Kodi mankhwala amphamvu ochepetsa ululu (Opioids) ndi osathandiza kwenikweni pa ululu wa msana/khosi?

Mukakhala ndi ululu wa msana kapena khosi, mumafuna kumwa mankhwala ochepetsa ululu kuti muchotse ululu nthawi yomweyo, eti? Ndipotu, anthu ambiri m'dziko lathu amachita zimenezo. Nthawi zina, mankhwala ochepetsa ululu akapanda kuthandiza, anthu ena amayesedwa kugwiritsa ntchito mankhwala amphamvu komanso "olimba". Koma kodi mukudziwa kuti kafukufuku waposachedwapa wapeza kuti kugwiritsa ntchito mankhwala ochepetsa ululu otchedwa amphamvu awa pa ululu wa msana ndi khosi mwadzidzidzi sikuthandiza kwenikweni?

Kodi mankhwala amphamvu ochepetsa ululu (Opioids) amenewa ndi ati?

Mwachidule, awa ndi gulu lapadera la mankhwala ochepetsa ululu omwe madokotala amapereka kuti achepetse ululu waukulu komanso woopsa. Mwachitsanzo, mwina mudamvapo mayina monga Tramadol, Morphine, ndi Pethidine. Awa ndi omwe timawatcha kuti opioids. Izi nthawi zambiri zimaperekedwa chifukwa cha ululu waukulu pambuyo pa opaleshoni, ululu wa khansa, ndi zina zotero. Zimakhudza ubongo ndi dongosolo lamanjenje ndipo zimachepetsa ululu. Komabe, zimatha kukhala zovuta kwambiri, choncho siziyenera kugwiritsidwa ntchito popanda kuyang'aniridwa ndi dokotala.

Kodi kafukufuku waposachedwapa akuti chiyani?

Kafukufuku waposachedwa wochitidwa ndi gulu la ofufuza ku Australia adasindikizidwa mu magazini yotchuka ya zamankhwala *The Lancet*. Kafukufukuyu adadabwitsa anthu ambiri.

Tangoganizirani, anagawa odwala oposa 340 omwe anayamba mwadzidzidzi kupweteka msana kapena khosi, zomwe zikutanthauza kuti anali atamva kupweteka kwa milungu yosakwana 12, m'magulu awiri.

1. Gulu loyamba: kwenikweni linapatsidwa mankhwala a opioid.

2. Gulu lachiwiri: linapatsidwa placebo. Ndiko kuti, chinthu chomwe chimawoneka ngati mankhwala, koma chilibe mankhwala aliwonse ogwira ntchito. Komabe, wodwalayo sakudziwa ngati akulandira mankhwala enieni kapena mankhwala abodza.

Zotsatira za kafukufuku wa zaka 6 uyu n'zodabwitsa kwambiri.

Ofufuzawo akuti, "Zotsatirazi zikusonyeza kuti tiyenera kuganiziranso kupereka mankhwala a opioid pa ululu woopsa wa msana ndi khosi, chifukwa sitinapeze kusiyana kwakukulu pakuchepetsa ululu poyerekeza ndi placebo."

N’chifukwa chiyani izi n’zofunika?

Izi ndizofunikira chifukwa malangizo ambiri azachipatala padziko lonse lapansi amalimbikitsabe ma opioid pa ululu wamtunduwu. Kafukufukuyu akuwonetsa kuti palibe chifukwa choperekera mankhwala amphamvu awa pa ululu womwe nthawi zambiri timautcha " ululu wamsana ," womwe uli ndi miyezi yosakwana itatu.

Kuopsa kwenikweni kwa ma opioid

Kafukufukuyu adapeza chinthu choopsa kwambiri kuposa kusowa kwa mpumulo wa ululu: anthu omwe adamwa mankhwala a opioid anali pachiwopsezo chachikulu chokhala ndi chizolowezi kapena kugwiritsa ntchito molakwika mankhwalawa chaka chotsatira.

Vuto lalikulu kwambiri ndi ili. Kodi kungosiya njira yopezera chizolowezi popanda kuchepetsa ululu ndi koopsa bwanji? Nazi zina mwa zinthu zomwe zingachitike ndi chizolowezi cha opioid:

• Kulekerera: Pakapita kanthawi, ululu suthanso ndi mlingo wakale. Kenako ukumva ngati utenga mlingo wokwera.
• Kudalira Thupi: Ngati musiya kumwa mankhwalawa, mudzayamba kuona zizindikiro zosiya kumwa mankhwala monga thukuta, kupweteka thupi, nseru, ndi kupweteka m'mimba.
• Kumwa mopitirira muyeso: Kumwa mopitirira muyeso kungayambitse kulephera kupuma komanso imfa.
• Zotsatira zina zoyipa: Kudzimbidwa, kugona tulo , nseru, kusanza, ndi kusokonezeka nazonso ndizofala.

Ndiye kodi muyenera kuchita chiyani pa ululu wa msana/khosi?

Tsopano mwina mukuganiza kuti, "Ndiye kuti muyenera kungopirira ululu uwu?" Ayi ndithu. Pali njira zotetezeka komanso zothandiza kwambiri zothanirana ndi ululu wadzidzidzi uwu kuposa ma opioid.

1. Kusuntha: Tinkanena kuti ngati mukuvutika ndi msana, muyenera kukhala pabedi. Koma tsopano tikuti muyenera kuchita ntchito yanu mwachizolowezi momwe mungathere ndikuyenda pang'ono. Kukhala pansi kumapangitsa minofu yanu kukhala yolimba.

2. Mapaketi Otenthetsera/Ozizira: Kuyika botolo la madzi otentha kapena paketi ya ayezi pamalo opweteka kungathandize kwambiri.

3. Physiotherapy: Iyi ndi njira yabwino kwambiri komanso yothandiza kwa nthawi yayitali. Katswiri wa physiotherapy adzakuphunzitsani masewera olimbitsa thupi ndi njira zolimbitsa minofu zomwe zikugwirizana ndi vuto lanu.

4. Mankhwala ena ochepetsa ululu: Paracetamol kapena NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) monga ibuprofen ndi diclofenac angathandize kwambiri pa ululu wamtunduwu kuposa opioids. Koma kumbukirani, nthawi zonse muyenera kufunsa dokotala wanu musanagwiritse ntchito mankhwala aliwonsewa.

Kodi muyenera kupita kwa dokotala liti?

Kupweteka kwa msana/khosi komwe kumachitika nthawi zambiri kumatha pakatha masiku ochepa kapena milungu iwiri kapena itatu. Komabe, pali zizindikiro zina zomwe ziyenera kuchititsa kuti munthu alandire chithandizo mwamsanga . Timaona izi ngati "zizindikiro zofiira."

Ngati muli ndi zizindikiro izi, musakhale panyumba ndipo pitani kwa dokotala nthawi yomweyo.