Ngati simukudziwa panopa, kupweteka ndi kuvutika maganizo kuli pafupi. Malinga ndi nkhani yomwe inafalitsidwa mu US Pharmacist mu 2009, zizindikiro za zinthu ziwirizi zikupezeka. Nkhaniyi ikufotokoza za deta kuchokera ku National Health and Nutrition Examination Survey III yomwe ikupeza kuti mpaka 10% mwa anthu omwe akuvutika maganizo, omwe 90% amanena kuti akuvutika.
Nkhaniyi ikupitiriza kunena kuti chilengedwe chokhalira ovutika maganizo ndichinthu chothandizira pazovuta zomwe zimakhala zopweteka kwambiri. Pa chifukwa chimenechi, kupatsirana maganizo kungapangitse mankhwala othandiza kuti akhale ndi chitsipa chachikulu kapena ululu wammbuyo.
Ndipotu, kupatsirana maganizo kumatsimikiziridwa kuti zimakhala zowawa zosiyanasiyana, kuphatikizapo kupweteka kwa mitsempha, kupweteka kwa thupi komwe kumakhudza kuvutika maganizo, ndi fibromyalgia, malinga ndi nkhaniyi. Olemba amanena kuti magulu osiyanasiyana a antidepressant ndi othandiza kwa mitundu yosiyanasiyana ya ululu.
Mitundu ya tricyclic yodetsa nkhaŵa yomwe imaperekedwa chifukwa cha ululu wa mitsempha ndi amitriptyline, nortriptyline, desipramine, komanso nthenda yotetezera matenda bupropion, venlafaxine, ndi duloxetine (dzina lakuti Cymbalta.)
Pafupifupi Tricyclic Operewera Maganizo
Mankhwala opatsirana pogwiritsa ntchito tricyclic ndi gulu la mankhwala omwe FDA imalandira kuti athetse vutoli. Ngakhale kuti a FDA samavomereza ngati akudwala ululu, madokotala nthawi zina amapereka mankhwalawa kuti agwiritse ntchito izi. (Izi zimatchedwa off label-label .) Pamene anti-depressants amatengedwa chifukwa cha ululu wa mitsempha, ali ngati adjuvant , mwachitsanzo, ku mankhwala aakulu mankhwala
Ngati mukugwiritsira ntchito tricyclic yodetsa nkhaŵa kupweteka, mlingo wanu ukhoza kukhala wotsikirapo kusiyana ndi ngati mukuwutengera kuvutika maganizo.
Zotsatira Zotsatira
Zolinga za tricyclic zowonongeka sizimangokhala kuvutika maganizo ndi kupweteka. Mankhwalawa amakhudza machitidwe ambirimbiri a thupi. Chifukwa chaichi, zotsatira zambiri zingatheke.
Zotsatira zake zingakhale zosamalidwa (zowuma pakamwa, kudzimbidwa, kugona) kapena kupweteka kwambiri kwa mtima, kupweteka kwa glaucoma, chiopsezo chowonjezeka cha kugwidwa, kutchula owerengeka.) Ndikofunika kuti mukambirane moona mtima ndi dokotala za chilichonse zifukwa zina zomwe mungakhale nazo kuti athe kudziwa molondola ngati mankhwalawa ndi oyenera.
Monga tafotokozera pamwambapa, zina mwazomwe zimapangitsa kuti munthu azivutika maganizo ndizothandiza kuthana ndi ululu wam'mimba . Nkhani yabwino ndi yakuti akhoza kutenga zotsatira zochepa kusiyana ndi mitundu ina ya tricyclic yodetsa nkhaŵa. Zovutazo, zina zoterezi zimagwiritsidwa ntchito kwambiri poyambitsa mankhwala okhudzana ndi kupsinjika maganizo, kuti pokhapokha ngati ululu uli ndi vuto lalikulu la maganizo, mankhwalawa sangakhale othandiza kuthetsa vutoli.
Amatchedwanso anti-seizure mankhwala, mitundu ina ya mankhwala opweteka a adjuvant omwe amagwiritsidwa ntchito pochizira matenda opweteka kwambiri ndi omwe ali m'kalasi la anticonvulsant. Mankhwala osokoneza bongo chifukwa cha ululu wosachiritsika amakhudza komanso kuthandizira kupanikizika koma amabwera ndi machenjezo osiyanasiyana. Mankhwalawa angapange chisankho chabwino kwa okalamba ndi okalamba chifukwa zosokoneza nkhawa ndizochepa kusiyana ndi zowonongeka.
Zotsatira:
Maizels, Morris, MD, & McCarberg, Bill, MD (2005). Mankhwala ochepetsa matenda opatsirana pogonana ndi Antiepileptic Mankhwala Osakaniza Khansa Yachilendo. American Family Physician, 71. http://www.aafp.org/afp/20050201/483.html
Gould, Harry J., III, MD. Kumvetsa Kupweteka: Ndichifukwa chake Icho Chimachitika, ndi Momwe Zimayendetsera. New York: Demos, 2007. Print
Fink, K., MD. National Rehabilitation Hospital, Washington, DC. Kuyankhulana kwa Telefoni. March 9, 2009.
Moultry, A., PharmD, MS; Poon, I. PharmD, BCPS, CGP. Kugwiritsiridwa ntchito kwa Antidepressants for Chronic Pain. US Pharmacist. Webusaiti ya 2009.Medscape. http://www.medscape.com/viewarticle/704975