{"id":24249,"date":"2022-01-12T17:28:52","date_gmt":"2022-01-12T14:28:52","guid":{"rendered":"https:\/\/zdmaa.com\/pain-management-reduce-opioid-dependency-risk\/"},"modified":"2022-01-13T01:34:56","modified_gmt":"2022-01-12T22:34:56","slug":"pain-management-reduce-opioid-dependency-risk","status":"publish","type":"post","link":"https:\/\/zdmaa.com\/tr\/pain-management-reduce-opioid-dependency-risk\/","title":{"rendered":"A\u011fr\u0131 y\u00f6netimi: opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 riskini azaltmak"},"content":{"rendered":"

A\u011fr\u0131 y\u00f6netimi: opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 riskini azaltmak<\/span><\/span><\/span><\/span><\/p>\n

\n

C<\/span><\/span><\/span>Kronik, bazen zay\u0131flat\u0131c\u0131 a\u011fr\u0131, kanser hastalar\u0131 da dahil olmak \u00fczere milyonlarca Amerikal\u0131y\u0131 etkiliyor. <\/span>Son yirmi y\u0131lda, opioidler olarak bilinen g\u00fc\u00e7l\u00fc ila\u00e7lar yayg\u0131n olarak re\u00e7ete edildi, ancak ila\u00e7lar a\u011fr\u0131y\u0131 \u00f6nlemede yararl\u0131 olmakla birlikte, hasta sa\u011fl\u0131\u011f\u0131na \u00f6nemli bir maliyet getirerek, ba\u011f\u0131ml\u0131l\u0131k ve k\u00f6t\u00fcye kullan\u0131m riskini art\u0131r\u0131yor. <\/span>\u015eimdi, Birle\u015fik Devletler’deki opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ve a\u015f\u0131r\u0131 doz \u00f6l\u00fcmleri, federal h\u00fck\u00fcmetin bir halk sa\u011fl\u0131\u011f\u0131 acil durumu ilan etmesiyle benzeri g\u00f6r\u00fclmemi\u015f seviyelere y\u00fckseldi ve bir\u00e7ok doktorun a\u011fr\u0131y\u0131 tedavi etme y\u00f6ntemlerini yeniden de\u011ferlendirmesine neden oldu. <\/span>Hastalar\u0131n tahminen y\u00fczde 50 ila 70’inin kanser yolculu\u011funun bir noktas\u0131nda kontrol edilemeyen a\u011fr\u0131 ya\u015fad\u0131\u011f\u0131 kanser bak\u0131m\u0131nda, a\u011fr\u0131 y\u00f6netimi uzmanlar\u0131 hassas bir dengeleme eylemi ger\u00e7ekle\u015ftirir: Opioid tedavisinden fayda g\u00f6rebilecek hastalar\u0131 yak\u0131ndan takip eder ve B\u00fcy\u00fcyen alternatiflere g\u00fcvenirler. a\u011fr\u0131 pompalar\u0131 gibi. <\/span>ve sinir bloklar\u0131.<\/span><\/span><\/p>\n

“Kronik a\u011fr\u0131 ki\u015finin ya\u015fam kalitesini etkileyebilir. Bu nedenle a\u011fr\u0131y\u0131 azaltmak veya rahatlatmak i\u00e7in giri\u015fimsel tedaviler \u015fartt\u0131r.” <\/span><\/span>– Nathan Newfield, Du – Amerika’daki Kanser Tedavi Merkezlerinde A\u011fr\u0131 Y\u00f6netimi B\u00f6l\u00fcm Ba\u015fkan\u0131 <\/span><\/span>\u00ae<\/span><\/span><\/sup> (CTCA)<\/span><\/span><\/em><\/p><\/blockquote>\n

Opioidler nelerdir?<\/span><\/span><\/h2>\n

Opioidler (oksikodon, hidrokodon, fentanil ve di\u011ferleri), orta ila \u015fiddetli a\u011fr\u0131y\u0131 kontrol etmek i\u00e7in re\u00e7ete edilen narkotiklerdir. <\/span>Beyne a\u011fr\u0131y\u0131 engelleyen ve sakinle\u015ftirici bir etki yaratan sinyaller g\u00f6ndererek \u00e7al\u0131\u015f\u0131rlar. <\/span>1990’larda ve 2000’lerin ba\u015f\u0131nda, ila\u00e7 \u015firketleri opioidleri etkili bir a\u011fr\u0131 kontrol\u00fc y\u00f6ntemi olarak agresif bir \u015fekilde pazarlamaya ba\u015flad\u0131lar. <\/span>Uzun s\u00fcreli kullan\u0131m, kab\u0131zl\u0131ktan hiperaljeziye ve a\u011fr\u0131ya kar\u015f\u0131 artan hassasiyete kadar bir dizi yan etkiye neden olabilir. <\/span>Dr. Neufeld, ila\u00e7lar\u0131n ba\u011f\u0131ml\u0131l\u0131k yapan \u00f6zelliklerinin ve hasta g\u00fcvenli\u011fi \u00fczerindeki uzun vadeli sonu\u00e7lar\u0131n\u0131n t\u0131p camias\u0131n\u0131 en \u00e7ok ilgilendiren yan etkiler oldu\u011funu s\u00f6yl\u00fcyor. <\/span>Bu nedenle kansere ba\u011fl\u0131 a\u011fr\u0131y\u0131 tedavi etmeye y\u00f6nelik mevcut yakla\u015f\u0131m, opioid analjezikleri daha dikkatli kullan\u0131r. <\/span>A\u011fr\u0131 y\u00f6netimi uzmanlar\u0131, di\u011fer tedavilerin a\u011fr\u0131y\u0131 oral narkotik ila\u00e7lardan daha az yan etki ile kontrol edebildi\u011fini ke\u015ffetti, diyor Dr. Neufeld.<\/span><\/span><\/p>\n

\u00d6rne\u011fin bir lokal anestezik olan lidokain, bir eklem veya omurgaya enjekte edildi\u011finde a\u011fr\u0131y\u0131 ge\u00e7ici olarak \u00f6nleyebilir. <\/span>Uzun s\u00fcreli rahatlama i\u00e7in doktorlar, belirli sinirlerin yak\u0131n\u0131na bir n\u00f6roliz maddesi enjekte etmeyi i\u00e7eren n\u00f6rolojik bir blok \u00f6nerebilir. <\/span>\u0130la\u00e7, sinirlerden beyne akarken a\u011fr\u0131 d\u00fcrt\u00fclerini azaltmak i\u00e7in tasarlanm\u0131\u015ft\u0131r. <\/span>Bazen, diyor Dr. Neufeld, sinirler yenilenir ve a\u011fr\u0131 geri gelir, ancak prosed\u00fcr gerekti\u011finde tekrar edilebilir.<\/span><\/span><\/p>\n

Ba\u015fka ne se\u00e7enekler var?<\/span><\/span><\/h2>\n

Baz\u0131 hastalar, cerrahi olarak implante edilen ve k\u00fc\u00e7\u00fck miktarlarda ilac\u0131 omurili\u011fe ileten ve dozun elde ta\u015f\u0131nabilir bir cihaz kullan\u0131larak ayarlanmas\u0131na izin veren k\u00fc\u00e7\u00fck bir cihaz olan bir a\u011fr\u0131 pompas\u0131yla da rahatlama hissedebilir. <\/span>Bu minimal invaziv prosed\u00fcr, s\u0131rt, boyun, ekstremite, kar\u0131n veya pelvik a\u011fr\u0131y\u0131 ve belirli tipteki ba\u015f a\u011fr\u0131lar\u0131n\u0131 hafifletmek i\u00e7in kullan\u0131labilir.<\/span><\/span><\/p>\n

Bu ve di\u011fer tedavi se\u00e7enekleri genellikle fizik tedavi, zihin-beden t\u0131bb\u0131 ve akupunktur gibi destekleyici bak\u0131m terapileri ile birlikte kullan\u0131l\u0131r ve opioidlerden daha kapsaml\u0131 bir a\u011fr\u0131 y\u00f6netimi stratejisi sa\u011flayabilir, diyor Abdel-Rahman, MD, MSc, Interventional A\u011fr\u0131, Doktora Chicago yak\u0131nlar\u0131ndaki hastanemizden t\u0131pta.<\/span><\/span><\/p>\n

T\u00fcm hastalar a\u011fr\u0131y\u0131 deneyimledi\u011finden ve tedaviye farkl\u0131 yan\u0131t verdi\u011finden, a\u011fr\u0131 y\u00f6netimi ve y\u00f6netim stratejileri, a\u011fr\u0131 tolerans d\u00fczeyleri, sa\u011fl\u0131k \u00f6yk\u00fcleri, di\u011fer t\u0131bbi durumlar ve a\u011fr\u0131n\u0131n kayna\u011f\u0131 ve \u015fiddeti dahil olmak \u00fczere kendilerine \u00f6zg\u00fc bir dizi fakt\u00f6r\u00fc hesaba katmal\u0131d\u0131r. . <\/span>A\u011fr\u0131. <\/span>.<\/span><\/span><\/p>\n

2016 y\u0131l\u0131nda rekor 15,5 milyon kanserden kurtulanla, hastal\u0131kla ilgili a\u011fr\u0131n\u0131n etkin y\u00f6netimi her zamankinden daha \u00f6nemli. <\/span>Dr. Rahman, “Ama\u00e7 hastan\u0131n a\u011fr\u0131y\u0131 kontrol etmesidir, tersi de\u011fil” diyor. <\/span>“Geleneksel ve b\u00fct\u00fcnle\u015ftirici a\u011fr\u0131 y\u00f6netimi stratejilerini birle\u015ftirmek daha dengeli bir yakla\u015f\u0131m sa\u011flar.”<\/span><\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

A\u011fr\u0131 y\u00f6netimi: opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 riskini azaltmak CKronik, bazen zay\u0131flat\u0131c\u0131 a\u011fr\u0131, kanser hastalar\u0131 da dahil olmak \u00fczere milyonlarca Amerikal\u0131y\u0131 etkiliyor. Son yirmi y\u0131lda, opioidler olarak bilinen g\u00fc\u00e7l\u00fc ila\u00e7lar yayg\u0131n olarak re\u00e7ete edildi, ancak ila\u00e7lar a\u011fr\u0131y\u0131 \u00f6nlemede yararl\u0131 olmakla birlikte, hasta sa\u011fl\u0131\u011f\u0131na \u00f6nemli bir maliyet getirerek, ba\u011f\u0131ml\u0131l\u0131k ve k\u00f6t\u00fcye kullan\u0131m riskini art\u0131r\u0131yor. \u015eimdi, Birle\u015fik Devletler’deki opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 …<\/p>\n","protected":false},"author":1,"featured_media":23385,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-24249","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nA\u011fr\u0131 y\u00f6netimi: opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 riskini azaltmak - zdmaa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/zdmaa.com\/tr\/pain-management-reduce-opioid-dependency-risk\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A\u011fr\u0131 y\u00f6netimi: opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 riskini azaltmak - zdmaa\" \/>\n<meta property=\"og:description\" content=\"A\u011fr\u0131 y\u00f6netimi: opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 riskini azaltmak CKronik, bazen zay\u0131flat\u0131c\u0131 a\u011fr\u0131, kanser hastalar\u0131 da dahil olmak \u00fczere milyonlarca Amerikal\u0131y\u0131 etkiliyor. 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