Ubwino Uyenera Kukhala Wodzichepetsa, Wodziletsa Uyenera Kutengedwa M'mabwalo Ena
Mankhwala otchedwa mankhwala otchedwa trazodone ndi omwe amachititsa kuti anthu azivutika maganizo kwambiri omwe amagwiritsidwanso ntchito pamtundu wotchedwa hypnotic kuti ayambe kugona. Zakhala zikugwiritsidwa ntchito kwa zaka zambiri ngati thandizo la kugona, koma kodi trazodone amagwira ntchito bwanji? Kodi zimagwira ntchito bwino bwanji kuti asinthe tulo kapena kugona usiku? Kodi zotsatira zake zimakhala zotani? Phunzirani ngati trazodone ndi yoyenera kwa inu komanso njira zina zomwe zingakuthandizeni kuziganizira, kuphatikizapo kufunika kokhala ndi tulo ngati kugona kosalekeza kukupitirirabe.
Ntchito
Trazodone ndi mankhwala achikulire omwe agwiritsidwa ntchito pochiza matenda ndi kupsinjika kwakukulu kwa zaka zambiri. Popeza zimakhala ndi zotsatira zowonongeka, kutanthauza kuti zimayambitsa tulo, zimathandizanso kuthana ndi kusowa tulo kapena kusowa tulo .
Kodi Zimagwira Ntchito Bwanji?
Sidziwika bwino momwe trazodone imagwirira ntchito. Chimene chikudziwika ndikuti chimagwira ntchito pazithunzithunzi, zomwe zimakhala nthumwi mkati mwa ubongo. Amalola khunyu yotchedwa neurotransmitter yotchedwa serotonin kumanga pakati pa maselo a mitsempha mwa kulepheretsa kukwera kwake kumaselo apafupi. Zikuwoneka kuti zimagwirizana ndi histamine (ndi antihistamines monga diphenhydramine amadziwika bwino ngati zothandizira kugona). Zotsatirazi zikuwoneka kuti zimagwirizanitsa kugona kwapang'onopang'ono (kapena N3).
The American Academy of Sleep Medicine sakulangiza pakali pano kugwiritsa ntchito trazodone kuti awononge kusowa tulo, kutanthauza kuti ziwowopsa ndi zovulaza zingaposa phindu.
Izi zimachokera ku kafukufuku omwe amasonyeza kuti nthawi yomwe amatha kugona imachepetsedwa ndi pafupifupi mphindi khumi pogwiritsa ntchito trazodone poyerekeza ndi placebo. Kuonjezera apo, nthawi yowuka usiku imachepetsedwa ndi mphindi zisanu ndi zisanu ndi limodzi ndi trazodone.
Ndani Ayenera Kuigwiritsa Ntchito?
Ngati mwasankha kugwiritsa ntchito trazodone, palinso anthu ena amene ayenera kupitiliza kuganizira ntchito yake.
Trazodone sayenera kugwiritsidwa ntchito kwa anthu omwe akuchira matenda a mtima . Sayenera kugwiritsidwa ntchito ndi anthu osakwana zaka 25, ndipo okalamba ayenera kugwiritsa ntchito mankhwalawa mosamala. Trazodone ayenera kupeŵa ngati muli ndi pakati kapena akuyamwitsa.
Trazodone sangakhalenso yoyenera kwa anthu omwe ali ndi matenda a maganizo, kuphatikizapo matenda a bipolar ndi schizophrenia, komanso omwe ali pangozi yodzipha. Gwiritsani ntchito trazodone mosamala ngati muli ndi mtima kapena cerebrovascular disease, kugwidwa, kapena matenda a impso kapena chiwindi.
Trazodone akhoza kuthandizana ndi mankhwala ena ambiri, kotero mankhwala anu ayenera kusamalidwa mosamala ndi wothandizira zaumoyo wanu musanayambe kutenga trazodone. Palibe imfa kapena vuto la mtima zomwe zafotokozedwa mwa anthu omwe akutenga trazodone okha. Kupewa mankhwala mofulumira kuyenera kupeŵedwa; mmalo mwake, zingakhale zofunikira kuti zigwiridwe pansi pa dokotala.
Zotsatira Zogwirizana
Pali zowonjezereka zotsatira za mankhwala alionse. Ngakhale kuti munthu sangayembekezere kukhala ndi zotsatira zambiri (ndipo mwina sangakhale nawo aliyense), koma zina zomwe zimachitika kawirikawiri ndi trazodone zikuphatikizapo:
- Kugona
- Chizungulire
- Lightheadedness
- Mlomo wouma
- Mutu
- Masomphenya obisika
- Nsowa kapena kusanza
- Mantha
- Kutopa
- Kutsekedwa
- Palpitations
- Kuthamanga kwa mtima mwamsanga
- Kuthamanga kwa magazi
- Zochita za khungu, monga kutupa
- Kusokonezeka
- Kupweteka kwa minofu
- Kusintha kwa thupi
- Kutsekula m'mimba
- Kudandaula (shakiness)
- Vuto la kuyenda kapena kugwirizana
Zochitika Zotheka Kwambiri
Ndi kugwiritsa ntchito mankhwala alionse, palinso zoopsa za zotsatira zoyipa. Izi zimachitika kawirikawiri. Mukamagwiritsa ntchito trazodone, izi zingaphatikizepo:
- Priapism (kupitilira kupweteka kosalekeza)
- Orthostatic hypotension (kutsika kwa magazi panthawi yomwe imayima)
- Mtima wosayenerera
- Kuthamanga kwa magazi (kuthamanga kwa magazi)
- Kutaya
- Sitiroko
- Matenda amtima
- Zizindikiro za Extrapyramidal
- Tardive dyskinesia
- Hypomania / mania
- Kuwonjezera kwa maganizo
- Kusokonezeka maganizo
- Maganizo odzipha
- Hallucinations
- Kugonjetsa
- Neutropenia (kuchuluka kwa maselo oyera a magazi)
- Anemia
- Chiwindi (kutentha kwa chiwindi)
- SIADH (Syndrome of Inappropriate Anti-Diuretic Hormone)
Zitetezo zachitetezo kuti mutenge
Monga tanena kale, anthu ena ayenera kugwiritsa ntchito mankhwalawa mosamala kapena ayi. Ndikofunika kuti dokotala adziyang'ane pamene mankhwala ayambitsidwa kapena kusintha kwa mlingoyo kumapangidwa. Makamaka, zizindikiro za kudzipha kapena khalidwe losayenera ziyenera kuyang'aniridwa.
Ngati mukukumana ndi mavuto aliwonse, muyenera kukhala pafupi kwambiri ndi wothandizira odwala. Ngati kugona kukupitirizabe, ganizirani kuchiza ndi kugwiritsira ntchito chidziwitso cha khalidwe la kusowa tulo (CBTI) .
Mawu ochokera
Ngati mwapeza kuti kugonaku kwagwira, ndikupangitsa kuganizira za zothandizira kugona kuphatikizapo mankhwala a mankhwala monga trazodone, ganizirani kufunikira kokambirana ndi katswiri wodziwa kugona. Matenda ogona, kuphatikizapo kugona tulo, nthaŵi zambiri amachititsa kuvutika kukagona usiku. Chithandizo cha vutoli chingalole kuti kusowa tulo kuthetse. Komanso, zizindikiro ngati matenda otupa amatha kuchepetsa kupindulitsa kwa mankhwala ndi kuwatsogolera ku zotsatira za nthawi yaitali ngati sichikutsatiridwa kapena kusungidwa ndi mankhwala osokoneza bongo. Mwamwayi, mankhwala othandiza angathe kuwathandiza pamene akupewa kufunikira kwa mankhwala omwe angawathandize.
Zotsatira:
Cooper, DH et al . Buku la Washington la Medical Therapeutics. Magazini 32, 2007. 14. Lippencott, Williams & Wilkins . New York.
> Katzung, BG. Basic & Clinical Pharmacology . Magazini ya 9, 2004. McGraw-Hill Companies, Inc. New York.
> -Sateia MJ et al . Malangizo Okhudza Zipatala Zothandizira Mankhwala Osokoneza Bongo a Insomnia Osaneneka Akuluakulu: An American Academy of Sleep Medicine Guide Guide Practice Practice. " Journal of Clinical Sleep Medicine . 2017; 13 (2): 307-349.
> "Trazodone." Epocrates Rx Pro . Version 16.4, 2016. Epocrates, Inc. San Mateo, California.