Imisipha Yokuphumula: Uhlu Lwemithi Yesidakamizwa

-Delile

• Imithi kadokotela
• Ama-Antispasmodics: Ama-relaxant muscle akhonze maphakathi (SMRs)
• Ama-Antispastics
• Izexwayiso zokuphumula kwemisipha kadokotela
• Imithi engekho ngaphandle kwelebula yokuqina
• I-Benzodiazepines
• Clonidine
• UGabapentin
• Izinketho ze-over-the-counter for spasms muscle
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• I-Acetaminophen
• Ungabiza nini udokotela wakho
• Khuluma nodokotela wakho
• I-Q & A.
• Q:
• A:

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Isingeniso

Ama-relaxer emisipha, noma ama-relaxant muscle, yimithi esetshenziselwa ukwelapha ukuphazamiseka kwemisipha noma ukuqina kwemisipha.

Ukuphazamiseka kwemisipha noma amajaqamba kungukuphambana okungazelelwe, kokungazibandakanyi kwemisipha noma iqembu lemisipha. Zingabangelwa ukucindezela kwemisipha ngokweqile futhi ziholele ebuhlungwini. Zihlotshaniswa nezimo ezinjengezinhlungu eziphansi emuva, ubuhlungu bentamo, ne-fibromyalgia.

Ukuqina kwemisipha, ngakolunye uhlangothi, kungukuqina kwemisipha okuqhubekayo okubangela ukuqina, ukuqina, noma ukuqina okungaphazamisa ukuhamba okuvamile, ukukhuluma, noma ukunyakaza. Ukuqina kwemisipha kubangelwa ukulimala ezingxenyeni zobuchopho noma intambo yomgogodla ethintekayo ekunyakazeni. Izimo ezingadala ukuqina kwemisipha zifaka phakathi i-multiple sclerosis (MS), i-cerebral palsy, ne-amyotrophic lateral sclerosis (ALS).

Imithi kadokotela ingasiza ekunciphiseni izinhlungu nokungahambi kahle kokuqina kwemisipha noma ukuqina. Ngaphezu kwalokho, imishanguzo ethile yokuthenga ingasetshenziswa ekwelapheni izinhlungu nezinhlungu ezihambisana nokuqaqamba kwemisipha.

Imithi kadokotela

Imithi kadokotela ihlukaniswe ngamaqembu amabili: i-antispasmodics ne-antispastics. Ama-Antispasmodics asetshenziselwa ukwelapha ukuphazamiseka kwemisipha, kanti ama-antispastics asetshenziselwa ukwelapha ukuqina kwemisipha. Amanye ama-antispasmodics, njenge-tizanidine, angasetshenziswa ukwelapha ukuqina kwemisipha. Kodwa-ke, ama-antispastics akufanele asetshenziselwe ukwelapha ukuphazamiseka kwemisipha.

Ama-Antispasmodics: Ama-relaxant muscle akhonze maphakathi (SMRs)

Ama-SMR asebenza maphakathi asetshenziswa ngaphezu kokuphumula kanye nokwelashwa ngokomzimba ukusiza ukukhulula imisipha. Kucatshangwa ukuthi zisebenza ngokubanga umphumela wokuthambisa noma ngokuvimbela izinzwa zakho ekuthumeleni amasiginali ezinhlungu ebuchosheni bakho.

Kufanele usebenzise kuphela lezi zithokomisi zemisipha kuze kube amasonto ama-2 noma ama-3. Ukuphepha kokusetshenziswa kwesikhathi eside akukaziwa.

Ngenkathi i-antispasmodics ingasetshenziselwa ukwelapha ukuphazamiseka kwemisipha, ayiboniswanga ukuthi isebenza kangcono kunezidakamizwa ezingezona ukuvuvukala (ama-NSAID) noma i-acetaminophen. Ngaphezu kwalokho, banemiphumela emibi kakhulu kunama-NSAID noma i-acetaminophen.

Imiphumela emibi ejwayelekile yama-SMR asebenza maphakathi afaka:

• ukozela
• isiyezi
• ikhanda
• uvalo
• umchamo obomvu-onsomi noma owolintshi
• yehlise umfutho wegazi lapho umile

Kufanele ukhulume nodokotela wakho ngezinzuzo nezingozi zale mithi yokwelashwa kwemisipha yakho.

Uhlu lwama-SMR asebenza maphakathi

Igama elijwayelekile	I gama le-brand	Ifomu	Okujwayelekile kuyatholakala
i-carisoprodol	Soma	ithebhulethi	yebo
i-carisoprodol / i-aspirin	akutholakali	ithebhulethi	yebo
i-carisoprodol / aspirin / codeine	akutholakali	ithebhulethi	yebo
i-chlorzoxazone	IParafon Forte, iLorzone	ithebhulethi	yebo
cyclobenzaprine	UFexmid, uFlexeril, u-Amrix	tablet, capsule ekhishwe isikhathi eside	ithebhulethi kuphela
metaxalone	Skelaxin, Metaxall	ithebhulethi	yebo
methocarbamol	I-Robaxin	ithebhulethi	yebo
orphenadrine	I-Norflex	ithebhulethi ekhishwa enwetshiwe	yebo
tizanidine	Zanaflex	tablet, capsule	yebo

Ama-Antispastics

Ama-Antispastics asetshenziselwa ukwelapha ukuqina kwemisipha. Akufanele zisetshenziselwe ukwelapha ukuphazamiseka kwemisipha. Le mithi ihlanganisa:

I-Baclofen: I-Baclofen (i-Lioresal) isetshenziselwa ukukhulula ukuqina okubangelwa yi-MS. Akuqondakali ngokuphelele ukuthi kusebenza kanjani, kepha kubonakala kuvimba amasiginali ezinzwa avela emgogodleni odala ukuthi imisipha iqhume. Imiphumela emibi ingafaka ukozela, isiyezi, ubuthakathaka nokukhathala.

Dantrolene: I-Dantrolene (i-Dantrium) isetshenziselwa ukwelapha ukuphazamiseka kwemisipha okubangelwa ukulimala kwentambo yomgogodla, isifo sohlangothi, i-cerebral palsy, noma i-MS. Isebenza ngokusebenza ngqo emisipheni yamathambo ukuze uphumule i-spasm yemisipha. Imiphumela emibi ingafaka ukozela, isizungu, ikhanda elikhanyayo nokukhathala.

I-Diazepam: IDiazepam (iValium) isetshenziselwa ukukhulula imisipha ebangelwa ukuvuvukala, ukuhlukumezeka, noma ukuqina kwemisipha. Isebenza ngokwandisa umsebenzi we-neurotransmitter ethile ukunciphisa ukwenzeka kwemisipha yemisipha. UDiazepam uyisidambisi. Imiphumela emibi ingafaka ukozela, ukukhathala, nobuthakathaka bemisipha.

Uhlu lwama-antispastics

Igama elijwayelekile	I gama le-brand	Ifomu	Okujwayelekile kuyatholakala
baclofen	I-Lioresal, i-Gablofen, i-Lioresal	tablet, umjovo	yebo
dantrolene	I-Dantrium	ithebhulethi	yebo
mzingisi	I-Valium	ukumiswa ngomlomo, ithebhulethi, umjovo	yebo

Izexwayiso zokuphumula kwemisipha kadokotela

Ukuphumula kwemisipha okufana ne-carisoprodol ne-diazepam kungaba umkhuba wokwakha. Qiniseka ukuthi uphuza imishanguzo yakho njengoba kuchazwe ngudokotela wakho.

Ukuphumula kwemisipha nakho kungadala izimpawu zokuhoxa, njengokuquleka noma ukubona izinto ezingekho (ukuzwa izinto ezingezona ezingokoqobo). Ungayeki ngokungazelelwe ukuthatha imithi yakho, ikakhulukazi uma ngabe uyiphuze isikhathi eside.

Futhi, iziduduzi zemisipha zicindezela uhlelo lwakho oluphakathi lwezinzwa (i-CNS), okwenza kube nzima ukunaka noma ukuhlala uphapheme. Ngenkathi uthatha isidambisi esixegayo, gwema imisebenzi edinga ukuphaphama kwengqondo noma ukuhlangana, njengokushayela noma ukusebenzisa imishini esindayo.

Akufanele uthathe izinto zokuphumula zemisipha nge:

• utshwala
• Izidakamizwa zokudangala ze-CNS, ezinjenge-opioid noma i-psychotropics
• imithi yokulala
• izithako zemithi ezifana neSt

Khuluma nodokotela wakho mayelana nokuthi ungakusebenzisa kanjani ngokuphepha ukuphumula kwemisipha uma:

• bangaphezu kweminyaka engama-65
• unenkinga yempilo yengqondo noma ukuphazamiseka kwengqondo
• unenkinga yesibindi

Imithi engekho ngaphandle kwelebula yokuqina

Odokotela bangasebenzisa imishanguzo ethile ukwelapheka ngokweqile noma ngabe le mishanguzo ayivunyelwanga leyo nhloso yi-U.S. Food and Drug Association (FDA). Lokhu kubizwa ngokuthi ukusetshenziswa kwezidakamizwa ezingekho kwelebula. Le mithi elandelayo akuyona empeleni imisipha yokuphumula, kepha isengasiza ekunciphiseni izimpawu zokuqina.

I-Benzodiazepines

I-Benzodiazepines yizidambisi ezingasiza ukukhulula imisipha. Zisebenza ngokwandisa imiphumela yama-neurotransmitter athile, okungamakhemikhali adlulisa imiyalezo phakathi kwamaseli akho obuchopho.

Izibonelo ze-benzodiazepines zifaka:

• i-clonazepam (iKlonopin)
• I-lorazepam (Ativan)
• i-alprazolam (Xanax)

Imiphumela emibi ye-benzodiazepines ingafaka ukozela nezinkinga ngebhalansi nenkumbulo. Le mithi futhi ingaba umkhuba wokwakha.

Clonidine

I-Clonidine (Kapvay) kucatshangwa ukuthi isebenza ngokuvimbela izinzwa zakho ekuthumeleni amasiginali ezinhlungu ebuchosheni bakho noma ngokubangela umphumela wokuthambisa.

I-Clonidine akufanele isetshenziswe namanye ama-relaxant muscle. Ukuyithatha ngezidakamizwa ezifanayo kwandisa ingozi yemiphumela emibi. Isibonelo, ukuthatha i-clonidine nge-tizanidine kungadala umfutho wegazi ophansi kakhulu.

I-Clonidine itholakala ngegama lomkhiqizo nangohlobo olujwayelekile.

UGabapentin

IGabapentin (Neurontin) isidakamizwa esinciphisa imithambo esivame ukusetshenziswa ukudambisa ukuquleka. Akwaziwa ngokuphelele ukuthi i-gabapentin isebenza kanjani ukukhulula ukuqina kwemisipha. IGabapentin itholakala ngegama lomkhiqizo nangohlobo olujwayelekile.

Izinketho ze-over-the-counter for spasms muscle

Ukwelashwa kwe-OTC kunconyelwa njengokwelashwa komugqa wokuqala kwezinhlungu zemisipha ezibangelwa izimo ezinjengezinhlungu ezibuhlungu ezisezingeni eliphansi noma ikhanda lokuqina. Lokhu kusho ukuthi kufanele uzame ukwelashwa kwe-OTC ngaphambi kwemithi kadokotela.

Izinketho zokwelashwa kwe-OTC zifaka phakathi izidakamizwa ezingezona ukuvuvukala (ama-NSAID), i-acetaminophen, noma inhlanganisela yakho kokubili. Udokotela noma usokhemisi wakho angakusiza ukhethe ukwelashwa kwe-OTC.

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)

Ama-NSAID asebenza ngokuvimba umzimba wakho ekwenzeni izinto ezithile ezibangela ukuvuvukala nobuhlungu. Ama-NSAID ayatholakala ezinhlotsheni ezijwayelekile kanye negama lomkhiqizo. Ngokuvamile athengiswa ngaphezu kwekhawunta. Izinhlobo ezinamandla ziyatholakala ngemithi kadokotela.

Ama-NSAID eza njengamaphilisi omlomo, ama-capsule, noma ukumiswa. Ziza futhi njengamaphilisi ahlafunwayo ezingane. Imiphumela emibi yale mithi ingabandakanya isisu esithukuthele nesiyezi.

Izibonelo zama-NSAID zifaka:

• ibuprofen (Advil, Motrin)
• i-naproxen (Aleve)

I-Acetaminophen

I-Acetaminophen (iTylenol) kucatshangwa ukuthi isebenza ngokuvimba umzimba wakho ekwenzeni izinto ezithile ezibanga ubuhlungu. I-Acetaminophen iyatholakala ngezinhlobo ezijwayelekile nezegama lomkhiqizo. Kuza njengamaphilisi omlomo akhishwa ngokushesha futhi enwetshiwe kanye namaphilisi, amaphilisi ahlukaniswa ngomlomo, amaphilisi ahlafunwayo, nezixazululo zomlomo.

Imiphumela emibi ejwayelekile ye-acetaminophen ingafaka isicanucanu nesisu esicasulayo.

Ungabiza nini udokotela wakho

Imvamisa ungaphatha ngokwakho ukuqhuma kwemisipha yakho noma izimpawu zokuqina, kepha kwezinye izimo, ungadinga iseluleko sezokwelapha noma ukunakekelwa. Qiniseka ukuthi ushayela udokotela wakho uma:

• ube ne-spasticity okokuqala futhi ungayazi imbangela
• qaphela ukuthi ukuqina kuya kuba nzima kakhulu, kwenzeka kaningi, noma kwenza imisebenzi ibe nzima
• ube nokuqaqamba kwemisipha okunzima futhi kaningi
• qaphela ukukhubazeka kwezingxenye zomzimba wakho ezithinteka yimisipha yemisipha
• ube nemiphumela engemihle evela ekunciphiseni kwemisipha yakho
• ube "nejoyini elihlanganisiwe" ngenxa yesivumelwano esinciphisa uhla lwakho lokunyakaza noma esidala izilonda zengcindezi
• ube nokungahambi kahle noma ubuhlungu obandayo

Khuluma nodokotela wakho

Kubalulekile ukwelapha kokubili ukuqina nokuqina kwemisipha. Ukweqisa okukhulu, isikhathi eside kungaholela ekuthengeni kwemisipha, okunganciphisa ukuhamba kwakho noma kushiye amalunga athintekile agobeke unomphela. Futhi ukuphazamiseka kwemisipha akukwazi ukungakhululeki nje kuphela, futhi kungaba uphawu lwenkinga yezokwelapha eyisisekelo.

Ukuphazamiseka kwemisipha yakho noma ukuqina kungenzeka kulapheke ngokuphumula, ukwelashwa ngokomzimba, imishanguzo, noma konke lokhu okungenhla. Sebenza nodokotela wakho ukuhlanganisa uhlelo lokunakekelwa olunganciphisa ubuhlungu bakho futhi lukuhambise kahle futhi.

I-Q & A.

Q:

Ngabe i-cannabis ingasetshenziselwa ukwelapha ukuqina kwemisipha noma i-spasm?

Isiguli esingaziwa

A:

Yebo, kwezinye izimo.

Insangu, eyaziwa kakhulu ngokuthi insangu, isemthethweni ezifundazweni ezithile ekusetshenzisweni kwezokwelapha. Ukuqhuma kwemisipha kungenye yezimo zezempilo i-cannabis esetshenziselwa ukwelapha. Kuyasiza ukukhulula imisipha ngokunciphisa ubuhlungu nokuvuvukala.

I-Cannabis isetshenziselwe ukwelapha ukuqina kwemisipha ngenxa ye-multiple sclerosis (MS). Kokuningi, i-cannabis ikhonjiswe ukuthi iyasebenza yodwa futhi ihlangene nezinye izindlela zokwelapha ukunciphisa izimpawu zokuqina kwemisipha. Kodwa-ke, kunemininingwane elinganiselwe etholakalayo ekusetshenzisweni kwensangu yokuqina kwemisipha engahlangene ne-MS.

Uma welashelwa i-MS futhi usenemisipha noma ukuqina, ukungeza insangu kungasiza. Khuluma nodokotela wakho mayelana nokuthi kuyindlela enhle yini kuwe.

Kufanele ugcine izici ezithile engqondweni. Imiphumela emibi ejwayelekile ye-cannabis ifaka isiyezi, ukuhlanza, ukutheleleka kwe-urinary, nokubuyela emuva kwe-MS. Futhi, imininingwane elinganiselwe iyatholakala mayelana nokusebenzisana kwezidakamizwa nezinye izixwayiso zokusetshenziswa.

Izimpendulo Zethimba Lokuhlela Lezempilo zimele imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.