Hababka Caadiga ah ee Daaweynta Xanuunka Aafada Xanuunka ah
Daweynta xanuunka dareenka ee daba dheeraada ayaa noqon karta caqabad, sababtoo ah sababtu marwalba lama fahmin. Calaamadaha xanuun joojiyaha ah ee keligood loo isticmaalo, sida NSAIDs, ayaa badanaa aan waxtar lahayn marka la daaweynayo noocyadan xanuunka; Si kastaba ha noqotee, habka daaweynta mabaadi'da ah ayaa sii deyn kara calaamadaha xanuunka xanuunka hoos u dhigaya. Nidaamkan waxaa ka mid ah daawada xanuun joojiyaha ah, dawooyinka xanuunka aan caadiga ahayn, iyo daaweynta xanuunka kale ee la xiriira.
Daaweynta Xanuunka Dhakhsaha ee Neuropathic - Qalabaynta La-qabsashada
Cudurka dhegaha , sida anticonvulsants iyo antidepressants, ayaa badanaa la dagaalami kara dareemayaasha neuropathic. Sababtoo ah daawooyinkan waxaa loogu talagalay in lagu daweeyo xaalado aan ahayn xanuunka, isticmaalka daaweynta xanuunka neuropathic waxaa loo yaqaan "off-label". Laakiin ha u ogolaanin in ay kaa welwelaan: Dhibaatooyin badan oo daaweyn ah ayaa xaqiijiyay in ay wax ka tarayaan daaweynta calaamadaha xanuunka dareenka ee dareenka ah marka loo eego xanuun joojiyaha caadiga ah.
Anticonvulsants daaweynta xanuunka dareemaha:
- Gabapentin (Neurontin)
- Pregabalin (Lyrica)
- Carbamazepine (Tegretol)
- Oxcarbazepine (Trileptal)
- Phenytoin (Dilantin)
- Qaadashada (Depacon)
- Lamotrigine (Lamictal)
Dawooyinka liddi ku ah niyadjabka ee loo isticmaalo daweynta xanuunka dareemaha:
- Amitriptyline (Elavil)
- Nortriptyline (Aventyl)
- Desipramine (Norpramin)
- Citalopram (Celexa)
- Fluvoxamine (Luvox)
- Fluoxetine (Prozac)
- Paroxetine (Paxil)
- Duloxetine (Cymbalta)
- Venlafaxine (Wax-qabad)
Daaweynta Xanuunka Dhakhsaha ee Neuropathic - Xanuun Dhaqameed
Xaalado badan, xanuun joojiyaha dhaqameed ee kaligood keligiis ma awoodo inuu xakameynayo calaamadaha xanuunka dareenka ee gebi ahaanba.
Tani waa sababta oo ah xanuun badan oo xanuun joojiye ah, sida NSAIDs, bartilmaameedka bararka, taas oo laga yaabo inay noqon karto ama aysan noqon karin sababta xanuunka dareenka. Si kastaba ha noqotee, qaar xanuun joojiyaha ah ayaa kaalin ka qaata daaweynta xanuunka dareen-dheer. Waxaa loo isticmaali karaa marka qalal-xanuunka aan dheellitirnayn, ama lagu daro anticonvulsants ama antidepressants.
- NSAIDs . NSAIDs keliya ayaa laga yaabaa inaanay waxtar ku laheyn daaweynta xanuunka neeropathic ; Si kastaba ha noqotee, dadka qaarkood, bararka ayaa xanuunka dareemaya ka sii daraa. NSAIDs, sida Ibuprofen (Advil) ama naproxen ( Aleve ), waxaa lagu dari karaa daaweynta xanuunka kale waxaana laga yaabaa inay gacan ka geysato kantaroolka xanuunka.
- Acetaminophen . Acetaminophen (Tylenol) waxaa loo isticmaali karaa isku-dhafan si loo xakameeyo xanuunka neuropathic, ama waxaa loo isticmaali karaa xanuunka qatarta ah . Qaar ka mid ah daawooyinka opioids ee loo isticmaalo daaweynta xanuunka neuropathic ayaa sidoo kale ku jira acetaminophen.
- Opioids . Opioids waxaa laga yaabaa in loo qoro daaweynta xanuunka neuropathic ee daran, ama sida safka ugu dambeeya ee difaaca marka xanuunka 'analgesics' uu ku fido xanuunka. A "daciif" opioid caadi ahaan loo qoro xanuunka neuropathic waa tramadol (Ultram); Si kastaba ha noqotee, xoogaga opioids ayaa sidoo kale laga yaabaa in loo baahdo.
- Analgesics maaddooyinka . In kasta oo aanay had iyo jeer wax ku ool lahayn, dadka qaba xanuunka neuropathic ayaa ka caawinaya daawooyinka xanuunka dibadda, oo ay ku jiraan lidocaine iyo capsaicin. Xanuunnada maadada jirka ah waxaa lagu dari karaa daawooyinka kale.
Daaweynta Xanuunka Neerarka Neerarka - Fursadaha Kale
Daawooyinka ma aha jawaab kaliya marka ay timaado daaweynta xanuunka neuropathic. Qaar ka mid ah xulashooyinka kale ee loo isticmaali karo kali ahaan, ama la jaan qaadaya xanuun joojiyaha, waxaa ka mid ah:
- Daawaynta jirka
- Xayawaanka Neerarka
- Kicinta laf-dhabarka
- Qaliinka xididdada
Daawada dhammeystiran iyo daaweyn kale (CAM) ayaa sidoo kale ku caawin karta daawaynta xanuunka neuropathic, oo ay ku jiraan acupuncture iyo daawooyinka dhirta . In kastoo inta badan CAM-yada aysan u baahnayn daawo, waa inaad weli la hadashaa dhakhtarkaaga ka hor inta aadan bilaabin wax daaweyn ah oo cusub ee xanuunka dareemayaasha.
Ilaha:
Tilmaamaha Qaran Clearinghouse. Tilmaamaha EFNS ee Daaweynta Faragalka ee Xanuunka Neerarka. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10472&nbr=5495
Foundation Foundation Pain Foundation. Xanuunka Neuropathic: Daawooyinka. http://www.painfoundation.org/
Macluumaadka Merck ee buugaagta caafimaadka ee internetka. Xanuunka neuropathic. http://www.merckmanuals.com/professional/neurologic-disorders/pain/neuropathic-pain