Iyo Inoshanda Sei, Maitiro Akashata, uye Zvimwe
Gabapentin imishonga inonyanya kurongerwa ye fibromyalgia . Inowanikwa seyero uye inotengeswa pasi pemazita ezita Neurontin, Horizant, uye Gralise.
Gabapentin haisi FDA inobvumirwa kuporesa chirwere ichi, saka inorayirwa kure-label. Mishonga iyi inokamikidzana neLyrica (pregabalin) , iyo inogamuchirwa semushonga we fibromyalgia.
Zvechokwadi, Lyrica dzimwe nguva inonzi "mwanakomana weNeurontin."
Gabapentin inorondedzerwa semishonga inorwisa-seizure. Inoshandiswa kurapa hosha, chirwere chepfungwa (kurwadziwa kubva mumitsipa yakakanganiswa), kusagadzikana kwemakumbo syndrome , uye kupisa kwemoto.
Urombo hweFibromyalgia hwakafanana neuropathy, asi kana ichi chiitiko chinosanganisira mhirizhonga yemazino zvisati zvajeka.
Iyo Gabapentin Inoshanda Sei
Gabapentin anotenda kushanda kuburikidza nekushandura kusunungurwa kwe glutamate nedzimwe nyanzvi dzemaurotransmitter muuropi yako. Neurotransmitters anotumira mashoko kubva kune imwe brain homwe kune imwe.
Glutamate inobatsira chaizvo kune zvimwe zvinhu, sekudzidza ruzivo rutsva. Ndiko nokuti inoita kuti masero ako ehutano awedzere uye anoshanda.
Mhando yakafanana nevana vaduku nechokoti, kunyange zvakadaro, kana iwe uine glutamate yakawanda inofamba uchikwira kumusoro uko, masero ako europi anogona kuwedzerwa. Izvozvo zvinogona kuita kuti marudzi ose ezvinhu aende zvisina kunaka.
Glutamate ine basa rinopfuura rimwe, zvakadaro.
Iyo inobatsirawo kutumira zviratidzo zvinorwadza muuropi dzako nemitsipa. Kuwanda kwegutamate kunogona kuita basa mu hyperalgesia , iyo inonyanya kushandura marwadzo ekurwadziwa.
Kuti udzivirire migumisiro ye glutamate, une imwe yeurotransmitter inonzi gamma-aminobutyric acid (GABA) . Inogadzirisa masero ako uye anoteterera ubongo hwako.
Apo GABA uye glutamate zviripo zvakakanirana nemumwe, zvinhu zvinoenda zvakanaka.
Zvimwe zvirwere uye mamiriro ezvinhu zvinogona kukanganisa izvi zvakaringana uye kurega glutamate runamok. Gabapentin anotendwa kuderedza huropi hwako kusunungurwa kwe glutamate kuitira kuti masero anokwanisa kudzikama uye uropi hwako hunogona kushanda zviri nani.
Gabapentin yeFibromyalgia
Kutsvakurudza kunoratidza kuti vanhu vane fibromyalgia vane zvakawanda zvinokonzera glutamate mune zvimwe zvikamu zveuropi dzavo, saka gabapentin yakagara yakatemerwa.
Asi inobudirira here? Kutsvakurudza kwakavhenganiswa.
Mhinduro mbiri dzehuchapupu hazvibvumirani. Mumwe akasunungurwa muna 2016 akawana kuti gabapentin inobatsira kurapwa kwe fibromyalgia, asi imwe, yakabudiswa muna 2017, yakashuma uchapupu husina kunaka.
Kubvunzurudzwa kwakaitwa gore re2014 gabapentin kwe fibromyalgia uye neuropathy kwakawana kuti vanenge 35 muzana yevadzidzi vakabvunzurudza vakaona kurwadziwa kwavo kunodonhedzwa nevanenge makumi mashanu muzana panguva iyi pamishonga iyi. Zvakakosha kuziva, asi, kuti 21 muzana vakaona madonhwe akafanana pavanotora placebo.
Mune zvidzidzo kuenzanisa gabapentin ne pregabalin (mishonga muRyrica), kusanganisira imwe yakabudiswa mu Journal of the American Medical Association, pregabalin yakaonekwa kuti iite zviri nani.
Chimiro chekubudiswa kwenguva refu che gabapentin chakaratidza chivimbiso mune imwe muedzo mutsva wakabudiswa mu Pain Practice .
Vatsvakurudzi vanotaura kuti yakavandudza kurwadziwa, kurara, uye hupenyu hwehupenyu. Ichi chaiva chiedza chekutanga, zvakadaro, saka basa rakawanda rinofanira kuitwa tisati tanyatsoziva kana rakachengeteka uye rinoshanda kwenguva refu.
Gabapentin Dosage
Gabapentin inowanzotanga pamushandi wepasi uye zvishoma nezvishoma kuwedzera. Iva nechokwadi chekutevera mirayiridzo yechiremba wako.
Chimiro chinowanikwa pakati pe 900 mg uye 1,800 mg zuva rega rega, chakagoverwa kuva maitiro matatu.
Iwe haufaniri kurega kutora gabapentin kamwe kamwe. Iva nechokwadi chekutaura nachiremba wako pamusoro pokugadzirisa kwakakodzera kweruzhinji rwauri kutora.
Gabapentin Nhengo Dzakashata
Kufanana nemishonga yose, gabapentin inouya nechinetso chemigumisiro.
Zvimwe zvinogona kunge zvine ngozi apo vamwe vasiri.
Kana uine imwe yemigumisiro inotevera paunotora gabapentin, tumira chiremba wako pakarepo:
- utera hwakasimba hwekuneta
- kumusoro mushungu kurwadziwa
- chipfuva chepfu
- kutsva kana kuwedzera kuora pamwe chete nefivha
- kunetseka kufema
- kushungurudza kwakanyanya kana kupera
- kukurumidza, shure-uye-kunze kufamba kweziso
- kurwadziwa kana kuoma nekugunzva, kana kusina kunyorera
- fever
- huro inorwadza
- kuzvirumbidza mumeso kana rurimi
- kutsva meso
- mapundu
Zvimwe zvikanganiso izvo hazvisi chikonzero zvekukurumidza kunetseka zvinosanganisira:
- kuneta
- chizoro
- headache
- kurara
- kurema kuwanikwa
Vana vanotora gabapentin vanogona kuve nemagariro akasiyana. Bvunza chiremba wako pakarepo kune zvinotevera:
- kuchinja mukuzvibata
- zvinetso zvepfungwa
- kusakwanisa kuisa pfungwa
- kusagadzikana, utsinye, kana utsinye
Gabapentin angaita zvisina kunaka nemamwe madhiragi. Iva nechokwadi kuti chiremba wako uye wemhizha vanoziva zvose zvauri kutora.
Is Gabapentin Yakakunakira Iwe Here?
Nehuchapupu husina simba uye hwakavhenganiswa, gabapentin ine rimwe ruzivo pamusoro peRyrica-inowanzoita, uye naizvozvo hazvina mari shoma. Mutengo wemutengo unotungamirira vamwe vanhu kuti vaedze gabapentin pasinei nekushaya simba kunoratidza mune zvidzidzo.
Uyewo, isu tose tinoita zvakasiyana nemishonga. Vamwe vanhu vanokundikana kune mamwe mishonga vanogona kuwana zororo kubva gabapentin.
Kana iwe uchida kuedza gabapentin, taura nachiremba wako pamusoro pezvakanaka uye zvinotapira zvechirwere pamwe chete uye kuti zvinogona sei kupinda mumutemo wako wose wehutano.
> Sources:
> Calandre EP, Rico-Villademoros F, Slim M. Apha2delta ligands gabapentin, pregabalin uye mirogabalin: kuongororwa kwechirwere chemakiriniki uye kushandiswa kwemishonga. Ongororo yekuongorora kweyeurotherapeutics. 2016 Nov; 16 (11): 1263-1277.
> Cooper TE, Derry S, Wiffen PJ, Moore RA. Gabapentin nokuda kwehutu hwe fibromyalgia kuvanhu vakuru. Cochrane database yekuongorora kwakarongeka. 2017 Jan 3; 1: CD012188.
> Moore RA, Wiffen PJ, Derry S, et al. Gabapentin nokuda kwechirwere chisingaperi cheuropa ne fibromyalgia kuvanhu vakuru. Cochrane database yekuongorora kwakarongeka. 2014 Apr 27; (4): CD007938.
> Moore A, Wiffen P, Kalso E. Antiepileptic zvinodhaka zvehutano hwepfungwa uye fibromyalgia. JAMA. 2014 Jul; 312 (2): 182-3.
> North JM, Hong KS, Rauck RL. Mhedzisiro yerimwe ruzha rwekubudiswa-gabapentin yakasununguka pamarwadzo uye kurara mune zvidzidzo zve fibromyalgia: chidzidzo chekutsvaga chikwata. Pain practice. 2016 Jul; 16 (6): 720-9.