Antidepressants, antionvulsants, da narcotics yi wannan jerin
Idan yazo ga magunguna don ciwo na kullum, akwai zabi mai yawa daga can. Yaya aka san ka abin da magani ya dace maka? Daban daban-daban na magungunan ƙwayoyi suna ba da umurni ga gwaje-gwaje daban-daban, amma har yanzu ana samun zaɓuɓɓuka masu yawa. Wani lokaci, zaka iya gwada wasu nau'o'in shan magani, ko ma haɗuwa da wasu, don samun jin dadi.
Opioids (Narcotics)
Opioids ne magunguna masu amfani da ƙwayoyi masu amfani da matsananciyar zafi. Kodayake amfani da dogon lokaci ya kasance da rikice-rikice, yawancin masu jin dadi suna jin dadi idan aka kula da su, opioids suna da matsayi a ciwon gwagwarmaya. Opioids na iya zama gajeren aiki ko magunguna masu ciwo mai tsanani, duk da haka, a cikin ciwon ciwo mai tsanani , ana amfani dashi mafi yawa.
Ana amfani da nau'o'in opioids daban-daban don nau'o'in ciwo na kullum. Wadannan magunguna suna samuwa a cikin kwaya ko kwaya. Hakanan akwai samfurori mai ɓarna, ko da yake sun fi amfani da su don ciwon ciwon daji, ko a matsayin magani mai ciwo mai tsanani. Wasu misalai na opioids da ake amfani da su don magance ciwo na kullum shine oxycodone da fentanyl. Ana iya amfani da opioids kadai, ko kuma za'a hade su tare da wasu magunguna masu magani irin wannan acetaminophen.
Duk da yake opioids suna da tasiri a kan ciwo na kullum, suna da matsala masu wuya.
Opioids na iya haifar da tashin hankali, damuwa, maƙarƙashiya, rashin cin zarafin jima'i kuma zai iya haifar da dogara ga jiki. Idan ka ɗauki opioids a kai a kai don ciwo na kullum, likita ya kamata ya kula da kai a hankali saboda alamun shan magani na shan magani.
NSAIDs da Acetaminophen
Sassan NSAIDs da acetaminophen ne marasa lafiyar kwayoyin cutar, wadanda magunguna suke amfani dasu don ciwo mai tsanani.
Za a iya amfani da NSAIDs da acetaminophen kadai don magance ciwo na kullum, ko kuma a hade su tare da wasu magunguna masu guba irin su opioids da adjuvant analgesics . Ana iya amfani da su don magance ciwo mai tsanani .
Sabanin masu amfani da yara, yawancin NSAID suna samuwa a kan-da-counter. Acetaminophen kuma yana samuwa don sayan ba tare da takardar sayan magani ba. Duk da haka, ana iya samun magungunan maganin maganin maganin ciwo mai tsanani. Wasu misalai na NSAID da aka yi amfani da su na ciwo mai tsanani ne ibuprofen, naproxen, da mint.
Yayinda NSAIDs da acetaminophen suna samun magungunan ciwo, suna da tasiri mai tasiri. Yin amfani da dogon lokaci yana ƙara haɓaka daga waɗannan sakamako na gaba, duk da haka, ko da amfani na gajeren lokaci zai iya barin ku m. Wadannan sun hada da cututtukan ciwon jini da jini da kuma ƙwarewa ga ƙuntatawa. Wasu nau'ikan NSAIDS , musamman ma masu zaɓaɓɓe COX-2 , na iya kara yawan haɗari ga ciwon zuciya ko bugun jini. Duk da haka, kowace magani yana da bambanci kuma ya kamata ka yi magana da likitanka game da hadarin da amfanin kowane.
Antidepressants
Antidepressants su ne adjuvant analgesics . Ba a tsara su musamman a matsayin magungunan magani ba, ko da yake suna iya magance irin ciwo na kullum.
Anyi zaton ana amfani da antidepressants don magance ciwo mai tsanani a hanyoyi biyu. Na farko, zasu iya canza yadda za'a iya jin zafi daga kwakwalwa zuwa kwakwalwa. Na biyu, suna iya rage damuwa da taimakawa wajen daidaita barci.
Ba dukkan nau'o'in maganin antidepressants suna amfani dasu kamar magunguna masu zafi ba. Tricyclic antidepressants (TCAs) irin su amitriptyline, masu zaɓin siginar maganin serotonin (SSRIs) kamar su duloxetine da wasu wasu kamar su nefazodone ana amfani dasu don magance duka ciwo na ciwo da ciwo da ciwo . Monoamine oxidase inhibitors (MAOIs), a gefe guda, ba su da tasiri a kulawar ciwo.
Anticonvulsants
Kodayake yana iya jin dadi, magunguna, yawanci ana amfani dasu don sarrafa cututtuka, za a iya amfani dashi azaman magani mai zafi. Anticonvulsants ma adjuvant analgesics. Saboda sunyi aiki ta hanyar hana wasu nau'i na jijiyoyin jiki, zasu iya rage yawan jijiyar ciwon daji , kamar su waɗanda ke haifar da neuralgia ko cutar neuropathy na ciwon sukari. Masu amfani da kwayoyin da ake amfani dasu a matsayin magungunan ciwon ciki sun hada da gaba da kuma pregabalin.
Topical Analgesics
Topical analgesics ne maganin likita da ake amfani da fata. Suna samuwa kamar creams, lotions ko faci. Ana iya sayan wasu nau'i na magungunan ciwon magunguna a kan-da-counter, yayin da wasu suna buƙatar takardar likita. Ayyuka a wasu hanyoyi daban-daban, dangane da aiyinsu mai aiki. Wasu tsoffin cututtuka suna dauke da maganin jin zafi wanda aka samo ta cikin fata, kamar salicylate (Aspercreme). Wasu suna dauke da nauyin fata wanda zai iya tsoma baki tare da hangen nesa, irin su capsaicin.
Abubuwan Tsaro
Kuna iya ɗaukar wani nau'i na maganin ciwo don yanayinka, ko kuma zaka iya amfani da iri-iri wadanda aka ambata a sama don sarrafa lafiyarka. Duk abin da ya faru, tabbatar da amfani da magani kawai kamar yadda aka umarta. Yawancin magunguna masu shan magani suna da gargaɗin haɗin kan miyagun ƙwayoyi , har da da dama daga waɗanda aka ambata a sama. Idan kana shan magunguna masu magunguna, tabbatar da sanar da likitanka don haka zai iya faɗakar da kai ga duk wani rikitarwa.
Sources:
Ƙungiyar Balance ta Amirka. Magungunan APCA da Binciken Kwana: Ƙarin 2007 . http://www.theacpa.org/documents/ACPA%20Meds%202007%20Final.pdf.
The Merck Manuals Online Library Library. Pain: Jiyya. https://www.merckmanuals.com/home/brain-spinal-cord-and-nerve-disorders/pain/treatment-of-pain.