Pendekatan umum kanggo perawatan saraf nervous kronis
Nambani nyeri saraf kronis bisa dadi tantangan, amarga sabab ora bisa dingerteni. Pangubaran obat tradisional sing dipakai piyambak, kayata NSAIDs, asring ora efektif kanggo nambani jenis nyeri iki; Nanging, pendekatan perawatan multimodal bisa njaga gejala nyeri syaraf ing kontrol sing luwih apik. Pendekatan iki kalebu loro obat penghisap obat tradisional, obat nyeri nontradisional, lan pangobatan kanker sing gegandhengan.
Neuropathic Pain Treatment - Adjuvant Analgesics
Analgesik adjuvant , kayata anticonvulsant lan antidepresan, bisa asring nandhang sensasi nyeri neuropatik. Amarga obat-obatan kasebut dirancang kanggo nambani kahanan liyane saka rasa nyeri, perawatan ing neuropathic pain digunakake diarani "off-label". Nanging aja padha sumelang ing atine: akeh analgesik adjuvant sing bisa diweruhi luwih efektif kanggo nambani gejala nyeri nemen kronis saka obat narkotika tradisional.
Anticonvulsants digunakake kanggo perawatan pain syaraf:
- Gabapentin (Neurontin)
- Pregabalin (Lyrica)
- Carbamazepine (Tegretol)
- Oxcarbazepine (Trileptal)
- Phenytoin (Dilantin)
- Valproate (Depacon)
- Lamotrigine (Lamictal)
Antidepressants digunakake kanggo perawatan pain syaraf:
- Amitriptyline (Elavil)
- Nortriptyline (Aventyl)
- Desipramine (Norpramin)
- Citalopram (Celexa)
- Fluvoxamine (Luvox)
- Fluoxetine (Prozac)
- Paroxetine (Paxil)
- Duloxetine (Cymbalta)
- Venlafaxine (Effexor)
Neuropathic Pain Treatment - Traditional Painkillers
Ing sawetara kasus, obat narkotika tradisional ora bisa ngontrol gejala nyeri saraf sacara kronis .
Iki amarga akeh obat narkotika tradisional, kayata NSAIDs, inflamasi target, sing bisa utawa ora nyebabake nyeri saraf. Nanging, sawetara obat nandhang obat tradisional duwe peran ing perawatan nyeri saraf kronis. Bisa digunakake nalika analgesik adjuvant ora efektif, utawa kanthi kombinasi karo anticonvulsant utawa antidepressant.
- NSAIDs . NSAIDs uga ora efektif kanggo nambani nyeri neuropatik ; Nanging, kanggo sawetara wong, pembengkakan ndadekake gejala nyeri syaraf luwih elek. NSAIDs, kayata ibuprofen (Advil) utawa naproxen ( Aleve ), bisa digabungake karo pangobatan lara liyane lan bisa mbantu nyegah panandhang .
- Acetaminophen . Acetaminophen (Tylenol) bisa digunakake kanthi kombinasi analgesik adjuvant kanggo ngontrol rasa nyeri neuropathic, utawa bisa digunakake kanggo episode tumit panemuan . Sawetara opioid sing digunakake kanggo perawatan nyeri neuropatik uga ngemot acetaminophen.
- Opioids . Opioid uga ditrapake kanggo perawatan nyeri neuropathic abot, utawa minangka garis pertahanan pungkasan nalika analgesik adjuvant gagal ngilangi rasa nyeri. Opioid "lemah" sing umum ditindakake kanggo nyeri neuropatik yaiku tramadol (Ultram); Nanging, opioid sing kuwat uga perlu.
- Analgesik Topikal . Nalika ora tansah efektif, sawetara wong sing nyeri neuropathy kepengin nambani obat-obatan nyeri njaba, kalebu lidocaine lan capsaicin. Anatomi analitik bisa digabung karo obat liya.
Neuropathic Pain Treatment - Pilihan liyane
Pangobatan ora mung jawaban nalika nerangake perawatan nyeri neuropatik. Sawetara pilihan liyane sing bisa digunakake piyambak, utawa kanthi kombinasi obat penghilang noda, kalebu:
- Terapi fisik
- Pamblokiran saraf
- Perangsang spinal cord
- Operasi dekompresi syaraf
Pangobatan alternatif lan alternatif (CAM) bisa uga migunani kanggo perawatan nyeri neuropatik, kalebu akupunktur uga obat herbal . Sanajan paling CAM ora mbutuhake resep, sampeyan isih kudu ngobrol karo dhokter sampeyan sadurunge nglakoni perawatan anyar kanggo nyeri saraf.
Sumber:
Clearinghouse Guideline Nasional. Pedoman EFNS kanggo Perawatan Farmakologis Neuropathic Pain. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10472&nbr=5495
Yayasan Nasional Pain. Neuropathic Pain: Pengobatan. http://www.painfoundation.org/
Merck Manuals Online Medical Library. Neuropathic Pain. http://www.merckmanuals.com/professional/neurologic-disorders/pain/neuropathic-pain