الأدوية المستخدمة في معالجة الألم ما بعد الجراحة

2011 ????? ??? ??????? ?????? ?????

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KFAS

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???? ??? ???????? ???? ?????? ????? ????? ?? ?????? ??? ?? ??? ??????? ?? ??????? ??? ??? :

1- ??????????? .

2- ???????? ??? ??????????? ??????? ????????

3- ?????? ????????  .

4- ??????? : ????????  Tramadol.

???? ??????? ?????? ??????? ??????? ??? ????? ??????? ??? ??????? ???????? ????????? ???? ?????? ?????? ??????? ????? ?????? ??????? ?? ?? ???????? ???????? ?????? .

 

???????????  Paracetamol:

????????????? ?? ???? ????? ????? ?????? ???????? ??? ?????? ?????? ???????? ???? . ??? ????? ????? ?? ???? ???? ???? ???????? ??????? ??????? ?? ????? .

??? ??? ???? ?? ????????? ???????? ??? ????????? ??????? ????? ???????? ?? ???? ????? ?????? ??? ???? ?????? ??????? ???? ???? ????? . ??? ???? ??? ????? ??? ?? ?????? ??????? ???? ??? ???? ???? (?????? 7 – 1) ??? ?????? ????? ???? ?????? ????????????? ????? ?? ???? ????? ???????

 

??????? ??? ??????????? ??????? ?????????? (NSAIDs) :

????? ??????? ??? ??????????? ??????? ?????????? ?????? ???? ????? ????? ???????? .

?????? ???? ??? ??? ??????? ??? ????? ????? ????????????????? prostaglandin synthesis ?? ???? ????? ??????? – ???????? cyclo – oxygenase ???? ???? ??????? ????????? ?????? ??? ???????????? arachidonic acid ??? ?????? ?? ?????????????????? ??? ????? ??????? ??????? ???????? .

???? ???? ??????? ??? ??????????? ??????? ???????? ???? ???????? ????? ????? ???? ???? ????? ?? ???? ??? ???????? ?? ??? ????? ????? ??? ??? .

??? ?????? ????? ?????? ??? ??????? ??? ??????????? ??????? ???????? ???? ??????? ????????? ???????? ???? ???? ??? ????? ???????? .

 

????? ????????? ??????? ??????? ??? ??????????? ??????? ???????? :

– ???? ????? ???????? ???????? ?? ????? ?????? ?????? ?? ????????? ????? .

– ???????? ???????? ?????? ???? ???? .

– ???????? ???????? ??????? ????? ????? ????? ?? ???????? ???????? ?? ???? ?? ??????? ??? ??????????? ??????? ???????? .

– ???????? ??????? ???????? .

 

???? ????? ?? ??? ???????? ??????? ??? ??????????? ??????? ???????? .

?????? ??????? ??? ??????????? ??????? ???????? ?? ?????? ?? ????? (?????? 7 – 2) : ?????? ???? ???? ?????? ??????? . ??? ???? ???? ????????? ???????? ?????????? ??????? ????? ???? ?????? ??? ????? ?? ???? ????? ?????? 

???? ???? ?????? ????? ??????? ????????? COX – 2 ??????? ???????? ???? ?????? ??? ????? ????? ??? ???????? ???????? ?? ???? ??????? ??? ?????? ?????? .

??? ???? ??? ??????? ??? ???? ??? ?????? ??? ???????? ??????? ??? ??????????? ??????? ???????? ?? ???????? ?????? ????????? ?????? . ??? ??????? ?? ??????? ??? ??????? ?????? ???? ????? ?? ????? ????? ?????? ??????? .

 

???????? ??????? – ???????? :

???????? ?? ???? ???? ????? ?????? ???????? ???? ?? ???????? ??????? opium alkaloids (??? ????????) ?????? 7 – 3 .

??? ?????? ?? ???????? ??? ?????? ?? ????????? ??? ??????? ???? ?????? ??? ????? ???? ?????? ??? ??? ???? ?? ????? ?????? ??? ???????

????? ????? ???? ???? ?????????????? ???? ??? ????? ??? ?? ???? ????? ?????? ?????? ??? ?? ????????????? ??? ??????? ??????? ???????? ??? ?????? ?? ???????? .

 

???????? :

????? ????? ?????? ?????? ?? ????? ??????? ?? ??????? visceral ??????? ???????? ???? ??????? . ???? ?????? ??????? ???? ?????? ??????? ????? ???????? ?????? ??????? .

????? ??????? ?????? ??????? ????? ????? ?????? ????? ???? ?????? ??? ??????? ??????? ?????? ?? ???? .

?????? ?????? ??? ????? ????? ?????? ?????? ????? ?????? ??? ??? ?? ???? ??????? ??????? ????????? ??????? .

??? ???? ????? ????? ?????? ?? ???? ????? ??????? ???? ????????? ????????? ??????? ??????? ?????? .

??????? ?? ?? ???? ???????? ???? ???? ??????? ??? ????????? pethidine? ??? ????? ??? ??????? ?? ????? ????? ??? ??????? ?? ????????? ???? ?????? ????????? ??? ??? ?????? ????? ????? ?????? ????? ?? ???????? .

 

??? ??????? ??????? ??????? ??????? :

??? ??????? ????? ?? ???? ????? ?????? ??????? ??????? ??????. ?????? ???? ?????? ?????? ?? ?????? ????? ????? ?? ?? ?????? ???????? ??????? ?? ????? ???? ?????? ?? ????? ?????? ???? ???? ??????? . ??? ???? ??????? ?????? ?????? ??????? ???? ??? ??????? ????? .

????? ??? ???? ?? ??? ??????? ??????? ???? ??????? ?????? ?? ????? ????? ?? ???? ?? ??? ??????? . ????? ??????? ?????? ??????? ?????? ????????? ??????? ?????? .

??? ?? ??? ??????? ?? ????? ????? ?? ???? ??????? ?????? ???? ???? ?? ??????? . ????? ??????? ??????? ???? ????? ??????? ??????? ?????? ????? ????????? ??????? ?????? ????? ????? ?????? ???????? ??????? .

???? ???? ?????? ?? ?????? ??? ?????? ?????? ?? ??????? ?????? ?? ?????????? ???? ?????? ?? ???? ???? ????? .

?????? ?? ???? ????? ???? ???? ???????? ??????? ??????? ??? ????? ????? ?????? ??????? ??????? ???? ?? ????? ??????? ??????? ?????? ??? ?????? ??????? ???????? .

???? ??? ????? ?????? ??? ??????? ?????? ????????? ????? ?????? ???????? ???????? ????? ??? ?????? ?? ?????????? ????? ?? ????? ??? ??? ??? ?????? .

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