Zvinorambidzwa Kushandisa Mishonga Inorwisa Kuora Mwoyo
Kushandisa mishonga inorwisa kuora mwoyo inzira inoshanda yekurapa zvirwere zvakasiyana-siyana zvepfungwa, zvakaita sekuora mwoyo, kuzvidya mwoyo, uye chirwere chepfungwa chinokonzeresa kushushikana. Zvisinei, havasi vanhu vese vakachengeteka kushandisa mishonga iyi. Kufanana nemishonga ipi zvayo, mishonga inorwisa kuora mwoyo ine zvimwe zvinhu zvinokanganisa kushandiswa kwayo. Muchinyorwa chino, tichakurukura zvinhu zvakasiyana-siyana zvinorambidza kushandiswa kwemishonga inorwisa kuora mwoyo, kusanganisira zvimwe zvirwere, kusangana kwemishonga , uye huwandu hwevanhu hunofanirwa kufungwa nezvahwo.
1. Mamwe Matambudziko Ehutano
A. Dambudziko reBipolar
Kushandiswa kwemishonga inorwisa kuora mwoyo muvanhu vane chirwere chebipolar kunogona kukonzera manic episodes. Saka, kana munhu akaonekwa kuti ane chirwere chebipolar, mishonga inorwisa kuora mwoyo inofanira kutorwa nekungwarira kwakanyanya uye kazhinji inoda kutarisirwa nachiremba. Kurapa pamwe chete nemishonga inosimbisa mafungiro senge lithium kana mishonga inorwisa kukotsira kunowanzo kurudzirwa kudzivirira njodzi iyi.
B. Pfari
Mimwe mishonga yekuora mwoyo, yakaita sebupropion, yakaratidzwa kuti inoderedza mukana wekufa nechirwere chepfungwa. Izvi zvinoisa njodzi kune vanhu vane nhoroondo yepfari kana mamwe matambudziko ekuora mwoyo. Saka, zvakakosha kuzivisa chiremba wako nezvenhoroondo yepfari usati watanga kurapwa nekuora mwoyo.
Kune varwere vane zvirwere zvemwoyo, zvakaita sechirwere chemwoyo kana kuti arrhythmias, kushandiswa kwemamwe mishonga yekudzora kushungurudzika kunogona kurambidzwa. Mishonga yekudzora kushungurudzika yeTricyclic (TCAs) yakaita seamitriptyline nenortriptyline inogona kuita kuti zvirwere zvemwoyo zviwedzere kuipa. Mumamiriro ezvinhu aya, vanachiremba vanogona kungwarira pakunyora mishonga uye kusarudza mishonga yekudzora kushungurudzika ine chimiro chakachengeteka chemwoyo, senge SSRIs (Selective Serotonin Reuptake Inhibitors).
2. Kudyidzana Kwemishonga
Mishonga yekuora mwoyo inogona kushanda pamwe chete nemimwe mishonga yakasiyana-siyana, izvo zvinogona kuwedzera njodzi yemigumisiro kana kuderedza kushanda kwemishonga . Zvimwe zvekungwarira zvinosanganisira:
A. MAOIs neSSRIs
Kushandisa monoamine oxidase inhibitors (MAOIs) pamwe chete neSSRIs kunogona kukonzera serotonin syndrome, chirwere chinogona kuisa upenyu panjodzi chine zviratidzo zvakaita sekusagadzikana, kudedera, kudikitira zvakanyanya, kurova kwemoyo kwakanyanya, uye kuchinja kwepfungwa. Saka, musanganiswa uyu unofanirwa kudzivirirwa, uye nguva yekupedzisira inodiwa kana uchichinja kubva kune mumwe mushonga kuenda kune mumwe.
B. Mishonga Inoderedza Kubuda Kweropa
Varwere vanotora mishonga inorwisa ropa rakaita sewarfarin vanofanira kungwarira SSRIs neSNRIs, sezvo mishonga iyi inogona kuwedzera njodzi yekubuda ropa. Kusangana uku kunoitika nekuti mishonga inorwisa kuora mwoyo inogona kukanganisa metabolism yemishonga inorwisa ropa rakaita sere, nokudaro ichiwedzera nguva yeprothrombin uye kuwedzera njodzi yekubuda ropa mudumbu.
C. Mishonga yekurwisa pfungwa
Kusanganisa mishonga inorwisa kuora mwoyo nemishonga inorwisa pfungwa, yakadai se risperidone kana haloperidol, kunofanira kuitwa nekungwarira. Kusanganiswa uku kunogona kuwedzera njodzi yemigumisiro yakadai se extrapyramidal symptoms (EPS) uye neuroleptic malignant syndrome, zvose izvi zvinoda kurapwa nekukurumidza.
3. Zvezera uye Zvine chekuita neHuwandu hwevanhu
A. Vana neVechidiki
Kunyangwe mimwe mishonga inorwisa kuora mwoyo, yakaita se fluoxetine, yakatenderwa kushandiswa kuvana nevechiri kuyaruka, pane mukana wakawedzerwa wekufunga kuzviuraya muboka iri rezera. Saka, kushandiswa kwemishonga inorwisa kuora mwoyo kuvana nevechiri kuyaruka kunofanira kuitwa pasi pekutarisirwa kwakasimba nachiremba wepfungwa wevana.
B. Vakwegura
Muvanhu vakuru, kushandiswa kwemishonga mumuviri uye kubuda kwayo mumuviri kunowanzoderera, izvo zvinogona kuwedzera njodzi yemigumisiro yakaipa . Uyezve, vanhu vakuru vanowanzo tora mishonga yakawanda yemamwe matambudziko ehutano, zvichiwedzera njodzi yekudyidzana kwemishonga. Kugadziriswa kwemuyero uye kusarudza mishonga yakachengeteka yekudzora kushungurudzika matanho akakosha mukurapa boka iri rezera.
C. Vakadzi vane pamuviri uye vanoyamwisa
Kushandisa mishonga yekuderedza kushungurudzika panguva yekuzvitakura nekuyamwisa kunogona kuisa njodzi kumwana ari mudumbu kana mwana ari kuyamwa. Semuenzaniso, mimwe mishonga yekuderedza kushungurudzika yeSSRI yakabatana nenjodzi yekutadza kushanda zvakanaka kwemoyo wemwana ari mudumbu kana ikashandiswa mumwedzi mitatu yekutanga yekuzvitakura. Saka, kubvunza chiremba wezvekubereka nevana vepfungwa kwakakosha usati wasarudza kushandisa mishonga yekuderedza kushungurudzika panguva yekuzvitakura nekuyamwisa.
4. Matambudziko Epfungwa Nekushandisa Zvinetso Zvisina Kunaka
A. Nhoroondo yekushandiswa zvisina kunaka kwezvinodhaka
Vanhu vane nhoroondo yekushandisa zvinodhaka zvisina kunaka, kunyanya mamwe marudzi ekudhakwa akadai sedoro nebenzodiazepines, vari panjodzi huru yekupindwa muropa nezvinodhaka zvinoderedza kushungurudzika. Semuenzaniso, bupropion inozivikanwa kuti inogona kushandiswa zvisina kunaka mune vamwe vanhu. Saka, kusarudza mishonga inoderedza kushungurudzika uye kunyatsoongorora kwakakosha.
B. Matambudziko Ekudya
Kune vanhu vane matambudziko ekudya akadai seanorexia nervosa kana bulimia, kungwarira kwakakosha pakushandisa mishonga inorwisa kuora mwoyo inogona kukanganisa chishuwo chekudya uye huremu, yakadai semirtazapine. Kunyatso tarisa uye nzira dzakasiyana-siyana dzinosanganisira chiremba wepfungwa nenyanzvi yezvekudya zvinowanzo dikanwa.
Mhedziso
Kushandiswa kwemishonga inorwisa kuora mwoyo kunofanira kuitwa nekungwarira uye kufunga nezvezvimwe zvinhu zvisingabvumirwi. Izvi zvinosanganisira mamiriro ezvinhu chaiwo ehutano, kudyidzana kwemishonga, uye zvinhu zvepfungwa zvevanhu. Kunyange zvazvo mishonga inorwisa kuora mwoyo ichigona kupa mabhenefiti makuru mukurapa zvirwere zvepfungwa, kuziva nezvezvipingamupinyi izvi kwakakosha kuderedza njodzi yemigumisiro uye kuona kuti kurapwa kwacho kwakakodzera.
Kana uchitarisana nematambudziko akaomarara epfungwa, zvinokurudzirwa kuti ugare uchibvunza nyanzvi yezvekurapa usati watanga, uchichinja, kana kurega kurapwa kwekuora mwoyo. Mabhenefiti emishonga yekuora mwoyo anogona kuwedzerwa chete kana njodzi dzichidzikira.
