Kazhinji kurwadziwa kunobata hupenyu hwako sei? Kana iwe uchiti zuva rega rega, hausi wega. Njodzi inetso yakakosha muchirwere chisingaperi cheplenmone ( COPD ) iyo inowanzozivikanwa. Inogona kukanganisa kurara kwako, kuita kuti kufema kwako kuwedzere uye kuita rimwe zuva rakanaka neCOPD, rakaipa. Kutambudzika kunogona sei kugadzirirwa zvakakwana muCOPD?
Ngatinyatsoongorora.
Overview
Kusiyana nekurwadziwa kwakanyanya kunofamba nekukuvara kamwe kamwe, kurwadziwa kusingaperi kunopfuurira kwenguva refu mushure mekukuvadzwa kwaporeswa. Iro kurwadziwa kunowanzogara nguva dzose, uye imwe inoshamisa inopesana nehupenyu hwezuva nezuva.
Zvinokonzera
Pain, mukati uye pachayo, haisi chiratidzo cheCOPD ; pane kudaro, inowanzova musculoskeletal muzvisikwa uye kazhinji inobatanidza nebasa rokufema . Utano husingaperi hunogonawo kuenderana nemamiriro ezvinhu anotevera, ayo asingabatanidzwi neCOPD:
- Kudzoka, mutsi uye kurwadziwa kweplavic
- Musoro wemusoro uye migraines
- Fibromyalgia
- Arthritis
- Reflex anonzwira tsitsi dystrophy (RSD)
- Sciatica
- Carpal tunnel syndrome
- Temporomandibular joint disorder (TMJ)
Uyezve, pane mitanhatu mikuru yemarwadzo asingagumi , kusanganisira nociceptive, somatic, visceral, neuropathic, psychogenic uye idiopathic.
Zvinotsvakurudzwa neUtsvakurudzo
Kunyange zvazvo pane zvishoma zvinyorwa zvemakirini zvakapoteredza nyaya yekutambudzika neCOPD, tsvakurudzo dziripo dzinoratidza kuti vanenge 45% yevamwe varwere veCOPD vanorondedzera kurwadziwa kusingaperi vachienzaniswa nevarwere vasina COPD.
Uyezve, vanhu vane COPD vanowanzoburitsa marwadzo avo seasinganzwisisiki kuti ave akaoma uye anowanikwa mumapfupa, mapepa, mitsipa uye kumusoro.
Vanhu vazhinji vane COPD vanorondedzerawo marwadzo avo seasinganzwisisiki uye asingagoneki. Uye, sokunge kuti marwadzo haasi akaipa, kukanganisa kwakaipa kwezviratidzo kunowanzoenda nekurwadziwa kunoenderana neCOPD.
Zviratidzo izvi zvinopesana uye zvinosanganisira marwadzo, kufema, kupererwa kwehope uye kuzvidya mwoyo.
Kurapa
Maererano nekutsvakurudza, marwadzo anoregeic anoremekedza ndiyo inowanzoshandiswa kurapa marwadzo muCOPD. Kubva pane unyoro kusvika kune yakaoma, analgesics inotarisa huwandu hwakawanda hwekutambudzika uye inosanganisira:
- NSAIDS - kusanganisira Motrin, Naproxen, uye aspirin
- Opioids - kusanganisira morphine, codeine, uye mifananidzo yakafanana neCapsicum.
Kwete-Pharmacological Methods of Pain Control
Dambudziko nemishonga yekurapa ndeyekuti vamwe vavo, kufanana ne morphine uye codeine, vanogona kuve vakawandisa. Mukuwedzera, kutora zvizhinji kwazvo, zvose panguva imwe chete kana kupfuura kwenguva, zvinogona kuora mwoyo nzvimbo inopemha muuropi ichikuita kuti urege kufema.
Nevasiri nzira dzepamusoro yekurapa kunorwadza, hapana chikonzero chokuzvidya mwoyo nezvekudhakwa kana kupora kupererwa. Inogona kushandiswa munzvimbo yeanalgesics kana marwadzo ari munyoro, kana, mumamiriro ezvinhu okuenzanisa kunorwadza zvakanyanya, sechidimbu kune analgesics, kuti uwane marwadzo akanaka. Heano mamwe maitiro asiri e-pharmacologic ekurwadzisa kwaunofanira kufunga:
- Ice - rinogona kushandiswa kuderedza kuzvimba nekuputika kunobatanidza kurwadziwa kusingaperi.
- Kuchena - kunowedzera ropa richiyerera kusvika kumatumbu; inoshanda zvikuru mukurwadziwa kweArthritis.
- Kuchengetedza - kunogona kubatsira kupora misungo yakaoma uye mitsipa, iyo iyo inobatsira, inopa kuponeswa kunorwadza.
- Mifananidzo inotungamirirwa - inobatsira kusunungura mishonga, zvichipa kukanganisa kubva pakurwadziwa
- Chirwere chepanyama - chinopa marwadzo ekugadzirisa mararamiro akaita sa ultrasound uye magetsi emagetsi ekukurudzira apo achikudzidzisa nzira dzakanakisisa dzekutama uye zviri nani kubata nemarwadzo ako.
Dzimwe nzira mbiri dzisiri dzepamasikirwo dzokurwirwa kunorwadza , kugadziriswa uye kutengesa magetsi emagetsi ekusimudzira , zvinogona kubatsirawo mukurwirwa kunorwa uye dzinoshandiswa kakawanda pakati pevanhu vane COPD kupfuura avo vasina COPD.
Sources:
Bentsen SB, Rustøen T, Miaskowski C. Kuwanda uye Maitiro Ekutambudzika Kwevarwere Nehupenyu Husingagadziriswi Pulmonary Disease Kuenzaniswa neNorway General Population. J Pain. 2011 May; 12 (5): 539-45. doi: 10.1016 / j.jpain.2010.10.014.
Lohne V, Heer et. al. Chidzidzo Chekufananidzira Chekutambudzika Kwevarwere Vane Zvirwere Zvisingagadziriswi Pulmonary Disease. Heart Lung. 2010 May-Jun; 39 (3): 226-34.