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Mishonga inoshanda kwazvo yekukubatsira kurega kunwa

Zvinodhaka Info

Doro rekushandisa kusagadzikana (AUD) inyaya iri kukura yehutano muUnited States; zvinofungidzirwa izvozvo vanopfuura 6% yevakuru zvakakanganiswa. Nepo kupora kusiri nyore, kune nzira dzakasiyana siyana dzekurapa dzinogona kubatsira-uye dzinoenda kupfuura gumi-nhanhatu zvirongwa uye mu-murwere kugadziriswa. Kune parizvino mishonga mitatu yekunwa doro yekushandisa doro kunogamuchirwa ne Kudya neDrug Administration (FDA), pamwe nemimwe mishonga iyo vamwe vanachiremba vanoshandisa off-label yezvinetso zvekunwa.

Hezvino izvo zvaunoda kuti uzive nezve iyo mishonga iyo inogona kukubatsira iwe kurega kunwa uye kwaungaenda kuti ubatsirwe.

3 FDA-inogamuchirwa mishonga yekushandisa doro kusagadzikana

Iyo FDA yakabvumidza inotevera mishonga yekubatsira nedoro rekushandisa kusagadzikana.

1. Campral (acamprosate)

Acamprosate inogona kubatsira vamwe vanhu vane AUD kurega kunwa nekuderedza zvishuwo uye kudzikisira mubairo wepfungwa kubva kudoro. Iyo inowanzo kutorwa mufomu yepiritsi katatu pazuva.

2.Vivitrol (naltrexone)

Zvakafanana neacamprosate, chivero inobvisa mafaro vanhu vane AUD ruzivo kubva kudoro, nekudaro ichideredza shungu yekunwa. Inowanikwa sepiritsi yezuva nezuva, jekiseni remwedzi, uye kuburikidza neyakaiswa mushonga.

3. Antabuse (disulfiram)

Disulfiram piritsi raunotora kamwe pazuva kana warega kunwa kwemaawa gumi nemaviri. Inodzivirira metabolism yedoro uye pakupedzisira inokuita iwe unorwara zvakanyanya kana ukanwa paunenge uri pamushonga.

Ndeapi mishonga anogona kukubatsira kurega kunwa?

Pamishonga inogamuchirwa neDFA yakanyorwa pamusoro, mushonga unoshanda zvakanyanya kwauri unobva pazvinhu zvakasiyana siyana, kusanganisira kuti wakamira here kunwa kare, nhoroondo yako yehutano, uye bhajeti rako.

Disulfiram ndiwo mushonga wekare wakabvumidzwa weAUD muUnited States. Nekudaro, yakadonha kubva mukufarirwa nevamwe vanachiremba nekuda kwekuranga kwakanyanya kwaunoita munhu kana akatsvedza akanwa doro, zvinova zvakajairika panguva yekupora.

Izvo zvakaita sekusvitsa muhari yekuki, uye chirongo chekuki chinotyora ruoko-haunzwisisike kuti upinde zvakare, anodaro Harshal Kirane, MD , director wevashandi vekupindwa muropa paStaten Island University Hospital. [Zvisinei], disulfiram haisiyo sarudzo yakanakisa yevarwere nekuti chero doro rinonwa uye rinopinda muropa, kungave kuburikidza nekunwa, kushandisa doro mukubika kana kunyatsogadzirisa maoko.

Acamprosate uye naltrexone yakaratidzirwa kuva nehunhu hwakafanana, anodaro Robert Brown, MD , hepatologist uye director weCentre yeLiver Disease uye Transplantation kuNewYork-Presbyterian / Weill Cornell Medical Center, asi pane mimwe misiyano yekuziva nezvayo: Kubatsira kwe naltrexone ndeyekuti [inotorwa] kamwe zuva nezuva, izvo zvinobatsira kuvandudza kutevedzera murwere. , uye pane data [kuratidza] kuti rinoshanda kunyangwe kana munhu achiri kunwa pavanotanga mushonga, anodaro. Asi ini ndinowanzo gadza acamprosate yakawanda kupfuura naltrexone nekuti kana murwere ainewo dambudziko nemaopioid, havakwanise kutora naltrexone.

Mutengo unogona zvakare kuve chinhu mukufunga kwako. American Family Physician yakawana kuti kupa kwemwedzi mumwe generic acamprosate kunodhura madhora makumi mashanu nemashanu, kwakati kwirei kudarika generic naltrexone, iyo inodhura madhora makumi mana nemashanu pamwedzi wemapiritsi.

Off-label mishonga yekuderedza kunwa

Vanachiremba vanogona zvakare kunyorera mimwe mishonga yekushandisa-isiri-label kubatsira varwere kurega kunwa. Izvi zvinoreva kuti FDA haina kuona kuti mushonga uyu wakachengeteka kana kuti unoshanda padambudziko rekushandisa doro, asi mupi wezvehutano afunga kuti mishonga inokodzera murwere wavo .

Iyi mishonga inowira zvakanyanya mukirasi yemishonga inozivikanwa seyakagadzikana mafungiro, senge topiramate , Lamictal,uye Trileptal , anotsanangura Dr. Kirane. Humbowo hwekuti mishonga iyi inogona kubatsira ishoma uye inowanzouya kubva kune zvidiki, zvisina kufukidzwa zvidzidzo. Ivo vanofanirwa kunyatso kutariswa kana mumwe munhu asiri kuwana iyo mimwe mishonga kuti inyatso kushanda.

Baclofen , mushonga unoshandiswa kurapa mhasuru, unogona zvakare kuve mushonga unoshanda wekunwa doro kusagadzikana. Izvi zvinonyanya kubatsira kune varwere vane chirwere chechiropa chakakwirisa, sezvo baclofen inonyanya kugadziriswa muitsvo, anodaro Brown.

Zvimwe zvinwiwa zvekushandisa kusagadzikana kurapwa sarudzo

Iko hakuna-saizi-inokodzera-yese kurapwa kune vanhu vanoshuvira kudzora kunwa. Mishonga, nepo inogona kubatsira, inogona kunge isingaite mashiripiti bara yekushandisa doro zvisina kufanira.

Counselling, hunhu hunotsigira, uye mishonga zvinofanirwa kunge zviri patafura kuti uwane nzira ine simba yekurapa isingangosangana nezvinodiwa nevarwere pavanopinda kurapwa, asi inogona kushanduka sezvavanoramba vachivandudza nekukura, Dr. Kirane anodaro.

Kana iwe uchinetseka nedambudziko rekunwa, shanda nachiremba wako kukudziridza chirongwa chekusiya. Iwe unogona zvakare kutsvaga rutsigiro kubva Alcoholics Anonymous uye iyo Inhare yeNyika yeNhare yeSAMHSA, iyo Kushungurudzwa Kwezvinodhaka uye Mental Health Services Administration .