Othetsa ululu amphamvu khansa: mndandanda wa zinthu ntchito

Yoyenera ululu mankhwala thandizo khansa kusunga psycho-maganizo ndi thupi boma, lomwe ndi wokhoza kuononga ululu. Ndipotu, matenda chaka chilichonse amapha anthu mamiliyoni ambiri, ndipo ambiri a iwo mu magawo ina ya matenda ayamba mu ululu waukulu.

othetsa ululu amphamvu khansa: mndandanda wa mankhwala

Cancer odwala nthawi zambiri amadwala ululu chifukwa cha kukula kwa zotupa khansa, osachepera - kuchokera mankhwala khansa. Nthawi zina ululu si zokhudzana ndi matenda ndi machiritso ake.

Nthawi zambiri zimakhala zovuta kuti aone digiri ya ululu ndi funso n'lakuti, kodi ululu relievers khansa angathandize kuti tikwaniritse zotsatira zabwino. Zothandiza kwambiri anasonyeza kuti kulandira mankhwala monga:

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

Pamisinkhu kenako, ululu akhoza kusangalatsa njira yodalirika kwambiri. Ena mwa odwala amatha kuchepetsa matenda othetsa ululu zokha khansa mu gawo lotsiriza. Apa, njira yabwino kwambiri:

• "Oxycodone".
• "Tramadol."
• "Dionin".
• "Tramal".
• "Dyurogezika".
• MST-Continus.
• "Morphine".
• "Morphine" ndi ena ofanana.

Features wa ntchito mankhwala othetsa ululu

Pamisinkhu yosiyanasiyana ya ululu pali magulu osiyana a ndalama. Mankhwala mwina sanali chomwa mankhwalawa ndi chomwa mankhwalawa. Gulu loyamba zikuphatikizapo analgesics (ena mwa iwo alipo yekha ndi mankhwala). Gulu lachiwiri zikuphatikizapo opiates, amenenso ali osiyana mmene. Komabe, anapatsidwa kuti zotsatira chithandizo, othetsa ululu khansa ayenera kumwedwa malinga chiwembu ovomerezeka:

• Non-chomwa mankhwalawa mankhwala osakaniza adjuvant akuthandiza njira.
• opioids ofooka tandem ndi mankhwala chomwa mankhwalawa ndi kuthandizidwa.
• opioids amphamvu (morphine ndi analogues Hud) osakaniza ndi wothandizila si opioid ndi adjuvant.

Kugwiritsa ntchito uphungu umene facilitates kusankha moyenera Mlingo, motero kukwaniritsa ndi ubwino, zomwe kuvutika mtima.

Nthawi zambiri, ululu khansa relievers kutumikiridwa m'nsinga kapena intramuscularly, chifukwa ndi njira imeneyi zotsatira zimatheka nsanga kuposa wothandizila pamene tableted.

Zowawa zimene zigwirizana pamodzi ndi wodwalayo oncological pathologies, akhoza kugawidwa mu ofooka, sing'anga ndi amphamvu. Choncho, ndi ululu khansa m'magulu awiri: sanali chomwa mankhwalawa ndi mankhwala chomwa mankhwalawa. Yotsirizira angakhale ofooka ndi amphamvu. Mwamtheradi relievers onse ululu khansa akhoza pamodzi adjuvants monga ofunika zigawo akuthandiza khansa thupi mtima ndipo angathe kupititsa patsogolo zotsatira za mankhwala ofunikira.

Non-chomwa mankhwalawa analgesics gulu

Analgesics khansa pa siteji oyambirira tichepetse Odwala matenda ululu popanda kutchulidwa mbali. mankhwala chomwa mankhwalawa amatha kubisa zinthu zokhudza maonekedwe a ululu. Komabe, iwo ndi malire analgesic ndi akawawonjezere mlingo sichichititsa zotsatira zabwino ndi kuonjezera zotsatira za zotsatira zoyipa pa thupi. Choncho othetsa ululu khansa akhonza kusankha dokotala. mankhwala onse gulu anawagawa kuwala ndi katundu.

Kuwala sanali chomwa mankhwalawa mankhwala ali othandiza magawo oyambirira a matenda pamene wodwala alibe kutchulidwa ululu syndrome. Kawirikawiri woyamba Kwalamulidwa othetsa ululu khansa, kuchepetsa mlingo wa ululu. madyedwe analimbikitsa:

• "Paracetamol".
• "Aspirin".
• "Sedalgin".
• "Pentalgin".
• "Phenazone".
• "Panadol"
• "Nurofen", "kuphethira" ndi ena.

Pakali pano, anayamba othetsa ululu khansa kuti akhoza kuvutika kwa odwala. Koma iwo angathe kuyambitsa zotsatira zoyipa, kotero muyenera kutsatira Mlingo ena.

zotsatira zoyipazi

"Analgin" akapatsidwa kuchuluka kwa maola mamiligalamu chikwi iliyonse atatu kapena anayi. Mlingo ndi mankhwala ena analgesic "paracetamol" kungakhale poyerekeza theka, ndi imeneyi pakati Mlingo ndi kuchuluka kwa maola asanu kapena asanu.

Zotsatira zake zoyipa za kutenga "ndi aspirin" ali m'kukoma thupi lawo siligwirizana, kuvutika m'mimba, matenda a dongosolo hemostatic, amene ali ndi udindo kwa mlingo wa clotting magazi.

Ndi ambiri osokoneza a "paracetamol" ndi analogues ake zingaoneke chiwindi kawopsedwe.

Kodi ululu relievers kuthandiza ndi khansara: mlingo pafupifupi mwamphamvu

Amphamvu chomwa mankhwalawa zikutanthauza dokotala n'kukulemberani, pamene alili worsens ndi ululu kwambiri. Pa nthawi imeneyi, phwando akuyamba:

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

Zolemba malire mphamvu ya mankhwala zimatheka osakaniza analgesics, makamaka pamene ululu wa kufala kwa metastases kwa fupa. Komabe, zotsatira za mankhwala si chomwa mankhwalawa okha, ndipo iwo sangathe kuchotsa ululu. Choncho, pamene tikusowa mtendere poipa Nkhondo imabwera othetsa ululu mphamvu khansa.

gulu mankhwala a othetsa ululu

mankhwala chomwa mankhwalawa amatchedwa zida zankhondo monga katundu polimbana ndi ululu. Akutumikira pokha pokha kwambiri, popeza osati kupweteka komanso amavutitsa mpaka kalekale kwa thupi la wodwalayo pa mlingo thupi ndi m'maganizo. Poika mankhwala chomwa mankhwalawa ayenera kutsatira ndondomeko okhwima, kuyambira ndi yophweka. Ndipo pamene izi salinso kuthandiza, kusuntha kwa othetsa ululu wamphamvu kwambiri. Khansa kulandira opioids ayenera kulamulira kupezeka dokotala amene oyang'anira kusintha mu chikhalidwe wodwalayo, ndipo vuto la tsankho kapena ambiri osokoneza, amapereka thandizo lofunika.

Opiates - gulu wapadera zipangizo ingagwiritsidwe ntchito pa zosiyanasiyana khansa. Mothandizidwa ndi opiates cropped amphamvu ndi zolimbitsa ululu. Nthawi zambiri ntchito mankhwala zoletsedwa kunyumba popanda kuyang'aniridwa ndi udindo zaumoyo.

Pamene nayenso adza kwa opiates, mankhwala kumachitika mogwirizana ndi mfundo yakuti: kuchokera ku Kuwala kwa amphamvu. Mu gulu loyamba la mankhwala chomwa mankhwalawa ndimatanthauza 'cholinga:

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

Pharmacological mtundu kukonzekera amenewa tableted, encapsulated, jekeseni. Pali madontho makandulo. Zotsatira kwambiri mofulumira zimatheka ndi jekeseni. Mlingo avareji opioid ndi ku mg ndi 50 100 pa intervals wa maola 4-6.

Makamaka pamene izo zinawonetsera ululu syndrome, pamene opioids kuwala salinso kupirira, kuthandiza mankhwala amphamvu chomwa mankhwalawa. Munthu wotere ntchito:

• "Fentanyl"
• "Buprenorphine"
• "Prosidola"
• "Norfina"
• "Dyurogezika"
• MST-Continus
• "Morphine"
• "Morphine" ndi ena ofanana.

Kugwiritsa ntchito mankhwala n'kogwiritsa kudalira, ndipo wodwalayo ayenera nthawi zonse kuwonjezera mlingo kukhalabe zotsatira.

ndalama zonse chomwa mankhwalawa akumasulidwa yekha ndi mankhwala, ntchito yawo mosamalitsa kulamulidwa ndi nkhani. Chifukwa mawu ndi oimira mtima likukwaniritsa mu pepala yoyenera ndi kupereka mbale ntchito. Magawowa ulamuliro wa mankhwala kuperekedwa ku zedi zochepa, cholinga kwa nyengo zina za nthawi.

Ngati mankhwala othetsa ululu chomwa mankhwalawa analamula kuti kudwala aliyense khansara, mankhwala amphamvu chomwa mankhwalawa amagwiritsidwa ntchito potengera mtundu wa khansa, mu Pofuna kukulitsa nkhaniyo osati kuvulaza mtima.

njira adjuvant

The adjuvant gulu (wothandiza) mankhwala omwe ndi zofunika kwambiri mu ntchito mankhwala opha, muli ndi kuchuluka kwa medicaments lathu osiyana. Pakuti mankhwala mabuku mwaluso kusankhidwa:

• corticosteroids ;
• odana ndi nkhawa kapena depressants;
• anticonvulsants;
• mankhwala;
• odana ndi yotupa;
• antipyretics.

Iwo apangidwa kumapangitsanso Mwachangu ndi imodzi kuchepetsa chiopsezo mavuto ku ntchito analgesics amphamvu Oncology.

M'mapapo khansa: kodi kuthetsa ululu?

M'mapapo khansa - chimodzi cha mawonetseredwe zambiri khansa, imene nthawi zambiri matenda mochedwa mu Inde, pamene kuchotsa ululu amathandiza othetsa ululu zokha. Wotchuka kwambiri ndi poika njira monga:

• "Fentanyl".
• "Morphine".
• "Omnopon".
• "Buprenorphine".

othetsa ululu amphamvu khansa ya m'mapapo anatengedwa moyang'aniridwa okhwima zachipatala.

khansa ya mmimba: mmene kuvutika?

othetsa ululu amphamvu ndi khansa ya mmimba komanso chimaika komanso limayang'anira dokotala. Kaŵirikaŵiri amalangiza kuti:

• "Morphine".
• "Fentanyl" kapena "Alfantanila"
• "Oxycodone" kupweteka kwa minofu fupa.
• "Methadone" kupweteka kwa zimakhala mitsempha.

othetsa ululu amphamvu amasankhidwa zochokera zinthu payekha ndi kutanthauzira za matenda ululu.

Mankhwala oletsa ululu a khansa ya m'mawere

Mwachilungamo ambiri anapeza khansa. Analgesic khansa chifuwa monga momwe dokotala, potengera chikhalidwe ambiri wodwala. Zotsatira zabwino ndi zotsatira osachepera aakulu mbali anati tikadwala:

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

Komanso ananena kuti mlingo zolondola mankhwala mu zotupa ngati ena akazi musati chifukwa kudalira ndi kufunika mlingo waukulu.

Malamulo yaikulu ya mankhwala ochititsa dzanzi

Kuti tikwaniritse zotsatira pazipita sanaphe othetsa ululu ayenera kutsatira malamulo:

• Othetsa ululu khansa ayenera kumwedwa, kutsatira ndandanda okhwima ndi mlingo. Zimenezi zimathandiza kuti tikwaniritse zotsatira pazipita ndi osachepera kuchuluka tsiku.
• Kumwa mankhwala ayenera kuyamba kuunika ndi pang'onopang'ono kusuntha kwa mphamvu.
• Amafuna ntchito njira wothandiza okhoza patsogolo zotsatira ndi kuchepetsa akuti mavuto.
• Kuchititsa kupewa mavuto mankhwala.

Mankhwala ochititsa chigamba ku Oncology

Nthawi zina anthu ndi khansara ayenera kugwiritsa ntchito analgesics mofulumira kuchita. "Fentanyl" ndi zothandiza kwambiri matenda aakulu ululu. Ndipo ngati pazifukwa zina wodwala akhoza kukhala ndi kuwombera, inu ndi anthu chigamba ndi mankhwala.

Ku zigawo chigamba othetsa ululu kuima masiku atatu. Mwachangu apamwamba zimatheka pambuyo maola 12 pambuyo anakuta. Mlingo kuchita masamu payekha, koma chinthu chofunika kwambiri ndi m'badwo.

Mankhwala ochititsa chigamba amathandiza pa nthawi imene wodwala kovuta kumeza kapena kudya chifukwa cha kuwonongeka kwa mitsempha. Kwa ena odwala, mtundu wa mankhwala oletsa ululu yabwino basi.

zotupa zilonda ndi metastases chifukwa inasinthiratu ndi kunyoza minofu wathanzi. misempha Choncho kuonongeka ndi kutupa zidzachitika, limodzi ndi ululu. Kuti njira inayake wodwalayo kukhala chikhalidwe chake m'maganizo ndi m'thupi pamene mankhwala ndi wothandizila mankhwala ochititsa akutumikira. Kodi ululu relievers akhoza kukhala khansa, dokotala amasankha payekha malinga siteji ya matenda ndi chiwopsezo kwa yogwira zosakaniza.