Xa uneentlungu zomqolo okanye entanyeni, uziva ufuna ukuthatha i-painkiller ukuze uphelise iintlungu ngoko nangoko, akunjalo? Enyanisweni, abantu abaninzi kwilizwe lethu bayakwenza oko. Ngamanye amaxesha, xa i-painkiller elula ingancedi, abanye abantu bayalingeka ukuba basebenzise i-painkiller enamandla, "enamandla". Kodwa ubusazi ukuba uphando lwakutshanje lufumanise ukuba ukusebenzisa ezi pilisi zokuphelisa iintlungu ezibizwa ngokuba zinamandla kwiintlungu zomqolo nentamo ngequbuliso akunampembelelo ingako?
Zithini ezi pilisi zokuphelisa iintlungu ezinamandla (ii-Opioids)?
Ngamafutshane, la liqela elikhethekileyo leepilisi zokuthomalalisa iintlungu ezinikwa ngoogqirha ukulawula iintlungu ezinzima kakhulu. Umzekelo, usenokuba ukhe weva ngamagama anjengeTramadol, iMorphine, kunye nePethidine. La magama siwabiza ngokuba yi-opioids. La mayeza adla ngokunikezelwa kwiintlungu ezinzima emva kotyando, iintlungu zomhlaza, njl. Zichaphazela ingqondo kunye nenkqubo yemithambo-luvo kwaye zinciphisa iimvakalelo zentlungu. Nangona kunjalo, zinokuba ngumlutha kakhulu, ngoko akufuneki zisetyenziswe ngaphandle kweliso likagqirha.
Luthini uphando lwamva nje?
Uphononongo lwakutshanje olwenziwe liqela labaphandi e-Australia lupapashwe kwiphephancwadi lezonyango elidumileyo kwihlabathi liphela *iThe Lancet*. Olu phononongo lubamangalise kakhulu abantu abaninzi.
Khawucinge nje, bahlule izigulane ezingaphezu kwama-340 ezaqala ngequbuliso ukuba neentlungu zomqolo okanye zentamo, oko kuthetha ukuba bezineentlungu kangangeeveki ezingaphantsi kwe-12, zaba ngamaqela amabini.
1. Iqela lokuqala: lanikwa iyeza le-opioid.
2. Iqela lesibini: linikwe i-placebo. Oko kukuthi, into ebonakala ngathi liyeza, kodwa ingenalo naliphi na iyeza elisebenzayo. Nangona kunjalo, isigulana asazi ukuba sifumana iyeza lokwenyani okanye lelobuxoki.
Iziphumo zolu phononongo lweminyaka emi-6 ziyamangalisa.
Emva kweeveki ezi-6 , akukho mahluko mkhulu kumanqanaba eentlungu zezigulane kuzo zombini ezi qela. Kwaye iziphumo zazifana emva kweeveki ezili-12. Oko kukuthi, akukho mahluko mkhulu ekunciphiseni iintlungu phakathi komntu osele iyeza elinamandla lokubulala iintlungu nomntu osandul’ ukusela ipilisi.
Abaphandi bathi, "Ezi ziphumo zibonisa ukuba kufuneka siphinde siqwalasele ukumisela ii-opioids kwiintlungu ezibukhali zomqolo nentamo, njengoko singakhange sifumane mahluko mkhulu ekunciphiseni iintlungu xa kuthelekiswa ne-placebo."
Kutheni oku kubalulekile?
Oku kubalulekile kuba izikhokelo ezininzi zonyango kwihlabathi liphela zisacebisa ii-opioids kolu hlobo lwentlungu. Olu phononongo lubonisa ukuba akukho sizathu sokunika la mayeza anamandla kwinto esiyibiza ngokuba " yintlungu yomqolo ," intlungu engaphantsi kweenyanga ezintathu ubudala.
Iingozi zokwenyani ze-opioids
Olu phononongo lufumanise into eyoyikisayo ngaphezu kokunqongophala kokunciphisa iintlungu: abantu abasebenzisa ii-opioids babesengozini enkulu yokuba ngamakhoboka okanye basebenzise kakubi esi sidakamizwa kunyaka olandelayo.
Le yeyona ngxaki inkulu. Kuyingozi kangakanani ukusika nje indlela eya ekubeni likhoboka ngaphandle kokuphelisa iintlungu? Nazi ezinye zezinto ezinokwenzeka xa usebenzisa i-opioid:
- Ukunyamezela: Emva kwexesha elithile, iintlungu azisekho xa uthatha idosi yangaphambili. Emva koko uziva ufuna ukuthatha idosi ephezulu.
- Ukuxhomekeka Emzimbeni: Ukuba uyayeka ukusebenzisa iyeza, uza kuqala ukuba neempawu zokurhoxa, ezinje ngokubila, iintlungu zomzimba, isicaphucaphu, kunye nokuqaqamba kwesisu.
- Ukugqithisa umthamo: Ukusela kakhulu kunokubangela ukungakwazi ukuphefumla kwanokufa.
- Ezinye iziphumo ebezingalindelekanga: Ukuqhina, ukozela , isicaphucaphu, ukuhlanza, kunye nokudideka nazo zixhaphakile.
Ngoko ke yintoni omele uyenze ngokwenene xa uneentlungu zomqolo/intamo?
Ngoku mhlawumbi ucinga, "Ngoko ke kuza kufuneka unyamezele le ntlungu?" Akunjalo konke konke. Zininzi iindlela ezikhuselekileyo nezisebenzayo zokulawula olu hlobo lwentlungu ngequbuliso kunee-opioids.
1. Ukushukuma: Sasisithi ukuba uneentlungu zomqolo, kufuneka uhlale ebhedini. Kodwa ngoku sithi kufuneka wenze umsebenzi wakho ngokuqhelekileyo kangangoko unako kwaye uhambe kancinci. Ukuhlala phantsi kusenza izihlunu zakho ziqine.
2. Iipakethi zobushushu/ezibandayo: Ukufaka ibhotile yamanzi ashushu okanye ipakethi yomkhenkce kwindawo ebuhlungu kunokubonelela ngoncedo oluhle.
3. Unyango lweFiziyoloji: Le yeyona ndlela ilungileyo nehlala ixesha elide. Ingcali yeFiziyoloji iza kukufundisa imithambo kunye neendlela zokuqinisa izihlunu ezifanelekileyo kwimeko yakho.
4. Ezinye iintlungu: I-Paracetamol okanye ii-NSAID (Amayeza angengo-Steroidal Anti-Inflammatory) ezifana ne-ibuprofen kunye ne-diclofenac zinokuba luncedo ngakumbi kolu hlobo lwentlungu kunee-opioids. Kodwa khumbula, kufuneka uhlale ubuza ugqirha wakho ngaphambi kokusebenzisa naliphi na kula mayeza.
Ufanele uye nini ngokuqinisekileyo kugqirha?
Intlungu eqhelekileyo yomqolo/intamo iya kuphela kwiintsuku ezimbalwa okanye iiveki ezimbini ukuya kwezintathu. Nangona kunjalo, kukho iimpawu ezithile ezifuna uncedo lwezonyango ngokukhawuleza . Ezi sizibona njenge "ziimpawu ezibomvu."
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Ukuba ndindisholo emilenzeni okanye kwindawo yesini, ukungakwazi ukulawula umchamo okanye indle. | Oku kusenokuba kuyichaphazele intambo yomqolo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. |
| Intlungu ebuhlungu emva kwengozi okanye ukuwa. | Kusenokubakho ithambo elaphukileyo okanye enye ingozi enkulu. |
| Intlungu ehamba nomkhuhlane, ukubanda, kunye nokunciphisa umzimba. | Kungaba luphawu losulelo okanye olunye uhlobo lwesifo esinzulu. |
| Intlungu iba mandundu ebusuku kwaye iyaqhubeka nokuba uphumle. | Kusenokubakho imeko efuna uphando olunzulu ngakumbi. |
Ukuba unale mpawu, musa ukuhlala ekhaya uye kubona ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Izifundo zakutshanje ziqinisekisile ukuba ukusetyenziswa kwe-antipainkillers enamandla (ii-Opioids) akuniki ncedo lubalulekileyo kwiintlungu zomqolo nezentamo ezikhawulezileyo, zexesha elifutshane.
- La mayeza awapheleli nje ekupheliseni iintlungu, kodwa akwanengozi enkulu yokuba likhoboka kunye nezinye iziphumo ebezingalindelekanga eziyingozi.
- Unyango olungcono lweentlungu zomqolo/intamo kukuhambahamba okufanelekileyo, unyango lomzimba, kunye neepilisi zokunciphisa iintlungu ezikhuselekileyo ezithathwa njengoko ugqirha eyalele.
- Ungaze usebenzise iipilisi zokunciphisa iintlungu ezinamandla, ingakumbi ii-opioid, ngaphandle kwemvume kagqirha.
- Ukuba intlungu yakho ihamba neempawu ezinje ngomkhuhlane, ukungaziva, okanye ukulahlekelwa kukulawula isinyi/amathumbu, funa ingcebiso kagqirha ngoko nangoko.
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