Kutanga Mishonga Mitsara yeAkadzoka Kurwadziwa Kwakare

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Kutanga Mutsara Mishonga yeMvura Yakakonzerwa Nokurwadziwa

Kutanga Mutsara Mishonga yeMvura Yakakonzerwa Nokurwadziwa

Vakawanda vedu hatinomuka mangwanani tichitarisira kukuvadza musana wedu. Saka kana zvikaitika, hatigoni kuziva chaicho chekuita pamusoro pazvo.

Vakawanda vekutanga vanouraya marwadzo ekurwadziwa varipo nokuda kwekunzwa kurwadziwa kwakanyanya, asi havasi vose vanoshanda zvakaenzana zvakafanana. Uye vazhinji veizvi havana kunyatsozviratidza pachavo apo tsvakurudzo yezvokurapa yakavaisa muedzo.

Zvakangofanana, chiremba wako angaratidza kana kupa mamwe madhiragi aya, saka zviri kwauri kuti uzive kuti umwe neumwe uri wei dambudziko rauri kuedza kugadzirisa (munyaya ino achirwadza kurwadziwa uye kumashure.)

Mamashoko anotevera, uchawana chokwadi pamusoro pezvimwe zvinowanzoitwa marwadzo ekurwadziwa nokuda kwekutambudzika kwakanyanya kwepashure. Yekutanga 2 peji yekupedzisira munyaya dzino dzinotsanangura zvaunofanira kuita kuti uwane simba rako rekudzoka. Zvakanaka, zvishoma kuti udzoke kubasa uye mabasa ako epamba, zvakadaro.

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Non-Steroidal Anti-Inflammatory Medication (NSAIDs)

Non-Steroidal Anti-Inflammatory Medication (NSAIDs)

Vanachiremba vanowanzokurudzira NSAIDs, iyo inotsanangurwa yemishonga isina-steroidal anti-inflammatory. NSAIDs zvinoshandiswa kuderedza kuputika kunenge kusingaoneki kunoitika mushure mekukuvara. Inoshandiswawo kugadzirisa marwadzo. Iyi kirasi yemishonga yakasiyana neyeTylenol, iyo inoratidzira kurwadziwa chete.

Kubudirira kwekufananidza kunoenzaniswa ne 2016 kwakabudiswa neSangano reEalthcare Research uye Quality (AHRQ) rakaona kuti kutora NSAID kunogona kupa hurombo huri nani kupfuura kutora placebo. Uye kubvunzurudzwa kweDhipatimendi yeKochrane * kwakawana kuti NSAID dzingabereka maererano nehuwandu hwehurombo hwekurwadziwa seTylenol. Ramba uri mupfungwa, kunyange zvakadaro, zvidzidzo zvakaongororwa zvakanga zvese zvakaderera, kana zvakanakisisa, zvehuwandu hwehutano.

Kubvunzurudzwa kwaCochrane kwawanikwawo (zvakare, pasi hwehupupuri hwehupupuri) kuti kutora NSAID kwakaguma nematambudziko akawanda emakumbo pane kutora Tylenol.

Zvakafanana: Pamusoro peMuviri wePaup Mishonga yeMukati uye Nechekumusoro

* Kuzivisa: Ndiri muongorori wemutengi weChranerane neNeck Group.

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Skeletal Muscle Relaxers

Skeletal Muscle Relaxers

Kazhinji kacho mushure mekukuvadzwa, misungo inobata uye inopinda mumhepo. Mafasimusi anogona kunetsa kwazvo; vanogonawo kupindira nemabasa ako evanhu nguva dzose nokuti vanoita kuti zvive nyore kufamba.

Chiremba wako anogona kupa chirwere chekudzivirira musara pamwe chete nedzidzo yekurovedza muviri kuti ikubatsire kubatanidzwa zvizere muchirongwa chako chekuita basa. ( Skeletal muscle relaxers inowanikwa chete nemishonga.)

Kubvunzurudzwa kweAHRQ kunotaurwa kare kwakagamuchira uchapupu husinganzwisisiki hwokuti maronda emasumbu akazorodza akanga ari nani kupfuura nzvimbobos kuti awane kuponeswa kunorwadza.

Zvichienderana: Sei Kubvisa Kudzoka Kwemisidhari?

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Opioids uye Acute Low Back Pain

Opioids uye Acute Low Back Pain

Vanachiremba vazhinji vanopa mishonga ye opioid seyokutanga mushonga wokurapa kwemarwadzo akaoma kana kumutsipa, asi World Health Organization (WHO) uye vamwe vanorayira kuti varwise.

Pane kudaro, WHO inopa mazano ekutora nzira yakasununguka yekurwisana nemarwadzo, kutanga nehupi husina opioid pain reliever yakadai sa aspirin kana paracetamol, uye zvichida adjuvant (somuenzaniso, maronda emasumbu anozorodza.) Vanoti, vanogona, vanogona kubvisa kuzvidya mwoyo.

Kana urombo hunoenderera mberi kana huchiwedzera, WHO inorumbidza maopioid munyoro akafanana nekodeine. Uye kana izvozvo zvisingashande, WHO inokurudzira kutora opioid yakasimba yakafanana ne morphine kusvikira unorwadziwa pasina.

Nyaya iri muAmerican Family Physician iyo inopfupisa tsvakurudzo dzakavakirwa kubva pane zvinorwadza zvinorwadza zvinoreva kuti usati watendeukira kune opioid chete, kutora ichi chikamu chemishonga pamwe chete neshungu isina opioid reliever inobatsira. Asi kunyange zvisati zvaitika, vanokurudzira kutenga acetaminophen (Tylenol) kutanga, ipapo ibuprofen kana naproxen (kureva, NSAIDs) uye inotevera, CoX-2 kusarudza NSAIDs. Kana uchiri kuda rubatsiro, panguva iyoyo, vanokurudzira kutora opioid / kwete-opioid pamwe.

Sei zvirevo zvose zveOpioids?

Mishonga yeOpioid inorcotics, zvinoreva kuburikidza nekuzvitora, iwe unomira mukana wekupindwa muropa.

Zvishoma nezvishoma, ichi "mutengi chenjerera" mamiriro ezvinhu. Bhuku rinonzi British Medical Journal rinoshuma kuti kupfuura hafu yevashandi vanogara vaine opioid vanotaura kuti vane kurwadziwa shure. Nyaya yacho inotaura zvakare kuti opioid ndiyo ndiyo inowanzogadzirirwa chikwata chemishonga muU.S. Muzvokwadi, inorayirwa 2 - katatuzve kuNorth America kupfuura ivo vari muEurope, vanyori vanotiudza.

Verenga Bhuku reKubvunzurudza: Chokwadi Chinorwadza naDkt Lyn Webster.

Kunyangwe kuongororwa kweAHRQ kwakawana kuti kutora maopioid zvingangodaro kunopa hurombo huri nani pane kutora mishonga ye placebo, simba rehupupu uhwu hwakarongwa "pasi."

Kwete izvozvo chete, asi mishonga ingasave iyo yose inoshanda. Bhuku reBritain Medical Journal rinotaura kuti kutora maopioid hakuiti kukurumidzira kudzoka kwevashandi kubasa kana kuvandudza kushanda kune vashandi vane kurwadziwa kunorwadza shure.

Uye chidzidzo che2015 chakabudiswa mu Journal of Family Practice chakatora kutora maopioid yehupenyu husingaperi huri kumarwadza shure kwakapa zororo rakaderera munguva shoma (

Zvakafanana: Zvaunofanira Kuita Nokunyoroka Kurwadziwa Kwakaitika

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Kutevera Back Or Neck Kukuvara - Nzira Yekushandazve Kushanda

Kutevera Back Or Neck Kukuvara - Nzira Yekushandazve Kushanda

Mishonga yawakamboverenga pamusoro pezvinhu zvose inoreva kusunungura marwadzo. Hapana chinhu chakanaka pakubatsira varwere kunatsiridza kushanda kwavo kwepanyama mushure mekukuvara.

Mukuvandudza mano ako ekushanda, nyaya yacho yakasiyana zvakasiyana. Nenzira yakawanda, nzira yehutungamiri hwehutungamiri huripo inobhadhara zvakanakisisa. Zvichida kuti kuwirirana kwezviitiko zvepurogiramu yehutano hwepanyama ichava iyo inokutora iwe zvakare mukutumira.

Maererano nekudzidza kwegore ra2015 rakabudiswa mupepanhau Orvosi Hetilap , munhu akazvimirira uye akatungamirirwa nepotheotherapy, kugadzirisa maitiro ekurapa maitiro uye mapurogiramu madiki ekudzidzira ndiwo maitiro ekutanga ekurapa kwekuita basa rekuita.

Uye usati iwe unofanirwa kutsvaga kuvhiyiwa mushure mekurwadza kwehuro kana kudzoka shure - zvirokwazvo kwete pamberi pekuedza kurapa uye kuita zvekuita, zvishoma. Kuvhiya kunochengeterwa kuora, uye pashure pekukundikana kwechirwere chekuchengetedza, vanyori vekudzidza vanogumisa.

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Chisungo Sources

_Sources:

_{Berland, D., MD, uye. al. Kushandiswa KwemaOpioid Muchengetedzo Yezvakaipa Zvisingaregi Kutambudzika. American Family Physician. August 2012. http://www.aafp.org/afp/2012/0801/p252.html}

_{Berthelot J., Darrieutort-Lafitte C., Le Goff B., Maugars Y. Makasimba maopioid ekurwadziwa kwechirwere chechirwere nekuda kwezvirwere zvemasukloskeletal: Hazvisi zvakanyanya kudarika acetaminophen kana NSAIDs. Joint Bone Spine. Dec 2015 Akawana: March 2016. http://www.ncbi.nlm.nih.gov/pubmed/26453108}

_{Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, Fu R, Dana T, Kraegel P, Griffin J, Grusing S, Brodt E. Asinvasive Treatments for Low Back Pain [Internet]. AHRQ Kubudirira Kuenzanisa Kuongorora. Rockville (MD): Sangano rekutsvakurudza kwehutano nehutano (US); 2016 Feb. Nha. No: 16-EHC004-EF. http://www.ncbi.nlm.nih.gov/pubmed/26985522}

_{Deyo, R., Von Korff, M., Duhrkoop, D. Opioids nokuda kwekutambudzika kwakanyanya. BMJ. Jan 2015. Kuwana: March 2016. http://www.bmj.com/content/350/bmj.g6380}

_{Chapparo, L., Opioid yakaenzaniswa ne placebo kana mamwe maitiro ekurwadziwa kusingaperi kwemashure. Cochrane Database Database Rev. Aug. 2013.}

_{Illés S., Kutambudzika kwakadzoka shure: nguva uye chii chaunofanira kuita. Orv Hetil. Aug 2015 Kuwana: March 2016. http://www.ncbi.nlm.nih.gov/pubmed/26256495}

_{Jones P., Dalziel S., Lamdin R., Miles-Chan J., Frampton C. Oral non-steroidal anti-inflammatory drugs zvichienderana nezvimwe zvinoratidzira murwere zvinoripira zvinokonzerwa nehutu hwemavara. Cochrane Database Syst Rev. July 2015. Yakasvika muna March 2016. http://www.ncbi.nlm.nih.gov/pubmed/26130144}

_{World Health Organization. Mazano ekurapa Pamarwadzo. WHO website. http://www.who.int/medicines/areas/quality_safety/guide_on_pain/en/}