We yu gɛt bak ɔ nɛk pen, yu kin fil lɛk fɔ tek mɛrɛsin fɔ mek yu nɔ fil pen wantɛm wantɛm, nɔto so? Infakt, bɔku pipul dɛn na wi kɔntri de du dat. Sɔmtɛm, we wan simpul pen kil nɔr de ɛp, sɔm pipul dɛn kin tɛmpt fɔ yuz wan strɔng, "strong" pen kil. Bɔt yu no se wan stɔdi we dɛn jɔs du, dɔn sho se fɔ yuz dɛn tin ya we dɛn kɔl strɔng pen kil fɔ mek pɔsin fil pen wantɛm wantɛm na in bak ɛn nɛk, dat nɔ kin rili afɛkt am?
Wetin na dɛn pawaful mɛrɛsin ya fɔ mɛn pen (Opioids)?
Fɔ tɔk am simpul wan, dɛn tin ya na spɛshal grup fɔ mɛn pen we dɔktɔ dɛn kin gi fɔ kɔntrol di pen we rili bad ɛn we kin rili bad. Fɔ ɛgzampul, yu go dɔn yɛri bɔt nem dɛn lɛk Tramadol, Morphine, ɛn Pethidine. Dis na wetin wi kin kɔl opioid. Dɛn kin gi dɛn tin ya fɔ siriɔs pen afta dɛn dɔn ɔpreshɔn, kansa pen, ɛn ɔda tin dɛn Dɛn kin afɛkt di bren ɛn di nervɔs sistɛm ɛn ridyus di sɛns fɔ fil pen. Bɔt dɛn kin rili adikshɔn, so dɛn nɔ fɔ ɛva yuz dɛn if dɔktɔ nɔ de wach dɛn.
Wetin di las stɔdi se?
Wan stɔdi we wan grup we de du risach na Ɔstrelia bin du i nɔ tu te yet, dɛn bin pul am na di wɔl we pipul dɛn sabi bɔt mɛrɛsin we dɛn kɔl *The Lancet*. Dis stɔdi bin rili sɔprayz bɔku pipul dɛn.
Imajin, dɛn sheb pas 340 pasɛnt dɛn we bin bigin fɔ pen na dɛn bak ɔ dɛn nɛk wantɛm wantɛm, we min se dɛn nɔ bin dɔn gɛt di pen fɔ lɛs 12 wiks, to tu grup dɛn .
1. Di fɔs grup: dɛn bin rili gi am di opioid drɔg.
2. Di sɛkɔn grup: dɛn gi am wan plesibo. Dat min se, sɔntin we tan lɛk mɛrɛsin, bɔt nɔ gɛt ɛni aktif mɛrɛsin. Bɔt di pɔsin we sik nɔ no if na in de gɛt di rial mɛrɛsin ɔ di lay lay mɛrɛsin.
Di rizulyt fɔ dis 6 ia stɔdi rili sɔprayz.
Afta 6 wik , no signifyant difrɛns nɔ bin de pan di pen lɛvɛl we di pasɛnt dɛn bin gɛt na ɛni wan pan di grup dɛn. Ɛn di tin dɛn we bin apin bin di sem afta 12 wiks. Dat min se, no big difrɛns nɔ bin de pan fɔ ridyus di pen bitwin di pɔsin we tek di strɔng pen kil ɛn di pɔsin we jɔs tek wan pil.
Di risach pipul dɛm se, "Dɛn rizɔlt ya sho se wi fɔ tink bak bɔt fɔ gi opioid fɔ akyu bak ɛn nɛk pen, bikɔs wi nɔ bin fɛn ɛni big difrɛns pan pen rilif we yu kɔmpia am wit plasɛbo."
Wetin mek dis impɔtant?
Dis impɔtant bikɔs bɔku mɛdikal gaydlain ɔlsay na di wɔl stil de kɔmɛnt fɔ tek opioid fɔ dis kayn pen. Dis stכdi sho se i nɔr gɛt ɛni bɛnifit fɔ gi dɛn pawaful mɛrɛsin ya fɔ wetin wi kin kɔl " bak pen ," pen we nɔ rich tri mɔnt.
Di rial denja dɛm fɔ opioid
Di stεdi fכn sכmtin we ivin mכr alarm pas di lכk fכ rεlif pen: pipul dεm we de tek opioid bin de pan hכy risk fכ bi adikshכn to כ abuz di drog wan ia afta.
Dis na di big prɔblɛm. Aw i denja fɔ jɔs kɔt rod fɔ gɛt adikshɔn ɛn nɔ gɛt ɛni pen we de mek pɔsin fil pen? Na sɔm pan de tin dɛm wae kin apun wit opioid adikshɔn:
- Tolerance: Afta sɔm tɛm, di pen nɔ de stɔp igen wit di doz we yu bin dɔn gi am bifo. Dɔn yu kin fil lɛk fɔ tek wan mɔ doz.
- Di Dipens pan Bɔdi: If yu stɔp fɔ tek di mɛrɛsin, yu go bigin fɔ gɛt sɔm sayn dɛn we yu nɔ go tek di mɛrɛsin, lɛk fɔ swet, yu bɔdi de at, yu nɔs, ɛn yu bɛlɛ kramp.
- If yu tek am pasmak: If yu tek am tumɔs, dat kin mek yu nɔ ebul fɔ blo fayn ɛn i kin ivin day.
- Ɔda bad tin dɛn we kin apin: Kɔnstipɛshɔn, slip , nɔs, vɔmit, ɛn kɔnfyushɔn kin bɔku bak.
So wetin yu fɔ rili du fɔ bak/nɛk pen?
Naw yu go mɔs de tink se, "So yu go jɔs gɛt fɔ bia wit dis pen?" Atɔl. Bɔku we dɛn de we sef ɛn we go wok fayn fɔ mɛn dɛn kayn pen ya wantɛm wantɛm pas opioid.
1. Muv: Wi bin de se if yu get bak pen, yu shud de fo bed. Bɔt naw wi se yu fɔ du yu wok as nɔmal as yu ebul ɛn waka smɔl. We yu sidɔm stil de mek yu mɔsul dɛn tayt.
2. Ɔt/Kol Pak: If yu put ɔt wata bɔtul ɔ ays pak na di say we yu de fil pen, dat kin mek yu fil fayn.
3. Fisiotɛrapi: Dis na di bɛst ɛn di sɔlv we go tek lɔng tɛm. Wan dɔktɔ we de mɛn yu bɔdi go tich yu fɔ du ɛksɛsayz ɛn fɔ mek yu mɔsul dɛn strɔng we fit yu sik.
4. Ɔda tin dɛn we de mek pɔsin fil pen: Paracetamol ɔ NSAID (Non-Steroidal Anti-Inflammatory Drugs) lɛk ibuprofen ɛn diclofenac kin wok fayn fɔ dis kayn pen pas opioid. Bɔt mɛmba se yu fɔ go to yu dɔktɔ ɔltɛm bifo yu yuz ɛni wan pan dɛn mɛrɛsin ya.
Ustɛm yu fɔ rili go to dɔktɔ?
Wan kɔmɔn bak/nɛk pen go stɔp insay sɔm dez ɔ tu to tri wik. Bɔt sɔm sayn dɛn de we fɔ mek yu go to dɔktɔ wantɛm wantɛm . Wi kin tek dɛn tin ya as "rɛd flag."
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| di leg dεm כ di jεnital εria we de sכmtεm sכmtεm, we yu nכ ebul fכ kכntrכl di urine כ stכl. | Dis kin dɔn afɛkt di spɛshal kɔd. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. |
| Siri pen afta aksidɛnt ɔ fɔdɔm. | Bɔn we brok ɔ ɔda bad bad injuri kin apin. |
| Pen we kin kam wit fiva, kol, ɛn we yu nɔ kin gɛt bɔku bɔku bɔdi. | I kin bi sayn fɔ se pɔsin gɛt infekshɔn ɔ ɔda siriɔs mɛrɛsin. |
| Di pen kin wɔs na nɛt ɛn i kin kɔntinyu ivin we yu de rɛst. | Sɔntɛm sɔntin de we go mek dɛn nid fɔ du mɔ dip invɛstigeshɔn. |
If yu gɛt dɛn kayn sik ya, nɔr de na os ɛn go to yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Stɔdi dɛn we dɛn jɔs dɔn du dɔn kɔnfyus se di yus fɔ strɔng pen kil (Opioids) nɔ de gi big rilif fɔ sɔdɛn, shɔt tɛm bak ɛn nɛk pen.
- Nɔto jɔs dɛn mɛrɛsin ya nɔ de mek pɔsin nɔ fil pen, bɔt dɛn kin mek pɔsin gɛt adikshɔn ɛn ɔda bad bad tin dɛn we kin apin to pɔsin.
- Di bɛst tritmɛnt fɔ bak/nɛk pen na fɔ muv fayn fayn wan, fɔ trit yu bɔdi fayn, ɛn fɔ tek mɛrɛsin we nɔ de mek yu fil pen lɛk aw dɔktɔ tɛl yu.
- Nɔ ɛva yuz strɔng pen kil, mɔ di opioid, if yu nɔ gɛt dɔktɔ in prɛskrishɔn.
- If yu pen gɛt sɔm sayn dɛm lɛk fiva, yu nɔr de fil fayn, ɔr yu nɔr ebul fɔ kɔntrol yu blad/bɔwel, go to dɔktɔ kwik kwik wan.
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