Olona nyango luphezulu lwe-fibromyalgia

Umxholo

• 1. Uxinzelelo
• 2. Ukuthomalalisa izihlunu
• 3. Antiparkinsonian
• 4. Iipilisi zentlungu
• 5. IiNeuromodulators
• 6. Inducers zokulala
• 7. I-Anxiolytics

Unyango kunyango lwe-fibromyalgia zihlala zi-anti-depressants, ezinje nge-amitriptyline okanye i-duloxetine, izihlaziyi zemisipha, ezinjenge-cyclobenzaprine, kunye nee-neuromodulators, ezinje ngegabapentin, umzekelo, emiselweyo ngugqirha. Ukongeza, ezinye iindlela zonyango, ezinje nge-aromatherapy, i-psychotherapy okanye i-acupuncture, inokunceda kunyango kunye nasekuncedeni ukulawula iimpawu. I-Physiotherapy ngokwenza umthambo kunye nokuthanjiswa komzimba kubalulekile ukunceda ukunciphisa iintlungu kunye nokuthintela uhlaselo olongezelelweyo.

Unyango lwe-fibromyalgia lubodwa kwaye lusekwe ngokukodwa kwiimpawu, ke kubalulekile ukuba uqhagamshelane ne-rheumatologist, i-neurologist okanye ugqirha wezifo zengqondo ukuvavanya, ukufumanisa isifo kunye nokubonisa olona nyango lulungileyo. Fumanisa unyango lwe-4 ye-physiotherapy ye-fibromyalgia.

1. Uxinzelelo

I-anti-depressants ibonakalisiwe kunyango lwe-fibromyalgia kuba isebenza ngokuthe ngqo kwingqondo, ilawula izinto ezibalulekileyo ekusebenzeni kwayo, njenge-serotonin, norepinephrine kunye ne-dopamine, ngaloo ndlela kuphucula iintlungu, ukudinwa kunye nokulala kunye nokwanda kwemood. Olona nyango luchazwe ngugqirha zezi:

• Amitriptyline (I-Tryptanol okanye i-Amytril): idosi yokuqala ecetyiswayo yi-10 mg yonke imihla kwaye kufuneka ithathwe ngokuhlwa, iiyure ezi-2 ukuya kwezi-3 ngaphambi kokuba ulale;

• Umgca weNortriptyline (I-Pamelor okanye i-generic): kunye ne-amitriptyline, idosi yokuqala ecetyiswayo yi-10 mg ngosuku kwaye inokunyuswa ngokuthe ngcembe ngugqirha, ukuba kukho imfuneko. I-capsule kufuneka ithathwe ebusuku ngaphambi kokulala;

• Duloxetine (ICymbalta okanye iVelija): ngokubanzi, idosi yokuqala yi-30 mg kwaye inokunyuswa iye kuma-60 mg ngosuku ngokweemvavanyo zonyango;

• IFluoxetine (Prozac okanye iDaforin): ngeyona ndlela ifanelekileyo, i-fluoxetine kufuneka isetyenziswe kwiidosi eziphezulu, ngaphezulu kwe-40 mg ngosuku, nangona kunjalo ngugqirha kuphela onokuvavanya idosi ekufuneka ibonisiwe;

• Imoclobemide (I-Aurorix okanye i-generic): idosi yokuqala ecetyiswayo yi-300 mg yonke imihla, ihlala yahlulwe yangamayeza amabini kwaye kufuneka ithathwe emva kokutya. Ukuba kukho imfuneko, idosi inokwandiswa ukuya kuthi ga kwi-600 mg ubuninzi ngosuku.

  
  

Idosi yazo zonke i-anti-depressants ibodwa kwaye unyango kufuneka luqhubeke okungenani iiveki ezi-4 ukuya kwezi-6 ukufezekisa ukusebenza kwesiyobisi.

2. Ukuthomalalisa izihlunu

Isihlunu sokuphumla sisetyenziswa kwi-fibromyalgia ukunciphisa ukuqina kwezihlunu eziba lukhuni zibangele iintlungu emzimbeni wonke, ukongeza ekuphuculeni ukulala. Kule meko, i-cyclobenzaprine sisihlunu esiphumlisayo esiboniswe ngugqirha kwaye iidosi ezikhuthazwayo zi-1 ukuya kwi-4 mg ebusuku kwaye ixesha lonyango kufuneka libe ziiveki ezi-2 ukuya kwezi-3.

3. Antiparkinsonian

I-Antiparkinsonia, iziyobisi zonyango lweParkinson's, ezinje ngepramipexole (Stabil okanye Quera), zikwaboniswa ukunciphisa iintlungu ze-fibromyalgia kunye nokuphucula ukulala. Umthamo wokuqala ocetyiswayo yi-0.375 mg ngosuku, kwaye idosi inokunyuswa kancinci ukuya kuthi ga kwi-1.50 mg ngosuku.

4. Iipilisi zentlungu

Iipilisi zentlungu ezilula ezifana neparacetamol (iTylenol okanye igeneric) kunye neeopioid ezinjenge-tramadol (iTramal okanye iNovotram) ziyacetyiswa ukuphucula iintlungu ze-fibromyalgia. Ezi ntlungu zinokuthathwa zodwa okanye zinokudityaniswa ukuze kuphuculwe iintlungu ezingcono, njengoko besebenza ngokwamanqanaba ahlukeneyo abandakanyekayo kwintlungu. Iidosi zala machiza kufuneka zikhokelwe ngugqirha kwaye i-tramadol ithengiswa kuphela ngommiselo.

5. IiNeuromodulators

I-Neuromodulators isebenza ngokuthe ngqo kwinkqubo ye-nervous, elawula iindlela ezijongene nentlungu kwaye, ngaloo ndlela, ukunciphisa ngempumelelo intlungu ebangelwa yi-fibromyalgia. La mayeza aquka:

• IGabapentina (Neurontin okanye iGabaneurin): kufuneka ithathwe ngomlomo, kwidosi yokuqala ye-300 mg ngosuku, enokunyuswa iye kuma-900 mg ukuya kuma-3600 mg ngosuku;

• IPregabalin (ILyrica okanye i-Insit): idosi yokuqala ye-75 mg ngomlomo, kabini ngemini, oko kukuthi, i-150 mg ngosuku. Idosi ye-pregabalin inokunyuswa ngokuthe ngcembe, ngokokuvavanya kukagqirha, ukuya kuthi ga kwi-450 mg ngosuku, yahlulwe yangamayeza ama-2.

Zombini i-gabapentin kunye ne-pregabalin zinokuthathwa ngaphambi okanye emva kokutya kwaye zithengiswa kuphela ngommiselo. Kuyanconywa ukuba idosi yokuqala ithathwa ebusuku, ngexesha lokulala.

6. Inducers zokulala

Ukuphazamiseka kokulala kuqhelekile kwi-fibromyalgia, kokubini ukulala nokungalali ngokwaneleyo. Ama-inducers okulala acetyiswa ngokubanzi ukuba anciphise olu hlobo lwesifo kwaye kubandakanya:

• UZoficlone (Imovane): idosi ekucetyiswa ukuba iphezulu ye-1 ithebhulethi ye-7.5 mg ngomlomo ebusuku kwaye unyango akufuneki ludlule kwiiveki ezi-4 ukunqanda ukubangela ukuxhomekeka;

• Zolpidem (I-Stilnox okanye i-Zylinox): ubuninzi be-1 mg ye-10 mg yecwecwe kufuneka ithathwe ngomlomo kwangoko ngaphambi kokulala, njengoko isebenza kwimizuzu engama-30 emva kokuthatha idosi, kwaye ixesha lonyango kufuneka lifutshane kangangoko, lingagqithi kwiiveki ezi-4.

Ukuncitshiswa kokulala kunceda ukunciphisa uxinzelelo lwezihlunu olubangelwa kukungalali kakuhle kwaye zihlala ziboniswa ukuba zincedisa unyango lwe-fibromyalgia pain.

7. I-Anxiolytics

I-Anxiolytics sisiyobisi esisebenza ukunciphisa uxinzelelo, esibangela ukuphumla kwemisipha kunye nokukhuthaza ukulala, ukuphucula iimpawu ze-fibromyalgia. I-Anxiolytics kufuneka isetyenziselwe ixesha elifutshane kuba inakho ukubangela umlutha kwaye ibandakanye:

• ILorazepam (I-Lorax okanye i-Ansirax): inexesha lesiphumo esiphakathi se-10 ukuya kwi-20 yeeyure kwaye idosi enye yemihla ngemihla ye-1 ukuya kwi-2 mg kufuneka ithathwe, ihlala ilala;

• Diazepam (Valium okanye i-Uni-Diazepax): ixesha lesiphumo se-diazepam lide, kangangeeyure ezingama-44 ukuya kuma-48, kwaye idosi ekhuthazwayo yithebhulethi enye ye-5 ukuya kwi-10 mg ngomlomo, ebusuku, enokuhlengahlengiswa ngokokuvavanywa kwezonyango.

Unyango nge-anxiolytics kufuneka ihlale iqala ngeyona dosi iphantsi kwaye ihlale kwiinyanga ezi-2 ukuya kwezi-3 ubuninzi.

Ukongeza kumayeza athengwe ekhemesti, ezinye iindlela zonyango lwasekhaya ezinje ngeti kunye neencindi zinceda ukunciphisa iintlungu ze-fibromyalgia kunye nokunciphisa ezinye iimpawu ezinjengokudinwa kunye nokuphazamiseka kokulala. Funda nzulu ngamayeza asekhaya kunyango lwe-fibromyalgia.