Ukuphumula kwemisipha: Ukusetshenziswa, imikhiqizo ejwayelekile, nolwazi lokuphepha

Imininingwane Yezidakamizwa

Uhlu lokuphumula kwemisipha | Kuyini ukuphumula kwemisipha? | Basebenza kanjani | Isebenzisa | Izinhlobo | Ubani ongathatha ama-relaxant muscle? | Ukuphepha | Okuqhamuka uma udla imishanguzo | Izindleko

Uma uke wahlangabezana nokuqina kwemisipha, kungenzeka ukuthi uthathe uhlaka lwamathambo ukuphumula kwemisipha njengeSkelaxin noma iFlexeril yokuqeda izinhlungu. Ubuhlungu bemisipha noma ama-spasms angaba kusuka ezinqeni eziphansi noma ekushintsheni kuya ebuhlungwini obukhungathekisayo, lapho uzizwa sengathi awukwazi nokunyakaza.

Ukuphumula, iqhwa noma ukushisa, ukwelashwa ngokomzimba, kanye nesidakamizwa esingaqedi ukuvuvukala (i-NSAID) esifana ne-ibuprofen yizindlela zokwelashwa ezidumile zomugqa wokuqala wezinhlungu zemisipha. Kodwa-ke, uma ama-NSAID enganele noma uma ubuhlungu bakho bukhulu kakhulu, umhlinzeki wakho wezokunakekelwa kwempilo angahle anikeze imithambo-yamandla emisipha yokuphumula yezinhlungu ezibuhlungu.

Kunezinto eziningi zokuphumula kwemisipha ezivunyelwe yi-FDA ezitholakala njengezinketho zokwelashwa. Qhubeka ufunde ukuze ufunde konke mayelana nokuxegiswa kwemisipha. Ithebhulethi engezansi iluhlu lwezithambisi ezivame kakhulu zemisipha.

Uhlu lokuphumula kwemisipha
Igama lomkhiqizo (igama elejwayelekile)	Intengo yemali emaphakathi	Intengo ye-SingleCare	Funda kabanzi
I-Dantrium, Revonto, Ryanodex (dantrolene)	$ 132 for 90, 25 mg amaphilisi	Thola amakhuphoni e-dantrolene	Imininingwane kaDantrolene
I-Flexeril, i-Amrix, i-Fexmid (i-cyclobenzaprine)	$ 180 ngama-30, 10 mg amaphilisi	Thola amakhuphoni e-cyclobenzaprine	Imininingwane yeCcylobenzaprine
I-Lioresal, i-Ozobax (baclofen)	$ 230 ngamaphilisi angama-90, 10 mg	Thola amakhuphoni e-baclofen	Imininingwane yeBaclofen
I-Lorzone, i-DSC iParafon enamandla (i-chlorzoxazone)	$ 86 ngamaphilisi angama-30, 500 mg	Thola amakhuphoni e-chlorzoxazone	Imininingwane yeChlorzoxazone
I-Norflex (orphenadrine)	$ 48 for 20, 100 mg amaphilisi	Thola amakhuphoni e-orphenadrine	Imininingwane ye-Orphenadrine
I-Robaxin (methocarbamol)	$ 37 ngama-60, 750 mg amaphilisi	Thola amakhuphoni e-methocarbamol	Imininingwane kaMethocarbamol
I-Skelaxin (metaxalone)	$ 226 ngamaphilisi angama-30, 800 mg	Thola amakhuphoni e-metaxalone	Imininingwane ye-Metaxalone
I-Soma (carisoprodol)	$ 50 ngamaphilisi angama-60, 350 mg	Thola amakhuphoni e-carisoprodol	Imininingwane yeCarisoprodol
I-Valium (diazepam)	$ 24 ngamaphilisi angama-30, 5 mg	Thola amakhuphoni e-diazepam	Imininingwane kaDiazepam
I-Zanaflex (tizanidine)	$ 86 for 30, 4 mg amaphilisi	Thola amakhuphoni we-tizanidine	Imininingwane yeTizanidine

Kuyini ukuphumula kwemisipha?

Ukuphumula kwemisipha kulapha ukuqina kwemisipha. Umhlinzeki wakho wezokunakekelwa kwempilo anganquma ukuthambisa imisipha kanye nokusikisela ezinye izinyathelo njengokuphumula, ukwelashwa ngokomzimba, neqhwa noma ukushisa, ukukusiza uphulukise ekulimaleni okunamandla. Abanye abahlinzeki bezempilo banquma kuphela isidambisi semisipha uma ngabe I-NSAID ayibuqedi ngokwanele ubuhlungu.

I-relaxant yemisipha yokulimala noma ubuhlungu obukhulu kufanele isetshenziselwe amasonto amabili kuya kwamathathu kuphela. Amanye ama-relaxant emisipha asetshenziselwa ukwelapha izimo ezingamahlalakhona ezifana ne-multiple sclerosis futhi angathathwa isikhathi eside ngaphansi kweso lochwepheshe wezokunakekelwa kwempilo.

Ngabe kusebenza kanjani ukuphumula kwemisipha?

Iziphumuli zemisipha ye-Antispasmodic efana ne-Soma noma i-Robaxin yokulimala kanzima ayisebenzi emisipheni uqobo. Basebenza ohlelweni lwezinzwa oluphakathi (CNS) futhi babangela ukucindezeleka kwe-CNS. Ukudangala kwe-CNS kubangela ukudamba nomsebenzi wokuphumuza imisipha.

I-antispastic muscle relaxant dantrolene ayisebenzi kuma-CNS ngqo. I-Dantrolene isebenza kwimisipha yamathambo, ethinta impendulo yenkontileka, ibangele ukuphumula. IBaclofen nayo iyisidambisi esinciphisa ubuthaphuthaphu semisipha. Indlela esebenza ngayo i-baclofen ayiqondakali ngokuphelele, kepha kucatshangwa ukuthi ingadala ukucindezeleka kwe-CNS.

IValium iyi-benzodiazepine. Yize kuvame ukusetshenziselwa ukukhathazeka, kwesinye isikhathi kunqunywa ngemiphumela yayo yokuphumula kwemisipha. IValium isebenza kwi-neurotransmitter ebizwa nge-GABA, noma i-gamma-aminobutyric acid, edala imiphumela yayo yokuphumula.

Kusetshenziselwa ukuphumula kwemisipha?

Izinkomba zincike kumuthi othile. Izibonelo zifaka:

• Ukulimala okubuhlungu, okubuhlungu kwemisipha
• Ubuhlungu beqolo noma ubuhlungu obuphansi emuva
• Ubuhlungu bentamo
• Izinzwa ezicijile
• I-Fibromyalgia
• I-Multiple sclerosis
• Ukukhubazeka kobuchopho
• Ukulimala komgogodla
• Isifo somuntu onzima
• I-Paraplegia

Ukuphumula kwemisipha kuvame ukusetshenziselwa ukukhulula imisipha ekulimaleni okubuhlungu, okubuhlungu. Le mithi kufanele isetshenziselwe ukusetshenziswa kwesikhashana. Kufanele zisetshenziswe kanye nokuphumula, ukwelashwa ngokomzimba, neqhwa noma ukushisa — uchwepheshe wakho wezokunakekelwa kwempilo angakunikeza iseluleko sezokwelapha ngalezi ezinye izinyathelo.

Okunye ukuphumula kwemisipha kusetshenziselwa umsebenzi wabo wokuphumula kwemisipha, kepha akusetshenziswanga ukulimala komzimba okujwayelekile. Ngokwesibonelo,I-Lioresal (baclofen)iyisidambisi esiphumuzayo futhi esincishisayo. Iphatha ama-spasms (spasticity) ahlobene ne-multiple sclerosis, futhi kwesinye isikhathi ngenxa yezifo zomgogodla noma izimo.I-Dantrium (i-dantrolene) nayo iphatha ukuqina okuvela ezimeni ezinjenge-multiple sclerosis, ukulimala komgogodla, imivimbo, noma ukukhubazeka kobuchopho.

Izinhlobo zokuphumula kwemisipha

I-Antispasmodics (yezimo ezinzima zemisipha)

Ama-Antispasmodics ngokwesiko asetshenziselwa ukulimala okunamandla, okubuhlungu kwemisipha. Isibonelo, uma uphonsa umhlane wakho futhi ungakwazi ukunyakaza, i-antispasmodic ingahle ifanele, uma i-NSAID inganele. Ezinye izibonelo ze-antispasmodics yiFlexeril, Robaxin, Soma, neNorflex.

Ama-Antispastics

Ama-Antispastics, anjengeLioresal neDantrium, awasetshenziselwa ukulimala kanzima kwemisipha. Bangaphatha ama-spasms avela ezimeni ezinjenge-multiple sclerosis noma ukulimala komgogodla. UDantrium uphinde alaphe imivimbo nesifo sokukhubazeka kobuchopho.

I-Benzodiazepines

IValium (diazepam) iyi-benzodiazepine elapha ukukhathazeka. Noma kunjalo, kungasiza futhi ukukhulula imisipha. IValium ingaphatha ukuphazamiseka kwemisipha ngenxa yokulimala kwemisipha nangenxa yokuphazamiseka kwemoto ephezulu njenge-cerebral palsy.

Ubani ongathatha ama-relaxant muscle?

Kepha

Ngokuvamile, amadoda amadala angathatha ukuphumula kwemisipha ngaphandle kokuthi awele ngaphansi komunye wemikhawulo engezansi.

Abesifazane

Ngokuvamile, abesifazane abadala bangathatha izidambisi zemisipha ngaphandle kokuthi bakhulelwe noma bawele ngaphansi komunye wemikhawulo engezansi.

Izingane

Ngenxa yokuthi iningi lokuphumuza imisipha alifundwanga ezinganeni, ngokuvamile alinikwanga iziguli ezingane. I-Dantrolene ingasetshenziswa ezigulini zezingane ngezimo ezithile ezingalapheki ezidala ukuqothuka, njengeukulimala komgogodla, ukukhubazeka kobuchopho, noma i-multiple sclerosis.

Abadala

Abantu abadala asebekhulile akufanele bathathe izidambisi zemisipha ngenxa yemiphumela emibi nezingozi ezihambisana nakho. Ukuphumula kwemisipha kubhalwe ohlwini lwe- Uhlu Lwabhiya yemithi engahle ingafaneleki yabantu abadala. Imihlahlandlela yohlu lweBeers ithi abantu abadala asebekhulile ababekezeleli kahle ukuphumula kwemisipha ngenxa yemiphumela emibi, ukuthamba, kanye nengozi eyengeziwe yokwaphuka.

Ingabe ukuphumula kwemisipha kuphephile?

Ukukhumbula imisipha

• Ukukhumbula kukaRobaxin (Meyi 2019)
• Ukukhumbula i-cyclobenzaprine (ngoFebhuwari 2018)

Imikhawulo yokuphumuza imisipha

Tshela udokotela wakho ngazo zonke izimo zezokwelapha onazo. Ezinye izinto zokuphumula kwemisipha zihlotshaniswa nezinkinga zesibindi. Uma unezinkinga zesibindi noma zezinso / zomchamo noma i-glaucoma, lokhu kungathinta ukuthi ngabe ukuphumula kwemisipha kuphephile yini ongakusebenzisa, kuya ngomuthi othile.

Ngaphandle kwemikhawulo ejwayelekile ebhalwe ngenhla, thintana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola izeluleko ngazinye ngokuphepha kwesithambisi sokuphumula, ngoba wonke umuntu unezimpawu ezahlukahlukene nomlando oyingqayizivele wezokwelapha ongathinta ukuthi imuphi umuthi ophephe kakhulu futhi ofanele kakhulu kuwe.

Ukusebenzisana kwezidakamizwa

Ukuphumula kwemisipha kunokuhlangana okuhlukahlukene kwezidakamizwa. Ukuhlanganisa ukuphumula kwemisipha nemithi ethile, njenge-SSRI, i-SNRI, noma amanye ama-anti-depressants, imishanguzo yezinhlungu ze-opioid, ukucindezela ukukhwehlela, izidakamizwa ze-migraine triptan, phakathi kwabanye, kungadala isimo esisongela impilo esibizwa isifo se-serotonin .

IValium ine isixwayiso sebhokisi elimnyama , okuyisixwayiso esiqine kakhulu esidingwa yi-FDA e-United States. Ungathathi iValium nge-opioid. Ukuhlanganiswa kwe-benzodiazepine, njenge-Valium, nemithi yezinhlungu ze-opioid kungadala ukukhululeka okujulile, ukuphefumula okuphuzile, ikhoma nokufa.

Tshela umhlinzeki wakho wezokunakekelwa kwempilo ngayo yonke imishanguzo oyiphuzayo, kufaka phakathi imishanguzo kadokotela, i-OTC, namavithamini, ukuze akwazi ukubona ukuthi isidambisi sokuphumula semisipha siphephile yini neminye imithi oyiphuzayo.

Ama-relaxer emisipha notshwala

Ungaphuzi utshwala ngenkathi uthatha isidambisi semisipha. Utshwala nokunye ukucindezelwa kwe-CNS kungadala imiphumela eyengeziwe lapho kuhlanganiswe nesithambisi semisipha.

Ezinye izexwayiso:

• Ungashayeli noma usebenzise imishini ngenkathi uthatha isidambisi sokuphumula.
• Buza udokotela wakho noma usokhemisi ukuthi kufanele uthathe imisipha yakho ihlaziye ngokudla noma esiswini esingenalutho.
• Uma uthatha isidambisi esixegayo futhi unezimpawu zokungazwani nezinto ezithile, ezifana nesifuba, ukuphefumula kanzima, noma ukuvuvukala kwezindebe, ulimi, noma umphimbo, funa ukwelashwa okuphuthumayo.
• Lapho uyeka ukuthambisa imisipha, cela umhlinzeki wakho wezokunakekelwa kwempilo uma kufanele uyithinte kancane. Ezinye izinto zokuphumula kwemisipha zingaholela ezimpawu zokuhoxa uma zimiswe kungazelelwe.

Ungabathatha yini ukuphumula kwemisipha ngenkathi ukhulelwe noma uncelisa?

Ngokuvamile, izidambisi zemisipha azinqunyelwe abesifazane abakhulelwe. Azikho izifundo ezanele zokusungula ukuphepha kulesi sibalo. Ngakho-ke, ukuphumula kwemisipha kufanele kunqunywe kuphela uma umhlinzeki wezokunakekelwa kwezempilo enquma ukuthi izinzuzo zidlula izingozi. Ukuphumula kwemisipha ngokuvamile akusetshenziswa komama abancelisayo. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko sezokwelapha uma ukhulelwe, uhlela ukukhulelwa, noma ukuncelisa.

Ingabe izinto zokuphumula kwemisipha zilawulwa?

ISoma neValium yizo izinto ezilawulwayo . Lokhu kusho ukuthi banamandla okuhlukumeza nokuncika. Gwema le mithi uma unomlando wokuphazamiseka kokusetshenziswa kwezidakamizwa. Okunye ukuphumula kwemisipha akuzona izinto ezilawulwayo.

Imiphumela emibi ejwayelekile yemisipha

Imiphumela ethile emibi ingahluka ngomuthi nangesilinganiso. Imiphumela emibi ejwayelekile yokuphumula kwemisipha ifaka:

• • Ukozela noma ukukhathala
  • Isiyezi
  • Ubuthakathaka
  • Ubuhlungu bekhanda
  • Umlomo owomile
  • Izinkinga ze-GI (emathunjini) ezinjengezinhlungu zesisu, isicanucanu, ukuhlanza, ukuqunjelwa, uhudo
  • Ukudideka
  • Ukwesaba
  • Ukuyaluza
  • Ukuthuthumela
  • Ukudidiyelwa okonakele
  • Ukuthukuthela
  • I-Tachycardia (ukushaya kwenhliziyo okusheshayo)

• Ukuqwasha
• Izinkinga zomchamo

Lolu akulona uhlu olugcwele lwemiphumela emibi engaba khona. Eminye imiphumela emibi ingavela. Buza udokotela wakho ukuthi yimiphi imiphumela emibi okufanele uyilindele nokuthi ungayixazulula kanjani.

Kubiza malini ukuphumula kwemisipha?

Ukuphumula kwemisipha kunebanga lentengo ebanzi kusuka ku- $ 25 ( i-generic Valium kuya ku- $ 226 ( i-generic Skelaxin ), kuya ngomuthi othile, ubungako, nomthamo. Njengoba izidambisi zemisipha zitholakala ngendlela ejwayelekile, ungalindela ukukhokha okungaphansi kakhulu kunalokho uma ubukhokhela uzakwabo wegama lomkhiqizo.

Izinhlelo zomshuwalense zimboza ukuphumula kwemisipha ejwayelekile, kanye nezinhlelo zikaMedicare ziyahlukahluka. Hlola ngohlelo lwakho oluthile ukuthola imininingwane yokumbozwa.

Ungahlala usebenzisa i- free Ikhadi le-SingleCare ukonga imali ngemiyalelo yakho yokuphumuza imisipha kunoma iyiphi ikhemisi elibambe iqhaza. Amanye ama-relaxer emisipha abiza u- $ 4 kuphela ngesigqebhezana samahhala se-SingleCare.