Mekhoa e meholo ea fibromyalgia

Litaba

• 1. Ho imeloa kelellong
• 2. Ho thethefatsa mesifa
• 3. Antiparkinsonian
• 4. Li-painkillers
• 5. Li-Neuromodulators
• 6. Lits'oants'o tsa boroko
• 7. Li-anxiolytics

Mekhoa ea kalafo ea fibromyalgia hangata e thibela ho tepella maikutlo, joalo ka amitriptyline kapa duloxetine, mesifa e khathollang, joalo ka cyclobenzaprine, le li-neuromodulators, joalo ka gabapentin, mohlala, e laetsoeng ke ngaka. Ntle le moo, mefuta e meng ea kalafo, e kang aromatherapy, psychotherapy kapa acupuncture, e ka thusa kalafong le ho thusa ho laola matšoao. Physiotherapy ka ho ikoetlisa le ho silila le hona ho bohlokoa ho thusa ho kokobetsa bohloko le ho thibela litlhaselo tse ling.

Kalafo ea fibromyalgia e ikhethile 'me e ipapisitse le matšoao feela, ka hona ho bohlokoa ho buisana le rheumatologist, ngaka ea methapo kapa ngaka ea mafu a kelello ho lekola, ho hlahloba le ho bonts'a kalafo e nepahetseng. Fumana mekhoa ea kalafo ea "physiotherapy" e 4 bakeng sa fibromyalgia

1. Ho imeloa kelellong

Ho imeloa kelellong ho bontšoa kalafo ea fibromyalgia hobane e sebetsa ka kotloloho bokong, e laola lintho tse bohlokoa bakeng sa ts'ebetso ea eona, joalo ka serotonin, norepinephrine le dopamine, ka hona e ntlafatsa bohloko, mokhathala le boroko le maikutlo a ntseng a eketseha. Meriana e laetsoeng haholo ke ngaka ke:

• Lebohang (Tryptanol kapa Amytril): tekanyetso e khothalletsoang ea ho qala ke 10 mg letsatsi le letsatsi mme e lokela ho nooa mantsiboea, 2 ho isa lihora tsa 3 pele u robala;

• Nortriptyline (Pamelor kapa generic): hammoho le amitriptyline, tekanyetso e khothalletsoang ea ho qala ke 10 mg ka letsatsi mme e ka eketsoa hanyane ka hanyane ke ngaka, ha ho hlokahala. Komiki e lokela ho nooa bosiu pele ho robala;

• Duloxetine (Cymbalta kapa Velija): ka kakaretso, tekanyetso ea ho qala ke 30 mg mme e ka eketsoa ho fihla ho 60 mg ka letsatsi ho latela tlhahlobo ea bongaka;

• Fluoxetine (Prozac kapa Daforin): bakeng sa phello e ntle, fluoxetine e lokela ho sebelisoa ka litekanyetso tse phahameng, kaholimo ho 40 mg ka letsatsi, leha ho le joalo ke ngaka feela e ka lekolang litekanyetso tse tla bontšoa;

• Moclobemide (Aurorix kapa generic): tekanyetso e khothalletsoang ea ho qala ke 300 mg ka letsatsi, hangata e arotsoe ka litekanyetso tse peli mme e lokela ho nooa kamora ho ja. Haeba ho hlokahala, lethal dose ka eketsa ho fihlela ho ho palo e kahodimodimo ea 600 mg, ka letsatsi.

  
  

Tekanyo ea li-anti-depressing tsohle e ikhethile 'me kalafo e tlameha ho tsoelapele bonyane libeke tse 4 ho isa ho tse 6 ho fihlela katleho ea sethethefatsi.

2. Ho thethefatsa mesifa

Ho phomola ha mesifa ho sebelisoa ho fibromyalgia ho fokotsa ho satalla ha mesifa e bang thata ho baka bohloko 'meleng oohle, ntle le ho ntlafatsa boroko. Tabeng ena, cyclobenzaprine ke mesifa e khathollang mesifa e bontšitsoeng ke ngaka mme litekanyetso tse khothalletsoang ke 1 ho isa ho 4 mg bosiu 'me nako ea kalafo e lokela ho ba libeke tse 2 ho isa ho tse 3.

3. Antiparkinsonian

Li-antiparkinsonia, e leng lithethefatsi tsa kalafo ea Parkinson, joalo ka pramipexole (Stabil kapa Quera), le tsona li bontšoa ho fokotsa bohloko ba fibromyalgia le ho ntlafatsa boroko. Tekanyo e khothalletsoang ea ho qala ke 0.375 mg ka letsatsi, mme lethal dose le ka nyoloha hanyane ka hanyane ho fihlela ho 1.50 mg ka letsatsi.

4. Li-painkillers

Li-painkillers tse bonolo tse kang paracetamol (Tylenol kapa generic) le li-opioid tse kang tramadol (Tramal kapa Novotram) li khothalletsoa ho ntlafatsa bohloko ba fibromyalgia. Li-painkillers tsena li ka nooa li le bang kapa li ka kopanngoa bakeng sa phomolo e ntlafetseng ea bohloko, kaha li sebetsa ka mekhahlelo e fapaneng e amehang bohlokong. Tekanyo ea meriana ena e tlameha ho tataisoa ke ngaka mme tramadol e rekisoa feela ka lengolo la ngaka.

5. Li-Neuromodulators

Li-Neuromodulators li sebetsa ka kotloloho tsamaisong ea methapo, li laola litsela tse ikarabellang bakeng sa bohloko mme, ka hona, li fokotsa bohloko bo bakoang ke fibromyalgia. Meriana ena e kenyelletsa:

• Gabapentina (Neurontin kapa Gabaneurin): e lokela ho nkoa ka molomo, tekanyong ea pele ea 300 mg ka letsatsi, e ka eketsoang ho fihla ho 900 mg ho isa ho 3600 mg ka letsatsi;

• Pregabalin (Lyrica kapa Insit): tekanyetso ea pele ea 75 mg ka molomo, habeli ka letsatsi, ke hore, 150 mg ka letsatsi. Tekanyo ea pregabalin e ka eketsoa hanyane ka hanyane, ho latela tlhahlobo ea ngaka, ho fihla ho 450 mg ka letsatsi, e arotsoe ka litekanyetso tse 2.

Ka bobeli gabapentin le pregabalin li ka nkoa pele kapa kamora 'lijo' me li rekisoa feela ka lengolo la ngaka. Ho kgothaletswa hore tekanyetso ea pele e nkuoe bosiu, nakong ea ho robala.

6. Lits'oants'o tsa boroko

Mathata a ho robala a tloaelehile ho fibromyalgia, ho hlobaela le ho se robale ka mokhoa o khathollang. Hangata inducers ea boroko e khothalletsoa ho imolla mofuta ona oa bothata mme e kenyeletsa:

• Zopiclone (Imovane): tekanyetso e khothalletsoang ke boholo ba letlapa le le leng la 7.5 mg ka molomo bosiu 'me kalafo ha ea lokela ho feta libeke tse 4 ho qoba ho baka ho itšetleha;

• Zolpidem (Stilnox kapa Zylinox): Letlapa le leholo la 1 mg 10 mg le lokela ho nooa ka molomo hanghang pele ho nako ea ho robala, kaha e sebetsa metsotso e 30 kamora ho noa lethal dose, 'me nako ea kalafo e lokela ho ba khuts'oane kamoo ho ka khonehang, e sa feteng libeke tse 4.

Li-inducers tsa boroko li thusa ho fokotsa tsitsipano ea mesifa e bakoang ke ho se robale hantle mme hangata ho bonts'oa ho tlatsetsa kalafo ea bohloko ba fibromyalgia.

7. Li-anxiolytics

Li-anxiolytics ke lithethefatsi tse fokotsang matšoenyeho, tse bakang phomolo ea mesifa le ho baka boroko, ho ntlafatsa matšoao a fibromyalgia. Li-anxiolytics li lokela ho sebelisoa nako e khuts'oane ka lebaka la bokhoni ba tsona ba ho baka bokhoba le ho kenyelletsa:

• Lorazepam (Lorax kapa Ansirax): e na le nako ea lipakeng ea lihora tse 10 ho isa ho tse 20 mme lethal dose e le 'ngoe ea letsatsi le letsatsi ea 1 ho 2 mg e lokela ho nooa, hangata nakong ea ho robala;

• Diazepam (Valium kapa Uni-Diazepax): nako ea phello ea diazepam e telele, bakeng sa lihora tse 44 ho isa ho tse 48, mme tekanyetso e khothalletsoang ke letlapa le le leng la 5 ho isa ho 10 mg ka molomo, bosiu, le ka fetoloang ho latela tlhahlobo ea bongaka.

Kalafo e nang le li-anxiolytics e lokela ho qala ka lethal dose e tlase ka ho fetesisa mme e tšoarelle likhoeli tse 2 ho isa ho tse 3.

Ntle le litlhare tse rekiloeng khemising, likhetho tse ling tsa litlhare tsa lapeng tse kang tee le maro li thusa ho kokobetsa bohloko ba fibromyalgia le ho fokotsa matšoao a mang a kang mokhathala le mathata a ho robala. Ithute haholoanyane ka litlhare tsa lapeng bakeng sa kalafo ea fibromyalgia.