Chii Chingaita Kana Kushungurudzwa Kwakaitika Nenguva Isingaiti kana Kwete
Kuora mwoyo kunogona kuva nzira inobatsira yekurapa kuora mwoyo, kuzvidya mwoyo, uye zvimwe zvinetso zvepfungwa kana zvichishandiswa zvakanaka uye zvichitorwa muzvirevo zvakatemwa. Asi migumisiro inogona kukuvadza, uye kunyange inotyisa kana inotorwa zvakanyanya kana inoshandiswa nedoro kana mishonga.
Anodzvinyirira angave achishandisa zvisina kunaka nechinangwa chokuzviuraya. Vamwe vachavashandisa zvisina kunaka kuti vawedzere kugadzirisa mafungiro avo, zvichibva pakuwedzera kushamwaridzana uye kushamwaridzana ne "nguva-bending" kukanganisa.
Zvose izvi zvinowanzoonekwa nevakuru vekare tricyclic antidepressants (TCAs) , kunyange zvazvo sarotonin reuptake inhibitors (SSRIs) itsva inosarudza zvakare inogona kushandiswa zvisina kunaka.
Anodzvinyirira uye kuzviuraya
Chirongwa chemishonga chechirongwa chekuda kuzviuraya kwehuwandu hwekuzviuraya nekudarika kwepamusoro nema antidepressants kuva imwe yemhando dzakawanda dzinoshandiswa. Zvimwe zvingaratidza zvinoratidza kuti vazhinji vezvitatu zvezvose zvinodhaka zvinodhaka zvinosanganisira TCA.
Chimwe chidzidzo chakaitwa muna 2010 neCent for Research Surveillance muOxford, England chakatsvaga kuziva kuti ndezvipi zvinodhaka zvinodhaka zvinosangana nekuzviuraya kana kuedza kuzviuraya. Nokudaro, vatsvakurudzi vakavhiringidza kuburikidza nemishumo ye coroner uye zvinyorwa zvekugamuchira zvipatara mune zvipatara zvitanhatu muUnited Kingdom uye Wales kubva muna 2000 kusvika muna 2006.
Zvavakawana ndezvekuti maTCA aiva nehuwandu hwehutano hwakanyanya uye huwandu hwakanyanya hwehupfumi huenzaniswa neSSRIs nedzimwewo makirasi evanhu vanodzvinyirira.
Izvi zvaive zvakanyatsoitika kune zveTCA zvinodhaka Prothiaden (dosulepin) uye Silenor (doxepin). Pakati peSRRIs, Celexa (citalopram) yakaratidzwa kuva nechepamusoro pekutyisa uye kushaya huwandu.
Zvakanga zvichitarisira kuti nekunyatsonzwisisana nengozi dzekubatana, vanachiremba vaizosarudza kunyanya pakurondedzera vanodzvinyirira kune vanhu vari pangozi yekuzvikuvadza nekuzviuraya.
Kuzviuraya Pfungwa
Kune rumwe rutivi, US Food and Drug Administration yakada kuti pane bhokisi dema rinyeverwe pamusoro pevanhu vose vanorwara nehana nekuda kwehuwandu hwekuzviuraya mukati mevana, vechidiki, uye vechidiki vaduku. Munyaya iyi, vanhu vanotora SSRIs vanoonekwa kunge vari pangozi duku.
Kuzviisa pfungwa zvinowanzoitika mumazuva ekutanga nemavhiki ekurapa, zvinoda kutarisirwa kwepedyo nevabereki, vatarisi, kana nhengo dzemhuri kusvikira migumisiro yezvinodhaka ichipinza zvachose.
Pamusoro peflip side, kusagadzikana kusinganzwisisiki kwevanhu vanodzvinyirira kunoonekwa kuwedzera kungozi yekuzviuraya ne500 muzana uye mungozi yekuedza kuzviuraya ne700 muzana. Kunyanya kupfurikidza kubva kune mishonga kunodiwa kuchengetedza izvi.
Nzira Yokutaura Nayo Kana Mumwe Munhu Akadarika
Zvingave kuti munhu akanganisa kana kuti ane chido chokudarika, zviratidzo zvichange zvichinyorova uye zvisingazivikanwi mumaawa okutanga kana maviri uye zvishoma nezvishoma zvinowedzera mumaawa ekuungana.
Zviratidzo zvekutanga zvinowanzotambudza, kubatwa, kuoma muromo, kushungurudzika, kuora musoro, kurutsira, nekurambana, izvo zvose zvinogona nyore kuonekwa kune zvimwe zvinokonzera. Imwe yemapuranga matsvuku ekutanga angave ekukurumidza uye kusina kuchena kwemoyo (tachycardia), chiitiko chisingawanzoonekwi kune vechidiki.
Kana kudarika kwepamusoro kuchifungidzirwa, kusanganiswa kwezviratidzo izvi kwaizotendera kushanyira zvakananga pane imwe nzvimbo yepamhanho.
Sezvo zvinowedzera zvinokonzera kuipa, zviratidzo zvinogona kusanganisira:
- Kusanganiswa
- Delirium
- Hallucinations
- Kutuka
- Kuvhiringidza kweziso maziso
- Kuramba kuchiwedzera kuomesa mwoyo (dysrhythmia)
- Kuporesa kunetseka
- Kugumburwa
- Kusanzwisisa
- Coma
Kuora mwoyo, mwoyo dysrhythmia, kuporesa kushungurudzika, uye coma inoonekwa sezvinetso zvinotyisa zvikuru.
Emergency Treatment for Overdose
Emergency intervention interventions ingangosanganisira kuedza kupomha dumbu romunhu uye kupa moto wakashandiswa kuti uwane zvinodhaka zvinosara.
Zvose izvi zvinofanira kuitwa mukati meawa yekutanga. Intravenous sodium bicarbonate nemimwe mishonga ingarongedzerwa kurwisa zvinokonzerwa nemishonga. Dialysis haiwanzobudirira kune vanhu vakanyanyisa kuora mwoyo.
Kana munhu wacho akadzikama, iye kana aizoiswa muchina chekuchengetedza zvakanyanya (ICU) kwemaawa asingasviki gumi nemaviri uye akasunungurwa chete mushure mekunge electrocardiogram (ECG) inoramba iri yakakwana kwemaawa makumi maviri nemaviri. Kusati kwasunungurwa, kupindira kwakakodzera kwepfungwa uye / kana kushandisa zvinodhaka kwaizoshandurwa pasinei nokuti kudarika kwaiitwa kana kuti kwete.
> Sources:
> Friedman, R. "Antidipressants" Black-Box Warning - 10 Years Later. " New England Journal of Medicine . 2014; 371: 1666-68; DOI: 10.1056 / NEJMp1408480.
> Hawton, K .; Cooper, J .; Mvura, K. et. al. "Kuora mwoyo kwevanhu vanodzvinyirira: mahara ekuzviuraya maererano nekunyoresa uye kusingafariri kudarika." British Journal of Psychiatry . 2010; 196 (5): 354-58; DOI: 10.1192 / bjp.hp.109.070219.