Benzodiazepines, Ophiates, ndi Barbiturates Zonse Zingatheke Kupuma
Ngati mumagwiritsira ntchito mankhwala enaake monga mankhwala a benzodiazepines, opiates kapena opioids, ndi mabotolo-mukhoza kudabwa momwe izi zingakhudzire chiopsezo chanu chogonana . Momwe mankhwalawa angakhudzire pa zomangamanga zonse , kugunda kwa minofu, ndi kupuma, zotsatira zingakhale zofunikira.
Benzodiazepines
Kalasi ya mankhwala yotchedwa benzodiazepines imaphatikizapo mankhwala ambiri omwe angathandize kuthetsa nkhawa.
Zina zimagwira ntchito ngati zotupa kapena zimagwiritsidwa ntchito monga anticonvulsants kuti zisawonongeke. Pamene mankhwalawa amachititsanso kuti asagone, nthawi zina amagwiritsidwa ntchito pafupipafupi kuti athandize kugona (ngakhale kugwiritsa ntchito mankhwala osokoneza bongo kumakhala kovuta). Ena mwa mankhwala a benzodiazepine ndi awa:
- Alprazolam (Xanax)
- Chlordiazepoxide
- Clonazepam (Koniopin)
- Clorazepate
- Diazepam (Valium)
- Lorazepam (Ativan)
- Quazepam
- Midazolam
- Estazolam
- Flurazepam
- Temazepam (Kubwereza)
- Triazolam
Benzodiazepines amachititsa pafupi ndi GABA cholowa pamwamba pa maselo, zomwe zimayambitsa kloride kuyenda momasuka pamsewu wawo. Pochiza matenda obisala , iwo adzichotseratu ndi mankhwala otetezeka omwe saonjezera chiopsezo cha kupuma mpweya kapena kugona kwa mpweya.
Opiates
Opiates (nthawi zina amatchedwa opioids kapena mankhwala osokoneza bongo) ndi kalasi ya mankhwala omwe nthawi zambiri amagwiritsidwa ntchito popumula ululu. Zina zimagwiritsidwanso ntchito pochizira kutsekula m'mimba kapena chifuwa.
Zomwe zingachititse kugona ngati zotsatira, zimakhala ndi zotsatira zofunika pakupuma pamene mukugona. Ena mwa opiates wambawa ndi awa:
- Hydrocodone
- Oxycodone
- Fentanyl
- Mepridine
- Methadone
- Morphine
- Zili choncho
- Codeine
- Propoxyphene
- Buprenorphine
- Pentazocine
Opiates amenewa amamanga zovuta zosiyanasiyana za opioid mkati mwa dongosolo lamanjenje komanso kwinakwake m'thupi.
Mafuta opioids amachititsa kupuma kwapuma, kupuma mosalekeza, ndi kupuma pang'ono. Zingayambitse kupuma kwagona pakati .
Mabala
Mabala a barbiturates ndi kalasi ya mankhwala omwe kale adagwiritsidwa ntchito kuti apulumuke, koma chifukwa cha zotsatira zoyipa, kuphatikizapo chiopsezo cha kudalira ndi kuchotsa, iwo akhala akugwiritsidwa ntchito ngati zothandizira kugona. Zingayambitse mankhwalawa poizoni. Ena a barbiturates ndi awa:
- Amobarbital
- Phenobarbital
- Pentobarbital
- Secobarbital
- Thiopental
Mabala amchere amachititsa samudi ndi potassium osungira m'maselo, zomwe zingalepheretse njira yowonongeka mu ubongo. Izi zingachititse kuti munthu azikhala wodetsedwa komanso kuti azikhala ndi mpweya wabwino. Mankhwalawa sayenera kugwiritsidwa ntchito monga zothandizira kugona kuti athetse vuto la kusowa tulo.
Momwe Mankhwalawa Amakhudzira Kutentha Mukamagona
Mankhwalawa amatha kupumitsa kupuma kwanu ndikupangitsa kuti mpweya wanu wapamwamba usagwedezeke. Izi zingawonongeke kupuma komwe kumabweretsa kugona, monga kugona kwa mpweya. Momwe mankhwalawa amalepheretsanso kuchuluka kwa chidziwitso chanu, simungathe kuteteza mpweya wanu. Izi zingapangitse kusokoneza kupuma, kukhuthala kapena kukhumudwa, ngakhale imfa. Mankhwalawa nthawi zambiri amawoneka kuti amafa kwambiri, kuphatikizapo otchuka.
Pomalizira, mankhwalawa akhoza kukhala ndi zotsatira zosiyana pa zomangamanga zanu, zomwe zimachititsa kuti musokoneze tulo ngakhale mutakhala opanda kanthu.
Ngati muli ndi matenda obisala, muyenera kukhala ndi polysomnogram (PSG) yomwe mukugwira ntchito pogwiritsa ntchito mankhwalawa kuti muwone zotsatira za zotsatirapo. Ndikofunika kukambirana zoopsazi ndi dokotala wanu kuti mudziwe ngati phindu la mankhwalawa likuposa momwe mungathe kuvulazira mmoyo wanu.
Zotsatira:
Dolly, F ndi Block, A. "Mphamvu ya flurazepam pa kupumula kosalekeza ndi kupuma usiku chifukwa cha zinthu zosawerengeka." Am J Med 1982; 73: 239.
Harvey, RA ndi Champe, PC. "Pharmacology." Lippencott , edition lachiwiri, 2000.
Katzung, BG. "Basic & Clinical Pharmacology." Lange , edition la 9, 2004.