Sabbin Ci gaban Likitoci 5 waɗanda Za su Iya Yanke Amfani da Opioid

Wadatacce

• Lentar Hakora
• Sannu a hankali Ana Sayar da Anesthetics na Gida
• Sabuwar C-Sashen Fasaha
• Gwajin DNA
• Magungunan farfadowa
• Bita don

Amurka tana cikin tsakiyar rikicin opioid. Duk da yake ba ze zama kamar wani abu da ya kamata ku damu da shi ba, yana da mahimmanci a fahimci cewa mata na iya samun haɗarin haɗari ga masu shan azaba, waɗanda galibi ana ba da umarnin su bayan tiyata na yau da kullun. Kuma kodayake ana amfani da su don magance ciwo na kullum, bincike ya nuna cewa opioids na iya taimakawa ba da taimako na jin zafi a cikin dogon lokaci. Menene ƙari, ko da yake ba duk mutanen da ke amfani da opioids sun zama masu jaraba ba, suna da yawa, kuma tsawon rayuwar Amurka ya ragu yayin da mutane da yawa ke mutuwa ta hanyar amfani da opioids.

Babban ɓangare na ƙoƙarin yaƙi da wannan annoba yana ƙayyade lokacin da opioids ba lallai ba ne da nemo madadin magunguna. Duk da haka, likitoci da yawa sun tabbata cewa opioids suna da mahimmanci a wasu yanayi masu zafi-dukansu na yau da kullum da kuma m. Shai Gozani, MD, Ph.D., shugaban kasa da Shugaba a NeuroMetrix. Ana kuma buƙatar Opioids a wasu lokuta lokacin da wani ya sami ciwo mai tsanani, kamar daidai bayan tiyata ko rauni. "Ganin cewa ciwo irin wannan ƙwarewar mutum ce, hanyoyin magani suna buƙatar keɓance su." Wani lokaci, wannan ya haɗa da amfani da opioids, kuma wani lokacin ba haka bane.

Masana sun yarda cewa akwai kuma wasu hanyoyin da yawa da za a iya magance ciwon da ke ɗauke da ƙarancin haɗarin jaraba. Yana tafiya ba tare da faɗin cewa jiyya ta jiki ba, madadin magani na magani kamar acupuncture, har ma da ilimin halin ɗan adam na iya taimakawa rage amfani da opioids, amma wani layin tsaro da cutar ta opioid shine fasahar da ta kunno kai waɗanda ake kamala kuma suna samun karbuwa sosai. Anan akwai guda biyar waɗanda zasu iya taimakawa rage amfani da opioid.

Lentar Hakora

Bincike ya nuna cewa gabaɗaya mutane suna da maganin ciwo da ya rage bayan tiyatar baki, kamar cire haƙoran haƙori, wanda ke barin ƙofar a buɗe don yuwuwar yin amfani da shi. Lokacin da ka yi la'akari da cewa fiye da kashi 90 cikin dari na marasa lafiya da ke da aikin tiyata na al'ada (tunanin: cirewar hakori, tiyatar danko wanda ya shafi stitches) an wajabta opioids, bisa ga Robert H. Gregg, DDS, co-kafa Millennium Dental Technologies da Cibiyar Ci gaba Laser Dentistry, irin wannan babban abu ne.

Wannan shi ne dalilin da ya sa ya ƙirƙira Laser na LANAP, wanda za a iya amfani dashi don yin tiyatar hakori kuma yana rage zafi, zubar jini, da lokacin dawowa. Dokta Gregg ya ce marasa lafiya da suka zaɓi zaɓi na laser kawai an ba da su opioids 0.5 bisa dari na lokaci-bambanci mai girma.

A yanzu haka, ana amfani da na’urar lesar a ofisoshin hakora daban-daban guda 2,200 a fadin kasar, kuma Dokta Gregg ya ce yana sa ran adadin zai karu a hankali yayin da mutane ke kara koyo game da likitan hakora na Laser da kuma fahimtar kasawar rubuta opioids don tiyatar baka.

Sannu a hankali Ana Sayar da Anesthetics na Gida

Waɗannan nau'ikan magunguna sun kasance a cikin 'yan shekaru kaɗan, amma ana ƙara ba da su a cikin nau'ikan tiyata iri-iri. Mafi na kowa shine ake kira Exparel, wanda shine jinkirin sakin nau'in maganin sa barcin gida da ake kira bupivacaine. Joe Smith, MD, masanin ilmin likitanci a Asibitin Inova Loudon da ke Leesburg, Virginia ya bayyana cewa "Magunguna ne mai dogon numfashi da aka yi allura a lokacin tiyata wanda zai iya sarrafa ciwo na 'yan kwanaki na farko bayan tiyata, lokacin da marasa lafiya ke matukar bukatar hakan." "Wannan yana ragewa, ko kuma a wasu lokuta yana kawar da buƙatar opioids. Ba wai kawai wannan yana taimaka wa marasa lafiya su guji bayyananniyar haɗarin dogaro ba, har ma da illolin miyagun ƙwayoyi irin su ɓacin rai na numfashi, tashin zuciya da amai, maƙarƙashiya, dizziness da rikicewa, don suna kaɗan. "

Ofaya daga cikin mafi kyawun abubuwa game da wannan maganin shine cewa ana iya amfani dashi don nau'ikan nau'ikan tiyata daban -daban, gami da tiyata na orthopedic kamar tiyata kafada, gyaran ACL, da sauran su da yawa, in ji Dr. Smith. Hakanan ana amfani dashi a aikin tiyata, s-sassan, tiyata na filastik, tiyata ta baki, da ƙari. Yawancin mutane 'yan takara ne masu kyau a gare ta, ban da waɗanda ke fama da rashin lafiyar gida da waɗanda ke da cutar hanta, a cewar Dr. Smith.

Iyakar abin da kawai? "Yayin da magungunan kashe-kashe na gida irin su Exparel na iya taimakawa wajen rage buƙatar opioids na baya-bayan nan, waɗannan suna da tsada kuma yawancin marasa lafiya suna zaɓar tattalin arzikin zaɓi na opioid," in ji Adam Lowenstein, MD, likitan filastik da migraine. Wasu tsare -tsaren inshora na iya rufe shi ko kuma su rufe shi, amma tabbas ba al'ada bane. Har yanzu, yana ba da zaɓi mai amfani ga waɗanda suka tabbata ba sa son opioids bayan-op.

Sabuwar C-Sashen Fasaha

"C-sections babban tiyata ne, don haka kusan dukkan mata suna samun opioids bayan cesarean," in ji Robert Phillips Heine, MD, ob-gyn a Cibiyar Kiwon Lafiya ta Jami'ar Duke. Ya kara da cewa, "Idan aka yi la'akari da cewa haihuwar cesarean ita ce aikin fida da aka fi yi a Amurka, zai zama da amfani a rage adadin narcotic da ake bukata, saboda babban tiyata sanannen kofa ce ta dogaro da opioid," in ji shi. (Mai alaƙa: Shin Opioids suna da mahimmanci Bayan S-Sashe?)

Bugu da ƙari ga zaɓuɓɓukan sa maye kamar Exparel, akwai kuma wani abu da ake kira rufaffiyar incision maganin matsin lamba wanda zai iya rage buƙatar opioids bayan sashen c. "Rufewar rufewa mara kyau na matsin lamba yana ba da kariya daga gurɓatarwa daga waje, yana taimakawa riƙe gefuna tare, kuma yana cire ruwa da kayan kamuwa da cuta," in ji Dokta Heine. "Tufafi ne wanda ba a haifa ba wanda ake amfani da shi a kan tiyata kuma an haɗa shi da famfo wanda ke ba da matsanancin matsin lamba kuma ya kasance a wurin na tsawon kwanaki biyar zuwa bakwai." An fara aiwatar da wannan ne don hana kamuwa da cuta bayan tiyata, amma likitoci sun gano cewa hakan ma ya haifar da raguwar adadin maganin ciwon da matan da ke da shi ke buƙata. A halin yanzu, ana amfani da wannan hanya a cikin marasa lafiya waɗanda ke da babban haɗarin kamuwa da cuta, irin su waɗanda ke da BMI fiye da 40, tun da waɗannan su ne binciken marasa lafiya ya nuna amfanin, Dr. Heine ya ce. "Idan akwai ƙarin bayanai waɗanda ke nuna yana hana kamuwa da cuta da/ko rage amfani da miyagun ƙwayoyi a cikin marasa lafiya masu haɗari, da alama za a yi amfani da shi a cikin wannan yawan."

Gwajin DNA

Mun san cewa jaraba wani bangare ne na halitta, kuma masu bincike sun yi imanin sun ware wasu kwayoyin halittar da za su iya hasashen ko wani zai kamu da opioids ko a'a. Yanzu, akwai gwajin gida-gida da za ku iya yi don tantance haɗarin ku. Daya daga cikin shahararrun shine ake kira LifeKit Predict, wanda Magungunan Prescient suka kera. Dangane da binciken da aka buga a cikin Littattafan Kimiyya na Laboratory Clinical, Sabbin hanyoyin gwaji da Prescient ke amfani da shi na iya yin tsinkaya tare da tabbacin kashi 97 ko wani yana da ƙarancin haɗari ga jarabar opioid. Kodayake wannan binciken ya kasance kadan kuma wasu likitocin da ke da hannu tare da kamfanin sun kasance wani ɓangare na binciken, yana nuna cewa gwajin zai iya dacewa ga wanda ya damu game da haɗarin jaraba.

Yana da mahimmanci a lura cewa wannan gwajin tabbas ba zai iya ba da tabbacin cewa wani zai so ko ba zai kamu da opioids ba, amma zai iya ba da bayanai masu amfani ga waɗanda ke yin shawara mai hankali game da ko za su yi amfani da su. Wasu tsare-tsaren inshora sun rufe gwajin, kuma ko da yake ba kwa buƙatar takardar sayan magani don ɗauka, Prescient yana ba da shawarar tuntuɓar likitan ku game da gwajin da sakamakon da zarar kun karɓi su. (Mai alaƙa: Shin Gwajin Kiwon Lafiyar Gida yana Taimaka muku ko cutar da ku?)

Magungunan farfadowa

Idan kun taɓa ji game da ƙwayoyin sel dangane da cloning, zaku yi mamakin gano cewa ana amfani da su a cikin magunguna a matsayin hanyar magance ciwo. Maganin kwayar halitta wani bangare ne na babban aikin da ake kira regenerative medicine. "Maganin farfadowa shine tsarin juyin juya hali don magance yawancin cututtuka masu lalacewa da raunin da ya faru," in ji Kristin Comella, Ph.D., Babban Jami'in Kimiyya na Cibiyar Kwarewa ta Amurka Stem Cell. "Yana ci gaba da girma, kuma ya haɗa da dabaru daban -daban, kamar maganin ƙwayar sel, don amfani da hanyoyin warkar da jikin ku." Ganin cewa magungunan opioid suna magance alamun ciwo, jiyya na jijiya ana nufin magance ainihin dalilin ciwon. Comella ta ce, "Ta wannan hanyar, maganin kwayar halitta yana sarrafa jinya yadda yakamata kuma yana iya rage bukatar jin zafi ta hanyar opioids," in ji Comella.

Don haka menene ainihin fa'idar da ke tattare da ita? Comella ta ce "Kwayoyin tsutsa suna wanzuwa a cikin kowane nama a jikin mu kuma babban aikin su shine kiyayewa da gyara kayan da suka lalace," in ji Comella. "Za a iya ware su daga wuri guda a jikin ku kuma a koma da su wani sashi da ke buƙatar warkarwa, don magance ciwo a wurare daban -daban." Mafi mahimmanci, ana amfani da sel kawai daga naku nasa jiki a cikin wannan magani, wanda ke kawar da wasu ma'anoni na ɗabi'a waɗanda suka zo tare da kalmar "kwayoyin sel."

Wani lokaci, ana haɗa maganin ƙwayar ƙwayar cuta tare da maganin plasma mai arzikin platelet (PRP), wanda Comella ya ce yana aiki kamar taki ga ƙwayoyin sel. "PRP wani wadataccen al'umma ne na abubuwan haɓaka da kuma sunadaran da aka samu daga jinin mutum. Yana haɓaka warakawar da aka samar ta halitta ta hanyar ƙwayoyin cuta mai kumburi," in ji ta. "PRP ya fi samun nasara wajen magance ciwon da ke haifar da sabbin raunin da ya faru saboda yana haɓaka ƙwayoyin jijiyoyin warkarwa waɗanda tuni suka fara noma yayin da suke zuwa yankin da suka ji rauni." Kuma, ana kuma iya amfani da maganin don hanzarta sauƙaƙan jinƙan ciwon kumburi don ƙarin maganganu na yau da kullun kamar osteoarthritis, in ji Comella.

Yana da mahimmanci a lura cewa maganin ƙwayar ƙwayar cuta ba daidai na al'ada, kuma ba a yarda da FDA ba. Yayin da FDA (kuma mafi yawan masu binciken likita, don wannan al'amari) sun yarda cewa maganin ƙwayar ƙwayar cuta yana da alƙawarin, ba su yi imani akwai isasshen bincike game da shi don amincewa da shi azaman magani. Dogon gajeriyar labari: Ba shi da yawa cewa FDA ba ta tunanin cewa maganin ƙwayar ƙwayar cuta yana da tasiri, ya fi haka cewa ba mu da isasshen bayani don amfani da shi lafiya ko amintacce.Ta hanyar yin aikin jinya kawai, hanyoyin da ba su da maganin kashe-kashe da likitoci ke gudanarwa ta amfani da sel na marasa lafiya, kodayake, asibitocin ƙwayoyin sel suna iya yin aiki a cikin jagororin FDA.

Duk da yake likitan ku ba zai ba da shawarar likitan ku ba-kuma tabbas inshorar ku ba zai rufe shi ba-har yanzu yana da ban sha'awa a gaba game da abin da magani zai iya zama kamar shekarun da suka gabata daga yanzu.

Bita don