Mishonga mikuru ye fibromyalgia

Zvemukati

• 1. Mishonga yekudzvinyirira
• 2. Tsandanyama inozorodza
• 3. Antiparkinsonian
• 4. Vanorwadza marwadzo
• 5. Neuromodulators
• 6. Kurara inducers
• 7. Anxiolytics

Iyo mishonga yekurapa kwe fibromyalgia inowanzo kuve antidepressants, senge amitriptyline kana duloxetine, zvinyoronyoro zvinozorodza, senge cyclobenzaprine, uye neuromodulators, senge gabapentin, semuenzaniso, yakatemwa nachiremba. Uye zvakare, mamwe marapirwo, senge aromatherapy, psychotherapy kana acupuncture, anogona kubatsira pakurapa uye kubatsira kudzora zviratidzo. Physiotherapy kuburikidza nekurovedza muviri uye kukwiza muviri kwakakoshawo kubatsira kubvisa marwadzo uye kudzivirira kumwe kurwiswa.

Kurapa kwe fibromyalgia kwakasarudzika uye kunoenderana chete nezviratidzo, saka zvakakosha kuti ubvunze rheumatologist, neurologist kana chiremba wepfungwa kuti aongorore, aongorore uye aratidze kurapwa kwakanyanya. Tsvaga 4 physiotherapy kurapwa kwe fibromyalgia.

1. Mishonga yekudzvinyirira

Mishonga yekudzvinyirira inoratidzirwa pakurapa fibromyalgia nekuti inoshanda yakanangana nehuropi, kugadzirisa zvinhu zvakakosha mukushanda kwayo, senge serotonin, norepinephrine uye dopamine, nokudaro kunatsiridza marwadzo, kuneta uye kurara uye kuwedzera mweya. Iwo akanyanya kudomwa antidepressants nachiremba ndeaya:

• Amitriptyline (Tryptanol kana Amytril): iyo inokurudzirwa kutanga dosi ndeye 10 mg zuva nezuva uye inofanira kutorwa manheru, 2 kusvika maawa matatu usati warara;

• Nortriptyline (Pamelor kana generic): pamwe neamitriptyline, iyo yekutanga dhizaini inokurudzirwa ndeye 10 mg pazuva uye inogona kuwedzerwa zvishoma nezvishoma nachiremba, kana zvichidikanwa. Iyo capsule inofanirwa kutorwa husiku usati warara;

• Duloxetine (Cymbalta kana Velija): kazhinji, muyero wekutanga uri 30 mg uye inogona kuwedzerwa kusvika pahuwandu hwe60 mg pazuva maererano nekuongororwa kwechiremba;

• Fluoxetine (Prozac kana Daforin): kuitira zvakanaka, fluoxetine inofanirwa kushandiswa mune yakakwira doses, pamusoro pe40 mg pazuva, zvakadaro chiremba chete ndiye anogona kuyera muyero uratidzwe;

• Moclobemide (Aurorix kana generic): iyo inokurudzirwa kutanga dosi ndeye 300 mg zuva nezuva, kazhinji inogoverwa kuita miviri miviri uye inofanirwa kutorwa mushure mekudya. Kana zvichidikanwa, iyo dosi inogona kuwedzerwa kusvika pamazana mazana matanhatu emamiriyoni pazuva.

  
  

Muyero weavo vese vanodzvinyirira akasarudzika uye kurapwa kunofanirwa kuenderera kweanosvika mavhiki mana kusvika matanhatu kuti uwane kugona kwechirwere.

2. Tsandanyama inozorodza

Iyo mhasuru inozorodza inoshandiswa mu fibromyalgia kudzikamisa kuomarara kwemhasuru inova yakaoma uye inokonzeresa marwadzo mumuviri wese, kuwedzera mukuvandudza kurara. Mune ino kesi, cyclobenzaprine ndiyo mhasuru inozorodza inoratidzirwa nachiremba uye iwo madosi anokurudzirwa ari 1 kusvika 4 mg husiku uye iyo nguva yekurapa inofanirwa kunge iri maviri kusvika matatu mavhiki.

3. Antiparkinsonian

Antiparkinsonia, ayo ari mishonga yekurapa kweParkinson's, senge pramipexole (Stabil kana Quera), zvinoratidzwa zvakare kudzikisa marwadzo e fibromyalgia uye nekuvandudza kurara. Iyo inokurudzirwa yekutanga dosi ndeye 0.375 mg pazuva, uye iyo dosi inogona kuwedzerwa zvishoma nezvishoma kusvika pahuwandu hwe1.50 mg pazuva.

4. Vanorwadza marwadzo

Zvirinyore marwadzo eparacetamol (Tylenol kana generic) uye maopioid senge tramadol (Tramal kana Novotram) inokurudzirwa kugadzirisa marwadzo e fibromyalgia. Aya marwadzo ekurwadziwa anogona kutorwa ari ega kana anogona kusanganisirwa runyararo rwuri nani, sezvavanoita pamatanho akasiyana akabatanidzwa mukurwadziwa. Maitiro emishonga iyi anofanirwa kutungamirwa nachiremba uye tramadol inotengeswa chete nemushonga.

5. Neuromodulators

Neuromodulators inoshanda yakanangana nehurongwa hwemitsipa, ichiruramisa nzira dzinokonzeresa kurwadziwa uye, nekudaro, zvinobudirira kudzikisa marwadzo anokonzerwa nefibromyalgia. Iyi mishonga inosanganisira:

• Gabapentina (Neurontin kana Gabaneurin): inofanirwa kutorwa nemuromo, padanho rekutanga re300 mg pazuva, iro rinogona kuwedzerwa kusvika pamazana mazana mapfumbamwe kusvika kumazana mazana matatu emakumi matatu pazuva;

• Pregabalin (Lyrica kana Insit): iyo yekutanga dosi ye75 mg nemuromo, kaviri pazuva, ndiko kuti, 150 mg pazuva. Muyero we pregabalin unogona kuwedzerwa zvishoma nezvishoma, maererano nekuongororwa kwachiremba, kusvika pahuwandu hwe450 mg pazuva, rakakamurwa kuita 2 doses.

Zvese gabapentin uye pregabalin zvinogona kutorwa usati kana mushure mekudya uye zvinotengeswa chete nemushonga. Zvinokurudzirwa kuti muyero wekutanga unotorwa husiku, panguva yekurara.

6. Kurara inducers

Matambudziko ekurara akajairika mu fibromyalgia, zvese kushaya hope uye kusava nezororo rekurara. Kurara inducers inowanzo kukurudzirwa kubvisa rudzi urwu rwechirwere uye inosanganisira:

• Zopiclone (Imovane): iyo inokurudzirwa dosi inokwenenzvera 1 piritsi ye7.5 mg muromo nemuromo husiku uye kurapwa kwacho hakufanirwe kudarika mavhiki e4 kudzivirira kukanganisa.

• Zolpidem (Stilnox kana Zylinox): yakakwira ye1 mg 10 mg piritsi inofanirwa kutorwa nemuromo pakarepo usati warara, sezvo ichiita maminetsi makumi matatu mushure mekutora iyo dosi, uye nguva yekurapwa inofanirwa kuve ipfupi sezvinobvira, isingadariki masvondo mana.

Kurara inducers kunobatsira kudzikamisa mhasuru kushushikana kunokonzerwa nekusarara zvakanaka uye kunowanzo kuratidzwa kunatsiridza kurapwa kwekurwadziwa kwe fibromyalgia.

7. Anxiolytics

Anxiolytics mishonga inoita kudzikisira kushushikana, inokonzera kutandara kwemhasuru uye kukurudzira kurara, kugadzirisa zviratidzo zve fibromyalgia. Anxiolytics inofanira kushandiswa kwenguva pfupi nekuda kwekugona kwavo kukonzera kupindwa muropa uye inosanganisira:

• Lorazepam (Lorax kana Ansirax): ine nguva yepakati yekuita maawa gumi kusvika makumi maviri uye imwe chete yezuva rimwechete ye1 kusvika 2 mg inofanira kutorwa, kazhinji panguva yekurara;

• Diazepam (Valium kana Uni-Diazepax): iyo mhedzisiro yemhedzisiro yedhiazepam yakareba, kwemaawa makumi mana nemana kusvika makumi mana nemasere, uye muyero unokurudzirwa ipiritsi 1 re5 kusvika 10 mg nemuromo, husiku, iyo inogona kugadziriswa zvinoenderana nekuongororwa kwechiremba.

Kurapa ne anxiolytics kunofanira kugara kuchitanga nedosi repasi rinogoneka uye kunogara kwemwedzi miviri kusvika mitatu.

Pamusoro pemishonga yakatengwa ku pharmacy, dzimwe nzira dzekurapa dzekumba dzakadai setii nemuto dzinobatsira kubvisa marwadzo e fibromyalgia uye kudzikamisa zvimwe zviratidzo sekuneta uye kusagadzikana kwekurara. Dzidza zvakawanda nezve mishonga yemumba yekurapwa kwe fibromyalgia.