Izisekelo Zokusiza Izinhlungu

-Delile

• Ukuphathwa kobuhlungu nobuhlungu
• Yiziphi izinhlobo zobuhlungu ezikhona?
• Yiziphi izimpawu ozidingayo ukuze ubone udokotela wezinhlungu?
• Imithi ye-OTC
• Imithi kadokotela
• Ama-Corticosteroids
• Ama-opioid
• Izidambisi
• Ama-anticonvulsants
• Kubanda nokushisa
• Ukuzivocavoca umzimba
• Ukwelashwa ngokomzimba
• I-Yoga
• Umculo
• I-massage yokwelapha
• Umbono wokuphumula kobuhlungu

Ukuphathwa kobuhlungu nobuhlungu

Ubuhlungu bungaphezu kokuzizwa ungakhululekile. Kungathinta indlela ozizwa ngayo ngokuphelele. Kungase futhi kuholele ezimeni zempilo yengqondo njengokucindezeleka nokukhathazeka. Inani lobuhlungu obuzwayo lungatshela udokotela wakho okuningi ngempilo yakho yonke.

Ubuhlungu obunzima benzeka ngokuzumayo, imvamisa ngezinsuku noma amasonto ambalwa. Kuvame ukuxazululwa kungakapheli amasonto ambalwa. Ubuhlungu obungapheli buqhubeka. Eminye imihlahlandlela icabanga ukuthi ubuhlungu abupheli lapho buhlala ngaphezu kwalokho. Abanye bathi ubuhlungu abupheli lapho buhlala isikhathi eside kunezinyanga eziyisithupha.

Izindlela zokudambisa izinhlungu zisukela ekwelashweni kwasekhaya nasemithini kuya emithini ye-over-the-counter (OTC) kanye nezinqubo ezihlaselayo njengokuhlinzwa. Ukudambisa izinhlungu akuvamile ukwenzeka ngobusuku obubodwa, kodwa kungenzeka. Isipiliyoni sobuhlungu bomuntu ngamunye sihlukile kubo.

Ukwelapha umthombo wezinhlungu ezingapheli, kungadingeka ukuthi uvakashele udokotela wakho. Sebenzisa lesi sikali esilula ukukusiza uchaze ubuhlungu bakho ukuze uthole ukukhululeka okudingayo.

Yiziphi izinhlobo zobuhlungu ezikhona?

Kunezinhlobo ezimbili eziyinhloko zobuhlungu: i-nociceptive ne-neuropathic.

Ubuhlungu be-nociceptive impendulo yesistimu yezinzwa esiza ukuvikela umzimba wakho. Kukwenza ubuyise isandla sakho emuva esitofini esishisayo ukuze ungashi. Ubuhlungu obuvela eqakaleni elikhubazekile bukuphoqa ukuba uphumule futhi unikeze isikhathi sokulimala sokululama.

Ubuhlungu be-Neuropathic buhlukile, ngoba abunazo izinzuzo ezaziwayo. Kungaba ngumphumela wezimpawu ezingafundwanga kahle phakathi kwezinzwa zakho nobuchopho noma umgogodla. Noma kungaba ngenxa yokulimala kwemizwa. Ingqondo yakho ihumusha amasignali angalungile avela emithanjeni njengobuhlungu.

Izibonelo zohlobo lobuhlungu be-neuropathic zifaka:

• i-postherpetic neuropathy
• i-neuropathy yesifo sikashukela
• umhubhe we-carpal syndrome

Ukuze uthole ukukhululeka kobuhlungu okusebenzayo, udinga kuqala ukuthola umthombo wezinhlungu. Funda ukuthi yini ebangela uhlobo oluvame kakhulu lobuhlungu.

Yiziphi izimpawu ozidingayo ukuze ubone udokotela wezinhlungu?

Yenza i-aphoyintimenti nodokotela wakho uma ubuhlungu bakho:

• ayikapheli emva kwamasonto amabili kuya kwamathathu
• kukubangela ukucindezeleka, ukukhathazeka noma ukucindezeleka
• ikuvimbela ekuphumuleni noma ekulaleni
• ikuvimba ekusebenziseni noma ekubambeni iqhaza emisebenzini yakho ejwayelekile
• ayikaze ithuthuke nganoma iyiphi indlela yokwelapha oyizamile

Ukuphila nobuhlungu obungapheli kungaba yinselele ngokomzwelo nangokomzimba. Izinhlobo eziningi zokwelashwa zingakusiza uthole ukukhululeka.

Imithi ye-OTC

Ukuphulukiswa kobuhlungu be-OTC njenge-acetaminophen (Tylenol) kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID) ziyatholakala ukuthenga ngaphandle kwemithi kadokotela.

Ama-NSAID avimba izinto ezibizwa nge-COX-1 ne-COX-2. Zidambisa izinhlungu ezihlobene nokuvuvukala.

Le mithi iyasiza ezimweni ezifana nalezi:

• ikhanda
• iqolo
• ubuhlungu bemisipha
• isifo samathambo
• ubuhlungu bokuya esikhathini
• ama-sprains nokunye ukulimala okuncane

Ama-NSAID ajwayelekile afaka:

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

Thatha kuphela inani lokunciphisa izinhlungu elinconywayo kuphakheji. Ukusebenzisa kakhulu le mithi kungakhuphula ubungozi bakho bemiphumela emibi. Lokhu kungafaka:

• ukulimala kwezinso
• ukopha ngokweqile
• izilonda zesisu

Funda kabanzi ngama-NSAID, imiphumela yawo emibi, nokuthi asebenza kanjani.

Imithi kadokotela

Awukwazi ukuthenga ezinye izinhlungu eziqine ngaphezu kwekhawunta. Ama-NSAID athile, afana ne-diclofenac (Voltaren), atholakala kuphela ngemithi kadokotela wakho. I-COX-2 inhibitor ekhethiwe, i-celecoxib (i-Celebrex), nayo iyasebenza ekwelapheni ubuhlungu obuhlobene nokuvuvukala. Itholakala kuphela ngencwadi kadokotela.

Izidakamizwa ezinamandla ze-opioid, njenge-hydrocodone ne-oxycodone, zilapha ubuhlungu obunzima kakhulu, njengokuhlinzwa noma ukulimala kanzima. Le mithi ihlobene ne-opium yezidakamizwa engekho emthethweni. Zijwayele ukukhiqiza umphumela we-euphoric ngenkathi zidambisa izinhlungu.

Ama-opioid angaba yingozi, njengoba elutha kakhulu. Bakha umuzwa ojabulisayo wokuthi abanye abantu bafuna ukuziphindaphinda kaninginingi, konke ngenkathi kubangela ukubekezelelana kanye nesidingo semithamo ephakeme ukufeza umphumela ofanayo.

Eminye imishanguzo kadokotela ethile yaziwa nangokulutha kwayo. Kufanele zisetshenziswe ngokuqapha futhi. Nayi imishanguzo enezelwa kakhulu emakethe.

Ama-Corticosteroids

ICorticosteroids isebenza ngokucindezela, futhi ngaleyo ndlela inciphise, impendulo yokuvuvukala yesistimu yomzimba. Ngokunciphisa ukuvuvukala, le mithi ibuye iqede izinhlungu.

Odokotela babeka i-steroids ukwelapha izimo zokuvuvukala, njenge-arthritis yokuvuvukala. Izibonelo zemithi ye-steroid zifaka:

• i-hydrocortisone (Cortef)
• i-methylprednisolone (Medrol)
• i-prednisolone (yenziwe ngaphambili)
• i-prednisone (Deltasone)

ICorticosteroids ingadala imiphumela emibi efana nale:

• ukuzuza kwesisindo
• ukukhumuzeka kwamathambo
• ubunzima bokulala
• ukuguquka kwemizwelo
• ukugcinwa koketshezi
• ushukela ophakeme wegazi
• ingozi eyengeziwe yokutheleleka

Ukuthatha umthamo ophansi kunayo yonke isikhathi esifushane kungasiza ukuvimbela imiphumela emibi. Futhi qaphela lokhu kuhlangana okungenzeka kube khona kwezidakamizwa lapho uthatha umuthi we-corticosteroid njenge-cortisone.

Ama-opioid

Ama-opioid aqeda izinhlungu. Ezinye zenziwe ngesitshalo se poppy. Ezinye zenziwa elabhoratri. Lokho kubizwa ngama-opioid okwenziwa.

Ungathatha ama-opioid ukudambisa ubuhlungu obukhulu, njengangemuva kokuhlinzwa. Noma ungabathatha isikhathi eside ukuphatha ubuhlungu obungapheli.

Le mithi ifika kumafomula okukhululwa ngokushesha nangokwelulwa. Kwesinye isikhathi kuhlanganiswa nomunye umuthi wokuqeda izinhlungu, njenge-acetaminophen.

Uzothola ama-opioid kumikhiqizo efana nale:

• i-buprenorphine (Buprenex, Butrans)
• i-fentanyl (i-Duragesic)
• i-hydrocodone-acetaminophen (iVicodin)
• i-hydromorphone (i-Exalgo ER)
• i-meperidine (Demerol)
• i-oxycodone (OxyContin)
• i-oxymorphone (Opana)
• i-tramadol (Ultram)

Yize ama-opioid engasebenza kahle kakhulu, abuye abe umlutha kakhulu. Ukusetshenziswa kabi kungaholela emiphumeleni emibi noma ekudleni ngokweqile futhi mhlawumbe nasekufeni.

Landela izinkomba zikadokotela wakho ngokucophelela lapho usebenzisa le mithi. Funda ukuthi iziphi ezinye izindlela zokuqapha okufanele uzisebenzise uma usebenzisa ama-opioid.

Izidambisi

Ama-anti-depressants enzelwe ukwelapha ukudangala, kepha futhi asiza ngobuhlungu obungapheli obuvela ezimweni ezithile, njenge-migraine kanye nomonakalo wezinzwa.

Odokotela namanje abazi kahle ukuthi le mithi isebenza kanjani ukudambisa izinhlungu. Bangase banciphise izimpawu zobuhlungu ngokusebenza nokwandisa umsebenzi wezithunywa zamakhemikhali ezibizwa ngokuthi ama-neurotransmitters ebuchosheni nasentanyeni yomgogodla.

Odokotela banquma amakilasi ambalwa ahlukene wokucindezela ukwelapha izinhlungu:

• ama-tricyclic antidepressants, njenge-imipramine (Tofranil), i-nortriptyline (i-Pamelor), ne-desipramine (i-Norpramin)
• i-serotonin reuptake inhibitors ekhethiwe (i-SSRIs), efana ne-fluoxetine (i-Prozac) ne-paroxetine (i-Paxil)
• i-serotonin-norepinephrine reuptake inhibitors (SNRIs), efana ne-duloxetine (Cymbalta) ne-venlafaxine (i-Effexor XR)

Ama-anti-depressants angadala imiphumela emibi efana nale:

• ukozela
• ubunzima bokulala
• isicanucanu
• umlomo owomile
• isiyezi
• ukuqunjelwa

Bika noma imiphi imiphumela emibi kudokotela wakho. Uma beqhubeka, udokotela wakho angalungisa umthamo noma ashintshele kwenye i-anti-depressant.

Ama-anticonvulsants

Izidakamizwa ezelapha ukuquleka nazo zenza umsebenzi ophindwe kabili ngokudambisa ubuhlungu bezinzwa. Imizwa elinyazwe yizimo ezinjengesifo sikashukela noma ama-shingles nezinzwa ezisetshenziswe ngokweqile njenge-fibromyalgia zisabela ngokweqile futhi zithumele izimpawu eziningi kakhulu zobuhlungu.

Odokotela abazi kahle ukuthi ama-anticonvulsants asebenza kanjani ekulweni nobuhlungu. Bakholelwa ukuthi le mithi isiza ukuvimba amasignali obuhlungu angajwayelekile phakathi kwezinzwa ezilimele nobuchopho nomgogodla.

Izibonelo zemithi yokwelapha uketshezi elapha ubuhlungu yilena:

• i-carbamazepine (Tegretol)
• i-gabapentin (Neurontin)
• i-phenytoin (Dilantin)
• pregabalin (eLyrica)

Eminye yale mithi idala imiphumela emibi efana nale:

• isicanucanu nokuhlanza
• ukozela
• ikhanda
• isiyezi
• ukudideka

Izidakamizwa zokulwa nezidakamizwa nazo zingakhuphula ingozi yemicabango yokuzibulala nokuzibulala. Udokotela wakho uzokuqapha ngemiphumela emibi ngenkathi uthatha le mithi.

Kubanda nokushisa

Iphakethe leqhwa noma i-compress eshisayo kuyindlela elula yokuqeda izinhlungu ezincane. Umbuzo uthi, iyiphi okufanele uyisebenzise?

Ukwelashwa okubandayo kunciphisa imithambo yegazi. Lokhu kunciphisa ukuvuvukala nokuvuvukala kanye nobuhlungu bendikimba. Isebenza kahle kakhulu ngemuva kokulimala noma ngesikhathi sokuqhuma kwesimo esibuhlungu, njenge-gouty arthritis.

Ukwelashwa kokushisa kusebenza ngokwandisa ukugeleza kwegazi endaweni elimele. Lokhu kudambisa imisipha eqinile. Iza ngezindlela ezimbili: ukushisa okomile kusuka kuphedi yokushisa noma iphakethe, noma ukushisa okumanzi okuvela endwangwini efudumele yokugeza noma kubhavu. Sebenzisa ukushisa kobuhlungu obuhlala ngaphezu kwamasonto ambalwa.

Faka ukushisa noma amakhaza cishe imizuzu eyi-15 ngesikhathi, kaningana ngosuku.

Qaphela uma unesifo sikashukela noma esinye isimo esithinta ukujikeleza kwegazi lakho noma ikhono lokuzwa ubuhlungu. Nazi ezinye izizathu ezimbalwa zokugwema ukwelashwa okushisayo noma okubandayo.

Ukuzivocavoca umzimba

Uma usebuhlungwini, ungahle ulingeke ukuthi uzithathe kalula kuze kuphele ubuhlungu. Yingakho odokotela babevame ukuncoma ukuphumula kwabantu abasezinhlungwini. Nokho ucwaningo olusha lubonisa okuhlukile.

Ukubuyekezwa kwezifundo zika-2017 kusikisela ukuthi ukuzivocavoca umzimba kuyindlela ephumelelayo yokunciphisa ubuhlungu. Kungathuthukisa nokusebenza komzimba kanye nekhwalithi yempilo. Ngaphezu kwalokho, ukuzivocavoca umzimba kubangela imiphumela emibi embalwa kuphela, ngaphandle kokuqaqamba kwemisipha.

Abaphenyi bayaqaphela ukuthi izifundo eziningi zokuzivocavoca ubuhlungu obungapheli zisezingeni eliphansi, kodwa khombisa ukuthi ucwaningo jikelele lukhombisa ukuthi umsebenzi womzimba unganciphisa ubunzima bezinhlungu.

Ukuvivinya umzimba nge-aerobic nakho kukhuthaza ukwehla kwesisindo. Lokhu kungasusa olunye uhlobo lwamalunga abuhlungu uma une-osteoarthritis. Ukumelana nokuqeqeshwa kungasiza umzimba wakho ukuphulukisa ama-spinal disc alimele. Nazi ezinye izindlela ezimbalwa zokuzivocavoca umzimba ezingakusiza uzizwe ungcono.

Ukwelashwa ngokomzimba

Ukwelashwa ngokomzimba (PT) kuhlanganisa ukuzivocavoca ngezandla zokukhohlisa kanye nemfundo. Ochwepheshe bakhetha i-PT ngaphezu kwamaphilisi ezinhlungu kadokotela. Lokhu kungenxa yokuthi inganciphisa ubuhlungu ngaphandle kwemiphumela emibi yemithi kanye namandla okuba umlutha.

Udokotela osebenza ngokomzimba uzosebenzisana nawe ukuthuthukisa amandla nokuguquguquka kwakho ukuze ukwazi ukuhamba kalula. Izikhathi ze-PT zingasiza futhi ukuphumula imisipha eqinile futhi kuthuthukise ukubekezelela kwakho izinhlungu.

Ezinye zezimo ezibuhlungu zokwelashwa ngokomzimba ezingasiza ngazo yilezi:

• isifo samathambo
• i-fibromyalgia
• ubuhlungu be-posturgical
• ubuhlungu bezinzwa

I-Yoga

I-Yoga ihlanganisa ukuma ngokuphefumula okujulile nokuzindla. Sekuyenziwe izinkulungwane zeminyaka. Kodwa-ke muva nje abacwaningi baqale ukuthola amandla aphelele e-yoga njengokungenelela kwezempilo.

Ngaphezu kokuthuthukisa amandla, ukulinganisela, nokuguquguquka, i-yoga ithuthukisa ukuma. Ukuma okungcono kungaletha ukukhululeka ebuhlungwini obuningi nasezinhlungwini ezixhumene nokuqina kwemisipha.

I-Yoga futhi ingadambisa ubuhlungu futhi ithuthukise ukusebenza kubantu abanezimo ezingalapheki njengesifo samathambo, ubuhlungu beqolo, ne-fibromyalgia.

Ukuthi kusiza kahle kanjani ngobuhlungu akucaci. Kungasebenza ngokubangela ukukhishwa kwamakhemikhali okudambisa izinhlungu angokwemvelo abizwa ngokuthi ama-endorphin noma ngokukhuthaza isimo sokuphumula.

I-Yoga iza ngezitayela eziningi namandla. Hlola imikhuba ehlukene ukubona ukuthi yikuphi okulungele wena.

Umculo

Umculo unamandla okusisusa futhi usibuyisele emuva ngesikhathi. Ukulalela umculo kungasiza ekunciphiseni ubuhlungu - ngokwengxenye ngokunciphisa ukucindezeleka nokusisiza ukuba sibhekane ngokuphumelelayo nokungajabuli.

Kokunye ukuhlola okuncane kwabantu abanezinhlungu ezidalwa ukulimala kwezinzwa, ukulalela umculo we-classic (waseTurkey) kunciphise izikolo zobuhlungu. Ababambiqhaza abalalele isikhathi eside, kulapho bancipha khona ubuhlungu babo.

Ukubuyekezwa kuka-2018 kwezifundo ezingaphezu kuka-90 kutholakale ukuthi ukulalela umculo kunciphisa ukukhathazeka nobuhlungu ngaphambi kokuhlinzwa, phakathi nangemva kokuhlinzwa. ingasiza abantu abanezimo ezibuhlungu ezingapheli njenge-fibromyalgia noma i-arthritis bazizwe bekhululeke kakhudlwana futhi bengakhathazeki kangako.

I-massage yokwelapha

Ngesikhathi sokubhucunga umzimba, umelaphi usebenzisa ukuxubha nengcindezi ukukhulula imisipha eqinile namathenda futhi akusize uphumule. Lo mkhuba ungasiza ekunciphiseni izinhlungu ngokuvimba amasiginali ezinhlungu nokuqeda ukucindezeleka. Ukubhucungwa umzimba kubuye kuthobise imisipha eqinile ngokuthuthukisa ukugeleza kwegazi kuye.

Okunye okuphambene nokubhucungwa ukungabi bikho kwemiphumela engemihle. Ngaphandle kokuthi unokuqubuka kwesikhumba, izinhlobo ezithile zesifo senhliziyo, noma ukutheleleka, azikho neze izingozi.

Vele uhlole udokotela wakho kuqala uma unezimo ezingapheli ezingase zenze isipiliyoni singakhululeki noma sinconywe kancane. Uma kunjalo, umelaphi wakho we-massage angashintsha inqubo yabo.

Odokotela be-Massage basebenzisa ingcindezi ehlukahlukene, kusuka ekuthinteni okulula kuya kumasu wokujuluka kwemisipha ejulile. Yikuphi okukhethayo kuncike ekubekezeleleni kwakho nakwintandokazi yakho. Funda ngezinye zezinhlobo ezivame kakhulu zokubhucungwa ezisetshenziswa e-United States.

Umbono wokuphumula kobuhlungu

Ubuhlungu obungapheli yinkinga enkulu yezempilo. Kungenye yesizathu esenza abantu abadala babone udokotela e-United States. Kuze kube ngabantu baseMelika baphila nobuhlungu obungapheli.

Yize ezinye izidakamizwa zokudambisa izinhlungu zingalutha, kunemithi eminingi engeyona imilutha etholakalayo namuhla. Sebenza nodokotela wakho ukuthola okungcono kakhulu kuwe.

Kukhona futhi uhla lwezindlela zokwelapha ezingekho emthethweni ezitholakalayo zokunciphisa ubuhlungu obungapheli. Ukungenelela okufana nokuzivocavoca umzimba, ukubhucunga umzimba kanye ne-yoga kungathuthukisa izinga lempilo ngaphandle kokubanga imiphumela emibi kulokho.