Kucherechedza-kusagadzikana kwepfungwa kunowanzobatwa nemishonga pamwe nekufungisisa-maitiro ekurapa . Mishonga inotarisa serotonin nzira muuropi, sekurwisa zvinodhaka , inonyanya kushanda mukurapa vanhu neOCD - uye kana izvi zvisingashande, kuwedzera pamishonga inorwisa antipychotic inogona kubatsira.
Ngatitarisei mishonga yakasiyana-siyana inoshandiswa kurapa OCD, kusanganisira antidepressants uye antipsychotics iyo yakawana kuti inoshanda mune zvidzidzo zvezesayenzi.
Ndeipi FDA Yakagamuchirwa OCD Mishonga?
Kune mishonga yemishonga yakave yakagamuchirwa neRain and Drug Administration (FDA) yekurapa OCD. Zvizhinji zvezvinodhaka izvi ndezvechikwata chemishonga inodzvinyirira inonzi serotonin reuptake inhibitors . Zvisinei, imwe yemishonga iyi, Anafranil, ndeyekirasi yemishonga inonzi tricyclic antidepressants .
OCD mishonga inogamuchirwa neDDA inonyanya kurapwa kweOCD inosanganisira:
- Anafranil (clomipramine)
- Prozac (fluoxetine)
- Luvox (fluvoxamine)
- Paxil (paroxetine hydrochloride)
- Zoloft (sertraline)
Kubva-Mishonga Yezvinyorwa
Kunyange zvazvo isina kubvumirwa zvakajeka neRDA kuti kurapwa kweOCD, mamwe marudzi eSSRIs, pamwe neserotonin uye norepinephrine reuptake inhibitors (SNRIs), iri kusarudzwa nevechiremba "pasina-label" seOCD mishonga. Mimwe mienzaniso ye-off-label OCD mishonga inosanganisira:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Effexor (venlafaxine)
Antipsychotic Mishonga
Antipsychotic mishonga haisashandisi kubata OCD chete. Pane kudaro, dzinowanzoshandiswa kuwedzera kana kuvandudza kushanda kweSRIs uye clomipramine mukuderedza OCD zviratidzo .
Kazhinji, chirwere chekuwedzera chinoshandiswa apo clomipramine kana SSRIs zvinokundikana kuvandudza OCD zviratidzo mushure memwedzi mitatu.
Kuwedzera-kushandiswa kwekushandiswa kwemari OCD mishonga inosanganisira:
- Risperdal (risperidone)
- Haloperidol (Haldol)
Antipsychotics iyo yakaratidza migumisiro yakavhenganiswa kana yakashandiswa kuwedzera chirwere che SSRI che OCD chinosanganisira:
- Zyprexa (olanzapine)
- Seroquel (quetiapine)
Aripiprazole (Abilify) akaratidzawo chivimbiso senhare ye OCD.
Mishonga paIriyo
Mishonga iyo inotarisa glutamate nzira muuropi ndeyomunyoro wemishonga inogona kubatsira kuderedza zviratidzo zveOCD, kunyanya kana yakawedzerwa kune anodzvinyirira. Izvi zvinosanganisira:
- Memantine (Namenda)
- Topiramate (Topamax)
- Riluzole (Rilutek)
Mifungo Yokupedzisira
Sezvakaitwa chero kurapwa kupi zvako, sarudzo yekutanga mishonga mitsva kana kuwedzera mishonga pakurapa kwako sarudzo isarudzo inofanira kuitwa mukushanda kwakasimba nechiremba wemhuri kana chiremba chepfungwa.
Sources:
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Keller M. Mishonga yekurapa kwekusagadzikana-kukanganisa chirwere. Dialogues Clin Neurosci. 2010; 12 (2): 187-97.
Pizarro et al. Kuongorororwa kunotsvaga kwevanhu vanorwara nehutachiona vane zviratidzo zvinonzi serotonergic zvinokonzerwa nekuora-kusagadzikana kwepfungwa. Nyanzvi Opin Pharmacother. 2014 Jul; 15 (10): 1391-401.
Sansone RA & Sansone LA, SNRIs Ma Pharmacological Alternatives for the Treatment of Obsessive Compulsive Disorder? Innov Clin Neurosci. 2011 Jun; 8 (6): 10-4.
Schruers, K., Koning, K., Luermans, J., Haack, MJ, & Griez, E. "Kushungurudzika-kusagadzikana kwepfungwa: kuongorora kukuru kwemaonero ekurapa" Acta psychiatrica Scandinavica 15 February 2005 111: 261-271. 01 Svondo 2008.