Bayar da marasa lafiya da ciwon baya na yau da kullun da osteoarthritis (OA) damar samun maganin cannabis na likita na iya rage ko ma kawar da amfani da opioids don sarrafa raɗaɗi, bisa ga binciken biyu da aka gabatar a taron shekara-shekara na 2022 na Cibiyar Nazarin Orthopedic American Academy of Orthopedic Surgeons (AAOS). Jagoran Babban Mai Binciken Asif M. Ilyas, MD, MBA, FAAOS, binciken ya kuma nuna cewa ciwo da ingancin rayuwa sun inganta bayan an tabbatar da marasa lafiya don maganin cannabis.

Amurkawa miliyan 2019 suna fama da ciwo mai raɗaɗi wanda ba shi da alaƙa da kansa, wanda galibi ana kula da shi tare da opioids. Koyaya, akwai buƙatar madadin hanyoyin kwantar da hankali. A cikin 10.1, kimanin mutane miliyan 12 masu shekaru 2019 ko mazan sun yi amfani da opioids ba daidai ba a cikin XNUMX, ii kuma jarabar opioid ta kasance a kowane lokaci. An yi amfani da maganin cannabis na likita a matsayin madadin magani ga opioids, amma ana buƙatar ƙarin karatu don nazarin inganci, yin amfani da allurai, da kuma yadda zai iya shafar amfani da opioid don sarrafa ciwo.

"A cikin yanayin rikicin opioid na yanzu, dole ne mu gano wasu hanyoyin da za su iya rage dogaro ga opioids don sarrafa ciwo," in ji Dokta Ilyas, darektan shirye-shiryen na haɗin gwiwar hannu & haɗin gwiwar tiyata na sama a Rothman Orthopedic Institute kuma farfesa na tiyata na orthopedic. a Asibitin Jami'ar Thomas Jefferson da ke Philadelphia. "A wannan lokacin, ba muna ba da shawarar yin amfani da maganin cannabis na yau da kullun ba ko kuma cewa shine mafi kyawun zaɓi, amma bincikenmu ya nuna yuwuwar."

Amfani da Cannabis na Likita a cikin Ciwon Baya na Tsawon Lokaci da Marasa lafiya OA

Nazarin biyu sun sake nazarin bayanan da aka cika majinyata masu fama da ciwon baya da kuma OA waɗanda aka ba da izini don samun damar maganin cannabis tsakanin Fabrairu 2018 da Yuli 2019. Matsakaicin morphine milligram (MME) a kowace rana na takaddun opioid ya cika watanni shida kafin samun damar. an kwatanta cannabis na likitanci da watanni shida bayan da marasa lafiya suka sami dama.

Bayanan ciwon baya na musculoskeletal marasa ciwon daji ya nuna:

• Matsakaicin raguwa a cikin matsakaicin matsakaicin MME kowace rana bayan takardar sayan maganin cannabis na likita, daga 15.1 zuwa 11.0 (n=186).

• 38.7% na marasa lafiya sun ragu zuwa sifili MME kowace rana.

• Marasa lafiya waɗanda suka fara a ƙasa da 15 MME kowace rana kuma sama da 15 MME a kowace rana sun sami raguwa sosai, daga 3.5 zuwa 2.1 (n=134) da 44.9 zuwa 33.9 (n=52). Adadin marasa lafiyar da suka ragu zuwa sifili MME kowace rana a cikin waɗannan ƙungiyoyi sun kasance 48.5% da 13.5%, bi da bi.

• Idan aka kwatanta da asali (watanni uku, shida, da tara), marasa lafiya sun ba da rahoton ingantaccen ƙarfi, mita, da aikin yau da kullun bayan amfani da maganin cannabis na likita.

• Marasa lafiya waɗanda suka yi amfani da hanyoyi biyu ko fiye na gudanarwa don maganin cannabis na likita sun nuna raguwa sosai a cikin MME kowace rana, daga 13.2 zuwa 9.5 (n=76).

Don maganin OA, an kimanta matakan sakamakon haƙuri a watanni uku, shida, da tara bayan amfani da maganin cannabis na likita. Bayan samun damar yin amfani da cannabis na likita, binciken ya nuna:

• An sami raguwa mai yawa a matsakaicin MME a kowace rana na takardun magani da marasa lafiya suka cika, daga 18.2 zuwa 9.8 (n=40). Matsakaicin raguwar MME a kowace rana shine 46.3%.

Yawan marasa lafiyar da suka ragu zuwa sifili MME kowace rana shine 37.5%.

• Sakamakon ciwon marasa lafiya ya ragu sosai, daga 6.6 (n = 36) zuwa 5.0 (n = 26) da 5.4 (n = 16), a cikin watanni uku da shida, bi da bi.

Matsayin ingancin lafiyar Jiki na Duniya ya ƙaru sosai, daga 37.5 zuwa 41.4, cikin watanni uku.

"Bincikenmu ya nuna cewa maganin cannabis na likita na iya zama magani mai mahimmanci ga ciwon baya na baya da kuma osteoarthritis, wanda zai iya taimakawa wajen rage dogara ga opioids," in ji Dokta Ilyas. "Duk da haka, ana buƙatar ƙarin bincike don ƙarin fahimtar mafi kyawun hanyoyi da mitoci, abubuwan da ba su da kyau, da kuma sakamakon dogon lokaci na amfani da maganin cannabis. A cikin ɗan lokaci, masu rubutawa ya kamata su yi amfani da shawarar yanke shawara tare da majiyyatan su yayin yin la'akari da cannabis na likita don yanayin ciwon musculoskeletal.

ABUBUWAN DA ZA KU GUDU DAGA WANNAN LABARI:

Providing patients with chronic back pain and osteoarthritis (OA) access to medical cannabis can reduce or even eliminate the use of opioids for pain management, according to two studies presented at the 2022 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).
The use of medical cannabis has been researched as an alternative therapy to opioids, but further studies are needed to review efficacy, dosing, and how it can affect opioid use for pain management.
“At this point, we are not advocating for the routine use of medical cannabis or saying it is a better option, but our studies show potential.