Daim ntawv tshaj tawm tshiab hais tias Cov poj niam tuaj yeem muaj kev pheej hmoo siab dua rau kev mob ntshav qab zib
Zoo Siab
Lub qab ntuj khwb, zoo li, yog ib tug sib npaug opportunist thaum nws los txog rau mob. Txawm li cas los xij muaj qhov sib txawv tseem ceeb ntawm cov txiv neej thiab poj niam ob qho tib si hauv lawv qhov kev mob thiab lawv teb li cas rau kev kho mob. Thiab tsis nkag siab cov kev sib txawv tseem ceeb no yuav ua rau poj niam muaj kev pheej hmoo muaj teeb meem ntau dua, tshwj xeeb tshaj yog thaum nws los txog rau cov tshuaj muaj zog opioids, zoo li Vicodin thiab OxyContin, hais tias tsab ntawv ceeb toom tshiab.
Nrog rau kev kis tus kab mob opioid nyob rau hauv tag nrho viav vias-tshuaj tshuaj tua kab mob ua rau ntau dua 20,000 tus neeg tuag ntau dhau xyoo 2015 ib leeg-poj niam yuav muaj kev phom sij ntau dua los ua neeg quav yeeb quav tshuaj, raws li "Tebchaws Meskas rau Kev Tsis-Dependence: Kev Tshawb Fawb Txog Kev cuam tshuam ntawm Opioid Overprescribing hauv America,"ib tsab ntawv tshaj tawm hnub no los ntawm Plan Against Pain. Hauv nws, cov kws tshawb fawb tau saib cov ntaub ntawv ntawm ntau lab tus neeg Asmeskas uas tau phais xyoo 2016 thiab tau muab cov tshuaj kho mob raug cai los ntawm lawv cov kws kho mob. Lawv tshawb pom tias 90 feem pua ntawm cov neeg mob uas tau phais tau txais daim ntawv xaj tshuaj opioids, nrog qhov nruab nrab ntawm 85 ntsiav tshuaj rau ib tus neeg.
Tab sis yog tias cov ntaub ntawv no tsis txaus ntshai, lawv pom tias cov poj niam tau sau cov tshuaj no mus txog 50 feem pua ntau tshaj li cov txiv neej, thiab cov poj niam muaj 40 feem pua yuav ua rau cov neeg siv tshuaj ntau dua li cov txiv neej. Qee qhov tsis txaus ntseeg: Cov poj niam hluas tau muaj kev phom sij tshaj plaws tom qab phais lub hauv caug, nrog ze li ib feem peb ntawm lawv tseem noj tshuaj kho mob rau lub hlis tom qab ua haujlwm. (Tsis txhob hais, cov poj niam feem ntau yuav rhuav lawv ACL.)Cov poj niam uas muaj hnub nyoog tshaj 40 xyoo kuj tseem yuav tau txhaj tshuaj thiab feem ntau yuav tuag los ntawm kev noj tshuaj ntau dhau. Cov khoom txaus ntshai.
Tsuas tso? Cov poj niam tau txais tshuaj tua kab mob ntau dua thiab lawv muaj feem yuav ua rau lawv muaj kev quav yeeb quav tshuaj, feem ntau ua rau muaj kev puas tsuaj loj. (Noj cov tshuaj tua kab mob rau kev ntaus pob ncaws pob txawm tias coj tus poj niam ncaws pob no mus rau kev quav yeeb quav tshuaj.) Qhov laj thawj tom qab qhov sib txawv ntawm poj niam txiv neej tsis meej meej tab sis nws yog lo lus nug uas yuav tsum tau tham los ntawm ob tus kws kho mob thiab cov neeg mob, hais tias Paul Sethi, MD, tus kws phais pob txha ntawm Orthopedic & Neurosurgery Specialists hauv Greenwich, Connecticut.
Ib feem ntawm cov lus teb yuav dag hauv biology. Cov poj niam zoo li hnov mob ntau dua li txiv neej, nrog poj niam lub paj hlwb qhia ntau yam kev ua haujlwm ntawm lub paj hlwb hauv thaj tsam mob ntawm lub hlwb, raws li kev tshawb fawb dhau los luam tawm hauv Phau ntawv Journal ntawm Neuroscience. Thaum txoj kev tshawb fawb tau ua tiav ntawm nas, qhov kev tshawb pom no yuav piav qhia vim li cas cov poj niam feem ntau xav tau ob zaug ntau npaum li morphine, tshuaj yeeb, kom hnov zoo li txiv neej. Ib qho ntxiv, cov poj niam muaj feem yuav muaj mob ntev, zoo li mob migraines ntev, uas feem ntau kho nrog opioids, Dr. Sethi hais. Thaum kawg, nws hais ntxiv tias kev tshawb fawb tab tom saib seb puas yog poj niam lub siab nyiam rau opioid kev vam khom tuaj yeem yog vim muaj qhov sib txawv ntawm lub cev rog, cov metabolism, thiab cov tshuaj hormones. Qhov phem tshaj plaws: Cov no yog txhua yam poj niam kom meej meej tsis muaj kev tswj hwm.
Nws hais tias "Txog thaum peb muaj kev tshawb fawb ntau ntxiv, peb tsis tuaj yeem hais meej tias vim li cas poj niam cuam tshuam los ntawm opioids ntau dua li txiv neej," nws hais. "Tab sis peb paub tias nws tau tshwm sim thiab peb yuav tsum tau ua qee yam txog nws."
Koj tuaj yeem ua dab tsi ua tus neeg mob kom txo koj txoj kev pheej hmoo? "Nug cov lus nug ntxiv ntawm koj tus kws kho mob, tshwj xeeb tshaj yog tias koj xav tau kev phais," hais tias Dr. Sethi. "Nws yog qhov txaus ntshai li cas kws kho mob yuav qhia koj txhua qhov kev pheej hmoo ntawm kev phais tab sis hais tias yuav luag tsis muaj dab tsi txog kev siv tshuaj kho mob."
Txog qhov pib, koj tuaj yeem nug txog kom tau txais daim ntawv tshuaj luv luv, hais 10 hnub tsis yog ib hlis, thiab koj tuaj yeem thov kom zam qhov tshiab "tso tawm tam sim" opioids, vim tias cov no yuav ua rau muaj kev vam khom, hais tias Dr. Sethi. (Hauv kev mob siab los tawm tsam kev sib kis los ntawm kev hais txog ob qho ntawm cov teeb meem no, CVS tsuas yog tshaj tawm tias nws yuav tsum tsis txhob sau cov tshuaj rau cov neeg siv tshuaj kho mob opioid nrog ntau dua xya-hnub muab khoom thiab tsuas yog xa cov ntawv tso tawm sai sai raws li qhov xwm txheej tshwj xeeb.) Nws ntxiv tias koj kuj muaj lwm yam kev xaiv ntxiv rau opioids rau kev tswj qhov mob thaum lub sij hawm thiab tom qab kev phais, nrog rau cov tshuaj tiv thaiv kab mob uas yuav tsum tau siv thaum lub sij hawm phais thiab ib tug ntev-ntev tshuaj loog uas yuav txo tau qhov mob mus txog 24 teev tom qab ntawd. Qhov tseem ceeb yog tham nrog koj tus kws kho mob thiab kws phais neeg txog koj qhov kev txhawj xeeb thiab ua haujlwm npaj phiaj xwm kev mob uas koj xis nyob nrog.
Yog xav paub ntxiv txog kev kho mob yam tsis muaj tshuaj opioids, suav nrog cov lus nug dab tsi los nug koj tus kws kho mob thiab cov kev xaiv kho mob, mus saib Plan Against Pain.