Pain Management Options
Urombo hwakatsanangurwa nesayenzi sechiitiko chisingafadzi, manzwiro uye manzwiro anosangana neicho chaicho kana kuti chinogona kukanganisa maronda. Mhando dzakawanda dzeArthritis dzinobatanidza marwadzo anokwanisa kugoverwa muzvikamu zviviri zvakasiyana: zvakaoma uye zvisingaperi. Kunetseka kwakanyanya kwechinguva. Utano husingaperi hunobva kune unyoro kusvika kune hwakaoma, uye hunokwanisa kupedza vhiki, mwedzi, makore, kana kunyange hupenyu hwose.
Kuora mwoyo kwenguva refu kunogona kutambudzika nokuti kunobata vanhu mumuviri, mupfungwa, mupfungwa, uye munzanga. Zvinogona kuita kuti zvive zvakaoma kushanda uye kuramba uchiine mabasa mumusha. Inogona kukanganisa mararamiro ehupenyu.
Pain Inogona Kuoma
Kurwara kwenguva refu inetso huru yehutano uye nokuti inogona kukanganisa, zvinokosha kunzwisisa chii chinokonzera marwadzo uye kushanduka kwemhando yemarwadzo.
Kuongorora izvo Zvinoshanda
Nzira dzakanakisisa dzokugadzirisa marwadzo dzinoramba dzichitsvakwa. Nekusunungurwa kunorwa sechinangwa, arthritis varwere vanowanzoedza maitiro akasiyana-siyana ekugadzirisa marwadzo vasati vaona kuti chii chinovabatsira. Kubudirira kana kukundikana kwemumwe mushonga kune mumwe munhu. Izvo zvinoshanda kumunhu mumwe chete zvisingashandire mumwe.
Pain Medications
Mishonga inogona kushandiswa kuderedza marwadzo. Mishonga inowanzonzi inorwadza inorwadza inosanganisira:
- Analgesics (kupfuura-the-pain pain relievers uye narcotic painkillers)
- NSAIDs (nonsteroidal anti-inflammatory drugs)
Mishonga yemarwadzo inobatsira kuita imwe yenhamo yekunyaradza, asi haiti chinhu chekuchinja chirwere chechirwere. Muwandu wemishonga inorwadza inoshandiswa inofanira kutarisirwa kubva kune iyo inozivikanwa nemigumisiro . Dzidza nezveAalgesics , NSAIDs , uye mishonga inorwadza inokodzera varthritic patients .
Dzidzira
Kudzidzira muviri kunogona kubatsira kuchengetedza basa uye kuderedza marwadzo. Vanhu vane arthritis vanofanira kugara vachikurukurirana zvirongwa zvekuvhiya pamwe nechiremba wavo. Zvimwe zvinodzidzisa zvinogona kunge zvisingaregi kune vanhu vane chirwere chinokonzera arthritis kana apo masangano ari kuvhuvhuta uye anopera.
Hydrotherapy / Warm Water Therapy
Kuchengetedza mvura yakadzika kunogona kuderedza kurwadziwa nekuoma. Kushandisa mudziva, kushambira spa, kana kuti moto unopisa unogona kuva nyore nokuti mvura inorema kubva pamajoini anorwadza. Kupisa uye kufamba pamwe chete kunogona kubvisa marwadzo.
Zorora
Nhamo inogonawo kuva chiratidzo chekuda kwekuzorora. Zvakakosha kubhadhara zviratidzo zvechiratidzo uye kubvumira mutumbi nguva yakakodzera yekudzorera zvakare. Kuvhiringidzika kunoderera munguva yekudzorera. Asi, kuzorora kwakanyanya hakubatsiri. Zvakakosha kuedza kuenzanisa pakati pekuzorora uye zvekuita.
Massage
Kurapa kurapwa kunogona kukurumidzira kurwadziwa, kunomesa mitsipa yakaonda, uye kuderedza kuvhiringidza uye kupfugama. Sezvo musumbu dzichizorora uye kupararira kuwedzerwa, kurwadziwa kunoderera.
TENS Units
TENS (transcutaneous magetsi emhepo inokurudzira) inoshandisa pasi-magetsi magetsi ekusimudzira mitsipa kudzivirira zviratidzo zvinorwadza kuuropi. Electrodes inoiswa paganda uye inokonzera kutengesa magetsi.
Izvi zvinoshandiswa kunyanya kusingaperi, kurwadziwa kwepanyika uko kusingagadziriswi.
Surgery
Inowanzoonekwa sechinhu chokupedzisira chisarudzo, kuvhiyiwa kunogona kuitwa nechinangwa chokubvisa marwadzo mune rimwe sangano. Kuvhiyiwa pamwe chete kunowanzova kwakajairika kupfuura kwemakore uye kunoonekwa sechinhu chinogona kushandiswa apo kurapa kwakachengeteka kwakakundikana. Kubatana kwakakuvara uye kunorwadza kunobviswa uye kunotsiviwa nehupfeko. Zvimwe zvirongwa zvokuvhiya zvinosanganisira:
- arthrodesis (fusion)
- synovectomy
- re-chikamu
- arthroscopy
Kufungisisa / Relaxation
Kufungisisa nekuzorora kunogona kuderedza kushungurudzika kwemaviri uye kubatsira kurwisa kuneta. Maitiro ekuzorora anokwanisa kuderedza:
- kushungurudzika
- kuzvidya mwoyo
- kuora mwoyo
- zvinetso zvehope
Kufema kufema
Kufema kwakadzika kunosanganisira kuchenesa pfungwa nekufema mukati nekubuda, zvishoma nezvishoma, zvakasimba, uye rhythmically. Inhale kuburikidza nemhino uye kubuda kuburikidza nemuromo, kusunungura dambudziko.
Progressive Relaxation / Creative Imagery
Kufambira mberi kwekufambira mberi kunosanganisira kurara pamusana wako kuti urongedze nguva uye wotsega chikamu chimwe chemuviri wako. Ikuzorora kunoshanda kunotungamirira kurwadziwa. Uchitevera kusununguka kunofambira mberi, pfungwa inogona kubatanidzwa mukufungidzira nzvimbo inofadza. Sezvo pfungwa inobatwa nechiitiko, kunetseka kunowedzera, sezvinoita marwadzo mazinga.
Biofeedback
Biofeedback inoshandisa kusanganiswa, kutaridzika, uye zviratidzo kubva kumashini kuti uwane utungamiriri hwekutambudzika. Sezvo iwe uchibatanidzwa nema electrode kumashini, unodzidziswa kudzora ropa, kushungurudzika kwemitsipa, kufara kwemwoyo, uye kutonhora.
Occupational Therapy
Occupational therapy yakagadzirirwa mukurapa kwepanyama, masayendisiti, uye maitiro epfungwa. Zvinangwa zvehutano hwemabasa ndezvi:
- kuti abatsire kurwadziwa murwere kuziva kuti zviito zvipi kana maitiro anowedzera kurwadziwa
- dzidzisa nzira dzokuderedza nguva yakawanda mukurwadziwa
- shandisa maitiro ekuderedza marwadzo
- kubatsira varwere kuti vashande zvakawanda mumabasa ezuva nezuva uye munzvimbo yebasa
- taurira mararamiro anorarama maitiro akanaka ehutano
Maitiro ekugadzirisa marwadzo anoshandiswa anogona kusanganisira:
- body mechanics
- joint protection
- kuchengetedza simba
- kurovedza muviri
- kukurudzira kuisa pfungwa pane unyanzvi panzvimbo pekukanganisa
- achishandise zvigadziridzo zvekushandisa uye zvigadzirwa zvekubatsira
- relaxation techniques
Heat
Kuoma kwemangwanani kunowanzobviswa nekushandiswa kwemvura inopisa kana mabhati. Kushuva kwemvura kunoderedza mitsipa uye kunoderedza kushinga. Uyewo zvinobatsira zvigadzirwa zvekubatsira uye midziyo yakadai seyi:
- hot packs
- magumbezi emagetsi
- Kuchenesa pads
- saunas
Parafini yakisi yekushambidzira kwemaoko, tsoka, uye zvikwangwani zvakare zvakashandiswa pakuchengeta marwadzo.
Cold
Cold therapy, inozivikanwawo se cryotherapy, inoshandiswa kurapwa kune vamwe vanhu kusiyana nehutano hwekupisa. Iyo inotonhora inobatsira kugadzirisa marwadzo kuburikidza nekupedza mishonga inopera munzvimbo dzakaoma dzomuviri. Izvo zvinoderedza kushanda kwemasero emitumbi uye kunononoka kubuda kweropa, zvichiita kuti kuderera kunopera. Inotonhora yakaoma, kuvhara bhegi repurasitiki yakazadzwa nemagetsi echando, kana kuti gel yakaiswa ganda inogona kushandiswa munzvimbo. Vanhu vane Raynaud's phenomenon vanofanira kudzivisa nzira iyi.
Pain Clinic Pain
Chinangwa chekliniki yekutambudzika ndeyokupa humwe hutano hwekutarisira kune vanhu vane kurwadziwa kwenguva refu vasingakwanisi kubatsirwa nehutano hwekurapa uye hwekuporesa. Chinangwa ndechokuderedza marwadzo zvakanyanya sezvinobvira uye kuwedzera huhu hwehupenyu mukati mekukanganisa kwemurwere. Nzira yacho inowanzotarisirwa uye inogona kuwirirana:
- kushandiswa kwemishonga
- nerve blocks
- physically therapy
- kusununguka
- kupa zano
Sources:
NIH Mabhuku Nha. 01-4855, Nha. 01-4856