Mabasa Anodzvinyirira Anoshanda Zvakanakisisa Nokudarika Doro Doro Doro
Imwe yenzira iyo doro rinogona kukanganisa uropi ndekukuvadza kushanda kwe serotonin , kemikemikari inokurudzira mafungiro, kurara, chido, mutemo wekushisa, uye mafungiro.
Nokudaro, vanhu vanorwisana nekutengesa doro vanowanzotaurira matambudziko nekuora mwoyo nekuzvidya mwoyo. Vashandi vavo vanorapa utano vanowanzopa sarotonin reuptake inhibitors inobatsira kuti varambe vachiita zvakakwana senotonin.
" SSRIs ndiyo inonyanya kutaurwa boka revanhu vanorwisa-depressants," akadaro William Dundon, mukuru wevanotsvaga tsvakurudzo muDhipatimendi rezvechirwere chepfungwa paYunivhesiti yePennsylvania School of Medicine. "SSRIs inoshanda kuburikidza nehupamhi hwe serotonin muuropi uye kune imwe nzvimbo mumuviri." Muuropi, serotonin inofungidzirwa kuti inokonzera mafungiro, manzwiro, kurara, chido, uye mutemo wekushisa. "
Tsvakurudzo yakawana, zvisinei, iyo SSRIs-yakadai s sertraline ( Zoloft ) -singaiti zvakanaka kune vamwe doro.
Zoloft Haishandi Nezvose Zvinodhaka
Kuti uone kuti nei SSRI ichibatsira vamwe varwere vane doro kushandiswa kwekudhakwa uye kwete vamwe, Dundon uye vashandi vakaongorora zvikamu zviviri zvezvinodhakwa zvinotsanangurwa naTomas Babor weYunivhesiti yeConnecticut.
Bhabori akaparadzanisa vanhu vane doro zvinetso mumapoka maviri, Rudzi rweA uye rudzi rweB B. Rudzi rwekudhakwa kwehutano hunokonzerwa nemamiriro ezvinhu uye huzhinji hunoitika gare gare muhupenyu, nepo Rudzi B rwekudhakwa kwechimiro inonzi genetics inotanga uye inomuka pakutanga kwehupenyu.
Ropa B Alcoholism Is More Severe
Maererano nekutsvakurudza kwaBabor, Rudzi rwekudhakwa kwechidimbu B rinowanzova nemigumisiro yakaipisisa kupfuura yeA Type A yekudhakwa. Kazhinji, Dhiyabhorosi B yehutachiona yakanyanya kukurira uye yakaipisisa kupfuura Rudzi rweA alcohol.
Munguva yekudzidza, madhakwa zana akapiwa mwedzi mitatu yemwedzi we sertraline (200 mg / zuva) kana kuti placebo capsules uye chirwere chimwechete chinobva paAlcoholics Anonymous framework.
Rudzi rwechipiri Rudzi rwechipiri rwechipiri rwechipiri rwechipiri.
Zoloft Inobatsira Type A Alcoholics
Vatsvakurudzi vanofananidza mwedzi wepamwedzi kunwa doro kwemwedzi mitanhatu inotevera kurapa kunwa doro mumwedzi wapera wekurapa. Kudzidza kwaDundon kwakawana kuti Dhiyabhorosi Rudzi rweAA rwakanga rwuri nehutano huri nani kune Zoloft kupfuura yehutori hwechipiri B.
Mumwedzi mitanhatu mushure mekurapa, Rudzi rweAA doro rakabatwa neZoloft rwakachengetedza ruzivo rwavo, asi Rudzi rwechipiri B haruna.
Yakachengetwa Zvakanaka Zvigumisiro
Kunyanya, chidzidzo cheDundon chakawana:
- Tora A madhakwasi avo vakatora Zoloft vakachengetwa, kwemwedzi mitanhatu mushure mekurapa kwapera, zviitiko zvakanaka zvavakawana panguva yekurapa
- Rudzi rwechidha B rwakarapwa naZoloft rwakaramba ruchiratidzira pasina mahara pharmacotherapeutic mumwedzi mitanhatu mushure mekurapa.
- Nekudhakwa kwechipiri B, kunyanya kunwa kwakanyanya kuwedzera mukati memwedzi mitanhatu inotevera kurapa naZoloft.
SSRIs Haikodzeri Mutauro Bs
"Tinoratidzika takaziva sangano revakadhakwa, Type As, avo vakapindura zvakanaka sertraline panguva yekurapwa uye vakaramba vachiwana zvakapfuura mwedzi mitanhatu pashure pokupera," akadaro Dundon.
"Zvisinei, pane rimwe diki, Rudzi rweBs, avo vane SSRI vangave vasina kukodzera." Iko sangano rakaratidzika kuchengetedza ruzivo rwavo kubva kuneAA-based therapy munhu oga kana vasina kugamuchira sertraline, "akadaro.
Chikonzero icho vatsvakurudzi vakacherechedza maBabor maviri emhando dzezvinwiwa zvinokonzerwa nekutsvakurudza kwakapfuura kwakaratidza kuti kune kusiyana kwe serotonin metabolism pakati pemapoka maviri. Ropa B doro rakasvibiswa kuva nezvimwe zvisina kumira mu serotonin metabolism, mune zvidzidzo zvepakutanga, uye zvaifungidzirwa kuti boka raizove rakanyanya kugamuchira Zoloft kurapwa. Zvisinei, zvipembenene zveMhando B zvakaipisisa pane chirwere che SSRI uye mumwedzi mitanhatu, mushure mekurapa nguva.
Migumisiro yeAlcoholism Treatment Plans
Vatsvakurudzi vakagumisa kuti kukwanisa kuziva kana doro rinopinda mune zvekurapa inenge IA A kana Type B inogona kubatsira pakugadzira hurongwa hwehutano.
"Ndinofunga kuti kudzidza kwedu zvakajeka kunoratidza kuti panogona kunge kune nzira dzekunyorera madhakwa uye kuti aya majekitendi akasiyana evanhu vanodhakwa anogona kupindura nenzira yakasiyana nekurapa kumwe," akadaro Dundon. "Zvikamu zvakasiyana-siyana zvakarongwa zvakagadzirirwa kusiyanisa rudzi rwevakadhakwa.Ukudzidza kwedu kunobatsira kubatsirwa kweBabor Rudzi rweA uye Rudzi rwekuG.
Kudzidza Kunobvumira Mutambo waBabor A uye B Alcoholics
Nokutsvakurudza kwakazotevera neHuman Health Institute neYunivhesiti yeCalifornia, San Francisco vachishandisa data kubva kuNational Epidemiologic Survey pamusoro peAlco uye Mimwe Mitemo yakasimbisa yakagadzirirwa kuti A Type and Type B zvinodhaka muhupenyu chaihwo.
Chidzidzo chacho chakawana kuti Dhiyabhorosi B yehuwandu muhuwandu hwevanhu, zvichienzaniswa neChirungu As, yakange yakanyanyisa kuwedzerwa doro uye pamwe-kuitika mishonga, mishonga, uye noutano hwehutano.
Rudzi rweAdha r rwakapetwa kakawanda rwekudhakwa doro makore matatu gare gare uye zvinowanzova doro rinodhaka uye zvinodhaka zvinodhaka.
Sources
- Babor, et al. (2006). "Mhando dzezvinodhakwa: zvinowirirana uye inofanirwa kugadziriswa kwezvimwe zvirongwa zvinowanzodiwa." Addiction.
- Dundon, W. et al. (2004). "Kurapa Kwakaitwa muChirudzi A uye B Kunwa Doro Kudzivirira 6 Mwedzi Pashure peSerotonergic Pharmacotherapy." Kunwa doro: Clinical & Experimental Research .
- Tam, TW, uye al. (2014). "Kushandiswa kwechimiro A / B kudhakwa kwewaini mune vanhu vakawanda." Zvinodhaka uye Doro Kubvuma.