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Pamamahala ng sakit pagkatapos ng operasyon

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Anong sakit ang dapat asahan, paano gagamitin nang tama ang iyong mga painkiller pagka-discharge, at kailan dapat tumawag.

Updated Apr 2026
Isang hand-drawn na ilustrasyon ng mga tabletas para sa pag-alis ng sakit.
Karamihan sa mga post-operative pain sa upper-limb ay maayos na nakokontrol gamit ang regular na paracetamol kasama ang isang anti-inflammatory, kung saan ang mas matatapang na tableta ay inilalaan para sa unang ilang araw kapag kinakailangan. Kieran Hirpara 4.0

Ang pahinang ito ay isinalin ng makina at hindi pa nasusuri ng isang doktor. Ang bersyong Ingles ang siyang opisyal.

Ang ilang pananakit pagkatapos ng operasyon ay normal at inaasahan. Ang layunin ng post-operative pain management ay hindi upang wala kang maramdaman; ito ay upang maging komportable ka nang sapat para makatulog, magawa ang iyong mga ehersisyo, at muling magsimulang gumalaw.

Anong sakit ang dapat asahan

Ang sakit ay karaniwang pinakamalala sa araw ng operasyon at sa araw pagkatapos nito, pagkatapos ay unti-unting bumubuti sa unang 1–2 linggo. Sa loob ng 4–6 linggo, karamihan sa mga pasyente ay nakakaranas na lamang ng paminsan-minsang discomfort kapag may aktibidad. Karaniwan ang pumupulsong sakit (throbbing) o kirot sa gabi sa unang linggo; madalas na nakakatulong ang pagpapanatiling nakataas ng braso sa mga unan.

Kung ang iyong operasyon ay ginawa sa ilalim ng local anaesthetic, ang bahaging iyon ay magiging manhid sa loob ng humigit-kumulang 6–12 oras pagkatapos; bihirang mangyari na magpatuloy ito sa loob ng 2–3 araw. Simulan ang iyong regular na painkiller bago mawala ang pamamanhid, hindi pagkatapos dumating ng sakit. Pagkatapos ng operasyon sa balikat sa ilalim ng nerve block, ang pamamanhid ay karaniwan ding nawawala sa loob ng 6–12 oras, bagaman bihirang magpatuloy ito sa loob ng 2–3 araw.

Maaaring magkaroon ng matatalas na sakit na parang electric-shock habang nagpapagaling ang mga nerve. Ang mga ito ay hindi komportable ngunit normal at karaniwang nawawala sa loob ng ilang linggo.

Ang iyong mga painkiller pagka-discharge

Bibigyan ka ng mga painkiller pagkatapos ng iyong procedure. Sa karamihan ng mga kaso, ibinibigay ang mga ito bago ka lumabas ng ospital; kung ikaw ay idi-discharge pagkatapos magsara ng pharmacy ng ospital, bibigyan ka na lamang ng reseta, na kung minsan ay ipapadala sa iyong telepono via SMS kasama ang isang printed token sa iyong discharge pack. Anumang pharmacy ang maaaring mag-fill nito, kabilang ang pharmacy ng ospital.

Ang reseta ay may dalawang layer, at ginagamit ang mga ito nang magkaiba:

Regular painkillers: inumin ang mga ito ayon sa iskedyul, hindi lamang kapag matindi ang sakit:

  • Paracetamol 1 g (dalawang standard tablet) kada 4–6 oras, hindi hihigit sa 4 g (walong tablet) sa loob ng 24 oras
  • Ibuprofen 400 mg kada 8 oras, kasabay ng pagkain, maliban kung mayroon kang contraindication gaya ng stomach ulcers o sakit sa bato, o sinabihan kang iwasan ang mga anti-inflammatory (sasabihin sa iyo ng iyong surgeon kung may alalahanin sa paghilom ng buto)

Breakthrough painkillers: gamitin lamang kung ang sakit ay hindi nakokontrol ng mga regular painkillers:

Karaniwang nirereseta ang isang mas malakas na painkiller kasabay nito: kadalasang tramadol, tapentadol (Palexia) o oxycodone, at kung minsan ay dalawa sa mga ito. Depende sa iyong anaesthetist kung alin ang iyong matatanggap, kaya inumin ang mga ito ayon sa nakasaad sa iyong prescription label. Ang mga pattern na sinusunod ng lahat ng regimen ng aming mga anaesthetist:

  • Gamitin ang breakthrough tablets lamang kapag hindi sapat ang mga regular painkillers; hindi sila kapalit ng mga ito.
  • Kung binigyan ka ng dalawang malakas na painkiller, magsimula sa mas mild; lumipat sa isa pa kung hindi ito sapat o kung pinaparamdam nito na ikaw ay nasusuka.
  • Sa gabi, madalas na isang breakthrough tablet bago matulog ang tanging kailangan. Sa ikalawang linggo, karamihan sa mga pasyente ay kailangan na lamang ang mga ito sa gabi, kung kailangan man.
  • Ang ilang pasyente ay nakikinabang sa isang breakthrough dose bago ang mga hand-therapy o physiotherapy sessions; sasabihin sa iyo ng iyong therapist sa unang appointment kung naaangkop ito sa iyo.
  • Layuning unti-unting bawasan ang mga malakas na painkiller hanggang sa ikalawang linggo. Nagdudulot ang mga ito ng constipation at pagkaantok, at nagiging hindi gaanong epektibo habang tumatagal ang pag-inom sa mga ito.

Sadyang limitado ang discharge prescription. Kung sa tingin mo ay hindi ito sapat para sa iyong recovery, magpatingin sa iyong GP nang maaga pagkatapos ng discharge sa halip na maghintay hanggang sa maubusan ka.

Mga side effect na dapat malaman

  • Constipation (Pagtitibi): ang tramadol, tapentadol at oxycodone ay nagdudulot nito. Kumain ng fiber at uminom ng maraming tubig mula sa unang araw; kung hindi ito sapat, ang isang sachet ng Movicol isang beses o dalawang beses sa isang araw ay nakakatulong.
  • Nausea (Pagduduwal): kung ang isang malakas na painkiller ay nagdudulot ng pagsusuka, lumipat sa alternatibo kung mayroon ka nito. Kung binigyan ka ng ondansetron sa oras ng pag-discharge, uminom ng isang tablet para sa pagduduwal o pagsusuka.
  • Drowsiness (Pagkaantok): huwag magmaneho o gumawa ng mahahalagang desisyon habang gumagamit ng malalakas na painkiller.

Mga estratehiyang hindi gamot

Ang mga ito ay gumagana nang maigi kasabay ng mga tabletas:

  • Yelo: maglagay ng ice pack sa ibabaw ng sugat sa loob ng 15–20 minuto bawat oras o kung kinakailangan sa unang linggo. Huwag kailanman maglagay ng yelo nang direkta sa balat; laging ibalot ito sa bag o tuwalya (tingnan ang Heat vs ice)
  • Elevation: panatilihing mas mataas ang kamay kaysa sa siko, at ang siko ay mas mataas kaysa sa puso. Ang mas kaunting pamamaga ay nangangahulugan ng mas kaunting sakit
  • Paggalaw: ang iyong mga iniresetang ehersisyo ay medyo masakit ngunit binabawasan ang paninigas, na siyang nagiging sanhi ng pagkirot ng kasukasuan
  • Distraction: ang panonood ng isang bagay na iyong kinagigiliwan ay tunay na nagpapababa ng persepsyon ng sakit sa mga unang araw

Kailan dapat tumawag sa amin

  • Pananakit na lumalala sa halip na bumubuti pagkatapos ng unang ilang araw
  • Pananakit na hindi nakokontrol ng mga gamot na ibinigay sa inyo
  • Bagong matinding pananakit na biglaang dumating
  • Pananakit o pamamaga ng binti (bihira, ngunit isang palatandaan ng blood clot)
  • Pananakit ng dibdib o kahirapan sa paghinga: pumunta sa emergency department

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