Zowonjezera Zothandizira Kupweteka

Zamkati

• Kupweteka ndi kupweteka
• Ndi mitundu iti ya zowawa yomwe ilipo?
• Kodi ndi ziti zomwe muyenera kudziwa kuti muone dokotala?
• Mankhwala a OTC
• Mankhwala osokoneza bongo
• Corticosteroids
• Opioids
• Mankhwala opatsirana pogonana
• Ma anticonvulsants
• Kuzizira ndi kutentha
• Chitani masewera olimbitsa thupi
• Thandizo lakuthupi
• Yoga
• Nyimbo
• Kuchiza kutikita
• Chiyembekezo cha kupweteka

Kupweteka ndi kupweteka

Ululu umaposa kungomva kusasangalala. Zingakhudze momwe mumamvera kwathunthu. Zitha kuchititsanso kuti munthu akhale ndi thanzi lamaganizidwe monga kukhumudwa komanso kuda nkhawa. Kuchuluka kwa zowawa zomwe mumamva kumatha kuuza dokotala zambiri zaumoyo wanu wonse.

Kupweteka kwambiri kumachitika mwadzidzidzi, kawirikawiri m'masiku ochepa kapena milungu ingapo. Amayamba kuthetsa pakangotha ​​milungu ingapo. Kupweteka kosalekeza kukupitilira. Malangizo ena amawona kuti ululu umakhala wosakhalitsa ukadutsa. Ena amati kupweteka kumakhala kosalekeza mukamatha miyezi isanu ndi umodzi.

Njira zothanirana ndi ululu zimachokera kuchipatala chakunyumba ndi malangizo opita ku mankhwala owonjezera (OTC) ndi njira zowopsa monga opaleshoni. Kupweteka kumachitika kawirikawiri, koma kumatha. Zowawa za munthu aliyense ndizapadera kwa iwo.

Kuti muchiritse gwero la ululu wopitilira muyeso, mungafunikire kukaonana ndi dokotala. Gwiritsani ntchito njira yosavutayi kukuthandizani kufotokoza ululu wanu kuti muthe kupeza mpumulo womwe mukufuna.

Ndi mitundu iti ya zowawa yomwe ilipo?

Pali mitundu iwiri ikulu ya zowawa: nociceptive ndi neuropathic.

Kupweteka kwamankhwala osokoneza bongo ndimachitidwe amanjenje omwe amateteza thupi lanu. Zimakupangitsani kubweza dzanja lanu kuchokera ku chitofu chotentha kuti musatenthedwe. Zowawa za akakolo zimakupangitsani kuti mupumule ndikupatsanso nthawi yovulalayo.

Kupweteka kwa m'mitsempha ndi kosiyana, chifukwa kulibe phindu lililonse. Zitha kukhala chifukwa chakusamvetsetsa bwino pakati pamitsempha yanu ndi ubongo kapena msana. Kapenanso mwina chifukwa cha kuwonongeka kwa mitsempha. Ubongo wanu umatanthauzira zinthu zolakwika kuchokera m'mitsempha ngati ululu.

Zitsanzo za mtundu wa ululu wamitsempha ndi monga:

• matenda ozungulira pambuyo pake
• matenda a shuga
• matenda a carpal

Kuti muchepetse ululu, muyenera kupeza kaye ululuwo. Dziwani zomwe zimapweteka kwambiri.

Kodi ndi ziti zomwe muyenera kudziwa kuti muone dokotala?

Pangani msonkhano ndi dokotala wanu ngati mukumva kuwawa:

• sanapite patatha milungu iwiri kapena itatu
• akukuyimbirani nkhawa, nkhawa, kapena kukhumudwa
• kumakulepheretsani kumasuka kapena kugona
• kumakulepheretsani kuchita masewera olimbitsa thupi kapena kuchita nawo zomwe mumachita
• sizinasinthe ndi chithandizo chilichonse chomwe mwayesapo

Kukhala ndi ululu wosatha kungakhale kovuta m'maganizo komanso mwakuthupi. Mitundu yambiri yamankhwala imatha kukuthandizani kupeza mpumulo.

Mankhwala a OTC

Kupweteka kwa OTC kumachepetsa monga acetaminophen (Tylenol) ndi nonsteroidal anti-inflammatory drugs (NSAIDs) amapezeka kugula popanda mankhwala a dokotala.

Ma NSAID amaletsa zinthu zotchedwa COX-1 ndi COX-2. Amachepetsa ululu wokhudzana ndi kutupa.

Mankhwalawa ndi othandiza pazinthu monga:

• mutu
• kupweteka kwa msana
• kupweteka kwa minofu
• nyamakazi
• kusamba
• kupindika ndi zovulala zina zazing'ono

Ma NSAID wamba ndi awa:

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

Tengani kuchuluka kokha kwa ululu womwe umalimbikitsidwa phukusi. Kugwiritsa ntchito mankhwalawa mopitirira muyeso kungapangitse kuti mukhale ndi zovuta zina. Izi zingaphatikizepo:

• kuvulala kwa impso
• kutaya magazi kwambiri
• Zilonda zam'mimba

Phunzirani zambiri za ma NSAID, zotsatirapo zawo, ndi momwe amagwirira ntchito.

Mankhwala osokoneza bongo

Simungagule zowawa zamphamvu pamankhwala. Ma NSAID ena, monga diclofenac (Voltaren), amapezeka ndi mankhwala ochokera kwa dokotala wanu. COX-2 inhibitor yosankhidwa, celecoxib (Celebrex), imathandizanso pochiza ululu wokhudzana ndi kutupa. Amapezeka kokha ndi mankhwala a dokotala.

Mankhwala amphamvu opioid, monga hydrocodone ndi oxycodone, amachiza ululu waukulu, monga opaleshoni kapena kuvulala koopsa. Mankhwalawa ndi ofanana ndi mankhwala osokoneza bongo. Amakonda kutulutsa chisangalalo pamene amachepetsa ululu.

Opioids akhoza kukhala owopsa, chifukwa amakhala osokoneza bongo. Amapanga chisangalalo choti anthu ena amafuna kubwereza mobwerezabwereza, zonse zomwe zimayambitsa kulolerana ndikusowa kwa miyezo yayikulu kukwaniritsa zomwezo.

Mankhwala ena ochepa am'thupi amadziwikanso chifukwa chomwa mankhwala osokoneza bongo. Ayeneranso kugwiritsidwa ntchito mosamala. Nayi mankhwala owonjezera omwe amapezeka pamsika.

Corticosteroids

Corticosteroids imagwira ntchito kupondereza, motero kuchepetsa, kuyankha kwamphamvu kwa chitetezo chamthupi. Pochepetsa kutupa, mankhwalawa amachepetsanso ululu.

Madokotala amapereka ma steroids kuti azichiza zotupa, monga nyamakazi yotupa. Zitsanzo za mankhwala a steroid ndi awa:

• hydrocortisone (Cortef)
• methylprednisolone (Medrol)
• prednisolone (Prelone)
• prednisone (Deltasone)

Corticosteroids imatha kubweretsa zovuta monga:

• kunenepa
• kufooka kwa mafupa
• kuvuta kugona
• zosintha
• posungira madzimadzi
• shuga wambiri wamagazi
• chiopsezo chowonjezeka cha matenda opatsirana

Kutenga mlingo wotsika kwambiri kwakanthawi kochepa kungathandize kupewa zovuta. Komanso samalani ndi momwe mungagwiritsire ntchito mankhwalawa mukamamwa mankhwala a corticosteroid monga cortisone.

Opioids

Opioids ndi othandizira kupweteka kwambiri. Zina zimapangidwa kuchokera ku chomera cha poppy. Zina zimapangidwa mu labotale. Izi zimatchedwa ma opioid opanga.

Mutha kumwa ma opioid kuti muchepetse kupweteka kwambiri, monga pambuyo pa opaleshoni. Kapena mutha kuwatenga nthawi yayitali kuti muchepetse ululu wosatha.

Mankhwalawa amabwera munthawi yomweyo. Nthawi zina amaphatikizidwa ndi mankhwala ena opweteka, monga acetaminophen.

Mupeza ma opioid muzinthu monga:

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

Ngakhale ma opioid atha kukhala othandiza kwambiri, amakhalanso osokoneza bongo. Kugwiritsa ntchito molakwika kumabweretsa mavuto oyipa kapena kuledzeretsa mwinanso kufa kumene.

Tsatirani malangizo a dokotala mosamala mukamamwa mankhwalawa. Phunzirani zomwe mungachite kuti mugwiritse ntchito ma opioid.

Mankhwala opatsirana pogonana

Ma anti-depressant adapangidwa kuti athetse kukhumudwa, koma amathandizanso ndikumva kupweteka kosiyanasiyana kuchokera kuzinthu zina, monga migraine ndi kuwonongeka kwa mitsempha.

Madokotala sakudziwabe momwe mankhwalawa amagwirira ntchito kuti athetse ululu. Amatha kuchepetsa kupwetekedwa mtima pochita ndi kukulitsa zochita za amithenga am'magazi otchedwa ma neurotransmitters muubongo ndi msana.

Madokotala amapatsa magulu angapo opanikizika kuti athetse ululu:

• tricyclic antidepressants, monga imipramine (Tofranil), nortriptyline (Pamelor), ndi desipramine (Norpramin)
• serotonin reuptake inhibitors (SSRIs), monga fluoxetine (Prozac) ndi paroxetine (Paxil)
• serotonin-norepinephrine reuptake inhibitors (SNRIs), monga duloxetine (Cymbalta) ndi venlafaxine (Effexor XR)

Ma anti-depressants amatha kuyambitsa zovuta monga:

• Kusinza
• kuvuta kugona
• nseru
• pakamwa pouma
• chizungulire
• kudzimbidwa

Nenani za zovuta zilizonse kwa dokotala wanu. Akapitiliza, dokotala wanu amatha kusintha mlingowo kapena kusinthana ndi matenda ena opatsirana.

Ma anticonvulsants

Mankhwala osokoneza bongo amachitanso ntchito ziwiri pochepetsa kupweteka kwa mitsempha. Mitsempha yowonongeka ndimatenda ngati matenda ashuga kapena ma shingles ndi mitsempha yomwe imakulira mopitilira muyeso ya fibromyalgia imachita mopitilira muyeso ndipo imatumiza zisonyezo zambiri zowawa.

Madokotala samadziwa momwe anticonvulsants amagwirira ntchito polimbana ndi ululu. Amakhulupirira kuti mankhwalawa amathandiza kulepheretsa kupweteka kwapadera pakati pa mitsempha yowonongeka ndi ubongo ndi msana.

Zitsanzo za mankhwala ochepetsa ululu omwe amachiza ululu ndi awa:

• carbamazepine (Tegretol)
• gabapentin (Neurontin)
• phenytoin (Dilantin)
• pregabalin (Lyrica)

Zina mwa mankhwalawa zimayambitsa mavuto monga:

• nseru ndi kusanza
• Kusinza
• mutu
• chizungulire
• chisokonezo

Mankhwala osokoneza bongo amathanso kuwonjezera chiopsezo chodzipha komanso kudzipha. Dokotala wanu adzakuyang'anirani za zovuta mukamamwa mankhwalawa.

Kuzizira ndi kutentha

Phukusi la ayezi kapena compress yotentha ndi njira yosavuta yochotsera zopweteka zazing'ono. Funso ndilo, ndi iti yomwe muyenera kugwiritsa ntchito?

Chithandizo chozizira chimachepetsa mitsempha yamagazi. Izi zimachepetsa kutupa ndi kutupa ndikumva kupweteka. Zimagwira bwino pambuyo povulala kapena pakakhala zovuta zina, ngati nyamakazi ya gouty.

Mankhwala otentha amagwira ntchito powonjezera magazi kupita kumalo ovulala. Izi zimachepetsa minofu yolimba. Imabwera m'njira ziwiri: kutentha kouma kuchokera pamalo otenthetsera paketi kapena paketi, kapena kutentha konyowa kuchokera ku nsalu yofunda yotentha kapena kusamba. Gwiritsani ntchito kutentha kwa zowawa zomwe zikupitilira milungu ingapo.

Ikani kutentha kapena kuzizira kwa mphindi 15 nthawi imodzi, kangapo patsiku.

Samalani ngati muli ndi matenda ashuga kapena vuto lina lomwe limakhudza kufalikira kwanu kapena kumva kupweteka. Nazi zifukwa zina zochepa zopewera mankhwala otentha kapena ozizira.

Chitani masewera olimbitsa thupi

Mukakhala kuti mukumva kuwawa, mutha kuyesedwa kuti muchepetse mpaka kupweteka kumatha. Ndicho chifukwa chake madokotala ankalimbikitsa anthu kupumula kuti apume. Komabe kafukufuku watsopano akusonyeza izi.

Kufufuza kwa 2017 kwa kafukufuku akusonyeza kuti kuchita masewera olimbitsa thupi ndi njira yabwino yothetsera ululu. Zitha kuperekanso thanzi lathunthu komanso moyo wabwino. Kuphatikiza apo, kuchita masewera olimbitsa thupi kumangoyambitsa zovuta zochepa, kupatula kupweteka kwa minofu.

Ochita kafukufuku awona kuti kafukufuku wambiri wokhudzana ndi zolimbitsa thupi ndizosavomerezeka, koma akuwonetsa kuti kafukufukuyu akuwonetsa kuti kuchita masewera olimbitsa thupi kumachepetsa kupweteka.

Kuchita masewera olimbitsa thupi kumalimbikitsanso kuchepa thupi. Izi zitha kuthana ndi zovuta zina ngati muli ndi nyamakazi. Kukaniza kuphunzira kumatha kuthandizira thupi lanu kuchiritsa zovulala zamtsempha. Nazi njira zingapo zomwe masewera olimbitsa thupi angakuthandizireni kuti mukhale bwino.

Thandizo lakuthupi

Thandizo lanyama (PT) limaphatikiza zolimbitsa thupi ndikugwiritsa ntchito manja komanso maphunziro. Akatswiri amakonda PT kuposa mapiritsi opweteka. Izi ndichifukwa choti zimatha kuchepetsa kupweteka popanda zoyipa zamankhwala komanso kuthekera kosokoneza bongo.

Wothandizira zakuthupi adzagwira nanu ntchito kuti mukhale ndi mphamvu komanso kusinthasintha kuti muthe kuyenda mosavuta. Magawo a PT amathanso kuthandizira kupumula minofu yolimba ndikuthandizira kulekerera kwanu kuwawa.

Zina mwa zowawa zamankhwala zomwe zingathandize ndi:

• nyamakazi
• fibromyalgia
• kupweteka kwa opaleshoni
• kupweteka kwa mitsempha

Yoga

Yoga imaphatikiza mawonekedwe ndi kupuma kwakukulu ndikusinkhasinkha. Zakhala zikuchitika kwa zaka masauzande ambiri. Komabe posachedwapa pomwe ofufuza ayamba kupeza kuthekera kwathunthu kwa yoga ngati njira yazaumoyo.

Kuphatikiza pakukulitsa mphamvu, kusamala, komanso kusinthasintha, yoga imakonzanso kukhazikika. Kukhazikika kwabwino kumabweretsa mpumulo ku zowawa zambiri zomwe zimaphatikizidwa ndikumangika kwa minofu.

Yoga ikhozanso kuthetsanso ululu ndikuwongolera magwiridwe antchito mwa anthu omwe ali ndi matenda monga nyamakazi, kupweteka kwa msana, ndi fibromyalgia.

Momwe zimathandizira ndendende ndi ululu sizimveka. Itha kugwira ntchito poyambitsa kutulutsa kwa mankhwala achilengedwe othetsa ululu otchedwa endorphins kapena kupititsa patsogolo kupumula.

Yoga imabwera mumitundu yambiri komanso mwamphamvu. Onani njira zosiyanasiyana kuti muwone yomwe ili yoyenera kwa inu.

Nyimbo

Nyimbo zili ndi mphamvu zotisuntha komanso kutibwezeretsa munthawi yake. Kumvera nyimbo kungathandizenso kuchepetsa ululu - mwa zina pochepetsa kupsinjika ndikutithandiza kuthana ndi zovuta.

Pakafukufuku kamodzi kakang'ono ka anthu omwe ali ndi zowawa zomwe zimayambitsidwa ndi kuwonongeka kwa mitsempha, kumvera nyimbo zachikale (Turkey) kumachepetsa zowawa. Otsatira omwe amatenga nthawi yayitali, kupweteka kwawo kumachepa.

Kuwunikiranso kwa 2018 kwamaphunziro oposa 90 kwapeza kuti kumvera nyimbo kumachepetsa nkhawa komanso kupweteka musanachite opaleshoni, mkati, komanso pambuyo pake. itha kuthandiza anthu omwe ali ndi zowawa zazikulu monga fibromyalgia kapena nyamakazi kuti azikhala omasuka komanso osakhala ndi nkhawa.

Kuchiza kutikita

Pakutikita minofu, wothandizira amagwiritsa ntchito kupukuta ndi kukakamiza kuti amasule minofu yolimba ndi minyewa ndikuthandizani kupumula. Mchitidwewu ungathandize kuthana ndi zopweteka poletsa zowawa ndikuthana ndi kupsinjika. Kutikita minofu kumathandizanso kuti minofu yolimba izikhala yolimbitsa magazi.

China choyipa kutikita minofu ndi kusowa kwa zovuta zake. Pokhapokha mutakhala ndi zotupa pakhungu, mitundu ina yamatenda amtima, kapena matenda, palibe zoopsa zilizonse.

Ingoyang'anani ndi dokotala wanu poyamba ngati muli ndi zovuta zina zomwe zingapangitse kuti zokumana nazo zikhale zosasangalatsa kapena zochepa. Ngati ndi choncho, wothandizira kutikita minofu amatha kusintha njira zawo.

Othandizira kutikita minofu amagwiritsa ntchito kupanikizika kosiyanasiyana, kuyambira kukhudza pang'ono mpaka njira zakuya kutikita minofu. Chomwe mungasankhe chimadalira kulolerana kwanu komanso zokonda zanu. Dziwani zamtundu wina wofala kwambiri ku United States.

Chiyembekezo cha kupweteka

Kupweteka kosatha ndi vuto lalikulu lathanzi. Ndi chimodzi mwazifukwa zomwe akulu amawonera dokotala ku United States. Mpaka kwa aku America amakhala ndi ululu wosatha.

Ngakhale mankhwala ena ochepetsa ululu amatha kukhala osokoneza bongo, pali mankhwala angapo osagwiritsa ntchito mankhwala osokoneza bongo omwe alipo masiku ano. Gwiritsani ntchito ndi dokotala wanu kuti mupeze zabwino kwambiri kwa inu.

Palinso mankhwala osiyanasiyana omwe amathandiza kuchepetsa ululu wosaneneka. Njira monga kuchita masewera olimbitsa thupi, kutikita minofu, ndi yoga zitha kukonza moyo wabwino popanda kuyambitsa zovuta zina.