilu 2011. Samun shiga: Yuni 2016. http://www.ncbi.nlm.nih.gov/pubmed/21412376
McCarberg BH., Sanarwar ciwo mai tsanani. Ra'ayin Mad. 2007 Janairu, 8 Sanya 1: S8-13. http://www.ncbi.nlm.nih.gov/pubmed/17280601
Payne, R., MD, Colliflower, E., Bincike da Bincike na Breakthrough Pain. Ciwon Magunguna. Vol. 8. Lambar S1. Cibiyar Harkokin Kasuwancin Amirka. Blackwell Publishing Inc. 2007. Samun dama ga watan Disamba 2010.