Funga nezveKuchengetedzwa Kwemishonga Kwezvinetso Zvokurara Paunenge Wakwegura
Kana iwe uchinetseka kurara panguva yepamuviri, unogona kudzidza kudzidza nezvekurapa. Mimwe mamiriro ezvinhu akadai sokushaya hope uye kusagadzikana kwemakumbo syndrome (RLS) inogona kuitika kakawanda panguva yekuzvitakura. Zvimwe zvinetso zvekurara zvakadai seincolepsy uye maitiro ekurara anozivikanwa separasomnias zvinogona kuramba zvichiitika kuburikidza nekuzvitakura uye zvinoda kurapwa. Zvakakosha kunzwisisa kuti kushandiswa kwakachengeteka kwemishonga panguva yekudzivirira kunotsanangurwa.
Zvadaro, unogona kufunga kuti zvipi zvingaitwa nachiremba wako kuti aite chirwere chako uye akubatsire kurara zviri nani. Tsvaga kuti mishonga yakachengetedzeka sei kushandiswa kurapa zvinetso zvekurara pakuzvitakura.
Kuronga Kurapa Zvinodhaka
Chisarudzo chekutanga chekurapa chirwere chehope mumukadzi ane pamuviri ndechokushandisa mararamiro ehupenyu kuti abatsire kubvisa mamiriro acho ezvinhu uye kudzivisa mishonga yose. Kune avo vanotambura nekushaya hope, kurapwa nekuziva kwehutano hwehutano hwehutano hwekushaya hope (CBTi) inogona kunge yakabudirira. Kunyangwe muRLS, kushanduka kwakasiyana-siyana kunogona kutungamirira kumusana pasina kushandisa mishonga.
Mumamiriro akaoma, mamwe mishonga inofanira kushandiswa nekuchenjerera. Kunetseka ndechokuti mishonga yakawanda haina kuongororwa muzvizhinji zvevakadzi. Hapana anoda kukonzera urema hunoberekwa. Zvinodhaka zvinodaro zvinonzi teratogenic (literal translation = "monster forming"). Nokudaro, zvidzidzo zvakawanda hazviitike mumadzimai ane pamuviri nokuti kunyange pangozi duku haisi kuonekwa seyakagamuchirwa.
Kunyange zvakadaro, ruzivo uye kuongororwa mumhuka zvakatipa ruzivo rwekuchengetedzwa kwemishonga mukudzivirira.
Izvo zvinotevera zvinokonzerwa nemigumisiro yemishonga panguva yekudzivirira inoshandiswa:
- Chikamu B : Zvidzidzo zvemhuka hazvina kuratidza kuti zvinogona kuitika mumwana asi pasina dzidzo dzakarongedzwa kune vakadzi vane pamuviri dziripo, kana kuti zvidzidzo zvezvipfuwo zvakaratidza kusagadzikana kwechibereko chekuberekwa chisina kusimbiswa mune zvidzidzo zvakarongedzwa zvevakadzi munguva yekutanga kwemitatu. Hapana humwe humwe uchapupu muhutatu hunotevera.
- Chikamu C : Zvidzidzo zvemhuka zvakaratidza zviitiko zvakashata zve fetal, asi hapana zvidzidzo zvinochengetedzwa mumadzimai ane pamuviri aripo, kana zvidzidzo kuvanhu nemhuka hazvisipo; saka, mishonga inopiwa kana zvikomborero zvingave zvakanyanya kupfuura dambudziko.
- Chikamu D : Njodzi kune fetus iripo, asi zvikomborero zvingave zvakanyanya kupfuura njodzi kana chirwere chinotyisa kana chirwere chakakomba chiripo.
- Chikamu X : Dzidzo mumhuka kana vanhu dzinoratidza kusaberekwa kusina kunaka; mushonga wacho unopesana nekuda kwevakadzi vane pamuviri.
Nokudaro, mishonga inonzi yakachengeteka apo tsvakurudzo yakawedzerwa inotsigira kuchengetedzwa mukati mevanhu iripo. Zvisinei, mukana weumwe munhu nekushandiswa kwemishonga ipi zvingaguma nemigumisiro isina kugamuchirwa.
Mishonga Inoshandisa Matambudziko Okurara
Uchishandisa maitiro akarondedzerwa pamusoro apa, mishonga yekurapa kwezvinetso zvinowanzobatwa nehope panguva yekuzvitakura zvinogona kuiswa. Izvi zvinosanganisira kusara, RLS, narcolepsy, uye parasomnias. Kuchengetedzwa kwezvinodhaka kunoderera sezvaunofamba kubva muChikamu B kusvika kuneC C kusvika kuChirongwa D uye, pakupedzisira, kuChitatu X. Funga nezvemishonga yokurara inowanikwa panguva yekuzvitakura kweimwe yemamiriro ezvinhu anotevera:
Kunyunyuta
Chikamu B
Sedatives uye Hypnotics (Benzodiazepines): Zolpidem , Diphenhydramine
Chikamu C
Sedatives uye Hypnotics (Benzodiazepines): Zaleplon
Anticonvulsants: Gabapentin
Anodzvinyirira uye Vanodzvinyirira: Amitriptyline, Doxepin, Trazodone
Chikamu D
Sedatives uye Hypnotics (Benzodiazepines): Alcohol , Alprazolam, Diazepam, Lorazepam, Midazolam, Secobarbital
Chikamu X
Sedatives uye Hypnotics (Benzodiazepines): Alcohol (kana inoshandiswa yakawanda kana kwenguva yakareba), Estazolam, Flurazepam, Quazepam, Temazepam, Triazolam
Zvisina Mwero Mitsipa Syndrome kana Willis-Ekbom Disease
Chikamu B
Antiparkinsonian Agents (Dopaminergics): Bromocriptine, Cabergoline
Narcotic Agonist Analgesics (Opioids) (ona D): Meperidine, Oxymorphone, Methadone, Oxycodone
Chikamu C
Central Analgesics: Clonidine
Anticonvulsants: Gabapentin, Lamotrigine
Antiparkinsonian Agents (Dopaminergics): Carbidopa, Levodopa, Pramipexole , Ropinirole
Narcotic Agonist Analgesics (Opioids) (ona D): Codeine, Morphine, Propoxyphene, Hydrocodone Anodzvinyirira uye Vanodzvinyirira: Amitriptyline, Doxepin, Trazodone
Chikamu D
Anticonvulsants: Clonazepam, Carbamazepine
Narcotic Agonist Analgesics (Opioids) (kana inoshandiswa kwenguva yakareba kana yakanyanya kuwedzerwa panguva): Meperidine, Oxymorphone, Methadone, Oxycodone, Codeine, Morphine, Propoxyphene, Hydrocodone
Chikamu X
Sedatives uye Hypnotics (Benzodiazepines): Estazolam, Flurazepam, Quazepam, Temazepam, Triazolam
Dambudziko rekunyengera
Chikamu B
Zvinokurudzira: Caffeine, Permoline
Anodzvinyirira uye Anodzvinyirira: Sodium oxybate (Xyrem)
Chikamu C
Anodzvinyirira uye Vanodzvinyirira: Fluoxetine, Paroxetine, Protriptyline, Venlafaxine
Zvinokurudzira: Dextroamphetamine, Mazindol, Methamphetamine, Methylphenidate, Modafinil
Chikamu D
Hapana
Chikamu X
Hapana
Parasomnias (Sleep Behaviors)
Chikamu B
Hapana
Chikamu C
Anodzvinyirira uye Vanodzvinyirira: Imipramine, Paroxetine, Sertraline, Trazodone
Chikamu D
Sedatives uye Hypnotics (Benzodiazepines): Diazepam
Anticonvulsants: Clonazepam, Carbamazepine
Chikamu X
Hapana
Nzira Yokusarudza Mishonga
Pashure pokunge uchitarisa mishonga yemishonga inowanika mukurapa kwezvirwere zvehope panguva yekuzvitakura, unofanira kunge uine hurukuro yakakosha yehupenyu hwako nachiremba wako. Iwe uchada kufunga nezvekuoma kwezviratidzo zvako. Iwe unotoda kurapa here kana kuti mamiriro acho ezvinhu achapfuura oga? Kana zvichibvira, unofanira kutanga uedza zvirwere zvisiri zvemasitoriki zvinosanganisira kuchinja mararamiro. Kana iwe uchigona kugadzirisa kushushikana, shandura kudya kwako, kana kuvandudza mararamiro ako nekurovedza muviri, iwe ungasafanira kuongorora mishonga inogona kuisa njodzi.
Kana iwe ukasarudza kusarudza kutora mishonga panguva yekuzvitakura, kurukura nezvezviitiko zvinogona kuitika kune chiremba wako uye mhizimisi kuti uone kuti iwe unonyatsoziva nezvemigumisiro inogona kuitika. Iwe unogona kuva mutariri wako akanaka, zvose iwe uye mwana wako asati aberekwa.
Kunobva:
Kryger, MH et al . "Mazano Nezviito Zvokurapa Mishonga." ExpertConsult , 5th edition, 2011, p. 1581.