Njodzi dzekushandisa maopioid semubhedha wekurara
Dzidzo yehutanoIzwi morphine rinobva kuna Morpheus, mwari wechiGiriki wezviroto. Kana iwe wakambove painkiller senge morphine , iwe unoziva kuti mhedzisiro inokotsira. Nekudaro, kushandisa morphine-kana chero opioid- kukubatsira iwe kurara kune njodzi zvakanyanya. Uye zvakadaro vanhu vazhinji vari kuita izvo chaizvo. Muchokwadi, a ongororo ichangobva kuitika yakaratidza izvovanachiremba vakaona varwere vari kushandisa maopioid kuvabatsira kurara kana kurwadziwa kwakanyanya kuri kuvachengeta, kana nekuda kwekusarara kushoma. Uye varwere vazhinji havazivi kukuvara mutsika iyoyo.
Opioid uye yekurara yamuro maviri maviri akasiyana mhando dzemishonga: Maopioid ane narcotic ane simba nepo yekurara zvinobatsira soporific uye hypnotic, aka yekurara-ichikurudzira. Aya marudzi maviri emishonga anoitirwa zvinangwa zviviri zvakasiyana kwazvo- uye haufanire kushandisa imwe panzvimbo yeimwe.
Chii chakakosha seopioid kana yekurara zvinoyamura?
Kirasi yemishonga inonzi opioid inosanganisira inonyorwa marwadzo ekurapa akadai oxycodone ( OxyContin ), hydrocodone ( Vicodin uye Percocet ), uye codeine , pamwe nemaopioid ekugadzira akadai fentanyl uye iyo isiri pamutemo zvinodhaka heroin.
Kazhinji zvakajairwa kurara zvinobatsira zvinosanganisira zolpidem tartrate ( Ambien , Ambien CR ), flurazepam hydrochloride (Dalmane), triazolam ( Halcion ), esopoplone ( Lunesta ), uye estazolam (Prosom).
Sei usingafanire kushandisa maopioid semubhedha wekurara?
Chokwadi maopioid anogona kukuita kuti uve nehope, asi haafanire kushandiswa senge yekurara rubatsiro, anodaro Wilson Compton, MD, mutevedzeri wemutungamiriri National Institute pamusoro pekushandisa zvinodhaka muRockville, Maryland. Ivo havana kuchengetedzeka, pamwe nekwaniso yavo yekupindwa muropa uye zvimwe zvinonetsa. Izvo ndezvekurwadziwa kwakanyanya, uye mune zvimwe zviitiko, kurwadziwa kusingaperi.
Nepo maopioid anogona kukubatsira iwe kurara, iwo haakubatsire iwe kuwana zvirinani kurara. Maopioid anoderedza mwero weREM uye anononoka-wave kurara kwakakodzera kuzorora, kuchinjazve kurara, anotsanangura Yili Huang, DO, director wePain Management Center pa Northwell Phelps Chipatara muSleepy Hollow, New York.
Opioid uye kurara kufema
Uyezve, pakati pe7% kusvika 20% yevaAmerican vasina kuziva kurara kufema, Dr. Huang anodaro, uye kune avo vanhu, maopioid anogona kukanganisa kugona kwavo kufema vakarara, zvinogona kuisa hupenyu hwavo panjodzi. A kudzidza kudiki vakawana kuti iyo yakakwira iyo opioid dose, iyo inowedzera huwandu hwehope kufema episodes. Kumwe kutsvagurudza yakaratidza kuti oxygen saturation yakanyikwa zvakanyanya maminetsi gumi nemashanu mushure mekutora opioid pakati pehusiku. Zvinoreva, maopioid anogona kudzvinyirira kufema kwevanhu vane kurara kufema, kuwedzera njodzi yekufa.
Dr. Compton anowedzera kuti kana iwe uri kutotora maopioid ekurapa marwadzo uye wedzera dosi yako husiku kuti ikubatsire kurara, uri kuisa mukana wakakomba mukana wekuwedzeredza.
Ko kana ndiri kurwadziwa uye ndisingakwanise kurara?
Kurwadziwa kwakanyanya kunogona kuve nezvakawanda, kungave kuri kubva pakuvhiya, kurapwa kwekenza, chirwere chisingaperi-chinokonzera mamiriro ehutano, kana tsaona yemuviri. Asi chii chaunofanirwa kuita kana iwe uchirwadziwa zvakanyanya uye usingakwanise kurara nekuda kwazvo?
Taura nachiremba wako nezve dzimwe nzira dzakachengeteka, Dr. Huang anokurudzira kutanga. Bata izvo zviri kukonzera marwadzo nekurapa kwakanangana kwazvinobva. Kana iko kushaya hope kwenguva pfupi pamwe nekurwadziwa kwetsinga, mimwe mishonga yemarwadzo etsinga inogona kurapa marwadzo uyezve kukurudzira kurara, uye anogona kubatsira. Gabapentin [mushonga unonyorwa unowanzoshandiswa kudzikamisa marwadzo etsinga semhedzisiro yezvikwambo muvanhu vakuru]mumwe wemishonga yakadaro. Asi hapana mashiripiti bara-mishonga yese ine mhedzisiro.
Uye izvo zvausingade kuita, Dr. Huang anoti, kuenderera mberi nekutora maopioid ako uchitora zvinobatsira zvekurara kana sedatives senge Ambien, Xanax, kana Valium . Iyi combo inowedzera mukana wekupemha kushushikana (hypoventilation). Kubatanidza maopioid ne chero kumwe kunyaradza - kusanganisira doro - kunokonzera njodzi yakawandisa yekunyanyisa, uye kunyange rufu, Dr. Compton akadaro.
Kana iwe uchinetseka kurara, iwe unogona zvakare kutendeukira kune mhinduro dzisinei nemishonga yekunyorera, anodaro Dr. Laura Fanucchi, mubatanidzi purofesa wemishonga paYunivhesiti yeKentucky uye nyanzvi yeopioid inodhakwa Idzi sarudzo dzinosanganisira maitiro ekuchinja senge:
- Kuwana kurovedza muviri nguva dzose
- Kugadziridza hutsanana hwekurara nekusadya zvakanonoka
- Kudzivisa zvinokurudzira zvakaita caffeine uye nicotine
- Kurambidza zvigadzirwa zvemagetsi (senge mbozhanhare, mapiritsi, maTV, uye maPC monitors) asati arara
Sei kana ini ndave kutovimba nemaopioid kuti ndirare?
Kana iwe watove nekugadzira tsika yekutora maopioid kune zvimwe zvikonzero kunze kwekurairwa, unofanirwa kuona chiremba wako ipapo, Dr. Fanucchi anokurudzira, pane kuyedza kuenda kunotonhora turkey. Kushandiswa kwemazuva ese kwemaopioid kunogona kukonzera kutsamira panyama uyezve kubvisa kana maopioid akamiswa kamwe kamwe, anodaro.
Dr. Huang anobvumirana, Shanda nachiremba wako uye uuye neremu regimen yakanaka yekusimbisa muviri wako. Kana iwe uri kushandisa izvi kungo rara, unogona kunge uri kushandisa zvisirizvo iyi mishonga uye unofanirwa kufunga nezvekuona muropa chiremba. Iwe unofanirwa kuona nyanzvi yekurapa yekurapa kuti irape iko kunokonzera kurwadziwa, nekuti aya mapiritsi anogona kunge achingovhara dambudziko riri pasi.
