5 Nā Hoʻolālā Lapaʻau Hou e ʻoki ai paha i ka hoʻohana opioid

Anter

• Kahua niho Lasers
• Hoʻolālā mālie i nā Anesthetics Local
• ʻEnehana ʻenehana C hou
• Hoʻāʻo DNA
• Lapaʻau hoʻōla hou
• Nānā no

Aia ʻo ʻAmelika i waena o kahi pilikia opioid. ʻOiai ʻaʻole paha ia e like me kahi mea āu e hopohopo ai, he mea nui e hoʻomaopopo he nui aʻe ka makaʻu o nā wahine no ka hōʻino ʻana i nā painkillers, i kuhikuhi pinepine ʻia ma hope o nā hana maʻamau. A ʻoiai e hoʻohana ʻia lākou e mālama i ka ʻeha mau, hōʻike ka noiʻi ʻaʻole hiki i nā opioids ke kōkua i ka hoʻopakele ʻana i ka ʻeha i ka wā lōʻihi. ʻO ka mea hou aʻe, ʻaʻole naʻe ka poʻe a pau e hoʻohana ana i nā opioids i lilo i mea hoʻohui, nui ka hana, a ua emi ka manaʻolana o ke ola o US i ka nui o ka poʻe i make i ka overdoses opioid.

ʻO kahi ʻāpana nui o ka hoʻoikaika e hakakā i kēia maʻi ahulau e hoʻoholo ana inā ʻaʻole pono nā opioids a loaʻa i nā lāʻau ʻē aʻe. Eia nō naʻe, kūpaʻa ka nui o nā kauka he pono nā opioids i kekahi ʻano ʻeha - he mau loa a he huʻi hoʻi. "No ka mea, ʻo ka ʻeha mau loa he maʻi biopsychosocial paʻakikī-ʻo ia hoʻi e pili ana i ka interplay o nā mea olaola, psychological, a me ka pilikanaka-he mea kūʻokoʻa pilikino a pili i kēlā me kēia kanaka ʻokoʻa," wehewehe ʻo Shai Gozani, MD, Ph.D., pelekikena a Luna Nui ma NeuroMetrix. Pono ʻia kekahi mau opioids i kekahi manawa ke loaʻa ka ʻehaʻeha i kekahi, e like me ka pono ma hope o kahi ʻoki a ʻeha paha. "Hāʻawi ʻia ka ʻeha i kēlā me kēia ʻike, pono e hoʻopilikino ʻia nā ʻano hana lapaʻau." I kekahi manawa, pili pū kēlā me ka hoʻohana ʻana o nā opioids, a i kekahi manawa ʻaʻole.

Ua ʻae ka poʻe akamai he nui nā ʻano ʻē aʻe e hiki ke mālama ʻia ka ʻeha e lawe i ka liʻiliʻi o ka addiction. Ke hele nei me ka ʻōlelo ʻole ʻo ka hoʻomaʻamaʻa kino, nā lāʻau lapaʻau ʻē aʻe e like me ka acupuncture, a me ka psychotherapy hiki ke kōkua i ka hōʻemi ʻana i ka hoʻohana ʻana i nā opioids, akā ʻo kahi laina ʻē aʻe o ka pale ʻana i ka maʻi maʻi opioid ʻo ia nā ʻenehana hou e hoʻomaʻamaʻa ʻia a lilo i mea ākea ākea. Eia nā mea ʻelima i hiki ke kōkua i ke oki ʻana i ka hoʻohana opioid.

Kahua niho Lasers

Hōʻike ka noiʻi e loaʻa i nā kānaka nā lāʻau ʻeha i koe ma hope o ka ʻoki waha, e like me ka unuhi ʻana i ka niho akamai, e wehe ana i ka puka no ka hoʻohana hewa ʻana. Ke noʻonoʻo ʻoe aia ma kahi o 90 pākēneka o nā maʻi e loaʻa ana i ka ʻoki ʻana o ka waha maʻamau (manaʻo: hemo niho, ʻoki ʻana i ka gum e pili ana i nā kuʻi) i kauoha ʻia nā opioid, e like me kā Robert H. Gregg, DDS, ka mea hui pū o Millennium Dental Technologies a me ka Institute for Advanced ʻO Laser Dentistry, ʻano nui kēlā.

ʻO ia kahi ʻāpana o kāna hana ʻana i ka laser LANAP, i hiki ke hoʻohana ʻia e hana i ke kīʻaha niho a hoʻoliʻiliʻi i ka ʻeha, ke kahe ʻana o ke koko, a me ka manawa hoʻōla. Wahi a Kauka Gregg, ʻo ka poʻe maʻi i koho i ka koho laser ua kuhikuhi wale ʻia nā opioids 0.5 pakeneka o ka manawa-he ʻokoʻa nui.

I kēia manawa, ke hoʻohana ʻia nei nā kukuna i 2,200 mau keʻena niho ʻokoʻa o ka ʻāina, a ua ʻōlelo ʻo Kauka Gregg ke manaʻo nei ʻo ia e ulu mau kēlā helu i ka ʻike ʻana o ka poʻe e pili ana i ka niho niho laser a hoʻomaopopo i nā hemahema o ke kau ʻana i nā opioid no nā hana ʻoki waha.

Hoʻolālā mālie i nā Anesthetics Local

Ua puni kēia mau ʻano lāʻau lapaʻau no nā makahiki liʻiliʻi, akā ke hāʻawi nui ʻia nei ma nā ʻano o nā ʻano ʻoki. Kapa ʻia ka mea maʻamau ʻo Exparel, kahi hoʻokuʻu hoʻokuʻu lohi o kahi anesthetic kūloko i kapa ʻia bupivacaine. "He lāau numbing hana lōʻihi ia i injected i ka wā o ke kaha ʻana i hiki ke kaohi i ka ʻeha no nā lā mua ma hope o ke kaha ʻana, ke makemake nui nā mea maʻi," wehewehe ʻo Joe Smith, M.D., he anesthesiologist ma ka Halemai Inova Loudon ma Leesburg, Virginia. "Hoʻoemi kēia, a i ʻole kekahi mau hihia e hoʻopau ai, ka pono o nā opioids. ʻAʻole wale kēia e kōkua ai i nā mea maʻi e hōʻalo i ka pilikia maopopo o ka hilinaʻi ʻana, akā ʻo nā hopena o nā narcotics e like me ke kaumaha o ka hanu, ka palaho a me ka luaʻi, ka paʻa paʻa ʻana, ka palaho a me ka huikau, e inoa i kekahi mau mea. "

ʻO kekahi o nā mea maikaʻi loa e pili ana i kēia hoʻonā hiki ke hoʻohana ʻia no nā ʻano ʻokoʻa like ʻole, me nā orthopedic orthopedic e like me nā poʻohiwi, hoʻoponopono ACL, a me nā mea ʻē aʻe he nui, wahi a Dr. Hoʻohana ʻia ia i nā ʻoki wāwae, nā ʻāpana c, ka ʻoki ʻokiʻoki, ka ʻoki waha, a me nā mea hou aku. He moho maikaʻi ka hapa nui o ka poʻe, koe wale no kēlā mau maʻi āpau i nā anesthetics kūloko a me nā mea i loaʻa i ka maʻi ate, e like me kā Dr. Smith.

ʻO ka ʻaoʻao wale nō? "ʻOiai ʻo nā anesthetics kūloko e like me Exparel hiki ke kōkua i ka hōʻemi ʻana i ka pono no nā opioid postoperative, he kumukūʻai kēia a ʻo ka hapa nui o nā mea maʻi e koho i ka hoʻokele waiwai o ka opioid options," wahi a Adam Lowenstein, M.D., kahi palakiika a me migraine. Hiki i kekahi mau hoʻolālā 'inikua ke uhi iā ia a i ʻole ka uhi hapa, akā ʻaʻole ia he mea maʻamau. Eia nō naʻe, hāʻawi ia i kahi koho kūpono i ka poʻe e maopopo ʻole lākou makemake i nā opioids post-op.

ʻEnehana ʻenehana C hou

"ʻO C-pauku kahi ʻoki kino nui, no laila ʻaneʻane loaʻa nā wahine i ka opioids ma hope o ka cesarean," wahi a Robert Phillips Heine, M.D., kahi ob-gyn ma Duke University Medical Center. "No ka mea, ʻo ka hoʻopuka cesarean ke kaʻina hana maʻamau i hana ʻia ma ʻAmelika Hui Pū ʻIa, he mea maikaʻi ke hōʻemi i ka nui o ka narcotic e koi ʻia, ʻoiai ʻo ka ʻoki nui he ʻīpuka i ʻike ʻia i ka hilinaʻi opioid," wahi āna. (Pili: Pono pono nā Opioids ma hope o kahi C-ʻĀpana?)

Ma waho aʻe o nā koho anesthetic e like me Exparel, aia kekahi mea i kapa ʻia ʻo incision pani ʻole i ke kaomi hoʻowalewale e hiki ai ke hōʻemi i ka pono no nā opioids ma hope o kahi ʻāpana c. "Hoʻopaʻa ʻia ka ʻoki kino ʻino i ka ʻoki ʻana mai ka hoʻohaumia ʻana i waho, kōkua i ka hoʻopaʻa ʻana i nā ʻaoʻao o ka ʻokiʻoki, a wehe i ka wai a me nā mea maʻi," wahi a Kauka Heine. "He lole ʻaʻano makepono ia i hoʻopili ʻia i kahi ʻoki ʻoki a hoʻopili ʻia i kahi pauma e hāʻawi i ka kaomi maikaʻi ʻole mau a noho mau ma kahi no ʻelima a ʻehiku mau lā." Ua hoʻokō mua ʻia kēia e pale ai i ka maʻi ma hope o ke kaha ʻana, akā ua ʻike nā kauka he kumu ia e hoʻoliʻiliʻi i ka nui o nā lāʻau ʻeha e pono ai nā wahine i loaʻa iā ia. I kēia manawa, hoʻohana ʻia kēia ʻano i nā mea maʻi i loaʻa i ka maʻi nui o ka maʻi, e like me nā mea me ka BMI ma mua o 40, ʻoiai ʻo ia nā mea maʻi e noiʻi e hōʻike nei i nā pono no, wahi a Kauka Heine. "Inā loaʻa ka nui o ka ʻikepili e hōʻike ana e pale i ka maʻi a / a i ʻole hoʻemi i ka hoʻohana narcotic i nā mea maʻi haʻahaʻa, e hoʻohana ʻia paha ia i kēlā heluna kanaka."

Hoʻāʻo DNA

Ua ʻike mākou ʻo ka addiction he ʻāpana genetic, a manaʻo ka poʻe noiʻi ua hoʻokaʻawale lākou i kekahi o nā genes e wānana i ka lilo ʻana o kekahi i ka opioids a i ʻole. I kēia manawa, aia kahi hoʻāʻo ma ka home e hiki ai iā ʻoe ke lawe e loiloi i kou makaʻu. ʻO kekahi o nā mea kaulana loa i kapa ʻia ʻo LifeKit Predict, ka mea i hana ʻia e Prescient Medicine. Wahi a ka noiʻi i paʻi ʻia i loko o ka Nā moʻolelo o ka ʻepekema Laboratory Clinical, hiki i nā hana hoʻokolohua hou i hoʻohana ʻia e Prescient ke wānana me ka 97 pakeneka maopopo inā paha he haʻahaʻa ka makaʻu o kekahi no ka hōʻino opioid. ʻOiai heʻuʻuku kēia aʻo ʻana a ʻo kekahi mau kauka e pili pū ana me ka ʻoihana kahi ʻāpana o ke aʻo ʻana, me he mea lā e hōʻike ʻia ana he kūpono ke hoʻāʻo ʻana no kekahi mea e hopohopo nei e pili ana i kā lākou pilikia maʻa.

He mea nui ia e hoʻomaopopo ʻaʻole hiki i kēia hōʻike ke hōʻoia i ka lilo a i ʻole ka lilo ʻana o kekahi mea i ka opioids, akā hiki ke hāʻawi i ka ʻike kūpono no ka poʻe e hoʻoholo pono ana e hoʻohana. Ua uhi ʻia ka hoʻāʻo ʻana e kekahi mau hoʻolālā inikua, a ʻoiai ʻaʻole pono ʻoe i ka lāʻau lapaʻau e lawe ai, paipai nui ʻo Prescient e kūkākūkā me kāu kauka e pili ana i ka hōʻike a me nā hopena ke loaʻa iā ʻoe. (Pili: Hiki i nā hōʻike olakino ma ka home ke kōkua iā ʻoe a hōʻeha paha iā ʻoe?)

Lapaʻau hoʻōla hou

Inā ua lohe wale ʻoe e pili ana i nā cell stem e pili ana i ka cloning, e kāhāhā paha ʻoe i ka ʻike ʻana e hoʻohana nui ʻia ana lākou i ka lāʻau lapaʻau i mea e hoʻoponopono ai i ka ʻeha. ʻO ka Stem cell therapy kahi ʻāpana o kahi hana nui i kapa ʻia he regenerative medicine. "ʻO ka lāʻau lapaʻau Regenerative kahi hana hoʻololi i ka mālama ʻana i nā maʻi degenerative a me nā ʻehaʻeha," wehewehe ʻo Kristin Comella, Ph.D., Luna ʻEpekema Nui o nā Stem Cell Centres of Excellence. "Ke ulu mau nei ia, a ua hui pū me nā ʻano ʻokoʻa like ʻole, e like me ka cell cell therapy, e hoʻohana pono ai i nā hana hoʻōla maoli o kou kino." ʻOiai nā lāʻau opioid e kamaʻilio i nā ʻōuli o ka ʻeha, mālama ʻia ka mālama ʻana i ka cell cell e kuhikuhi i ke kumu kumu o ka ʻeha. "ʻO kēia ala, ʻo ka stem cell therapy e mālama pono i ka ʻeha a hiki ke hoʻēmi i ka pono o ka hōʻeha ʻeha ma o opioids," wahi a Comella.

No laila he aha ke ʻano o ka therapy? "Aia nā pūnaewele koʻokoʻo i kēlā me kēia kiko i loko o kā mākou kino a ʻo kā lākou hana nui ka mālama ʻana a me ka hoʻoponopono ʻana i nā mea i hōʻino ʻia," nā memo a Comella. "Hiki iā lākou ke kaʻawale mai kahi wahi i kou kino a neʻe i kahi ʻē aʻe e pono ai ka hoʻōla, e kamaʻilio i ka ʻeha ma nā wahi like ʻole." ʻO ka mea nui, hoʻohana wale ʻia nā stem cell mai kāu ponoi kino i loko o kēia lapaʻau, kahi e hoʻopau ai i kekahi o nā loina ethical i hiki mai me ka huaʻōlelo "stem cells."

I kekahi manawa, hui pū ʻia ka lāʻau cell cell me ka platelet-rich plasma therapy (PRP), a Comella i ʻōlelo ai e like me ka mea momona no nā hunaola kūmole. "ʻO PRP kahi heluna waiwai o nā mea ulu a me nā protein i loaʻa mai i ke koko o kekahi. Hoʻonui ia i ka cascade hoʻōla i hana ʻia e nā kūʻupu kūʻē anti-inflammatory kūlohelohe," wehewehe ʻo ia. "ʻOi aku ka maikaʻi o ka PRP no ka mālama ʻana i ka ʻeha ma muli o nā hōʻeha hou no ka mea e hoʻoikaika ana i nā pūnaewele hoʻōla e hoʻoulu nei i ka wā e hele maoli ana lākou i kahi ʻeha." A, hiki ke hoʻohana ʻia i ka lapaʻau e hōʻeleu i ka ʻeha anti-inflammatory no nā pilikia ʻoi aku e like me ka osteoarthritis, i ʻōlelo ʻo Comella.

He mea pono ke hoʻomaopopo ʻana ʻaʻole kēlā ʻo cell cell therapy pololei mainstream, ʻaʻole hoʻi i ʻae ʻia e FDA. ʻOiai ʻo ka FDA (a ʻo ka hapanui o nā kānaka noiʻi lapaʻau, no ia mea) ʻae he hoʻohiki ka lāʻau cell cell, ʻaʻole lākou i manaʻo he lawa ka noiʻi e pili ana iā ia e ʻae ʻia ma ke ʻano he lapaʻau. Pōkole ka lōʻihi: ʻAʻole ia he mea nui ʻaʻole manaʻo ka FDA he maikaʻi ka lāʻau cell stem, ʻoi aku ka nui ʻole o kā mākou ʻike e hoʻohana ai me ka palekana.Ma ka hana wale ʻana i ka maʻi maʻi, nā kaʻina hana general-anesthesia-free i lawelawe ʻia e nā kauka e hoʻohana ana i nā cell ponoʻī o ka poʻe maʻi, akā naʻe, hiki i nā keʻena stem cell ke hana i loko o nā alakaʻi a ka FDA.

ʻOiai ʻaʻole ʻōlelo ʻia ka lāʻau lapaʻau regenerative e kāu kauka-a ʻaʻole e uhi ʻia e kāu ʻinikua-he mea hoihoi loa ia i mua i ke ʻano o ka lāʻau e like me nā makahiki he mau makahiki mai kēia manawa.

Nānā no