Nzira Dzakagadzikana kuHurry Nerve Pain Treatment
Kurapa chirwere chisingaperi chisingaiti chinogona kuva chakaoma, sezvo chikonzero chisingawanzwisisi nguva dzose. Nzira dzepamusoro dzepachigunisi dzinoshandiswa dzoga, dzakadai seNSAID, dzinowanzoshaya maturo mukurapa rudzi urwu rwekutambudzika; zvisinei, nzira yekurapa maitiro akawanda inogona kuchengetedza nerve zviratidzo zviratidzo zviri nani. Iyi nzira inosanganisira zvose zvechirume painkillers, mishonga yemarwadzo ehurwere, uye mamwe marwadzo anorwadza akafanana.
Neuropathic Pain Treatment - Adjuvant Analgesics
Adjus analgesics , yakadai seanticonvulsants uye antidepressants, inogona kurwisana neuropathic kurwadziwa. Nemhaka yokuti mishonga iyi yakagadzirirwa kutarisa zvimwe zvinhu kunze kwekunzwa kurwadziwa, kushandiswa kwavo muhutano hwehutano hwehutano kunonzi "off-label" kushandiswa. Asi usarega izvo zvinokutambudza: mazamu akawanda adjuvant akaratidza kuti anoshanda zvakanyanya mukurapa zvirwere zvisingaperi zvinorwadza nerve kupfuura zviratidzo zvechirwere .
Anticonvulsants akashandiswa kurapwa kwepuropa:
- Gabapentin (Neurontin)
- Pregabalin (Lyrica)
- Carbamazepine (Tegretol)
- Oxcarbazepine (Trileptal)
- Phenytoin (Dilantin)
- Valproate (Depacon)
- Lamotrigine (Lamictal)
Anodzvinyirira anoshandiswa pakurwadziwa kwehupombwe:
- Amitriptyline (Elavil)
- Nortriptyline (Aventyl)
- Desipramine (Norpramin)
- Citalopram (Celexa)
- Fluvoxamine (Luvox)
- Fluoxetine (Prozac)
- Paroxetine (Paxil)
- Duloxetine (Cymbalta)
- Venlafaxine (Effexor)
Neuropathic Pain Treatment - Zuva rePainkillers
Mune zviitiko zvakawanda, tsika dzepanyama dzinenge dzisingakwanisi kudzora zvirwere zvisingagumi zvirwere zvinorwadza zvachose.
Izvi ndezvokuti vazhinji vanowanzoita zvepineti, zvakadai seNSAIDs, zvinokonzera kuputika, izvo zvingave kana zvisingave zviri izvo zvinokonzera kurwadziwa kwepfungwa. Zvisinei, dzimwe tsika dzepamusoro dzinoita basa mukurapa kusagadzikana kwehutano husingaperi. Inogona kushandiswa apo argent analgesics haisi yakashanda, kana inosanganiswa neanticonvulsants kana antidipressants.
- NSAIDs . NSAIDs chete inogona kunge isingabatsiri pakurapa marwadzo europathi ; zvisinei, kune vamwe vanhu, kuzvimba kunoita kuti marwadzo anetseke zviratidzo zvakanyanya. NSAIDs, yakadai seIbuprofen (Advil) kana naproxen ( Aleve ), inogona kubatanidzwa nedzimwe marwadzo ekurwadziwa uye inogona kubatsira kudzora kurwadziwa.
- Acetaminophen . Acetaminophen (Tylenol) inogona kushandiswa pamwe chete nemasikirini adjuvant kuti ipe marwadzo europathic, kana inogona kushandiswa zvikamu zvekurwadziwa . Mamwe maopioid anoshandiswa pakucherechedza marwadzo europathic anewo acetaminophen.
- Opioids . Opioids inogona kurongerwa chirwere chakanyanya chirwere chinorwadza neuropathic, kana sekupedzisira yekudzivirirwa apo anjeneji adjuvant inokundikana kubvisa marwadzo. A "weak" opioid inowanzogadzirirwa kurwa kweuropathic ndiyo tramadol (Ultram); zvisinei, maopioid ane simba anogonawo kudiwa.
- Topical Analgesics . Kunyange zvazvo isiri nguva dzose inoshanda, vamwe vanhu vane marwadzo europathic vanowana zororo nemishonga inorwadziwa kunze, kusanganisira lidocaine uye capsaicin. Mifananidzo yakanyanyisa mifananidzo inogona kuiswa pamwe nemimwe mishonga.
Neuropathic Pain Treatment - Zvimwe Zvimwe
Mishonga haisiyo mhinduro chete kana iri pamusoro pekurwadziwa kweukama neuropathic. Zvimwe zvingasarudzwa zvinogona kushandiswa zvoga, kana kuti pamwe nekubatana nevana, zvinosanganisira:
- Physical therapy
- Nerve blocks
- Mutsara wesimbi kukurudzira
- Nerve decompression surgery
Mishonga inobatsira uye yakasiyana (CAM) inogonawo kubatsira kubatsira kurapa kurwadziwa kweuropathi, kusanganisira kugadziriswa pamwe chete nemishonga yemishonga . Kunyange zvazvo vakawanda veCAM vasingatsvaki chiremba, iwe unofanirwa kutaura nechiremba wako usati watanga mishonga mitsva yehutano hwako.
Sources:
National Guideline Clearinghouse. EFNS Guidelines pamusoro pe Pharmacological Treatment of Neuropathic Pain. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10472&nbr=5495
National Pain Foundation. Neuropathic Pain: Mishonga. http://www.painfoundation.org/
The Merck Manuals Online Medical Library. Neuropathic Pain. http://www.merckmanuals.com/professional/neurologic-disorders/pain/neuropathic-pain