Amayeza entlungu

Iintlungu ezibuhlungu ezisemqolo zihlala zihamba zodwa kwiiveki ezininzi. Kwabanye abantu, iintlungu zomqolo ziyaqhubeka. Isenokungapheli kwaphela okanye inokuba buhlungu ngamanye amaxesha.

Amayeza anokunceda kwintlungu yakho yangasemva.

ABANQAMULELI BENTLUNGU EBUPHELENI

Ukuthengisa ngaphezulu kwe-counter kuthetha ukuba ungazithenga ngaphandle kommiselo.

Uninzi lwababoneleli ngempilo bacebisa i-acetaminophen (enjengeTylenol) kuqala kuba ineziphumo ebezingalindelekanga ezimbalwa kunezinye iziyobisi. Musa ukuthatha ngaphezulu kwe-3 gram (3,000 mg) ngalo naluphi na usuku olunye, okanye ngaphezulu kweeyure ezingama-24. Ukugqithisa kwi-acetaminophen kunokubangela umonakalo omkhulu kwisibindi sakho. Ukuba sele unesifo sesibindi, cela ugqirha wakho ukuba ngaba i-acetaminophen ilungile ukuba ungayithatha.

Ukuba iintlungu zakho ziyaqhubeka, umboneleli wakho unokucebisa iziyobisi ezichasayo (ii-NSAID). Ungathenga ezinye ii-NSAID, ezinje nge-ibuprofen kunye ne-naproxen, ngaphandle kommiselo. Ii-NSAID zinceda ukunciphisa ukudumba okujikeleze idiski edumbileyo okanye isifo samathambo ngasemva.

Ii-NSAID kunye ne-acetaminophen kwiidosi eziphezulu, okanye ukuba zithathwa ixesha elide, zinokubangela iziphumo ebezingalindelekanga ezibi. Iziphumo ebezingalindelekanga zibandakanya iintlungu zesisu, izilonda okanye ukopha, kunye nokonzakala kwezintso okanye kwesibindi. Ukuba iziphumo ebezingalindelekanga zenzeka, yeka ukuthatha ichiza kwangoko kwaye uxelele umboneleli wakho.

Ukuba uthatha ukuphelisa iintlungu ngaphezulu kweveki, xelela umboneleli wakho. Kuya kufuneka ujongwe kwiziphumo ebezingalindelekanga.

ABALUNGISELELI ABAZI ZINTlungu

I-Narcotic, ekwabizwa ngokuba kukuphelisa iintlungu ze-opioid, zisetyenziselwa kuphela iintlungu eziqatha kwaye azincediwe zezinye iintlobo zeentlungu. Basebenza kakuhle ngoncedo lwexesha elifutshane. Sukuzisebenzisa ngaphezulu kweeveki ezi-3 ukuya kwezi-4 ngaphandle kokuba uyalelwe ngumboneleli wakho ukuba enze njalo.

Umsebenzi weNarcotic uzibophelela kwii-receptors kwingqondo, ethintela ukuziva kwentlungu. La machiza anokusetyenziswa gwenxa kwaye enza umkhwa. Banxulunyaniswe nokudlula ngengozi kunye nokufa. Xa zisetyenziswa ngononophelo kwaye ziphantsi kokhathalelo oluthe ngqo lomboneleli, zinokusebenza ukunciphisa iintlungu.

Imizekelo ye-narcotic ibandakanya:

• Ikhowudi
• I-Fentanyl-iyafumaneka njengepaki
• IHydrocodone
• IHydromorphone
• Imofini
• Oxycodone
• I-Tramadol

Iziphumo ebezingalindelekanga ezinokubakho zezi ziyobisi zibandakanya:

• Ukozela
• Umgwebo ongalunganga
• Isihlunu okanye ukugabha
• Ukuqunjelwa
• Ukurhawuzelela
• Ukuphefumla kancinci
• Iziyobisi

Xa uthatha iziyobisi, musa ukusela utywala, ukuqhuba, okanye ukusebenzisa oomatshini abanzima.

UKUZIPHATHA KWEEMISELELE

Umboneleli wakho unokumisela iyeza elibizwa ngokuba sisihlaziyisi semisipha. Ngaphandle kwegama layo, ayisebenzi ngokuthe ngqo kwimisipha. Endaweni yoko, isebenza ngengqondo yakho kunye nentambo yomqolo.

Eli chiza lihlala linikezelwa kunye nokuthomalalisa iintlungu ngaphezulu kwekhawuntareni ukuthomalalisa iimpawu zentlungu yomqolo okanye yokuqaqanjelwa yimisipha.

Imizekelo yokuphumla kwezihlunu ibandakanya:

• ICarisoprodol
• ICyclobenzaprine
• Diazepam
• Methocarbamol

Iziphumo ebezingalindelekanga zokuphumla kwezihlunu zixhaphakile kwaye zibandakanya ukozela, isiyezi, ukudideka, isicaphucaphu kunye nokugabha.

La mayeza anokwenza imikhwa. Thetha nomboneleli wakho ngaphambi kokusebenzisa la machiza. Banokudibana namanye amayeza okanye benze iimeko ezithile zonyango zibe mandundu.

Musa ukuqhuba okanye ukusebenzisa oomatshini abanzima ngelixa uthatha izihlaziyi zemisipha. Musa ukusela utywala ngelixa uthatha la machiza.

ABAQHUTYIWEYO

Amachiza oxinzelelo ahlala esetyenziselwa ukunyanga abantu abanokudakumba. Kodwa, iidosi ezisezantsi zala mayeza zinokukunceda kwiintlungu ezisezantsi ezingapheliyo, nokuba umntu akaziva edanile okanye edandathekile.

La machiza asebenza ngokutshintsha amanqanaba eekhemikhali ezithile kwingqondo yakho. Oku kuyayitshintsha indlela ingqondo yakho eqaphela ngayo iintlungu. Izidambisi-zintsholongwane ezisetyenziswa rhoqo kwiintlungu ezisezantsi ezisezantsi ziyakunceda ulale.

I-anti-depressants ehlala isetyenziselwa iintlungu zangasemva zezi:

• Amitriptyline
• Desipramine
• Duloxetine
• Imipramine
• Umgca weNortriptyline

Iziphumo ebezingalindelekanga eziqhelekileyo zibandakanya umlomo owomileyo, ukuqhina, ukungaboni kakuhle, ukuzuza ubunzima, ukulala, iingxaki zokuchama kunye neengxaki zesondo. Ngaphantsi kwesiqhelo, amanye ala machiza anokubangela iingxaki zentliziyo nemiphunga.

Sukuthatha la machiza ngaphandle kokuba uphantsi kolawulo lomnikezeli wakho. Sukuyeka ukuthatha la machiza ngesiquphe okanye utshintshe idosi ngaphandle kokuthetha nomboneleli wakho.

UKUTHIMBA OKANYE AMAYEZA NGOKUPHELELEYO

Amayeza e-anticonvulsant asetyenziselwa ukunyanga abantu abanokuxhuzula okanye ukuxhuzula. Basebenza ngokubangela utshintsho kwiimpawu zombane kwingqondo. Zisebenza kakuhle kwiintlungu ezibangelwa ngumonakalo wemithambo-luvo.

La machiza anokunceda abanye abantu abaneentlungu ezibuhlungu zexesha elide ezenze nzima ukuba basebenze, okanye iintlungu eziphazamisa imisebenzi yabo yemihla ngemihla. Banokunceda ekuthomalaliseni iintlungu eziqaqambayo eziqhelekileyo kwiingxaki zangasemva.

I-Anticonvulsants ezisetyenziselwa ukunyanga iintlungu ezingapheliyo zezi:

• ICarbamazepine
• IGabapentin
• ILamotrigine
• IPregabalin
• I-Valproic acid

Iziphumo eziqhelekileyo ezichaphazelekayo zibandakanya ukutyeba okanye ukwehla kobunzima, isisu esibuhlungu, ukuphelelwa ngumdla wokutya, irhashalala, ukozela okanye ukuziva udidekile, uxinzelelo kunye nentloko.

Sukuthatha la machiza ngaphandle kokuba uphantsi kokhathalelo lomboneleli. Sukuyeka ukuthatha la machiza ngesiquphe okanye utshintshe idosi ngaphandle kokuthetha nomboneleli wakho.

ICorwell BN. Umqolo obuhlungu. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 32.

UDixit R. Intlungu ebuyela umva. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, ii-eds. Incwadi kaKelly noFirestein yeRheumatology. Ngomhla we-10. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 47.

UMalik K, uNelson A. Isishwankathelo seengxaki ezisezantsi zentlungu. Ku: I-Benzon HT, i-Raja SN, i-Liu SS, i-Fishman SM, i-Cohen SP, ii-eds. Iimfuno zonyango lwezoNyango. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 24.