Como gerenciar a dor do HIV

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Como gerenciar a dor do HIV

  • HIV e dor
  • Encontrar tratamentos
  • Neuropatia
  • Leve embora

Obtendo ajuda para dor crônica

As pessoas que vivem com HIV frequentemente experimentam dor crônica ou a longo prazo . No entanto, as causas diretas dessa dor variam. Determinar a possível causa da dor relacionada ao HIV pode ajudar a restringir as opções de tratamento, por isso é importante conversar sobre esse sintoma com um médico.

A relação entre HIV e dor crônica

dor cronica

Pessoas vivendo com HIV podem sentir dor crônica devido à infecção ou aos medicamentos que a tratam. Alguns fatores que podem causar dor incluem:

  • Inflamação e danos nos nervos causados ​​pela infecção
  • Imunidade reduzida dos efeitos da infecção pelo HIV no sistema imunológico
  • Efeitos colaterais da medicação para o HIV

A dor causada pelo HIV é frequentemente tratável. No entanto, a dor relacionada ao HIV é frequentemente subnotificada e não é tratada. Estar aberto sobre esse sintoma permite que os profissionais de saúde encontrem a causa direta e coordenem um plano de tratamento para a dor que funciona em conjunto com o tratamento do HIV.

Encontrar os tratamentos certos para a dor relacionada ao HIV

O tratamento da dor crônica relacionada ao HIV requer um delicado equilíbrio entre aliviar a dor e prevenir complicações. Muitos medicamentos para o HIV podem interferir nos analgésicos e vice-versa. Além disso, a dor relacionada ao HIV pode ser mais difícil de tratar do que outros tipos de dor crônica.

Os profissionais de saúde devem considerar os seguintes fatores ao recomendar um tratamento para a dor relacionada ao HIV:

  • Medicamentos em uso, incluindo medicamentos sem receita, vitaminas, suplementos e produtos à base de plantas
  • Histórico de tratamento de infecção por HIV
  • Histórico de condições médicas além da infecção pelo HIV

Alguns medicamentos podem aumentar a sensibilidade à dor em pessoas com HIV. Por esse motivo, um profissional de saúde pode primeiro recomendar a interrupção de certos medicamentos ou reduzir a dose para ver se isso ajuda a resolver a dor.

No entanto, uma pessoa com HIV nunca deve parar de tomar qualquer medicamento sob prescrição médica sem antes consultar seu médico.

Se interromper ou reduzir certos medicamentos não funcionar ou não for possível, um dos seguintes analgésicos pode ser recomendado:

Analgésicos não opióides

Analgésicos leves, como acetaminofeno (Tylenol) e anti-inflamatórios não esteróides (AINE), como aspirina (Bufferin) ou ibuprofeno (Advil), podem tratar dores leves. As pessoas que desejam experimentar esta opção devem conversar primeiro com um médico.

Uma palavra de cautela: O uso excessivo desses medicamentos pode causar danos ao estômago, fígado ou rins.

Anestésicos tópicos

Anestésicos tópicos, como adesivos e cremes, podem proporcionar algum alívio em pessoas com sintomas de dor leves a moderados. Mas os anestésicos tópicos podem interagir negativamente com alguns medicamentos, portanto, um profissional de saúde deve ser consultado antes de usá-los.

Opióides

Os opioides podem ajudar temporariamente a aliviar os sintomas de dor moderada a grave relacionada ao HIV. Apenas um curto curso de opioides deve ser usado para tratar a piora aguda da dor; opióides não são recomendados para dor crônica.

Esses tipos de medicamentos incluem:

  • oxicodona (Oxaydo, Roxicodona)
  • Metadona (metadose, dolofina)
  • Morfina
  • Tramadol (Ultram)
  • Hidrocodona

O tratamento com opioides pode ser problemático para algumas pessoas. Tomar esses medicamentos conforme prescrito é fundamental para evitar problemas como uso indevido de opióides e dependência .

Neuropatia por HIV

A neuropatia do HIV é um dano aos nervos periféricos resultante da infecção pelo HIV. Causa um tipo específico de dor relacionada ao HIV. A neuropatia periférica é uma das complicações neurológicas mais frequentes da infecção pelo HIV. Tem sido associado a alguns dos tratamentos mais antigos para o HIV. Os sintomas desta condição incluem:

  • Dormência nas extremidades
  • Sensações incomuns ou inexplicáveis ​​nas mãos e pés
  • Sensação dolorosa sem uma causa que possa ser identificada
  • Fraqueza muscular
  • Formigamento nas extremidades

Para diagnosticar essa condição, um profissional de saúde perguntará quais sintomas estão ocorrendo, quando começaram e o que os torna melhores ou piores. As respostas ajudarão a moldar um plano de tratamento com base na causa da dor.

Fale com um médico

É importante que uma pessoa HIV positiva que está com dor fale com seu médico sobre isso. Existem muitas causas de dor relacionada ao HIV. Pode ser difícil de tratar, mas aliviar é frequentemente possível. Um profissional de saúde pode ajudar a identificar os fatores que estão causando dor, que é o primeiro passo para encontrar o tratamento certo.

 

Faça uma cotação do seu plano de saúde conosco. Cote aqui

 

ivan

Sou formado em administração logística e pôs graduado em finanças. Sou editor e consultor de seguros e planos de saúde.

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