Waukulu >> Zambiri Zamankhwala >> Zokhalitsa pamisempha: Ntchito, zopangidwa wamba, komanso zidziwitso zachitetezo

Zokhalitsa pamisempha: Ntchito, zopangidwa wamba, komanso zidziwitso zachitetezo

Zokhalitsa pamisempha: Ntchito, zopangidwa wamba, komanso zidziwitso zachitetezoZambiri Zamankhwala

Mndandanda wopumitsa minofu | Kodi zotsitsimula ndi chiyani? | Momwe amagwirira ntchito | Ntchito | Mitundu | Ndani angatenge zopumulira zaminyewa? | Chitetezo | Zotsatira zoyipa | Mtengo





Ngati munakhalapo ndi minofu ya m'mimba, mwina munatenga chigoba kupumula minofu monga Skelaxin kapena Flexeril yothandizira kupweteka. Kupweteka kwa minofu kapena kupindika kumatha kuyambira kukokana pang'ono kapena kupindika mpaka kupweteka kofooketsa, komwe mumamva kuti simungathe kusuntha.



Kupuma, ayezi kapena kutentha, chithandizo chamankhwala, ndi mankhwala osagwiritsa ntchito ma anti-inflammatory (NSAID) monga ibuprofen ndi mankhwala odziwika bwino oyamba a ululu wamisempha. Komabe, ngati ma NSAID sali okwanira kapena ngati kupweteka kwanu kuli kovuta kwambiri, wothandizira zaumoyo wanu akhoza kukupatsani mankhwala opatsirana mphamvu kuti akhale opweteka kwambiri.

Pali mitundu yambiri yopumula yovomerezedwa ndi FDA yomwe ilipo ngati njira zamankhwala. Pitilizani kuwerenga kuti muphunzire zonse zokhudzana ndi kupumula kwa minofu. Phale ili m'munsiyi limatchulapo malo opumira minofu kwambiri.

Mndandanda wazopumitsa minofu

Dzina Brand (dzina generic) Avereji ya ndalama Mtengo umodzi Dziwani zambiri
Dantrium, Revonto, Ryanodex (dantrolene) $ 132 kwa 90, 25 mg makapisozi Pezani makuponi a dantrolene Zambiri za Dantrolene
Flexeril, Amrix, Fexmid (cyclobenzaprine) $ 180 kwa mapiritsi 30, 10 mg Pezani ma coupon a cyclobenzaprine Zambiri za Cyclobenzaprine
Zachilengedwe, Ozobax (baclofen) $ 230 ya mapiritsi 90, 10 mg Pezani makuponi a baclofen Zambiri za Baclofen
Lorzone, DSC Strong Parafon (chlorzoxazone) $ 86 yamapiritsi 30, 500 mg Pezani makuponi a chlorzoxazone Zambiri za Chlorzoxazone
Norflex (orphenadrine) $ 48 kwa mapiritsi 20, 100 mg Pezani makuponi a orphenadrine Zambiri za Orphenadrine
Robaxin (methocarbamol) $ 37 pa mapiritsi 60, 750 mg Pezani ma coupon a methocarbamol Zambiri za Methocarbamol
Skelaxin (metaxalone) $ 226 for 30, 800 mg mapiritsi Pezani ma coupon a metaxalone Zambiri za Metaxalone
Soma (carisoprodol) $ 50 ya mapiritsi 60, 350 mg Pezani ma coupons a carisoprodol Zambiri za Carisoprodol
Valium (diazepam) $ 24 pa mapiritsi 30, 5 mg Pezani ma coupon a diazepam Zambiri za Diazepam
Zanaflex (tizanidine) $ 86 ya 30, mapiritsi a 4 mg Pezani ma coupon a tizanidine Zambiri za Tizanidine

Kodi zotsitsimula ndi chiyani?

Zotulutsa minofu zimathandizira kutulutsa minofu. Wothandizira zaumoyo wanu akhoza kukupatsani minofu yopumulira limodzi ndi malingaliro ena monga kupumula, chithandizo chamankhwala, ndi ayezi kapena kutentha, kukuthandizani kuchira kuvulala koopsa. Ena othandizira zaumoyo amangopatsa kutulutsa minofu ngati NSAID sichimachepetsa mokwanira kupweteka.



Minofu yotsitsimula yovulala kapena kupweteka kwambiri imayenera kugwiritsidwa ntchito kwa milungu iwiri kapena itatu kwambiri. Mitundu ina yopumulitsayo imagwiritsidwa ntchito pochiza matenda monga multiple sclerosis ndipo amatha kutengedwa kwa nthawi yayitali moyang'aniridwa ndi katswiri wazachipatala.

Kodi zopumulitsira minofu zimagwira ntchito bwanji?

Zomasula minofu ya Antispasmodic ngati Soma kapena Robaxin yovulala kwambiri sizigwira ntchito pamtundu womwewo. Amagwira ntchito yamitsempha yapakati (CNS) ndipo amayambitsa kukhumudwa kwa CNS. Kukhumudwa kwa CNS kumapangitsa kuti munthu azikhala wotakasuka komanso kupumula minofu.

The antispastic muscle relaxant dantrolene sagwira ntchito pa CNS mwachindunji. Dantrolene imagwira ntchito paminyewa yamafupa, yomwe imakhudza kuyankha kwa mgwirizano, ndikupangitsa kupumula. Baclofen ndi antispastic minofu relaxant. Momwe baclofen imagwirira ntchito samamvetsetsa bwino, koma amaganiza kuti imayambitsa kukhumudwa kwa CNS.



Valium ndi benzodiazepine. Ngakhale imagwiritsidwa ntchito pakakhala nkhawa, nthawi zina imaperekedwa chifukwa cha kupumula kwa minofu. Valium imagwira ntchito yotulutsa ma neurotransmitter yotchedwa GABA, kapena gamma-aminobutyric acid, yomwe imabweretsa mpumulo.

Kodi zopumulitsira minofu zimagwiritsidwa ntchito bwanji?

Zisonyezero zimadalira mankhwala enieni. Zitsanzo ndi izi:

  • Kuvulala kwakukulu, kowawa kwa minofu
  • Kupweteka kumbuyo kapena kupweteka kwa msana
  • Kupweteka kwa khosi
  • Mitsempha yotsinidwa
  • Fibromyalgia
  • Multiple sclerosis
  • Cerebral palsy
  • Msana wovulala
  • Ouma munthu matenda
  • Paraplegia

Zotsekemera zaminyewa zimagwiritsidwa ntchito kwambiri kuti muchepetse kutuluka kwa minofu kuvulala koopsa, kowawa. Mankhwalawa ayenera kugwiritsidwa ntchito kwakanthawi kochepa. Ayeneranso kugwiritsidwa ntchito limodzi ndi kupumula, kulimbitsa thupi, ndi ayezi kapena kutentha-akatswiri azaumoyo atha kukupatsani upangiri wa zamankhwala pazinthu izi.



Mitundu ina yopumulitsayo imagwiritsidwa ntchito pochita masewera olimbitsa thupi, koma saigwiritsa ntchito povulala kwaminyewa. Mwachitsanzo,Lioresal (baclofen)ndi minofu yotsitsimula komanso yotsutsa. Amachiza spasms (spasticity) yokhudzana ndi multiple sclerosis, ndipo nthawi zina chifukwa cha matenda am'mimba kapena msana.Dantrium (dantrolene) imathandizanso kuchepa kwa zinthu monga multiple sclerosis, kuvulala kwa msana, zikwapu, kapena ziwalo za ubongo.

Mitundu yopumira minofu

Antispasmodics (yamatenda amisempha)

Antispasmodics amagwiritsidwa ntchito pachimake pachimake, zopweteka zamisempha. Mwachitsanzo, ngati mutaya msana wanu osakhoza kusuntha, antispasmodic itha kukhala yoyenera, ngati NSAID siyokwanira. Zitsanzo zina za antispasmodics ndi Flexeril, Robaxin, Soma, ndi Norflex.



Zosakaniza

Antispastics, monga Lioresal ndi Dantrium, sagwiritsidwa ntchito kuvulaza kwambiri minofu. Amatha kuchiza spasms kuchokera kuzinthu monga multiple sclerosis kapena kuvulala kwa msana. Dantrium imathandizanso kukwapulidwa ndi ziwalo za ubongo.

Benzodiazepines

Valium (diazepam) ndi benzodiazepine yomwe imathandizira nkhawa. Komabe, imathandizanso kupumula minofu. Valium imatha kutulutsa minofu chifukwa cha kuvulala kwa minofu komanso chifukwa cha matenda am'magazi am'magazi monga cerebral palsy.



Ndani angatenge zopumulira zaminyewa?

Koma

Nthawi zambiri, amuna akulu amatha kumwa zopumulira pokhapokha atagonjera chimodzi mwazomwe zili pansipa.

Akazi

Nthawi zambiri, azimayi achikulire amatha kumwa zoziziritsa kukhosi pokhapokha atakhala ndi pakati kapena atagonjera chimodzi mwazomwe zili pansipa.



Ana

Chifukwa opumitsa minofu ambiri sanaphunzire mwa ana, nthawi zambiri samaperekedwa kwa odwala. Dantrolene itha kugwiritsidwa ntchito kwa odwala ana pazovuta zina zomwe zimayambitsa kupindika, mongamsana kuvulala, kufooka kwa ubongo, kapena multiple sclerosis.

Okalamba

Okalamba sayenera kumwa zopumulitsira minofu chifukwa cha zovuta zina zomwe zimawachitikira. Zotulutsa minofu zalembedwa pa Mndandanda wa Beers mankhwala omwe angakhale osayenera kwa okalamba. Ndondomeko ya Beers List imati achikulire amalekerera mopepuka minofu yambiri chifukwa cha zovuta, kusakhazikika, komanso chiwopsezo chowonongeka.

Kodi kupumula kwa minofu ndikotetezeka?

Zotulutsa minofu zimakumbukira

Zoletsa zopewetsa minofu

Uzani dokotala wanu za matenda onse omwe muli nawo. Zotulutsa zina zamtundu zimalumikizidwa ndi mavuto a chiwindi. Ngati muli ndi vuto la chiwindi kapena impso / kwamikodzo kapena glaucoma, izi zimatha kukhudza ngati kupumula kwa minofu ndikotetezeka kuti mutenge, kutengera mankhwala.

Kuphatikiza pa zoletsa zomwe zatchulidwazi, funsani omwe amakuthandizani pa zaumoyo kuti akuthandizeni pokhudzana ndi chitetezo cha minofu, chifukwa aliyense ali ndi zizindikilo zosiyana komanso mbiri yakale yazachipatala yomwe ingakhudze mankhwala omwe ndi abwino komanso oyenera kwa inu.

Kuyanjana kwa mankhwala osokoneza bongo

Opumitsa minofu amakhala ndi machitidwe osiyanasiyana azamankhwala. Kuphatikiza zopumitsa minofu ndi mankhwala ena, monga SSRI, SNRI, kapena mankhwala ena opanikizika, mankhwala opioid opweteka, opondereza chifuwa, mankhwala osokoneza bongo a migraine triptan, pakati pa ena, atha kuyambitsa chiopsezo chotenga moyo chotchedwa matenda a serotonin .

Valium ili ndi chenjezo lakuda , lomwe ndi chenjezo lamphamvu kwambiri lomwe bungwe la FDA likufuna ku United States. Musatenge Valium ndi opioid. Kuphatikiza kwa benzodiazepine, monga Valium, ndi mankhwala opweteka a opioid kumatha kuyambitsa kutopa, kupuma pang'ono, kukomoka, ndi kufa.

Uzani wothandizira zaumoyo wanu za mankhwala onse omwe mumamwa, kuphatikiza mankhwala, OTC, ndi mavitamini, kuti athe kudziwa ngati wopumulitsako minofu ndiotetezeka ndi mankhwala ena omwe mumamwa.

Opumitsa minofu ndi mowa

Osamamwa mowa mutamwa minofu. Mowa ndi zipsinjo zina za CNS zimatha kuyambitsa zowonjezera pamene zimaphatikizana ndi minofu yotsitsimula.

Machenjezo ena:

  • Osayendetsa kapena kugwiritsa ntchito makina mukamakhala ndi zotsitsimula.
  • Funsani dokotala wanu kapena wamankhwala ngati mungatenge minofu yanu yopumula ndi chakudya kapena chopanda kanthu m'mimba.
  • Ngati mukumwa minofu yotsitsimula ndipo muli ndi zizindikiro zosafunikira, monga ming'oma, kupuma movutikira, kapena kutupa kwa milomo, lilime, kapena pakhosi, pitani kuchipatala mwadzidzidzi.
  • Mukasiya kusakhazikika kwa minofu, funsani omwe akukuthandizani ngati akuyenera kuyiyika pang'onopang'ono. Zoletsa zina zamtundu wina zimatha kubweretsa zizindikiritso zakuletsa ngati zitayimitsidwa mwadzidzidzi.

Kodi mungamwe mankhwala opumulitsira minofu mukakhala ndi pakati kapena mukuyamwitsa?

Nthawi zambiri, zopumira minofu sizimaperekedwa kwa azimayi omwe ali ndi pakati. Palibe maphunziro okwanira kuti akhazikitse chitetezo mderali. Chifukwa chake, zopumulitsako minofu zimayenera kuperekedwa kokha ngati wothandizira zaumoyo awona kuti maubwinowa amaposa zoopsa. Zotulutsa minofu nthawi zambiri sizimagwiritsidwa ntchito poyamwitsa amayi. Funsani wothandizira zaumoyo wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena kuyamwitsa.

Kodi kupumula kwa minofu kumawongoleredwa?

Soma ndi Valium ali zinthu zolamulidwa . Izi zikutanthauza kuti ali ndi kuthekera kochitira nkhanza komanso kudalira. Pewani mankhwalawa ngati muli ndi vuto logwiritsa ntchito mankhwala osokoneza bongo. Zopumulitsazo zimakhala zosalamulirika.

Zotsatira zofala za minofu

Zotsatira zoyipa zimatha kusiyanasiyana ndi mankhwala ndi mlingo. Zotsatira zoyipa kwambiri za kupumula kwa minofu ndi monga:

    • Kugona kapena kutopa
    • Chizungulire
    • Kufooka
    • Mutu
    • Pakamwa pouma
    • Mavuto a GI (m'mimba) monga kupweteka m'mimba, nseru, kusanza, kudzimbidwa, kutsegula m'mimba
    • Kusokonezeka
    • Mantha
    • Kusokonezeka
    • Kugwedezeka
    • Kulumikizana kolakwika
    • Kukwiya
    • Tachycardia (kugunda kwamtima mwachangu)
  • Kusowa tulo
  • Mavuto amikodzo

Ili si mndandanda wathunthu wazovuta zomwe zingachitike. Zotsatira zina zoyipa zimatha kuchitika. Funsani dokotala wanu zovuta zomwe muyenera kuyembekezera komanso momwe mungazithetsere.

Kodi zotsitsimula zamafuta zimawononga ndalama zingati?

Zokhalitsa pamisempha zimakhala ndi mitengo yambiri pafupifupi $ 25 ( Valium wamba mpaka $ 226 ( general Skelaxin ), kutengera mankhwala, kuchuluka, ndi kuchuluka kwake. Popeza zotsitsimula zaminyewa zimapezeka mu generic, mutha kuyembekezera kulipira zocheperako poyerekeza ngati mukadalipira mnzake.

Ndondomeko za inshuwaransi zimaphimba minofu yambiri, ndipo mapulani a Medicare amasiyana. Fufuzani ndi dongosolo lanu lachidziwitso.

Mutha kugwiritsa ntchito mfulu nthawi zonse Khadi la SingleCare kuti musunge ndalama pamankhwala anu opumira pamankhwala aliwonse omwe akutenga nawo mbali. Omwe amapumulirako minofu amawononga $ 4 yokha ndi coupon yaulere ya SingleCare.