Varwere vanotambura nemamiriro ezvinhu anorwadza vanoda nzira dzokubatsira kubata zviratidzo zvavo. Kurapa kwakanakisisa kunogona kuwanikwa kuburikidza nekuedza kutsvaga mishonga yakakodzera yechinetso chekuedza uye kuedza kuderedza marwadzo nemishonga yakasiyana nemishonga isiri yemishonga. Dzidza nezvemhando dzakasiyana dzemishonga inoshandiswa kudzora marwadzo.
Acetaminophen
Tylenol (Acetaminophen) inoshandiswa kurapa marwadzo.
Kusiyana nemimwe mishonga yekurwadziwa, Tylenol haina anti-inflammatory effects. Kakawanda, zvisinei, mumamiriro ekurwadziwa kusingaperi, hapana kupisa kuri panzvimbo yekutambudzika, uye saizvozvo Tylenol inogona kuva yakakodzera kurapa kurapa. Tylenol yakachengeteka kana yakashandiswa zvakakodzera, asi inogona kuva nengozi kana inoshandiswa zvakanyanya. Varwere vanofanira kunge vachiziva nezveTylenol iyo inosanganiswa nemitemo yakadai sePercocet kana Darvocet, uye isatori mishonga iyi pamwe chete neTylenol nguva dzose.
Non-Steroidal Anti-Inflammatory Medication (NSAIDs)
I-NSAIDs (yakadai seIbuprofen, Motrin, Aleve, nezvimwewo) inobatsira zvikuru mumamiriro ezvinhu ekurwadza kwakanyanya , kana kuputika mune varwere vane kurwadziwa kusingaperi. NSAIDs dzakanakisisa pakurapa zvirwere zvinokonzera kusanganisira tendonitis, bursitis, uye arthritis. Nenzira yakawanda, kushandiswa kweNSAID kunogumira kune varwere vane marwadzo asingagumi nekuda kwekunetseka pamusoro pekugadzirwa kwematambudziko emudumbu. Kunyange zvazvo itsva, iyo inonzi COX-2 inhibitors, yakadai seCelebrex, yakagadzirirwa kuti irege kuita izvi, kungwarira kunofanira kushandiswa pakushandisa mishonga iyi kwenguva yakareba.
Corticosteroids
Sezvakaita neNSAIDs, corticosteroids ine simba rinopesana nemaperembudzi, uye inoshandiswa zvakanakisa pakurwadziwa kwakanyanya kana kuti kupisa-ups kwechinetso chisingaperi chekuvhiringidza. Corticosteroids inogona kutorwa nemuromo (zvakadai seMedrol, Prednisone) kana injowa muzvinyoro zvishoma kana majoints ( cortisone injections ).
Narcotics
Narcotics inofanirwa kuongororwa kana marwadzo asingakwanisi kutongerwa zvimwe. Kunyange zvazvo mishonga iyi inogona kuva yengozi uye inodhaka, inogonawo kuva yakabudirira zvikuru. Kunyange zvazvo kushandiswa kwemishonga kunobatsira pakurwadziwa kwakanyanya, ivo vanewo matambudziko makuru. Maitiro mashoma-maitiro emishonga iyi inogona kutungamirira pakuwedzeresa uye kukura kwekushivirira. Nguva yakareba-kusarudza zvingasarirwa nemigumisiro yakawanda uye zviri nani kutarisa kurwadziwa kusingaperi. Narcotics inogona kuvhiringidza kana iyo inoshandiswa kwenguva yakareba isina kupera zvishoma nezvishoma mumuviri, kana kana mishonga inotorwa nokuda kwezvikonzero zvimwe kunze kwekutambudzika.
Anti-Convulsants
Mishonga inorambidza-mhirizhonga ndiyo inhengo yemishonga inoshanda kusunungura marwadzo emutsipa. Iyi mishonga inoshandura basa rehutano uye zviratidzo zvinotumirwa kuuropi. Nyaya inonyanya kupiwa anticonvulsant mishonga yekunzwa marwadzo inonzi Neurontin (Gabapentin). Imwe nzira yave ichangobva kubuda, kunyanya kurapa kwe fibromyalgia, kunonzi Lyrica (Pregabalin).
Local Anesthetics
Yenharaunda yeanesthetics inogona kupa chirwere chenguva pfupi kune imwe nzvimbo. Kana inoshandiswa mumamiriro ezvinhu ekurwadziwa kusingaperi, anesthetics yekune dzimwe nyika inowanzoshandiswa sechinyorwa chemashoko kunzvimbo yekurwadziwa.
Lidoderm inouya muchigamba chinoshandiswa paganda uye inoderedza kunzwisisika kwemahara ino.
Pasi Pasi
Kurwara kusingaperi inguva dambudziko iro kazhinji risingagadziriswi nokukurumidza, kana nemumwe kurapwa. Nzira yakanakisisa yokurapa marwadzo asingagumi ndeyokushanda nachiremba wako uye kuedza kurwisa marwadzo nemhando dzakasiyana dzemishonga. Mimwe mishonga inobatsira mukurwadziwa kusingaperi inosanganisira kugadziriswa , mazaya uye kushandiswa kwemhepo , kupisa , uye dzimwe nzira dzokurapa dzakasiyana.
Sources:
Marcus, DA "Kurapa kweNialignant Chronic Pain" Amer. Family Physician. 2000. 61 (5) Mapeji 1331-8.
Katz, WA "Zvido zvekushivirira murwere" Amer. J. Med. 1998. 105 (1B) Mapeji 2S-7S.