Ib qho tshuaj tiv thaiv kab mob, lossis coanalgesic, yog tshuaj uas tsis yog tsim los tswj qhov mob tab sis tuaj yeem siv rau lub hom phiaj no. Qee qhov piv txwv ntawm cov tshuaj adjuvant yog cov tshuaj tiv thaiv kev ntxhov siab (uas feem ntau yog siv rau kev mob hlwb) thiab cov tshuaj tiv thaiv kab mob (siv hauv kev kho mob qaug dab peg).
Yuav ua li cas yog ib qho tshuaj analgesic?
Adjuvant analgesics (co-analgesics) yog tshuaj uas nws qhov taw qhia tseem ceeb yog kev tswj hwm tus mob nrog cov teebmeem thib ob ntawm kev ua xua. Mob qog noj ntshav yog ntau yam thiab feem ntau cuam tshuam nrog inflammatory, nociceptive, thiab neuropathic mob subtypes.
Yuav ua li cas hauv qab no yog tshuaj tua kab mob?
Cov tshuaj uas nquag siv hauv chav kawm no suav nrog: baclofen (Lioresal), carisoprodol (Soma), cyclobenzaprine (Flexeril), diazepam (Valium), methocarbamol (Robaxin), orphenadine (Norflex), metaxalone (Skelaxin), thiab tizanidine (Zanaflex). Lawv txhua tus ua rau lub hauv paus paj hlwb (CNS) los tsim lawv cov kev nyuaj siab.
Yuav ua li cas piv txwv ntawm cov tshuaj adjuvant?
Muaj ntau ntau hom tshuaj ntxiv suav nrog tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kab mob, corticosteroids, sedatives, thiab cov leeg nqaij so.
YPuas yog lidocaine yog ib qho tshuaj kho mob ntxiv?
Atypical analgesics, feem ntau siv rau qhov mob ntev, tau siv ntau ntxiv rau kev tswj qhov mob hnyav. Ketamine, pregabalin, gabapentin, i.v. lidocaine, thiab α2agonists muaj qee cov pov thawj ntawm kev ua tau zoo hauv qhov chaw perioperative. Qhov txaus ntshai-cov txiaj ntsig ntawm cov tshuaj adjuvant no yuav tsum tau ua tib zoo txiav txim siab hauv txhua kis.
