Kuongorora zvirwere zvepfungwa zvepfungwa dzechirwere chekunyanya kuzvidya mwoyo (GAD) kunobva pane imwe nzvimbo yekutsvakurudza inonzi "pharmacogenetics." Mumashoko ayo akareruka, nzvimbo iyi yekutsvakurudza inosanganisira kudzidza kuti mishonga inobatanidza sei nemajene akaberekwa.
Mune mamwe mazwi, vanhu vanosiyana mumhinduro dzavo kune mishonga yakasiyana-siyana mumashoko e pharmacokinetics, kunyatsoshandiswa kwechirwere kunogadziriswa sei, uye pharmacodynamics, kuti mushonga unoshanda zvakadini pane zvakananga muuropi-nekuda kwehupenyu hwavo hwakasiyana. mishonga inogona kunge yakachengeteka zvakakwana kune mumwe munhu, asi inokuvadza kune imwe.
Kana iwe wakamborayirwa mishonga yepfungwa, ungaziva kuti haisi sayenzi chaiye. Kazhinji inosanganisira nzira yekuedza uye kukanganisa, umo chiremba wako anoedza mutsva wemishonga kusvikira yakanakisisa ichizivikanwa. Chinangwa chemuitiro uyu mutsva wekufananidza mishonga kune yako genetic profile chinoda kubvisa nguva iyo yekuedza uye kukanganisa.
Kubatsirwa kweGenetic Testing for Psychiatric Medication
Zviri nyore kufungidzira kuti zvinobatsira sei kuziva kuti mishonga inoshanda zvakadini kwauri iwe usati wavatora.
Dr. Jim Kennedy weCent for Addiction uye Mental Health (CAMH) muToronto, Canada yakatsanangura kubatsira kwekuberekwa kwemazwi ekurapa kwepfungwa panguva yemusangano wehurukuro pamusoro peiyo mitsva yekutsvakurudza:
"Kushandisa mazita ezvemagetsi emitumbi yedu ... tinogona kuyera mubazi ... uye tanga kuedza kunzwisisa nyore nyore kunzwisirwa kunoitwa nachiremba wako kuti abatsire kuratidza kuti mishonga inobatsira sei murwere, uye mishonga ipi isingashande zvakanaka, uye inogona kuva nemamwe madambudziko akaipa. "
Muchidimbu, maitiro ekuongorora maitiro aya anobvumira chiremba wako kuti aite zvakanakira kurapwa kwako . Izvi zvinoreva kuti pachava nekusanyanya kuedza nekukanganisa pakunyorera mishonga yezviratidzo zvako. Izvi zvingagumawo nehupfumi hwehupfumi, pakuti apo mishonga inobatsira zvikuru inorayirwa, mari haisashandisi pane mamwe mishonga isingabatsiri.
CAMH, musangano pamwe neine genetics kuedza kushanda, iri kuenderera mberi nekutsvakurudza panyaya iyi, yakatungamirirwa naDkt. Kennedy. Tariro ndeyokuti munguva yemberi iri pedo, murwere wese achava nemuongorori wehutano hwechiitiko. Izvi zvichabatsirawo kuvandudza kuchengetedzwa kwevarwere, sezvo avo vari pangozi yemigumisiro yakaipa vachazivikanwa vasati vasarudzwa mamwe mishonga.
Kutsvakurudza Zvakawanikwa
Sezvakataurwa kuWorld Congress of Psychiatric Genetics muOrlando, FL munaOctober 2017, Tiwari nevamwe vashandi vakaratidza kuti kuongorora mazita ekurapa kwepfungwa zvepfungwa zvakagadzirisa zvakanyanya migumisiro yehutano hwehutano hwehutano husingaperi, uye kuderedza kushandiswa kwe benzodiazepines , mushonga wenguva pfupi nokuda kwokurapa kuzvidya mwoyo. Zvavakawana zvaive zvichibva pane imwe nyaya kubva kune Individualized Medicine: Pharmacogenetic Assessment uye Clinical Treatment (IMPACT) kudzidza uye MEDCO dataset.
Matanho muGenic Testing for Psychiatric Medication
MuImPACT Chidzidzo, icho chiri kuenderera mberi kuburikidza neCAMH, kuongororwa kwemazwi ekuberekwa kunoitwa kuburikidza nemuenzaniso weti, zvakaenzana nezvaunogona kuisa kune makambani akadai se23 neE ME. Chiyero chinogona kuratidza kuti iwe ungapindura sei pamishonga yakasiyana-siyana yepfungwa nemishonga ipi zvayo inogona kuitika.
Izvi zvinotsanangurwa zvichienderana nemararamiro ako uye kuti muviri wako unotarisirwa sei kushandisa mishonga yakasiyana.
Kunzwisisa Pharmacogenetics
Pharmacogenetics inosanganisira kutsvaga kuchinja kwemajeni kunogona kukanganisa pharmacokinetics kana pharmacodynamics. Pane kuchinja kwakasiyana-siyana mumakemikari anokanganisa kushandiswa kwemishonga inogadziriswa uye kuti inoshanda sei mumuviri. Vamwe vanhu vanogona kuputsa mishonga zvishoma nezvishoma, asi vamwe vanhu vanogona kuvashandisa nokukurumidza. Migumisiro inogona kuva mugumisiro wemishonga yakasara mumusana wepamusoro mumuviri, nokuti munhu haafaniri kuigadzirisa nokukurumidza.
Zvipingamupinyi Zvokushandisa
Chengongori, kuongorora mazita ekurapa kwemishonga kunogona kudhura kana iwe usina inshuwarisi yekuvhara. Mukuwedzera, kuwanika kwekuedza kuchava dambudziko kusvikira rudzi urwu rwekuedza ruchiva rwakawanda.
Shoko Rinobva
Zvakakosha kuziva kuti pasinei nekutsvakurudza kwakafanana neyekurondedzerwa pano, hakuchina humwe humwe uchapupu (dzakawanda randomized zvakapofumadzwa zvakapofumadzwa) kutsigira kushandiswa kwemazuva ano emararamiro ekuongorora maitiro ekurapa kwepfungwa.
Kana iwe uchida kukwidza nyaya iyi nachiremba wako, bvunza kuti iyo inowanika sei maitiro ehutachiona angangobatsira mukurapa kwako. Kuve murwere ane ruzivo kuchakubatsira kuti unzwe zviri nani mukudzivirira mitemo yako.
> Sources:
> Chirongwa Chekushaya Mishonga uye Mental Health. The Impact Study.
> Chirongwa Chekushaya Mishonga uye Mental Health. CAMH neAassurex Utano hutungamira hutano huripo kuti hurumende inoshandiswa muhutano huvepo kuCanada
> Healio Psychiatric Annals. GeneSight inovandudza kupindura kwehutano, inoderedza kushandiswa kwe benzodiazepine mukuzvidya mwoyo.
> Tiwari AK, et al. Kubatana kwemafaromasi ekuongorora kunowedzera huwandu hwehutano hwehutano hwehutano hwehutano uye huri kuderedza benzodiazepine kushandiswa. Yakapiwa pa: World Congress of Psychiatric Genetics; Oct. 13-17, 2017; Orlando, Florida.