Meriana ea pele ea meriana bakeng sa bohloko bo bohloko ba morao

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Meriana ea pele ea bohloko ba meriana bakeng sa bohloko bo bohloko bo bohloko

Meriana ea pele ea bohloko ba meriana bakeng sa bohloko bo bohloko bo bohloko

Boholo ba rona ha re tsohe hoseng re lebeletse ho lematsa methapo ea rona. Kahoo ha e etsahala, re ka 'na ra se tsebe hantle hore na re etse'ng ka eona.

Batho ba bangata ba pele ba bolaeang ba bolaeang ba hlaseloa ke bohloko bo bohloko ba morao, empa ha ba sebetse hantle hantle. 'Me tse ngata tsa tsona ha lia iponahatsa hantle ha lipatlisiso tsa bongaka li li beha tekong.

Leha ho le joalo, ngaka ea hao e ka 'na ea fana ka tlhahiso kapa e fana ka tse ling tsa lithethefatsi tsena, kahoo ho uena ho tseba hore na e mong le e mong o sebetsana joang le bothata boo u lekang ho bo rarolla (tabeng ena bohloko bo bohloko ba morao le / kapa kotsi.)

Maqepheng a latelang, u tla fumana lintlha ka tse ling tsa meriana e bohloko ka ho fetisisa eo u e fuoang ka bohloko bo bohloko ba morao. Leqephe la bobeli la ho qetela letotong lena le hlalosa seo u ka se etsang ho etsa hore matla a hao a 'mele a khutlele. Bonyane ho khutlela mosebetsing le mesebetsi ea lapeng, leha ho le joalo.

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Meriana e sa Steroidal ea Anti-Inflammatory (NSAIDs)

Meriana e sa Steroidal ea Anti-Inflammatory (NSAIDs)

Hangata lingaka li khothaletsa li-SASA, e leng mantsoe a hlalosang meriana e seng ea steroidal e khahlanong le ho ruruha. Li-SASA li sebelisetsoa ho fokotsa ho ruruha hoo e batlang e le ntho e ke keng ea qojoa e etsahala ka mor'a kotsi. Li boetse li sebelisetsoa ho kokobetsa bohloko. Sehlopha sena sa lithethefatsi se fapane le Tylenol, e leng ho fokotsa bohloko feela.

Tlhahlobo ea ts'ebetso ea ts'ebetso ea 2016 e hatisitsoeng ke Mokhatlo oa Healthcare Research le Quality (AHRQ) e fumane hore ho nka li-NSAID ho ka fana ka phomolo e bohloko ho feta ho nka sebaka sa placebo. 'Me tlhatlhobo ea Database ea Cochrane * e fumane hore li-NSAID li ka hlahisa boemo bo lekanang ba ho imoloha ha bohloko joaloka Tylenol. Hopola, leha ho le joalo, liphuputso li hlahlobisitsoe e ne e le tlaase, kapa ka ho fetisisa, ea boleng bo itekanetseng.

Tlhahlobo ea Cochrane e fumane hape (hape, bopaki ba boleng bo tlaase) hore ho nka li-NSAID ho fella ka mathata a mangata a ho ba le meno ho feta ho nka Tylenol.

Tse amanang le tsona: Ho Fumana Meriana ea Mahlaba a Bohlokoa bakeng sa Mokhoba le Bohloko bo Khutšoanyane

* Tlhaloso: Ke mohlahlobi oa bareki bakeng sa Cochrane Back le Neck Group.

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Skeletal Muscle Relaxers

Skeletal Muscle Relaxers

Ka makhetlo a mangata ka mor'a ho lematsa, mesifa e tšoara ebe e kena ka hare. Li-spasms li ka ba bohloko haholo; ba ka boela ba kena-kenana le mesebetsi ea hau e tloaelehileng hobane ba thatafalletsa ho falla.

Ngaka ea hau e ka 'na ea fana ka meriana ea bolokolohi ba masapo hammoho le phekolo ea meriana ho u thusa ho nka karolo ka botlalo lenaneong la hau la ho ikoetlisa. (Li- skeletal muscle relaxer li fumaneha feela ka lengolo la ngaka.)

Tlhahlobo ea AHRQ eo ho buuoeng ka eona pejana e fumane bopaki bo leka-lekaneng ba hore methapo ea masapo a phomolo e ne e le molemo ho feta placebos bakeng sa ho finyella khatello ea bohloko.

Amanang le: Tsela ea ho Furalla Mefuta e Mpe ea Mafu

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Li-opioids le Mahlaba a Ntle a Bohlokoa bo Bobebe

Li-opioids le Mahlaba a Ntle a Bohlokoa bo Bobebe

Lingaka tse ngata li fana ka meriana ea opioid e le phekolo ea pele bakeng sa bohloko bo bohloko ba mokokotlo kapa oa molala, empa World Health Organization (WHO) le ba bang ba eletsa khahlanong le eona.

Ho e-na le hoo, WHO e eletsa ho nka mehato e potlakileng ea ho imoloha ho bohloko, ho qala ka ho fokotsa bohloko ba opioid e kang aspirin kapa paracetamol, mohlomong le motlakase (mohlala, masapo a khatholohang a metsoako).

Haeba bohloko bo ntse bo tsoela pele kapa bo ntse bo mpefala, WHO e buella li-opioid tse bonolo joaloka codeine. 'Me haeba seo se sa sebetse, WHO e buella ho nka li-opioid tse matla tse kang morphine ho fihlela u utloa bohloko ka bolokolohi.

Sehlooho sa American Family Physician se akaretsang lipatlisiso tse thehiloeng lipatlisisong tsa batho ba hlaphoheloang bohloko ho bolela hore pele ho fetola li-opioids feela, ho nka sehlopha sena sa lithethefatsi ho kopantsoe le ho fokotsa bohloko ba opioid ho molemo. Empa le pele ho moo, ba khothaletsa ho nka acetaminophen (Tylenol) pele, ka nako eo ibuprofen kapa naproxen (ke hore, NSAIDs) le tse latelang, CoX-2 tse khethiloeng ke li-NSAID. Haeba u ntse u hloka thuso, ka nako eo, ba khothalletsa ho nka motsoako oa opioid / o-opioid.

Ke hobane'ng ha Lintho tsohle tse thibelang li-opioids?

Meriana ea opioid ke narcotics, e bolelang ka ho e nka, o beha kotsi ea ho lemalla.

Bonyane ho isa bohōleng bo itseng, sena ke boemo ba "moreki hlokomelang" boemo. British Medical Journal e tlaleha hore ba fetang halofo ea basebelisi ba kamehla ba opioid ba tlaleha hore ba na le bohloko ba ho boela. Sehlooho sena se boetse se re li-opioids joale ke sehlopha se tloaelehileng ka ho fetisisa sa lithethefatsi United States. Ha e le hantle, li behiloe ka 2 - 3 makhetlo a mangata ho Amerika Leboea ho feta tsa Europe, bangoli ba re tsebisa.

Bala Bukana ea Buka: 'Nete e Bohloko ea Dr. Lyn Webster.

Le hoja tlhahlobo ea AHRQ e fumane hore ho nka li-opioids ho ka 'na ha fana ka phomolo e bohloko ho feta ho nka moriana oa placebo, matla a bopaki bona a ne a nkoa e le "tlaase."

Hase hoo feela, empa meriana e ke ke ea sebetsa kaofela. Koranta ea British Medical Journal e re ho nka li-opioids ha ho bonahale eka ho potlakisa ho khutlela mosebetsing kapa ho ntlafatsa tšebetso ho basebetsi ba nang le mahlaba a bohloko a bohloko.

'Me thuto ea 2015 e phatlalalitsoeng ho Journal of Family Practice e fumane hore ho noa li-opioids bakeng sa bohloko bo sa foleng ba morao bo ile ba fana ka phomolo e khutšoanyane ka nako e khutšoanyane (

Amanang: Seo U ka se Etsang ka Bohloko bo Botle bo Khutšoanyane

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Ka mor'a ho khutlela morao kapa ho khutlela morao - Joang ho Sebetsa hape

Ka mor'a ho khutlela morao kapa ho khutlela morao - Joang ho Sebetsa hape

Meriana eo u e balileng ka eona e reretsoe ho fokotsa bohloko. Ha ho letho le molemo ho thusa bakuli ho ntlafatsa tsela eo ba sebetsang ka eona kamora 'kotsi.

Bakeng sa ho ntlafatsa bokhoni ba hau ba ho sebetsa, pale ena e fapane haholo. Ka kakaretso, mokhoa oa li-multidisciplinary o hlahisa liphello tse molemo ka ho fetisisa. Ho ka 'na ha etsahala hore liphello tse kopantsoeng tsa lenaneo la phekolo li tla u khutlisetsa ho romeloa.

Ho ea ka phuputso ea 2015 e phatlalalitsoeng koranteng ea Orvosi Hetilap , phekolo ea motho ka boeena le e tataisitsoeng, phekolo ea boits'oaro ea boitšoaro le mananeo a khutšoanyane a koetliso ke mekhoa ea pele ea lineano bakeng sa ho tsosolosa mesebetsi ea 'mele.

Hape u se ke ua nahana hore ho hlokahala hore u ee opereishene ka morao ka mor'a kotsi e bohloko ea molala kapa ea morao - ka sebele pele u leka ho phekola le ho ikoetlisa, bonyane. Ho buuoa ho etsoa ka lebaka la ho fetoha ha boemo, 'me ka mor'a hore bangoli ba ithutoang ba hlōlehe ho phekoloa kalafo ea meriana.

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Article Sources

_Lisebelisoa:

_{Berland, D., MD, le. al. Tšebeliso e Rational of Opioids bakeng sa Tsamaiso ea Bohlokoa bo sa Feleng ba Meriana. Ngaka ea Lelapa la Amerika. August 2012. http://www.aafp.org/afp/2012/0801/p252.html}

_{Berthelot J., Darrieutort-Lafitte C., Le Goff B., Magars Y. Strong opioids bakeng sa bohloko bo sa hlahisoang ke kankere ka lebaka la maloetse a mangata: Ha e sebetse ho feta acetaminophen kapa NSAID. Joint Bone Spine. Dec 2015 Ho fihletsoe: March 2016. http://www.ncbi.nlm.nih.gov/pubmed/26453108}

_{Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, Fu R, Dana T, Kraegel P, Griffin J, Grusing S, Ts'ebetso ea E. Noninvasive bakeng sa Phekolo e Khutšoanyane ea Inthanete [Internet]. Tlhahlobo ea Likarabo tsa AHRQ Tlhahlobo. Rockville (MD): Mokhatlo oa Phuputso ea Bophelo le Boleng (US); 2016 Feb. Palo ea tlaleho: 16-EHC004-EF. http://www.ncbi.nlm.nih.gov/pubmed/26985522}

_{Deyo, R., Von Korff, M., Duhrkoop, D. Opioids bakeng sa mahlaba a tlaase. BMJ. Jan 2015. Fihletsoeng: March 2016. http://www.bmj.com/content/350/bmj.g6380}

_{Chapparo, L., Opioids e bapisoa le placebo kapa mefuta e meng ea phekolo bakeng sa bohloko bo sa foleng bo ka morao. Cochrane Database Syst Rev. Aug. 2013.}

_{Illés S., Bohloko bo tlaase morao: neng le seo u lokelang ho se etsa. Orv Hetil. Aug 2015 A fumaneha: March 2016. http://www.ncbi.nlm.nih.gov/pubmed/26256495}

_{Jones P., Dalziel S., Lamdin R., Miles-Chan J., Frampton C. Meriana e sa phekoleheng ea ho phekola litlhare khahlanong le lithethefatsi tse ling tsa molomo oa molomo bakeng sa kotsi e bohloko ea lisele tsa 'mele. Database ea Cochrane, Rev. July 2015. E fumaneha ka March 2016. http://www.ncbi.nlm.nih.gov/pubmed/26130144}

_{Mokhatlo oa Lefatše oa Bophelo. Litlhahiso tsa Kalafo ka Bohloko. Websaeteng ea WHO. http://www.who.int/medicines/areas/quality_safety/guide_on_pain/en/}