Analgesics Ndicho Chinhu Chekudzora Arthritis Pain
Vamwe vane arthritis vanoedza kuita pasina mishonga inorwadza (analgesic painkillers) nokuti vanotya kuve vakapindwa muropa. Vatano ava vari kukuvadza zvakanyanya kupfuura zvakanaka kuburikidza nekudzivirira marwadzo ekurwadziwa here? Ndezvipi zvakakodzera kuti mishonga inorwadza inyoreswe sechikamu cherongwa hwehutano hwevarwere vemahara? Inosuruvarisa mishonga yakakodzera sekurapa kwenguva refu kana kurapwa, kana inofanira kungoshandiswa kwenguva pfupi here?
Marwadzo Kazhinji Anotungamirirwa Mashoma
Vakawanda vanorwara vane hutachiona hunoona kurwadziwa kana kusuruvara sechikamu chemamiriro avo. Kuzivikanwa kwevarwere kurwadziwa chinhu chinonyanya kukosha chekutarisira kwehutano uye inofungidzirwa ne Joint Commission yeAkubvumira kweZvipatano Zvehutano sechiratidzo chechishanu chinokosha. (Muparidzi nhepfenyuro: zvimwe zvimwe zviratidzo zvina zvinokosha zvinopa ropa, kushandiswa kwemasikati, kupisa, uye kupumzika )
Pasinei nokuti kurwadziwa kusingaperi kunokanganisa hupenyu hwevarwere, inowanzotarisirwa zvakanaka.
Nzira Dzokudzora Pain
Non-pharmacologic Measures
Kwete-pharmacologic zviyero zvekutarisa kurwadziwa zvinosanganisira kurapa-kurapwa kwakarongedzerwa zvakadai se:
- kufungisisa nekuzorora
- hypnosis
- massage
- acupuncture
- kurovedza muviri
Pharmacologic Measures
Pharmacologic mishonga inosanganisira:
- mapeji ekugadzirira
- mishonga yemishonga
- dietary supplements
- anti-depressants
- muscle relaxants
- anti-convulsants
- NSAIDs (kwete-steroidal anti-inflammatory drugs)
- acetaminophen (tylenol)
- narcotic (opioid) analgesics (painkillers)
Opioids
Pamusana pekubudirira kwavo, kushandiswa kweapioid ndiyo inowanzorapa kurapa marwadzo emushuloskeletal. Kushandiswa kwavo, kurapa marwadzo emusisumbu, kwakapetwa kaviri pamakore makumi maviri adarika. Zvinogona kuva zvakakosha kubatsira kubatsira kudzora kurwadziwa kwe periodic flares.
Vamwe varwere vachawana kuti vanogona kutorwa masikati uye kwete kukonzera kugona vamwe vachida kuedza kushandiswa kwavo manheru.
Pasinei nezvinobatsira, pane zvingave zvisingakanganisi kushandiswa kweapioid. Zvidzidzo hazvina kukwana zvakakwana dambudziko rekushandisa kwenguva refu maopioid kune varwere vane zvirwere zvisingaperi zvemasculoskeletal conditions. Somugumisiro, njodzi yekudhakwa kana kushivirira mishonga iyi mune varwere ava haazivikanwi.
Pakave nemafungiro ekushandisa maopioid akasimba akadai se hydrocodone (semuenzaniso, Norco) uye morphine (MS Contin, Avinza) kunyange zvazvo tramadol (Ultram) isisina simba maopioid yakawana kushandiswa kwose kwose.
Migumisiro Yechiri
Mukuwedzera, kufanana nemishonga yakawanda , migumisiro iripo pane kuregerera uye kunosanganisira kuora mwoyo, kuvhiringidzika, nekushaya njere. Vakawanda vanogona kukonzera zviratidzo zvekudzoka zvakadai sekuzora, kuzvidya mwoyo, pamwe nezvimwe zviratidzo zvepanyama kana vakamira pakarepo.
- Opiate Kurega
- Fecal Impaction
- Opioid Inxication
Dr. Scott Zashin akati, "Kazhinji, ndinorumbidza varwere vakawanda vanoedza kutanga kutonga marwadzo avo asingagumi nevasina pharmacologic mishonga kana pharmacologic therapies pasina mishonga."
Scott J. Zashin, MD, chiremba wepiriniki mubatsiri paYunivhesiti yeTexas Southwestern Medical School, Division of Rheumatology, muDallas, Texas. Dr. Zashin zvakarewo chiremba ari kuenda kuPresbyterian Hospitals yeDallas uye Plano. Iye ishamwari yeAmerican College of Physicians uye American College of Rheumatology uye nhengo yeAmerican Medical Association. Dr. Zashin ndiye munyori weArthritis Pas Pain - Mirairo yeAnti-TNF Blockers uye mubati wenhengo ye Natural Natural Thermal Treatment.
> Kwakabva:
> Fitzcharles et al, Arthritis uye Rheumatism. Vol 52 no 12, Dec 2005.