Cov tshuaj rau mob rov qab

Mob nraub qaum feem ntau dhau mus nws tus kheej hauv ntau lub lis piam. Nyob hauv qee leej neeg, mob nraub qaum. Nws yuav tsis ploj mus kiag li lossis nws yuav mob ntau lub sijhawm.

Cov tshuaj noj kuj tuaj yeem pab ua kom mob nrob qaum.

OVER-LUB-TXOJ KEV XEEM RELIEVERS

Khw muag khoom txhais tau tias koj tuaj yeem yuav lawv yam tsis tas yuav tshuaj.

Cov kws kho mob feem ntau pom zoo kom acetaminophen (xws li Tylenol) ua ntej vim tias nws muaj feem cuam tshuam tsawg dua lwm cov tshuaj. Tsis txhob noj ntau dua 3 gram (3,000 mg) nyob rau ib hnub, lossis tshaj 24 teev. Noj tshuaj ntau dhau ntawm cov tshuaj acetaminophen tuaj yeem ua rau koj lub siab mob nyhav. Yog tias koj twb muaj kab mob siab, nug koj tus kws kho mob yog tias Acetaminophen tsis ua li cas rau koj noj.

Yog tias koj mob ntxiv mus, koj tus kws kho mob yuav qhia cov tshuaj tiv thaiv tsis cuam tshuam (NSAIDs). Koj tuaj yeem yuav qee cov NSAIDs, xws li ibuprofen thiab naproxen, yam tsis muaj daim ntawv yuav tshuaj. NSAIDs pab txo qhov o o ntawm daim tawv nqaij o lossis mob caj dab.

NSAIDs thiab acetaminophen nyob rau hauv cov koob tshuaj ntau, lossis yog siv sijhawm ntev, tuaj yeem tsim kev phiv loj heev. Cov kev mob tshwm sim suav nrog kev mob plab, mob rau sab hauv los ntshav, thiab lub raum lossis mob siab. Yog tias muaj kev mob tshwm sim, tsum tsis txhob noj cov tshuaj tam sim ntawd thiab qhia koj tus kws kho mob.

Yog tias koj noj tshuaj kho mob ntau dua ib lub lim tiam, qhia koj tus kws kho mob. Koj yuav tsum tau saib xyuas cov phiv.

NARCOTIC XIM RELIEVERS

Narcotics, tseem hu ua tshuaj pleev xim opioid, tsuas yog siv rau cov mob uas mob hnyav thiab tsis pab los ntawm lwm yam tshuaj pleev xim. Lawv ua haujlwm zoo rau lub sijhawm luv luv. Tsis txhob siv lawv rau ntau dua 3 txog 4 asthiv tshwj tsis yog koj tus kws kho mob hais kom ua.

Narcotics ua haujlwm los ntawm khi rau cov receptors hauv lub hlwb, uas thaiv qhov hnov ​​mob. Cov tshuaj no tuaj yeem tsim txom thiab yog tus tsim qauv. Lawv tau cuam tshuam nrog kev sib tsoo dhau los thiab kev tuag. Thaum siv kom zoo zoo thiab nyob rau hauv kev saib xyuas ntawm tus kws kho mob ncaj qha, lawv tuaj yeem ua haujlwm txo qis mob.

Piv txwv li cov tshuaj yeeb muaj xws li:

• Codeine
• Fentanyl - muaj li ib thaj
• Hydrocodone
• Hydromorphone
• Morphine
• Oxycodone
• Tramadol

Muaj kev phiv tshuaj los ntawm cov tshuaj no suav nrog:

• Kev nkees nkees
• Kev txiav txim tsis zoo
• Xeev siab los ntuav
• Cem quav
• Khaus
• Ua pa qeeb qeeb
• Kev quav

Thaum noj cov tshuaj yeeb dej cawv, tsis txhob haus cawv, tsav tsheb, lossis tsav lub tshuab hnyav.

YUAV TSUM RELAXANTS

Koj tus kws kho mob yuav sau ntawv tawm tshuaj uas hu ua ua cov leeg cov leeg tawm suab. Txawm hais tias nws lub npe, nws tsis ua haujlwm ncaj qha rau cov leeg. Hloov chaw, nws ua haujlwm los ntawm koj lub hlwb thiab tus txha caj qaum.

Cov tshuaj no feem ntau muab nrog rau cov tshuaj tiv thaiv mob kom txo qis cov tsos mob rov qab mob lossis mob leeg nqaij.

Piv txwv ntawm cov leeg ua kom nqaij ntshiv xws li:

• Carisoprodol
• Cyclobenzaprine
• Diazepam
• Methocarbamol

Cov kev mob tshwm sim ntawm cov leeg ua kom cov leeg ua ke thiab suav nrog tsaug zog, kiv taub hau, tsis meej pem, xeev siab thiab ntuav.

Cov tshuaj no tuaj yeem yog qhov cwj pwm-tsim. Tham nrog koj tus kws kho mob ua ntej siv cov tshuaj no. Lawv yuav cuam tshuam nrog lwm cov tshuaj lossis ua rau qee yam kev mob nkeeg tsis zoo.

Tsis txhob tsav tsheb lossis tsav tshuab hnyav thaum noj cov nqaij leeg. Tsis txhob haus dej cawv thaum noj cov tshuaj no.

COV TSWV YIM

Cov tshuaj tiv thaiv kev ntxhov siab ib txwm siv los kho cov tib neeg uas muaj kev ntxhov siab. Tab sis, kev noj tshuaj tsawg kawg ntawm cov tshuaj tuaj yeem pab mob qog qis, txawm hais tias tus neeg tsis hnov ​​tu siab los yog mob siab.

Cov tshuaj no ua haujlwm los ntawm kev hloov qib hauv qee yam tshuaj hauv koj lub hlwb. Qhov no hloov txoj hauv kev koj lub hlwb kev hnov ​​mob. Cov tshuaj tiv thaiv kab mob feem ntau siv rau mob qog duav qis kuj tseem pab koj tsaug zog.

Cov tshuaj tiv thaiv kev ntxhov siab feem ntau siv rau mob nraub qaum yog:

• Amitriptyline
• Desipramine
• Duloxetine
• Imipramine
• Nortriptyline

Cov kev mob tshwm sim feem ntau suav nrog lub qhov ncauj qhuav, cem quav, pom kev plooj plooj, qhov hnyav, pw tsaug zog, teeb meem tso zis, thiab teeb meem kev sib deev. Tsawg tsawg dua, qee cov tshuaj no tuaj yeem ua rau mob plawv thiab mob ntsws.

Tsis txhob noj cov tshuaj no tshwj tsis yog koj nyob hauv kev saib xyuas ntawm tus kws khomob. Tsis txhob tsum tsis txhob noj cov tshuaj tam sim ntawd lossis hloov cov tshuaj yam tsis tau tham nrog koj tus kws kho mob.

TXHEEJ TXHEEM LOSSIS LOSSIS LOSSIS LOS LICAS TSHUAJ KHO MOB KHEES

Cov tshuaj anticonvulsant siv los kho cov neeg mob qaug dab peg lossis mob vwm. Lawv ua haujlwm los ntawm kev hloov pauv cov hluav taws xob hauv lub hlwb. Lawv ua hauj lwm zoo tshaj plaws rau qhov mob uas yog mob los ntawm cov hlab.

Cov tshuaj no yuav pab tau qee tus neeg uas muaj kev mob siab ntev ua rau lawv ua haujlwm nyuaj, lossis mob uas cuam tshuam nrog lawv cov haujlwm txhua hnub. Lawv kuj tseem tuaj yeem pab daws cov mob radiating uas muaj kev cuam tshuam nrog cov teeb meem tom qab.

Cov tshuaj Anticonvulsants feem ntau siv los kho qhov mob nyhav yog:

• Carbamazepine
• Gabapentin
• Lamotrigine
• Pregabalin
• Valproic acid

Cov kev mob tshwm sim suav nrog kev rog lossis poob ceeb thawj, mob plab, tsis qab los, ua pob rau ntawm daim tawv nqaij, tsaug zog lossis hnov ​​yoob tag, nyuaj siab, thiab mob taub hau.

Tsis txhob noj cov tshuaj no tshwj tsis yog tias koj nyob hauv ib tus kws khomob saib xyuas. Tsis txhob tsum tsis txhob noj cov tshuaj tam sim ntawd lossis hloov qhov noj yam tsis tau tham nrog koj tus kws kho mob.

Corwell BN. Mob nraub qaum. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 32.

Dixit R. Qaug siab mob qis. Hauv: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelly thiab Firestein Cov Ntawv Phau Ntawv ntawm RheumatologyCov. 10 tus ed. Philadelphia, PA: Elsevier; 2017: chap 47.

Malik K, Nelson A. Txheej txheem cej luam ntawm cov kev mob nraub qaum. Hauv: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Qhov tseem ceeb ntawm Cov Tshuaj Kho MobCov. 4 tug ed. Philadelphia, PA: Elsevier; 2018: chap 24.