Ndezvipi sarudzo dzako dzisingaperi dzekutambudzika?

Dzidzo yehutano

Kurwadziwa kusingaperi kunotsanangurwa sekurwadziwa kupi kunotora kwemwedzi mitatu kusvika kumitanhatu kana kudarika. Kazhinji, ndeye mhedzisiro yakanangana nehutano hwepasi hwakadai se kukuvara kwekare, matambudziko emusana, kukuvara kwetsinga, kana fibromyalgia . Statistics inoratidza izvozvo mumwe muvakuru vashanu muU.S. vanogara nemarwadzo asingagumi. Panguva imwecheteyo, mishumo inoratidza kuti ndizvo kuwedzera kurapwa pasi . Kurwara kusingaperi kwekurwadziwa mune varwere vane akawanda mamiriro kunogona kuve kwakaomarara. Zvinotanga nekuona chakakonzera.

Mhando dzekurwadziwa kusingaperi

Kurwara kusingaperi kunowanzo kuwira mumhando nhatu dzekutanga:

• Nociceptive kurwadziwa inomiririra mhinduro yakajairika pakutuka kana kukuvara kwemasuru akadai seganda, mhasuru, nhengo dzekuona, majoini, tendon, kana mapfupa. Muenzaniso wekurwadziwa kwekusaziva ndeye arthritis.
• Neuropathic kurwadziwa inozivikanwa neimwe nzira sekurwadziwa kwenzara. Ndirwo rudzi rwekurwadziwa kusingaperi kunoitika kana tsinga dziri pakati pehurongwa hwekukuvara kana kukuvara. Spinal tambo kukuvara kurwadziwa, phantom limb (post-amputation) kurwadziwa, uye post-sitiroko yepakati kurwadziwa kana shingles mimwe mimwe mienzaniso yekurwadziwa kweuropathic.
• Kuzvimba kurwadziwa mhedzisiro yekumisikidza uye kukurudzira kweiyo nociceptive pain nzira nenzira dzakasiyana siyana dzevarevereri dzakaburitswa panzvimbo yekutsemuka kwetishu. Mienzaniso yekurwadziwa kunokonzerwa nekuzvimba kunosanganisira appendicitis, rheumatoid arthritis, kuzvimba kwechirwere, uye herpes zoster.

Kune mamwe marudzi emarwadzo asingagumi-akadai se fibromyalgia uye tension musoro - izvo zvisingakwanise kuiswa nyore nyore, uye kuwira kunze kwemhando huru idzi. Aya mapoka akakosha nekuti rudzi rwekurwadziwa rwunoita basa rakakura mune izvo zvisingaperi marapirwo ekurapa sarudzo achanyanya kushanda.

RELATED: Shingles kurapwa uye mishonga

Kazhinji mishonga yekurapa kusingaperi

Kune akatiwandei emishonga inowanzo gadzirirwa vanhu vane kurwadziwa kusingaperi, kusanganisira:

• Nonsteroidal anti-anogumbura zvinodhaka uye acetaminophen: Kune akawanda marudzi ema nonsteroidal anti-inflammatory mishonga (NSAIDs). Dzimwe dzadzo (senge ibuprofen ) inogona kuwanikwa pamusoro-pe-counter. Vamwe, senge Mobic ( meloxicam ), zviripo nemushonga.
• Misoro yekurapa mishonga : Over-the-counter misoro yemafuta anokwanisa kupa zororo. Kana, mushonga lidocaine zvigamba kushandiswa kunzvimbo (kwemaawa gumi nemaviri uye maawa gumi nemaviri ari kure) kunogona kudzikamisa kurwadziwa.
• Zvinodzvinyirira: Zvimwe zvezvikamu zvekare zveanodzvinyirira zvinogona kubatsira zvakanyanya kudzora marwadzo; kunyanya tricyclic antidepressants. Iyi mishonga inogona kudzikamisa marwadzo mumadhosi ari pasi pane ayo madosi anodiwa ekurapa kushushikana.
• Anticonvulsants (anti-kubatwa) mishonga: Iyi mishonga inogona kubatsira zvakanyanya kune mamwe marudzi ehutano hwemhando yeropa (sekutsva, kurwadziwa kwepfuti).
• Tsandanyama dzinozorodza : Iyi mishonga inowanzo shandiswa mukumisikidza kwakasimba kwemhasuru mhasuru.
• Tsinga dzinovharira: Izvi zvinosanganisira majekiseni munzvimbo yepidural yemuzongoza uye inopa marwadzo ekurwadziwa kwenguva refu, kunyanya kune avo vane mamiriro asingaperi emusana. Kune marudzi akati wandei emitsipa anovharirwa munzvimbo yechipatara, uye anoenderana nenzvimbo yemuviri uri kurapwa. Kazhinji, vanojowa munzvimbo yemuzongoza.
• Trigger poindi jekiseni: Imwe mhando yekurwadziwa kwekutambudzika maitiro inonzi inonzi trigger point jekiseni (TPI). Iyi jekiseni ine corticosteroid uye / kana anesthetic, uye jekiseni rakananga munzvimbo inokonzera marwadzo.
• Opioid: Kana ikashandiswa nenzira kwayo, kana mishonga isiri-opioid isingashande kana isingashivirirwe, maopioid anogona kuve anoshanda kwazvo kudzora mamwe marudzi ekurwadziwa kusingaperi. Ivo vanowanzo kuve vasingashande zvakanyanya kana kuda madosi epamusoro muhutano hwemhando yeropa. Nekurwadziwa kuripo masikati neusiku, opioid yakareba-inoshanda inowanzo kurudzirwa, uye inogona kuwedzeredzwa neapfupi-inoshanda opioid yekurwadziwa kwekurwadziwa. Nyanzvi yekutarisira kurwadziwa inogona kuongorora kudiwa kweapioid.

RELATED: Ndezvipi zvakanakira zororo rekurwadziwa?

Kana marwadzo akanyanya, varwere vangasarudza kutendeukira kumaopioid kuti vabatsirwe. Zvisinei, vanachiremba vaifanira kutevedzera matsva emitemo yakatemwa neU.S.Food and Drug Administration (pamwe nehurumende yenyika uye kunyange nemishonga yemishonga) kubva mukushandisa zvakanyanya maopioid. Huwandu hwevakafa vane hukama neopioid hwakawedzera zvakanyanya mumakore mashoma apfuura, izvo zvasiya vese varapi nevarwere vanowana kurwadziwa kusingaperi vachitsvaga nzira dzekurapa dzakaderera kusvika pakuenzanisa mwero wekurwadziwa kusingaperi.

Natural Natural kurwadziwa kunorwadza

Yekureba-kwenguva refu kurwadziwa kwekutarisira, nzira dzisiri-opioid dzinodiwa, senge:

• Imwe nzira yekurapa: Yakakurudzirwa isiri-yekurapa kurapa inosanganisira kugadziriswa, biofeedback, kugona kwehunhu kurapa, kukwiza muviri, uye kushandiswa kwezvikamu zvekunze zveTENS. Mishumo inoratidza kuti aya marapirwo ekurapa maratidziro akabatanidzwa ne psychotherapy anonyanya kushanda.
• Exercise: Chiedza chechiedza, seyoga, chinogona kubatsira nemamwe marudzi ehurombo husingaperi nekuvandudza kutenderera uye kudzikisa kushushikana. Inonyanya kushanda kune arthritis uye kurwadziwa shure.
• Kupisa uye kutonhora : Kuchenesa mapedhi uye chando zvinogona kushandiswa kazhinji pamwe nemhedzisiro mhedzisiro kubatsira kubata mazhinji emarudzi ekurwadziwa kusingaperi.
• Spinal tambo kukurudzira: SCS mushonga unovhara zviratidzo zvekurwadziwa vasati vasvika kuuropi-chishandiso chidiki chinoiswa mumuviri kuti chiendese masaini kumuzongoza. Inogona kunge iri sarudzo yekurwadziwa kusingaperi, gumbo, kana ruoko.

RELATED: Arthritis kurapwa uye mishonga

Kubuda kwekusingaperi kurwadziwa kwekurapa sarudzo

Nekuda kwekugona kweopioid kupindwa muropa, vatsvakurudzi vari kuenderera mberi vachitsvaga dzimwe nzira dzinoshanda dzinomisa kurwadziwa kwekutambudzika pane kuzvivhara.

Transcranial yakananga-yazvino kukurudzira, kana tDCS , anga achiwana traction senge ingangoita inoshanda isiri-pharmacological nzira yekurapa kurwadziwa kusingaperi. Kuongororwa kwekiriniki kwakaratidza kunatsurudzwa kwekurwadziwa kwakabatana nemabvi osteoarthritis.

Kutsvagisa kwakatarisawo pazvikonzero zve autoimmune zvekurwadziwa kusingaperi. Utachiona kana kukuvara kunogona kukurudzira mhinduro yemunhu oga izvo zvinowanzo asingaoneki, uye zvinogona kukonzera kurwadziwa kwakanyanya. Antibody mapaneru anogona kunge ari marapirwo matsva ekurwadziwa kusingaperi uye tsvagiridzo inofanirwa kuvhura inonakidza sarudzo itsva.

SPR Therapeutics akapihwa kondirakiti yemamiriyoni matanhatu emadhora kubva kuU.S. Department of Defense yekutsvagisa mune isiri-opioid marwadzo manejimendi kurapwa. Ichabatsira kufambisa SPR's SPRINT Peripheral Nerve Stimulation System uye kubatsira kuitisa epamberi kiriniki miedzo kune avo vanogara navo kurwadziwa neuropathic . Iyo yakagadzirirwa kumisikidza yakanangana netambo tambo uye kununura marwadzo ekurwadziwa pasina maopioid.

Zvinyorwa zvekusingaperi kurwadziwa kwekutarisira

IAmerican Chronic Pain Association inopa hupfumi hwemashoko akakosha kune avo vane kurwadziwa kusingaperi. Avo avo vari kurapwa izvozvi vanogona kutsvaga dzimwe sarudzo nemishonga, asi zvinogara zvakanaka kutanga wabvunza chiremba wako uye wemishonga kutanga.

Kune avo vakawana marwadzo atora kushungurudzika pahutano hwavo, t iye U.S. Pain Foundation inopa zvinyorwa zvemishandirapamwe uye mapoka ekutsigira epamhepo.