Prescription Mishonga, Doro uye Kurapa Mishonga May Cause Parasomnias
Zvinokwanisika here kuti mishonga kana chinhu chakadai sewaini kana zvimwe zvinodhaka zvinokonzera kurara kwekurara? Iwe unogona kunge wakanzwa nezvevanhu vanoita zvinhu zvinonakidza pasi pesimba reAmbien , asi pane zvimwe zvinokonzera kukanganisa kurara kunonzi mapasasomnias ? Dzidza pamusoro pehukama pakati pezvinhu uye kurara, kurara kudya, kurara kwekutya, uye kunyange kutadza kwetsika REM .
Ndeapi Mishonga Inokonzera Kurara?
Kune mhando dzakasiyana dzemishonga dzinogona kukonzera kurara kwehupombwe, kubva pavanorwisa zvinodhaka kune mishonga inobata chirwere cheAlzheimer. Neimwe mishonga inoratidzwa pasi apa, zita rezita rairo rinonyanya kutaurwa rinoteverwa nemazita ezvinyorwa muvana. Zvizhinji zvezvi zvinokanganisa kushandiswa kwemishu munguva yekufamba kweziso (REM) kurara. Panzvimbo pokurara kwemazuva ose kunokonzera, hutema hunoti huwandu uye hunoita kuti zviitike. Izvi zvinogona kutungamirira kumagariro uye maitiro ekurara sekurova, kuroka, kurova, kumhanya kubva panhovo, kutaura, nezvimwe zvinhu.
Mishonga inowanzoshandiswa inoshandisa mutsara inzwi mu REM uye chirwere chetsika REM ndiyo sarotonin reuptake inhibitors (SSRIs) inosarudza. Izvi zvinosanganisira:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Prozac (fluoxetine)
- Luvox (fluvoxamine)
- Paxil (paroxetine)
- Zoloft (sertraline)
Mukuwedzera, tricyclic vanodzvinyirira (TCAs) inogonawo kukonzera kuwedzera mushuturi mu REM uye kurota-kuita maitiro.
Mishonga yeTCA inosanganisira:
- Elavil (amitriptyline)
- Pamelor (nortriptyline)
- Norpramin (deipramine)
- Silenor (doxepin)
- Tofranil (imipramine)
Mimwe mishonga yemishonga yemishonga inogona kukonzera chirwere chetachiita REM inosanganisira Effexor (venlafaxine) uye Remeron (mirtazapine). Kunyange zvazvo yakashandiswa kashoma pamusana peimwe migumisiro, monoamine oxidase inhibitors seEldepryl (selegiline) inogonawo kupa.
Pakupedzisira, anticholinesterase inhibitor mishonga inoderedza kuparara kweacetylcholine uye inoshandiswa kurapa chirwere cheAlzheimer inogona kukonzera kukanganisa kurara. Iyi mishonga inosanganisira:
- Aricept (donepezil)
- Exelon (rivastigmine)
- Razadyne (galantamine)
- Namenda (memantine)
Pane humwe uchapupu hwokuti mishonga inonzi beta blockers, inowanzoshandiswa kurapa kukwirira kweropa kana kufara kwemwoyo (tachycardia), inogona kukonzera kurara-inobatanidza kukanganisa. Iyi mishonga yemishonga inogona kusanganisira:
- Coreg (carvedilol)
- Inderal (propranolol)
- Lopressor kana Toprol XL (metoprolol)
- Sorine (sotalol)
- Tenormin (atenolol)
- Timolol
- Trandate (labetalol)
- Zebeta (bisoprolol)
Pakupedzisira, mishonga yemishonga inoshandiswa kurapa kusuruvara inogona kukonzera non-REM parasomnias. Maitiro aya anosanganisira kurara , kurara-kunokonzerwa nehutano hwekudya , uye kurara kwekurara. Zvinokonzerwa kurara pabonde uye kunyange kuita zvechisimba kuti zviitike. Zvinotendwa kuti mishonga iyi inodzvinyirira kukwanisa kumutsa (nekusimudza chikamu chekumutsa) uye kuti izvi zvinogona kukanganisa chiyeuchidzo nekuziva. Kunyange rutivi rweuropi rwakabviswa, chikamu chinobvumira kufamba uye mabasa zvinogona kushanda. Iyi mishonga inonzi sedatives kana hypnotics uye inosanganisira:
Kunyangwe mishonga yemishonga inowanzoita kuti pasasomnias ive sechikamu chemativi, haisi ivo chete zvinhu zvinogona kukanganisa mafambiro ekurara.
Kunwa Doro kana Zvinodhaka Zvinokonzera Kurara Zvokuita Here?
Hapana humwe uchapupu hwokuti doro rinogona kukonzera kurara. Maitiro omumwe munhu akadhakwa anobva kune mumwe munhu ari kurara. Doro rakazvininipisa rinokanganisa kufunga: kunyange risina kunaka, haisipo. Kusiyana neizvi, mumwe munhu ari kurara haafaniri kuyeuka zvaanoita shure kwechokwadi. Mafambiro, kunyange zviito zvinotyisa zvakaoma, zvinochengeterwa kurara.
Hapana kana kugumburwa kana kuwira pasinei nekuita sokuti "hausi" mupfungwa. Kusiyana neizvi, mumwe munhu akadhakwa newaini achava nehuwandu husina kukwana uye asingagoni kufamba zvakanaka.
Inofungidzirwa kuti doro rinogona kukonzera kurara kwakaparadzana, kunyanya nekuda kwekusaporerwa kurara kwepabonde . Doro rinoderedza maronda emugwagwa wepamusoro uye izvi zvinogona kutungamirira kukoromoka kwemugwagwa munharaunda yevanhu vanogona kutora, zvichiita kuti vamuke kubva pakurara. Izvi zvinogona kutsamwisa nyika yakavhenganiswa yekuziva uye kutungamirira kune ngozi yakawanda yekurara. Kunyangwe zvinonzwisisika, izvi hazvina kugadziriswa nekuedzwa.
Doro kunwa doro kunogona kunge kusina basa mukukurudzira maitiro ekurara, asi kuvhara doro kunogona kukuvadza zvikamu izvi. Mukuwedzera, kune uchapupu hwokuti kurega kubva kune zvinhu zvisina kukodzera, kusanganisira cocaine uye amphetamine, zvinogonawo kukanganisa mararamiro ekurara. Mukuwedzera, kurega kubva pamishonga yemishonga yemishonga semabhakurati uye meprobamate zvingaitawo zvakafanana.
Pakupedzisira, kune uchapupu hwokuti kushandiswa zvakanyanya kwekakineine uye kunyange chokoti kunogona kukonzera REM kutadza chirwere.
Nzira Yokuziva Nayo Kana Maitiro Anokonzerwa Nezvinhu
Iwe unoziva sei kana mushonga kana chinhu chauri kushandisa chiri kuita kuti uite zvido zvekurara? Chinokosha kunyanya kufungisisa ndechokuongorora nguva. Wakatanga kushandisa chigadzirwa chacho usati watanga zviratidzo here? Ko maitiro akaipisisa paaishandisa here? Kana mishonga kana chinhu ichigadziriswa, unoita zviratidzo kana maitiro anoenda here?
Kazhinji, zvingave zvakakosha kutarisana nekunyoresa chiremba wako. Kana zvichibvira, zvingave zvakafanira kurega mishonga kuti uone kana sarasimnias ichigadzirisa.
Muzviitiko zvizhinji, maitiro asina kukodzera ekurara anocherechedza nemishonga inofanana neAmbien inowanikwa apo mari inotorwa inodarika chirongwa chakakurudzirwa kana kana ichibatwa zvisina kufanira. Dzimba dzeropa dzinogona kudarika izvo zvinonzi zvakachengeteka. Vakadzi vanorayirirwa neHood and Drug Administration (FDA) kutora doses shoma nekuda kwezviitiko zvinogona kuitika. Kana ichibatanidzwa nemimwe mishonga inoshanda muuropi, kana nedoro, njodzi dzinowedzera. Mukuwedzera, mishonga inogona kutorwa panguva isina kunaka kana kuti inogona kunge isina nguva yakakwana mubhedha mushure mokumuka.
Kusashandisa kwemishonga iyi kunogona kukonzera njodzi dzakakomba kana zvimwe zvinokuvadza. Izvi ndizvo zvimwe kune mamwe madhiragi angashungurudzwa. Hazvina kujeka kana zvimwe zvinokonzera zvinokonzera, kusanganisira genetics, zvakakosha kune vasiri-REM parasomnias zvakabatana nekushandisa zvinodhaka.
Nzira Yokuderedza Dambudziko Rako uye Rini Kuti Uwane Rubatsiro
Hazvina mhosva pasinei nokuti chinokonzerwa nemishonga inorayirirwa, doro, kana zvinhu zvisina kukodzera, unofanira kutsvaga rubatsiro kana ukawana unhu hune chokuita nehope hunogona kukuvadza iwe pachako kana vamwe. Tanga nekutaura nekunyoresa chiremba uye, kana zvichidiwa, ona nyanzvi yekurara kuti aone vamwe vanogona kupa zvipo izvi.
Nekuongororongedza kwekufungidzira kwezviitiko zvako zvinotyisa, uye kuregererwa kwekugona kugovera mishonga kana zvinhu, uchakwanisa kurara wakachengeteka usingatyi kuita zvido zvako kunze kweusiku.
> Kwakabva:
> American Academy of Sleep Medicine. Urongwa Hwenyika Yose hweMatambudziko Okurara, 3rd ed. Darien, IL: American Academy of Sleep Medicine, 2014.