Analgesics ke Khetho ea ho Laola Bothata ba Ramatiki
Batho ba bang ba nang le ramatiki ba leka ho etsa ntle le meriana ea bohloko (painkillers ea analgesic) hobane ba tšaba ho tsuba. Na bakuli ba etsa kotsi e ngata ho feta ho ba le meriana e bohloko? Ke neng ho loketseng hore meriana ea bohloko e behoe e le karolo ea morero oa phekolo bakeng sa bakuli ba ramatiki? Na meriana ea bohloko e tšoana le phekolo ea nako e telele ea kalafo kapa ea tlhokomelo, kapa e lokela ho sebelisoa feela nako e khutšoanyane?
Bohloko bo atisa ho laoloa hampe
Bakuli ba bangata ba nang le maemo a ho ruruha ba utloa bohloko kapa ba sa phutholoha e le karolo ea boemo ba bona. Ho ela hloko bakuli bohloko ke karolo ea bohlokoa ea tlhokomelo ea mokuli 'me e nkoa ke Komiti ea Kopaneng ea ho Amoheloa ha Mekhatlo ea Bophelo e le letšoao la bohlano la bohlokoa. (Mongolo oa mohlophisi: tse ling tse 'nè tsa bohlokoa ke khatello ea mali, mocheso o tebileng, mocheso le phefumoloho )
Ho sa tsotellehe hore bohloko bo sa foleng bo ama bophelo ba bakuli, hangata bo laoloa hantle.
Mehato ea ho Laola Bohloko
Mehato e seng ea pharmacologic Mehato
Mehato e seng ea pharmacologic ea ho laola bohloko e kenyelletsa mekhoa e sebelisoang ke litsebi tse kang:
- ho thuisa le boikhathollo
- hypnosis
- ho silila
- ho entsoe ka majoe
- boikoetliso
Mehato ea Pharmacologic
Litlhare tsa Pharmacologic li kenyelletsa:
- litokisetso tsa lihlooho
- meriana ea litlama
- lijo li tlatsetsa
- ba khahlanong le ho tepella maikutlo
- mesifa ea boikhathollo
- li-anti-convulsants
- NSAIDs (lithethefatsi tse seng tsa steroidal tse khahlanong le ho ruruha)
- acetaminophen (Tylenol)
- li-narcotic (opioid) analgesics (li-painkillers)
Li-opioids
Ka lebaka la katleho ea bona, tšebeliso ea li-opioids ke phekolo e tloaelehileng ea ho phekola bohloko ba mesifa. Tšebeliso ea bona, ho alafa bohloko ba masiana, e imenne habeli lilemong tse 20 tse fetileng. Li ka ba molemo haholo ho thusa ho laola bohloko ba malakabe a nakoana .
Bakuli ba bang ba tla fumana hore ba ka nkoa motšehare mme ha ba bake ho otsela ha ba bang ba tla hloka ho fokotsa tšebeliso ea bona mantsiboea.
Ho sa tsotellehe melemo ea bona, ho ka 'na ha e-ba le tšenyo e khōlō ea tšebeliso ea li-opioids. Liphuputso ha lia hlahloba ka ho lekaneng kotsi ea ho sebelisoa ha opioide nako e telele ho bakuli ba nang le maemo a sa foleng a mesifa. Ka lebaka leo, kotsi ea ho lemala kapa ho mamella meriana ena ho bakuli bana ha e tsejoe.
Ho 'nile ha e-ba le tšekamelo ea ho sebelisa opioid e matla joaloka hydrocodone (mohlala, Norco) le morphine (MS Contin, Avinza) le hoja tramadol (Ultram) ke opioid e fokolang ea maiketsetso e fumanehang haholo.
Litla-morao
Ho phaella moo, joaloka meriana e mengata , litla-morao li teng ho phaella ho otsela mme li kenyelletsa ho nyefoloa, ho qhotsoa, le ho senyeha ha mohopolo. Ba bangata ba ka baka matšoao a ho itšehla thajana, ho tšoenyeha, hammoho le matšoao a mang a 'mele ha a emisa ka tšohanyetso.
- Tlosa ho tlohela
- Fecal Impaction
- Ho noa joala ho opioid
Dr. Scott Zashin o itse, "Ka kakaretso, ke khothalletsa bakuli ba bangata hore ba leke ho qala ho laola bohloko ba bona bo sa foleng ka mekhoa ea phekolo ea meriana kapa ea phekolo ea meriana ntle le lithethefatsi."
Scott J. Zashin, MD, ke moprofesa oa motlatsi oa bongaka Univesithing ea Texas Southwestern Medical School, Division of Rheumatology, Dallas, Texas. Dr. Zashin le eena ke ngaka ea ho etela Lipetlele tsa Presbyterian tsa Dallas le Plano. Ke seithuti sa American College of Physicians le American College of Rheumatology le setho sa American Medical Association. Dr. Zashin ke mongoli oa Arthritis Without Pain - The Miracle of Anti-TNF Blockers le motlatsi oa ngaka ea Tlhaho ea Ramatiki.
> Mohloli:
> Fitzcharles et al, Arthritis le Rheumatism. Thuto ea 52 le 12, Tlhakubele 2005.