Puas tuaj yeem kho mob vwm?
Qhov tseeb, feem ntau qaug dab peg tuaj yeem tswj tau thiab qee qhov tuaj yeem kho tau. Kwv yees li 1/3 ntawm cov neeg mob qaug dab peg muaj tshuaj tiv thaiv kab mob qaug dab peg, thiab 60-80% ntawm cov neeg mob qaug dab peg ntawm lub cev tuaj yeem tswj tau tag nrho tom qab kev phais. Tsis tas yuav ntshai heev ntawm kev qaug dab peg, tsuas yog mob siab kho nws.
Kev hais lus kho mob, qaug dab peg yog cov tsos mob tshwm sim thaum qhov sib npaug ntawm kev ua kom zoo siab thiab kev cuam tshuam ntawm cov neurons cuam tshuam.
New York Mount Sinai Tsev Kho Mob tau xam phaj Steven. M. Wolf, tus kws tshaj lij ntawm cov neeg mob qaug dab peg, thiab Patricia McGoldrick, tus thawj coj ntawm Lub Chaw Pabcuam Kev Loj Hlob ntawm Mount Sinai Tsev Kho Mob, hais txog kev mob vwm, thiab tau tham txog ntau yam kev kho mob vwm thiab lawv cov kev xaiv.
Thiab kawm tau tias ntxiv rau cov tshuaj, Vagus Nerve Stimulation (VNS) yog siv los kho mob vwm.
Mount Sinai Tsev Kho Mob tau tsim nyob rau xyoo 1852 thiab yog ib lub tsev kho mob loj tshaj plaws thiab loj tshaj plaws hauv Tebchaws Meskas. Lub tsev kho mob nto moo rau nws txoj kev ua tiav zoo hauv kev kho mob, kev qhia thiab kev tshawb fawb tshawb fawb. Hauv 2015-2016 "Tebchaws Asmeskas Xov Xwm thiab Xov Xwm Ntiaj Teb" Honour Roll, Mount Sinai Tsev Kho Mob tau sawv tawm ntawm ntau lub tsev kho mob hauv New York thiab yeej qhov thib peb hauv Greater New York Hospital Ranking.
Q: Yuav xaiv cov tshuaj kho mob li cas?
Xib fwb Wolf:Feem ntau, qaug dab peg tuaj yeem kho nrog cov tshuaj kom muaj kev sib npaug ntawm neuronal excitation thiab inhibition. Cov tshuaj tiv thaiv kab mob epileptic cuam tshuam rau qib excitation ntawm neurons hauv hlwb los ntawm kev nce lossis txo cov nqi ntawm cov neurotransmitters. Hauv qab no, hauv kuv tsab xov xwm "Kev Siv Tshuaj Siv Hauv EPILEPSY" luam tawm nyob rau hauv EP MAGAZINE magazine, kuv tham txog cov ncauj lus kom ntxaws txog ntau hom kev mob vwm - los ntawm cov lus piav qhia thiab kev faib tawm kom raug, nws tuaj yeem pab koj xaiv cov tshuaj kho mob rau koj tsev neeg.
Q: Hais txog cov tshuaj tiv thaiv kab mob vwm, puas muaj qhov sib txawv loj ntawm kev ua tau zoo ntawm cov tshuaj generic thiab tshuaj patented (cov tshuaj tshwj xeeb thiab cov tshuaj dav dav)?
Xib fwb Wolf:American Academy of Neurology pom zoo kom siv cov tshuaj tshiab, uas yog, ntau hom tshuaj uas muaj patented, ntau dua li cov tshuaj siv tshuaj. Cov tshuaj nquag yog cov tshuaj uas muaj bioequivalent rau cov tshuaj patented, tab sis tam sim no tsis muaj kev sib piv ntawm kev ua tau zoo ntawm cov tshuaj generic. Yog li ntawd, ntau hom tshuaj generic tsis yog bioequivalent thiab tej zaum yuav ua rau qaug dab peg, txawm hais tias cov tshuaj generic feem ntau tsis tshua kim - kuv qhov kev pom zoo yog tias cov neeg mob tham txog tsev neeg lub peev xwm them thiab cov txiaj ntsig ntawm cov tshuaj tsom nrog lawv tus kws kho mob. Feem ntau ntau tsev neeg pib nrog cov tshuaj generic thiab yog tias nws ua tsis tau lossis tsis zoo, lawv hloov mus rau cov tshuaj npe tshuaj. Tseem muaj ntau tsev neeg uas tsis xav siv tshuaj generic. Nco ntsoov nug koj tus kws kho mob, "Vim li cas koj xaiv cov tshuaj no? Nws puas yog ib hom tshuaj lossis hom tshuaj npe?"
Gabapentin hmoovyog ib hom tshuaj gabapentin.Gabapentin yog ib yam tshuaj uas feem ntau siv rau kev kho mob qaug dab peg thiab mob neuropathic.It belongs rau cov chav kawm ntawm cov tshuaj anticonvulsant, uas txhais tau hais tias nws pab tswj qaug dab peg los ntawm stabilizing txawv txav ntawm lub hlwb. muaj txiaj ntsig hauv kev txo cov paj hlwb uas tshwm sim los ntawm cov hlab ntsha puas.
Nws ntseeg tau tias ua haujlwm los ntawm kev khi rau ib qho subunit (a26-1) ntawm voltage-gated calcium channels hauv lub hlwb.Qhov kev khi no txo qis kev tso tawm ntawm qee cov neurotransmitters koom nrog hauv kev xa cov cim mob, xws li glutamate, noradrenaline, thiab tshuaj. P.By modulating neurotransmitter tso tawm, gabapentin pab txo qhov txawv txav ntawm cov neurons thiab dampens mob teeb liab, ua rau nws cov teebmeem kev kho mob.
Gabapentin feem ntau tau sau tseg raws li kev kho mob ntxiv rau qee qhov qaug dab peg, ob leeg rau cov neeg laus thiab menyuam yaus. Tsis tas li ntawd, gabapentin tau tshawb fawb txog nws cov txiaj ntsig zoo hauv lwm yam mob.Nws yuav raug siv tawm ntawm daim ntawv lo rau kev tswj cov tsos mob cuam tshuam nrog cov ceg tsis xis nyob (RLS) ), fibromyalgia, migraines, thiab qee yam kev puas siab puas ntsws xws li kev ntxhov siab lossis kev puas siab puas ntsws bipolar.
Gabapentin,Cov tshuaj feem ntau siv rau kev kho mob qaug dab peg thiab mob neuropathic, tuaj yeem muaj ntau yam txiaj ntsig zoo rau cov tib neeg uas xav tau nws siv.Ntawm no yog qee qhov txiaj ntsig zoo cuam tshuam nrog gabapentin:
1. Mob nyem:Gabapentin muaj txiaj ntsig zoo hauv kev tswj cov mob neuropathic, uas yog qhov mob uas tshwm sim los ntawm kev puas tsuaj ntawm cov hlab ntsha. Nws tuaj yeem pab txo qhov mob los ntawm cov mob xws li mob ntshav qab zib neuropathy, postherpeticneuralgia (mob tom qab shingles), thiab peripheral neuropathy.
2.Kev tswj kev qaug dab peg:Gabapentin yog ib qho tshuaj antiepileptic uas pab tswj thiab tiv thaiv qaug dab peg. Nws feem ntau tau sau tseg tias yog kev kho mob ntxiv rau kev qaug dab peg ib nrab thiab tshwj xeeb tshaj yog muaj txiaj ntsig zoo rau cov tib neeg uas tsis teb zoo rau lwm cov tshuaj qaug dab peg.
3. Kev ntxhov siab txo:Gabapentin tau pom cov lus cog tseg hauv kev txo cov tsos mob ntxhov siab. lt yog qee zaum sau npe tawm-labelto tswj kev ntxhov siab xws li kev ntxhov siab dav dav thiab kev ntxhov siab hauv zej zog.lt tuaj yeem muab kev pab cuam los ntawm kev pab tswj qee cov neurotransmitters koom nrog kev ntxhov siab.
4. pw tsaug zog zoo:Ntau tus neeg uas muaj mob neuropathic lossis lwm yam mob hnyav tau tawm tsam nrog kev pw tsaug zog.Gabapentin tau pom los txhim kho kev pw tsaug zog zoo thiab kom muaj nuj nqis hauv qee tus neeg, tso cai rau kev so zoo dua thiab kev noj qab nyob zoo.
5.Mood stabilization:Gabapentin tau raug pom tias muaj kev xav tsis zoo nyob rau hauv qee tus neeg.lt tuaj yeem pab txo qis kev ntxhov siab, lub siab hloov pauv, thiab kev xav hloov pauv uas feem ntau cuam tshuam nrog cov xwm txheej zoo li kev puas siab puas ntsws bipolar.
Lub purity ntawm peb lub tuam txhab gabapentin ntxiv tuaj yeem ncav cuag 99%. Tsis tas li ntawd, peb cov nqi sib tw heev piv rau toother tuam txhab. Yog tias koj xav paub ntau ntxiv, tsis txhob yig tiv tauj nrog Xi'an Sonwu Biotech Co. Ltd.