Havasi Kungoita Kuora Mwoyo
Pamishonga yose ye fibromyalgia (FMS) uye isingagumi kuneta ( syndrome) ( ME / CFS ), zvinodzvinyirira zvinogona kunge zvakaoma kuti vanhu vazvinzwisise. Zvinowanzoita kuti vanhu vavhiringidzike kuti sei mishonga iyi inorayirwa kune zvimwe zvinhu kunze kwekuora mwoyo.
Zvisinei, humwe humwe huri huri huri huri huno hunoti hutachiona hwehutachiona huri hutano hwakanaka hweFMS, uye kusvika pamwero muduku, ME / CFS.
Zvinokonzera kuora mwoyo zvinoshandura nzira iyo dzimwe nyanzvi dzeurotransmitter dzinoshanda muuropi dzako, uye neurotransmitter imwechete inobatanidzwa muFMS, ME / CFS, uye chikuru chekuora mwoyo kwepfungwa.
Mhando mbiri dzekudzivirira mwoyo dzinoratidzirwa kuti dzinoshanda kubudirira zviratidzo zveFMS ndezvekuti:
- Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs)
- Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
Chii chinonzi SSRIs & SNRIs?
Serotonin uye norepinephrine zvose zvinonzi neurotransmitters-makemikari ari muuropi anotumira mashoko kubva kune imwe neuron (brain cell) kune imwe. Mumwe nomumwe anobata mabasa akawanda.
Mabasa aSerotonin anosanganisira kugadzirisa kurwadziwa uye chikamu chekumuka kwehope. Uropi hwako hunoshandisa serotonin kuti ugadzire melatonin, iyo inokubatsira kuti uwane kurara.
Norephinephrine inobatanidzwa nemuviri wekushushikana kwepfungwa, kusvinura, nekuyeuka. Uropi hwako hunoshandisa norepinephrine kusimbisa neurotransmitter dopamine iyo inobata pfungwa, pfungwa, nekubatana.
Kuipa kwebasa mu serotonin uye norepinephrin inonzi inofananidzwa kune dzimwe mamiriro eFMS ne ME / CFS. SSRIs / SNRIs dzinoita zvakawanda zvezviripo kuburikidza nekudzikisa pasi reuptake, iyo ndiyo iyo inogadziriswa mushure mekushandisa kuitira kuti inogona kudzokororwa zvakare. (Tsvaga mamwe mashoko: Kunzwisisa Reuptake .)
Pamusoro pemishonga inogamuchirwa neDFA yeFMS, vaviri kubva pavatatu ndivo SNRIs.
(Kwete madhiragi ndeye FDA-yakagamuchirwa kuM ME / CFS.) Izvo ndeizvi:
Zvimwe SNRIs zviri pamusika uye zvinogona kurongerwa kunze-label kune idzi zvirwere. Dzinosanganisira:
- Effexor (venlafaxine)
- Pristiq (desvenlafaxine)
SSRIs, iyo dzimwe nguva inorayirwa kure-label, inosanganisira:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Luvox (fluvoxamine)
- Paxil / Pexeva (paroxetine)
- Prozac / Sarafem / Selfemra / Rapiflux (fluoxetine)
- Zoloft (sertraline)
Dambudziko: Serotonin Syndrome
SSRIs, SNRIs, nemimwe mishonga inowedzera serotonin inogona kutungamirira kune zvinogona kuuraya zvinonzi serotonin syndrome. Ngozi inowedzera apo iwe unotora zvinodarika imwechete serotonin-inowedzera zvinodhaka, zvinogona kusanganisira mishonga yemishonga, zvinodhaka zvinodhaka uye kunyange zvimwe zvinowedzera.
Kuti uderedze njodzi yako ye-serotonin syndrome, zvakakosha kuti iwe uudze chiremba wako uye wemhizha pamusoro pezvose zvauri kutora.
Iwe unogona kudzidza zvakawanda pamusoro peSerotonin syndrome, kusanganisira mishonga ipi uye zvinowedzera zvinokanganisa serotonin uye zviratidzo zvipi zvaunofanira kutarisa, pano: Serotonin Syndrome
Ngozi: Kuzviuraya
SSRIs, SNRIs, uye mamwe ose anodzvinyirira anorayirwa neRDA kutakura nyevero yebhokisi-rima-sangano rakanyatsochenjerera-pamusoro pengozi yakanyanya yekuzviuraya kana kuzviuraya nemafungiro.
Zvakakosha kune chero munhu anotora mishonga iyi kuti azive njodzi, uye zvinokoshawo kuti shamwari neshamwari dzizive nezvazvo. Vanogona kunge ndivo vanoona zviratidzo zvekunyevera.
Kana iwe ukazviwana uine kuzviuraya, tora rubatsiro pakarepo. Kubva kupi zvako muUnited States, unogona kudana 1-800-273-8255.
Ndiyo mutsara weV VA, asi ani nani akagamuchirwa kudana. Iwe unofanirwa zvakare kutaura nachiremba wako pamusoro pemafungiro aya uye kana iwe uchifanira kurega kutora mishonga.
Heano maitiro ekudzivirira kuzviuraya:
- FDA Tsanangudzo yevashandi vehutano
- Dambudziko Rokuzviuraya Mahotera (US): 1-800-784-2433 kana 1-800-273-8255
- Zviratidzo zvekuzviuraya
- Nzira Yokubatsira Munhu Anozviuraya
Ngozi: Kuregera
Kuenda kune SSRIs / SNRIs kunotakura zvinetso zvayo. Kurumidza kukurumidza kunogona kukonzera izvo zvinodanwa discontinuation syndrome, saka iwe unofanirwa kutaura nechiremba wako nezvenzira yakarurama yekudzima zvishoma nezvishoma kubva pamushonga.
Zviratidzo zve discontinuation syndrome zvinosanganisira:
- Kuneta
- Uturu hunorwadza
- Nausea
- Uturu hunorwadza
- Kunyunyuta
- Kuzvidya mwoyo nekurwadziwa
- Chizutu
- Hallucinations
- Chiratidzo chakasvibiswa
- Kusvibiswa
- Kutinzwa kunonzwa
- Kurota kwakakwana
- Kuwedzerwa kwekufukura
- Electric shock sensations
Kurambidza zviratidzo kunogona kubva pane zviduku kusvika pakuora mwoyo. Nokuti dzakawanda zvezviratidzo izvi zvinowanzoonekwawo muFMS uye ME / CFS, unogona kuvakanganisa zviratidzo zvehutano hwako huri kuwedzera sezvaunoraya kubva pamishonga. Taura nechiremba wako kana une dambudziko.
Zvimwe zvinhu zvingabatsira kuderedza kuregererwa kwezviratidzo. Iwe unogona kudzidza pamusoro pavo munyaya ino kubva kuS's Depression site: Mazano ekuderedza kuregererwa kwezviratidzo
Dambudziko: Matambudziko Acho & Kubatana
Iyi mishonga inouya neurongwa hurefu hwezvinhu zvinogona kuitika. Zvimwe zvezvinonyanya kuipa zvinosanganisira seizure, hallucination uye kunze kwe-control-actions.
SSRIs / SNRIs inogona kuwirirana zvisina kunaka nemishonga kunze kweiyo inowedzera serotonin. Izvi zvinogona kusanganisira anti-inflammatories (NSAIDs), vatsvuku veropa, uye vamwe vakawanda.
Migumisiro yechirwere uye kushamwaridzana kunosiyana nemishonga. Kuti uone mamwe madhiragi, unogona kuzvitarisa paDrugs.com kana RxList.com. Izvo zvinowanzowanzowanikwa mukutakura mashoko.
Kuderedza Dambudziko Rako
Nzira yakanakisisa yokuti iwe kuderedze njodzi dzinobatanidza neRSSRIs / SNRIs ndeyokunyatsotevera mirairo yako uye chiremba wemasikirwo kune zvose zviyero uye kusvimha. Kana zviitiko zvekukurumidzira, iwe ungadawo kuchengeta mazita emishonga yako muhomwe yako.
Inogona kubatsira kudhinda mazita emigumisiro inogona kuitika uye kuvadzivirira pane imwe nzvimbo inooneka, kunyanya kana iwe watanga mishonga mitsva. Nenzira iyo, iwe uchakwanisa kukurumidza kuona kana zviratidzo zvitsva zvauri kutarisana zvinogona kusungirwa kumushonga.
Is SSRIs / SNRI Yakakodzera Kwauri Here?
Chisarudzo chekutora SSRIs kana SNRIs chinonyanya kuitwa newe iwe chiremba wako, uchifunga nezvekuongorora kwako, zviratidzo, hutano hutano, uye mararamiro ezvimwe.
Iwe unogona kuedza kuedza mishonga yakawanda mukirasi iyi usati wawana imwe inokushandira zvakanaka iwe uye kuti iwe unogona kutsungirira. Izvi zvinogona kutora nguva yakawanda. Iva nechokwadi chekuchengeta mitsara yokukurukura nachiremba wako akazarura panguva iyi.
Sources:
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Choy EH, et al. Clinical rheumatology. 2009 Sep; 28 (9): 1035-44. Kuchengetedzwa uye kushivirira kwe duloxetine mukurapa kwevarwere vane fibromyalgia: kuongororwa kwakaitwa data kubva kumakirini mashanu emakiriniki.
Derry S, et al. Cochrane database yekuongorora kwakarongeka. 2012 Mar 14; 3: CD008244. Milnacipran kurwadziwa neuropathic uye fibromyalgia kuvanhu vakuru.
NIH Publication NO. 04-5326.
Nishiyori M, et al. Kutambudzika kwechiremera. 2011 Sep 21; 7: 69. Kununurwa kusingagumi kubva mukati mekunetseka kwepfungwa-kunokonzerwa ne fibromyalgia-kufanana nekurwadziwa kusinganzwisisiki nekudzokorora kunongororwa kwehutano hwevanhu vanodzvinyirira.
Saxe PA, et al. Ongororo yezvino yezvokurapa uye maonero. 2012 Mar 19. Pfupi-Pfupi (2-Mavhiki) Migumisiro yekurega Milnacipran mune varwere vane Fibromyalgia.
US Food and Drug Administration. "Kurarama neFibromyalgia" Yakasvika muna March 2012.
Warner, Christopher H, et al. American Family Physician. 2006 Aug 1; 74 (3): 449-56. Kushungurudzika kweContontinuation Syndrome.