Kutenga Elavil Kuti Ubwezeretse Moyo Wosatha

Amitriptyline

Elavil (amitryptyline) ndi mankhwala omwe amagwiritsidwa ntchito. Zakhala zikugwiritsidwa ntchito pochiza matenda ovutika maganizo koma nthawi zina zimaperekedwa ngati adjuvant ("pamodzi ndi") mankhwala opweteka kwa anthu omwe amamva kupweteka kwambiri.

Kodi kwenikweni amitryptylline, ndi yothandiza bwanji kupweteka, zotsatira zake zowonjezereka, ndi chiyani zomwe zimagwirizanitsa mankhwala ndi mankhwalawa?

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Kodi Amitriptyline N'chiyani?

Elavil (amitriptyline) ndi mankhwala osokoneza maganizo amene nthawi zina amalembedwa kuti asamapweteke. Imodzi mwa mankhwalawa mu kalasi ya mankhwala omwe amadziwika kuti tricyclic odetsa nkhaŵa .

Elavil amagwiritsidwa ntchito nthawi zambiri pamodzi ndi mankhwala ena. Mankhwala omwe amagwiritsidwa ntchito motere amatchulidwa kuti mankhwala opweteka a adjuvant . Sitikugwiritsidwa ntchito ngati chithandizo choyamba, koma mmalo mwa mankhwala ochiritsira opweteka kwambiri, monga Advil (ibuprofen) ndi Tylenol (acetominphen) sakhala othandiza kuthetsa ululu.

Elavil si mankhwala osokoneza bongo (opioid), ndipo nthawi zambiri samakhala ndi chizolowezi choledzera ndi mankhwala.

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Kodi Kubwezeretsa Kwa Mtundu Wotani Kumaphatikiza Amitriptyline Kutenga?

Elavil akuwoneka kuti ndi othandiza kwambiri pa ululu wopweteka wopweteka kwambiri. Pofuna kupweteka kwafupipafupi, izi zimatanthauza kuti ululu wanu umakhala pansi pamanja kapena mwendo. Mwinanso mungakhale ndi phokoso kapena pini kumenyedwa m'manja kapena mwendo.

Ngakhale kuti kupweteka kwa Elavil kumathandiza kuti asamakhale ndi mphamvu zokhazokha, mankhwalawa amagwiritsidwa ntchito powonjezera kuchuluka kwa mankhwala ena a ubongo oyenera kuti azitha kuganiza bwino.

Amitriptyline imagwiritsidwanso ntchito pofuna kuchiza fibromyalgia , yomwe ndi chikhalidwe chomwe chikuwonetsedwa ndi ululu wambiri ndi zizindikiro zosavuta .

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Kodi Amitriptyline Ndi Yothandiza?

Amitriptyline ndi omwe amaphunzira kwambiri za mankhwala onse opatsirana pogwiritsa ntchito tricyclic. Zakhala zikugwiritsidwa ntchito kuyambira m'ma 1960.

Malingana ndi Dr. Kathleen Fink, Mtsogoleri wa Mapulogalamu Opweteka ku National Rehabilitation Hospital ku Washington DC, mankhwalawa akugwiritsidwa ntchito chifukwa cha chitukuko chatsopano cha antibiotic stress.

Fink amati madokotala samakhala omasuka kutchula amitriptyline kuti sangathe kupweteka msana chifukwa zotsatira zake zingakupangitseni kuti mumvekedwe m'mawa. "Koma zoona zake n'zakuti, amitriptyline ndi mankhwala othandiza komanso ochepetsetsa odwala matenda opweteka kwambiri, makamaka ngati muli ndi mavuto ogona."

Phunziro la 2014 lofalitsidwa mu Journal of Neurological Science linayerekezera amitriptyline ndi Lyrica kapena pregabalin (mankhwala ena operekedwa chifukwa cha kupweteka kwa mtima) kuti achepetse ululu, komanso kufooka kwa thupi. Ofufuzawa adapeza kuti ngakhale kuti onsewa anali opweteka kwambiri, amitriptyline ndi amene amachepetsa kwambiri kulemala, komanso.

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Amitriptyline Mlingo

Pamene Elavil amagwiritsidwa ntchito poyang'anira kupweteka kumbuyo kapena kumutu, mlingowo ndi wotsikira (pafupifupi theka, ngakhale izi zidzasintha) kusiyana ndi pamene zimatengedwa chifukwa cha kuvutika maganizo.

Dokotala wanu akhoza kukuyambitsani pa mlingo wochepa kwambiri ndikuwonjezereka mopitirira pang'ono sabata iliyonse mpaka kupweteka kwanu kumasulidwa ndipo / kapena zotsatira zake zimakhala zovuta kwambiri kwa inu.

Zotsatira zabwino zimapezeka mofulumira ngati mankhwalawa amatengedwa kuti azipweteka kwambiri poyerekeza ndi pamene akugwiritsidwa ntchito poyang'anira matenda.

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Amitriptyline zotsatira zoyipa

Ndikofunika kudziwa zotsatira zowopsa za amitryptyline musanayambe mankhwalawa.

Chifukwa amitriptyline imavomerezedwa ndi a FDA kuti athetse kuvutika maganizo, ingakhudze umoyo, kuphatikizapo kuonjezera chiopsezo cha kudzipha. Koma pa kukula kwa zinthu, amitriptyline mwina amakhala ndi chiopsezo chodzipha.

Mwachitsanzo, maphunziro a magulu a 2015 omwe adafalitsidwa ku British Medical Journal adapeza kuti mwa anthu omwe ali ndi vuto la kuvutika maganizo, amitriptyline amadzipha okha chaka chimodzi ndi 0.02 peresenti. Ndithudi anthu omwe akudwala matenda ovutika maganizo amakhala ndi chiopsezo chachikulu chodzipha ngakhale popanda mankhwalawa. Ngati wina m'banja lanu ali ndi matenda ochititsa munthu kusinthasintha maganizo kapena kudzipha, dokotala wanu angakulimbikitseni kuti musagwiritse ntchito mankhwalawa.

Ngati muli ndi pakati kapena mukuyamwitsa, ndibwino kuti musakhale ndi amitriptyline kapena Elavil, chifukwa mankhwalawa akhoza kuperekedwa kwa mwana wanu.

Elavil angayambitse mavuto kwa anthu omwe ali ndi masewero olimbitsa mtima ndi mitundu ina ya matenda a mtima, ndipo sagwiritsidwa ntchito kwa anthu opitirira zaka 60. (Zomwe zimachititsanso kuti munthu adwale matendawa angakhale abwino kwa gulu ili.)

Zotsatira zochepa zochepa za zotsatira za Elavil zimaphatikizapo pakamwa pouma ndi kugona.

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Amitriptyline ndi Kuyanjana kwa Mankhwala

Pali mankhwala ambiri omwe amagwirizana ndi amitryptyline .

Kuyanjana pakati pa Elavil ndi mankhwala ena akhoza kuwonjezera kuchuluka kwa amitriptyline m'magazi anu. Komanso, izi zikhoza kuwonjezera zotsatira za mankhwala. Kuphatikizana kungapangitsenso chiopsezo (kapena kuchepetsa mphamvu) za mankhwala omwe mumatenga ndi Elavil.

Ndikofunika kuuza dokotala wanu zonse zomwe mukuzitenga, kaya zosangalatsa, pa-counter-or-prescribed. Mwachitsanzo, kukonza zitsamba St. John's Wort sayenera kugwiritsidwa ntchito ndi amitryptyline.

Zofunika zitha kuchitika pakati pa Elavil ndi zina zotulutsa minofu, zowonongeka, mankhwala osokoneza mtima, mankhwala osokoneza bongo, mankhwala a chithokomiro, mapiritsi oletsa kubereka, ndi zina. Ndibwino kukambirana ndi wamalonda wanu ngati mukuuzidwa Elavil.

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Nthawi Yomwe Mungapewe Amitriptyline: Zotsutsana

Pali nthawi zina zomwe ndi bwino kupeŵa kutenga amitriptyline palimodzi. Zitsanzo izi zimatchedwa "zotsutsana."

Mwachitsanzo, ngati mutenga monoamine oxidase inhibitor (MAO chifukwa cha kuvutika maganizo kapena mankhwala osokoneza bongo cisapride (omwe sali ku United States) simuyenera kutenga amitryptyline.

Popeza Elavil angawonjezere kapena kuchepetsa kuchuluka kwa mankhwala ena omwe mumamwa, nthawi zonse muziyankhula ndi dokotala musanayambe kumwa mankhwala anu.

Pansi pa Kugwiritsa Ntchito Elavil ( Amitryptyline ) Kubwezeretsa Kumbuyo

Mankhwala opatsirana pogonana amitryptyline angakhale othandiza ngati mankhwala othandizira kupumula kwa ululu wopweteka. Zikuwoneka kuti zimagwira ntchito bwino kwambiri chifukwa cha ululu wa m'mimba, ululu umene ukhoza kuyendetsa mwendo mwako ndipo umayambitsa kupweteka, kupweteka, kapena kupweteka kwapakhosi: ululu wa ubongo umakhala umodzi mwa mitundu yovuta kwambiri yopweteka. Sitikudziwa bwinobwino momwe Elavil amagwirira ntchito, koma mawonekedwewa amawoneka kuti ndi osiyana ndi momwe amagwirira ntchito kuvutika maganizo. Mlingo waung'ono umagwiritsidwanso ntchito.

Pali zotsatira zochepa komanso zowawa ndi amitryptyline ndipo ndizofunikira kulankhula ndi adokotala za izi. Kuonjezerapo, pali mankhwala ambiri omwe angayanjane ndi amitryptyline, ndipo dokotala ayenera kukhala ndi mndandanda wa mankhwala anu, mankhwala owonjezera, ndi mankhwala asanamve mankhwala asanayambe kumwa mankhwalawa.

> Zotsatira:

> Fink, K., MD Nambala Kucheza. Chipatala cha National Rehabilitation. May 2011.

Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.

> Urquhart, D., Wluka, A., Sim, M. et al. Kodi Amitryptyline Ndi Yosavuta Kwambiri Pogwira Ntchito Yowonongeka Kwambiri? Pulogalamu Yophunzira ya Zowonongeka Zowonongeka. Mayesero . 2016. 17 (1): 514.

> van den Driest, J., Bierma-Zeinstra, S., Bindels, P., ndi D. Schiphof. Zili pamunsi pa Zilangizo za Musculoskeletal: Kukonzekera Mwadongosolo. Zotsatira za Banja . 2017. 34 (2): 138-146.