INgxelo eNtsha ithi Abasetyhini banokuba noMngcipheko oPhezulu wokuLutha kwiiPainkillers

Umxholo

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Indalo iphela, kubonakala ngathi ingusomathuba olinganayo xa kusiziwa entlungwini. Nangona kunjalo kukho umahluko obonakalayo phakathi kwamadoda nabafazi kokubini kwindlela abafumana ngayo iintlungu kunye nendlela abasabela ngayo kunyango. Kwaye ukungawuqondi lo mahluko ubalulekileyo unokubeka abasetyhini emngciphekweni omkhulu weengxaki, ngakumbi xa kufikwa kwiiopioid ezinamandla, ezinje ngeVicodin kunye neOxyContin, itsho ingxelo entsha.

Ngobhubhani we-opioid kwi-swing-prescription pain relievers ekhokelela ekufeni kwabantu abangaphezu kwe-20,000 kwi-2015 yedwa-abasetyhini banokuba semngciphekweni wokuba likhoboka, ngokutsho kwe "United States yokungaxhomekeki: Uhlalutyo lweMpembelelo ye-Opioid Overprescribing in. Melika, "ingxelo epapashwe namhlanje yiSicwangciso sokuLwa nobuhlungu. Kuyo, abaphandi bajonga iirekhodi zezigidi zabantu baseMelika abaye batyandwa kwi-2016 kwaye banikwa amayeza eentlungu ezichazwe ngokusemthethweni ngoogqirha babo. Baye bafumanisa ukuba i-90 pesenti yezigulane ezenze utyando zafumana umyalelo we-opioids, kunye nomyinge weepilisi ze-85 kumntu ngamnye.

Kodwa ukuba loo datha ayothusi ngokwaneleyo, bafumanise ukuba abasetyhini bamiselwe ezi pilisi ukuya kuthi ga kuma-50 epesenti ngaphezulu kwamadoda, kwaye abasetyhini babengama-40 ekhulwini amathuba okuba babe ngabasebenzisi beepilisi abazingileyo kunamadoda. Olunye ulophuko olunomdla: Abasetyhini abancinci babesemngciphekweni emva kotyando lwedolo, phantse ikota yabo isathatha iipilisi zeentlungu kwiinyanga ezintandathu emva kokuphuma. (Ungathethi, abafazi banako ukukrazula i-ACL yabo.)Abasetyhini abaneminyaka engaphezu kwama-40 nabo kusenokwenzeka ukuba banikwe amayeza kwaye abona basengozini yokufa ngenxa yokusebenzisa kakhulu idosi. Izinto ezoyikisayo.

Ukubeka nje? Abasetyhini bafumana iipilisi zokunyanga ezingaphezulu kwaye kunokwenzeka ukuba babe ngamakhoboka abo, zihlala zineziphumo ezibi. (Ukuthatha iipilisi zeentlungu kwibhasikithi kwade kwakhokelela le mbaleki yabasetyhini kwikhoboka le-heroin.) Isizathu sokungangqinelani ngokwesini asicacanga ncam kodwa ngumbuzo ofuna ukuxoxwa ngoogqirha nezigulana, utshilo uPaul Sethi, MD, ugqirha wamathambo kwi-Orthopedic & Neurosurgery Specialists eGreenwich, Connecticut.

Inxalenye yempendulo inokuba ilele kwibhayoloji. Abasetyhini babonakala besiva iintlungu ngakumbi kunamadoda, kunye neengqondo zabafazi ezibonisa ngakumbi imisebenzi ye-neural kwiingingqi zentlungu yengqondo, ngokophando lwangaphambili olwapapashwa kwi Ijenali yeNeuroscience. Ngelixa uphononongo lwenziwe kwiimpuku, oku kufunyanisiweyo kunokucacisa ukuba kutheni abafazi befuneka Kabini i-morphine eninzi, i-opiate, ukuziva ukhululekile njengamadoda. Ukongeza, abasetyhini kunokwenzeka ukuba babe neentlungu ezingapheliyo, njengemigraines engapheliyo, ehlala inyangwa nge-opioids, utshilo uGqirha Sethi. Okokugqibela, wongeza ukuba isayensi ijonge ekubeni ingaba imeko ephezulu yabasetyhini yokuxhomekeka kwe-opioid inokubangelwa ngumahluko kumanqatha omzimba, imetabolism, nakwihomoni. Elona candelo libi: Zonke ezi zinto ngokucacileyo azinalawulwa ngabasetyhini.

Kude kube sibe sinophando oluninzi, asinakutsho ngokuqinisekileyo ukuba kutheni abantu besetyhini bechaphazeleka kakhulu zii-opioid kunamadoda, utshilo. "Kodwa siyayazi ukuba iyenzeka kwaye kufuneka senze okuthile ngayo."

Yintoni onokuyenza njengesigulana ukunciphisa umngcipheko wakho? Buza eminye imibuzo kugqirha wakho, ngakumbi ukuba ufuna utyando, utshilo uGqirha Sethi. "Kuyamangalisa ukuba oogqirha baya kukuxelela zonke iingozi zenkqubo yotyando kodwa bangathethi nto malunga namayeza eentlungu."

Kwabaqalayo, ungabuza malunga nokufumana amayeza amafutshane, yithi kwiintsuku ezili-10 endaweni yenyanga, kwaye ungacela ukunqanda "ukukhululwa kwangoko" kweeopioid, njengoko ezo zinokubangela ukuxhomekeka, utshilo uGqirha Sethi. (Ngelinge lokulwa ubhubhane ngokujongana nayo yomibini le micimbi, i-CVS ibhengeze nje ukuba iyakuyeka ukuzalisa imigqaliselo ye-opioid painkillers ngaphezulu kweentsuku ezisixhenxe zonikezelo kwaye ikhuphe kuphela iifom zokukhululwa kwangoko phantsi kweemeko ezithile.) Wongeza ukuba nawe ube nolunye ukhetho ngaphandle kwe-opioids yokulawula iintlungu ngexesha nasemva kotyando, kubandakanywa amayeza achasene nokudumba aza kusetyenziswa ngexesha lotyando kunye ne-anesthetic ehlala ixesha elide enokunciphisa iintlungu ukuya kwiiyure ezingama-24 emva koko. Isitshixo kukuthetha nogqirha wakho kunye nogqirha wakho malunga nezinto ezikuxhalabisayo kwaye wenze isicwangciso solawulo lweentlungu oziva ukhululekile kuso.

Ngolwazi oluthe kratya malunga nokunyanga iintlungu ngaphandle kweeopioid, kubandakanya eyiphi imibuzo oza kuyibuza ugqirha kunye nokhetho, jonga iSicwangciso sokuLwa nobuhlungu.

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