Okuwusizo Noma Okumazayo?
Abagijimi abaningi basebenzisa izidakamizwa ezingaphezu kwezintambo zokuphulukisa izinhlungu ukuze ziphathe izihlungu nezinhlungu zomzimba. Ngenkathi le mikhiqizo inikeza ukuphumula kwesikhashana, abagijimi kufanele baqaphele ezinye izixwayiso nokuxwayisa ngaphambi kokuba bafinyelele lelo bhubhu laseBangay noma i-Icy Hot.
Imithi yokuhlunguphazwa kwezihloko iyasetshenziswa ngqo esikhumbeni bese iza emafomu ahlukahlukene kuhlanganise ama-creams, ama-gels lotions, nama-patches.
Izigaba ezintathu ezinkulu zezinkinga zokuhlukumeza ubuhlungu be-topic yizi:
- Ukuhlaziywa Kwezingqikithi Okuqukethe Ama-salicylates
Ama-salicylates (i-Methyl Salicylates), izithako ezifanayo ezitholakalayo ku-aspirin, ziyindlela yokunciphisa ubuhlungu obuphumelelayo futhi eyanciphisa ukuvuvukala. Kodwa-ke, abacwaningi bathole ukuthi ama-salicylate awadambisi ubuhlungu be-muscle uma esetshenziswe njengekhilimu engokwesibhakabhaka esetshenziswa esikhumbeni. Nakuba lokhu kubuyekezwa kwezincwadi kuphelele, abagijimi abaningi abavumelani nokuthola okuqhubekayo futhi baqhubeke basebenzisa lezi zithandwa ngaphezu kwamakhasimende. Lezi zinhlayiya azikhuthazwa ukuthi zisetshenziswe yilabo abahlukunyezwa ku-aspirin, ngenxa yobuhlobo phakathi kokuthuthukiswa kweReye's Syndrome nokusetshenziswa kwe-aspirin (i-salicylate compound). Imikhiqizo yegama lomkhiqizo ibandakanya i-Bengay, i-Aspercreme, ne-Sportscreme. - I-Capsaicin Creams
I-Capsaicin iyinkimbinkimbi etholakala i-pepper eshukela ebangela ukushisa okushisayo, okushisayo. I-Capsaicin isetshenziselwa isikhumba isusa amakhemikhali (i-substance P) emangqamuzaneni amangqamuzana angasiza ukuthumela izibonakaliso zobuhlungu ebuchosheni. Imikhiqizo yegama lomkhiqizo ihlanganisa i-ArthriCare, i-Capzasin, ne-Zostrix.
- Ama-Counterirritants
Le mikhiqizo iqukethe izithako ezifana ne-menthol, i-wintergreen noma i-eucalyptus amafutha okwenza isikhumba sibe neshisayo noma kubanda. Kucatshangwa ukuthi lokhu ukuphazamiseka kusuka ekuzweleni ubuhlungu yilokho okunikeza ukuphumula kwesikhashana. Imikhiqizo yegama lomkhiqizo ihlanganisa i-Flexall 454, i-Icy Hot, ne-JointFlex.
Ingabe Basebenza?
Kukhona ubufakazi obuncane bokubonisa ngokucacile ukuthi le mikhiqizo isebenza. Eqinisweni, ukubuyekezwa okuphelele kwezincwadi, okushicilelwe ku-July 2009 Cochrane Database yezokuhlola okuhleliwe, kutholwe ubufakazi obuncane bokuthi ngaphezu kwamakhamera ezemidlalo ezithinta ama-salicylates anomthelela nhlobo nhlobo emaceleni nasebuhlungu uma kuqhathaniswa ne-placebo (ukwelashwa ngamanyala ).
Ngokusho kuka-Oxford weziphilayo zezinto eziphilayo u-Andrew Moore, oqhuba ukubuyekezwa okuphelele kwazo zonke izifundo ezihlosiwe ngesihloko, phezu kwama-counter creams ezitshalo eziqukethe i-salicylates njengoba isithako esisebenzayo esisebenzayo asiphumeleli futhi empeleni, kukhona ukuchitha imali. Wabika ubufakazi obunye bokuthi i-anesthetics yasendaweni ye-anesthetics yasendaweni, i-capsaicin yama-topic kanye namanye ama-NSAID angokwezihloko anganciphisa ubuhlungu be-muscle kusuka ezinhlanjeni nasezinhlakeni.
Ingabe Kuphephile?
Uma isetshenziswe ngokulinganisela, futhi ngokuhambisana nezinkomba zelebula, le mithi yokwelapha iphephile kakhulu. Akufanele zisetshenziswe isikhathi eside noma ngobuningi obukhulu. Kubalulekile futhi ukuqaphela ukuthi eziningi zalezi zinhlamba zemithi noma ukuvimbela izibonakaliso zomzimba zomzimba, futhi ukungazinaki ubuhlungu kungandisa ingozi yokulimala komzimba noma ukujoyina. Uma usebenzisa le mithi yokuphumula kwesikhashana, kubalulekile ukuphumula imisipha yakho, ngakho-ke zama ukugwema ukuzivocavoca okukhulu kuze kube yilapho isifo siphelile.
Imiphumela emibi evela kule mithi ivame ukufaka isikhumba esivuthayo, esihlabayo noma esicasulayo. Ungalokothi usebenzise le mithi esikhumbeni esiphukile noma esicasuliwe. Musa ukushisa noma ukuqeda ukulimala kwakho uma usebenzisa le mithi ye-topical futhi ugeza izandla zakho njalo emva kokusebenzisa ama-creams, lotions noma ama-gel. Njengoba kushiwo ngenhla, ama-crams aqukethe ama-salicylate akufanele asetshenziswe yilabo abaphikisana ne-aspirin.
Ukunciphisa Okubuhlungu Kwezingqungquthela Nokudlula Okuphezulu
Nakuba kuyizinto ezingavamile kakhulu, kungenzeka ukudlula ngokweqile kulezi zihluthulelo zobuhlungu obukhulu. Ukudlula ngokweqile kwenzeka uma othile engozini noma esebenzisa ngenhloso ngaphezu kwenani elijwayelekile noma eliphakanyisiwe lomkhiqizo.
Ukudlula ngokweqile kungaba yingozi, futhi ngezinye izikhathi kuyingozi. Ukumunca ngokweqile kwe-methyl salicylate kungaholela emazingeni anobuthi egazini futhi kubangele izimpawu ezifanayo njenge-overdose ye-aspirin (isicanucanu, ukuhlanza, ukujuluka, ukuphefumula okusheshayo nokukhala ezindlebeni) kanye nokufa okungenzeka. Eqinisweni, ngonyaka ka-2007, umdlali oneminyaka engu-17 ubudala odlala esikoleni esiphakeme wathisha washona ngemuva kokudlula ngokweqile kwi-methyl salicylate.
Imithombo:
UMathews P, et al. Ama-rubefacients e-topical for pain acute futhi engapheli kubantu abadala. I-Cochrane Database yezibuyekezo ezihleliwe. Issue 3, 2009.
Ukusetshenziswa kwe-McCleane G. Topical ye-doxepin hydrochloride, i-capsaicin kanye nokuhlanganiswa kokubili kokukhiqiza i-analgesia ekubuyeni okungapheli komzimba kwabantu: isifundo esilawulwa ngokungahleliwe, esiphambanisekile, esiphansi. I-British Journal ye-Clinical Pharmacology. 49.6 (2000): 574-9.
Izikhungo Zempilo Zesizwe, i-Medline Plus, Ukudlula kokudla kwezemidlalo.
Izikhungo zezempilo zikazwelonke, Medline Plus, Overdose Methyl Salicylate.