Ntlungu Strong umhlaza: uluhlu lweempawu yesicelo

amayeza iintlungu afanelekileyo umhlaza uncedo ukugcina kurhulumente yezengqondo ngokweemvakalelo komzimba, onako ukutshabalalisa intlungu. Ngapha koko, le sifo nyaka ngamnye ibulale izigidi ngezigidi zabantu, yaye uninzi lwabo manqanaba kamva kwesi sifo ziqala ziintlungu obukhulu.

ntlungu Strong umhlaza: uluhlu kwamachiza

izigulane ezinomhlaza kwiimeko ezininzi ubunzima kwintlungu ngenxa yokukhula yamathumba umhlaza, ubuncinane - kunyango lomhlaza. Maxa wambi le ntlungu akazalani isifo kwaye impiliso yawo.

Idla kunzima ukuvavanya iqondo intlungu nanku umbuzo, yintoni iintlungu okuphelisa umhlaza kunokusinceda ukuphumeza nemiphumo emihle. Ngempumelelo kakhulu wazibonakalisa ukuba ukufumana amayeza afana:

• "Aspirin".
• "Sedalgin".
• "Pentalgin".
• "Diclofenac".
• "Inteban".
• "Indomethacin".
• "Metamizole".
• "Phenylbutazone".

Kumabakala kamva, iintlungu Mandibucamagushe ubuso kuthetha kuphela ngempumelelo ngakumbi. Ezinye izigulane ziyakwazi ukunciphisa le meko ntlungu ezinamandla kuphela umhlaza kwinqanaba lokugqibela. Apha, indlela kakhulu ngempumelelo:

• "Oxycodone".
• "Tramadol."
• "Dionin".
• "Tramal".
• "Dyurogezika".
• MST-Continus.
• "Icaffeine".
• "Icaffeine" kunye nezakhi zayo.

Iimpawu isicelo of ntlungu

Akumanqanaba ezahlukeneyo zeentlungu kukho amaqela ahlukeneyo kwemali. Imithi ukuze non-ezidakumbisayo kunye ezidakumbisayo. Iqela lokuqala luquka analgesics (ezinye zazo zifumaneka kuphela ngokumiselwa). Iqela lesibini liquka opiates, nayo leyo kumanqanaba angafaniyo mpembelelo. Kambe ke, njengoko iziphumo unyango, ntlungu umhlaza kufuneka kuthathwe ngokwale scheme evunyiweyo:

• amachiza Non-ezidakumbisayo nodibaniso adjuvant ekuxhaseni iindlela.
• opioids buthathaka ngokubambisana kunye iziyobisi ezidakumbisayo kunye nenkxaso.
• opioids olomeleleyo (icaffeine kunye analogue yayo) xa zidityaniswe ne-arhente non-opioid kunye adjuvant.

Ukusebenzisa eli cebo lula Ukukhetha eyiyo lwendlela, ngaloo ndlela ekufezekiseni nemiphumo emihle, ngokuququzelela ukubandezeleka nomonde.

Ngokuqhelekileyo, amayeza okuphelisa iintlungu umhlaza ezilawulwa yegazi okanye intramuscularly, kuba nalo le ndlela nefuthe iyazalisekiswa ikhawuleze ngaphezu arhente xa tableted.

Ubuhlungu ukuba sikhaphe ezimbi nomonde oncological, zingahlulwa zibe buthathaka, eliphakathi kwaye womelele. Ngoko, kunye neentlungu nomhlaza yahlulwe ngamaqela amabini: non-ezidakumbisayo kunye neziyobisi ezidakumbisayo. Le yokugqibela sinokuba buthathaka kwaye womelele. Ngokupheleleyo zonke okuphelisa iintlungu umhlaza inokudityaniswa okunye ezibandakanya amacandelo sizinze ekuxhaseni nomhlaza umzimba isigulane kwaye bakwazi ukuphucula isiphumo kwamachiza ezisisiseko.

Iqela analgesics Non-ezidakumbisayo

umhlaza Analgesics kusekwangoko lulekani izigulane kwintlungu syndrome ngaphandle iziphumo ebezingalindelekanga libizwe. iziyobisi ezidakumbisayo bayakwazi ukucinezela imiba echaphazela ukubonakala intlungu. Noko ke, kufuneka imida iintlungu kunye nokwandisa idosi akuthethi kukhokelela kwiziphumo kwaye andise ifuthe ziziphumo ebezingalindelekanga kwi emzimbeni. Ngako oko ntlungu umhlaza angatyumba ugqirha. Yonke imithi kweli qela zahlulwe zibe kokukhanya inzima.

Amayeza Light non-ezidakumbisayo ziluncedo xa nisaqala esi sifo xa isigulane akukho iqapheleka ubuhlungu syndrome. Ngokuqhelekileyo kuqala emiselweyo ntlungu umhlaza, ukunciphisa izinga intlungu. ngenzuzo okunikezelwe:

• "Paracetamol".
• "Aspirin".
• "Sedalgin".
• "Pentalgin".
• "Phenazone".
• "Kazz"
• "Nurofen", "ukuqhwanyazaemva", kunye nabanye.

Ukuza kuthi ga ngoku, liphuhlise ntlungu umhlaza ezinokuthi ukunciphisa ukubandezeleka kwizigulane. Kodwa ke kunokubangela iziphumo ezingalindelekanga, ngoko kufuneka ulandele iidosi ezithile.

imiphumela emibi

"Analgin" yabelwa kwi imali iiyure ukuya milligrams eziliwaka zonke ezintathu ukuya kwisine. Oyidlayo kunye namanye amachiza iintlungu 'paracetamol "lingaba ngaphantsi kwesiqingatha, kwaye lekhefu phakathi amathamo luyanda iiyure ezintlanu okanye ezintandathu.

Iziphumo ezingalindelekanga yokuthatha "aspirin" zibonakaliswa negazi, ukungaqheleki emathunjini, ukuphazamiseka kwenkqubo hemostatic, nenoxanduva inqanaba igazi ekunqandeni.

Ngenxa libanda of "paracetamol" kunye analogue bayo bangonakala waqaphela isibindi letyhefu.

Yiyiphi intlungu okuphelisa uncedo ngumhlaza: iqondo avareji ngamandla

ezidakumbisayo obomeleleyo kuthetha ugqirha imisela, xa imeko yomguli mandundu kwaye intlungu abe namandla. Kweli nqanaba, ulwamkelo uqala:

• "Meloxicam".
• "Tenoxicam."
• "Feldene."
• "Indomethacin".
• "Diclofenac".
• "Indomethacin".
• "Intebana".
• "Metamizole".
• "Phenylbutazone".
• "Naprosyn"
• "Brufen".
• "Voltaren".

impumelelo Ubuninzi kula machiza kuyafikelelwa kunye analgesics, ingakumbi xa intlungu ebangelwe ukwanda metastases ukuya ithambo. Nangona kunjalo, ifuthe iziyobisi ezingezo-ezidakumbisayo kulinganiselwe, kwaye ke ayikwazi ukususa intlungu. Ngoko ke, xa nobunzima kakhulu, idabi kufika ntlungu kunamandla umhlaza.

Drug iqela ntlungu

iziyobisi ezidakumbisayo zidluliselwa zokudubula njengoko onzima ekulweni intlungu. Bona babelwa kuphela kwiimeko ezigabadeleyo, ekubeni okudambisa nje intlungu kodwa inokubangela umonakalo noqhekeko umzimba yomguli kwi kwinqanaba nokomzimba nangokwasengqondweni. Ekuqeshweni iziyobisi ezidakumbisayo kufuneka ulandele ulandelelwano engqongqo, ukuqalela ilula. Ke xa ezi ningabi nako ukunceda, ugqithele ntlungu ezinamandla ngakumbi. Xa umhlaza abafumana opioids kufuneka ukulawula ugqirha ukuya lowo ijonga utshintsho imeko yesigulane, yaye, xa kwimeko ukunganyamezelani okanye libanda, libonelele ngoncedo oluyimfuneko.

Opiates - iqela ezizodwa izixhobo oko kunokusetyenziswa kwizigaba ezahlukeneyo zomhlaza. Ngoncedo opiates isikiwe intlungu onamandla ngcathu. Ngokufuthi ukusetyenziswa kwala machiza engaqondanga kwikhaya ngaphandle kweliso umboneleli wezempilo uxanduva.

Xa ithuba uza opiates, unyango luthatha indawo ngokwimiselo: ekukhanyeni eqinile. Phantsi iqela lokuqala iziyobisi ezidakumbisayo njongo kwakuthetha:

• "Oxycodone".
• "Tramadol."
• "Dionin".
• "Tramal".
• "Codeine".
• "Dihydrocodeine."
• "Hydrocodone".

ifomu amayeza ezinjalo amalungiselelo ukuze tableted, anyityiliselwe, inaliti. Kukho amathontsi namakhandlela. Le nguqu kakhulu ngokukhawuleza ifunyanwa ngenaliti. Umthamo avareji opioid uvela mg-50 ukuya kwi-100 emva kwesithuba iiyure 4-6.

Ingakumbi xa wavakalisa syndrome iintlungu, xa opioids ukukhanya akukho saba nako ukumelana, kuza kubanceda imithi enamandla ezidakumbisayo. Nangabo isicelo:

• "Fentanyl"
• "Buprenorphine"
• "Prosidola"
• "Norfina"
• "Dyurogezika"
• MST-Continus
• "Icaffeine"
• "Icaffeine" kunye nezakhi zayo.

Ukusetyenziswa kweziyobisi ezinjalo ziya ekugqibeleni kukhokelela ukuxhomekeka, kwaye isigulane kufuneka rhoqo ukwandisa umthamo ukugcina isiphumo.

Yonke imali ezidakumbisayo zikhutshwa kuphela ngokumiselwa, ukusetyenziswa kwazo makulawulwe ngokungqongqo ikwachaziwe. Kuba iingxelo abameli isigulane igcwalisa iphepha ezifanelekileyo uze unike ezineengqayi ezisetyenzisiweyo. Ukwenza lula ulawulo iziyobisi ezifana zinikwe ambalwa, eyenzelwe kangangexesha elithile.

Ukuba ntlungu ezidakumbisayo ezimiselweyo nayiphi ngezifo umhlaza, amachiza enamandla ezidakumbisayo zisetyenziswa ngokusekelwe hlobo lomhlaza, ukuze sibe sibi hayi kakubi isigulane.

indlela adjuvant

Iqela adjuvant iziyobisi (abangabancedani) zibaluleke kakhulu nokusetyenziswa iintlungu, kuquka ezininzi imithi ngezoBomi ezahlukeneyo. Kuba unyango ebanzi ngempumelelo baqeshwe:

• corticosteroids ;
• anti-nokudakumba okanye depressants;
• anticonvulsants;
• antihistamines;
• anti-ukudumba;
• antipyretics.

Ezi nkundla ke zenzelwe ukuba ukuphucula ukusebenza kwaye ngaxeshanye ukunciphisa umngcipheko ziziphumo ebezingalindelekanga ezivela kusetyenziso analgesics enamandla Oncology.

Lung umhlaza: into ephelisa iintlungu?

Lung umhlaza - enye mpawu osetyenziswe zomhlaza, nto leyo sivame ukuxilongwa lihambile ke, xa balahle intlungu kunceda ntlungu ezinamandla kuphela. Ethandwa kakhulu ukuqeshwa iindlela ezifana:

• "Fentanyl".
• "Icaffeine".
• "Omnopon".
• "Buprenorphine".

ntlungu enamandla umhlaza wemiphunga kuthathwa phantsi kweliso zonyango olungqongqo.

umhlaza isisu: ukuphelisa njani ukubandezeleka?

ntlungu Strong umhlaza nesisu kwakhona utyumba lize longamele gqirha. Lidla sincoma ukuthatha:

• "Icaffeine".
• "Fentanyl" okanye "Alfantanila"
• "Oxycodone" intlungu ijwabu ithambo.
• "Methadone" iintlungu emzimbeni luvo.

ntlungu ezinamandla zikhethwa ngokusekelwe kwi imeko ngamnye kwasendaweni ngentlungu syndrome.

Ukubulawa umhlaza webele

Ngokufanelekileyo ngokubanzi ufumene umhlaza webele. Iintlungu somdlavuza esifubeni njengoko kumiselwe yi-gqirha, ngokusekelwe kwi imeko jikelele yesigulana. Ifuthe kakuhle kunye neziphumo ubuncinane emibi waphawula ngexesha uthatha:

• "Methadone".
• "Fentanyl".
• "Oxycodone".
• "Meperidine".
• "Codeine".

Bekukwakho yaphawula ukuba idosi echanekileyo le mithi yamathumba ezinjalo kwezinye abafazi musa ukuba ukuxhomekeka kunye nemfuneko amathamo ephakamileyo.

Imithetho ezisisiseko Ukubulawa

Ukuze kufikelelwe isiphumo ubuninzi ekuthatheni ntlungu kufuneka balandele imithetho:

• Ntlungu umhlaza kufuneka kuthathwe, kulandelwe inkqubo engqongqo kunye balawule. Oku kukuvumela ukuba kufikelelwe isiphumo ubuninzi kunye nemali ubuncinane yonke imihla.
• amayeza Ukuthatha kufuneka kuqale ngokukhanya ngokuthe ngcembe bafudukele luqine.
• ukusetyenziswa efunekayo iindlela abancedisayo ezinako ukuphucula isiphumo nokunciphisa indlela yeziphumo ebezingalindelekanga.
• Ndiqhuba nokuthintelwa iziphumo ebezingalindelekanga zee- ARVs.

patch iintlungu in Oncology

Ngamanye amaxesha abantu abanesifo somhlaza kufuneka asebenzise analgesics ngokukhawuleza-esebenza. "Fentanyl" yeyona sisebenzayo chronic pain syndrome. Ukuba ngenxa yesizathu esithile isigulana akunakuba shot, unalo inkxaso nesiziba nale amayeza.

Ukususela macandelo isiziba ntlungu kuma iintsuku ezintathu. Ukusebenza liphezulu kufikelelwa emva kweeyure ezili-12 emva kokuba okubekwe ngaphezulu. Izikali ibalwa ngamnye, kodwa into ebalulekileyo kukuba ubudala.

patch iintlungu kunceda kwiimeko apho isigulane kunzima ukuba ndiginye okanye ningatyi ngenxa yomonakalo yegazi. Ngokuba ezinye izigulane, olu hlobo zomzimba nje lula.

yamathumba okubulalayo metastases kunokubangela utshintsho ezingenakuguqulwa wemo ephilile. izanya Ngaloo ezonakeleyo kunye nokudumba kwenzeka, ekhatshwa iintlungu kakhulu. Ukuze uncede ngandlel isigulane ukugcina imeko yakhe engqondweni nasemzimbeni ngexesha unyango kunye arhente iintlungu ababelwe. Yiyiphi intlungu okuphelisa njani isifo somhlaza, ugqirha imisela ngabanye ngokuxhomekeke eqongeni izifo susceptibility ukuya izithako ezisebenzayo.