Zvimwe Zvishandiso zveAnode-depressant
Isu tose tinoziva kuti zvinodhaka zvinoshandiswa kurapa kuora mwoyo , asi iwe unoziva kuti dzinowanzotarisirwa kune dzimwe zvirwerewo zvakare? Vanogonawo kushandiswa kukubatsira kurara, kubata zvinotambudza , kurega kusvuta, nokuda kwekutsamwa kwemapuviri, uye zvimwe zvinogona kushandiswa kubatsira kubvisa mamwe marwadzo.
Maitiro Avanoita
Kuora mwoyo kunoratidzika sekuita neurotransmitters muuropi, makemikari anokonzera mitsipa yeropa pakati pemasero europi, kana neuroni .
Muzviitiko zvakawanda, mishonga inoita kana inowedzera maverengi eurotransmitter pamusiyano pakati peeuron, unonzi synapse, kana kuchengetedza makemikari akareba kwenguva refu.
Nhoroondo
Yokutanga kuora mwoyo, isoniazid, yakatanga kushandiswa sechirwere chechirwere chetachiona, asi zvakava pachena kuti varwere vakanga vari kuitora kwaive nekukwirira kwepamusoro. Nemhaka yehutachiona hwehutachiona hwacho, hwakanga hwave hwakanyanyiswa mumakore ekuma1950 kusvika kunopedza kuora mwoyo.
Iproniazid, imwe yakagadzirwa, yaiva yekirasi yemishonga inonzi monoamine oxidase inhibitors (MAOIs) .Zvirudzo iyi yakashandura mushonga wekuora mwoyo, asi varwere vaifanira kutevera kudya kwakasimba kuti vadzivise migumisiro yakaipa. MAOI anongoshandiswa chete pakuora mwoyo apo dzimwe zvirwere zvinodhaka zvisati zvashanda.
I-MAOI yakateverwa ne tricyclic vanodzvinyirira . Yokutanga yemishonga iyi, Tofranil (imipramine), yakatanga kusikwa seyakakwanisa kurapwa schizophrenia.
Yakakundikana sechirwere chechichikuita asi yakabudirira sechirwere chinopesana. Tricyclics inokurudzira mafungiro uye kuwedzerwa simba kune vakawanda vanoora mwoyo vakaora mwoyo.
Kusarura serotonin reuptake inhibitors (SSRIs) uye serotonin uye norepinephrine reuptake inhibitors (SNRIs) ndiyo yakapfuura kirasi yevanopesana nemanzwiro ekugadzirwa.
Iyi mishonga inowanzova nemigumisiro shomanana kupfuura yekare yekare uye ndiyo mutsara wokutanga wehutano hunyanzvi hwehutano hwepfungwa hunoshandisa kuora mwoyo uye dzimwe zvirwere zvepfungwa.
Anodzvinyirirwa nehope
Tricyclic vanodzvinyirira vanowanzove vachigara, saka tricyclics dzakadai seElavil (amitriptyline) uye Oleptro (trazodone) dzimwe nguva anoshandiswa semishonga yokurara. Iyi mishonga inorongedzerwa kakawanda nokuda kwekushaya hope sezvo inofanira kutorwa pamwero mukuru kuti kuderedza kushungurudzika, asi chirwere chakaderera chinowanzokonzera kurara.
Anodzvinyirira Kuzvidya Mwoyo
Mushure mekuora mwoyo, zvinodhaka zvinotonyanya kushandiswa kurapa kushushikana. Chirongwa chekudzivirira mweya muzvikamu zvose chakagamuchirwa kubata zvirwere zvakasiyana-siyana zvekuzvidya mwoyo. Somuenzaniso, Paxil (paroxetine), a SSRI, ave FDA-akagamuchirwa kubata chirwere chinokonzera kushungurudzika, kukanganisa-kusagadzikana kwepfungwa (OCD) uye kushungurudzika kwevanhu munzanga (SAD). Tofranil, tricyclic, inoshandiswa kurapa chirwere chinotyisa, mushure mekutambudzika kwepfungwa (PTSD), uye chirwere chinokonzera kufunganya (GAD). Izvo zvose zvinoshanda zvakafanana nemashandisirwo avanoita kuora mwoyo, nekuchinja basa rerourotransmitter yeuropi.
Anodzvinyirira Kupedza Kusvuta
Anodzvinyirirwa anonzi Wellbutrin (bupropion), akatengeswa saZyban, ave agamuchirwa neRain and Drug Administration (FDA) kubatsira vanhu kuti varege kusvuta.
Kunyange zvazvo zvisingazivikanwi kuti Zyban anobatsira sei, chimwe chikonzero chinogona kunge chiri chokuti vamwe vanhu vanosvuta kuti vatarise kushungurudzika kwavo uye Zyban ichaderedza kushushikana.
Antidepressants for IBS
Tricyclic vanodzvinyirira, kunyanya, vakaratidzwa kubatsira kubvisa zviratidzo zvekutsamwa kwebondu yemaronda (IBS). Dzinoshanda nekudzivirira kurwadziwa mukati mamuviri uye mapuropa emimba.
Anodzvinyirira Marwadzo
Kunyange apo kuora mwoyo hakusi chiratidzo, zvinodzvinyirira zvinowanzoshandiswa pakurwadziwa kusingaperi kunokonzerwa nemamiriro ezvinhu akadai seArthritis, kurwadziwa shure, fibromyalgia, kurwadziwa kwepfungwa, migraines, kurwadziwa kwepfungwa uye kurwadziwa kwepfungwa.
Hapana anoziva chaizvo kuti nei vanorwisa zvinodhaka vachibatsira, asi zvinoita sekuti kuburikidza nekushandura nzira yeurostransmitters inoshanda muuropi, izvi zvinogona kuderedza zviratidzo zvinorwadza. Ruregerero runogona kutora mavhiki akawanda, zvisinei.
Sources:
Chaitra T. Ramachandraih, Narayana Subramanyam, et. al., "Antidepressants: Kubva MAOIs kusvika kuRSSRIs nekuMamwe." Indian Journal of Psychiatry 53 (2), (2011).
"Mishonga." Kufunganya uye Kuora Mwoyo Association of America (2016).
"FDA 101: Kusvuta Kupedza Zvinhu." US Food and Drug Administration (2015).
Xie C., Tang Y., Wayng Y., et. al., "Efficacy uye kuchengetedzwa kweAnodepressants for the Treatment of Irritable Bowel Syndrome: A Meta-Analysis." PLOS Rimwe (2015).
"Anodzvinyirira: Chimwe chimbo chinopesana nekurwadziwa kusingaperi." Mayo Clinic (2013).