Zvaunoda Kuziva Nezve SSRI uye Mamwe Mafungiro-Kuderedza Mhedzisi
Zuva rimwe nerimwe, mumwe wevatanhatu veAmerica anotora mishonga yepfungwa, maererano nekudzidza kwe 2017 kwakabudiswa mu Journal of the American Medical Association (JAMA) . Zvikamu gumi nevaviri zvezvinodhaka izvi zvinodhaka zvinodhaka, zvinodhaka izvo zvinogona kunge zvinoponesa vanhu vanobata zviratidzo zvekukuvara kwepfungwa huru-zviratidzo zvinokonzera kushungurudzika uye kurasikirwa kwechido kune zvinhu zvavakambofarira kuzviita kumanzwiro akawandisa okusakosha uye kunyange pfungwa dzekuzviuraya.
Apo iwe unofunga nezvemishonga inorwisa mweya, yekutanga iyo inogona kupindira mumusoro wako ndiProzac (fluoxetine). Ichi ndicho chakanaka chisarudzo chevanhu vazhinji, asi sezvo chakabvumirwa neU.S. Food and Drug Administration (FDA) muna 1987, Prozac yakabatanidzwa nezvimwe zvakasiyana-siyana zvezvinodhaka. Kana uri kufunga nezvekutora anodzvinyirira, kunzwisisa kuti ivo vanozivikanwa zvikuru vanoita sei vanogona kukubatsira iwe uye chiremba wako kusarudza izvo zvingakubatsira iwe.
Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs)
Prozac ndeyechikwata chezvinodhaka zvinonzi serotonin reuptake inhibitors (SSRIs). Serotonin inonzi neurotransmitter inowanikwa mumatumbo uye muuropi. Neurotransmitter makemikari anobatsira kutumira mashoko kubva pamagumo emagetsi ehutano kune mamwe mitsipa, kana kumasumbu kana zvimwe zvivako.
Muhuropi, mashoma mashoma e serotonin ave achibatanidzwa nekuora mwoyo uye kuzvidya mwoyo pamwe nekusawirirana kwekutya uye kutora-kusagadzirisa maitiro. Kuderera kwe serotonin mumutumbi kwave kuchibatanidzwa nehasha dzinotapudza chirwere, osteoporosis, uye kunyange nehutano hwemwoyo.
SSRIs inonyatsoita izvo zita rinotsanangura: Dzinodzivirira reuptake (kudzokera shure mumagariro ekupedzisira) e serotonin, zvichiita zvakawanda zvemakemikari zviripo. Mune mamwe mazwi, SSRIs inoderedza kuora mwoyo nokuwedzera maitiro akaderera e serotonin muuropi.
Ichishanu Inonyanya Kuzivikanwa SSRIs
Pamberi peSSSRIs, maiva nemapoka maviri evanhu anonzi antidepressants- monoamineoxidase inhibitors (MAOIs) uye tricyclics.
Zvose izvi mhando dzemishonga dzaiva nemigumisiro yakawanda kupfuura yeRSSRIs uye dzaive dzakaipisisa kana mumwe munhu aine njodzi akawandisa, naizvozvo zviri nyore kuona kuti kuve kune kuwedzerwa kwemhando dzeSSSRIs kusarudza kubva.
Yakawanda yeSSRIs yakafanana zvikuru pamusoro pekushanda kwavanoita, kunyange zvazvo kungave nekusiyana kwakasiyana-siyana kunogona kuita kuti iwe uve nesarudzo yakanaka kupfuura iwe. Zvinotora nguva kuti SSRIs yose ivakwe mumutumbi wakakwana kuti uve nemigumisiro pane zviratidzo, zvisinei, saka inogona mavhiki mashomanana kana kunyange mwedzi yekuedzwa-uye-kukanganisa kuwana mimwe mishonga uye kuenzanisa kuchaita iwe kunyanya kugona.
Zvimwe zvikamu zveSRRIs zvakasiyana-siyana zvinogona kuchinja zvishoma, asi kazhinji, unogona kuwana chero humwe humwe hunozivikanwa uye hushoma hudiki kwenguva pfupi, dzakadai sokunyunyutira, kurwara, kuora musoro, dutu, kuoma, muromo, kutuka, uye kudedera. Kana kune zvimwe zvinoshungurudza uye zvinogona kuva nemigumisiro yakaipisisa, vamwe vanhu vanorema mushure mokunge vatanga kutora chirwere chinopesana, kunyange dzimwe nguva hachisi mishonga pachayo asi pane kunatsiridza kudya uye kuwedzera kuonga kwekudya kunowedzera pounds.
Vamwe vanhu vanowana kutora chirwere chinopesana nemanzwiro vanoisa mararamiro ehupenyu hwavo hwepabonde: Varume vangave vane dambudziko rokuwana kukonzera, somuenzaniso, uye vakadzi vanogona kunge vakaomerwa nekusangana nemararamiro, kuitira kuti izvo zvingave zvakakosha kufunga kana uri muukama hwepedyo .
Vanhu vanotora SSRI vanogona kuwana chirwere ichi chinoita kuti vachinzwe kutya uye kutya; vamwe vanhu vanofunga kuti vanozvikuvadza kana kuti kuzvipira kuzviuraya. Vana vaduku vari pangozi yeizvi uye vanofanira kuongororwa zvikuru. Zvakakosha kuderedza huwandu hwevanhu vanorwara nehutachiona zvishoma nezvishoma. Kana iwe ukangoerekana warega kutora imwe iwe unogona kubvisa zviratidzo, zvakadai semafungiro emafungiro, dutu, chirwere chechirwere, uye marwadzo.
- Prozac (fluoxetine) . Zvakare, Prozac ichiri chimwe chezvinhu zvakakurumbira zveSRRIs. Ndiyo yega chete iyo FDA yakagamuchirwa vana nevechiri kuyaruka kuti vashandise.
- Celexa (citalopram). Zvidzidzo zvinoratidza Celexa inoshanda pamwe nevamwe SSRIs uye ine mimwe migumisiro yakafanana. Chimwe chinhu chinokosha kuziva pamusoro peiyi inodzvinyirira ndeyekuti kutora maitiro akakwirira kwave kwakabatanidzwa nehutano husina chinetso chinetso.
- Zoloft (sertraline) . Zoloft inobatsira zvikuru, kunyange zvazvo vamwe vanhu vachiwana yakawanda kudarika dzimwe SSRIs dzinokonzera chirwere.
- Paxil (paroxetine) . Iwe unogona kunge uine zvirwere zvepabonde kana ukasarudza Paxil pamusoro pevamwe vanodzvinyirira. Inobatanidzwawo kune njodzi yakakwirira yekutuka.
- Lexapro (escitalopram) . Pamwe neProzac, Lexapro ndeye yega SSRIs iyo yakagamuchirwa neCDA kuti vechidiki vashandise.
Zvimwe Zvirwere Zvinopesana
Zvimwe zvinowanzokonzerwa nehutachiona hwevanhu zvinokonzera boka rezvinodhaka rinonzi serotonin uye norepinephrine reuptake inhibitors (SNRIs). Izvo zvinodzivisa reuptake yemavhuna maviri eurotransmitter: serotonin uye norepinephrine. Imwe yeSNRIs inonyanya kutaurwa ndeye Effexor (venlafaxine) , iyo inoshanda seyeimwe inodzvinyiriri mukurapa MMD, asi inokwidziridzwa yakanyanya yekukonzera kushungurudza uye kurutsira, uye inogona kuwedzerwa ropa nekushaya kwemoyo.
Iyo SNRI Cymbalta (duloxetine) inogonawo kuwedzera kuwedzera kweropa, asi kunetseka kwakanyanya nechirwere ichi ndechokuti mune vamwe vanhu zvinogona kutungamirira kuchiropa kusakundikana, saka kana iwe une chero rudzi rwechirwere chechiropa zvinogona kuva sarudzo ine ngozi kwauri. Izvo zvakafanana kana iwe unwa doro rakawandisa.
Pane imwe imwe inowanzopiwa yakagadzikana nehutachiona iyo haina kukodzera mune imwe nhengo, Wellbutrin (bupropion) , iyo inoshanda nekuita pane neurotransmitter dopamine. Iine ngozi yakaderera yehutano hwepabonde. Ichokwadi, vamwe vanachiremba vanorayira Wellbutrin pamwe nevamwe SSRI kuti vabatsire kutsika libido.
> Sources:
> Vashandi Vezvoutano Zvokudya. "Kushandisa Antidepressants Kubata Kuora Mwoyo: Kufananidza Kubudirira, kuchengetedzwa, uye Mutengo."
> Mayo Clinic. "Anodzvinyirira: Kusarudza Uyo Akakunakira Iwe."
> Michael Camilleri, MD "Serotonin muGwara reMatumbo." Curr Opin Endocrinol Diabetes Obes . 2009 Feb; 16 (1): 53-59.
> Thomas J.Moore, AB; Donald R. Mattison, MD, MS. "Kushandiswa Kwevanhu Vakwegura Kurapa Mishonga uye Kusiyanisa Nebonde, Zera, uye Race." JAMA Intern Med. 2017; 177 (2): 274-275. doi: 10.1001 / jamainternmed.2016.7507.