Mankhwala othandiza kwambiri kukuthandizani kusiya kumwa

Zambiri Zamankhwala

Vuto lakumwa mowa (AUD) ndi vuto lakukula ku United States; zikuyerekeza kuti oposa 6% akuluakulu amakhudzidwa. Ngakhale kuchira sikophweka, pali njira zingapo zamankhwala zomwe zitha kuthandizira-ndipo zimadutsa mapulogalamu a 12-step komanso kukonzanso kwa wodwala. Pakadali pano pali mankhwala atatu akuchipatala ovuta kumwa mowa omwe amavomerezedwa ndi Chakudya ndi Mankhwala Osokoneza Bongo (FDA), pamodzi ndi mankhwala ena omwe madotolo ena amagwiritsa ntchito polemba mavuto akumwa.

Nazi zomwe muyenera kudziwa zamankhwala omwe angakuthandizeni kusiya kumwa komanso komwe mungapeze thandizo.

Mankhwala ovomerezeka a 3 FDA omwe ali ndi vuto lakumwa

A FDA avomereza mankhwala otsatirawa kuti athandizire vuto lakumwa mowa.

1. Campral (acamprosate)

Acamprosate itha kuthandiza anthu ena omwe ali ndi AUD kusiya kumwa mowa pochepetsa zolakalaka ndikuchepetsa mphotho yamaganizidwe a mowa. Nthawi zambiri amatengedwa pamapiritsi katatu patsiku.

2. Vivitrol (naltrexone)

Zofanana ndi acamprosate, naltrexone kumachotsa anthu osangalala ndi chidziwitso cha AUD kuchokera ku mowa, motero amachepetsa chidwi chakumwa. Amapezeka ngati mapiritsi a tsiku ndi tsiku, jekeseni ya mwezi uliwonse, komanso kudzera mu kulowetsa mankhwala.

3. Antabuse (disulfiram)

Disulfiram ndi piritsi lomwe mumamwa kamodzi patsiku mutasiya kumwa kwa maola 12. Imaletsa kuchepa kwa mowa ndipo pamapeto pake imakudwalitsani ngati mumamwa mukamwa.

Ndi mankhwala ati omwe angakuthandizeni kusiya kumwa?

Mwa mankhwala ovomerezeka a FDA omwe atchulidwa pamwambapa, mankhwala omwe angakuthandizeni kwambiri amadalira zinthu zosiyanasiyana, kuphatikiza ngati mwasiya kumwa kale, mbiri yanu yazaumoyo, ndi bajeti yanu.

Disulfiram ndi mankhwala akale kwambiri ovomerezeka a AUD ku United States. Komabe, madokotala ena sakuwakonda chifukwa cha momwe amalangira munthu kwambiri ngati atazembera ndikumwa, zomwe zimakonda kuchira.

Zili ngati kulowa mumtsuko wa keke, ndipo botolo la makeke likuthyola mkono-ndiye kuti simungayikenso, akutero (Adasankhidwa) Harshal Kirane, MD , Woyang'anira ntchito zosokoneza bongo ku Staten Island University Hospital. [Komabe], disulfiram si njira yabwino nthawi zonse kwa odwala chifukwa chakumwa chilichonse chomwe chimayamwa ndikulowa m'magazi, ngakhale kudzera mukumwa, kumwa mowa pophika kapena ngakhale mankhwala opangira mankhwala am'manja, zitha kuyambitsa vuto.

Acamprosate ndi naltrexone awonetsedwa kuti ali ndi mphamvu zofananira, akuti Robert Brown, MD , hepatologist komanso director of the Center for Liver Disease and Transplantation ku NewYork-Presbyterian / Weill Cornell Medical Center, koma pali zosiyana zina zofunika kuzidziwa: Ubwino wa naltrexone ndikuti [umatengedwa] kamodzi tsiku lililonse, zomwe zimathandizira kukonza kutsata kwa wodwala , ndipo pali deta [yosonyeza] kuti imagwira ntchito ngakhale munthu atamamwa mowa akamayamba mankhwala, akutero. Koma ndimakonda kupereka acamprosate kuposa naltrexone chifukwa ngati wodwalayo alinso ndi vuto la ma opioid, sangatenge naltrexone.

Mtengo ungathenso kukhala chinthu chofunikira pakusankha kwanu. American Family Physician inapeza kuti mankhwala a generic acamprosate amawononga $ 55, pang'ono pang'ono kuposa generic naltrexone, yomwe imawononga $ 45 pamtengo wamapiritsi mwezi umodzi.

Mankhwala osokoneza bongo amachepetsa kumwa

Madokotala amathanso kupereka mankhwala ena osagwiritsa ntchito zilembo kuthandiza odwala kusiya kumwa. Izi zikutanthauza kuti a FDA sanawone kuti mankhwalawa ndi otetezeka kapena othandiza pakumwa mowa, koma wothandizira zaumoyo wasankha oyenera kuchipatala kwa wodwala wawo .

ZOKHUDZA: Zomwe muyenera kudziwa za mankhwala osokoneza bongo

Mankhwalawa amalowa m'kalasi la mankhwala omwe amadziwika kuti otonthoza, monga topiramate , Kuthamangitsa,ndipo Trileptal , akufotokoza Dr. Kirane. Umboni woti mankhwalawa atha kukhala othandiza ndi ochepa ndipo amakonda kubwera kuchokera kuzofufuza zazing'ono, zopanda chiyembekezo. Ayeneradi kuganiziridwa ngati wina sakupeza mankhwala ena kukhala othandiza makamaka.

Baclofen , mankhwala omwe amagwiritsidwa ntchito pochiza kupindika kwa minofu, atha kukhala mankhwala othandiza pakumwa mowa. Izi ndizothandiza makamaka kwa odwala omwe adwala matenda a chiwindi, chifukwa baclofen imagwiritsidwa ntchito kwambiri mu impso, atero a Brown.

Zina zoledzeretsa zomwe mungasankhe

Palibe chithandizo chofananira cha anthu omwe akufuna kuchepetsa kumwa. Mankhwala, ngakhale atakhala othandiza, mwina sangakhale matsenga oledzera.

Upangiri, kuthandizira pamakhalidwe, komanso mankhwala ayenera kukhala patebulopo kuti apeze njira zamankhwala zamphamvu zomwe sizimakwaniritsa zosowa za odwala akamalowa kuchipatala, koma zimatha kusintha pamene zikupitilizabe kukula ndikukula, Dr. Kirane akuti.

Ngati mukulimbana ndi vuto lakumwa, gwirani ntchito ndi dokotala kuti mupange dongosolo loti musiye. Muthanso kufunafuna thandizo kuchokera Mowa Wosadziwika ndi Nambala Yothandizira Padziko Lonse ya SAMHSA, Kugwiritsa Ntchito Mankhwala Osokoneza Bongo ndi Maubwino Amankhwala Amankhwala .