Mankhwala opweteka msana

Kupweteka kwakumbuyo nthawi zambiri kumatha pakadutsa milungu ingapo. Kwa anthu ena, ululu wammbuyo umapitilira. Mwina sizingathe kwathunthu kapena zimapweteka nthawi zina.

Mankhwala amathanso kukuthandizani kupweteka kwakumbuyo.

OTHANDIZA ZOWAWA PADZIKO LONSE

Kulemba pa intaneti kumatanthauza kuti mutha kugula popanda mankhwala.

Ambiri opereka chithandizo chamankhwala amalimbikitsa acetaminophen (monga Tylenol) poyamba chifukwa ali ndi zovuta zochepa kuposa mankhwala ena. Musatenge zopitilira 3 magalamu (3,000 mg) tsiku limodzi, kapena kupitirira maola 24. Kuchulukitsa mafuta pa acetaminophen kumatha kuwononga chiwindi chanu. Ngati muli ndi matenda a chiwindi, funsani dokotala ngati acetaminophen ali bwino kuti mutenge.

Ngati ululu wanu ukupitilirabe, omwe amakupatsirani mwayi atha kupereka malingaliro osagwiritsa ntchito ma anti-inflammatory (NSAID). Mutha kugula ma NSAID, monga ibuprofen ndi naproxen, popanda mankhwala. NSAID zimathandiza kuchepetsa kutupa kuzungulira disk yotupa kapena nyamakazi kumbuyo.

NSAIDs ndi acetaminophen muyezo waukulu, kapena ngati atengedwa kwa nthawi yayitali, zimatha kuyambitsa mavuto akulu. Zotsatira zoyipa zimapweteka m'mimba, zilonda zam'mimba kapena magazi, komanso kuwonongeka kwa impso kapena chiwindi. Ngati zovuta zikuchitika, siyani kumwa mankhwalawo nthawi yomweyo ndikuuzeni omwe akukuthandizani.

Ngati mukumva kupweteka kwakanthawi kopitilira sabata, uzani omwe akukuthandizani. Mungafunike kuyang'aniridwa ndi zotsatirapo zake.

OPULUMUTSA ZOWAWA ZA NARCOTIC

Mankhwala osokoneza bongo, omwe amatchedwanso opioid kupweteka, amagwiritsidwa ntchito pokhapokha kupweteka kwambiri ndipo sikuthandizidwa ndi mitundu ina ya mankhwala opha ululu. Amagwira ntchito bwino pakapumula kwakanthawi kochepa. Osazigwiritsa ntchito kwa milungu yopitilira 3 mpaka 4 pokhapokha atakulangizani ndi omwe akukuthandizani kutero.

Mankhwala osokoneza bongo amagwira ntchito ndikumangiriza zolandirira muubongo, zomwe zimalepheretsa kumva kupweteka. Mankhwalawa amatha kugwiritsidwa ntchito molakwika ndipo amakhala chizolowezi. Amalumikizidwa ndi bongo wambiri komanso kufa. Pogwiritsidwa ntchito mosamala komanso pansi pa chisamaliro chachindunji cha wothandizira, atha kukhala othandiza pakuchepetsa kupweteka.

Zitsanzo za mankhwala osokoneza bongo ndi awa:

• Codeine
• Fentanyl - imapezeka ngati chigamba
• Hydrocodone
• Mpweya wabwino
• Morphine
• Oxycodone
• Zamgululi

Zotsatira zoyipa za mankhwalawa ndi monga:

• Kusinza
• Kusokonekera chiweruzo
• Nseru kapena kusanza
• Kudzimbidwa
• Kuyabwa
• Kuchepetsa kupuma
• Kuledzera

Mukamamwa mankhwala osokoneza bongo, musamwe mowa, kuyendetsa galimoto, kapena kugwiritsa ntchito makina olemera.

MITU YA NKHANI

Wothandizira anu akhoza kukupatsani mankhwala otchedwa muscle relaxant. Ngakhale lili ndi dzina, siligwira ntchito mwachindunji paminyewa. M'malo mwake, imagwira ntchito muubongo wanu komanso msana.

Mankhwalawa amaperekedwa nthawi zambiri pamodzi ndi kupweteka kwapadera kuti athetsere zizindikiro za kupweteka kwa msana kapena kupweteka kwa minofu.

Zitsanzo za kupumula kwa minofu ndi monga:

• Chithandizo
• Cyclobenzaprine
• Diazepam
• Methocarbamol

Zotsatira zoyipa za kupumula kwa minofu ndizofala ndipo zimaphatikizapo kugona, chizungulire, kusokonezeka, nseru, ndi kusanza.

Mankhwalawa amatha kukhala chizolowezi. Lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa. Amatha kulumikizana ndi mankhwala ena kapena kuwonetsa zovuta zina zamankhwala.

Osayendetsa kapena kugwiritsa ntchito makina olemera mukamamwa zopumira. Musamwe mowa mukamamwa mankhwalawa.

ANTHU OCHITITSA NTCHITO

Antidepressants nthawi zambiri amagwiritsidwa ntchito pochiza anthu omwe ali ndi nkhawa. Koma, kuchepa kwa mankhwalawa kumatha kuthandizanso kupweteka kwakumbuyo, ngakhale munthuyo samva chisoni kapena kukhumudwa.

Mankhwalawa amagwira ntchito posintha milingo ya mankhwala ena muubongo wanu. Izi zimasintha momwe ubongo wanu umaonera zopweteka. Ma anti-depressants omwe amagwiritsidwa ntchito kwambiri pakumva kupweteka kwakumbuyo amathandizanso kugona.

Ma anti-depressants omwe amagwiritsidwa ntchito kwambiri kupweteka kwakumbuyo ndi:

• Amitriptyline
• Desipramine
• Duloxetine
• Imipramine
• Mzere wa Nortriptyline

Zotsatira zoyipa zimaphatikizapo mkamwa wouma, kudzimbidwa, kusawona bwino, kunenepa, kugona, mavuto kukodza, ndi mavuto azakugonana. Nthawi zambiri, ena mwa mankhwalawa amathanso kuyambitsa mavuto amtima ndi mapapo.

Musamamwe mankhwalawa pokhapokha mutakhala kuti akuyang'aniridwa ndi wothandizira. Osasiya kumwa mankhwalawa modzidzimutsa kapena kusintha mlingo osayankhulanso ndi omwe amakupatsani.

MALANGIZO OGWIRITSA NTCHITO KAPENA MANKHWALA OTHANDIZA

Mankhwala a anticonvulsant amagwiritsidwa ntchito pochiza anthu omwe ali ndi khunyu kapena khunyu. Amagwira ntchito poyambitsa kusintha kwamagetsi yamagetsi muubongo. Amagwira bwino ntchito zowawa zomwe zimadza chifukwa cha kuwonongeka kwa mitsempha.

Mankhwalawa atha kuthandiza anthu ena omwe kupweteka kwakumbuyo kwakanthawi kwawapangitsa kukhala kovuta kuti agwire ntchito, kapena ululu womwe umasokoneza zochitika zawo za tsiku ndi tsiku. Amathandizanso kuthetsa ululu wowawitsa womwe umakhala wamba pamavuto am'mbuyo.

Maanticonvulsants omwe amagwiritsidwa ntchito nthawi zambiri kuchiza ululu wopweteka ndi awa:

• Carbamazepine
• Gabapentin
• Lamotrigine
• Pregabalin
• Valproic asidi

Zotsatira zoyipa zimaphatikizapo kunenepa kapena kuchepa thupi, kukhumudwa m'mimba, kusowa njala, zotupa pakhungu, kugona kapena kusokonezeka, kukhumudwa, komanso kupweteka mutu.

Musamamwe mankhwalawa pokhapokha mutakhala kuti mukusamalidwa ndi wothandizira. Osasiya kumwa mankhwalawa modzidzimutsa kapena kusintha mlingo osayankhulanso ndi omwe amakupatsani.

Corwell BN. Ululu wammbuyo. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 32.

Dixit R. Zowawa zakumbuyo. Mu: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, olemba. Kelly ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: mutu 47.

Malik K, Nelson A. Zowunikira zazovuta zakumbuyo kwakumbuyo. Mu: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, olemba. Zofunikira pa Mankhwala Opweteka. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 24.