Mapiritsi Anodzivisa Kunwa Doro
Vakawanda vanonwa doro avo vakava doro rekudhakwa pane kuedza kurega ruzivo kwete kungosiya zviratidzo asi vanotaurawo kuti vane chido chekudhakwa. Ichi chido chewaini ndechimwe chezvikonzero izvo ruzhinji rwevaya vanoedza kurega kunwa kunokundikana kuita saizvozvo nguva yekutanga vanoedza.
Mishonga yekuda Doro
Parizvino, mishonga mitatu chete inobvumirwa neDDA yekurapa doro, pamwe chete neye dzimwe nguva inorayirwa kune-off-label use, uye zvimwe zviri kudzidzwa.
- Naltrexone : Inotengeswa seRevia mufomu yemapiritsi uye Vivitrol sejoi yemwedzi kamwe chete, inoshanda nekudzivirira muuropi "yakakwirira" iyo vanhu vanoona pavanonwa doro. Nokudzivisa zvinonakidza uyo anonwa anogamuchira kubva kunwa doro uye mubayiro wekupindurwa mupfungwa muuropi, naltrexone pakupedzisira inoderedza zvishuwo.
- Campral ( acamprosate ) ndiyo chete mishonga inowanikwa muU.S. inoti inoderedza kunwa doro . Iko kunoderedzawo kutambudzika mumuviri uye kushungurudzika mupfungwa vanhu vanowanzoona pavanorega kunwa. Iyo Campral inoshanda sei kuderedza kushuva kwedoro zvisina kunyatsonzwisiswa, asi vatsvakurudzi vanodavira kuti inobatsira kugadzirisa kusawirirana kwemakemikari muuropi mupiro wehutano hunochinjwa nekushandiswa kwekushandisa doro kwenguva refu. Campral haibatsiri mumwe munhu kurega kunwa. Iyo inorayirwa (kazhinji katatu mapiritsi anobudiswa nguva pazuva) kune avo vakatorega kunwa doro. Nemhaka yokuti migumisiro yacho ine unyoro uye inobvumirirwa, inowanzotarisirwa kwemwedzi 12 kusvika shure kunwa doro.
- Antabuse (disulfiram) inoshanda nekukonzera chirwere chakaipa kana mumwe munhu achitora mishonga inodya doro. Panzvimbo pokuderedza kushuva, inosimbisa kudzvinyirira doro nekuda kwezviitiko izvi zvinokanganisa apo iwe unwa doro. Dzinosanganisira kusvetuka, kushungurudza, kusutsa, musoro, uye palpitations. Ikoko kunogona kuitika zvakanyanya, saka zvinogona kuponeswa kuti zvishandiswe kune varwere vane ngozi yakawanda, kana paunopinda mumamiriro ezvinhu akaipisisa sepati apo panenge paine doro.
- Topiramate haisati yava FDA-inogamuchirwa mukurapa doro rinodhakwa. Iyo antiepileptic mishonga yakaratidza chivimbiso mumatambudziko akafanana ne naltrexone. Vanachiremba vanogona kuisa iyo-off-label yekudhakwa kunwa doro.
Mimwe mishonga iri kudzidzwa kuderedza zvido zvinosanganisira gabapentin, baclofen, nalmefene, sarotonin reuptake inhibitors (SSRIs), uye ondansetron.
Kusanganiswa neKutenda Kwokuita uye Zvirongwa Zvitanhatu
Zvinofanira kuonekwa kuti nhengo dzakawanda dzeAlcoholics Anonymous dzinotaura kuti kuda kwavo doro kwakabviswa kuburikidza nehupenyu hwekushanda chirongwa chegumi chechipiri, pasina mishonga.
Sezvazvinotaura mubhuku rinonzi "Inoshanda Sei" chikamu cheBhuku Guru : "... zviitiko zvedu zvekare kare uye pashure pacho zvinojekesa pfungwa nhatu dzakakosha: (a) Kuti taiva doro uye taisagona kutarisira hupenyu hwedu. (B) Zvichida hapana simba revanhu raigona kubvisa kudhakwa kwedu. (C) Kuti Mwari aigona uye aizodai kana Akatsvakwa. "
Kuva nhengo yeAA nekushanda chirongwa chechikamu chegumi nematanhatu hazvireve kuti iwe haugoni kutora mishonga kuti ubatsire kuderedza zvaunoda. Kubatanidzwa kwemishonga uye kubatsirana kweboka kunoburitswa nekutsvakurudza kuti zvive nezvibereko zviri nani .
> Sources
- > Donovan DM, Anton RF, Miller WR, Longabaugh R, Hosking JD, Youngblood M. Akabatanidza Pharmacotherapies uye Maitiro Okuita Kuti Kunwa Doro Kubatsire (Chidzidzo cheKOMBINE): Kuongororwa kweKuberekwa Kwekudhakwa Kwekudhakwa. Zvinyorwa zveStudio Doro uye Zvinodhaka . 2008; 69 (1): 5-13. doi: 10.15288 / jsad.2008.69.5.
- > Jonas DE, Amick HR, Feltner C, et al. Pharmacotherapy yeVanhu Vakuru neAdharo Kushandiswa Kwemishonga muChepfeent Settings. Jama . 2014; 311 (18): 1889. doi: 10.1001 / jama.2014.3628.
- > UpToDate. Pharmacotherapy yekudhakwa kushandiswa kwedoro.