Kana iwe usingazivi ikozvino, kurwadziwa uye kuora mwoyo zvakabatana. Maererano neshoko rakabudiswa muU.S. Pharmacist muna 2009, zviratidzo zvezvinhu izvi zviviri zvinoitika. Nyaya yacho inorondedzera nezvemashoko kubva kuNational Health uye Nutrition Examination Survey III ichiona kuti kusvika 10% yevanhu vanoona kuora mwoyo, iyo 90% inorondedzera kuva nemarwadzo.
Nyaya yacho inoenderera mberi ichiti chikonzero chezvakaberekwa chekuora mwoyo chinogonawo kuita mutambo mune izvo zvinowanikwa zvisingaperi zvinorwadza. Nokuda kwechikonzero ichi, vanodzvinyirira vanogona kuita mhando inobatsira yemishonga yenguva refu mushungu kana kurwadziwa shure.
Zvechokwadi, zvinodzvinyirira zvakaratidzwa kubudirira kune marudzi akasiyana-siyana ekurwadziwa kusingaperi, kusanganisira kurwadziwa kwepfungwa, kurwadziwa mumuviri kunosangana nekuora mwoyo, uye fibromyalgia, maererano neshoko. Vanyori vanotaura kuti makirasi akasiyana-siyana ekurwisa mwoyo anoshanda pamhando dzakasiyana dzemarwadzo.
Nzira dze tricyclic antidepressants dzakagadzirirwa kurwadziwa kwemutsipa dzinosanganisira amitriptyline, nortriptyline, desipramine, uyewo manodhi anodzvinyirira bupropion, venlafaxine, uye duloxetine (zita rechiratidzo Cymbalta.)
NezveTricyclic Anodzvinyirira
Tricyclic vanodzvinyirira ikirasi yemishonga inogamuchirwa neDDA yekurapa kuora mwoyo. Kunyange zvazvo FDA isingavabvumi sekurapa kurwadziwa, vanachiremba dzimwe nguva vanorayira kuti vashandise izvi. (Izvi zvinonzi off-label inorondedzera.) Kana zvirwere zvinodhaka zvinotorwa nokuda kwehutano hwemutsipa, zvakaita seanjuju , kureva, kusvika kumusoro wemishonga protocol
Kana uri kutora tricyclic inodzvinyirira kurwadziwa, chiremba chako chichave chakapfuura kudarika kana iwe uri kutora icho chekuora mwoyo.
Migumisiro Yechiri
Zvinangwa zve tricyclic vanodzvinyirira hazvirevi kuora mwoyo uye kurwadziwa. Iyi mishonga inobata maitiro emitumbi akawanda. Nemhaka yeizvi, mhando yemigumisiro inogona kuitika.
Zvinokonzerwa nemigumisiro inogona kugadziriswa (muromo wakaoma, kuvimbiswa, kurara) kana zvakakomba (kukurumidza kutsamwa kwemoyo, kukura kwe glaucoma, ngozi yakawanda yekugumburwa, kutumidza vashomanana.) Zvakakosha kuti utaurire nokutendeseka nachiremba wako pamusoro mamwe mamiriro ezvinhu aungave nawo kuitira kuti anokwanisa kunyatsoziva kana chirwere ichi chemarwadzo chinorwadza chakakodzera iwe.
Sezvambotaurwa pamusoro apa, mamwe manzwi anoodza mwoyo anoshanda pakugadzirisa marwadzo ekudzokera shure kweuropathi . Nhau dzakanaka ndezvekuti dzinogonawo kuisa zvido zvishoma pane dzimwe mhando dze tricyclic vanodzvinyirira. Pamusoro pemigumisiro, mamwe manzwi anodzvinyirira anonyanya kutarirwa kumakemikari ekubatana ane chokuita nekuora mwoyo, kunze kwokunge marwadzo aine chinetso chepfungwa chepfungwa, madhiragi aya angasave akabudirira pakusunungura.
Izvo zvinonzi mishonga inorwisa-seizure, mamwe marudzi emishonga inorwadza adjuvant inoshandiswa kuporesa kusuruvara kunorwadza ndeyeaya ari mukirasi anticonvulsant. Mishonga yekudzivirira kugadzirisa yekusarwadziwa kusingaperi inoshandisa pamwe chete nehutachiona hwehutano asi hunouya nekusiyana kwakachengeteka uye nemagumisiro emagumisiro. Izvi zvinogona kuita chisarudzo chakanaka kune vakwegura uye vakwegura nokuti zvinetso zvekuchengetedza zvishoma kudarika zvinodhaka.
Sources:
Maizels, Morris, MD, & McCarberg, Bill, MD (2005). Anodzvinyirira uye Antiepileptic Zvinodhaka zveHurwere Dzisina Mwero. American Family Physician, 71. http://www.aafp.org/afp/20050201/483.html
Gould, Harry J., III, MD. Kunzwisisa Marwadzo: Chii icho Chikonzero Chichiitika, uye Iyo Inotungamirirwa Sei? New York: Demos, 2007. Print
Fink, K., MD, Director Pain Services. National Rehabilitation Hospital, Washington, DC. Telefoni Hurukuro. March 9, 2009.
Moultry, A., PharmD, MS; Poon, I. PharmD, BCPS, CGP. Kushandiswa kweAndidepressants for Chronic Pain. US Pharmacist. 2009.Medscape website. http://www.medscape.com/viewarticle/704975