Cov kev kho mob tseem ceeb rau kev mob fibromyalgia

Zoo Siab

• 1. Tshuaj tua kab mob siab
• 2. Cov leeg nqaij ua kom sov
• 3. Cov Antiparkinsonian
• 4. Tshuaj Tawv Pleev
• 5. Cov Neuromodulators
• 6. Cov pw tsaug zog
• 7. Kev Quav Yeeb

Cov kev daws rau kev kho mob ntawm fibromyalgia feem ntau yog tshuaj tua kab mob, xws li amitriptyline lossis duloxetine, cov leeg ua kom mob, xws li cyclobenzaprine, thiab neuromodulators, xws li gabapentin, piv txwv li, kws kho mob tau sau los ntawm tus kws kho mob. Tsis tas li ntawd, lwm txoj kev kho mob, xws li kev kho kab mob hauv lub cev, kev kho mob hlwb lossis acupuncture, tuaj yeem pab kho mob thiab pab tswj cov tsos mob. Kev tawm dag zog los ntawm kev tawm dag zog thiab zaws kuj tseem ceeb kom pab txo kev mob thiab tiv thaiv kev tawm tsam ntxiv.

Kev kho mob ntawm fibromyalgia yog tus kheej thiab ua tshwj xeeb rau cov tsos mob, yog li nws yog ib qho tseem ceeb rau kws kho mob rheumatologist, neurologist lossis tus kws kho mob hlwb los soj ntsuam, kuaj mob thiab qhia tau qhov kev kho mob zoo tshaj plaws. Tshawb nrhiav 4 kev kho mob ntawm cev nqaij daim tawv rau kev kho mob fibromyalgia.

1. Tshuaj tua kab mob siab

Cov tshuaj tiv thaiv kev ntxhov siab yog qhia rau kev kho mob ntawm fibromyalgia vim tias lawv ua ncaj qha rau lub hlwb, tswj cov tshuaj uas tseem ceeb rau nws txoj haujlwm, xws li serotonin, norepinephrine thiab dopamine, yog li kev txhim kho mob, qaug zog thiab pw tsaug zog thiab nce siab. Tus kws kho mob txhaj tshuaj ntau tshaj yog:

• Amitriptyline (Tryptanol lossis Amytril): qhov kev pom zoo pib noj yog 10 mg txhua hnub thiab yuav tsum noj thaum yav tsaus ntuj, 2 mus rau 3 teev ua ntej mus pw;

• Nortriptyline (Pamelor lossis cov qauv siv): ntxiv rau amitriptyline, qhov kev pom zoo pib noj yog 10 mg rau ib hnub thiab tuaj yeem nce maj mam los ntawm tus kws kho mob, yog tias tsim nyog. Cov tshuaj ntsiav yuav tsum tau noj thaum hmo ntuj ua ntej mus pw;

• Duloxetine (Cymbalta lossis Velija): feem ntau, qhov kev pib noj yog 30 mg thiab tuaj yeem nce ntxiv mus rau qhov ntau ntawm 60 mg rau ib hnub raws li kev ntsuas tshuaj;

• Fluoxetine (Prozac lossis Daforin): rau cov txiaj ntsig zoo tshaj plaws, fluoxetine yuav tsum siv nyob rau hauv cov koob tshuaj siab, siab dua 40 mg ib hnub twg, txawm li cas los xij tsuas yog kws kho mob tuaj yeem ntsuas qhov ntau npaum li cas yuav tsum tau qhia;

• Moclobemide (Aurorix lossis kev tsis sib xws): qhov kev pom zoo pib noj yog 300 mg txhua hnub, feem ntau muab faib ua ob zaug thiab yuav tsum noj tom qab noj mov. Yog tias tsim nyog, cov koob tshuaj tuaj yeem nce ntxiv nce txog qhov ntau ntawm 600 mg ib hnub.

  
  

Cov koob tshuaj ntawm txhua cov tshuaj tiv thaiv kev ntxhov siab yog kev kho mob ib leeg thiab kev kho yuav tsum txuas ntxiv tsawg kawg 4 rau 6 lub lis piam kom ua tiav cov tshuaj ua tau.

2. Cov leeg nqaij ua kom sov

Cov leeg ua kom mob yog siv rau hauv fibromyalgia kom txo qis txhav ntawm cov leeg uas ua txhav ua rau mob thoob plaws lub cev, ntxiv rau kev txhim kho pw tsaug zog. Hauv qhov no, cyclobenzaprine yog cov leeg ua kom lub zog uas tus kws kho mob pom zoo thiab cov koob tshuaj pom zoo yog 1 txog 4 mg thaum tsaus ntuj thiab sijhawm kho yuav tsum yog 2 txog 3 lis piam.

3. Cov Antiparkinsonian

Antiparkinsonians, uas yog cov tshuaj rau kev kho mob ntawm Parkinson, xws li pramipexole (Stabil lossis Quera), kuj tseem qhia tau tias yuav txo qis qhov mob ntawm fibromyalgia thiab txhim kho pw tsaug zog. Qhov pom zoo kom pib lub koob tshuaj yog 0.375 mg rau ib hnub, thiab lub koob tshuaj tuaj yeem raug maj mam nce mus txog qhov siab kawg ntawm 1.50 mg rau ib hnub.

4. Tshuaj Tawv Pleev

Cov tshuaj pleev xim yooj yim xws li cov tshuaj paracetamol (Tylenol lossis ib txwm muaj) thiab opioids zoo li tramadol (Tramal lossis Novotram) raug pom zoo los txhim kho kev mob fibromyalgia. Cov tshuaj pleev xim no tuaj yeem noj ib leeg lossis tuaj yeem sib koom ua ke kom ua kom zoo dua qub, kom ua raws li cov qib sib txawv ntawm qhov mob. Cov koob tshuaj ntawm cov tshuaj no yuav tsum tau coj los ntawm kws kho mob thiab tramadol tsuas yog muag nrog cov tshuaj.

5. Cov Neuromodulators

Neuromodulators ua ncaj qha rau ntawm cov leeg hlwb, tswj hwm txoj hauv kev ua lub luag haujlwm rau qhov mob thiab, yog li, zoo txo ​​qhov mob tshwm sim los ntawm fibromyalgia. Cov tshuaj no suav nrog:

• Gabapentina (Neurontin lossis Gabaneurin): yuav tsum noj ntawm qhov ncauj, thaum pib ntawm 300 mg rau ib hnub, uas tuaj yeem nce ntxiv txog ntau tshaj 900 mg txog 3600 mg ib hnub;

• Pregabalin (Lyrica lossis Insit): qhov koob tshuaj thawj zaug ntawm 75 mg ntawm qhov ncauj, ob zaug ib hnub, uas yog, 150 mg ib hnub twg. Cov koob tshuaj ntawm pregabalin tuaj yeem nce ntau zuj zus, raws li kws kho mob qhov kev soj ntsuam, kom ntau kawg yog 450 mg ib hnub twg, muab faib ua 2 koob tshuaj.

Ob gabapentin thiab pregabalin tuaj yeem noj ua ntej lossis tom qab noj mov thiab raug muag nrog cov tshuaj noj. Nws raug nquahu tias yuav tau txhaj thawj thawj zaug thaum hmo ntuj, thaum mus pw.

6. Cov pw tsaug zog

Kev pw tsaug zog cuam tshuam yog tshwm sim hauv fibromyalgia, ob leeg pw tsis tsaug zog thiab tsis muaj kev tsaug zog txaus. Cov neeg pw tsaug zog feem ntau pom zoo kom txo cov kev tsis zoo no thiab suav nrog:

• Zopiclone (Imovane): cov koob tshuaj pom zoo yog qhov ntau kawg ntawm 1 ntsiav tshuaj ntawm 7.5 mg qhov ncauj thaum hmo ntuj thiab cov kev kho mob yuav tsum tsis pub tshaj 4 lub lis piam kom tsis txhob ua rau muaj kev cuam tshuam;

• Zolpidem (Stilnox lossis Zylinox): qhov siab tshaj 1 mg 10 mg ntsiav tshuaj yuav tsum noj qhov ncauj tam sim ua ntej yuav mus pw, vim nws ua li 30 feeb tom qab noj cov tshuaj, thiab lub sijhawm kho yuav tsum luv li sai tau, tsis pub tshaj 4 lub lis piam.

Cov pw tsaug zog tsim kom pab txo cov leeg mob los ntawm kev pw tsaug zog tsis zoo thiab feem ntau qhia rau kev kho cov mob fibromyalgia.

7. Kev Quav Yeeb

Anxiolytics yog cov tshuaj uas ua rau txo qis kev ntxhov siab, ua rau cov leeg so thiab ua rau tsaug zog, txhim kho cov tsos mob ntawm fibromyalgia. Ntxhov siab rau siv yuav tsum tau siv rau ib lub sijhawm luv luv vim lawv lub peev xwm ua rau muaj yees thiab suav nrog:

• Lorazepam (Lorax lossis Ansirax): nws muaj lub sijhawm ua haujlwm nruab nrab ntawm 10 mus rau 20 teev thiab ib koob tshuaj txhua hnub 1 txog 2 mg yuav tsum noj, feem ntau yog thaum caij pw;

• Diazepam (Valium lossis Uni-Diazepax): lub sijhawm ntawm cov nyhuv ntawm diazepam yog ntev dua, rau 44 rau 48 teev, thiab cov koob tshuaj pom zoo yog 1 ntsiav tshuaj ntawm 5 txog 10 mg ntawm qhov ncauj, thaum hmo ntuj, uas tuaj yeem hloov kho raws li kev tshuaj ntsuam xyuas.

Kev kho mob nrog anxiolytics yuav tsum pib nrog qhov kev siv qis tshaj thiab kav ntev kawg ntev txog 2 txog 3 hlis.

Ntxiv nrog rau cov tshuaj yuav tom khw muag tshuaj, qee cov kev kho mob hauv tsev xws li tshuaj yej thiab kua txiv pab daws qhov mob ntawm fibromyalgia thiab txo qee cov tsos mob xws li nkees thiab pw tsaug zog tsis zoo. Kawm ntxiv txog kev kho mob hauv tsev rau kev kho mob ntawm fibromyalgia.