Akunjalo nje Ngexinzelelo
Kuzo zonke iinkatho zokwelapha i- fibromyalgia (FMS) kunye nesifo esingapheliyo sokugula ( ME / CFS ) Kuqhelekile ukuba abantu badideke malunga nokuba kutheni le miyeza inikwe imimiselo ngaphandle kwexinzelelo.
Nangona kunjalo, ubungqina obunokukhula bubonisa ukuba ukuxhatshazwa kweengxaki zonyango ziyimpatho ye-FMS, kwaye kwinqanaba eliphantsi, ME / CFS.
I-Anti-depressants iguqulela indlela abanye abavumiyo be-neurotransmitters basebenza ngayo kwingqondo yakho, kwaye i-neurotransmitters efanayo iya kubandakanywa kwi-FMS, ME / CFS, kunye nengxaki enkulu yokudandatheka.
Ezi zimbini iintlobo ze-anti-depressants ezibonakaliswa ngokufanelekileyo kwimpawu ze-FMS zi:
- I-Serotonin Reuptake Inhibitors (i-SSRIs)
- I-Serotonin Norepinephrine Reuptake Inhibitors (i-SNRIs)
Ziziphi i-SSRIs ne-SNRIs
I-Serotonin kunye ne-norepinephrin bobabini be-neurotransmitters-iikhemikhali kwingqondo ehambisa imilayezo evela kwi-neuron enye (inkolelo yengqondo) kwenye. Ngamnye ujongene nemisebenzi emininzi.
Imisebenzi kaSerotonin ibandakanya ukucubungula ubuhlungu kunye nenxalenye evukileyo yomjikelezo wokulala. Ingqondo yakho isebenzisa i-serotonin ukwenza i-melatonin, ekunceda ukuba ulale.
I-Norephinephrine ibandakanyeka ngokuphendula komzimba, ukuphaphama kunye nenkumbulo. Ingqondo yakho isebenzisa i-norepinephrine ukudala i-neurotransmitter dopamine ejongene nokugxilwa kwengqondo, ukukhuthazwa kunye nokulungelelanisa.
Ukungaqhelekanga kwi-serotonin kunye ne-norepinephrin kukholelwa ukuba kuhlobene namanye amacala e-FMS kunye ne-ME / CFS. I-SSRIs / i-SNRI yenza ezinye zazo zifumaneke ngokunciphisa i-reuptake, okuyiyo xa ityathwa emva kokusetyenziswa ukuze ibuye iphindwe kwakhona. (Fumana ulwazi oluthe vetshe: Ukuqonda iReuptake .)
Kwizidakamizwa ezigunyazisiweyo ze-FDA ze-FMS, ezimbini kwabathathu zi-SNRIs.
(Akukho ziyobisi ezivunyelwe yi-FDA kwi-ME / CFS.) Zizo:
Ezinye ii-SNRI zithengiswa kwiimarike kwaye zinokumiselwa ngaphandle-ilebula kulezi zifo. Ziquka:
- Effexor (venlafaxine)
- Pristiq (desvenlafaxine)
I-SSRI, edlalwa ngamanye amaxesha-ilebula, zibandakanya:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Luvox (i-fluvoxamine)
- I-Paxil / Pexeva (i-paroxetine)
- Prozac / Sarafem / Selfemra / Rapiflux (i-fluoxetine)
- Zoloft (sertraline)
Iingozi: iSerotonin Syndrome
I-SSRIs, i-SNRIs kunye neminye imishanguzo eyandisa i-serotonin ingakhokelela kwisimo esinokubulala esibizwa ngokuba yi-serotonin syndrome. Umngcipheko ukwanda xa uthatha inkunkuma engaphezu kweyodwa ye-serotonin, enokubandakanya imishanguzo yonyango, izidakamizwa zokuzonwabisa kunye nezibonelelo ezithile.
Ukunciphisa umngcipheko we-serotonin syndrome, kubalulekile ukuba uxelele ugqirha wakho kunye nekhemistiki malunga nento oyenzayo.
Unokufunda okungakumbi malunga nesifo se-serotonin, kuquka neziphi izidakamizwa kunye nezongezelelo ezichaphazela i-serotonin kwaye ziphi iimpawu zokuzijonga, apha: USerotonin Syndrome
Iingozi: ukuzibulala
I-SSRIs, i-SNRIs, kunye nazo zonke ezinye izidakamizwa zilawulwa yi-FDA ukuba ithwale isilumkiso sebhokisi emnyama-isilumkiso esilungeleleneyo-malunga neengozi yokuzibulala okanye iingcinga zokuzibulala nokuziphatha.
Kubalulekile ukuba nabani na aba bathatha la mayeza ukuba baqaphele ingozi, kwaye kubalulekile ukuba abahlobo namalungu entsapho bazi malunga nalo. Baya kuba bona bajonga iimpawu zokulumkisa.
Ukuba ufumanisa ukuba ucinga ukuzibulala, fumana uncedo ngokukhawuleza. Ukusuka naphi na e-United States, ungabiza u-1-800-273-8255.
Lona ngumnxeba we-VA, kodwa nabani na owamkelekileyo ukubiza. Kufuneka uxoxe noogqirha malunga nale ngcamango nokuba ufanele ukuyeka ukuthatha iyeza.
Nazi izibonelelo zokuzikhusela ezizibulala:
- Inkcazelo ye-FDA yabasebenzi bezeMpilo
- Iingxaki zokuzibulala (i-US): i-1-800-784-2433 okanye i-1-800-273-8255
- Izimpawu zokuzibulala
- Indlela Yokunceda Umntu Wokuzibulala
Izingozi: Ukuyeka
Ukuhamba kwe-SSRIs / i-SNRI ihamba neengozi zayo. Ukuyeka ngokukhawuleza kunokubangela oko kubizwa ngokuba yi-syndrome ye-syndrome, ngoko kufuneka uxoxe nodokotela wakho ngendlela echanekileyo yokuzicoca ngokuthe kancinci kwisiza.
Iimpawu ze-syndrome zokuyeka ziquka:
- Ukukhathala
- Ubuhlungu besisu
- I sizathu
- Ubuhlungu besisu
- Ukungabikho
- Ukukhathazeka nokuxhalabisa
- Utywala
- Hallucinations
- Umbono ongezantsi
- Ukutshatyalaliswa
- Ukuzila
- Amaphupha angafanelanga
- Ukujuluka okukhulu
- Ukutshitshiswa kwamandla
Iimpawu zokuyeka ziyakwazi ukusukela kwizinto ezincinci zibe zincinci. Ngenxa yokuba ezininzi zezi mpawu ziqhelekile kwi-FMS nakwi-ME / CFS, unokubaphazamisa iimpawu zokugula kwakho okwandayo njengoko uncike kwiyeza. Xhalela ugqirha wakho ukuba unenkxalabo.
Ezinye izinto zinokunceda ukunciphisa impawu zokuyeka. Unokufunda ngabo kweli nqaku kwiziko lokunyamezela: Iingcebiso zokunciphisa iziMpawu zokuCima
Ubungozi: Iimpembelelo ezingezantsi kunye nokusebenzisana
Ezi ziyobisi ziza kuluhlu olude lweziphumo ezinobungozi. Ezinye zezona zinto ziyingozi zibandakanya ukuthungatha, i-hallucination kunye nezenzo zokulawula ngaphandle.
I-SSRIs / i-SNRI inokusebenzisana kakubi kunye neziyobisi ngaphandle kwezo zandisa i-serotonin. Ezi ziquka ukuchasana nezifo (i-NSAID), abagcini begazi kunye nabanye abaninzi.
Imiphumo emibi kunye nokusebenzisana kuyahlukahluka ngamachiza. Ukujonga ezinye iziyobisi, unokuzijonga kwiDrugs.com okanye kwiRxList.com. Kananjalo zifumaneka ngokubanzi xa kufakwa ulwazi.
Ukunciphisa Ingozi Yakho
Indlela engcono kakhulu yokunciphisa ingozi ehambelana nama-SSRIs / i-SNRIs kukulandela ngokulandelelanayo imiyalelo yakho ugqirha kunye ne-pharmist imiyalelo yesibini kunye nokuncoma. Xa unxunguphako, ungaphinda ufune ukugcina uluhlu lwamachiza akho kwisikhwama sakho.
Inokukunceda ukuphrinta uluhlu lweempembelelo ezichaphazelekayo kwaye uzigcine kwindawo ethile ebonakalayo, ngakumbi xa uqala unyango olutsha. Ngaloo ndlela, uya kukwazi ukubona ngokukhawuleza ukuba ngaba iimpawu ezintsha ezijongene nazo zingabandakanywa kwisiza.
Ngaba i-SSRIs / i-SNRIs Ilungelo Lakho?
Isigqibo sokuthatha i-SSRI okanye i-SNRI yinto eyenziwa nguwe kunye nogqirha wakho, ngelixa uqwalasela izifo zakho, iimpawu, impilo jikelele kunye nezinto zokuphila.
Unokufuna ukuzama izidakamizwa ezininzi kule klasi ngaphambi kokuba ufumane enye esebenza kakuhle kuwe kwaye unokunyamezela. Oku kungathatha ixesha elininzi. Qinisekisa ukugcina imizila yokunxibelelana nodokotela wakho evulekileyo kule nkqubo.
Imithombo:
Arnold LM, et al. Inkcazelo yekliniki yentlungu. 2009 Julayi-Aug; 25 (6): 461-8. Ukuthelekiswa kokusebenza kunye nokukhuselwa kwe-duloxetine ukwenzela unyango lwe-fibromyalgia kwizigulana ezinxamnye nokungaxakeki okukhulu kwengxaki.
Choy EH, et al. Rheumatology yezonyango. 2009 Sep; 28 (9): 1035-44. Ukhuseleko kunye nokunyamezela kwe-duloxetine kwonyango lwezigulane nge-fibromyalgia: uhlalutyo oluqokelelweyo lweenkcukacha ezivela kwizilingo ezinhlanu zonyango.
Derry S, et al. Isiseko seenkcukacha zeCochrane zokuphononongwa ngokuchanekileyo. 2012 uMatshi 14; 3: CD008244. EMilnacipran ngenxa yentlungu ye-neuropathic kunye ne-fibromyalgia kubantu abadala.
Upapasho lweNIH NO. 04-5326.
Nishiyori M, et al. Intlungu. 2011 Septemba 21; 7: 69. Uncedo olungapheliyo oluvela kwi-fibromyalgia ephazamisekileyo yongcinezelo-ebangelwa yintlungu engavamile ngokulawulwa kwe-intrathecal ngokuphindaphindiweyo yokuxhatshazwa kwengcinezelo.
Saxe PA, et al. Uphando lwangoku kunye nophando. 2012 uMar 19. Ixesha elifutshane (i-2-Iveki) Imiphumo yokuyeka iMilnacipran kwizigulane ngeFibromyalgia.
US Food and Drug Administration. "Ukuphila ngeFibromyalgia" Kufinyelele ngoMatshi 2012.
Umcebisi, uChristopher H, et al. WaseMerika ugqirha. 2006 u-Agasti 1; 74 (3): 449-56. I-Antidepressant Discontinuation Syndrome.