Varwere Vasingakwanisi Kubvisa Rutsigiro May May Achipindura kuna ER Opioid Analgesics
Kusakwanira Maitiro Okurwira Osteoarthritis Inoita Zvinetso Zvimwe
Maererano nemushumo uri muna 2008 American Journal of Therapeutics , kurwadziwa kusingaperi kunobatanidza osteoarthritis kunobata murwere nekukonzera:
- kuderera kwehupenyu hwehupenyu
- kuderedzwa kana kukanganiswa kurara
- hukama hwemagariro evanhu hunotambura
- kupera kwekugadzirisa basa (kufunga, kurangarira)
- zvikanganiso mumabasa ezuva nezuva
- kuderedza kubereka
- kuwedzera kuzvidya mwoyo uye kuora mwoyo
Kurara kunetseka - kunokonzerwa nemarwadzo - ndiyo nyaya yakakura yevarwere vetsva. Vazhinji vevarwere vehasteoarthritis vane matambudziko ekurara, kunonoka kurara, kana kumuka. Kuti utsungirire matambudziko ose aya, marwadzo osteoarthritis anofanira kunyatsokwanisa.
Vazhinji vepachirwere vane chirwere chinorapwa , asi muzviitiko zvakawanda, havakwanisi kupora zvakakwana. Zvidzidzo zvekudzidza zvakaratidza kuti kune vanopfuura 3 100 varwere veosteoarthritis, 25% vakataura kusagutsikana nemishonga yavo inorwadziwa. Pakati peboka risina kugutsikana, 63% vakaratidza kuponeswa kusina kukwana apo 17% vakaratidza migumisiro yemigumisiro.
Kutora mapiritsi paya Purogiramu May Kuvandudza kubudirira
Kune varwere vasingaperi, zvakanakisisa kutora mishonga inorwadza pane imwe nguva. Chinangwa chemuitiro wemishonga yekurwadziwa nguva dzose ndeyekutora mishonga inotevera yemishonga inorwadza vasati vamboita.
Dambudziko nderekuti nekuda kwezvikonzero zvakasiyana-siyana, varwere vakawanda vane chirwere chemaperembudzi havakwanisi kutora mishonga inorwadza pane imwe nguva, uye vanobvumira kurwadziwa kudzoka-zvino vanodzinga marwadzo nemumwe mubairo. Kuita kwenguva yakareba-kushanda kana kuwedzera-kusunungurwa kunorwa kwemishonga kunogona kushanda zviri nani kuvarwere vanoona zvakaoma kuti varatidze purogiramu.
The Menu of Analgesics - Ndeipi Inofanira Kusarudza?
Zvitsva-zvinozivikanwa osteoarthritis varwere vanowanzoedza acetaminophen - inozivikanwa seanorganic line yekutanga kuitira unyoro kuenzanisa osteoarthritis. NSAIDs (nonsteroidal anti-inflammatory drugs) uye COX-2 inhibitor inoshandiswawo kudzora marwadzo osteoarthritis, kunyanya kana uchida rubatsiro rukuru kupfuura acetaminophen inopa. Nokuda kwekutambudzika kwakanyanya, vanachiremba vanotora maangeo epioid asina kukwana akadai se- tramadol uye anorongwa ma-analgiaics (anorongedzerwa zvinhu).
Chii chinonzi Optimal Pain Mishonga?
Chirwere chinosuruvarisa remishonga chinogona kubvumirwa zvakanaka, chakanaka, uye kupa hupfumi hwe-clock-clock. Inenge iine mikana isingashandisi uye isinganyanyi kuve nemigumisiro uye chepfu inoshandiswa kwenguva refu. Iko kusunungurwa-kubudiswa (ER) maalgesics opioid zvakanyanya kurwadziwa mishonga here? Kune vamwe varwere, hongu. Asi varwere vachishandisa ER opioid analgesics vanofanira kunge vachiziva zviitiko zvinoshungurudza uye vanofanira kungoshandisa zvinodhaka sezvazvakatemwa.
ER Opioid Analgesics Inogona Kubudirira Kana Yakashandiswa Zvakakodzera
ER morphine, ER oxymorphone, CR (controlled control release) oxycodone, ER transdermal fentanyl, uye ER tramadol ndevamwe vekuwedzera kushandiswa kweanpioid analgesics iyo inogona kufungidzirwa kubvisa marwadzo osteoarthritis.
Vatsvakurudzi vakagumisa kuti kana acetaminophen uye NSAIDs zvisingachashandi, kana osteoarthritis iri kuwedzera - ER tramadol inogona kunge iri yakanakisisa sarudzo - isati yamboedza kurongwa, maanorigic opioid.
ER tramadol ine zvimwe zvinobatsira pane mamwe ER opioid analgesics. Chimwe chinhu, tramadol inoguma mune zvishoma zvinokonzera kupfuura mamwe opioid. Kunetseka pamusoro pekushandisa zvinodhaka, kusvuta, kushivirira, uye kubvisa zvinowanzoonekwa nevanorgesics opioid. Opioid analgesics (kusanganisira ER opioid analgesics) inogona kukonzera matambudziko nere sedation, kuvhiringidzika, uye kubatwa, kunyanya kune vakwegura vakura.
Sezvo nemishonga ipi neipi, varwere vanofanira kuva nekutaurirana nachiremba wavo pamusoro pezvibatsiro zvichienderana nematambudziko ekutora ER opioid analgesics.
Nepo kune chido cheanoridesiki opioid mune vamwe varwere vasina kupindura zvakanaka kana kurega kupindura kuAcetaminophen, NSAIDs, uye tramadol - opioid analgesics hazvina kukodzera murwere wese.
ER versions dze morphine, fentanyl, oxymorphone, uye oxycodone dzakarongedzerwa, maitiro akareba epipiyid analgesics:
- ER morphine inoratidzirwa mukurapa kuenzanisa nekurwadziwa kusingaperi mune vamwe osteoarthritis varwere. Chinangwa chekutora ichi chinodhaka chiri pedyo nekununurwa kwemaawa masikati uye kuwedzerwa kukuru kwehupenyu hwehupenyu.
- Eriya oxymorphone yakarongwa seyakanakisisa, yakanaka kwazvo, kana yakanaka nevanenge 80 muzana yevarwere mune chidzidzo. Yakapa kuponeswa kunorwadza nekugadzirisa kwehutano kune varwere vane chirwere chisingaperi chine osteoarthritis.
- CR CR oxycodone inoshanda mukuderedza kurwadziwa kunokonzerwa ne osteoarthritis nekuvandudza hupenyu hwehupenyu. Zvisinei, oxycodone ndiyo mishonga inowanzowanikwa mune itsva pamusoro pezvinodhaka zvinoshandiswa pakushandisa zvinodhaka.
- ER transdermal fentanyl inofanira kungoshandiswa nevarwere vatove vachigamuchira kurapwa kweopioid uye vakaratidzira opioid kushivirira. Iyo inobatsira pakusununguka kunononoka kusvika kune hutachiona hwehutano hwehutano.
Iwe haufaniri kunge uchifanira kurarama nemarwadzo asingagumi. Kurukurai kurwadziwa pamwe newachiremba uye musakanganwa kubvunza pamusoro pekubudiswa kwemashanduro e-opioid analgesics. Haasi iyo yakanakisisa yokurapa kune varwere vose - asi ivo vari kurapa here?
Kunobva:
Chronic Chronic Pain of Osteoarthritis: Kufungisisa Nokusarudza Kusunungurwa Kwakawedzerwa Opioid Analgesic. American Journal of Therapeutics 15,241-255 (2008). Gibofsky, Allan naBarkin, Robert L.