Kunzwisisa Fibromyalgia uye ME / CFS Zvinodhaka
Paunenge uchidzidza nezvekusarudzwa kweutachiona hwe fibromyalgia uye kusingaperi kuneta kwechirwere , iwe unogona kunge uchiuya nezwi rokuti "reuptake inhibitors." Inotsanangura chirwere chekudzivirira mwoyo chatinonyanya kutarirwa, kusanganisira FDA-inogamuchirwa mishonga ye fibromyalgia Cymbalta (duloxetine) uye Savella (milnacipran) .
Asi unonzwisisa here kuti reuptake zvinorevei?
Paunotanga kudzidza nezve reuptake inhibitors, zvinogona kunge zvisingavhiringidzi-tinoziva mitemo iyi inotendwa inosanganisira maitiro akaderera europi makemikari serotonin uye norepinephrine, saka kutora chimwe chinhu chinodzivhiringidza chinonzwika chisingaiti.
Tsanangudzo yeiyi inosanganisa kushandiswa kwemashoko ekurapa ayo vazhinji vedu tisingazombozvinzwisisi. Pasi apa, iwe uchawana kuparara kwechiitiko ichi mumutauro zviri nyore kunzwisisa.
Chii chinonzi Reuptake?
Chokutanga, zvishoma nezvekuti huro hwako hunoshanda sei:
Masero ako europi (neurons) akaparadzaniswa nechepakati. Apo uropi hwako hunotumira mameseji kubva kune imwe neuron kuenda kune imwe, hunokonzera matanho iwayo nokubudisa makemikari akasiyana anonzi neurotransmitters kutakura shoko racho.
Mushure mechinguva, nzvimbo iri pakati pemasero inowanikwa yakazara nevakawanda vanoshandisa neurotransmitter. Izvo zvakadai sokuzarura mail yako uye kupedzisa nemurwi wemavhovupu asina chinhu-mavhuputiro aive akakosha pakukutumira tsamba, asi iwe hausati uchivada.
Uropi hwako huchenesa hutsvina kuburikidza nekudzorerazve maurotransmitter kuitira kuti vagone kudzokorora zvakare. Izwi rechiremba reiyo reuptake.
Iye zvino ngationei nyore uye tifambe nhanho mberi:
Chimbofungidzira gurusi rakakanganiswa kumashure kwechigaro cheimba yezvokudya. Anoda kusvika patafura, saka anotsvaga tsvina yewebhu padivi rega.
Haafaniri kuva nechinetso kusvika kune kuenda kwaanoenda, asi mufambi unopisa mukati memukamuri unoenderera mberi achitenderera mberi uye achirova bhero kunze kwekuti spider isagona kuzadzisa rwendo.
Iye zvino, fungidzira kuti mumwe munhu anoshandura firimu pairi kuitira kuti iwedzere zvishoma nezvishoma. Iko kunopa tsanangurira nguva yakakwana yekuyambuka musiyano usati wabhurwa.
Tsananguro ishoko, webhu inonzi neurotransmitter, uye fan iri reuptake. Apo iwe unononoka kudzokazve, shoko rinenge rakakwana neurotransmitter kuti riwane kwairi kuenda. Reuptake inhibitors musawedzera huwandu hwehutachiona hwehutano muhuropi hwako, asi dzinowedzera nguva yakawanikwa. Iko kunobatsira mharidzo kuwana kwavari kuenda.
Iko Reuptake Inoshanda Sei Kwatiri
Vatsvakurudzi vanofungidzira kuti ubongo hwevanhu vane fibromyalgia, vasingagumi kuneta, uye humwe humwe hutano hwehutano hune hutsika hwakanyanya hwevamwe vanonzi neurotransmitter kana vasingashandisi neurotransmitter yavo zvakanaka. Iko kunonzi neurotransmitter dysregulation, uye inofungidzirwa kuti inokonzera zvizhinji zvezviratidzo zvedu, kusanganisira uropi hwehuputi uye kurwadziwa kunokurudzira .
Kutsvakurudza kunoratidza kuti kuderedza reuptake kunobatsira kuderedza zviratidzo zvehuwandu hwevanhu vane zvirwere izvi.
Vakwegura reuptake inhibitors vakaderedza hurongwa hwevashandi vezvematongerwo enyika, izvo zvakatungamirira kune zvakawanda zvisingadiwi. Mazuva ano reuptake inhibitors inosarudza maitiro echetransmitters-kunyanya serotonin uye norepinephrine. Vanodanwa:
- Kusarudza serotonin reuptake inhibitors (SSRIs)
- Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Kunyange zvazvo mishonga iyi ichikonzera matambudziko mashomanana kudarika mishonga yakwegura, ivo vachiri nerwendo rurefu rwemigumisiro. Chikamu chechinetso ndechokuti hatina kukwana kweurotransmitter munzvimbo dzose dzeuropi, saka mishonga inogona kuvandudza kutapurirwa mune imwe nzvimbo iyo ichivhiringidza mune imwe.
Zvisinei, imwe mhando ye SSRI iri kubuda iyo inogona kupa ruregerero nezvishoma zvingava nemigumisiro nekutsvaga kero yeuropi inogamuchira shoko reurourotransmitter. Iko sero inonzi "receptor," uye rimwe nerimwe rakagadzirwa rakagadzirirwa kungogamuchira mharidzo yakatumwa nemamwe maurotransmitter. Chaizvoizvo, rector is lock. Ndizvo chete makemikari akanaka anokwanisa kuzarura.
Iyi mishonga inoshandiswa inoshandisa makemikari akafananidzwa ekunyengedza mamwe serotonin receptors mukuzarura, zvichiita kuti zvive nyore kuti mharidzo dziyerere kubva pane imwe sero kusvika kune imwe. Bato rimwe remishonga yemhando iyi-Viibryd (vilazodone) -zvino yakagamuchirwa kuora mwoyo muUnited States. (Zvisinei, hazvina kuongororwa nokuda kwe fibromyalgia kana kusingaperi kuneta kwechirwere.)
Dzidza zvakawanda nezvekuti madhiragi aya anoshanda sei mumamiriro edu ezvinhu:
Kuti uone zviratidzo zvakabatana neurotransmitter inoshaya, pamwe chete nemasarudzo ekurapa, verenga:
Sources:
Minda, R. Douglas, Ph.D. (2009) The Other Brain. New York: Simon & Schuster.
Goldstein, J. Alasbimn Journal2 (7): April 2000. AJ07-5. "The Pathophysiology and Treatment of Chronic Fatigue Syndrome uye Zvimwe Zvimwe Zvinetso Neurosomatic: Chirwere Chirwere Mupiritsi."
Smith AK, et al. Psychoneuroendocrinology. 2008 Feb; 33 (2): 188-97. "Kuongorora maitiro eti serotonergic system inogara isisina simba kuneta."
2008 University of Maryland Medical Center. Kodzero dzose dzakachengetedzwa. "Kurwara Kwakapera Syndrome"