Mankhwala Opweteka Pambuyo pa Opaleshoni: Kodi tikambirane za izi?

Ngati mukukonzekera kuchitidwa opaleshoni , kapena mwachita opaleshoni posachedwapa, nkhaniyi idzakhala yofunika kwambiri kwa inu. Onani, pankhani ya opaleshoni, kaya yakonzedwa kapena yachitika pambuyo pa ngozi, ndi zachilendo kumva ululu wina. Ululu umenewo umachokera ku opaleshoni yokha, komanso kuchira kwa thupi. Chifukwa chake, kuthana ndi ululu uwu ndi gawo lofunika kwambiri pakuchira. Tiyeni tikambirane za izi mwatsatanetsatane, sichoncho?

Kodi timakonzekera bwanji kuchepetsa ululu tisanayambe opaleshoni?

Ngati mukudziwa kuti muchita opaleshoni, ndi bwino kukambirana ndi dokotala wanu za momwe mungachepetsere ululu pasadakhale. Mwanjira imeneyi mutha kufunsa mafunso aliwonse omwe muli nawo ndikudziwa zomwe mungayembekezere. Mutha kufunsa dokotala wanu za:

• Kodi ndiyenera kuyembekezera ululu wochuluka bwanji? Si maopaleshoni onse omwe ndi ofanana, choncho funsani za opaleshoni yanu yeniyeni.
• Kodi mwachibadwa mumatha kupirira ululu bwanji? (Makamaka ngati mudachitidwapo opaleshoni kale.) Anthu ena amamva ululu kwambiri, ena pang'ono.
• Kodi muli ndi vuto lililonse la ziwengo kapena zotsatirapo zake chifukwa cha mankhwala aliwonse? Izi ndizofunikira kwambiri, chifukwa mankhwala ena ochepetsa ululu sangakhale oyenera kwa inu.
• Ndi mankhwala ati kapena zowonjezera zomwe mukumwa pakali pano? Mankhwala ena amatha kusokonezana ndi mankhwala ochepetsa ululu.
• Kodi muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo? Kodi muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo ? Ngati ndi choncho, ndikofunikira kwambiri kuuza dokotala wanu.
• Kodi zotsatirapo kapena mavuto omwe angakhalepo chifukwa cha mankhwala ochepetsa ululu ndi ati?

Dokotala wanu adzakulangizani njira zosiyanasiyana zochepetsera ululu kuti zikuthandizeni kukhala omasuka komanso otetezeka mukatha opaleshoni. Kwa anthu ambiri, izi zikuphatikizapo mtundu umodzi wa mankhwala.

Ndi mitundu yanji ya ululu yomwe imachitika pambuyo pa opaleshoni?

Thupi lanu kuti lichitidwe opaleshoni Momwe mumayankhira zimadalira zinthu zambiri. Mtundu wa opaleshoni yomwe mumachita, kupirira kwanu kupweteka kwachibadwa, komanso msinkhu wanu zonse zingakhudze momwe mumamvera mutatha opaleshoni. Mungayembekezere kupweteka kwina komwe mudachitidwa opaleshoni, koma mutha kukumana ndi zina mwa izi:

• Kupweteka kwa minofu:Mungamve kupweteka kwa minofu yosiyanasiyana m'thupi lanu. Kungakhale chifukwa cha opaleshoni yokha, koma anthu ambiri mosazindikira amalimbitsa minofu yawo akamamva kupweteka kapena kupanikizika.
• Kupweteka pakhosi: Pakhosi panu pakhoza kukhala kupweteka kapena kukanda, makamaka ngati munalowetsedwa m'chubu panthawi ya opaleshoni.
• Kupweteka kwa kuyenda: Kukhala molunjika, kuyenda, ndi kukhosomola n'kofunika kwambiri pambuyo pa opaleshoni. Komabe, kuchita izi kungapangitse ululu kukhala wochuluka.

Ululu ungamveke m'njira zosiyanasiyana. Ungakhale:

• Zili ngati kudula ndi mpeni wakuthwa .
• Monga kubaya .
• Monga kugunda kwa mtima , ngati kugunda kwa mtima .
• Monga kupweteka , ngati kupweteka m'thupi.
• Monga "Kutentha" .

Uzani gulu lanu lachipatala komwe mukuvutika komanso momwe ululuwo ukumvera. Izi ziwathandiza kumvetsetsa zomwe zikuchitika m'thupi lanu ndikuwathandiza kuthana ndi ululuwo.

Kodi mankhwala abwino kwambiri ochepetsa ululu pambuyo pa opaleshoni ndi ati? Kodi mankhwala omwewo ndi oyenera aliyense?

Palibe mankhwala "abwino kwambiri" ochepetsa ululu kwa aliyense. Thupi lanu, thanzi lanu, komanso kuchira kwanu kuchokera ku opaleshoni ndi zanu zokha. Chifukwa chake, zomwe zingakuthandizeni sizingagwire ntchito kwa wina.

Pali mitundu ingapo ya mankhwala opweteka omwe dokotala wanu angakupatseni mutachita opaleshoni. Ngati muli m'chipatala, mungapatsidwe mankhwala olowetsedwa m'mitsempha (IV). Koma nthawi zambiri, mankhwala opweteka omwe mungafunike ndi mapiritsi omwa.

Mitundu yayikulu ya mankhwala ochepetsa ululu omwe amaperekedwa pambuyo pa opaleshoni

Nazi zina mwa mitundu yodziwika bwino ya mankhwala ochepetsa ululu:

Kodi NSAIDs ndi chiyani?

Mankhwala a NSAID ndi mtundu wa mankhwala omwe amachepetsa ululu ndikuchepetsa kutupa . Dokotala wanu angakulangizeni kuti mugwiritse ntchito mankhwala a NSAID omwe sagulitsidwa ndi dokotala (OTC) kapena mankhwala amphamvu omwe amaperekedwa ndi dokotala.

Mankhwala ofala kwambiri a NSAID ndi awa:

• `Aspirin` (imabwera pansi pa mayina monga Bayer®, St. Joseph®)
• Ibuprofen (yomwe imadziwikanso kuti Motrin®, Advil®)
• `Naproxen sodium` (yomwe imapezeka pansi pa dzina la Aleve®)
• Indomethacin (Indocin®)
• Ketorolac (Toradol®)

Chofunika: Mankhwalawa angayambitse mavuto am'mimba mwa anthu ena, choncho ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala walamula.

Opioids (mankhwala ochepetsa ululu)

Ma opioid (nthawi zina amatchedwa mankhwala osokoneza bongo) ndi mankhwala omwe amamangirira ku ma receptors mu ubongo ndi thupi omwe amachepetsa zizindikiro za ululu. Ndi mankhwala amphamvu kwambiri ochepetsa ululu ndipo amatha kukhala osokoneza bongo. Chifukwa chake, madokotala ambiri tsopano akulemba ma opioid pafupipafupi kapena pamlingo wocheperako kuti achepetse zotsatira zake zoyipa. Pali mitundu yoposa 100 ya ma opioid, zitsanzo zina zikuphatikizapo:

• Hydrocodone (Vicodin®)
• Oxycodone (OxyContin®, Percocet®)
• `Kodeini`
• `Fentanyl`
• `Methadone`

Mukamagwiritsa ntchito mankhwalawa, muyenera kuwamwa monga momwe dokotala wanu akulangizirani, mu kuchuluka kwake komanso nthawi yomwe mwapatsidwa. Si bwino kusintha mlingo momwe mukufunira, kapena kupatsa ena.

Mankhwala Oletsa Kupweteka Pakhungu - Mankhwala Omwe Amachititsa Kuti Khungu Lizizizira

Mankhwala oletsa ululu a m'dera lanu ndi mankhwala omwe amapha ululu m'dera linalake la thupi lanu. Nthawi zina madokotala amatcha mankhwalawa kuti "mankhwala oletsa ululu am'deralo." Dokotala wanu angakupatseni mankhwala oletsa ululu a m'dera lanu kuti athandize kupha ululu m'dera lozungulira opaleshoni. Mankhwalawa angagwiritsidwe ntchito pakhungu ngati mabala, mafuta odzola, kapena mafuta odzola. Zitsanzo zodziwika bwino ndi izi:

• `Lidocaine`
• `Benzocaine`
• `Dibucaine`
• `Phenol`
• `Pramoxine` (Pramoxine)

Njira zina zochepetsera ululu ndi zochepetsera ululu

Dokotala wanu angakupatseni mankhwala ena kuwonjezera pa omwe atchulidwa pamwambapa. Mwachitsanzo, mungafunike kumwa acetaminophen (yomwe imadziwika kuti Tylenol®) kapena mankhwala opumulira minofu, omwe mungagule ku pharmacy kapena ndi mankhwala olembedwa ndi dokotala.

Ngati muli m'chipatala mutachita opaleshoni yaikulu, gulu lachipatala lingagwiritse ntchito njira zapadera zochepetsera ululu monga:

• Kutsekeka kwa mitsempha: Kulephera kugwira ntchito kwa mitsempha yomwe imanyamula ululu kumalo enaake kwakanthawi.
• Mankhwala oletsa ululu pambuyo pa opaleshoni: Njira zapadera zochepetsera ululu zomwe zimaperekedwa ndi dokotala wa opaleshoni.
• Pampu yoletsa ululu yolamulidwa ndi wodwala (PCA pump): Njira yomwe imalola wodwalayo kulandira mankhwala ochepetsa ululu podina batani.
• Epidurals: Mtundu wapadera wa mankhwala opha ululu omwe amaperekedwa kudzera msana, omwe amagwiritsidwa ntchito kwambiri panthawi yobereka, komanso amagwiritsidwa ntchito pa maopaleshoni ena.

Kodi ubwino wogwiritsa ntchito mankhwala ochepetsa ululu ndi wotani?

Izi zingawoneke ngati zosavuta, koma phindu lalikulu logwiritsa ntchito mankhwala ochepetsa ululu mukatha opaleshoni ndikuti amachepetsa ululu womwe mumamva. Izi sizimangokuthandizani kukhala omasuka, komanso ndi gawo lofunika kwambiri pothana ndi ululu. Komabe,Thupi lanu limachira msanga mukakhala kuti mulibe ululu. Kuchepetsa ululu wanu kungathandize kuti muchiritsidwe mofulumira.

Kulamulira ululu kungachepetsenso chiopsezo cha mavuto pambuyo pa opaleshoni. Ngati ululu walamuliridwa bwino, zidzakhala zosavuta kuti muyende, muyende, komanso mupume mpweya wozama. Izi zimachepetsa chiopsezo cha mavuto ena, monga chibayo ndi magazi kuundana.

Kodi pali zotsatirapo zilizonse ndi zoopsa za mankhwala ochepetsa ululu zomwe zimaperekedwa pambuyo pa opaleshoni?

Mankhwala aliwonse angayambitse zotsatirapo zina. Zina mwa zotsatirapo zofala kwambiri za mankhwala ochepetsa ululu ndi izi:

• Kusanza ndi kusanza
• Kugona tulo
• Chizungulire
• Kuyabwa
• Kutuluka magazi mkati (monga kuchokera m'mimba) (`Kutuluka magazi mkati / kutuluka magazi`)
• Kuwonongeka kwa chiwindi (makamaka ngati mutenga mankhwala ochulukirapo kuposa momwe mukufunira monga acetaminophen)

Ma opioid amatha kukhala osokoneza bongo ndipo angayambitse Opioid Use Disorder. Ngati mumwa mopitirira muyeso nthawi imodzi (kapena mobwerezabwereza), mutha kukhala ndi Opioid Overdose, yomwe ingakhale yoopsa. Dokotala wanu adzawunikanso mbiri yanu yachipatala komanso chiopsezo cha chizolowezi asanakupatseni Ma opioid. Ngati inu kapena wina aliyense m'banja mwanu ali ndi mbiri yogwiritsa ntchito mankhwala osokoneza bongo, ndikofunikira kuuza dokotala wanu.

Gulu lanu lachipatala lidzakufotokozerani zotsatirapo zake komanso zoopsa za mankhwala aliwonse omwe mukufuna. Ngati mukuda nkhawa ndi chiopsezo china chake kapena simukudziwa momwe mungayankhire ndi mankhwalawo, auzeni. Adzakuthandizani kupeza njira zotetezeka komanso zothandiza zothanirana ndi ululu wanu.

Kodi ndidzakhala bwino mofulumira bwanji nditamwa mankhwala ochepetsa ululu?

Nthawi yomwe imatenga kuti mankhwala ochepetsa ululu ayambe kugwira ntchito imatha kusiyana. Mankhwala ambiri ayenera kuyamba kuchepetsa ululu mkati mwa ola limodzi kapena awiri. Funsani gulu lanu la zaumoyo momwe mankhwala anu angagwire ntchito mwachangu. Adzakuuzani zomwe mungayembekezere.

Kodi mungamwe mankhwala ochepetsa ululu kangati?

Dokotala wanu adzakupatsani malangizo enieni okhudza kumwa mankhwala ochepetsa ululu. Adzakuuzani kuchuluka kwa mankhwala omwe mungamwe komanso kuchuluka kwa nthawi yomwe mungamwe mankhwalawa.

Simungamve ululu nthawi zambiri ngati mukuloledwa kumwa mankhwala anu. Palibe vuto. Ngati simukumva ululu, nthawi zambiri ndi bwino kusiya kumwa mlingo ndikudikirira mpaka ululuwo utakula kwambiri kapena mpaka mlingo wina utakwana. Komabe, funsani dokotala wanu ngati kuli bwino kusiya kumwa mlingo ngati mulibe ululu.

Komanso, dokotala wanu angakulangizeni kuti mumwe mankhwala anu nthawi zonse, kaya mukumva kupweteka kwambiri kapena ayi. Izi zingakuthandizeni "kukhala patsogolo pa ululu" popewa kukwiya mwadzidzidzi.

Funsani dokotala wanu njira yabwino kwambiri yothandizira ululu potengera opaleshoni yomwe mudachita komanso mankhwala omwe mukumwa.

Kodi ndingapemphe mankhwala ena ochepetsa ululu?

Ngati mukumva ululu wochuluka kuposa momwe mukuganizira, lankhulani ndi dokotala wanu za vutoli. Akhoza kusintha mlingo wanu. Musamwe mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala (makamaka opioids) popanda upangiri wa dokotala wanu. Mankhwala omwe mudzapatsidwa mukatha opaleshoni akhoza kukhala ovuta kuyanjana ndi mankhwala omwe mukumwa kunyumba.

Dokotala wanu angasinthenso mtundu wa mankhwala opweteka omwe mumamwa. Mankhwala ena (makamaka opioids) amaperekedwa pang'ono, ndipo simungamwe mankhwala ena mukamaliza kumwa koyamba.

Musachite manyazi kulankhula ndi gulu lanu lazaumoyo kapena kulankhula nawo ngati mukumva kupweteka. Anthu ena amaganiza kuti kufunsa mafunso "kukuvutitsani". Musatero. Nthawi zonse ndibwino kufunsa dokotala wanu mafunso awa. Madokotala anu alipo kuti akuthandizeni, zivute zitani. Nthawi zonse ndikofunikira kwa iwo kuti atsimikizire kuti mukuchira.

Musamwe mankhwala ochulukirapo kuposa momwe gulu lanu lachipatala lanenera. Ngati mumwa mankhwala ochepetsa ululu kwambiri, mungakhale ndi mavuto aakulu.

Kodi mungachepetse bwanji ululu kunyumba?

Mukachoka kuchipatala kapena kuchipatala cha opaleshoni, njira zambiri zochepetsera ululu zidzachitikira kunyumba. Mwina mudzamwa mankhwala ngati gawo la dongosolo lanu lochepetsera ululu, koma mutha kuchita izi:

• Pumulani mokwanira. Kugona n'kofunika kwambiri kuti thupi lanu lichiritse. Ngati mukuvutika kugona mutachita opaleshoni, lankhulani ndi dokotala wanu.
• Dzipatseni mpata womasuka. Konzani pasadakhale kuti muyike mapilo, ma cushion, kapena zipangizo zina zothandizira m'malo omwe mumakhala nthawi yambiri masana. Mungafunike kusintha malo osiyana ndi omwe mumagona kapena kukhala. Mutha kuchita izi musanachite opaleshoni, zomwe zingathandize thupi lanu kusintha.
• Imwani mankhwala ochepetsa ululu musanachite zinthu zina kapena musanagone. Mungakhale ndi nthawi yosinthasintha yogwiritsira ntchito mankhwala ochepetsa ululu. Ndi bwino kumwa mankhwala ochepetsa ululu musanachite ntchito yovuta, kuchita masewera olimbitsa thupi, kapena kuchita zina zolimbitsa thupi. Kumwa mankhwala anu musanagone kungakuthandizeni kugona mosavuta. Kumbukirani, musamwe mankhwala ena pokhapokha ngati gulu lanu lachipatala lanena kuti ndi lotetezeka.
• Gwiritsani ntchito njira zochepetsera ululu popanda mankhwala.Kuchita masewera olimbitsa thupi popuma, kusinkhasinkha, kumvetsera nyimbo zotonthoza, komanso kuonera kanema wotonthoza kapena pulogalamu ya pa TV kungathandize kuchepetsa ululu. Gulu lanu lazaumoyo lingakulangizeni chithandizo chotentha kapena chithandizo chozizira. Angakuwonetseni momwe mungagwiritsire ntchito mabotolo amadzi otentha, mapaketi a ayezi, kapena ma cooling pads mosamala. Kutentha kapena ayezi kungakhale njira yabwino yochepetsera ululu pakati pa mlingo wa mankhwala.

Ndiyenera kupita kwa dokotala nthawi yanji?

Dokotala wanu adzakuuzani kangati komwe muyenera kupita kwa dokotala ('maulendo obwerezabwereza'). Adzafufuza ngati mukuchira bwino komanso kuti njira yanu yochiritsira ikuyenda bwino.

Ngati muwona zizindikiro izi, imbani dokotala wanu kapena gulu lachipatala nthawi yomweyo :

• Ngati bala lanu la opaleshoni likutuluka magazi.
• Ngati mukumva kutentha kapena kutentha mozungulira bala.
• Ngati pali madzimadzi, mafinya, kapena fungo loipa lomwe likuchokera pabala.
• Ngati khungu lanu lasintha mtundu kapena kufiira kulikonse kuzungulira bala lanu la opaleshoni.
• Ngati mankhwala anu amayambitsa zotsatirapo zoyipa kwambiri.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Opaleshoni imapweteka. Koma kungoti mukumva ululu mukatha opaleshoni sizitanthauza kuti muyenera kuvutika nawo mpaka mutachira. Dokotala wanu adzakupatsani mankhwala ochepetsa ululu kuti akuthandizeni kukhala omasuka. Adzakuuzani momwe mungamwere, kuchuluka kwa mankhwala otetezeka, komanso nthawi yomwe kuli koyenera kumwa mankhwala ena. Mankhwala onse akhoza kukhala ndi zotsatirapo zoyipa, koma dokotala wanu adzakufotokozerani zoopsa zonse pasadakhale.

Funsani gulu lanu lachipatala mafunso aliwonse omwe mungakhale nawo musanachite opaleshoni komanso mutachita opaleshoni. Adzakufotokozerani zonse zomwe muyenera kudziwa. Zingakhale zothandiza kukhala ndi wokondedwa wanu kuti alembe zinthu. Nthawi zonse mutha kusindikiza malangizo ndi malangizo kuti muwagwiritse ntchito pambuyo pake. Kumbukirani, thanzi lanu ndiye chinthu chofunikira kwambiri!

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