Zithandizo zazikulu za fibromyalgia

Zamkati

• 1. Mankhwala opatsirana pogonana
• 2. Minofu yotsitsimula
• 3. Wotsutsana naye
• 4. Odwala opweteka
• 5. Ma Neuromodulators
• 6. Zoyambitsa tulo
• 7. Anxiolytics

Njira zochizira matenda a fibromyalgia nthawi zambiri zimakhala zopewetsa nkhawa, monga amitriptyline kapena duloxetine, zopumulira minofu, monga cyclobenzaprine, ndi ma neuromodulators, monga gabapentin, mwachitsanzo, woperekedwa ndi dokotala. Kuphatikiza apo, njira zina zochiritsira, monga aromatherapy, psychotherapy kapena kutema mphini, zitha kuthandiza pakuthandizira ndikuthandizira kuwongolera zizindikiritso. Physiotherapy kudzera mukuchita masewera olimbitsa thupi komanso kutikita minofu ndiyofunikanso kuthandizira kuchepetsa kupweteka komanso kupewa kuukira kwina.

Chithandizo cha fibromyalgia chimasankhidwa payokha komanso chimangokhala pazizindikiro, chifukwa chake ndikofunikira kukaonana ndi rheumatologist, neurologist kapena psychiatrist kuti awunike, kuwunika ndikuwonetsa chithandizo chabwino kwambiri. Dziwani zochizira 4 za physiotherapy za fibromyalgia.

1. Mankhwala opatsirana pogonana

Ma anti-depressants amawonetsedwa pochiza fibromyalgia chifukwa imagwira ntchito molunjika muubongo, ndikuwongolera zinthu zofunika kuchita, monga serotonin, norepinephrine ndi dopamine, motero kumathandizira kupweteka, kutopa ndi kugona komanso kuwonjezeka kwamalingaliro. Mankhwala olembedwa kwambiri ndi dokotala ndi awa:

• Amitriptyline (Tryptanol kapena Amytril): mlingo woyambira woyenera ndi 10 mg tsiku lililonse ndipo umayenera kumwa madzulo, 2 mpaka maola 3 usanagone;

• Mzere wa Nortriptyline (Pamelor kapena generic): komanso amitriptyline, mankhwala oyambira ndi 10 mg patsiku ndipo amatha kuwonjezeka pang'onopang'ono ndi dokotala, ngati kuli kofunikira. The kapisozi ayenera kumwedwa usiku asanagone;

• Duloxetine (Cymbalta kapena Velija): kawirikawiri, mlingo woyambira ndi 30 mg ndipo amatha kuwonjezeka mpaka 60 mg patsiku malinga ndi kafukufuku wamankhwala;

• Fluoxetine (Prozac kapena Daforin): kuti zitheke, fluoxetine iyenera kugwiritsidwa ntchito pamlingo wambiri, woposa 40 mg patsiku, komabe ndi dokotala yekha yemwe angawunikire kuchuluka komwe kukuyenera kuwonetsedwa;

• Moclobemide (Aurorix kapena generic): Mlingo woyambira woyenera ndi 300 mg tsiku lililonse, nthawi zambiri umagawidwa m'mitundu iwiri ndipo uyenera kumwa mukatha kudya. Ngati ndi kotheka, mlingowo ukhoza kuwonjezeka mpaka 600 mg patsiku.

  
  

Mlingo wa mankhwala opatsirana pogonana umasiyanasiyana ndipo mankhwala ayenera kupitilira kwa milungu 4 kapena 6 kuti akwaniritse mankhwalawa.

2. Minofu yotsitsimula

Kupumula kwa minofu kumagwiritsidwa ntchito mu fibromyalgia kuti ichepetse kuuma kwa minofu yomwe imakhala yolimba yopweteketsa thupi lonse, kuwonjezera pakupititsa patsogolo kugona. Poterepa, cyclobenzaprine ndiye minofu yotsitsimula yomwe adokotala amamuwonetsa ndipo mankhwala omwe amalimbikitsidwa ndi 1 mpaka 4 mg usiku ndipo nthawi ya chithandizo iyenera kukhala milungu iwiri kapena itatu.

3. Wotsutsana naye

Antiparkinsonia, omwe ndi mankhwala ochizira a Parkinson, monga pramipexole (Stabil kapena Quera), amawonetsedwanso kuti amachepetsa kupweteka kwa fibromyalgia ndikusintha kugona. Mlingo woyambira ndi 0.375 mg patsiku, ndipo mlingowo ukhoza kuwonjezeka pang'onopang'ono mpaka kufika pa 1.50 mg patsiku.

4. Odwala opweteka

Mankhwala opha ululu osavuta monga paracetamol (Tylenol kapena generic) ndi ma opioid ngati tramadol (Tramal kapena Novotram) amalimbikitsidwa kukonza ululu wa fibromyalgia. Mankhwalawa amatha kumwa okha kapena kuphatikizidwa kuti athetse ululu, chifukwa amachita magawo osiyanasiyana okhudzidwa. Mlingo wa mankhwalawa uyenera kutsogozedwa ndi dokotala ndipo tramadol imangogulitsidwa ndi mankhwala.

5. Ma Neuromodulators

Ma Neuromodulators amagwira ntchito mwachindunji pamanjenje, kuwongolera njira zomwe zimapweteketsa ndipo, motero, amachepetsa bwino ululu womwe umayambitsidwa ndi fibromyalgia. Mankhwalawa ndi awa:

• Gabapentina (Neurontin kapena Gabaneurin): ayenera kumwedwa pakamwa, pakumwa koyamba kwa 300 mg patsiku, komwe kumatha kuwonjezeka mpaka 900 mg mpaka 3600 mg patsiku;

• Pregabalin (Lyrica kapena Insit): mlingo woyamba wa 75 mg pakamwa, kawiri patsiku, ndiko kuti, 150 mg patsiku. Mlingo wa pregabalin ukhoza kuwonjezeka pang'onopang'ono, malinga ndi kafukufuku wa adotolo, mpaka 450 mg patsiku, ogawidwa magawo awiri.

Onse gabapentin ndi pregabalin amatha kumwedwa musanadye kapena mutadya ndipo amangogulitsidwa ndi mankhwala. Ndibwino kuti mlingo woyamba umatengedwa usiku, nthawi yogona.

6. Zoyambitsa tulo

Matenda atulo amapezeka mu fibromyalgia, kusowa tulo komanso kusapeza tulo tofa nato. Othandizira kugona nthawi zambiri amalimbikitsidwa kuti athetse vutoli ndikuphatikizapo:

• Zopoplone (Imovane): mulingo woyenera ndi piritsi limodzi la 7.5 mg pakamwa usiku ndipo mankhwalawa sayenera kupitirira masabata 4 kuti apewe kuyambitsa kudalira;

• Zolpidem (Stilnox kapena Zylinox): piritsi 1 mg 10 mg imayenera kumwedwa pakamwa nthawi yogona asanagone, chifukwa imatenga mphindi 30 mutalandira mankhwalawo, ndipo nthawi yothandizirayo iyenera kukhala yayifupi kwambiri, osapitilira milungu inayi.

Omwe amagonetsa tulo amathandizira kuchepetsa kupsinjika kwa minofu komwe kumachitika chifukwa chosagona bwino ndipo nthawi zambiri kumawonetsedwa kuti kumathandizira kuchiza ululu wa fibromyalgia.

7. Anxiolytics

Anxiolytics ndi mankhwala omwe amachepetsa nkhawa, amachititsa kupumula kwa minofu ndikupangitsa kugona, kukonza zizindikiritso za fibromyalgia. Anxiolytics ayenera kugwiritsidwa ntchito kwakanthawi kochepa chifukwa chokhoza kuyambitsa chizolowezi ndikuphatikizira:

• MulembeFM (Lorax kapena Ansirax): imakhala ndi nthawi yapakatikati ya maola 10 mpaka 20 ndipo mulingo umodzi wokha wa 1 mpaka 2 mg uyenera kutengedwa, nthawi zambiri nthawi yogona;

• Diazepam (Valium kapena Uni-Diazepax): nthawi yayitali ya diazepam ndiyotalika, kwa maola 44 mpaka 48, ndipo mlingo woyenera ndi piritsi limodzi la 5 mpaka 10 mg pakamwa, usiku, womwe ungasinthidwe malinga ndi kuwunika kwa zamankhwala.

Kuchiza ndi anxiolytics kuyenera kuyambira nthawi zonse ndi mlingo wotsikitsitsa ndipo kumatha miyezi iwiri kapena itatu.

Kuphatikiza pa mankhwala omwe amagulidwa ku pharmacy, njira zina zapakhomo monga tiyi ndi timadziti zimathandiza kuchepetsa kupweteka kwa fibromyalgia ndikuchepetsa zizindikilo zina monga kutopa ndi kugona tulo. Dziwani zambiri za zithandizo zapakhomo zochizira fibromyalgia.