He nui nā maʻi maʻi maʻi e pili ana i nā ʻano lāʻau lapaʻau maʻi maʻi e pono ai lākou e lawe.
No ka mea like ʻole kekahi mau lāʻau hoʻohaʻahaʻa hilahila me nā mea hōʻeha, ʻike ʻia kēia pilikia i nā poʻe maʻi me kēia maʻi.
E hōʻike aku kēia ʻatikala i nā ʻano nui o nā mea hōʻeha, ko lākou hoʻohana i nā ʻehaʻehā o ka hōʻeha a me nā wawaʻi o nā maʻi.
I ka wa hea ʻoe e lawe i nā mea pena?
Pono ka mea maʻi me ka maʻi maʻi e pili ana i ka hoʻokō ʻana i nā ʻōlelo a pau o ke kauka hele a mālama i kahi ola olakino nā mea nui o ka ʻoihana pono.
Me ka maʻi ʻano 1, pono nui ke ʻano o ka insulin, a me nā ʻano maʻi diabetes ʻano 2, kaʻai, ka hoʻomaʻamaʻa ʻana, a i kekahi manawa e lawe nei i nā lāʻau hypoglycemic. I kekahi mau pilikia, maʻi pū me ka maʻi o ka maʻi maʻamau, no ka laʻana:
- cardiovascular (ka hopena o kahi hōʻeha a i ʻole ka puʻuwai naʻau);
- ʻike pilikino (retinopathy, cataract, glaucoma);
- metabolism lipid kūpono, ma muli o ka momona;
- nā maʻi endocrine;
- pilikia hana ʻōnaehana.
Akā ʻaʻole like loa ka ola o kahi maʻi maʻi ma ke ola o kahi olakino. Hiki i kekahi kanaka e ʻeha i ka maʻi ʻaʻai, hiki ke loaʻa i kahi maʻi aʻala, loaʻa nā hōʻeha, nā hōʻeha, hōʻeha nā ʻeha a me nā hōʻuluʻulu. Hiki i ka wahine i loaʻa ke maʻi hānai i nā keiki. I ia mau kūlana, pono e lawe i kahi anesthetic.
I kēia lā, hāʻawi ke keʻena lāʻau lapaʻau i nā mea lapaʻau nui analgesic. Nui ka nui o nā hui o nā lāʻau like i ka loli kemal, ka hopena therapeutic, ke ʻano o ka excretion mai ke kino kanaka, a me nā hiʻohiʻona ʻē aʻe. ʻO ka mea maʻamau loa nā lāʻau lapaʻau i kapa ʻia ʻo NSAID a me nā antispasmodics. Akā ʻo wai ke ʻano ʻoi aku ka maikaʻi e hoʻohana? E kōkua ka loea komo i kou ʻike e ʻike i kēia.
ʻO ka hoʻohana ʻana o NSAID
Hoʻomaopopo nā NSAIDs i nā lāʻau lapaʻau anti-inflammatory aʻaʻole-steroid. Ke hoʻohana pilikino ʻia kēlā mau lāʻau. I ka lāʻau lapaʻau, hiki i kahi mea lapaʻau ke hāʻawi aku i nā lāʻau lapaʻau he nui mai kēia pūʻulu lāʻau lapaʻau. Hoʻohui ʻia lākou e ia mau ʻano:
- kālai lākou i ka biosynthesis o ka prostaglandins;
- ka pōlepūpūlū oxidative phosphorylation;
- hoʻopilikia i ka ʻōnaehana pituitary-adrenal.
Ma muli o kēia mau kaʻina hana, aia ka emi ʻana o ke poʻo hōʻeha, ka ʻehaʻeha, ka hui a me ka ʻehaʻeha o ka naʻau. Eia kekahi, ʻo kēia pūʻulu o nā lāʻau lapaʻau he hopena anti-inflammatory a me ka hoʻohaʻahaʻa i ka wela. I kēia hihia, hoʻohana ʻia nā ʻano salicylates āpau:
- ʻO ka Analgin kahi lāʻau lapaʻau e hoʻopau ai i nā hōʻeha o nā ʻano ʻōiwi, ma hope o ka hana ʻana, a e hakakā ʻia hoʻi ka maʻi hyperthermic. Pono e hoʻohana pono ʻia ka lāʻau lapaʻau ma lalo o ka nānā o kahi kauka no ka poʻe maʻi hānai me ka hana lōkū i ka hana i ʻole ke ahonui, nā maʻi kūlohelohe, nā maʻi ʻ generallelo maʻamau, e like me nā maʻi a Crohn a me ka ulcerative colitis, hypertension arterial a me nā mea āpau.
- Hoʻohana ʻia ka Acetylsalicylic acid no nā ʻalopela ʻehā o nā ʻehaʻeha, rheumatism, rheumatoid arthritis, pericarditis, huaʻōmaʻomaʻi-allergic myocarditis. Ua hoʻohālikelike ʻia kēia lāʻau i ka wā o ka trimester mua o ka hapai, ka umauma, me nā pathologies o nā pūpū, ka ate, ka hoʻowalewale ʻana a me nā ʻōnaehana o nā māhina, stasis stasis, ke kuhi koko a me kekahi mau maʻi ʻē aʻe.
- Hoʻopiliʻo Citramon i nā hopena he nui i ka manawa hoʻokahi - analgesic, antipyretic, psycho-stimulating a anti-inflammatory. ʻAʻole hiki iā ʻoe ke hoʻohana i kahi ʻano hana i ka wā o ka hapakō mua a me ke kolu o ka hāpai ʻana, i ka wā lactation, i ka wā kamaliʻi, me ka naʻau a i ʻole ka hāʻule ʻana o ka pēpē, ka maʻi gout, ka nui o ka huaʻai a me nā ʻano ʻē aʻe.
Ma waena o kēia mau mea hōʻeha, hiki iā mākou ke hoʻokaʻawale i nā mea i hoʻopau i nā hōʻailona ʻeha e pili ana i ka rheumatism, ka ʻōpala, ka arthrosis a me nā ʻōiwi o ka iwi-articular. ʻO kēia me Voltaren, Ibuprofen, Indomethacin a me Ortofen.
Loaʻa i nā NSAID ka hopena hypoglycemic i loko o nā mea maʻi me ka insulin-depend-type and type 2 diabetes.
Akā pehea kaʻoiaʻiʻo o kēia 'ikepili, hiki i kekahi ke koho wale.
ʻO ka hoʻohana ʻana o antispasmodics no ke kaumaha
Hoʻohana pū ʻia kēlā me ia mau mea e hoʻopau ai i nā ʻeha ʻeha. ʻAʻole lākou i ke kāohi i nā hana o ka ʻōnaehana o ka wahī, ʻo kā lākou ʻano hana e ʻimi nei i ka hoʻomaha ʻana i nā ʻalika palalike o ka puʻuwai a me ka puʻuwai, nā palani pulmonary, bronchi a me nā ʻiwi.
Ua hoʻomaopopo ʻia kēlā mau lāʻau lapaʻau no kekahi ʻano hōʻeha o ka spastic a i ʻole, inā pono, e hoʻomaha i ka naʻau. Aia kēia mau lāʻau lapaʻau:
- No-spa - nā papa i hoʻohana ʻia no ka spasm o nā palalapala o nā māla palupalu o ka biliary a me ka urinary tract. Hoʻohana ʻia nā ʻano hana i hoʻōla hou ʻia no ka menstrual, nā ʻōpū a me nā māhā o ka hanu. ʻO nā contraindications nui he mau keiki ma lalo o 6 mau makahiki o ka makahiki, ka puʻuwai, a me nā leʻaleʻa a me ke ake ole, lactation, ʻike i nā mea o ka lāʻau a me nā mea ʻē aʻe. I ka wā hāpai, hiki ke hoʻohana i kēia lāʻau lapaʻau, akā ma lalo o ka nānā o kahi kauka.
- ʻO ka Papaverine kahi lāʻau lapaʻau i hoʻolālā ʻia e hoʻomaha i nā ʻiʻo o nā moku koko i ka hihia o ka cholecystitis, ka maʻi gallstone, nā ala āpau o nā ʻōpū, ʻāʻī, ka urinary tract, bronchi, a me nā māhina o ka ʻōpū i ka wā o ka gestation. ʻAʻole hiki iā ʻoe ke hoʻohana i kēia lāʻau lapaʻau no nā keiki ma lalo o 6 mau makahiki o ke kolohe, ka coma, me ka hana ʻole ālaʻi lūlū, ka mea ʻelemakule a me ka pōkā atrioventricular conduction.
- ʻO ka Drotaverine kahi lāʻau lapaʻau i hoʻohana ʻia no ka spasm o nā aʻala kūloko o nā kino o loko. ʻO nā contraindications koʻikoʻi ka palupalu o ke kanaka, ke ʻano neʻe ʻana mai o ka maʻi, glaucoma, hypotension arterial, renal a me ka hemahema, nā keiki ma lalo o nā makahiki ʻekolu o ka makahiki, lactation. ʻO nā hopena like paha e loaʻa i ka hōʻeha, ka dizziness, allergy, palpitations, nausea, luaʻi, hypotension, constipation. Hiki i kēia mea hana ke hoʻopilikia i ka luhi o ka nānā, no laila, i ka wā e hoʻohana ai i kēia lāʻau, pono nā mea hoʻokele o nā kaʻa ke pale ʻole i ka mālama ʻana.
ʻO nā mea hoʻoweliweli o nā mea hōʻona cholinergic, kahi o nā lāʻau lapaʻau - Besalol, Bellastesin a me Platifillin, loaʻa pū kahi hopena antispasmodic.
Hoʻohana pinepine ʻia lākou i nā hihia o ka ʻeha ʻeha e pili ana i nā pathologies o ke kaomi ʻana.
ʻO ka hoʻomākaukau no ka hoʻomaʻamaʻa ʻana
Ma mua o kahi hoʻokolohua no ka mea maʻi me ka maʻi maʻi maʻi, pono e hoʻoholo i ke ala o ke anesthesia a me nā mea hōʻeha.
Ma mua o ka hoʻopili ʻana i ka anesthetic, pono e hana i nā ʻano hoʻomākaukau.
ʻAe lākou:
- ʻO kahi palapala holoʻokoʻa o ke kino e ʻike ai i nā ala e pono ai i ka hoʻoponopono ʻana i nā lawelawe ʻana i nā mea hōʻeha a me ka hana kaʻina. Hoʻopili kēia i nā maʻi cardiovascular, pathologies i hoʻopili ʻia me ke kaʻe o ke koko, ka urinary system a me nā pūpū. Pono ke nānā ʻia ʻana o nā maʻi maʻi viral a i ʻole nō hoʻi e loaʻa.
- ʻO ka hōʻemi ʻana i ka ʻaila o ka glucose i loko o ke koko i kekahi mea kūpono loa no ka mea maʻi, inā he hoʻomehana ʻia a i ʻole he lawe ʻana i ka lāʻau hypoglycemic.
- ʻO ka pale a me ka mālama ʻana i nā pilikia o ka wahī.
ʻO kēlā me kēia mau hoʻomākaukau e hoʻolako i ka hopena maikaʻi loa a me ka hopena o ka hoʻoweliweli ʻole ʻana o ka hōʻili ʻana o ka hōʻemi. No laila, ma mua o ka hana, pono ʻoe e hūnā i nā ʻōkuhi a i ʻole nā hōʻailona kānalua e make ai ka mea maʻi i ke kauka.
Hiki i nā ʻike nui ke alakaʻi i nā hopena weliweli a i hiki ʻole ke nalo.
ʻO ka hoʻohana ʻana o nā painkillers i ka wā hānau keiki a me nā hana
ʻO kēia pilikia ka maʻamau o nā wahine me ka maʻi maʻi me ka hoʻoiho kūlohelohe a me nā hana maʻi - he ʻāpana caesarean. Eia nā ʻōlelo nui;
- ʻAʻole pāpā ʻia ka hoʻohana ʻana i ka analgesics narcotic.
- ʻO ka koho maikaʻi loa he epidestia anesthesia, ʻo ia hoʻi, ʻo ka hāʻawi ʻia ʻana ma kahi kinipona i loko o ka lakone o spinal. I kēia hihia, pono ʻoe e hoʻopiʻi i nā lula o nā antiseptics, ʻoiai ma ka wahine me ka maʻi maʻi, hoʻemi pinepine ʻia ka pale ʻana, a ma ke ʻano o kēia ʻano, nā ʻano like ʻole o nā maʻi like me nā maʻi like ʻole.
- Inā no kekahi kumu hiki ʻole ke hoʻohana i ka anesthesia epidural, ua hoʻohana ʻia ke ʻano hana lua - mask anesthesia.
I nā maʻi maʻi maʻi e hoʻomaʻamaʻa ʻia i nā hana maʻi, e pili ana nā kauka i nā lula:
- Ke koho i ka anesthesia, pono ʻoe e kau pono i ka neuroleptoanalgesia, fluorotan a i ʻole nitrous oxide anesthesia. Pono nā lāʻau like e like me Viadryl a me barbiturates. ʻO ke koho o kēia mau lāʻau e like me ka manaʻo no ka mea ʻaʻole lākou e kiʻi i ka hoʻonui ʻana i ke kō a me ka hoʻokuʻu i nā hormone e kūʻē i ka insulin.
- Me nā hana lōʻihi, ʻaʻole pono ia e hoʻokō i nā dosis nui o ka anesthetics, no ka mea hiki i kēia ke alakaʻi i kahi kūlana o ka hypoglycemia.
- Me nā mea hōʻeha pōkole a i ʻole nā hōʻemi ʻano traumatic e hiki ke hoʻopau ʻia me ka hoʻohana ʻana i ka anesthesia kūloko a i ʻole.
ʻO ka hana nui ma hope o ka hana holomua ma ka maʻi maʻi maʻi mau, e mālama pono i nā pae glucose maʻamau. I ka wā o nā hōʻemi, ʻike nā kauka i nā kiko o ke kō i kēlā me kēia hola, no ka mea hiki ke loli nui i ka hoʻokuʻu ʻia o kekahi mau hormone. Ma muli o ke ʻano o ka hoʻāʻo ʻana o ka mea maʻi ma mua o ka hana.
I ka wā postoperative, he mea nui loa ia e koho i ke ʻano kūpono o ka insulin a me nā mea hōʻeha. Pono lākou e hoʻopau i ka ʻehaʻeha o ka ʻeha, inā ʻaʻole e loli ka nui o ke kō, a me nā hoʻopiʻi e like me nā maʻi microcirculation i nā maka, nā puʻuwai, ka puʻuwai a me nā ʻokoʻa ʻē aʻe.
No kēlā mau pahuhopu, ua hoʻohana ʻia nā analgesics peripheral, no ka laʻana, ʻo Ketorol a me Ketoprofen, i kekahi manawa Tramadol, nā lāʻau 'opioid waena a me nā analgesia regional. Ma keʻano ākea, ke kaukaʻi nei, e loiloi i ka pae o ka glucose i loko o ke koko a me ka hōʻeha o ka pathology, hoʻoholo i ka ʻeha hōʻeha o ka mea maʻi e pono ai e lawe. Inā pono, koho ke kauka i ka hoʻohaʻahaʻa i ka nui o ka glucose i ke koko ma kahi kūlana.
Hoʻokaʻawale ʻia nā Painkillers i ʻelua ʻano nui - NSAIDs a me antispasmodics, he ʻokoʻa nā hopena hou aʻe o ke kino kanaka, kāpae i ka maʻi ʻeha. Ma mua o ka lawe ʻana i kēlā lāʻau lapaʻau, pono ʻoe e heluhelu i kāna mau ʻōlelo aʻoaʻo, a ʻoi aku ka maikaʻi o ke nīnau aku i kahi loea e haʻi aku iā ʻoe inā hiki paha ke lawe i kēlā lāʻau lapaʻau no ka maʻi maʻi. E pili ana i nā hōʻailona mua o ka maʻi maʻi, e haʻi ka wikiō ma kēia ʻatikala.
