Izibonelelo zoNcedo lweNtlungu

Umxholo

• Ulawulo lweentlungu kunye nentlungu
• Zeziphi iintlobo zentlungu ezikhoyo?
• Zeziphi iimpawu ozifunayo ukuze ubone ugqirha xa usiva iintlungu?
• OTC amayeza
• Amachiza amiselweyo
• ICorticosteroids
• Iipioids
• Ukudakumba
• IiAnticonvulsants
• Kuyabanda nobushushu
• Zilolonge
• Ulungiso lwenyama
• Yoga
• Umculo
• Ukuthanjiswa konyango
• Imbonakalo yokuthomalalisa iintlungu

Ulawulo lweentlungu kunye nentlungu

Intlungu ingaphezulu kokuziva ungonwabanga. Inokuchaphazela indlela oziva ngayo ngokubanzi. Inokukhokelela nakwimeko zempilo yengqondo ezinje ngoxinzelelo kunye noxinzelelo. Inani leentlungu ozifumanayo zinokuxelela ugqirha wakho okuninzi malunga nempilo yakho iyonke.

Intlungu ebuhlungu yenzeka ngesiquphe, ngesiqhelo kumcimbi weentsuku okanye iiveki. Ihlala isombulula kwiiveki ezimbalwa. Iintlungu ezingapheliyo ziyaqhubeka. Ezinye izikhokelo zijonga ukuba iintlungu azinyamezeleki xa zihlala ngaphezulu. Abanye bathi iintlungu azinyamezeleki xa zihlala ngaphezulu kweenyanga ezintandathu.

Iindlela zokuphelisa iintlungu zivela kunyango lwasekhaya kunye nemigqaliselo yokuya kwi-counter-the-counter (OTC) amayeza kunye neenkqubo zokuhlasela ezinje ngokuhlinzwa. Ukuthomalalisa iintlungu akuqhelekanga kwenzeke ngobusuku obunye, kodwa kunokwenzeka. Amava entlungu yomntu ngamnye ahlukile kubo.

Ukunyanga umthombo wentlungu engapheliyo, kuya kufuneka utyelele ugqirha wakho. Sebenzisa esi sikali silula ukukunceda uchaze intlungu yakho ukuze ufumane isiqabu osifunayo.

Zeziphi iintlobo zentlungu ezikhoyo?

Zimbini iintlobo eziphambili zentlungu: i-nociceptive kunye ne-neuropathic.

Intlungu ye-nociceptive yimpendulo yenkqubo yemithambo enceda ukukhusela umzimba wakho. Kukwenza ubuyise isandla sakho kwisitovu esishushu ukuze ungatshi. Iintlungu ezivela kumanqina aqobayo ukunyanzela ukuba uphumle kwaye unike ixesha lokulimala lokuphola.

Intlungu ye-Neuropathic yahlukile, kuba ayinazibonelelo zaziwayo. Isenokuba sisiphumo sokungafundi gwenxa phakathi kwemithambo-luvo kunye nengqondo okanye umnqonqo. Okanye inokubangelwa kukonakaliswa kwemithambo-luvo. Ingqondo yakho itolika imiqondiso ephosakeleyo esuka kwimithambo-luvo njengentlungu.

Imizekelo yohlobo lwentlungu ye-neuropathic ibandakanya:

• i-postherpetic neuropathy
• isifo sengqondo seswekile
• Isifo seCarpal tunnel

Ukufumana isiqabu seentlungu, kufuneka uqale ufumane umthombo wentlungu. Funda ukuba yintoni ebangela uhlobo oluqhelekileyo lwentlungu.

Zeziphi iimpawu ozifunayo ukuze ubone ugqirha xa usiva iintlungu?

Yenza idinga nogqirha wakho ukuba intlungu yakho:

• khange ihambe emva kweeveki ezimbini ukuya kwezintathu
• kukubangela uxinzelelo, uxinzelelo, okanye uxinzelelo
• kuthintela ukuba uphumle okanye ulale
• kukuyekisa ukwenza umthambo okanye ukuthatha inxaxheba kwimisebenzi yakho yesiqhelo
• ayiphuculanga nangaluphi na unyango ozamile ngalo

Ukuphila nentlungu engapheliyo kunokuba nzima ngokwasemoyeni nangokomzimba. Iindidi ezininzi zonyango zinokukunceda ufumane isiqabu.

OTC amayeza

Ukunciphisa iintlungu ze-OTC njenge-acetaminophen (iTylenol) kunye ne-nonsteroidal anti-inflammatory drug (NSAIDs) ziyafumaneka ngaphandle komyalelo kagqirha.

Ii-NSAID zivimba izinto ezibizwa ngokuba yi-COX-1 kunye ne-COX-2. Zithomalalisa iintlungu ezinxulumene nokudumba.

La machiza aluncedo kwiimeko ezinje:

• intloko ebuhlungu
• umqolo obuhlungu
• iintlungu zemisipha
• isifo samathambo
• iintlungu zokuya exesheni
• i-sprains kunye nokunye ukulimala okuncinci

Ii-NSAID eziqhelekileyo zibandakanya:

• Iasprini
• ibuprofen (Advil, Motrin)
• I-naproxen (iAleve)

Thatha kuphela isixa sokunciphisa iintlungu esinconywayo kwiphakheji. Ukusebenzisa kakhulu la mayeza kunokunyusa umngcipheko weziphumo ebezingalindelekanga. Oku kunokubandakanya:

• ukwenzakala kwezintso
• ukopha kakhulu
• izilonda zesisu

Funda ngakumbi malunga nee-NSAID, iziphumo ebezingalindelekanga, kunye nendlela abasebenza ngayo.

Amachiza amiselweyo

Awunakho ukuthenga iintlungu ezomeleleyo phezu kwekhawuntari. Ezinye ii-NSAID, ezinje nge-diclofenac (Voltaren), zifumaneka kuphela ngommiselo kugqirha wakho. I-COX-2 inhibitor ekhethiweyo, i-celecoxib (i-Celebrex), iyasebenza nasekunyangeni iintlungu ezinxulumene nokuvuvukala. Ifumaneka kuphela ngommiselo kagqirha.

Iziyobisi ezinamandla ze-opioid, njengehydrocodone kunye ne-oxycodone, ziphatha iintlungu ezinzima, ezinje ngoqhaqho okanye ukwenzakala okukhulu. La mayeza ahambelana neziyobisi ezingekho mthethweni. Bavame ukuvelisa isiphumo sokuvuya ngelixa behlisa iintlungu.

Iiopioids zinokuba yingozi, njengoko zikhobokisa kakhulu. Benza imvakalelo emnandi yokuba abanye abantu bafuna ukuyiphindaphinda kaninzi, yonke loo nto ibangela ukunyamezelana kunye neemfuno zedosi eziphezulu ukufezekisa umphumo ofanayo.

Amanye amayeza amayeza ambalwa ayaziwa ngokuba likhoboka lawo. Kufuneka zisetyenziswe ngononophelo ngokunjalo. Nazi ezona ziyobisi zimiselweyo zintengiso kwintengiso.

ICorticosteroids

I-Corticosteroids isebenza ngokucinezela, kwaye ke ukunciphisa, ukuphendula komzimba. Ngokunciphisa ukudumba, la machiza ayapholisa nentlungu.

Oogqirha bamisela i-steroids ukuba inyange iimeko zokuvuvukala, njenge-arthritis ekhulayo. Imizekelo yeziyobisi ze-steroid zibandakanya:

• ihydrocortisone (iCortef)
• imethylprednisolone (iMedrol)
• i-prednisolone (yenziwe kwangaphambili)
• i-prednisone (iDeltasone)

ICorticosteroids inokubangela iziphumo ebezingalindelekanga ezinje:

• ukutyeba kwakho
• osteoporosis
• ubunzima bokulala
• utshintsho lweemvakalelo
• ukugcinwa kolwelo
• iswekile ephezulu yegazi
• ukwanda komngcipheko wosulelo

Ukuthatha idosi ephantsi kakhulu yexesha elifutshane kunokunceda ukuthintela iziphumo ebezingalindelekanga. Lumka ke ngokunxibelelana kweziyobisi okunokubakho xa uthatha ichiza le-corticosteroid njenge-cortisone.

Iipioids

Iiopioids zinamandla okuphelisa iintlungu. Ezinye zenziwe kwisityalo sepoppy. Ezinye ziveliswa elebhu. Ezi zibizwa ngokuba zii-opioid zokwenziwa.

Unokuthatha ii-opioids ukunciphisa iintlungu ezibi, nasemva kotyando. Okanye ungabathatha ixesha elide ukulawula iintlungu ezingapheliyo.

La machiza eza ngokukhutshwa kwangoko kunye neefomula zokukhululwa ezandisiweyo. Ngamanye amaxesha zidityaniswa nenye into yokuphelisa iintlungu, njenge-acetaminophen.

Uya kufumana i-opioids kwiimveliso ezinje:

• ibuprenorphine (iBuprenex, iButrans)
• Iifentanyl (iDuragesic)
• i-hydrocodone-acetaminophen (Vicodin)
• i-hydromorphone (i-Exalgo ER)
• meperidine (iDemerol)
• Oxycodone (OxyContin)
• Ifowuni (iOpana)
• iTramadol (Ultram)

Nangona ii-opioid zinokusebenza kakhulu, zikwakho neziyobisi. Ukusetyenziswa gwenxa kunokukhokelela kwiziphumo ebezingalindelekanga ezimandundu okanye kwi-overdose kunye nasekufeni.

Landela izikhokelo zikagqirha wakho ngononophelo xa usela la mayeza. Funda ukuba zeziphi ezinye iindlela zokuthintela xa usebenzisa ii-opioids.

Ukudakumba

I-anti-depressants yenzelwe ukunyanga uxinzelelo, kodwa ikwanceda kwiintlungu ezingapheliyo kwiimeko ezithile, ezinje nge-migraine kunye nomonakalo wemithambo-luvo.

Oogqirha abakakwazi ngokuchanekileyo ukuba la machiza asebenza njani ukunciphisa iintlungu. Banokunciphisa umqondiso wentlungu ngokusebenza kunye nokwandisa umsebenzi wabathunywa bemichiza ababizwa ngokuba zii-neurotransmitters kwingqondo nakwimithambo yomqolo.

Oogqirha bamisela iiklasi ezahlukeneyo zokunyanga iintlungu:

• i-tricyclic antidepressants, enje nge-imipramine (Tofranil), nortriptyline (Pamelor), kunye ne-desipramine (Norpramin)
• i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo, efana ne-fluoxetine (Prozac) kunye ne-paroxetine (Paxil)
• i-serotonin-norepinephrine reuptake inhibitors (i-SNRIs), enjenge-duloxetine (iCymbalta) kunye ne-venlafaxine (i-Effexor XR)

Ukuxinezeleka kunokubangela iziphumo ezifana ne:

• ukozela
• ubunzima bokulala
• isicaphucaphu
• umlomo owomileyo
• isiyezi
• ukuqhina

Xela naziphi na iziphumo ebezingalindelekanga kugqirha wakho. Ukuba bayaqhubeka, ugqirha wakho unokuhlengahlengisa idosi okanye utshintshele kwenye i-anti-depressant.

IiAnticonvulsants

Iziyobisi eziphatha ukuxhuzula zenza umsebenzi ophindwe kabini ngokuphelisa iintlungu zentliziyo. Imithambo yonakaliswe ziimeko ezinje ngeswekile okanye i-shingles kunye ne-nerves ezixinene kakhulu njenge-fibromyalgia overreact kwaye zithumela imiqondiso yeentlungu ezininzi kakhulu.

Oogqirha abazi ngqo ukuba i-anticonvulsants isebenza njani kwiintlungu. Bakholelwa ukuba la machiza anceda ukuthintela iintlungu ezingaqhelekanga phakathi kwemithambo-luvo eyonakeleyo nengqondo kunye nomqolo.

Imizekelo yeziyobisi zokunyanga ezinyanga iintlungu zezi:

• icarbamazepine (Tegretol)
• gabapentin (iNeurontin)
• I-phenytoin (iDilantin)
• pregabalin (ILyrica)

Amanye ala machiza abangela iziphumo ebezingalindelekanga ezinje:

• isicaphucaphu nokugabha
• ukozela
• intloko ebuhlungu
• isiyezi
• ukudideka

Amachiza okunyanga isifo anokunyusa umngcipheko wokucinga ngokuzibulala kunye nokuzibulala. Ugqirha wakho uya kukujonga ngemiphumo emibi ngelixa uthatha la mayeza.

Kuyabanda nobushushu

Ipakethe yomkhenkce okanye ishushu eshushu yindlela elula yokuthomalalisa iintlungu ezincinci. Umbuzo ngulo, yeyiphi ekufuneka uyisebenzise?

Unyango olubandayo luyayicutha imithambo yegazi. Oku kunciphisa ukudumba kunye nokudumba kunye nentlungu ebindayo. Isebenza kakuhle kanye emva kokonzakala okanye ngexesha lokuqaqanjelwa yimeko ebuhlungu, njenge gouty arthritis.

Unyango lobushushu lusebenza ngokwandisa ukuhamba kwegazi kwindawo eyenzakeleyo. Oku kuyabuyisa izihlunu eziqinileyo. Iza ngeendlela ezimbini: ubushushu obomileyo kwiphedi yokufudumeza okanye ipakethe, okanye ubushushu obumanzi obusuka kwilaphu lokuhlamba elifudumeleyo okanye ibhafu. Sebenzisa ubushushu beentlungu ezihlala ngaphezulu kweeveki ezimbalwa.

Faka ubushushu okanye ukubanda malunga nemizuzu eli-15 ngexesha, amatyeli aliqela ngemini.

Sebenzisa isilumkiso ukuba unesifo seswekile okanye enye imeko echaphazela ukujikeleza kwakho okanye amandla okuva iintlungu. Nazi ezinye izizathu ezimbalwa zokuphepha unyango olushushu okanye olubandayo.

Zilolonge

Xa usentlungwini, unokulingwa ukuba uzithathe lula kude kube buhlungu. Kungenxa yoko oogqirha babedla ngokucebisa ukuphumla kubantu abasentlungwini. Nangona kunjalo uphando olutsha lubonisa ngenye indlela.

Ukuphononongwa ngo-2017 kwezifundo kubonisa ukuba ukuzivocavoca yindlela efanelekileyo yokunciphisa intlungu. Inokuphucula ukusebenza komzimba kunye nomgangatho wobomi. Ngaphezu koko, umthambo ubangela kuphela iziphumo ebezingalindelekanga ezimbalwa, ngaphandle kokuqaqanjelwa yimisipha.

Abaphandi baqaphela uninzi lwezifundo zokuzivocavoca iintlungu ezingapheliyo zikumgangatho ombi, kodwa phawula ukuba uphando ngokubanzi lubonisa ukuba isenzo somzimba sinokunciphisa ubunzima beentlungu.

Ukuzivocavoca i-Aerobic kukwakhuthaza ukunciphisa umzimba. Oku kunokuthatha olunye uxinzelelo kumalungu abuhlungu ukuba une-osteoarthritis. Ukuxhathisa uqeqesho kunokunceda umzimba wakho uphilise i-spinal disc eyonzakeleyo. Nazi ezinye iindlela ezimbalwa zokuzilolonga ezinokukunceda uzive ungcono.

Ulungiso lwenyama

Unyango lomzimba (i-PT) ludibanisa umthambo nokusetyenziswa gwenxa kwezandla kunye nemfundo. Iingcali zikhetha i-PT ngaphezulu kweepilisi zeentlungu. Kungenxa yokuba inokunciphisa iintlungu ngaphandle kwemiphumo emibi yamachiza kunye nokubanakho ukuba likhoboka.

Ingcali yonyango iya kusebenza nawe ukuphucula amandla kunye nokuguquguquka ukuze ukwazi ukuhamba ngokulula. Iiseshini ze-PT zinokunceda ukuphumla izihlunu eziqinileyo kunye nokuphucula ukunyamezeleka kwintlungu.

Ezinye zeemeko ezibuhlungu zonyango ezinokukunceda zezi:

• isifo samathambo
• ifibromyalgia
• iintlungu zesithuba
• iintlungu zemithambo-luvo

Yoga

IYoga idibanisa iposi ngokuphefumla okunzulu kunye nokucamngca. Iqheliselwe amawaka eminyaka. Ukanti kutshanje abaphandi sele beqalisile ukufumanisa amandla eyoga ngokupheleleyo njengongenelelo kwezempilo.

Ukongeza ekuphuculeni amandla, ukulinganisela kunye nokuguquguquka, i-yoga iphucula ukuma komzimba. Ukuma bhetele kunokuzisa isiqabu kuninzi lweentlungu kunye neentlungu ezinxulumene nokuqina kwemisipha.

I-Yoga inokupholisa iintlungu kunye nokuphucula ukusebenza kwabantu abaneemeko ezinganyangekiyo njenge-arthritis, iintlungu zangasemva, kunye ne-fibromyalgia.

Eyona nto inceda ngayo intlungu ayicacanga. Ingasebenza ngokubangela ukukhutshwa kweekhemikhali zokuphelisa iintlungu zendalo ezibizwa ngokuba zii-endorphins okanye ngokukhuthaza imeko yokuphumla.

I-yoga iza ngeendlela ezininzi kunye namandla. Jonga iindlela ezahlukeneyo ukuze ubone ukuba yeyiphi eyona ilungele wena.

Umculo

Umculo unamandla okusisusa kwaye usibuyisele ngexesha. Ukumamela umculo nako kunokunceda ekuthomalaliseni iintlungu- ngokuyinxenye ngokunciphisa uxinzelelo kunye nokusinceda ukuba simelane ngokukuko ngempumelelo nokungonwabi.

Kwisifundo esinye esincinci sabantu abaneentlungu ezibangelwa kukonakala kwemithambo-luvo, ukumamela umculo weklasikhi (waseTurkey) wehlisa amanqaku eentlungu. Abathathi-nxaxheba abade bamamela, kokukhona iintlungu zabo ziyehla.

Ukuphononongwa ngo-2018 kwezifundo ezingaphezu kwe-90 kufumanise ukuba ukumamela umculo kunciphisa uxinzelelo kunye nentlungu ngaphambi, ngexesha nasemva kotyando. inokunceda abantu abaneentlungu ezingapheliyo njenge-fibromyalgia okanye isifo samathambo ukuba bazive bekhululekile kwaye bengakhathazeki kangako.

Ukuthanjiswa konyango

Ngexesha lokuthambisa, ugqirha usebenzisa ukuxubha kunye noxinzelelo ukukhulula izihlunu eziqinileyo kunye neetoni kunye nokukunceda uphumle. Ukuziqhelanisa kunokunceda ukunciphisa iintlungu ngokuthintela imiqondiso yeentlungu kunye nokunciphisa uxinzelelo. Ukuphulula umzimba ngokubanzi kuyathomalalisa izihlunu eziqinileyo ngokuphucula ukuhamba kwegazi kuzo.

Elinye icala lokuthambisa kukungabikho kwemiphumo emibi. Ngaphandle kokuba unerhashalala yolusu, iintlobo ezithile zesifo sentliziyo, okanye usulelo, akukho bungozi.

Jonga nje ugqirha wakho kuqala ukuba unayo nayiphi na imeko engapheliyo enokwenza ukuba amava angonwabi okanye anconywe kancinci. Ukuba kunjalo, i-massage therapist yakho inokuguqula ubuchule bayo.

I-Massage Therapists zisebenzisa uxinzelelo olwahlukeneyo, ukusuka ekuchukumiseni ukukhanya ukuya kubuchwephesha bokuthambisa imisipha. Yeyiphi oyikhethayo ixhomekeke kunyamezelo lwakho kunye nokukhetha kwakho. Funda ngezinye zeentlobo eziqhelekileyo zokuthambisa ezisetyenziswa eUnited States.

Imbonakalo yokuthomalalisa iintlungu

Intlungu engapheliyo ngumba ophambili wezempilo. Sesinye sezizathu zokuba abantu abadala babone ugqirha eMelika. Ukuya kumaMelika uhlala unentlungu engapheliyo.

Nangona ezinye iziyobisi eziphumza iintlungu zinokuba likhoboka, lininzi inani lamayeza angaxhomekekiyo akhoyo namhlanje. Sebenza nogqirha wakho ukufumana eyona ilungileyo.

Kukwakho noluhlu lwezonyango olungenazidakamizwa olukhoyo lokunciphisa iintlungu ezingapheliyo. Ungenelelo olufana nokuzilolonga, ukuthambisa, kunye neyoga kunokuphucula umgangatho wobomi ngaphandle kokubangela iziphumo ebezingalunganga kwinkqubo.