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학습1:기초초급 학습2:중급고급 CCEF

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[1끊어읽기] Health Matters  

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We called
it fibrocytis
for inflammation
and used the anti-inflammatories
they did nothing.

Then as time used
muscle relaxants
and they helped
relax the muscles,
but they didn't do
anything
for the chemicals
in the brain.

And then we started
using Neurontin,
as seizure medicine
wich works pretty well,
and then the first approved medicine came out,
something called Lycica,
Which is an anti-seivure medicine,
but it also helps
pain perception.

And then we have
two others.

Cymbolta is one
that was initially approved
for depression.

And then a brand new one, Savella,
which is the first medicine
on the market
only for fibromyalgia
not for depression
and not for seizures.





Is it more
the central brain perceives...
perceives the pain
in a different way?

Or is it really the nerve endings?

In other words,
if you do
a block,
will you have
less pain or...?

No, it's really coming
from imbalance of chemicals
in the brain.

We know
of at least three chemicals
and probably more,
serotonin, norepinephrine and substance p,
and these are pain modulators.

If people don't have
enough of norepinephrine and serotonin,
these are chemicals
that help people feel less pain,
and they don't have
enough of this
in fibromyalgia. (섬유조직염)
 
and substance P
that stands for pain,
these patients have
too much of it.




So When you get that,
so if you put some people on
like for arthritis, (관절염)
you'll treat
those people
with that?

A anti-inflammatory, a pain medicine.(infla~, 염증성의)

and that does not useful
for that?

This medicine does not useful
at all.

We have to make
treatment
with medicine
that could affect
the pain chemicals
in the brain.

The trouble
when you do
that method
is that some of those medicines cause sedation, (진정작용)
and others cause
agitation, [동요]
the people to be excessive.

So, it 's very individual
from patients.

Now I figured out
there's new medicines out
for this symtom?

Or, just released medicines
in the past few years
What are they
and how do they work?










 

 

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