Kodi amitriptyline ndiyabwino pathupi?

Nkhani Za Amayi Zokhudza Mankhwala Osokoneza bongo

Mukazindikira kuti muli ndi pakati, zitha kukhala zosokoneza (komanso zowopsa) kuti mudziwe chimodzimodzi ndi mankhwala ati omwe muyenera komanso simuyenera kumwa . Pofuna kusokoneza zinthu, mankhwala ambiri alibe zotsatira zomveka ngati ali otetezeka kapena ayi. Imadzutsa funso ili: Kodi mumaika patsogolo thanzi lanu, ngakhale mwana wanu atakhala pachiwopsezo?

Vutoli lingakhale lofunika kwambiri kwa amayi omwe amamwa mankhwala opatsirana pogonana, asanakhale ndi pakati. Mwamwayi, madokotala amadziwa bwino kufotokoza phindu ndi kuopsa kwa mankhwala aliwonse omwe angapezeke. Nazi zomwe muyenera kukambirana ndi omwe amakuthandizani ngati mukumwa, kapena mukuganiza zotenga, kutchfuneralhome Pakati pa mimba kapena pamene mukuyamwitsa.

Kodi amitriptyline imagwiritsidwa ntchito bwanji?

Izi tricyclic antidepressant ali ndi ntchito zosiyanasiyana kuchokera ku migraine mpaka kuwongolera kupweteka, koma makamaka kwa odwala omwe ali ndi vuto lokhumudwitsa lalikulu la unipolar.Valeria Contreras-Crowley, MD, bungwe lovomerezeka ndi OB-GYN ku Akatswiri Akazi a New Mexico akuti ili ndi zina osalemba amagwiritsanso ntchito. Nthawi zina amalembedwa kuti azisamalira:

• Matenda okhudzana ndi kutopa okhudzana ndi matenda komanso ululu
• Fibromyalgia
• Kudzimbidwa kambiri
• Kupewa mutu ndi migraine
• Interstitial cystitis (matenda a chikhodzodzo)
• Matenda okhumudwitsa
• Kupweteka kwa m'mapapo, kosatha (kuphatikiza matenda ashuga neuropathy)
• Postherpetic neuralgia (vuto la shingles)
• Sialorrhea (kutaya malovu kwambiri)

Dr. Contreras-Crowley akuti mankhwalawa siomwe amapatsidwa mankhwala opatsirana pogonana, ndi iye kapena madotolo ena, ndipo samawona odwala omwe nthawi zambiri amalemba izi ngati zomwe amatenga nthawi yawo yobereka asanabadwe.

Ineyo pandekha sindimapereka amitriptyline ngati wothandizira mzere woyamba wa azimayi omwe ali ndi vuto lachisoni panthawi yapakati makamaka chifukwa chakuti ndimadziwa zambiri za SSRIs [Kusankha Serotonin Reuptake Inhibitors], akutero. Kafukufuku wochuluka amapezeka kwa SSRI kuposa mankhwala ena opatsirana pogonana.

Wodwala akamuchezera ndipo ali kale ndi mankhwala kuti akagwiritse ntchito kwina, amawatumiza kwa dokotala wawo wamkulu kuti akawone ngati ayenera kusiya mankhwalawo kapena kupeza njira ina.

Kodi amitriptyline ndiyabwino kutenga panthawi yapakati?

Monga mankhwala ambiri, palibe yankho lomveka bwino pachitetezo cha kumwa amitriptyline mukakhala ndi pakati.

Gulu la mimba ya Amitriptyline

Amawerengedwa kuti ndi gulu C la mankhwalawa Ulamuliro wa Zakudya ndi Mankhwala ku U.S. (FDA). Kutanthauza, kafukufuku wobzala ziweto awonetsa zovuta zomwe zingachitike pa mwana wosabadwayo, ndipo palibe maphunziro okwanira kapena owongoleredwa mwa anthu. Zopindulitsa zomwe zingachitike zingagwiritse ntchito mankhwalawa kwa amayi apakati ngakhale ali pachiwopsezo.

Zowopsa za amitriptyline ndi mimba

Pali maphunziro ochepa omwe awonetsa chitetezo cha mankhwalawa ali ndi pakati, akutero Emily DeFranco , DO, director of mankhwala akuchikazi ndi mwana ku University of Cincinnati College of Medicine. Pazidziwitso zochepa zomwe zimapezeka kuchokera kwa anthu, sizikuwoneka kuti kugwiritsa ntchito trimester yoyamba kumalumikizidwa ndi chiopsezo chachikulu kuposa chiwopsezo cha kubadwa kwa zolemala. Komabe, pali malipoti ena akuti mankhwala ofanana m'kalasi mwake amatha kusokoneza kukula kwa mluza m'maphunziro oyeserera a nyama.

Kuphatikiza apo, kafukufuku wina wocheperako wanena zakuchulukirachulukira kwamatenda akuthamanga kwamthupi mwa mayi wapakati, komanso zizindikiritso zakubadwa kwa khanda pomwe amitriptyline idatengedwa nthawi yonse yobereka. Kafukufuku wa 2019 lofalitsidwa mu BMJ Anapezanso kulumikizana pakati pa opanikizika ndi matenda a shuga. Chiwopsezo chidakulirakulira ndi amitriptyline ya mankhwala opondereza omwe adaphunzira, akuwonetsa chiwopsezo chowonjezeka cha 52% poyerekeza ndi omwe sali ndi opatsirana.

Amitriptyline ndi padera

Amayi oyembekezera nthawi zambiri amakhala ndi nkhawa kuti mankhwala awo akhoza kuwonjezera chiopsezo chotenga padera. Palibe maphunziro makamaka amitriptyline ndi padera. Tikudziwa kuti azimayi omwe ali ndi vuto lokhumudwa amataya padera pang'ono, atero Dr. DeFranco. Sitikudziwa ngati chiwopsezo ichi chimachitika makamaka chifukwa cha mankhwala omwe amagwiritsidwa ntchito pochiza kukhumudwa, kapena kukhumudwa komweko ngakhale popanda kugwiritsa ntchito mankhwala.

Dr. Contreras-Crowley akuwonjezera kuti a Phunziro lolembetsa ku Danish National Kuwunika milandu ya azimayi omwe amapezeka kuti ali ndi vuto lakumapeto kwa malingaliro kunalibe kusiyana kulikonse pangozi yakupita padera kwa azimayi omwe amathandizidwa ndi mankhwala opatsirana pogonana komanso omwe sanalandire mankhwala opatsirana. Kafukufukuyu akumaliza kutiMankhwala opatsirana pogonana sanali okhudzana ndi kupita padera pakati pa azimayi omwe ali ndi vuto lakukhumudwa.

Ndiyenera kusiya kumwa amitriptyline ndikazindikira kuti ndili ndi pakati?

Akatswiri onsewa akuchenjeza za kusiya mwadzidzidzi kugwiritsa ntchito mankhwala opatsirana. Kuchotsa kumankhwala kumayenera kuchitika motsogozedwa ndi omwe amakuthandizani, choncho chenjezani OB-GYN wanu mukazindikira kuti muli ndi pakati ngati muli ndi vuto la kupsinjika, kuphatikizapo amitriptyline. Njira yabwino kwambiri ndikuzindikira chiwopsezo chosiya kupitilira ndikupitiliza ndi gulu lanu lazachipatala.

Kukhumudwa pakakhala ndi pakati kumatha kukhala koopsa kotero mbiri ya wodwalayo ndiyofunika, Dr. Contreras-Crowley akuti. Mafunso omwe angafunse ndi awa: Kodi adayesapo kudzipha? Kodi adagonekedwa mchipatala? Ndi mankhwala ena ati omwe adakhalapo kale?

Ngati akhala okhazikika pamankhwalawa, ndiye kuti phindu kwa mwana wake komanso kukhala ndi pakati kuyenera kupitilirabe, akufotokoza. Zina mwaziwopsezo zosiya kukhumudwa osalandira chithandizo mukakhala ndi pakati zingaphatikizepo kulepheretsa kukula kwa mwana, kukula kosabadwa bwino, kubereka msanga, kusalankhula bwino, komanso kutsika kwa IQ.

Kodi chimachitika ndi chiyani ngati mayi wapakati atula pansi amitriptyline mwadzidzidzi?

Kuyimitsa mwadzidzidzi mankhwalawa kumatha kubweretsa zizindikilo zazikulu monga:kusokonezeka, nkhawa, kuzizira, diaphoresis (kutuluka thukuta), kupweteka mutu, kusowa tulo, kukwiya, malaise, myalgia (kupweteka kwa minofu) ndi nseru ndipo sizingayambitse mtima arrhythmia, ndi parkinsonism. Kuchepetsa pang'ono mankhwala kumalimbikitsidwa pochepetsa mlingowo sabata iliyonse. Zitha kutenga milungu iwiri kapena inayi kapena kupitilira apo kuti muchepetse mankhwala popanda kukhala ndi zizindikiritso zakusiya.

Kodi amitriptyline ndi kuyamwitsa ndi zotetezeka?

Amitriptyline ikhoza kukhala yotetezeka kugwiritsa ntchito poyamwitsa. Ngakhale imadutsa mkaka wa m'mawere, Dr. DeFranco akuti kuchuluka komwe mwana amapezedwa kudzera mukuyamwitsa akuti ndi gawo limodzi la magawo a amayi. Pulogalamu ya American Academy of Pediatrics adafotokozera zakumwa kwa mkaka kwa mankhwalawa osadziwika koma atha kukhala odetsa nkhawa, akufotokoza, akunena kuti pakhala pali malipoti akuti mwana amakhala pansi. Dr. Contreras-Crowley akuti ndizotetezeka, koma mwanayo ayenera kuyang'aniridwa ngati ali ndi zizindikiritso. Amakonda kulimbikitsa nortriptyline kapena amitriptyline kwa amayi oyamwitsa.

Pa gawo lililonse loyesera kutenga pakati, kutenga pakati, kapena kuyamwitsa, ndibwino kuti mufunsane ndi omwe amakupatsirani zamankhwala anu.