Abin da Kuna Bukatar Sanin Game da Dabbobi
Mutanen da ke da fibromyalgia (FMS) da ciwo na gajiya mai tsanani ( ME / CFS ) zasu iya samun alamun bayyanar cututtuka, ciki har da ciwo, kuma yana ɗaukar haɗarin magungunan da yawa don sa ka ji da kyau. Saboda kowace magani yana ɗauke da hadarinta, kuma waɗannan hadarin zasu iya karuwa idan aka dauka tare da wasu kwayoyi, yana biya don sanin magunguna ku da kyau.
Ana amfani da kwayoyi masu magunguna, wadanda aka fi sani da suna opioids ko narcotics, don magance ciwo kamar FMS da ME / CFS. Suna aiki ta hanyar yin amfani da sinadarin ƙwayar cututtuka ta jiki, wanda ake kira peptide opioid, cewa jikinka ya yi ta halitta. Kamar su takwarorinsu na asali, magungunan tiyata suna ɗaure ga masu karɓa a cikin ƙwaƙwalwarka da ƙwararru da kuma kunna tsarin jinƙan ka.
Kayan Kasuwanci
Mutane da dama sun kasance a kasuwa na dogon lokaci, basu da tsada, kuma suna samuwa a cikin nau'i. Common opiates sun hada da:
- hydrocodone
- codeine
- oxycodone
- fentanyl
- oxymorphone
- hydromorphone
- tramadol
- morphine
Bugu da ƙari, wasu ƙwayoyin da aka tsara sun hada da kwayoyin hade da suka hada da acetaminophen , wanda yake a Tylenol da wasu magungunan magunguna. Sun hada da:
- Percocet (oxycodone / acetaminophen)
- Ultracet (tramadol / acetaminophen)
- Vicodin (hydrocodone / acetaminophen)
Idan kana shan maganin haɗari, ya kamata ka tabbata ka koyi haɗarin waɗannan abubuwa.
Yaya Yayi Kwarewa?
A cikin FMS, ƙwararren bangaskiya a cikin ƙwararrun likita shine cewa masu amfani ba su da tasiri sosai akan irin nauyin da muke ciki. Binciken bincike yana ba da baya ga hakan sai dai rikice-rikice da hujjoji.
Ba mu da bincike game da opiates saboda zafi na ME / CFS. Duk da haka, ƙwayar cutar ta nuna nau'o'in nau'in nau'i guda biyu (cututtukan zafi) da kuma allodynia (ciwo daga al'ada ba tare da jin dadi ba), duka bangarori na FMS, kuma muna da cikakkiyar shaida a can.
Kuma shaidar ba ta da kyau. Wani binciken da aka buga a Cochrane Database of Reviews System ya kasa sami duk wani jarrabawa da aka wallafa, wanda ya dace da gwaji na oxycodone don fibromyalgia ko ciwon neuropathic marasa ciwon sukari.
Clinical Journal of Pain a shekara ta 2015 ya wallafa nazarin binciken likita a lokacin FMS ya gano cewa mutanen da ke amfani da opiates sun nuna rashin cigaba a cikin alamun cututtuka fiye da wadanda ke shan magunguna. Masu bincike sun bayyana cewa akwai tallafi kaɗan don amfani da wannan magani a FMS.
Binciken Bincike da Nazarin Binciken ya ce:
Ba mu da wata shaida cewa [opioids] ingantaccen matsayi fiye da kulawa ta al'ada kuma [sun] ma sun ba da gudummawa ga sakamako mara kyau.
Idan ka tambayi mutane tare da waɗannan yanayin game da opiates, ko da yake, kuna da labarin daban. Mafi yawa daga cikinsu sun ce matakan da suke fama da zafi suna da yawa don yin aiki ba tare da waɗannan kwayoyi ba. Da dama likitoci sun rubuta su, duk da irin shaidar da ba su da kyau. A gaskiya, binciken shekaru 11 da ya ƙare a shekara ta 2010 ya nuna cewa yawan kudin da aka samu a FMS ya karu daga kashi 40 zuwa kashi 46. Sauran binciken kuma suna lura da yadda ake amfani da masu amfani da su don magance ciwo mai tsawo.
Don haka menene bayan wannan rashin daidaito? Ba mu da bincike game da dalilin da ya sa, amma wasu dalilai da dama cewa marasa lafiya na FMS suna tunanin waɗannan kwayoyi sun fi tasiri cewa abin da bincike ya nuna sun hada da:
- Sakamakon wuri: Yana da wani abu mai mahimmanci-ra'ayin mutane cewa wani abu zai yi aiki zai iya haifar da ingantawa cewa miyagun ƙwayoyi ko wani magani basu da alhaki.
- Yanayin ciwo mai lalacewa: An san FMS tare da wasu sauran yanayi, kuma yana iya zama cewa mutanen da suka sami mafita daga opiates suna ganin raguwa daga wani abu dabam, wanda hakan yana taimakawa jin zafi na FMS.
Kowace dalilin (s), saitunan "ba su aiki" ba daga al'ummomin kiwon lafiya, tare da dokoki masu tasowa da kuma kulawa da yin amfani da shi, sun haifar da fushi da fushi a cikin marasa lafiya-musamman daga wadanda aka ƙi yin magani sun ce suna taimaka musu.
Rishen Ruwa: Rashin jima'i, Yara, Nunawa
Masu bincike suna da haɗari masu yawa, wasu likita, wasu ba.
Kwangowa zai iya zama m. Wani lokacin wani sakamako ne na mutane suna daukar karin kashi saboda sashin farko baya taimakawa jin zafi ba. Hakan da aka yi da FMS da ME / CFS zai iya zama mai wahala a gare ku don ku lura da lokacin da kuka dauki magani kuma ku jagoranci ku karu da sauri.
Har ila yau, bayar da gudummawa wajen farfado da haɗari shine haɗarin miyagun kwayoyi. Mutane da yawa waɗanda suka dauki tsawon lokaci suna yin haƙuri, ma'ana magungunan ba su da tasiri a gare su kamar yadda ya kasance. Duk da haka, kawai saboda yana daukan ƙarin don ku ji cewa wannan tasiri ba ya nufin jikinku zai iya ɗaukar karin. Yana da mahimmanci a koyaushe ka dauki opiates kamar yadda aka umarta.
Kwayoyin cututtuka na juye-tafiye na ƙarewa sun hada da:
- rukuni na rashin sani (misali, rikice-rikice, damuwa)
- da numfashi da / ko maras ƙarfi
- jinkirin jinkirin zuciya
- zubar da jini
- dizziness da / ko fainting
- tashin zuciya
- vomiting
- ƙananan dalibai
- sanyi, clammy fata
Idan kun yi zargin ku ko wani ya ketare a kan magunguna, yana da muhimmanci don samun taimakon likita a gaggawa nan da nan.
Addiction kuma haɗari ne tare da opiates. Wannan ya samo hankalin mai yawa daga yin amfani da doka da kuma kafofin watsa labaru a cikin 'yan shekarun nan, wanda ya sa wasu likitoci ba su son rubuta takardu da kuma sa mutane su damu da daukar su.
Duk da haka, wasu nazarin ya nuna cewa hadarin ƙari ya fi kasa fiye da tunani, kuma mafi girma haɗari ya kasance a cikin mutane da tarihin maganin miyagun ƙwayoyi da kuma buri.
Don magance matsalolin likitoci game da maganganun kwayoyi masu lalacewa, Ƙungiyar Harkokin Ƙungiyar Amurka a shekara ta 2009 ta buga wannan takarda: Sharuɗɗa don Amfani da Tarihin Opioid na Ganawa a Cikin Laifi na Noncancer.
Tare da cin zarafin da aka yi, da kariya, da mutuwa a fadin kasar, CDC a shekara ta 2016 ya ba da Sharuɗɗa don Tattalin Opioids na Balance na Gwanin don magance matsalolin.
Haka ma yana yiwuwa, a tsawon lokaci, opiates na iya kara zafi. Wasu bincike sun nuna cewa magungunan ƙwayoyi na iya haifar da ƙarin ƙwarewar wasu nau'i na ciwo, kamar yadda FMS ta ƙarfafa sakonnin jin zafi. Wannan sakamako ana kiransa hyperalgesia-induced hyperalgesia.
Saboda wasu mutane suna amfani da kwayoyi masu amfani, suna amfani da wadannan kwayoyi don sanya ku manufa na barayi. Mafi yawan mutanen da suka san cewa kana da wadannan magungunan, ƙila za ku kasance cikin hadari don cin zarafi.
Abubuwan Tafiyar Haɗin Tsibi da Abubuwa
Hakanan zaka iya samun illa ga lalacewa (ko wasu magunguna) ko da yayin ɗaukar su kamar yadda aka umarce su. Wasu sakamako masu illa suna daidai da bayyanar cututtuka. Hanyoyi masu lahani na al'ada sun hada da:
- tashin zuciya da / ko vomiting
- damuwa
- bushe baki
- dizziness a kan tsaye (saboda saukad da a saukar karfin jini)
- matsaloli urinating
- maƙarƙashiya
Hanyoyi na iya bambanta ta hanyar miyagun ƙwayoyi, don haka bincika jerin takamaiman don maganin ku. Kuna iya samun waɗannan a kan shafukan yanar gizon ko a kantin ku.
Yin amfani da wasu magungunan kwayoyi na iya haifar da hulɗar rashin lafiya, ciki har da mutuwa. Drugs wanda zai iya zama haɗari a yayin da aka hada tare da opiates sun hada da:
- wasu magunguna masu magani
- magunguna barci
- maganin antihistamines (maganin alurar rigakafi)
- tsofaffin tsoka
- magunguna don matsawa, damuwa ko wasu matsalolin kula da lafiyar jiki
- barasa
Har ila yau, waɗannan zasu bambanta da miyagun ƙwayoyi. Yana da mahimmanci ka sanar da likitanka da likitancinka game da dukkanin kwayoyi da kake dauka, ciki har da wadanda suka yi amfani da su, saboda haka zasu iya taimaka maka ka guji hulɗar haɗari.
Ragewar Hadarinku
Hanyar da za ta iya amfani da wadannan kwayoyi a amince shi ne bi umarnin zuwa wasikar da dubawa guda biyu don tabbatar da abubuwan da kuke hada su lafiya tare. Kuna so ku ajiye jerin magunguna a cikin wayarku ko walat don haka suna samuwa ga ma'aikatan gaggawa idan akwai wani kariya.
Hakanan zai iya taimakawa ga dan iyalin ko aboki ya kula da magunguna, ko don ajiye ɓangaren lokutan da kake ɗaukar su don taimaka maka ka guji ɗauka fiye da wuri.
Shin suna da dama a gare ku?
Kai kadai da likitanka zasu iya yanke shawara ko masu bincike su ne zabi mai kyau a gare ku, bisa ga likitocinku, alamun cututtuka, lafiyar lafiya, da abubuwan rayuwa.
Idan ba ka ji cewa opiates yana da tasiri a wajen kawar da ciwo ba, ka yi magana da likitanka game da yiwuwar canzawa.
Lokacin yin yanke shawara, tabbas za ka ɗauki ka'idodin doka wanda zai sa ya zama da wuya a gare ka ka cika magungunanka, kamar su ba da izini-ba da takarda takarda a kantinka a kowane wata.
Sources:
Fitzcharles MA, et al. Ciwon bincike da kuma jiyya. 2013; 2013: 898493. Yin amfani da opioid a fibromyalgia yana hade da matakan kiwon lafiyar marasa lafiya a cikin binciken da ake gudanarwa.
Gaskell H, et al. Mahimman bayanai na tsarin kula da Cochrane. 2014 Yuni 23; 6: CD010692. Oxycodone ga neuropathic zafi da fibromyalgia a cikin manya.
Jigon JT, LJ. Jaridar asibitin rheumatology. 2013 Mar, 19 (2): 72-7. Aminiya na yin amfani da cutar a cikin fibromyalgia ciwo: nazari na asibiti.
Peng X, et al. Jaridar Clinical ta ciwo. 2015 Janairu 31 (1): 7-13. Tsarin lokaci na kimantawa na maganin gwaji a fibromyalgia.
Wolfe F, et al. Jaridar Turai ta jin zafi. 2013 Afr 17 (4): 581-6. Tsarin lokaci na maganin da ake amfani da ita da kuma maganin maganin miyagun kwayoyi da haɗin kai a cikin fibromyalgia.