Marasa lafiya tare da rashin lafiyar raunin rashin lafiya ba zai iya amsawa ga Opioid Analgesics ba
Inganta maganin jinƙai don Osteoarthritis Ya Ƙira Matsalolin Ƙari
A cewar wani rahoto a cikin American American Journal of Therapeutics , na yau da kullum mai zafi da ke da alaka da osteoarthritis yana rinjayar mai haƙuri ta haddasa:
- rage girman rayuwar
- rage ko barci damuwa
- dangantaka da ke fama da ita
- rage aiki mai hankali (tunani, ƙwaƙwalwar ajiya)
- iyakancewa a cikin ayyukan rayuwar yau da kullum
- ƙananan yawan aiki
- ƙãra tashin hankali da kuma ciki
Tattalin barci - wanda ake iya haifar da zafi - yana da mahimmanci ga magungunan osteoarthritis. Yawancin marasa lafiya na Osteoarthritis suna da matsala tare da barcin kwanciyar hankali, gyaran barci, ko farkawa. Don magance dukan waɗannan matsalolin, dole ne a yi nasara sosai da ciwon osteoarthritis.
Yawancin marasa lafiya na Osteoarthritis suna samun magani , amma a yawancin lokuta, ba su da isassun abincin da za su iya jin daɗi. Sakamakon binciken ya nuna cewa fiye da 3,100 marasa lafiya na osteoarthritis, 25% sun ruwaito rashin jin daɗi tare da maganin ciwo. Daga cikin kungiyoyin da ba su yarda ba, 63% sun ruwaito rashin lafiyar ciwo yayin da kashi 17 cikin dari ya ruwaito sakamakon.
Samun kwayoyi a kan jadawalin iya inganta ingantaccen aiki
Ga marasa lafiya marasa lafiya, yana da kyau ya dauki magunguna a kan jimawalin. Makasudin tsarin jima'i na yau da kullum shine ya dauki kashi na gaba na magani na shan magani kafin a kashe kashi na baya.
Matsalar ita ce, saboda dalilai daban-daban, marasa lafiya na osteoarthritis basu dauki magunguna a kan lokaci, kuma suna ba da damar ciwo - to, suna bin ciwo tare da wani kashi. Yau da dogon lokaci ko magunguna masu kwantar da hankali za su iya aiki mafi alhẽri ga marasa lafiya waɗanda suke da wuyar tsayawa cikin jadawalin.
Menu na Analgesics - Wanne Ya kamata Ka Zaba?
Newly-diagnosed osteoarthritis marasa lafiya yawanci kokarin acetaminophen - an gane a matsayin farko-line analgesic ga m zuwa matsakaicin osteoarthritis. Ana amfani da NSAIDs (anti-inflammatory drugs) da kuma masu maganin COX-2 don sarrafa ciwon osteoarthritis, musamman idan kuna buƙatar ƙarin sauƙi fiye da yadda acetaminophen ke ba. Don ƙarin zafi, likitoci la'akari da nonscheduled opioid analgesics irin su tramadol da shirya opioid analgesics (sarrafawa abubuwa).
Mene ne Mafi Magunguna na Magunguna?
Za a yi amfani da magani mai kyau mafi kyau, dacewa, da kuma bayar da taimako mai zafi a kusa da lokaci. Zai kasance damar cin zarafin ƙasa da ƙasa da damar da za a iya haifar da illa da lalacewa tare da amfani da dogon lokaci. An kara-saki (ER) opioid analgesics mafi kyau duka magani magunguna? Ga wasu marasa lafiya, a. Amma marasa lafiya da ke amfani da ER opioid analgesics dole ne su san abubuwan da suka faru da ya faru kuma dole kawai su yi amfani da kwayoyi kamar yadda aka tsara.
ER Opioid Analgesics Zai Yi Daidai Idan An Yi Amfani da Daidai
ER morphine, ER oxymorphone, CR (sakin sarrafawa) oxycodone, ER transdermal fentanyl, da kuma ER tramadol suna daga cikin sassaurar da aka saki opioid analgesics wanda za a iya dauka don taimakawa ciwo na osteoarthritis.
Masu bincike sun kammala cewa da zarar acetaminophen da NSAID ba su da tasiri, ko osteoarthritis yana ciwo - ER tramadol na iya kasancewa mafi kyau mafi kyau - kafin kokarin shirya, opioid analgesics.
ER tramadol yana da wasu abũbuwan amfãni a kan sauran ER opioid analgesics. Abu ɗaya, tramadol yana haifar da ƙananan sakamako masu illa fiye da sauran opioids. Damuwa game da cin zarafin miyagun ƙwayoyi, jaraba, juriya, da kuma janyewa su ne na kowa don analysics opioid. Opioid analgesics (ciki har da ER opioid analgesics) na iya haifar da matsaloli tare da sedation, rikicewa, da kuma maƙarƙashiya, musamman a cikin marasa lafiya marasa lafiya.
Kamar yadda yake tare da kowace magani, marasa lafiya dole ne suyi magana da likita game da amfani da hadari na shan ER opioid analgesics.
Duk da yake akwai bukatar yin nazarin maganin da ake yi a wasu marasa lafiya wanda ba su da amsa sosai ko tsayar da amsawa ga acetaminophen, NSAIDs, da tramadol - analioji na opioid ba su dace ga kowane mai haƙuri ba.
Kwayoyin ER na morphine, fentanyl, oxymorphone, da oxycodone an shirya, tsayayyen opioid analgesics:
- An nuna morfin jini na ER don kula da matsanancin matsananciyar ciwo a wasu marasa lafiya na osteoarthritis. Makasudin shan wannan magani shine kewaye da azabar jin zafi da ingantacciyar ingantaccen rayuwa.
- An yi amfani da isasshen ƙaho na ER a matsayin mai kyau, mai kyau, ko kyau ta kimanin kashi 80% na marasa lafiya a cikin binciken. Ya ba da taimako mai saurin zafi da gyaran aiki a marasa lafiya tare da ciwo na osteoarthritis na kullum.
- CR oxycodone yana da tasiri a rage rage ciwon da osteoarthritis ya haifar da inganta rayuwar rayuwa. Duk da haka, oxycodone ita ce miyagun ƙwayoyi da ke sababbin sababbin maganganun miyagun ƙwayoyi.
- ER transdermal fentanyl ne kawai za a yi amfani da marasa lafiya da suka riga sun karbi magani na opioid kuma sun nuna alamar haƙuri. Yana da mahimmanci don rage saurin matsananciyar zafi na osteoarthritis.
Bai kamata ku zauna tare da ciwo ba tare da jinkiri ba. Tattaunawa tare da likitanka tare da likita kuma kada ka manta ka tambayi game da fasalin saki na opioid analgesics. Ba su ne mafi kyawun magani ba ga kowane mai haƙuri - amma sune zaɓin magani ne a gare ku?
Source:
Kwanan zafi na Osteoarthritis: Zane-zane na Zabi wani Extended-Release Opioid Analgesic. American Journal of Therapeutics 15,241-255 (2008). Gibofsky, Allan da Barkin, Robert L.