Koyi dalilin da yasa ake amfani da antidepressants da antionvulsants don magance ciwo na kullum
Magungunan maganin adjuvant shine magani ne wanda ba a tsara shi ba don sarrafa ciwo amma ana iya amfani dasu don wannan dalili. Wasu misalai na magungunan adjuvant sune magunguna kamar magungunan antidepressants da antonvulsants . Ana iya kiran su coanalgesics.
Za a iya sanya maka wani maganin rigakafi mai ban sha'awa tare da sauran magunguna , ko a kansa. Adjuvant analgesics ba su da wata tasiri ga ciwo na musculoskeletal, irin su ciwon baya ko ciwon haɗin gwiwa.
Duk da haka, zasu iya aiki da kyau don ciwo da kuma ciwon ciwo, kamar fibromyalgia . Har ila yau, suna da tasiri wajen magance ciwon daji. Ba kamar sauran tsoffin cuts na analioci ba , adjuvant analgesics ba su samuwa akan counter.
Nau'in Adjuvant Analgesics
Antidepressants
Duk da yake ba a taba tunanin magungunan antidepressants a matsayin magani na ciwo ba, za su iya magance yanayin ciwo mai tsanani. Anyi zaton ana amfani da antidepressants akan yadda ake ganin ciwo daga ƙwaƙwalwar ƙwayar kwakwalwa zuwa kwakwalwa. Bugu da kari, antidepressants na iya rage damuwa da kuma taimakawa wajen daidaita barci.
Duk da haka, ba dukkanin maganin antidepressants na da tasiri a kula da ciwo na kullum . Tricyclic antidepressants (TCAs) irin su amitriptyline, masu zaɓin masu sintiri na serotonin (SSRIs), kamar duloxetine, da sauransu, irin su nefazodone, ana amfani dasu don magance duka ciwo na ciwo da kuma ciwo na jijiya. Monoamine oxidase inhibitors (MAOIs) ba su da tasiri a kulawar ciwo ta kullum.
Anticonvulsants
Wadanda suke da magungunan ƙwayoyin magungunan da ake amfani dasu don sarrafa cututtuka, za a iya amfani da su don magance ciwo na kullum. Masu amfani da ƙwayoyin cuta suna aiki ne ta hanyar ba da izinin wasu nau'in jijiya, kuma zasu iya rage yawan ciwon neuropathic, irin su wadanda ke haifar da neuralgia ko cutar neuropathy.
Masu amfani da kwayoyin da ake amfani dasu don magance ciwon daji na yau da kullum sun hada da gabapentin da pregabalin.
Gabapentin shine mafi yawan maganin analysic adjuvant. Wasu marasa lafiya wadanda ba su amsa da kyau ga gaba daya ba su amsa ba maimakon suyi tunani, kuma suna nuna gaskiya.
Wadanne Ra'ayin Gwiwwalwa Ne Suke Biyan Magunguna?
Littafin littafin Oxford na Medicine Medicine da kuma Merck Manual sune jerin analgesics adjuvant don magance matsalolin ciwo:
Adjuvants Used for Multiple Types of Pain Syndromes
- Corticosteroids
- Dexamethasone
- Prednisone
- Tidicclic anticpressants
- Amitriptyline: ba da shawarar ga tsofaffi ko marasa lafiya da ciwon zuciya.
- Desipramine
- Serotonin mai zaɓin zabi da magungunan antigenpressants na norepinephrine regetake (SNRI)
- Duloxetine: An fi dacewa fiye da tricyclic antidepressants.
- Milnacipran
- Alfahari-2-adrenergic agonists
- Tizanidine
- Magungunan maganganu: ana iya amfani da capsaicin don jin zafi neuropathic da arthritis.
- Abubuwan bincike na gida: kamar lidocaine patch
Adjuvants Used for Neuropathic Pain
- Antiepileptic jamiái
- Gabapentin: Wannan ita ce likita da aka fi so da anticonvulsants.
- Pregabalin
- Carbamazepine: wannan shine maganin farko don maganin neuralgia.
- Phenytoin: wanda ake la'akari da ita shine miyagun ƙwayoyi na biyu.
- Valproic acid: amfani da ciwon kai.
- Clonazepam
- Lamotrigine
- Topiramate
- Tiagabine
- Oxcarbazepine
- Lacosamide
- Mai karɓar mai karɓa na NMDA
- Memantine
- Ketamine
- Dextromethorphan: An yi amfani dashi yayin da ciwon yana da wani abu mai kumburi.
- Oral sodium channel blockers
- Mexiletine
- Tocainide
- Baclofen: An yi amfani dashi neuralgia.
Calcitonin
Amfani da Adjuvants don Ciwo na Ciwo na Yanki na Yanki
- Calcitonin
- Clonidine
- Prazosin: Kashe zafi daga ciwon daji
- Bisphosphonates ( misali , pamidronate)
- Calcitonin
- Radiopharmaceuticals
Kalma Daga
Idan kana mamaki dalilin da ake amfani da magunguna daban-daban don magance ciwo na kullum, tambayi likita ko likitan kafar don bayyana. Binciken biochemistry zai iya zama mai rikitarwa, amma za a iya tabbatar maka cewa kana karbar magunguna masu dacewa da zasu aiki tare don samar da taimako na jin zafi.
> Sources:
> Lussier D, Portenoy RK: Adjuvant Analgesics. A cikin Doyle D, Hanks G, Cherny NI, Calman K (eds): Littafin rubutu na Oxford na Medicine Medicine. Oxford: Oxford University Press, 4th Ed, Oxford: Oxford University Press, 2011.
> Markman, J, et. al. Tratment na Pain. Merck Jagoran Mai Nuni. http://www.merckmanuals.com/professional/neurologic-disorders/pain/treatment-of-pain.