Anodzvinyirira, anticonvulsants, uye narcotics vanoita izvi
Apo zvinosvika kumishonga yekurwadziwa kusingaperi, pane zvinoita sekusarudzwa kusina zvakawanda kunze uko. Unoziva sei kuti mishonga inorwadza yakakunakira iwe? Mhando dzakasiyana dzemarwadzo anorwadza anorayirwa kune zvakasiyana-siyana zvinongororwa, asi kune zvimwe zvisarudzo zvakawanda zviripo. Dzimwe nguva, unogona kuedza mhando shomanana yemishonga inorwadza, kana kunyange kusanganiswa kwevashomanana, kuitira kuti uwane zororo.
Opioids (Narcotics)
Opioids mishonga inorwadza inoshandiswa pakuenzanisa kuora mwoyo kusingaperi. Kunyange zvazvo kushandiswa kwavo kwenguva refu kwave kuri kukakavadzana, vanopa zvakawanda vanonzwa pavanonyatsoongororwa, maopioid ane nzvimbo mukutambudzika kusingaperi. Opioids inogona kunge iri nguva pfupi-inoshanda kana kuti kwenguva refu-inorwadza mishonga, zvisinei, mukurwara kusingaperi kusingaperi , iyo yekupedzisira inowanzoshandiswa.
Mhando dzakasiyana dzeopioid dzinoshandiswa pamhando dzakasiyana dzemarwadzo asingagumi. Iyi mishonga inorwadza inowanikwa mune mapiritsi maviri kana patch form. Izvo zvinokonzerwa neopioid zvinowanikwawo, kunyange zvazvo zvinowanzoshandiswa pakurwadziwa kwekenza, kana semishonga inopedza chirwere chinorwadza. Mimwe mienzaniso yeopioid inoshandiswa mukurapa kurwadziwa kusingaperi ndeye oxycodone uye fentanyl. Opioids inogona kushandiswa yoga, kana inogona kusanganiswa nemamwe mishonga inorwadza yakadai seacetaminophen.
Kunyange zvazvo maopioid inowanzobudirira pakurwadziwa kusingaperi, vane zvingangodaro zvinetso.
Opioids inogona kukonzera kushungurudza, kurara, kuvhiringidzwa, kusagadzikana kwepabonde uye kunogona kutungamirira pakuzvidzivirira mumuviri. Kana iwe uchitora maopioid nguva dzose kuti uwane kurwadziwa kusingaperi, chiremba wako anofanira kukucherechedza zvakanyanya nokuda kwezviratidzo zvemishonga inorwadza marwadzo.
NSAIDs uye Acetaminophen
NSAIDs uye acetaminophen zvinoratidzirwa asiri opioid analgesics, mishonga inorwadza inowanzoshandiswa kumeso kusvika pakuenzanisa kurwadziwa kusingaperi.
NSAIDs uye acetaminophen zvinogona kushandiswa dzoga kuti zvirwere kurwadziwa kusingaperi, kana dzinogona kusanganiswa nemamwe mishonga inorwadza seypioid uye mifananidzo yakadai yeadjuvant. Zvinogonawo kushandiswa kudzora kurwadziwa .
Kusiyana neopioid, akawanda eNSAID anowanikwa pane-the-counter. Acetaminophen inowanikwawo pakutenga pasina mushonga. Zvisinei, magwaro ezvinyorwa akasimba anowanikwawo nekurwara kwenguva refu. Mimwe mienzaniso yeNSAIDs inoshandiswa mukurwadziwa kusingaperi ibuprofen, naproxen, uye meloxicam.
Kunyange zvazvo NSAID uye acetaminophen zviri nyore kurapa marwadzo, zvinogona kuva nemigumisiro. Kushandiswa kwemazuva mazhinji kunowedzera mukana wemigumisiro iyi, zvisinei, kunyange kushandiswa kwenguva pfupi kunogona kukusiya uchinetseka. Izvi zvinosanganisira zvironda zvepachiviri uye kubuda ropa pamwe nekuwedzerwa kwekugadzirisa. Dzimwe mhando dzeNSAIDS , kunyanya kusarudza COX-2 inhibitor , inogona kuwedzera kungozi yekurwadziwa kwepfungwa kana kurohwa. Zvisinei, mishonga imwe neimwe yakasiyana uye iwe unofanirwa kutaura nachiremba wako pamusoro pengozi uye kubatsiro kweumwe neumwe.
Antidepressants
Antidipressants are analgesics adjuvant . Izvo hazvina kuumbwa zvakananga semishonga inorwadza, kunyange zvazvo inogona kunyatsokwanisa kubata mamwe marudzi ekurwadziwa kusingaperi.
Zvinodzvinyirira zvinofungidzirwa kuti zvinodzora kurwadziwa kusingaperi munzira mbiri. Kutanga, vanogona kuchinja nzira iyo marwadzo anowanikwa kubva mumutsipa wepelinha kusvika kuuropi. Chechipiri, vanogona kuderedza kufunganya uye kubatsira kubata kurara.
Hasi mhando dzose dzekudzivirira mwoyo dzinobatsira semishonga inorwadza isingaperi. Tricyclic antidepressants (TCAs) yakadai seamitriptyline, sarotonin reuptake inhibitors (SSRIs) yakasarudzika seyonzi duloxetine nedzimwewo dzakadai sedazodzodone inowanzoshandiswa kurapa zvose zvirwere zvisingaperi zvinorwadza nekurwadziwa kwemasuru . Monoamine oxidase inhibitors (MAOIs), kune rumwe rutivi, haisi seanobudirira mukurwadziwa.
Anticonvulsants
Kunyangwe zvingaita sezvisinganzwisisiki, anticonvulsants, inowanzoshandiswa kugadzirisa zvirwere zvekudzivirira, zvinogona kushandiswa semishonga inorwadza. Anticonvulsants zvakare anjestikiti yemadjuvant. Nemhaka yokuti inoshanda nekudzivisa dzimwe mhando dzenzara, dzinogona kuderedza marwadzo europathic , sezvakakonzerwa ne trigeminal neuralgia kana chirwere cheshuga chirwere. Anticonvulsants inowanzoshandiswa semishonga inorwadza inosanganisira gabapentin uye pregabalin.
Topical Analgesics
Mifananidzo yakakurumbira inoratidzika mishonga inorwadza inoshandiswa paganda. Zvinowanikwa sezvikanda, zvisikwa kana mavara. Mimwe mhando yemishonga inorwadza inopisa inogona kutengwa pane-the-counter, asi vamwe vanoda chiremba chiremba. Basa iri nenzira shomanana dzakasiyana, zvichienderana nemabasa avo anoshandiswa. Zvimwe zvipembenene zvine mazamu zvinosuruvarisa mishonga inopihwa kuburikidza neganda, zvakadai sa trolamine salicylate (Aspercreme). Zvimwe zvine ganda rinogumbura rinogona kukanganisa kurwadziwa kunzwisisika, zvakadai sa capsaicin.
Kufungidzira Kuchengeteka
Iwe unogona kutora rumwe rudzi rwemishonga inorwadza nokuda kwehutano hwako, kana iwe ungashandisa zvakasiyana-siyana zvezvinoratidzwa pamusoro apa kuti udzivise marwadzo ako. Chero zvingave zvakadaro, iva nechokwadi chokuti unoshandisa mushonga wako sezvinorayirwa. Mishonga yakawanda inorwadza ine mazano ekubatana kwezvinodhaka , kusanganisira mamiriyoni eavo akanyorwa pamusoro apa. Kana uri kutora mishonga yakawanda inorwadza, iva nechokwadi chekuudza chiremba wako kuitira kuti akwanise kukubvumira kune chero zvingave zvipingamupinyi.
Sources:
American Chronic Pain Association. APCA Mishonga uye Upenyu Husingaperi: Kuwedzera 2007 . http://www.theacpa.org/documents/ACPA%20Meds%202007%20Final.pdf.
The Merck Manuals Online Medical Library. Pain: Treatment. https://www.merckmanuals.com/home/brain-spinal-cord-and-nerve-disorders/pain/treatment-of-pain.