Hanyoyin Kasuwanci Game da Kulawa da Raunin Nerve
Yin maganin ciwo na ciwo na kullum zai iya zama kalubale, saboda ba a fahimci dalilin ba. Masu amfani da magunguna na al'ada sunyi amfani da su, kamar su NSAIDs, ba su da amfani wajen magance irin wannan ciwo; Duk da haka, tsarin kulawa na multimodal zai iya ci gaba da jijiyar ciwo bayyanar cututtuka a karkashin iko mafi kyau. Wannan tsarin ya haɗa da magunguna na gargajiyar gargajiya, magungunan maganin magunguna, da sauran cututtuka masu ciwo.
Maganin jinin cutar Neuropathic - Adjuvant Analgesics
Adjuvant analgesics , irin su anticonvulsants da antidepressants, iya sau da yawa magance neuropathic zafi jijiyoyin. Saboda an tsara wadannan magunguna don biyan yanayi ba tare da ciwo ba, ana amfani da su a neuropathic maganin ciwo ta hanyar amfani da "lalata-label". Amma kada ka bari wancan ya damu da kai: yawancin adjuvant analgesics sun tabbatar da mafi tasiri a zaluntar ciwon jijiya ciwo bayyanar cututtuka fiye da gargajiya gargajiya.
Anticonvulsants amfani dasu ga jijiyar jiyya magani:
- Gabapentin (Neurontin)
- Sakamako (Lyrica)
- Carbamazepine (Tegretol)
- Oxcarbazepine (Trileptal)
- Phenytoin (Dilantin)
- Valproate (Depacon)
- Lamotrigine (Lamictal)
Ana amfani da antidepressants don maganin jijiyar ciwo:
- Amitriptyline (Elavil)
- Nortriptyline (Aventyl)
- Desipramine (Norpramin)
- Citalopram (Celexa)
- Fluvoxamine (Luvox)
- Fluoxetine (Prozac)
- Paroxetine (Paxil)
- Duloxetine (Cymbalta)
- Venlafaxine (Effexor)
Maganin Neuropathic Pain - Magunguna na gargajiya
A lokuta da yawa, magunguna na gargajiyar kawai ba su iya sarrafa ciwon ciwo na ciwo na ciwo mai tsanani gaba daya.
Wannan ya faru ne saboda yawancin magunguna na gargajiya, irin su NSAIDs, ƙaddamar da ƙumburi, wanda zai iya zama ko kuma ba zai haifar da ciwo ba. Duk da haka, wasu magunguna na gargajiya suna da rawar da za su taka wajen magance ciwo mai jijiya. Ana iya amfani da su idan adjuvant analgesics ba tasiri, ko a hade tare da anticonvulsants ko antidepressants.
- NSAIDs . SAISU kadai kadai bazai da tasiri wajen magance ciwon neuropathic ; duk da haka, ga wasu mutane, kumburi yana sa ciwon zafi bayyanar cututtuka mafi muni. Za a iya haɗu da NSAIDs, irin su ibuprofen (Advil) ko naproxen ( Aleve ), tare da sauran ciwo na ciwo kuma zai iya taimakawa wajen magance ciwo mai tsanani.
- Acetaminophen . Acetaminophen (Tylenol) zai iya amfani da shi tare da adjuvant analgesics don sarrafa ciwon neuropathic, ko kuma za a iya amfani dashi ga ciwo na ciwo nasara . Wasu opioids da aka yi amfani da su na maganin ciwon neuropathic sun hada da acetaminophen.
- Opioids . Zai yiwu a ba da umarni ga magungunan ƙwayoyin cuta mai tsanani, ko a matsayin iyakar tsaron gida idan adjuvant analgesics ba zai iya magance ciwo ba. Wani "rauni" opioid wanda aka ba da umurni ga ciwon neuropathic shine tramadol (Ultram); duk da haka, ƙwarewar karfi zasu iya zama dole.
- Topical Analgesics . Duk da yake ba a koyaushe tasiri ba, wasu mutane da ke fama da ciwon neuropathic suna samun taimako tare da magungunan ciwo na waje, ciki har da lidocaine da capsaicin. Topical analgesics iya haɗa tare da sauran magunguna.
Neuropathic ciwon jiyya - Sauran Zabuka
Magunguna ba kawai amsar ba ne idan ya dace da maganin ciwon daji na neuropathic. Wasu zaɓuɓɓukan da za a iya amfani dashi, ko a haɗe tare da maɓalli, sun haɗa da:
- Jiki na jiki
- Nada tubalan
- Ƙarƙashin katako
- Nerve decompression tiyata
Magani da magungunan magani (CAM) na iya taimakawa wajen maganin ciwon maganin jinya, ciki har da acupuncture da magunguna . Kodayake mafi yawan CAM ba sa buƙatar takardar sayan magani, har yanzu ya kamata ka yi magana da likitanka kafin ka fara wani sabon jiyya don ciwo na ciwo.
Sources:
Shafin Farko na Ƙasa. Ka'idojin EFNS akan Magungunan Pharmacological na Pain Neuropathic. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10472&nbr=5495
Ƙungiyar Kasa ta Kasa. Neuropathic Pain: Magunguna. http://www.painfoundation.org/
The Merck Manuals Online Library Library. Neuropathic Pain. http://www.merckmanuals.com/professional/neurologic-disorders/pain/neuropathic-pain