Zvaunofanira Kuziva Nezve Narcotics
Vanhu vane fibromyalgia (FMS) uye vasina kukanganisa zvirwere ( ME / CFS ) vanogona kuva nezviratidzo zvakasiyana-siyana, zvinosanganisira kurwadziwa, uye zvinowanzotora kusanganiswa kwemishonga inoverengeka kuti iwe unzwe wakanyanya kuve nani. Nemhaka yokuti mishonga imwe neimwe inotakura mungozi yayo, uye iyo ngozi inogona kuwedzerwa kana inotorwa nemimwe mishonga, inobhadhara kuziva mishonga yako zvakanaka.
Opiate zvinodhaka, zvinonziwo opioid kana narcotics, zvinowanzogadzirirwa kurwadziwa kusingaperi sekuye kweFMS ne ME / CFS. Vanoshanda nekutevedzera marwadzo epo-relieving chimiro, anonzi opioid peptide, iyo muviri wako unoita zvakasununguka. Kungofanana nevamwe vavo vemazuva ose, opiate zvinodhaka zvinosangana kune zvakagadziriswa mumakumbo ako uye mumutsara uye zvinoita kuti utambure-urongwa hwako hwekuyamura.
Kazhinji Opiates
Maopiates akawanda ave ari pamusika kwemazuva mazhinji, kazhinji haasisina mari, uye anowanika mune maitiro chaiwo. Opiates anozivikanwa anosanganisira:
- hydrocodone
- codeine
- oxycodone
- fentanyl
- oxymorphone
- hydromorphone
- tramadol
- morphine
Uyezve, mamwe anowanzopiwa maopiates imishonga inosanganiswa iyo inosanganisirawo acetaminophen , iyo iri muTylenol nemamwe akawanda kupfuura-the-counter mishonga. Dzinosanganisira:
- Percocet (oxycodone / acetaminophen)
- Ultracet (tramadol / acetaminophen)
- Vicodin (hydrocodone / acetaminophen)
Kana uri kutora mishonga inosanganiswa, iwe unofanirwa kuve nechokwadi kuti udzidze njodzi dzezvikamu zviviri.
Ndezvipi Zvinobudirira Ndezvipi?
MuFMS, kutenda kukuru munharaunda yezvokurapa ndeyekuti opiates haisi kubudirira zvakanyanya pamatambudziko edu akasiyana-siyana. Kutsvakurudza kazhinji kunotsigira izvozvo asi zvinopesana nehutano hwehutano.
Isu hatina tsvakurudzo pamusoro peopiates nokuda kwekutambudzika kwe ME / CFS. Zvisinei, zvirwere zviviri izvi zvinorwara zvinonzi hyperalgesia (kurwadziwa kwekurwadza) uye allodynia (marwadzo anowanzoita zvisingaiti zvinorwadza), izvo zvose zviri chikamu cheFMS, uye isu tine humwe huri huno huchapupu huripo.
Uye uchapupu hahufadzi. Chimwe chidzidzo chakabudiswa muChorkrane Database yeChechi dzeChechi dzakakundikana kuwana chero yakabudiswa, yakakwirira-miedzo ye oxycodone ye fibromyalgia kana kuti kwete chirwere cheshuga chirwere cheurouropathi.
Clinical Journal of Pain muna 2015 yakabudiswa kuongororwa kwehutano hwemaawa ekupedzisira muFMS yakawana kuti vanhu vanoshandisa maopiates vakaratidza kuderera kuduku mune zviratidzo kune avo vanotora mimwe mishonga. Vatsvakurudzi vakataura kuti pakanga pasina ruvimbo rukuru rwekushandisa kwenguva refu kwechirwere ichi muFMS.
A Pain Research and Treatment study inoti:
Hatina uchapupu hwekuti [opioids] yakagadziriswa chimiro kunze kwekuchengetedzwa kwakakwana uye [ivo] vangatove vakabatanidzwa mune zvisingabatsiri.
Apo iwe unobvunza vanhu vane mamiriro aya nezveapiates, zvakadaro, iwe unowana nyaya yakasiyana. Vazhinji vavo vanotaura kuti marwadzo avo akareba zvakanyanya kuti vashande pasina mishonga iyi. Vazhinji vanachiremba vanovarayira, zvisinei neuchapupu hwakashata. Kutaura zvazviri, chidzidzo chemakore gumi nemakore gumi nemana chakapera muna 2010 chakaratidza kuti chiyero che opiate muFMS chakanga chabuda kubva ku40 kusvika ku46 muzana. Zvimwe zvidzidzo zvakare zvinotaridza kushandiswa kwekushandiswa kweapiates pakurapa marwadzo kwenguva refu.
Saka chii chinokonzera kusabvumirana? Isu hatina tsvakurudzo inobvuma kuti nei, asi zvimwe zvikonzero zvinoita kuti varwere veFMS vafunge kuti mishonga iyi inonyanya kubudirira iyo tsvakurudzo inoratidza inosanganisira:
- Iyo nzvimbo inobatsira: Izvo zvakanyatsozivikanwa-chivimbo chevanhu chokuti chimwe chinhu chichashanda chinogona kutungamirira kuzvinovandudzwa izvo mishonga kana zvimwe kurapwa hazvisi izvo zvinotarisirwa.
- Kukanganiswa kwemamiriro ekurwa: FMS inozivikanwa kuwirirana nemamwe mimwe mamiriro ezvinhu, uye zvingangove kuti vanhu vanozorodzwa kubva kumaopiates vari kuona kuderedza marwadzo kubva pane chimwe chinhu, iyo inobatsirawo kugadzikana kunetseka kweFMS.
Chero chero chikonzero (s), chinopindirana "hachibatsire" shoko kubva kuchipatara, pamwe chete nemitemo inowedzera kuwedzera uye kutarisa kwekushandisa maopiate, zvakaita kuti pave nekutsamwa kukuru uye shungu munharaunda yevarwere-kunyanya kubva avo avo vakamborwa mishonga vanoti vanovabatsira kubasa.
Opiate Risks: Overdose, Addiction, Victimization
Mafiripi anouya nematambudziko akawanda, mamwe mazvokurapa, vamwe kwete.
Kuwedzeredza kunogona kuuraya. Iko dzimwe nguva migumisiro yevanhu vanotora imwe yeroti nokuti yekutanga haina kubvisa marwadzo avo zvinogutsa. Kuziva kusanzwisisa (fibro fog) inobatanidza neFMS ne ME / CFS kunogona kuita kuti zvive nyore kuti iwe uchengetedze paunotora mishonga uye ukutungamirire kutora zvimwe zvishoma.
Uyewo kuunza kukanganisa kudarika kunokonzera kushandiswa kwemishonga. Vanhu vazhinji vanotora maopiates kwenguva yakareba vanokura kushivirira, zvinoreva kuti mishonga haisi yakakosha kwavari sezvazvaimbova. Kunyange zvakadaro, nokuti zvinotora zvakawanda kuti iwe unzwe kuitika hazvirevi kuti muviri wako unogona kunyanya kubata mamwe. Zvakakosha kuti nguva dzose utore maopiates sezvinorayirwa.
Zviratidzo zvekunyanya kuderedza opiate zvinosanganisira:
- kuora mwoyo kwehutano (semuenzaniso, kuvhiringidzika, kurara, coma)
- kunonoka uye / kana kufema kunopisa
- slow heart rate
- kunetseka
- chizoro uye / kana kupera
- nausea
- kurutsa
- kudzikama kwevadzidzi
- kutonhora, ganda rinoputika
Kana iwe uchifungidzira kuti iwe kana mumwe munhu akazonyora mafiripi, zvakakosha kuwana rubatsiro rwekurapa munguva pfupi.
Kuita zvinodhaka kunewo njodzi ine opiates. Izvi zvakanyatsotariswa kubva pamutemo nekushambadzira mumakore emakore achangopfuura, izvo zvaita kuti vamwe vanachiremba vazeze kuisa maopiates uye kunoita kuti vamwe vanhu vazvidye mwoyo pamusoro pokuvatora.
Zvisinei, zvimwe zvidzidzo zvinoratidza kuti njodzi yekudhakwa yakaderera kupfuura inowanzofungidzirwa, uye njodzi huru kune inowanikwa kune vanhu vane nhoroondo yekushandisa zvinodhaka nekudhakwa.
Kutaura nezvekutya kwechiremba kwekutsanangura zvinogona kuwedzerwa zvinodhaka, American Pain Society muna 2009 yakabudisa pepa iyi: Nhungamiro yeKushandisa Chronic Chronic Opioid Therapy mu Chronic Noncancer Pain.
Nokudzvinyirirwa kweipiate, kudarika, nekufa kunokwira munyika yose, CDC muna 2016 yakabudisa Mitemo yekunyoresa Opioids ye Chronic Chronic Pain kugadzirisa matambudziko.
Zvinogona zvakare kuti, nekufamba kwenguva, opiates inogona kukonzera marwadzo. Imwe tsvakurudzo inoratidza kuti mishonga yeopioid inogona kutungamirira kukuwedzera kwekunzwa kwemamwe marudzi ekutambudzika, akafanana nenzira iyo FMS inowedzera zviratidzo zvekunzwa. Izvi zvinonzi "opioid-induced hyperalgesia".
Nokuti vamwe vanhu vanotora opiates varaidzo, vane madhiragi aya vanogona kukuita iwe chinangwa chevhavha. Kana vanhu vakawanda vanoziva kuti mune mishonga iyi, iwe unogona kunge uri panjodzi yekuvhiringidzwa.
Opiate Side Effects & Kubatana
Iwe unogona kuva nemigumisiro kune maopiates (kana mamwe mishonga) kunyange uchivatora sezvaanorayirwa. Mimwe migumisiro yakafanana yakafanana nezviratidzo zvekudarika. Kazhinji opiate madhara anosanganisira:
- kushungurudzika uye / kana kurutsa
- kugona
- dry mouth
- chizoro pazvimire (nemhaka yemadonhe muropa)
- matambudziko okukwira
- kuvimbiswa
Migumisiro inogona kusiyaniswa nemishonga, saka tsvaga mazita zvakanangana nemishonga yako. Iwe unogona kazhinji kuwana izvi pawebsite dzevashambadziri kana paresmiti yako.
Kutora opiates nemamwe marudzi emishonga kunogona kukonzera kusabatana kwakashata, kusanganisira kufa. Zvinodhaka zvinogona kuva nengozi kana zvichisanganiswa neapiates zvinosanganisira:
- mamwe marwadzo emishonga
- kurara mishonga
- antihistamines (allergy mishonga)
- muscle relaxants
- mishonga yekuora mwoyo, kuzvidya mwoyo kana zvimwe zvinetso zveutano hwepfungwa
- doro
Zvakare, izvi zvinogona kusiyana nemishonga. Zvakakosha kuti iwe uzivise chiremba wako nemudzimai wemishonga nezvemishonga yose yauri kutora, kusanganisira pane-in-counter, saka vanogona kukubatsira kuti urege kudzivirirwa kune ngozi.
Kuderedza Dambudziko Rako
Nzira yakanakisisa yekushandisa mishonga iyi nekuchengeteka ndeyekutevera mirayiridzo kune tsamba uye kuongorora kaviri kuti uone kuti zvinhu zvaunobatanidza zvakachengeteka pamwechete. Iwe unogona kuchengeta runyorwa rwemishonga mufoni yako kana muchikwama kuitira kuti ivo vasvike kune vashandi vekukurumidza kana zvichiitika kudarika.
Inogonawo kubatsira kuva nhengo yemhuri kana shamwari yako kuongorora mishonga yako, kana kuchengetedza gwaro renguva yaunotora kuti ikubatsire kurega kutora zvakare kare.
Ndezvipi Zvakakunakira?
Iwe iwe chete uye chiremba wako unogona kusarudza kana maopiates ichisarudzo chakanaka kwauri, zvichienderana nekuongororwa kwako, zviratidzo, hutano hwakakwana, uye mararamiro ezvinhu.
Kana iwe usingafungi kuti maopiates anoshanda pakugadzirisa marwadzo ako, taura nachiremba wako pamusoro pezvimwe zvinogona kuitwa.
Paunenge uchiita zvisarudzo zvokurapa, iva nechokwadi chokuti unofunga nezvemitemo yepamutemo inogona kuita kuti zvive nyore kwauri kuti udzorere mushonga wako, wakadai sekupa-kuendesa tsamba yepapaiti kumapirmiti yako mwedzi mumwe nomumwe.
Sources:
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Gaskell H, et al. Cochrane dheedhefethesheni yekuongorora maitiro. 2014 Jun 23; 6: CD010692. Oxycodone yekutambudzika kweuropathy uye fibromyalgia kuvanhu vakuru.
Painter JT, Crofford LJ. Nyaya yemakiriniki rheumatology. 2013 Mar; 19 (2): 72-7. Kushandiswa kwenguva refu yeopioid mu fibromyalgia syndrome: kuongorora kliniki.
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