The pain can be perceived as an unpleasant sensory and emotional experience associated with tissue damage or as a warning that this could happen. By duration we can distinguish between chronic and acute pain. The latter is one that persists for more than three months despite adequate treatment. Pain is always subjective, and its peace can only determine a patient. Efforts to objectification has led to the creation of many evaluation scales example is called. Visual analogue scale. The patient has points 1 to 10, wherein step 1 is perceived as the least pain, step 10 as intolerable condition. Their difficulties evaluates several times a day, and so the doctor can check the effects of treatment, or adjust its intensity.
The most important information is the patient
We can distinguish several types of pain. Each of them has a different cause, reacts differently to treatment and has a different character. It is always important to find out why:
if the patient is unable to pinpoint the affected area,
whether the problem has arisen suddenly, or gradually,
what was the intensity of the first attack,
whether the pain is constant or alternating with periods of calm,
if there is something to be better or worse if the state better in motion or at rest, and what degree affects the activities of daily life affected.
Remedial steps
After determining the type of pain you can choose the appropriate therapy, which must be taken into consideration also the age of the possibilities of the patient and cause trouble. Pain management can be simply divided into pharmacological and non-pharmacological. In the first case, the treatment provided by the application preparations in different dosage forms. Non-pharmacological interventions direction includes, for example, surgery, radiotherapy, chemotherapy, hormonal therapy, or alternative methods such as acupuncture, aromatherapy, magnetic or use of homeopathic and herbal preparations.
From tablets to drink
At the onset of pain, many patients initially selected conventional drugs, which are generally known. NSAIDs. Mostly these drugs are known in the form of powders, the possibility of submission, however, is considerably more. These include patches, creams or effervescent granules. The patches are appropriate form for seniors who forget to take medications regularly - the active ingredient is released gradually and work up to three days. For children again throws effervescent granules, which are easily stirred up in water and drink.
Stronger medicines only from an expert
If the underlying pain drugs do not help, the disabled usually visit your doctor who will treat further adjusted. The second stage of pharmacological therapy is the addition of the weak opioid which should dihydrocodeine or codeine. With severe chronic pain, especially in the palliative treatment with opiates such as morphine, pethidine, methadone, or tramadol. Their drawback is the occasional occurrence of side effects as nausea, vomiting, constipation, drowsiness or dependence. At higher doses, can lead to significant reductions in blood pressure or depression of the respiratory centers in the brain.
So i can help. Complementary or supporting preparations additional basic therapy. These drugs include:
antidepressants;
anticonvulsants - used in epilepsy because stabilize membranes of nerve cells in solution are mainly applied pain in diabetic neuropathy and neuralgia, cranial nerve;
antispasmodics - useful if they are accompanied by pain, muscle spasms.
The solution is non-refundable except
The surgical treatment is accessed in case of unbearable pain that can not be solved pharmacologically, thus using drugs. The essence of the interruption of certain neural structures, and the procedure is irreversible. This step prevents the transmission of information via nerve fibers.
And what alternative methods?
Finally, it is important to mention the procedures that are not quite traditional. Pharmacological and surgical treatment, however, can usefully complement. These include acupuncture, aromatherapy, magnet therapy, use of homeopathic or herbal remedies.
Never forget that the abuse of drugs and herbal remedies can come a lot of side effects. Some of them may even irreversibly damage the selected institutions, such as the kidneys or liver. Actually, all substances can act as poisons, it depends only on the amount that we use. When dosing is therefore required great care.
Source. Treatment bolesti.cz