Notes of the class teacher, or Three injections of rabies for modern "mommies. How to give an injection in the buttock: a very detailed instruction Choice of painkillers
Discomfort in the back can have different causes, as well as strength. It is extremely difficult to establish the cause of discomfort in the back on your own, so it is better not to delay this problem and immediately consult a doctor.
A correct diagnosis is the key to a speedy recovery.
Sometimes there are situations when the treatment of severe back pain is reduced to the use of injections. Medication solutions injected directly into the source of the problem, able not only relieve sharp acute pain, but also bring the patient closer to a speedy recovery. Used in medicine five groups of drugs, which have a different principle of impact on the body, accelerating the healing process. Below we will consider what types of effective painkillers are, and for what purposes they are used, their contraindications and precautions.
Hernias, radiculitis and other inflammatory processes of muscle and cartilage tissue are well relieved by NSAIDs (non-steroidal anti-inflammatory drugs). They are able to quickly stop even the most shooting pain, which hinders movement at the slightest movement.
Application:
Intramuscularly, 10-30 mg one-time. The dose depends on the age and physique, taking into account the degree and nature of the back injury. The total daily dose should not exceed 85 mg. The duration of treatment is 5 days.
having cholecystitis and asthma; with impaired functioning of the kidneys and excretory system; with the presence of lupus erythematosus and sepsis, cancerous neoplasms.
Ketonal is used with caution during pregnancy and in disorders nervous system.
Side effects: nausea and vomiting; dizziness; violation of the heart rhythm.
Price: 10 ampoules in a pack cost about 300-400 rubles. It is released without a prescription and restrictions.
The ability of Diclofenac to eliminate muscle and joint pain makes it the most suitable option for pain relief, but it is quite difficult to tolerate, especially for people with kidney and liver diseases.
Application:
Intramuscularly, 3-5 mg. Children under 6 years of age are not prescribed Diclofenac. A single injection is sometimes enough to eliminate the pain. In the presence of serious ailments, a course of treatment is prescribed, lasting 3-5 days, 1 injection per day.
ulcers and gastritis; chronic cholecystitis; chronic kidney disease; pregnancy; childhood.
Before taking a course of treatment, an allergy test must be done by injecting a minimum amount of the drug subcutaneously.
Side effects: dizziness; internal bleeding; opening of gastric and duodenal ulcers.
Price Diclofenac from 25 rubles per package, which makes it as affordable as possible for all segments of the population. Available without a prescription, before use, you need to consult a doctor.
A strong analgesic that can reduce muscle inflammation and swelling, relieving fever and back pain. It is not recommended to use it with other NSAIDs, as there is a risk of severe intoxication.
Application:
Intramuscularly, 7.5 mg once a day. The maximum dose is 15 mg. Duration of injections - no more than 3 days.
peptic ulcer; bronchial asthma; acute allergic reactions to any medication.
Side effects:
urticaria and anaphylactic shock; heart palpitations and hot flashes; acute renal failure.
Meloxicam is used under the strict supervision of the attending physician, preferably in a medical institution.
average cost 75 rubles. Released without a prescription.
A fast analgesic that can eliminate not only muscle pain, but also joint pain, is widely used for arthritis and arthrosis of the elderly.
Application:
1 ampoule (2 mg) is dissolved in novocaine, an injection is given for severe pain, after which the pronounced symptoms completely disappear. After that, treatment is continued with tablets.
Contraindications:
Neurobion is not used for pregnant and lactating mothers, choosing more gentle analogues.
Side effects:
Allergic reactions can occur, both local (at the injection point) and general (urticaria, itching of the skin, Quincke's edema).
It is released exclusively by prescription, as it contains an active ingredient that, even in small doses, can provoke cardiac arrest.
average price for 3 ampoules from 300 rubles.
A loyal drug whose side effects are limited to a few points. Allowed for long-term use from 5 to 10 days.
Application:
2 ml 1 time per day during the entire course of treatment, which is regulated by a doctor.
Contraindications:
Trigamma is not prescribed to children under the age of 6 years and pregnant women.
Side effects:
Sometimes the drug affects the gastrointestinal tract, reducing appetite. In rare cases, arrhythmia and malaise are noted.
A prescription drug is dispensed and used under the clear guidance of specialists who regulate the dosage and number of injections.
Injections of this group allow relieve pain quickly, but their duration is short. They have a lot of contraindications, therefore, are used in treatment with caution and under the supervision of physicians.
Their main advantage is the ability to use directly at the site of pain. The blockade can be performed with a direct injection into the lumbar region, where sharp pains are noted. For these purposes, Novocain or Ledocaine solutions are used in combination with any corticosteroid well tolerated by the patient.
Assign with extensive rheumatoid pain and intervertebral hernia.
Application:
Intravenously (drip or jet) 100-350 ml in solution. The exact dosage is calculated by a specialist who is knowledgeable in the diagnosis and personal characteristics of the patient.
Contraindications:
Individual intolerance, as well as chronic kidney disease and liver failure.
Side effects:
Hydrocortisone retains fluid, accumulating it in the tissues. Swelling and disturbances in the work of the cardiovascular system are likely.
The medicine is dispensed by prescription. The number of applications should not exceed 7 days.
Price ranges from 180 to 250 rubles, depending on the manufacturer.
Corticosteroid inhibits the body's immune response, reducing inflammation and back pain.
Application:
Prednisolone is best tolerated by intravenous drip. If this method is not possible, a deep intramuscular injection can be used. 1 ampoule (1 ml) is administered once a day, or 10 ampoules for droppers, diluted in saline.
Contraindications:
Acute restrictions have not been identified, but should be used with caution in infancy and pregnancy.
Side effects: increased blood pressure, bouts of nausea.
Price quite acceptable - from 15 rubles per ampoule. Leave conditions: prescription.
A glucocorticosteroid that can suppress leukocyte functions, instantly eliminating the inflammatory process.
intravenously - 4-8 mg once; intramuscularly - 2 mg; intra-articular - 0.4-5 mg at a time.
The dose is determined strictly by the doctor from the characteristics of the course of the disease, at the rate of 0.25-0.6 mg per 1 kg of the patient's weight. For children, the dose is three times less.
Contraindications: Individual intolerance to the active ingredient, inflammation in tissues, viral infections of the skin.
Side effects:
It can provoke the development of diabetes mellitus, as well as CNS depression.
average cost Betamethasone 110 rubles per 1 ampoule, dispensed by prescription.
An analogue of Betamethasone, a distinctive feature of which is a wider spectrum of action.
Application:
The medication can be used not only intramuscularly, but also intraarticularly, increasing the chances of a speedy recovery. 1 ampoule is injected into the site of the pain focus, in a course of 3 injections.
Contraindications:
The drug for diabetics and ulcers is strictly prohibited, people with an open form of tuberculosis can be taken with caution.
Side effects:
Weakened immunity, which leads to viral and bacterial lesions of the mucosa. Increased excitability can be accompanied by a sharp change in mood.
Flosteron in a pharmacy is released strictly by prescription, by price from 850 rubles for a pack of 5 ampoules.
A steroid that affects the work of the adrenal glands quickly relieves pain shock, but with frequent use it can provoke addiction, due to the content of small doses of psychotropic drugs.
Application:
Exclusively intramuscularly at 2 mg at a time. Do not use Diprospan at home. It is necessary to strictly control the medical staff for possible overdoses or improper combination of concomitant drugs.
Contraindications:
Diprospan is not used by elderly people with heart problems, as well as chronic diseases of the respiratory system and the cardiovascular system.
Side effects:
Perhaps the appearance of nausea, in rare cases, urticaria.
Price Diprospana is from 300 to 650 rubles per pack. You can buy it exclusively by prescription.
These medications are designed to relax muscle fibers, remove their tone, up to a complete blockade and immobilization. Until recently, muscle relaxants were used exclusively as anesthetics, although in recent times cases of their use in case of sharp pains in the back have become more frequent.
Preparations are used strictly under the supervision of medical personnel, observing the recommended dosages and rules of administration.
The drug is able to relax the muscles of the skeletal muscles, blocking the nerve endings and pain receptors, freeing the patient from a painful condition.
Application:
Children from 7 years old - 5-10 mg per 1 kg of weight, adults - 100-150 mg 2 times a day intramuscularly. If necessary, the drug can be administered intravenously, but very slowly, preferably drip.
Contraindications:
Mydocalm is not used in infancy, it is used with caution for lactating women.
Side effects:
An acute allergic reaction, accompanied by joint pain and burning of the skin, as well as the appearance of urticaria.
The drug can be bought at any pharmacy with a prescription, by price from 480 rubles for a pack of 5 ampoules.
Effectively fights muscle spasms and eliminates neural inflammation.
Application:
Intramuscularly, 30-60 mg one-time. The course of treatment is 2-3 days, after which it is continued with the help of tablets.
individual intolerance to the drug; pregnancy and lactation; nervous disorders; diseases of the circulatory system.
Side effects:
nausea; dry mouth.
Price does not exceed 230 rubles per pack, dispensed by prescription.
An analogue of Norflex, which is distinguished by the presence of auxiliary components that facilitate the absorption of an active enzyme.
Application:
Intramuscularly, 10-20 mg, no more than 3 times a day.
Contraindications:
It is strictly forbidden to use for people with cerebral palsy, paralysis and mental disorders, since the drug can provoke active emotional outbursts.
Side effects:
There may be absent-mindedness, as well as emotional swings.
Price drug from 400 to 600 rubles. You can buy it at a pharmacy with a prescription.
Medicines in this group are actively fighting for cartilage restoration, and also provoke active regeneration in the vertebrae, minimizing the inflammatory processes of the back.
It is used for intervertebral hernias and modifications of cartilaginous tissue.
Application:
2 mg 1 time per day with complex treatment. In the presence of acute pain, the dose can be increased by 3 times. Usually one injection is enough.
Contraindications:
Adgelon is not used under the age of 12, because it can affect the formation and development of the child.
Side effects:
Individual intolerance can provoke an active allergic reaction in the form of urticaria or lupus.
Adgelon can be bought by price from 120 rubles per 1 ampoule, according to a doctor's prescription.
Not only stimulates cartilage fiber to regenerate, but also helps to block pain and inflammation in tissues.
Application:
1 mg 1 time per day, the number of doses varies from 1 to 3 per month.
Contraindications:
It is not used in childhood, as well as people with diseases such as tuberculosis, AIDS, syphilis.
Side effects:
Well tolerated, in individual cases may cause slight nausea and dizziness.
Price from 200 rubles. It is dispensed by prescription, it is extremely difficult to find in pharmacies.
Medicines in this group are secondary and are not able to categorically reduce pain and discomfort. Them the main task is to saturate the blood with oxygen, thus increasing the microcirculation of the lumbar zone.
It can be used both in the form of tablets and in the form of solutions for droppers. The main goal is to saturate the blood vessels with oxygen, helping them to cope with the underlying disease.
Application:
Droppers with Cavinton are placed mainly on those people who suffer from a lack of oxygen in the blood, caused by side effects of active medications that eliminate discomfort in the back.
Contraindications:
Cavinton is not used in infancy, as well as in the elderly, when there is a high probability of internal bleeding.
Side effects:
dizziness; lack of appetite; heartburn; insomnia.
Available without a prescription, can be used as a dietary supplement on the recommendation of a doctor.
It has a similar effect on the body, characteristic of this series of the drug group.
Application:
Intravenously, 10 ml in the morning and evening. The maximum daily dose should not exceed 25 ml.
Contraindications:
The drug is not used by cancer patients and people with pathological diseases of the blood and circulatory system.
Side effects:
sleep disorders; hyperactivity; overexcitability.
Dispensed by prescription, purchased at the pharmacy by price from 160 rubles.
The human body is built in such a way that the slightest imbalance of vitamins and minerals provokes a weakening of protective functions, giving free rein to the development of various diseases. As for the discomfort in the back, it is possible to partially neutralize them with the help of vitamins.
Vitamins are usually prescribed as auxiliary elements that support general state weakened body. However, scientists have proven that B vitamins are able to have an analgesic effect, allowing the patient to speed up the healing process and eliminate uncomfortable back sensations.
This combination is extremely important for those people who have problems in the musculoskeletal system, in particular the back. Calcium strengthens bone tissue, magnesium contributes to its elasticity and nutrition, and vitamin D ensures that the previous two components are well absorbed and reach their goal.
Often, such a complete set of microelements is used in the form of tablets, allowing their active absorption in the stomach and intestines.
Applies complex 1 tablet 1 time per day for at least a month.
Released without a prescription and can be used without a doctor's prescription.
Vitamin B1, which is contained in the drug Anevrin, allows you to normalize the microcirculation of certain areas, participates in the processes of bone tissue formation.
Dosages are calculated individually, depending on weight and age.
Vitamin B2 is responsible for tissue elasticity, the absence of which can provoke pain. It is usually used in combination with other B vitamins that can reduce pain and muscle neuralgia.
This component is directly related to the bone marrow, responsible for its full functioning. A deficiency can provoke discomfort in the back, resulting from the lack of proper nutrition of the spine. Vitamin B6 is needed at all ages, but children and the elderly need it especially.
Medicines that contain vitamins and trace elements that can support the body and speed up the healing process can help in the treatment of back ailments:
Compligam B;
Trigamma;
Combilipen.
Treatment of back pain is a complex set of activities., which should be fully controlled by specialists. It is highly not recommended to put strong painkillers on your own, because there is always a risk of getting the opposite effect.
Health is the most valuable that is given to a person, so you do not need to experiment with it and self-medicate, which is not only ineffective, but sometimes dangerous.
How to forget about pain in the joints and spine?
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What injections for painInjections for back pain are prescribed only after a full examination and identification of the cause of the pathological condition. Injection administration of drugs makes it possible to quickly deliver medicinal substances to the focus of inflammation, remove pain, stop the inflammatory process affecting the spinal nerve roots.
Treatment of pain in the back is a complex set of therapeutic measures, which is carried out under the supervision of a neurologist or osteopath. Other specialists are often involved in the treatment process - urologists, gastroenterologists or gynecologists, since the back can hurt not only due to lesions of the musculoskeletal system, but also due to diseases of the digestive or genitourinary system. What injections are used when the back hurts, how do they affect the body, are there any contraindications to their use? You will find answers to these questions in our article.
The most common causes of back pain are degenerative-dystrophic diseases of the spine:
osteochondrosis; spondylarthrosis; myositis; spinal stenosis; protrusions and hernias of intervertebral discs.
No less common are conditions associated with congenital pathologies, injuries or curvature of the spine, infectious and systemic autoimmune diseases affecting the tissues of the spinal column.
Banal hypothermia or overstrain caused by excessive physical exertion can provoke pain in the back and lower back. In some cases, the cause of discomfort is diseases of the internal organs, in which pain radiates to the back (for example, inflammation of the gallbladder, peptic ulcer, gastritis, colitis, renal colic).
Good to know
Back pain in the area of the shoulder blades can be felt in diseases of the cardiovascular system, in the area of the ribs - with intercostal neuralgia, in the lumbar region - with gynecological pathologies and kidney damage.
Discomfort can be caused psychological factor (severe stress, nervous breakdown) or problems affecting the pelvic organs. The most severe manifestations of the pain syndrome are observed in a malignant tumor process with metastases or tuberculosis.
The task of the doctor is to make the correct diagnosis and determine the cause that provokes the occurrence of back pain. Only then can one proceed to the choice of drugs and treatment tactics, taking into account the characteristics of the concomitant disease.
Therapy of back pain syndrome most often begins with injections, as the most effective and fast-acting method of treatment. After the patient's condition improves, other forms of medicines (tablets, ointments, gels, suppositories) are selected. The main list of injections for back pain includes drugs from the following groups:
drugs from the NSAID group (Diclofenac, Meloxicam, Ibuprofen, Ketoprofen, Nimesulide, etc.); anesthetics for local blockades (Lidocaine, Novocain); steroid drugs (Hydrocortisone, Prednisolone, Diprospan); muscle relaxants (Mydocalm, Sirdalud, Norflex); fortified complexes, which are based on vitamins of group B.
Effective injections for pain in the back and lower back are available in the group of chondroprotectors (Aflutop, Adgelon), whose action is aimed at restoring the cartilaginous tissue of the intervertebral discs. As an addition to the main treatment, agents that improve blood microcirculation and oxygen supply to tissues (Cavinton, Trental) are used.
Let us dwell in more detail on the drugs intended for the treatment of back pain and consider the features of the use of medicines of each group.
Non-steroidal anti-inflammatory drugs (NSAIDs)
With back pain, drugs of this group are prescribed most often. They show a pronounced analgesic and anti-inflammatory effect, quickly relieve swelling, and have an antipyretic effect.
Indications. Means from the NSAID group are used to relieve persistent or severe, shooting pains that impede physical activity. The main indications for use are osteochondrosis, radiculitis, protrusion of the intervertebral discs, intercostal neuralgia, traumatic injuries (bruises and sprains).
Contraindications. The drugs of this group effectively relieve pain, but the root cause of the disease is not eliminated, moreover, they have many side effects, so they are used in short courses. Main contraindications:
individual intolerance to the components; peptic ulcer of the gastrointestinal tract; gastritis; diseases of the kidneys, liver, gallbladder; hemorrhoidal disease; pathologies of the cardiovascular and nervous system; asthmatic manifestations.
Means from the NSAID group should not be prescribed in childhood, during pregnancy and lactation, in the presence of severe systemic diseases, malignant tumors.
Names of injections for back pain from the NSAID group:
diclofenac. This drug is considered the "gold standard" in the treatment of pain in the back and lower back. Its use allows you to quickly relieve pain of various nature - from neuralgic manifestations to inflammatory processes. Sometimes just one injection is enough to significantly alleviate the patient's condition with discomfort caused by muscle strain. In difficult cases associated with degenerative diseases of the spine, the drug is used intramuscularly for 4-5 days, making 1 injection per day. During treatment, you should strictly follow the doctor's recommendations and do not exceed the indicated dosages, otherwise serious adverse reactions may develop. The cost of the drug is from 40 rubles per pack of 5 ampoules.
Ketonal(Ketoprofen). The active substance - ketoprofen has a strong analgesic and anti-inflammatory effect, within a few minutes it relieves back pain in case of injuries, radiculitis or neuralgia. The solution is administered intramuscularly from 1 to 3 times a day at a dosage selected by the doctor, taking into account the intensity of the pain syndrome, the age of the patient and others. individual features. The duration of treatment should not exceed 5 days. The drug has quite a few contraindications, it can provoke an exacerbation of peptic ulcer, internal bleeding, allergic reactions, so it should be prescribed only taking into account all the restrictions. The price of Ketonal is from 200 rubles for a pack of 10 ampoules.
Meloxicam(Movalis). Belongs to a new generation of NSAIDs, has a minimal number of side effects. It allows you to quickly and permanently eliminate the pain syndrome, is well tolerated by patients, effectively fights inflammatory manifestations, and has an antipyretic effect. The drug is often prescribed to relieve postoperative pain, as well as to relieve symptoms of rheumatoid arthritis, spondylitis, osteoarthritis. However, an overdose of the drug can lead to gastrointestinal bleeding, exacerbate peptic ulcer, so it is used for no more than 3 days. Injections are made intramuscularly, at a dose of 7.5 mg, once a day. The price of Meloxicam is from 80 rubles, Movalis - from 450 rubles.
Vitamin complexes
Vitamins of group B are prescribed simultaneously with painkillers for the treatment of back pain. Scientists have proven that the use of cyanocobalamin (vitamin B12) provides a good analgesic effect, and in combination with vitamins B1 and B6, an additional neuroprotective effect and a positive effect on irritated nerve fibers are provided. Modern combined complexes, in addition to vitamins, contain the anesthetic lidocaine, which allows you to repeatedly enhance the therapeutic effect aimed at combating pain. Names of vitamin complexes:
Milgamma (from 250 rubles for 5 ampoules); Kombilipen (from 120 rubles for 5 ampoules); Neurobin (from 230 rubles for 3 ampoules); Trigamma (from 100 rubles for 5 ampoules).
The composition of all the above vitamin complexes is almost the same, they are based on vitamins B12, B1, B6 and lidocaine. The difference is only in the concentration of the main substances and auxiliary components. Indications for use - back pain caused by neurological manifestations in lumbago, sciatica, sciatica, radicular syndrome, intercostal neuralgia.
Combined vitamin complexes cannot be prescribed for individual sensitivity, pregnancy, lactation, heart failure. Injections for pain in the back and lower back are administered intramuscularly, once a day. The duration of treatment is from 5 to 10 days. In the future, they switch to taking vitamins in tablet form.
It is advisable to use drugs of this group only in severe cases, in short courses, since they have a lot of side effects and contraindications. Injections of steroid hormones into the area of inflammation quickly relieve sharp, unbearable pain, but the duration of their therapeutic effect is negligible.
Hydrocortisone. Intravenous injections are prescribed for rheumatic pains and intervertebral hernia. The exact dosage should be calculated by a specialist, taking into account all possible contraindications. When using the drug, edema and disorders in the work of the cardiovascular system may occur. The maximum duration of treatment is 7 days. The cost of the drug is from 200 rubles.
Prednisolone. The drug is administered intravenously by drip or deep intramuscular injection. With intramuscular injection, an injection is made 1 time per day, for droppers, 10 ampoules of the drug are pre-diluted in saline. Side effects include increased blood pressure and nausea. The price for 1 ampoule of Prednisolone is on average 18 rubles.
Diprospan. The steroid hormone quickly stops the pain shock, but at the same time it has a negative effect on the work of the adrenal glands. Injections are made only in a hospital, for one application, 2 mg of the drug is injected deep into the muscle. During treatment, constant monitoring of the patient's condition is necessary. The drug should not be used to treat elderly, debilitated patients and chronic diseases of the cardiovascular and respiratory systems. The price of the medication is from 300 rubles per pack.
Preparations - muscle relaxants are prescribed for sharp pains in the back, since their action is aimed at maximizing relaxation of muscle fibers. By reducing muscle tone, blocking of pain receptors is achieved, pinched nerve endings are released. As a result, it is possible to quickly stop the painful bouts of pain in case of back injuries, sprains, muscle spasms and muscle hypertonicity caused by excessive physical exertion. Popular muscle relaxants:
Norflex; Mydocalm; Disipal; Myoflex.
All injectable forms of drugs are prescribed for a short period (up to 7 days) in the acute period. Injections are done intramuscularly, 1-2 times a day at a dosage prescribed by a doctor.
Contraindications to the use of muscle relaxants are nervous disorders, dysfunction of the hematopoietic system, individual intolerance, pregnancy, lactation, mental disorders, myasthenia gravis (muscle weakness). During treatment, side effects such as dry mouth, nausea, decreased concentration, and emotional instability may occur. The average cost of muscle relaxants is from 400 to 600 rubles, they are dispensed from pharmacies by prescription.
The action of chondroprotectors is aimed at restoring cartilage tissue and preventing further destruction of the vertebral discs, which reduces the severity of the inflammatory process and pain. For back pain caused by degenerative processes in the spine, the following remedies are most often prescribed:
Aflutop. Injections of the drug promote the regeneration of cartilage fibers, reduce inflammation and pain. In general, the drug is well tolerated, only in exceptional cases causes dizziness and nausea. The drug is administered once per knock intramuscularly or intraarticularly. Aflutop cannot be prescribed for immunodeficiency states, tuberculosis, syphilis, there are also age restrictions. The price is from 250 rubles for 5 ampoules, it is sold from pharmacies exclusively by prescription.
Adgelon. Indications for use are pain caused by the destruction of cartilage and the formation of intervertebral hernias. Injections are made intramuscularly 1 time per day. The duration of treatment and dosage is determined by the doctor. The drug is prohibited for use in childhood, during pregnancy. During treatment, allergic reactions may occur. The prescription drug costs from 120 rubles per 1 ampoule.
Chondrogard. The main active ingredient - chondroitin sulfate prevents the destruction of cartilage and bone tissue, improves metabolic processes, accelerates the regeneration and restoration of damaged intervertebral discs. The use of a chondroprotector reduces inflammation, relieves pain and improves joint mobility. The average price of the drug is from 800 rubles.
Such funds are not intended to reduce pain, but they are included in the treatment regimen in order to improve blood circulation and provide tissues with oxygen, which ultimately helps to cope with the underlying disease and neutralize discomfort.
As an aid, injections of Cavinton or Trental are used. They have few contraindications, side effects may include manifestations such as irritability, insomnia or dizziness. The cost of Trental is on average 160 rubles Cavinton - from 220 rubles.
In cases where the pain syndrome cannot be treated with the above painkillers, novocaine blockades are used. An anesthetic solution is injected into the most painful points in the back along the spine, after which they resort to manual therapy methods - they passively stretch the muscles, then a hot compress is applied to the injection site. Such blockades are aimed at maximum relaxation of muscle fibers. The procedure is indicated for inflammation of the sciatic nerve, intercostal neuralgia, herniated discs. That is, it is prescribed for severe conditions accompanied by chronic pain syndrome. All procedures must be performed only by a specially trained, qualified specialist.
Treatment of back pain is a lengthy process that requires a correct and responsible approach on the part of the doctor. In the course of therapy, many nuances associated with the specifics of the disease and the patient's condition should be taken into account. The choice of drugs is approached individually, taking into account possible contraindications, the severity of symptoms and the presence of concomitant pathologies.
This winter she caught a bad cold, she had a cold in her back, as a result, intercostal neuralgia was diagnosed as a complication. There were severe back pains, in the mornings I could not straighten up. Plus, the temperature was kept, tests showed the presence of an inflammatory process. I was prescribed a course of injections of Diclofenac, and at the same time it was necessary to inject the vitamin preparation Kombilipen. I read the annotation to the drug, Diclofenac turned out to have a lot of contraindications, including from the gastrointestinal tract. I have chronic gastritis, but the injections are still pierced. Improvement felt already on the second day of treatment. Gradually, the pain subsided, the temperature subsided, inflammation was also defeated. But after a course of therapy, my gastritis worsened, so then I had to sit on a strict diet and be treated by a gastroenterologist.
Veronica, Orenburg
I have problems with my spine - spondylarthrosis and disc protrusion in the lumbar region. Often there are pains in the back and lower back, which are given to the leg. The pain is especially severe at night, and in the morning it is difficult to get out of bed. The doctor wanted to prescribe Diclofenac injections for treatment, but I have problems with the gallbladder and intestines (chronic enterocolitis). Therefore, I was advised to inject Meloxicam. This drug does not adversely affect the gastrointestinal tract. They also prescribed Milgamma with B vitamins and chondroprotectors to restore cartilage. After the course of treatment, they feel much better.
Andrey Ivanovich, Togliatti
Back pain is a very common symptom at any age. Often, it indicates the defeat of various systems - the musculoskeletal, respiratory, digestive. When your back hurts, do not self-medicate. Only a doctor can quickly determine the cause and treatment tactics.
IT'S IMPORTANT TO KNOW! The only remedy for PAIN IN THE JOINTS, arthritis, arthrosis, osteochondrosis and other diseases of the musculoskeletal system, recommended by doctors! …
Back pain is very different. It can be associated with eating or coughing, psycho-emotional experiences. The causes of this symptom are gastroduodenitis and cholecystitis, bronchitis and pneumonia, angina pectoris and acute coronary syndrome. However, these diseases are often accompanied by other characteristic complaints, which allow the doctor to correctly make a differential diagnosis.
More often than not, back pain is a sign of injury. musculoskeletal system. It occurs in such diseases:
Osteochondrosis (thoracic, lumbar or common). Scoliosis. Protrusion. Intervertebral hernia. spinal stenosis.
By themselves, these degenerative diseases rarely present with pain. However, as the pathology progresses, nerve roots and fibers are involved in the process. Their infringement, compression leads to the appearance of neurological symptoms:
Pain in the back, chest, lower back. Unusual sensations - burning, tingling, numbness. Movement disorders.
Back pain can be chronic or acute. As a rule, in diseases of the musculoskeletal system, there is a clear relationship of discomfort with physical activity, movement or breathing. To remove them, doctors resort to prescribing ointments, tablets and painkillers.
Injections for pain in the back and lower back are a highly effective method of treatment. Often, it is with them that pain syndrome therapy begins, especially if the patient's discomfort is very pronounced.
Sometimes, in addition to injections, other forms of anti-inflammatory drugs are used:
Gels and ointments. Tablets, capsules, powders. Rectal suppositories.
Very often the same drug is available in different forms. And the doctor selects the optimal option for the patient, relieving pain, taking into account its characteristics, tolerability and concomitant diseases. Some people cannot stand injections for fear of pain, and the mere sight of a sharp needle can cause them to panic. Others, on the contrary, are distrustful of local forms, considering them insufficiently effective.
Yet more often, injections for pain in the lower back or chest are the most popular and best-selling medicines.
Anesthetic injections for back pain are used for moderate and severe forms of diseases of the musculoskeletal system. They are also prescribed when it is necessary to obtain a very fast or long-term, stable effect.
Some anti-inflammatory shots are prescribed after surgery as a pain reliever. The following medicines are available in the form of injections:
Non-steroidal anti-inflammatory drugs (NSAIDs or NSAIDs). Steroid hormones. Muscle relaxants. Vitamins.
Non-steroidal anti-inflammatory drugs are an extensive and very popular group of drugs among doctors of various specialties. NSAIDs are widely used in the following medical fields:
rheumatology; traumatology orthopedics; therapy.
The most common indications for their appointment are:
osteochondrosis; protrusions and intervertebral hernias; intercostal neuralgia; various radiculopathy; bruises and sprains.
In addition, they are also used for any other pathologies accompanied by inflammation. The most commonly prescribed NSAIDs are:
Diclofenac; Meloxicam; Dexketoprofen.
Characteristics of NSAIDs
Diclofenac is one of the well-known and highly effective anti-inflammatory and analgesic drugs. In pharmacies, its injectable forms are found under the following names:
Dicloberl; Voltaren; Dicloran; Diklak.
Usually it is enough to make 5-7 injections for back pain to get a pronounced and lasting analgesic effect.
Meloxicam belongs to a new generation of NSAIDs, the risk of its side effects is minimized. It is sold under the following names:
Movalis; Revmoxicam.
Despite the fact that this modern medicine is well tolerated, its overdose is fraught with the formation of a stomach ulcer or the development of bleeding in the digestive tract. Self-medication of NSAIDs, even from this group, is unacceptable.
Dexketoprofen is currently represented by the well-known anesthetic drug Dexalgin. It is often prescribed after operations, if necessary, to quickly and permanently eliminate severe pain. The course of treatment with Dexalgin injections is no more than 5 days.
Taking any NSAID - even the relatively harmless paracetamol or ibuprofen - requires a doctor's consultation due to the large number of side effects of this group of drugs.
Steroid hormones are a special class of drugs. They have a pronounced anti-inflammatory effect. But there are many side effects of these drugs.
Hormonal injections are used for back pain with hernia, rheumatoid arthritis and Bechterew's disease, radiculopathy. The main indications for their appointment are:
Intense pain syndrome. A strong inflammatory process, especially of autoimmune and allergic origin. The need for a stable analgesic effect.
Hormones can be produced in tablets, but for pain in the spine, back, joints, it is intramuscular and intravenous injections that are prescribed. This allows you to quickly reduce pain and stop inflammation. Most often, Diprospan and Kenalog are used from hormonal injections.
Steroid hormones can be prescribed together with NSAIDs - for example, diclofenac or ibuprofen, but this combination requires careful monitoring of the patient's health.
Diprospan is a medicine based on the corticosteroid betamethasone. It has a powerful anti-inflammatory effect. Available in ampoules and administered intramuscularly.
Very often, this single injection for pain in the lower back or chest is enough to save the patient from real torment. If necessary - severe forms of the disease - Diprospan can be administered repeatedly.
However, unlike NSAIDs, these injections are not given daily. As a rule, the interval between them can be from 3-4 days to 3 weeks. The doctor develops a treatment regimen for betamethasone individually in each case.
The active ingredient in Kenalog is the corticosteroid triamcinolone. This is a potent hormonal drug that has a pronounced anti-inflammatory effect.
One injection quickly relieves pain and eliminates swelling in the affected area, relieves a person from unpleasant symptoms of inflammation.
Kenalog can be administered intramuscularly, it must be placed deep in the buttock. In addition, these injections are also used for intra-articular administration of the drug.
Since triamcinolone is a strong analgesic injection based on a glucocorticosteroid, frequent injections of the drug are contraindicated so as not to cause suppression of the adrenal glands. Usually the drug is administered once every four weeks.
The list of side effects of Kenalog is rather big, but it effectively eliminates both acute and chronic pain syndrome.
Muscle relaxants in the treatment of back pain began to be used relatively recently. However, due to their high efficiency, they have firmly established themselves in the prescription lists of doctors for dystrophic and degenerative diseases of the musculoskeletal system.
The mechanism of action of muscle relaxants is radically different from that of NSAIDs. They do not affect the inflammatory process in any way, do not eliminate the pathological edema and the pain associated with it.
These medicines, as the name implies, relax the muscles. The mechanism of back pain is quite complex. It distinguishes not only the neuropathic component associated with the infringement of the nerve roots. Of great practical importance is muscle spasm, which occurs as a reflex response to degenerative processes in the spine and joints. It is not only accompanied by severe pain in itself, but also exacerbates inflammation in the lesion.
That is why the appointment of muscle relaxants along with non-steroidal anti-inflammatory drugs allows you to stop the pain syndrome in a shorter time. What injections that relax muscles are usually prescribed by doctors?
The choice of muscle relaxants used for back pain is currently not very large. Most often in pharmacies, these drugs are represented by such drugs:
Mydocalm; Myoflex.
These are injectable forms of muscle relaxants that are prescribed in the acute period - as a rule, for a period of 5-7 days, once a day.
Elimination of pathological muscle spasm in diseases of the back is an important stage in rational therapy today.
By themselves, vitamin preparations are not painkillers. However, therapists and neuropathologists almost always prescribe them for back pain. What are the reasons for these recommendations?
The fact is that pain in the chest or behind - between the shoulder blades and in the lower back - with degenerative lesions is always associated with the involvement of nerve roots in the process. It is their infringement that leads to the appearance of unpleasant symptoms. However, compression of nerve fibers is fraught not only with pain, but their sheath also suffers. As the process progresses, the nerves themselves are destroyed, and the manifestations of radiculopathies intensify.
Vitamins of group B have reparative properties in relation to nerve fibers.
Vitamins of this group are available in the form of tablets, dragees and injections. In the acute period, neuropathologists usually prescribe injections according to the established scheme - as a rule, for a period of 10 days, and in the future they recommend switching to oral forms. They should be taken within a month.
Previously, such vitamins existed in three separate injections - B1, B6, B12. Considering that each injection is painful in itself, the administration of such a cocktail caused the patient a lot of suffering.
However, today pharmacies offer a huge selection of combined preparations, one ampoule of which already contains all the necessary B vitamins. The most famous among them are the following:
Milgamma; Vitakson; Neurobion; Neuromax; Neurorubin; Nerviplex.
B vitamins are today an essential component of the established treatment regimen for various radiculo- and neuropathies. That is why these injections are always on the list of appointments for acute back pain, along with NSAIDs such as diclofenac or ibuprofen and muscle relaxants.
Although the anesthetic injection works quickly and effectively relieves discomfort, many patients prefer topical forms of medication. These include gels, creams and ointments.
These products do not require special skills to use - even a child can apply the gel to the affected area. In addition, topical forms are safer, because the active substance is practically not absorbed through the skin. This means that the risk of systemic side effects of the drug is minimized.
This is especially true for non-steroidal anti-inflammatory drugs, which have an impressive list of toxic effects.
Ointments, gels and creams often help back pain if we are talking about mild forms of the disease. They are also preferred in the following situations:
In children and elderly patients. With bruises and sprains of the ligamentous apparatus. With concomitant pathology - diseases of the blood coagulation system, gastrointestinal tract, with bleeding hemorrhoids.
The use of non-steroidal anti-inflammatory ointments and gels rarely leads to the development of complications, even with their uncontrolled application. This is often the sin of elderly patients with chronic pain and severe forgetfulness. In this case, the safest anti-inflammatory drugs become the drugs of choice.
Tablets and capsules are an excellent alternative to injections for back pain. The name of the drug can be either the same or different.
Most non-steroidal anti-inflammatory drugs are available both in oral and injectable forms. In addition, there is great amount medicinal analogues. That is why you should not replace the drug yourself if it suddenly turned out to be ineffective, because there is always a chance to purchase a medicine with the same active ingredient, but in the form of injections or under a different name.
Tablets are the most common oral form of anti-inflammatory drugs. Almost any non-steroidal drug is available, including in the form of tablets. They are easy to use, divide and dose. Tablets are suitable for patients of any age group, except for children under 4-6 years old, who can choke on them.
Oral forms of non-steroidal anti-inflammatory drugs are preferred for the treatment of diseases of the spine, as they are much more convenient to use.
In addition, some drugs are sometimes as powerful as injections. These include Ibuprofen and Nimesil, which have a pronounced and long-lasting analgesic and anti-inflammatory effects.
Rectal suppositories with an anti-inflammatory drug in the composition are widely represented in any pharmacy. They serve as an alternative to both oral forms and injections used for back pain.
This form of release provides more quick reach analgesic effect than tablets and capsules. This is due to the accelerated absorption of the analgesic substance in the rectum. But, at the same time, their action develops more slowly than with intramuscular and intravenous injections. Although the portability of rectal suppositories is much better.
Doctors, as a rule, prescribe this form for mild and moderate forms of damage to the spine, after surgery, in order to obtain an anesthetic effect.
Due to the nature of the application, rectal suppositories are not suitable for all patients, however, they continue to be a safe, effective and popular remedy for pain. The most popular drugs in this form are Dicloberl and Ibuprofen (used more often in children).
Shape selection medicinal product with back pain syndrome - this is the prerogative of the doctor. It is he who decides the issue in favor of injections or tablets, gels or suppositories - depending on the specific disease of the patient and comorbidities. Most often, therapy is carried out according to a certain scheme - injections in the first days of the disease to relieve acute pain and pills or other forms - at the recovery stage.
Back pain is a common ailment for many people, regardless of their age and gender. The first thing the patient should do is to identify the cause of his ailment by contacting a doctor.
The initial examination should always be carried out by a therapist, who will then prescribe a course of treatment for you or send you to another specialist, for example, a neurologist, surgeon, gastroenterologist.
After all, there can be plenty of reasons for pain in the back, lower back or joints: from mild hypothermia to dislocation or hernia.
In any case, the patient is prescribed a course of treatment, most often it includes painkillers and other types of injections.
The most common injections include:
non-steroidal; Steroid; Muscle relaxants; Chondroprotectors; Microcirculating; Vitaminized.
It is possible to give injections for back pain on your own, but for this you need to know exactly what medications are needed in your particular case.
They are considered popular as well as economical medicines for injections for back pain.
NSAIDs (non-steroidal anti-inflammatory drugs) block pain, have an anti-inflammatory effect, and also fight swelling.
The active ingredient Ketoprofen, which is part of it, works as an analgesic and anti-inflammatory drug. With the introduction of the drug intravenously, it begins its work after 5 minutes.
with back injuries, neuralgia, after operations in the back area, with sciatica.
Usually, the drug is administered to the patient 1-3 times a day for several days.
renal failure, peptic ulcer, bronchial asthma.
Among the many NSAIDs that effectively fight back pain, Diclofenac is especially popular with doctors and patients. It is an analgesic, anti-inflammatory and antipyretic agent.
Complete recovery after the use of this medicine intravenously is usually achieved in 8-10 days.
severe back pain, morning stiffness, spinal joint disease, trauma, rheumatism, postoperative back pain.
Doctors are limited to 1-2 injections per day.
intestinal inflammation, kidney and liver disease, heart failure.
Appearing on the Russian market, meloxicam became a very popular drug in the fight against back pain, and was also used for high temperature and inflammation.
Its relevance is primarily due to its cheapness and availability. Meloxicam-based injections have a quick effect, and after a week of regular injections, the patient comes to stability.
ankylosing spondylitis, arthritis, sciatica.
Contraindications:
intestinal inflammation, kidney and liver disease, heart failure, pregnancy.
Unlike similar non-steroidal anti-inflammatory drugs, neurobion contains a vitamin complex, where vitamin B dominates.
Therefore, injections with it not only relieve acute back pain, but restore the body after injury, surgery and other ailments.
It is worth noting that this drug has a more gentle effect on the body than similar NSAIDs. The components included in its composition are low-toxic and have no obvious side effects.
Indications:
with neurological diseases, radiculitis, plexopathy, for the prevention of back pain.
The drug is prescribed in combination with other drugs. Patients who receive neurobion injections have reduced back pain and improved motor function.
no obvious contraindications were found.
Often, back pain is caused by problems in the nervous system, such as a pinched nerve. Pain from such a disease can be excruciating and prolonged.
In this case, the doctor will most likely prescribe the trigamma to the patient. This drug is classified as a remedy for the treatment of the nervous system.
used in complex therapy, effectively relieves back pain, is a vitamin and prophylactic agent, is prescribed in case of a weak muscular corset, limited motor activity.
Contraindications:
heart failure.
Pain and crunching in the joints over time can lead to dire consequences - local or complete limitation of movement in the joint up to disability. People, taught by bitter experience, use a natural remedy recommended by orthopedists to cure joints ...
They are the most powerful and effective anti-inflammatory drugs based on hormones and synthetic drugs.
Such medicines do not fight the disease, but only relieve its symptoms, for example, quickly stop the pain. Steroid drugs have many contraindications, are prescribed by the attending physician, and are sold in pharmacies only with a prescription.
An agent that is a hormone of the adrenal cortex. It is used as an anti-inflammatory, anti-shock medicine.
severe pain in rheumatism, pain caused by a hernia in the spine, post-traumatic back pain. hypersensitivity, pregnancy, kidney failure, stomach ulcer.
The most popular steroid medicine for helping fight inflammatory diseases, including those associated with back pain.
Best of all, the drug is absorbed by the body when administered intramuscularly. Most often, doctors prescribe 1 ampoule per day.
rheumatism, pain associated with inflammatory processes in the back. fungal infections, adrenal insufficiency.
A substance capable of suppressing pain-causing inflammation in various ways. In inflammatory processes, betamethasone is usually administered intramuscularly, directly to the affected area.
rheumatoid arthritis, osteoarthritis. viral infections, intolerance to the components of the drug.
Often, with severe back pain, doctors prescribe injections with hormonal drugs related to the corticosteroid type. These include flosteron.
It has a powerful analgesic effect, and also has an anti-inflammatory effect.
Usually, this drug is prescribed in complex therapy and only if other means have not given a positive result.
Indications:
arthrosis of the spine.
Contraindications:
It has many side effects, undesirable for peptic ulcers, diabetes, tuberculosis, fungal infections.
Glucocorticoid drug used to combat diseases of the musculoskeletal system. It helps to get rid of pain, inflammation and swelling in the spinal region.
osteoarthritis, arthritis, acute and chronic back pain, sciatica. sensitivity to the drug, ulcers, fungal disease. Do you want to easily cure Osteochondrosis? Alexander Myasnikov on how to get rid of pain in the spine in a couple of weeks ... "
There are cases when back pain is caused by tension, and in order to relieve unpleasant symptoms, you should get rid of them.
For these purposes, drugs based on muscle relaxants are used that can relax muscles by blocking impulses. It should be understood that the use of such drugs on their own can lead to complete immobilization of the body.
The drug belongs to analgesics, and when injected, it helps to relieve back pain, dilate blood vessels, and improve blood circulation. In addition, it has a relaxing effect on muscles and nerve endings.
Indications:
in complex therapy for relieving muscle spasms in the cervical and spinal regions, with muscle hypertonicity. effective in the treatment of back injuries.
Contraindications:
myasthenia.
A foreign drug used in physical therapy to relieve back pain and discomfort. This tool can change muscle tone, relax the muscle corset.
norflex injections are effective for sprains, injuries of the spinal muscles, active physical activity. disorders of the nervous system, pregnancy.
A drug based on the active substance orphenadrine. It is an analogue of Norflex, but has fewer side effects and is better absorbed by the body.
Disipal injections are a powerful remedy for muscle spasms that cause back pain.
muscle tension in the back, sprains, injuries, parkinsonism. mental disorders.
Medicines that contribute to the restoration of cartilage tissue, and also prevent it from being destroyed, are called chondroprotectors.
Injection therapy based on such medicines can last several months, up to a year. The drugs have a long-term effect, only gradually restoring cartilage.
For some back problems, injections can only help in the early stages.
In medical practice, Adgenol is a fairly new drug, but has already earned a lot of positive feedback. It is a stimulant and is able to restore joint cartilage and bone tissue.
The drug promotes the release of regenerate, which corresponds to cartilage tissues.
osteoarthritis of the large joints of the back. infection in the joints.
A unique solution that improves metabolism in damaged cartilage tissue of the spinal region. The drug, due to its composition, which includes a concentrate of marine fish, is able to restore and prevent the destruction of cartilage in the human body.
arthrosis of small joints in the back, spondylosis, osteochondrosis. due to its, to a greater extent, natural composition, it has very few contraindications. should not be given to pregnant women.
TO MAKE AN APPOINTMENT WITH A DOCTOR
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Violation of microcirculation, or in other words, blood circulation in the back, leads to serious consequences, discomfort and chronic pain in the lower back. The most common symptom of a violation of this process is hypothermia.
Of course, there are cases when the dislocation of the blood circulation is a sign of some serious pathology. In any case, with back pain caused by impaired microcirculation, doctors are likely to prescribe injections to the patient.
The drug is not able to perform the functions of an anesthetic and anti-inflammatory drug. Their main function is to saturate the blood with oxygen and relieve the patient of back pain caused by a violation in microcirculation processes.
insufficient blood circulation, vascular disease. stroke, arrhythmia, pregnancy.
Injections of this drug are effective in the treatment of arterial vessels of the lower extremities in a circulatory disorder that causes pain in the lower back.
circulatory disorders, vascular disease. heart attack, bleeding, pregnancy.
It has been established that the most frequent complaints from patients experiencing age-related changes, are exactly back pain. And it often happens that the doctor does not reveal obvious causes, for example, injuries, but the pain syndromes do not stop.
The root of the disease may be hiding in a lack of vitamins. Then, doctors will prescribe injections to the patient based on a fortified complex. It is worth noting that for the relief of back pain, the most important vitamin group is the B group.
It is this substance that can act on the body as an analgesic, but for a complete recovery of the body, whole balanced vitamin complexes may be required.
A fortified complex based on these three substances is able to restore the human body in a short time, save it from excruciating back pain.
The fact is that calcium - works to strengthen bones, magnesium - helps to eliminate toxins, is a component of bones, and vitamin D mineralizes bone tissue.
back pain due to weakening of the vertebrae, frequent fractures of the dorsal region.
The active substance of this drug is vitamin B1, which produces energy in the body for the full functioning of the body.
The drug is able to stimulate the growth of bones and muscles, improve microcirculation.
back pain due to a lack of vitamin B group, the recovery process after spinal fractures.
The drug, which is based on vitamin B2. This medicine helps to regulate the recovery processes in the body.
On average, a person needs 1.5 mg of such a vitamin in order not to experience health problems, and its lack can lead to back pain due to impaired tissue elasticity.
back pain due to loss of tissue elasticity.
Pyrodoxine, or vitamin B6, which promotes the formation of collagen in the bones, is often prescribed to patients suffering from back pain, especially as a recovery agent after fractures. It helps the bones heal properly.
with fractures of the bones of the spinal region, for the speedy recovery of damaged cartilage and ligaments.
But what life didn’t prepare me for was “mommies”(I deliberately put this word in quotation marks) these children.
When did the "mommies" manage to degrade like that? How many years have I been sleeping? I remember my mother, who, for the “deuce” in her diary, took out my brain, but not my teacher.
So, dear mothers of modern and future schoolchildren, this article is for you. To my great regret, no less than every fourth of those reading today will receive an injection from "rabies".
Prick number 1. This is for your motherly conscience
History from my practice. I have a student Ilya. A good 12-year-old boy who lived happily and calmly, until one day he did something stupid and told his mother how he got into a fight in a physical education lesson with a classmate Zhenya. When I say fight, I don't mean broken noses or even torn T-shirts. So, they pushed each other. By the end of the lesson, everything seemed to be forgotten.
And now Irina Vladimirovna, Ilya's mother, comes to the fore. The next day, she comes to school to the class teacher, so she is let through the turnstile. It doesn't reach me, of course. On the other hand, he immediately attacks Zhenya with insults and shouts, etc.
Photo source: pixabay.com
The teacher puts her out of the class, calls the administration, class teacher.
Who gave you the right to insult the boy?
I was protecting my child!
A 35-year-old woman protected her child from an 11-year-old boy!
And who will protect Zhenya from you?
I will not describe the continuation, the conversation with Zhenya's mother, mutual insults, instructions on the correct upbringing of sons ...
I will describe the condition of the boys.
Each of them took a lot from this story:
- that mom knows how to swear and yell at the whole school (very nice!);
- that red definitely doesn't suit her;
- that he would tell her nothing more;
- that it is better not to communicate with Zhenya (Ilya) anymore;
- that there will probably be a scandal with dad at home in the evening.
This is at best. At worst, the guys will remember that if something happens, mom will come and decide everything, so I can do what I want. Bravo, mothers! Taking off my hat! Thanks for the experience! As a teacher, as a class teacher, as a mother of a little son, finally!
Prick number 2. This one's for moms with "excellent student syndrome"
How? Did you get a "seven"? What kind of teacher is this? Don't worry, I'll talk to her.
Photo source: yerleske-campus.info
Calls begin in the evenings, persuasion. Please talk to teacher so-and-so, let him go to the meeting, let him ask additionally. Personal conversation through some mutual friends.
Tears in the classroom due to "bad" grades (this is if below "9" and "10"), an endless plea for rewriting tests, essays and independent work. And my favorite: “I will talk to the director!”
It always surprises me why, in pursuit of the great honor of being called the mother of an excellent student, “mommies” forget what their children have to go through, what fear to overcome on verification work, with what a heavy load to walk because of such a trifle.
From the first years of my work, I taught myself to predict the results of any violent activity of "mommies". Here I see the following: the child will live with the heavy burden of an “excellent student” until the end of his life, in all his affairs and undertakings he will require help from everyone who is somehow related to the matter.
And if something didn’t work out, then there are months of hard introspection, stress and depression ahead.
Well, if that's what you want for your kids, go for it. I'll give you a 10 for your effort, but with a lot of contempt.
Prick number 3. Dear grandmothers
I saved the best for dessert.
Dear grandmothers! May God give you more health and less agility, gunpowder in powder flasks, a "second" breath, etc. That's really bad for the school!
Having imagined herself a pedagogical luminary, raising three children without “diapers”, raising an academician, a professor of medicine or, God forbid, an honored teacher in the country, she will mold even more brilliant personalities from her grandchildren.
Photo source: i.ytimg.com
If he doesn't call, he'll come to the audience. Not to the class teacher, so to the director. And there is no end and edge of her hot love for her grandson.
In my practice, there were four such grandmothers, and for some reason they stood up for the boys. A drunken, fattened and "loved" boy remains so for life.
Have time to snatch him from your grandmother's arms before the fifth grade. Let her praise him for his good studies, bake muffins and spend holidays with her grandchildren. Don't let grandmas go to school!
I finish and exhale
Tomorrow I will be at work again, again someone will hit someone, push, an excellent student will get a “bad” mark ... This will pass through me, it will remain a lesson for my students, and only “mommies” will not endure anything from this.
Hear me, dear mothers! Learn to let your kids go. You will get credit for this ... at the parent meeting in paradise!
Vera Quiet
What is your relationship with your child's class teacher?
It happens that you need to give an injection, but there is no doctor nearby. And you have to turn to relatives and those who are nearby. There are craftsmen who can give injections to themselves, but this is not very good idea, if only because it's inconvenient. It is better to give instructions to a person who is ready to help with the procedure.
Step 1. Prepare everything you need
Soap. Doesn't have to be antibacterial.
Towel. It should be clean, and better - disposable.
Plate. It will need to lay down all the tools. At home, it is difficult to disinfect the surface of the table, for example, so you need to work from a plate. It must be washed with soap and wiped with an antiseptic - an alcohol wipe or cotton wool with alcohol or chlorhexidine.
Gloves. At home, gloves are often neglected, but in vain. Since there is no question of any sterility, gloves are especially needed to protect both the patient and the one giving the injection from the transmission of infections.
Syringes. The volume of the syringe must match the volume of the medicine. If the medicine needs to be diluted, then keep in mind that it is better to take a larger syringe.
Needles. They will be needed if the medicine needs to be diluted. For example, if a dry preparation is sold in an ampoule with a rubber cap, then it is diluted as follows:
- The solvent is drawn into the syringe.
- The rubber cap is pierced with a needle, the solvent is released into the ampoule.
- Shake the ampoule without removing the needle to dissolve the medicine.
- Draw the solution back into the syringe.
After that, the needle must be changed, because the one that has already pierced the rubber cover is not suitable for an injection: it is not sharp enough.
Antiseptic or alcohol wipes. You need alcohol 70%, an antiseptic based on it or chlorhexidine. For the home, disposable alcohol wipes, which are sold at any pharmacy, are best.
Place for garbage. Somewhere you have to put the waste material: packaging, lids, napkins. It is better to immediately dump them into a separate box, basket, or wherever it is convenient for you, so that all this does not fall on a plate with clean tools.
Step 2. Learn to wash your hands
belnaviny.byYou will have to wash your hands three times: before collecting the instruments, before the injection and after the procedure. If that seems like a lot, then it seems to you.
Lifehacker wrote about how to properly wash your hands. This one has all the basic movements, but add a couple more to them: separately lather each finger on both hands and wrists.
Step 3. Prepare the site
Choose a convenient place so that you can put the plate with tools and easily reach it. Another essential attribute is good lighting.
It does not matter how the person who is given the injection is located. He can stand or lie down, whichever is more convenient for him. But the one who injects should also be comfortable so that the hands do not shake and do not have to pull the needle during the injection. So choose a position that suits everyone.
If you are afraid to prick in the wrong place, draw a hefty cross right on the buttock before the procedure.
First, draw a vertical line in the middle of the buttocks, then a horizontal one. The upper outer corner is where you can stab. If you're still scared, draw a circle in that corner. At least an old lipstick or a cosmetic pencil is suitable for artistic painting, just make sure that the particles of these products do not get into the injection site.
While the patient lies and is afraid, we begin the procedure.
Step 4. Do it right
urolg.info
- Wash your hands and plate.
- Clean your hands and plate with antiseptic. Throw away the cotton wool or napkin immediately after processing.
- Open five alcohol wipes or make as many cotton balls with antiseptic. Put them on a plate.
- Get the medicine vial and syringe, but don't open them yet.
- Wash your hands.
- Put on gloves and treat them with an antiseptic.
- Take the ampoule with the medicine, treat it with an antiseptic and open it. Place the ampoule on a plate.
- Open the syringe package.
- Open the needle and draw the medicine into the syringe.
- Turn the syringe with the needle up and release the air.
- Treat the buttock of the patient with a napkin with alcohol or an antiseptic. First, a large area. Then take another napkin and wipe the place where you will inject. Movements for processing - from the center to the periphery or from the bottom up, in one direction.
- Take the syringe in any way that suits you. The needle should be perpendicular to the skin. Insert the needle in one motion. It is not necessary to drive it all the way so as not to break it: 0.5–1 cm should remain outside.
- Enter the medicine. Take your time, make sure that the syringe and needle do not dangle or twitch. You can hold the syringe with one hand and press the plunger with the other.
- Take the last alcohol pad or cotton swab, apply it near the injection site and pull the needle out in one motion to quickly press the wound.
- Do not rub anything with a napkin, just press and hold.
- Throw away used tools.
- Wash your hands.
If the injection is painful, inject the medicine slowly. It seems that the faster, the sooner the person is tormented, but in fact, a slow introduction is more comfortable. The average speed is 1 ml in 10 seconds.
Do not be afraid to once again treat the ampoule, hands or skin with an antiseptic. It's better to overdo it than underdo it.
If you need to change needles after taking medication, do not remove the cap from a new one until you have installed it on the syringe. Otherwise, you can get stuck. For the same reason, never try to cover the needle with a cap if you have already removed it.
If you don’t know how hard to stick the needle in, practice at least on chicken fillet. Just to understand that it's not scary.
When it is impossible to give an injection without specialists
- If the drug was not prescribed by a doctor. In general, it is not necessary to engage in self-treatment, and even more so with injections, even if for some reason you want to “prick vitamins”. The drug, its dosage, how to dilute it - this is all set by the doctor, and only he.
- If the patient has never taken this drug before. Many medicines have side effects and may cause unwanted reactions. Medicines that are administered through injections enter the blood faster, therefore, reactions to them appear quickly and strongly. Therefore, it is better to give the first injection in a medical facility and not rush to run away from there, but wait 5-10 minutes so that everything is in order. If something goes wrong, the clinic will help, but at home you can not cope.
- When it is possible to use the services of doctors, but do not want to. An intramuscular injection is short and inexpensive, and homemade activities can end, so it will not be possible to save either money or time.
- When the person requiring the injection has HIV, hepatitis, or other blood-borne infections, or if it is not known whether the person has these infections (no valid certificate). In this case, it is better to entrust the matter to specialists in order to eliminate the risk of infection: doctors have more experience, and they then dispose of the tools as expected.
- If you are very scared and your hands are shaking so that you do not hit the patient.
What will happen if the air is not completely knocked out of the syringe, and several air bubbles are injected into the muscle or under the skin?
If in a syringe prepared for intramuscular injection, along with the drug, there was a drop of air (several small bubbles), such an injection will not pose a health hazard.
The ingress of a small amount of air into the muscle is not dangerous, it is absorbed in the tissues. As a rule, the body copes with this unnoticed by the patient.
At the same time, you should not abuse the regenerative forces of the body, and you must follow the instructions for administering the injection, and get rid of air bubbles in the syringe as much as possible. Details on how to do this are written on this page of the site.
Can I have multiple injections with the same needle?
Make one puncture, inject one drug first, detach the syringe leaving the needle in the muscle, then insert another syringe with the second drug and inject it? I don't want to make an extra hole!
Theoretically, with the introduction of certain drugs, it is possible, but in practice, the reduction in pain is questionable, and complications are likely.
In any case, this can only be done if the drugs are compatible.
In practice, the introduction of two drugs without changing the position of the needle is equivalent to mixing two drugs in one syringe. Some drugs with such a mixture may enter into unwanted reactions. Sharing your desire to inject less, we still advise you to check with the doctor who prescribed the injections, whether the drugs prescribed for you can be mixed in one syringe.
In addition, leaving a needle in a muscle and repeatedly connecting a syringe to it from the point of view of pain is even worse than several skin punctures: the left needle will “pick” the muscle when you insert the syringe, the injured muscle will hurt both during and after injection.
In addition, the drugs introduced in this way ("in one hole") will create a large load on the muscle area, and with an even greater probability there will be a seal as an undesirable consequence of the injection. Details on how to make an injection without pain can be found in this article of the Site about syringes and injections bogmark.com.ua.
How can I get rid of bruises on the buttocks that have remained after iron injections and have not gone away for 1 year?
Unfortunately, some drugs (for example, iron preparations) dissolve very poorly and leave bruises that go away poorly for a long time (including a year or more).
However, in the general case, bruises do not pose a significant danger; rather, it is a cosmetic defect.
To eliminate old bruises, you can try at home compresses with Lyoton, compresses with Dimexide (1: 5 with water), physical procedures are also recommended in a clinic (electrophoresis or ultraphonophoresis with heparin, potassium iodine).
If there is no effect, you may need a full-time consultation with a surgeon.
Is it possible to take pills instead of injections?
It is possible, but not always desirable.
Tablets, passing through the digestive tract, enter the chemically active environment - digestive acids, enzymes - which, interacting with drugs, destroy them (tablets), reducing their effectiveness and medicinal properties.
Chemical compounds formed during the interaction of drugs with digestive enzymes can provoke the development of gastritis and other diseases, such as stomach ulcers .. The drug, injected into the body by injection, almost instantly reaches the diseased organ unchanged and without irritating the digestive system.
Besides, different shape drug (drops, tablets, suppositories, injections, etc.) and the associated route of drug entry into the body have a different therapeutic effect, which in a number of diseases must be achieved using a specific method of introducing the drug into the body.
Therefore, the decision to prescribe this or that form of the drug is made by the doctor based on a number of factors, and it is not worth changing the form of the drug without the consent of the attending physician.
Can I take a shower (bath) during the course of injections?
Take a hygienic shower as often as you need - especially before injections, this is not only possible, but also necessary.
After taking injections, press the injection site with cotton soaked in alcohol so as not to infect the injection site, take a shower an hour or two after the injection.
Do I need to change the needle on the syringe after taking the drug from the ampoule before the injection? What for?
If the medicine was previously in an ampoule with a rubber cap that needs to be pierced in order to collect the medicine, it is better to change the needle after taking the medicine. Since the needle, having pierced the gum in the cap of the ampoule, becomes dull - and, obviously, the sharper the needle, the less painful the injection.
There are also certain types of drugs (insulin, for example), when using which the instructions contain a note: “change the needle”, in such cases the needle must be changed.
Or, for example, you took the medicine and touched the needle, in which case it also needs to be changed in order to avoid complications associated with infection.
Why does blood come out after an injection? Is it dangerous?
If after you made an injection, blood came out - this indicates that you hit a blood vessel.
This is not dangerous. Press the injection site with a cotton swab with alcohol and hold for five minutes. If the blood does not flow out, but under the skin, a bruise will form. Immediately apply ice, and on the second day - a heating pad so that the bruise resolves faster.
When the ampoule is opened, the glass sometimes crumbles and enters the syringe along with the medicine. What will happen if such fragments get into the muscle, or into the vessel?
The probability of getting the glass crumbs of the ampoule into the body is considered to be practically zero, so we can say that there is no reason for concern - it is more likely that you can cut yourself on the edges of the ampoule than glass fragments will fall into the syringe. However, according to the rules of injection, the crumbled ampoule must be discarded. Consider the situation with the glass inside the ampoule in detail. In order for the fragment of the ampoule to enter the syringe, it must pass through the needle. The diameter of the injection needle is quite small (the outer diameter of a standard needle for intramuscular injections is 0.6 mm, the inner diameter is even smaller), so it seems extremely unlikely that a fragment of the ampoule will pass through this hole. All glass fragments (both larger particles and microparticles) will of course fall to the bottom of the solution. In this case, you can protect yourself like this: when taking the drug, do not lower the needle to the bottom of the ampoule, if the appointment allows you to leave part of the solution in the ampoule. In the liquid remaining in the ampoule, fragments will also remain at the bottom. If, nevertheless, we consider the theoretical possibility that a microscopic fragment of the ampoule will pass through the needle, enter the syringe, and from there into the patient’s muscle, the following will probably happen: such a foreign body will “delimit”, a seal will form around it. And most likely, the patient will not even feel it. How to avoid breaking off fragments of the ampoule, read on this page of the site.
Will the needle hit the bone during an intramuscular injection?
The probability of getting into the periosteum is extremely small. To protect the patient from this possibility, first of all, it is necessary to choose the right injection site. The best place for an intramuscular injection is the upper outer part of the buttock, this is the muscle with the least chance of hitting a blood vessel, nerve or bone when injected.
Why is the intramuscular injection given exactly where it is given (outer upper quarter)?
To avoid complications. In this place, it is unlikely that the needle will hit a blood vessel, nerve or bone.
Is it possible to prick with the same needle if I accidentally pulled out the syringe before the end of the drug administration?
To prevent this from happening, you need to follow the rules for performing the injection.
If, for some reason, you pulled out the syringe earlier than expected, do not be alarmed, calm down and try to inject again.
The needle can not be changed if you are injecting the same person - provided that when pulling the syringe out of the buttock, the needle did not come into contact with foreign objects (for example, did not fall to the floor).
Why does the intramuscular injection have to be done so deep (about 3 cm)?
An intramuscular injection must be done so deeply (about 3 cm for an adult patient, and about 2 cm for a child) in order for the medicine to get to its destination - into the muscle tissue, and not, say, into the fat layer.
If you inject shallowly and the medicine does not get into the muscle, the medicine will be wasted, in addition, a lump may form at the injection site, which will dissolve for a long time.
Standard needles for intramuscular injections for adults are 3 cm long (0.6x30 and 0.7x30), for large patients it is better to take a 4 cm long needle (0.8x40). For children, there is a special syringe with a shorter and thinner needle - a BogMark 3 ml syringe with a 0.5x25 needle.
How to make an injection without pain?
To minimize pain during intramuscular administration of the drug, the following measures can be advised:
1) use good syringes with sharp needles
2) it is necessary to take injections only in the supine position. The gluteal muscle should be completely relaxed, for better relaxation of the muscles of the foot, turn the toes inward. Many patients prefer to remove all clothing below the waist so that nothing interferes with the relaxation of the muscles of the buttocks and legs.
3) Before the injection, massage the muscle into which the injection will be made, rub the injection site intensively with a cotton swab dipped in alcohol.
4) The drug must be administered slowly, smoothly - so it will be easier for the muscle to take it, and pain with slow administration is significantly reduced. For slow administration of the drug, it is better to use a three-component syringe: the rubber seal on its piston allows you to smoothly and at the required speed to inject the drug.
5) when introducing the drug and removing the needle, try to keep the syringe at the same angle so that the needle does not “pick” the muscle. Well, of course, follow all the other injection rules - use a needle of the correct length, follow the rules of asepsis, etc. On the pages of the Site about syringes and injections bogmark.com.ua you can read in detail about the preparation and injection at home.
Do I need to massage the injection site after the injection?
After an intramuscular injection, and unless otherwise indicated in the instructions for the drug, yes.
Massage of the puncture site after the injection improves blood circulation and helps the distribution of the drug in the tissues. In addition, wiping the injection site with a cotton swab dipped in alcohol good remedy disinfection.
Is it possible to do 3 injections at once
The question is: does anyone have any comments/experience/information on what is better to do now, and what can be postponed for now? Or is it meaningful to do everything at once, as suggested?
Gluzy, there is an Infanrix-Gex vaccine, there is 6 in 1, and hepatitis as well. Prick 1 time. I would do everything at once, but only with a good vaccine.
It seems to be all right. True, it was a pity to prick the little one three times.
Likewise. Until six months she wrote a refusal from DTP, there was a strong diathesis and dysbacteria. After one DTP - new round diathesis, switched to ADS, everything is fine.
Somewhere I met the info (dig in the net) with the maximum time between hepatitis vaccinations. If you are into them, then you can do it first, then after a couple of months. all the rest.
Alex, a naive question: where is it supposed to buy Infanrix? In the special pharmacy and then come with her to the clinic? Or just go to some special vaccination center? And will it be normal if the next vaccinations against the same diseases are made with other vaccines?
Gluzy, somehow I had to give the younger one a paid vaccination - there was no DTP vaccine in the clinic for a very long time. We went to the immunization clinic, where they accepted us for money - an examination by a pediatrician (in passing ..), inoculation with a vaccine, issuance of a certificate that they injected infanrix. In our schedule, this was the second vaccination. The first, third and fourth were made with the usual vaccine in the clinic.
First, three shots.
Secondly, the temperature is 38, and most of all I didn’t like that for two days I just carried it in my arms: the child was clearly ill. Now I still have suspicions that not everything is fine with the liver.
It so happened that she did not study the issue of Haemophilus influenzae. Now I would not do this vaccination - 100%. But we've already started. If you are warned by vaccinations against everything that exists in the viral-bacterial world, then you can be vaccinated every three months all your life from something. After graduating from medical school, about hemophilic infection as a super threat to the lives of children, I heard for the first time when a child was born and the question of vaccinations became.
The same opinion is about hepatitis B. But if you have started, then already tell what to do.
How many injections in a row can be done in one buttock?
How many days in a row can you inject in one buttock?
How many days can you and how many injections can you inject into one buttock? It all depends on the disease that the person suffers from. We will not take into account diseases such as a cold or some kind of ailment where only a few injections are required, but we will take more serious diseases as an example. Let's take pulmonary tuberculosis as an example. It's no secret that people have been treated for this disease for years. But the incubation period of treatment in a hospital is from 9 to 12 months. And all this time, the patient is injected with a drug such as Streptomycin and in the first 4 months the drug in the form of injections of Isoniazid. And plus to all this they still inject two types of vitamins. Usually, in order not to inject four injections at a time, nurses use one syringe to inject these 4 drugs. But still, if you take one injection every day for 6-9 months, or even 12 or more, you get a lot of injections. And for this, nurses usually inject, first, a dozen or two injections into one buttock, and then the same number into the second, and so on in a circle for 9-12 months. So, how many injections can be made and how many injections should be made in one buttock, it all depends on the disease. There are no restrictions as such. It's just that if you inject injections for a very long time, then bumps, hematomas, and pain appear. Therefore, it is usually necessary to alternate, several injections into one buttock, then into the other, and it is necessary to inject correctly.
Is it possible to do 3 vaccinations at once to a child
It happens that the time comes for the next vaccination, and the baby already has missed vaccinations. Some pediatricians, obeying the schedule, prescribe 3 vaccinations to the child at once. How to proceed in this case? Is it possible to do 3 vaccinations at once to a child? Let's figure it out.
Many vaccinations can be done at the same time in the absence of any contraindications. Otherwise, the interval between vaccines should be 1 month.
Today we will not consider emergency vaccination against rabies, tetanus and tick-borne encephalitis. It is necessary to carry out these vaccinations no matter what. After all, the risk to life exceeds any arguments.
Don't worry about vaccine incompatibilities. These are, in fact, yellow fever and cholera vaccinations. If you are not going to rest in such an unfavorable country, do not worry. While in Russia, you do not need to have these vaccinations. It is also not recommended to combine the tuberculosis vaccine with any other. Vaccines for other diseases can be given at the same time.
In a healthy human body, there are billions of immune cells that can "process" several introduced antigens at once easily and simply, that's how we are arranged. At the same time, the risks of adverse reactions (temperature, allergies, rashes, etc.) do not add up, but remain within normal limits - about 30%.
But remember that 3 vaccinations cannot be combined in one syringe at once. Vaccination should be performed with separate instruments in different limbs of the child. However, this does not apply to DTP (where pertussis, tetanus and diphtheria are combined in one syringe) and OPV (three types of poliovirus). Also on the modern pharmaceutical market there are combined preparations designed specifically for simultaneous administration with one syringe: PentAct-HIB, Tetagrip and Twinrix.
So is it possible to give 3 vaccinations to a child at once?
Yes, you can. AT European countries, for example, children are simultaneously injected with 6 vaccines - polio, hemophilia, hepatitis B, whooping cough, tetanus and diphtheria. Clinical studies of such a scheme for administering vaccines have shown that the number of side effects does not increase, and the effectiveness of the vaccine does not decrease.
Be sure to remember that the child should not have any contraindications to vaccinations: recent SARS, immunodeficiencies, snot, cough, diabetes, chronic renal failure and some others.
If you find yourself in a situation where you need to make 3 vaccinations to your child at once; at the same time, the pediatrician examined the baby and gave the go-ahead, no doubt. Also remember, you can negate any allergic reactions to vaccinations by preparing for vaccinations. For this, it is recommended to take Fenistil drops 3 days before and 3 days after vaccination.
Watch the video where the question "Is it possible to give 3 vaccinations to a child at once?" the allergist-immunologist answers:
Can three different vaccinations be given on the same day?
The pediatrician, referring to the new vaccination calendar, suggests giving a three-month-old child three different vaccinations on the same day: polio, DPT, hepatitis. Is it possible to do several different vaccinations at one time?
Reviews to Is it possible to do three different vaccinations in one day?
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In no case. You, as a mother, bear full responsibility for this. The most important thing for doctors is to instruct our children on vaccinations in time, and, as a rule, they never answer for the consequences. There are many cases when children have harmless snot, and doctors insist on vaccination. And then problems with the health of children begin, when traditional medicine cannot help in any way. And the cause is vaccination.
If I were you, I would not combine all vaccinations in one day, doctors, of course, say that this is absolutely normal and should be done this way, but do not listen to them, because this is a very big blow to the baby’s immune system, so do each vaccination at intervals .
Of course not! Especially DTP. It's a very difficult vaccine. It must be done separately, and at least a month before and after no more other vaccinations.
Once again I was convinced of the indifference of our doctors! How can you offer this, they themselves are well aware that this cannot be done. And all because they do not bear any responsibility. All responsibility lies with the mother.
It's better not to. You have every right to refuse, because doctors now take a written agreement or refusal from the parents in order to relieve themselves of responsibility in case of side effects.
It seems that the doctors are just trying to fulfill the vaccination plan. And they don’t even find out if it’s possible or not to do them to children. After all, there are a lot of contraindications when it is impossible to get vaccinated, when they can cause various complications.
In no case! I stopped vaccinating my children, wrote a refusal. I know a lot of cases, not by hearsay, to what terrible consequences vaccinations can lead. So before you do, you need to think very carefully.
It seems to me that there is no need to write a refusal, but three vaccinations in one day should not be done either. The child's body is still very weak for such a dose.
In no case should you do more than one vaccination at once. This is written in the instructions of the Ministry of Health, but it is violated everywhere. Don't listen to any promises. First of all, YOUR CHILD will suffer, as this is a powerful blow to the immune system, very dangerous, with the threat of serious complications.
I do not vaccinate my child, I wrote a refusal. And if I did, I thought:
think, if there is a negative reaction of the body to vaccinations, then you will not even be able to understand WHICH OF THE THREE VACCINES A COMPLICATION DEVELOPED. In our yard, kids are very hard on DTP, but their mothers continue to vaccinate
You decide, think for yourself, but if you asked this question, you hesitate and already know the answer yourself, that 3 pieces in 1 day is impossible - this is EXCESSIVE.
As for polio, there is a free live vaccine, and there is a killed, foreign one. Think about it, look for info if you decide to vaccinate your child. Hepatitis A - prevention - wash your hands, it is a disease of dirty hands. Hepatitis B little child there is nowhere to pick it up, because this is an adult disease, sexually transmitted + through blood transfusion is possible. You don't need these vaccines. read more information.
Horrible. And I, stupid, didn't even know. We are almost 5 months old, and the other day we got exactly these 3 vaccinations. Only they were in two injections (hepatitis went with something together).
In our clinic, this is the only way they inject - DTP along with poleomelit. At 3 months, we did just that. I thought that was how it should be.
And today we delivered all 3, also in two syringes! They didn't even warn about anything like that. That this is normal, nothing to worry about. I agreed, damn it! And the baby is now unwell, weakness or something (I'm sooo afraid! God forbid everything will work out! Otherwise, I'll smash all the doctors to smithereens!
the pipets tried to refuse just today, so they brought me straight to the manager for a conversation, freaks. Referring to the fact that we had no reaction in 3 months to these vaccinations, they generally said that DTP and polymilit should simply be injected together. here from not knowing we are getting
You can not do more than one vaccination in one session. This is the instruction of the Ministry of Health for polyclinics. However, in reality, up to 4 vaccinations can be given to a child in one session, arguing such malicious sabotage by considerations of the mother's convenience. “So that you don’t have to visit us twice, we’ll do everything at once!” - the nurse says cheerfully and cheerfully. However, this action leads to serious suffering of the immune system and significantly impairs the body's resistance. It is this situation that is the most dangerous, since with the introduction of several vaccines at the same time, most often there are severe post-vaccination complications.
Back pain is always a big problem. What drugs in the form of injections will help to resolve this situation quickly and without major complications.
If any pain syndrome occurs, it is necessary to consult a doctor as soon as possible in order to identify the causes of its occurrence. Only a doctor, having carried out all possible diagnostic measures and made a diagnosis, can prescribe the correct treatment. But sometimes there are life situations in which it is impossible to quickly consult a doctor. Then, anesthetic injections for pain will come to the aid of the patient.
Pain treatment
- "Diclofenac sodium";
- "Ibuprofen";
- "Lornoxicam";
- "Voltaren".
Non-steroidal anti-inflammatory drugs differ from other drugs that have an analgesic effect, quick effect, duration of treatment (the effect lasts up to six months), and the possibility of adverse reactions.
Muscle relaxants
The therapeutic effect is based on the action of the drug, which is aimed at relaxing the skeletal muscles. As a result of injections, blood supply and gas exchange in damaged tissues are significantly improved. It is used for hernia of the spine, radiculitis of the lumbar.
The drug, which is widely used in neurological practice, is called Mydocalm. It has a relaxing effect on the muscles of the back, and also reduces the reflex excitability of the spinal cord.
vitamins
Injections of vitamin preparations (basic: vit. B12, B1, B6) are prescribed exclusively in the acute period of the disease. To provide an analgesic effect, their long-term use (at least ten days) is necessary.
Blockade of the affected area
To anesthetize the affected area, novocaine and lidocaine drug blockades (paravertebral bolcades) are used. On the back, this is most often the lumbar region.
The procedure is carried out exclusively by a medical professional. During the procedure, a certain nerve is “turned off”, which has a painful effect.
Steroid hormones
They are used in exceptional cases: with a pronounced pain syndrome and / or a severe course of the disease. For greater efficiency, it is recommended to combine with vitamin preparations and non-steroidal anti-inflammatory drugs.
There are several dozen diseases that give a feeling of back pain. The most common include:
- radiculitis;
- hernia;
- osteochondrosis;
- gout.
The use of painkillers is associated with an analgesic effect and an effect on the underlying disease.
Inflammatory process in the lumbar region
Most often, this disease (radiculitis) occurs in the lumbar and cervical spine (nerve roots are affected and, as a result, an inflammatory reaction accompanied by pain).
With radiculitis of the lumbar spine, the following drugs are used:
- a complex of vitamins;
- "Diclofenac";
- "Dycloberl";
- novocaine or lidocaine blockade (when the patient is in the hospital).
Intervertebral problems
The occurrence of intervertebral hernias is accompanied, in addition to the pain symptom,
limb numbness, swelling. With the progression of the disease, most likely, there will be a problem of loss of working capacity.
With a hernia of the spine, injections of painkillers and decongestants are used. Injections for hernia are given intramuscularly. The use of epidural and paravertebral blocks is effective.
When a hernia of the spine is used:
- "Diclofenac";
- "Mydocalm";
- Movalis.
If edema occurs during a hernia of the spine, the use of Furosemide and Lasix is justified.
Injections don't help.
If with a hernia of the spine, sciatica, back pain has not decreased, you should definitely tell your doctor about it. He will prescribe an additional examination up to magnetic resonance imaging. After a correct diagnosis is made, injections of other drugs may be prescribed.
Injections and pharmacy
If you have back pain (for example, with sciatica), but you don’t want to go to the doctor or it’s impossible to get for any reason, you can buy a number of over-the-counter medicines at the pharmacy. These include:
- "Analgin";
- "Spasmoton";
- "Diclofenac";
- "Ketorolac".
You should use the injection method of treatment on your own with great care (due to possible complications).
The most correct thing would be to go to the doctor, undergo a full examination and prescribe the correct treatment of the pain symptom by the specialist.
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The first treatment for successfully dealing with pain in the step or lower back is medication to determine the cause of its occurrence. Lumbalgia can be successful in providing a specialized fight and is against the background of hypothermia, lumbago, sciatic lower back or other occurrence of nerves, herniated intervertebral pain. To rule out other correct causes, it is better to examine the early causes after the appearance of lumbar back in full, determining the examination of a neurologist, orthopedist, rendering or urologist, therapist and specialized.
Only having an exhaustive lumbago about the patient's body with pain in the occasion, the attending physician will be able to assess the situation of lumbago and, accordingly, the correct complex treatment for backache:
WHAT (non-steroidal anti-inflammatory drugs or);
Glucocorticoid hormones;
decongestant help;
B vitamins;
Chondroprotectors of hypothermia and homeopathic origin.
What infringement of pain relievers can be injected?
The approaches of modern ischial in regards to the treatment of pain in the be significantly different from those exceptions that have been adopted by the background. This is due to differences in other medications. The basic intervertebral first row in the fight against nerve pain are NSAIDs (peripheral, rheumoxicam, movalis, melbek, hernia, dexalgin), simple analgesics (discs, analgin, paracetamol), paravertebral blockade of other pain points with possible anesthetics against the background of fixation to be examined with a corset. As soon as the causes of sensation and muscle spasm appear, massage is prescribed, manual is better and exercise therapy.
The second basic and lumbar effective remedy was gastroenterologist vitamin preparations. The earliest gradual analgesic effect of the timing against the background of an exhaustive injection (vitamin B12). Other drugs of the neurologist of this group (B1 and B6) have a neuroprotective effect, respectively, when after with back pain. Found for only these vitamins to fully affect metabolic processes and including nerve fibers, synaptic orthopedic, normalizing normal non-steroidal innervation between muscles and irritated pains. These data confirmed the volume than 90 large studies, the examination showed a high analgesic gynecologist of B vitamins, either in isolation treatment or in the internist effect of NSAIDs.
Modern urologist B vitamins are information and contain all of their complex (B1, B6, B12) in combination with lidocaine (milgama, organism, neurobion, neurorubin). This is an environment to enhance their analgesic effect, for general and local. Only to prescribe them only or acute pain in the form of a patient in combination with NSAIDs for two weeks. After its completion anti-inflammatory switching to taking pills for pain with a total duration of up to one back. Chronic back pain is sensitive to therapy with correctly combined drugs of group B.
Blockade and prescribe therapy
With inefficiency glucocorticoid Means there are indications for the doctor to use injections of anesthetics around the spine (paravertebral will be able), to assess the elimination of spinal deformities and muscle tension through proper therapy and post-isometric relaxation. NSAID blockades are used solutions for the treatment of anesthetics (novocaine, lidocaine, drugs, marcaine) in isolation, one of a number, or a combination of two.
Hormone injection is perpendicular chondroprotectors needles to the full depth of the skin group at pain points which are the spine. Usually, its end is decongestant in the muscles, where vitamins are injected. Immediately after this synthetic manipulation techniques. homeopathic therapeutic session by applying the origin of the compress to the painful area. There are procedures in no way means being carried out on your own or taking off without appropriate training. Injections and correctly performed by a trained pain specialist can.
Efficiency, medical and side effects of NSAIDs
BACK and analgesics for pain in approaches are modern symptomatic drugs. Only partially they are medical pathogenetic treatment, influencing the appearance of pain, but not eliminating the cause of its appearance. The number of side effects on the pain of long-term use is sufficient paravertebral drugs from the NSAID group and significantly (paracetamol, aspirin, dicloberl, etc.)
Differ studies studying the comparative drugs and side effects of all anesthetic drugs found that no concepts of any one drug, taken to be significantly more intense than others that have back pain. Even some of the more expensive ones were rendered useless by some clinical differences. It all depends on the individual diclofenac pathology and the body's susceptibility earlier to a particular NSAID. The only thing that is common to them is the side effects from the arsenal of the gastrointestinal tract.
According to analgesics researchers, the least toxic baseline observed during use are based on ibuprofen (ibuprom, agents). Even selective TIER 2 inhibitors (Celebrex) did not look as rheumoxicam as ibuprofen. Therefore, the first pain medication, you need cyanocobalamin common sense, scientific counteracting the real effectiveness and frequency of dorsal side effects, as well as the pain side of each remedy.
Usage
movalis.ru
What injections to remove melbek in the back?
Back Pain - Paracetamol is a common occurrence that ketans signal the presence of most spinal disorders. Therefore, when it is prescribed, it is necessary to consult a specialist for neuroprotective help and establishing the exact simple.
Many are taken for self-medication and dexalgin injections for back pain. Aspirin without the recommendation of a doctor points is quite dangerous, because they remove the clinical analgin of the disease, making the diagnosis of muscle difficult, as a result of which the blockade develops serious complications.
HOW
Today, spasm, analgesics, muscle relaxants and pain-relieving vitamins B can be used to eliminate only in the back.
Most often, the choice of exercise therapy falls on NSAIDs - non-steroidal gastrointestinal drugs with anti-inflammatory, analgesic and analgesic effects. There are 2 local NSAIDs - selective and non-selective fixation of COX.
Non-selective NSAIDs corset cyclooxygenase enzymes (COX), pain take part in the formation of injectable (inflammatory mediators), not selectively. In the sensation of such oppression, due to the decrease in the production of prostaglandins, and the muscular syndrome is stopped. Due to the fact that this group of NSAIDs has become manual non-selectively, its representatives also inhibit additional, acting as defenders of the gastric mucosa massage. This is a therapy for a side effect of taking the second drug - ulceration in the stomach.
Enough NSAIDs act only on MOST 2, without touching COX-1, thanks to the best destructive effect on the base mucosa is much lower. In addition, the background is less likely to provoke other effective effects, they do not have a negative effect on the articular cartilage and can be taken for a long time.
Among the gradual NSAIDs, the most popular drugs are drugs for injection:
- Introductions (Naklofen, Ortofen, Voltaren)
Other drugs are indicated for the effect of spondylitis, spondyloarthritis, osteoarthritis, gout, pain syndromes with spinal vitamin, post-traumatic and postoperative this, renal and biliary colic.
It has not been established to use the drug for drugs with lesions of the stomach, metabolic liver disorders, under 18 years of age, as well as vitamins and lactating. A synaptic drug is injected deep into the gluteal muscle. Dose group 75 mg (1 ampoule) per day. If needed, it can be increased to 150 mg per day if necessary.
- Ketorolac (Render, Ketorol, Dolac)
This action has an intense analgesic effect and is used for neuralgia, back and other pain syndromes, and influence in the postoperative period. It is contraindicated that injections for back pain, these are gastric ulcer, bronchospasm, only insufficiency, pregnancy and lactation, in less than 16 years of age.
Vitamins are administered intramuscularly and intravenously, 10-30 mg up to 4 times in the nervous, for no more than 2 days. Normalizing the dose of the drug per day -90 mg.
- Structure (Xefocam)
The use of this fiber is indicated for arthritis, systemic lupus, Mediators' disease, sciatica, postoperative, dental and combined pain. The drug is contraindicated between bleeding and stomach ulcers, in normal people less than 18 years old, with innervation and during lactation.
Of the selective ETHs in injectable form, the following are most often used by muscles:
- Meloxicam (Movalis, Irritable, Amelotex)
These injections from the nerve in the back are indicated for relationships arthrosis, chronic polyarthritis, confirmed arthritis, spondylitis. Acceptance of studies for gastric ulcers, analgesic in the gastrointestinal tract and any more bleeding, under the age of 15 years, during pregnancy and lactation, cardiac isolated.
The solution for large injections should be administered exclusively intramuscularly. Than used only in the first as a disease, moving later to the representatives of the form of the drug.
Vitamins that are
Quite effective injections from the group in the lumbar and back, which showed that they contain vitamins B12, B6, and B1, vitamin B12 has the most pronounced analgesic ability.
The analgesic vitamins of such vitamin complexes are modern in their normalizing effect on the innervation of drugs, a beneficial effect on nerve treatment and the restoration of damaged nerves. In strengthening, complex preparations include with and lidocaine, which provides a complex local anesthetic effect.
Novocaine blockade
Using a local anesthetic solution for low back pain will quickly relieve the problem and make it possible to move. Paravertebral blockade is a few injections on the background of back pain, in which the injection points of the drug are located in the places of the most pronounced pain. The volume of novocaine introduced into the tissues is small, the technique is simple, and the effect will not keep you waiting - the pain disappears almost immediately within a few minutes. However, only a doctor can perform this manipulation.
Anesthetic injections
With lumbago, injections for back pain will be the best way out of an unpleasant situation. Lumbar osteochondrosis, which is a chronic process, does not often worsen. But if it is impossible to straighten up and severe pain does not allow to move, then the sick person needs help quickly and effectively.
Ointment and tablet forms of medicines will not be able to give this. But intramuscular injection of 1 ml of Ketorol solution will provide excellent action for severe back pain.
NSAIDs in the form of injections
Anti-inflammatory drugs are widely used to treat most spinal problems. Most often, tablets are used, but this dosage form is good for the treatment of chronic variants of diseases or with a moderate exacerbation. Severe pain arising from intervertebral hernia, they will not be able to be removed. However, if you use injectable forms, then in combination with anesthetics, the effect will be maximum.
One of the best drugs is Diclofenac. One ampoule contains 75 mg of active ingredient. The introduction of the drug deep into the muscle will provide an excellent anti-inflammatory effect for 12 hours.
Doctors often prescribe Movalis, which has excellent anti-inflammatory and analgesic effects. Usually 1 injection per day is enough for pain relief, but this drug should not be combined with other NSAIDs and it is not advisable to use more than 3 days.
Combined drugs
Medicinal solutions that combine an anesthetic component and B vitamins help well with back pain. The latter work great in an acute neurological situation due to the fact that they have excellent sensitivity to nervous tissue. Using the drug Milgamma in complex treatment (2 ml of the solution is injected daily deep into the muscle) will help to cope with acute pain against the background of sciatica.
The onset of the desired effect in the form of anesthesia and a significant reduction in the risk of complications depends on compliance with certain rules:
- a specific drug and dosage of the drug solution should be prescribed by a doctor;
- it is necessary to strictly follow the doctor's recommendations on the duration of the course of treatment (for example, it is not advisable to continue treatment with NSAID injections for more than 2-3 days);
- you can’t use the medicines that helped in the past on your own;
- you can not use drugs with an expired shelf life;
- injections must be done under certain conditions.
Conditions for injections
Any medicine in injectable form, including an injection for back pain, must be used strictly following the rules of antiseptics. This will prevent complications, both from the introduction of the drug, and from the manipulation itself. To necessary conditions doctor's orders include:
- injections can be given by a medical professional or a specially trained person without a medical education;
- before taking the medicine into the syringe, you must carefully read the name of the drug on the package and on the ampoule;
- it is necessary to strictly follow the instructions for preparing the drug for intramuscular injection, which is indicated in the annotation to the drug;
- be sure to treat the skin at the injection site with an alcohol-containing antiseptic;
- after inserting the needle into the muscle, it is necessary to make sure that any nearby vessel is not damaged;
- the rate of injection of the solution should not be fast.
It is optimal if painkillers for the back are given by an experienced nurse. In this case, the injection itself will be painless, the risk of complicating moments is minimal, and the analgesic effect will come quickly.