Tsela e tloaelehileng ea Phekolo ea Meriana e sa foleng ea Mahlaba
Ho phekola bohloko bo sa foleng ba methapo e ka ba phephetso, kaha sesosa ha se utloisisoe kamehla. Li-painkillers tsa setso tse sebelisoang li le mong, tse kang li-NSAID, hangata ha li sebetse ha ho sebetsoa bohloko ba mofuta ona; Leha ho le joalo, mokhoa oa ho phekola ka litsela tse ngata o ka boloka matšoao a mahlaba-peloana a ho utloisa bohloko ka tsela e nepahetseng. Mokhoa ona o kenyelletsa li-painkillers tsa setso, meriana e bohloko e sa tloaelehang, le mefuta e meng ea phekolo e bohloko.
Neuropathy Pein Treatment - Adjuvant Analgesics
Li-analgesics tse nang le li- adjuvant , tse kang li-anticonvulsants le li-anti-depressants, hangata li ka loantša maikutlo a bohloko a ho ba le pelo. Hobane meriana ena e ne e etselitsoe ho sebetsana le maemo a mang ntle le bohloko, ts'ebeliso ea bona kalafo ea mahlaba ea pelo e bitsoa "off-label". Empa u se ke ua lumella seo hore se u tšoenyehe: li-analgesics tse ngata tse nang le li-adjuvant li ipakile li atlehile haholoanyane ho phekola matšoao a sa foleng a methapo ea mafu ho feta a tloaelehileng.
Li-anticonvulsants tse sebelisetsoang phekolo ea bohloko ba meriana:
- Gabapentin (Neurontin)
- Pregabalin (Lyrica)
- Carbamazepine (Tegretol)
- Oxcarbazepine (Trileptal)
- Phenytoin (Dilantin)
- Valproate (Depacon)
- Lamotrigine (Lamictal)
Li-anti-depressing tse sebelisetsoang phekolo ea bohloko ba meriana:
- Amitriptyline (Elavil)
- Nortriptyline (Aventyl)
- Desipramine (Norramine)
- Citalopram (Celexa)
- Fluvoxamine (Luvox)
- Fluoxetine (Prozac)
- Paroxetine (Paxil)
- Duloxetine (Cymbalta)
- Venlafaxine (Effexor)
Pheko ea Mahlaba a Phekolo ea Meriana
Maemong a mangata, li-painkillers tsa setso feela ha li khone ho laola matšoao a sa foleng a methapo ea pelo ka ho feletseng.
Lebaka ke hobane li-painkillers tse ngata tsa setso, tse kang li-NSAID, tse kenyelletsoang ho ruruha, tse ka 'na tsa se ke tsa e-ba sesosa sa bohloko ba methapo. Leha ho le joalo, li-painkillers tse ling li na le karolo ho phekola bohloko bo sa foleng ba methapo. Li ka sebelisoa ha li-analgesics tsa adjuvant li sa atlehe, kapa li kopane le li-anticonvulsants kapa li-anti-depressants.
- NSAIDs . Li-SASA feela li ka 'na tsa se ke tsa atleha ha ho phekoloa bohloko ba pelo ; leha ho le joalo, bakeng sa batho ba bang, ho ruruha ho etsa hore matšoao a methapo a bohloko a mpe haholoanyane. Li-NSAID, tse kang ibuprofen (Advil) kapa naproxen ( Aleve ), li ka kopanngoa le mefuta e meng ea phekolo e bohloko 'me e ka thusa ho laola bohloko bo hlahelang.
- Acetaminophen . Acetaminophen (Tylenol) e ka sebelisoa hammoho le li-analgesics tse nang le li-adjuvant ho thibela bohloko bo bakoang ke lefu la pelo, kapa li ka sebelisoa likarolong tsa bohloko bo bohloko . Li-opioid tse ling tse sebelisetsoang phekolo ea bohloko ba lefu la pelo li boetse li na le acetaminophen.
- Li-opioids . Li-opioids li ka etsoa bakeng sa phekolo e matla ea lefu la pelo, kapa e le lekhetlo la ho qetela la tšireletso ha li-analgesics tsa adjuvant li hlōleha ho kokobetsa bohloko. Opioid e "fokolang" e atisang ho behoa bakeng sa bohloko ba kelello ke tramadol (Ultram); Leha ho le joalo, li-opioid tse matla li ka boela tsa hlokahala.
- Litlhahiso tsa Sehlooho . Le hoja e se kamehla e atlehang, batho ba bang ba nang le bohloko ba pelo ba fumana khatholoho ka meriana e bohloko ea ka ntle, ho akarelletsa le lidocaine le capsaicin. Li-analgesics tsa litšoantšo li ka 'na tsa kopanngoa le meriana e meng.
Phekolo ea kelello ea kelello - Tse ling tse Khethollang
Meriana hase eona feela karabo tabeng ea phekolo ea bohloko ba kelello. Lintho tse ling tse ka sebelisoang u le mong, kapa tse kopantsoeng le li-painkillers, kenyeletsa:
- Phekolo ea 'mele
- Matlo a matšoafo
- Khothatso ea mokokotlo oa mokokotlo
- Ho buuoa ka methapo ea meriana
Meriana e tlatsanang le e meng e ka thusang ho phekola bohloko ba meriana, ho akarelletsa le ho phekoloa ha meriana hammoho le litlama tsa litlama . Le hoja boholo ba CAMs ha bo hloke lengolo la ngaka, u lokela ho bua le ngaka pele u qala mekhoa efe kapa efe ea phekolo bakeng sa bohloko ba methapo ea hao.
Lisebelisoa:
National Guideline Clearinghouse. Litlhahiso tsa EFNS mabapi le Phekolo ea Meriana ea Bohlokoa ba Ts'oaetso. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10472&nbr=5495
Mokhatlo oa Sechaba oa Bohloko. Bothata ba kelello: Meriana. http://www.painfoundation.org/
The Merck Manuals Medical Online Library. Bothata ba kelello. http://www.merckmanuals.com/professional/neurologic-disorders/pain/neuropathic-pain