Serotonin reuptake inhibitors (SSRIs) inonyatsozivikaniswa nokuda kwekudzivirira chirwere apo mishonga inomiswa pakarepo kana kana yakurumurwa nokukurumidza. Izvi zvinonyanya kuzivikanwa neSRRIs nehafu shoma-upenyu sePaxil (paroxetine) uye Zoloft (sertraline) uye isingaenzaniswi nemishonga yakareba kwehupenyu, seProzac (fluoxetine).
Zoloft ane hafu yeupenyu hwemazuva rimwe chete. Izvozvo zvinoreva kuti kwemazuva ese anopfuura asingatori mishonga, iyo yega muropa inowanikwa ne50 muzana. Mushure mezuva rimwe, huwandu hwakaderedzwa kusvika makumi mashanu kubva muzana yehutano hwepakutanga, shure kwemazuva maviri kusvika ku25 muzana, shure kwemazuva matatu kusvika 12.5 muzana, nezvimwe zvakadaro.
Nokuti Zoloft anosiya muviri wako nokukurumidza, kuimisa zvakare pakarepo kunogona kukonzera kusagadzikana kwechirwere kukura. Pakati pezviratidzo zvingave zvakasangana nenyonganyonga, kudengenyeka, chizivo, kurwadziwa kwemisungo, kushaya simba, kusuruvara, uye kuzvidya mwoyo. Apo vanhu vazhinji vanobva kuZoloft vasina chimwe chezviratidzo izvi, vamwe vanhu vane imwe kana kupfuura. Zviratidzo zvinowanzopedza imwe kwevhiki mbiri, asi, pane dzimwe nguva, dzinogona kuderera zvishoma nezvishoma kwenguva yakareba semwedzi.
Discontinuation syndrome inogona kuitika kune ani zvake asi yakawanda kune vanhu vakave vachirapa kwemwedzi yakawanda kana makore mazhinji.
Zvinogona kuvhiringidza kune vamwe vanhu sekuti zviratidzo zvinogona kufanana nevaya vaida kutsvaga mushonga pakutanga. Vamwe vanhu vanonetseka kuti, panzvimbo pokusiya zviratidzo, zviratidzo zvinoreva kuti kuora mwoyo kwavo kana zviratidzo zvinonetseka zviri kuwedzera.
Zviratidzo zve discontinuation syndrome zvinogona kusanganisira:
- Kuneta
- Kushungurudza mudumbu
- Uturu hunorwadza
- Kunyunyuta
- Kufunganya
- Kushungurudzika
- Chizutu
- Hallucinations
- Chiratidzo chakasvibiswa
- Kusvibiswa
- Kutinzwa kunonzwa
- Kurota kwakakwana
- Kupikisa kana kushungurudza magetsi kunzwa
Vamwe vanhu vachaona zviratidzo zvishomanana uye havazogoni kuwirirana nekushandura mumishonga yavo yemishonga, vachifunga kuti zvichida vane chirwere. Kune vamwe, zviratidzo izvi zvinokanganisa zvokuti vanofunga kuti havakwanisi kuvhara kukanganisa kwavo nekutya kuti ichapindira sei nehupenyu hwavo.
Nzira yakanakisisa yekudzivisa kana kuderedza zviratidzo izvi iri kutora zvishoma nezvishoma. Iwe unofanirwa kubvunza chiremba wako iwe pachako usati waedza kutora. Nhepfenyuro yekufuratira ichadikanwa kuva iwe pachako nokuda kwako, zvichienderana nezvinhu zvakadai sokunge iwe watora nguva yakareba sei kutora Zoloft, mazamu ako iyezvino uye kuti iwe unopindura sei kuverenga. Uyezve, chiremba wako angarayira kuti kusiya mishonga yako panguva ino haisi pfungwa yakanaka nekuda kwengozi yako yekudzorera zviratidzo zvekuora mwoyo.
Ngwarira kuti hapana mitemo yakaoma uye inokurumidza yekutora Zoloft. Mumwe munhu anogona kuzviita munguva shomanana, asi imwe inogona kutora nguva yakareba. Vamwe vangatofanira kushandisa mvura yeZoloft kana kuparadzanisa mapiritsi avo hafu kuitira kuti vapinde mune zviduku zvishoma.
Kuumbwa kwemvura kweZoloft, iyo inofanira kunyorerwa iwe nachiremba wako, inokubvumira kuti uone nyore nyore zviduku zvishoma zvemishonga kupfuura izvo zviripo mufomu yemapiritsi. Mapiritsi anogona kuparadzaniswa nekuwana chipinha chisingadhura chinonzi pill splitter kubva ku pharmacy yako yepasi.
Kunyange zvazvo pasina purogiramu chaiyo inogona kushandiswa kune vanhu vose, munhu anotora chirwere chepamusoro cheZoloft (200 mg) anogona kupfuurira kuburikidza nemayero e 200mg, 150mg, 100mg, 75mg, uye 50mg sezvaanenge achienda. Uye kuderedzwa kwega imwe neimwe kunogona kuitika pane imwe nguva kwemazuva mashomanana kusvika kumavhiki mashoma, zvichienderana nezvamunoita.
Mazano ekuregedza Zoloft Zvinyaradzo
Nzira yakanakisisa yekudzivisa kukanganiswa kukuru kwezviratidzo ndeyokuderedza chiremba chako zvishoma nezvishoma pasi pekutarisa kwachiremba wako. Kana zviratidzo zvako zvakakomba, zvingave zvakakosha kuti iwe uzvichenese zvishoma nezvishoma. Zviratidzo zvichapfuura munguva, zvisinei, sezvo uropi hwako hunofanirana nehutachiwana hutsva.
Zvimwe zvingasarudzwa zvaunofanira kutevera kana kuderedza kana kurega mishonga yako ndeizvi:
- Shingaira pedyo nehutano hwako hwepfungwa . Zvinogona kuva kuedza kusiya mushonga wako pakarepo paunotanga kunzwa wakanakira, asi kuenda kune imwe nguva nokukurumidza kunogona kukonzera kudzokera zvakare. Kazhinji, unofanira kugara pamishonga yako kwemwedzi mitanhatu kusvika kupfumbamwe, uye kana wakarwisana nekuora mwoyo katatu kana kupfuura, unofanirwa kumirira kwemakore maviri. Taura nemudzidzisi wako wehutano hwepfungwa pamusoro pekuti kana kwete nguva yakanaka yekurega mushonga wako.
- Tevera chirongwa. Iva nechokwadi chokuti iwe unofamba zvishoma nezvishoma maererano nezvinoitwa nachiremba wako kuti urege kudzivisa zvirwere zvechirwere. Zvinogona kutora nguva refu kupfuura iwe uchifunga kuti zvinofanira, asi zvakakosha kuenda zvishoma nezvishoma, saka uropi hwako huine nguva yakafanira yekugadzirisa. Zvakanaka kutumira chiremba wako uye kumurega azive kuti unoda kurega mushonga wako zvishoma nezvishoma. Iwe haufaniri kuedza uye kuva hero.
- Enda kunze kwekutsigirwa. Ramba uchitaura nemudzidzisi wako wehutano hwepfungwa, zvikuru kana iwe uine zviratidzo zvekudzoka. Funga nezvekubatana neshamwari yepedyo kana nhengo yemumhuri pakubvisa kwako zvakare, sezvo munhu uyu anogona kuona nyaya dzaungave iwe dzausingaoni.
- Kana iwe usisiri mune zvepfungwa, funga kutanga. Kurapa, kunyanya kugunun'una-behavioral therapy (CBT), kunogona kubatsira zvikuru mukuchengeta zvirwere zvekuora mwoyo zvichiita kuti udzidze kuziva mafungiro asina kunaka uye kuchinja. Dzidzo dzakaratidzawo kuti psychotherapy inoderedza mikana yekudzokazve.
- Ramba uine utano. Ramba uchingodya zvakanaka, uchidzidzira nguva dzose, kuwana nguva yakakwana yokurara uye kupinda mumabasa aunofarira. Kurovedza muviri, kunyanya, kunogona kubatsira kuwedzera serotonin yako mazinga, izvo zvinozoita kuti uwedzere mafungiro ako. Ingoyeuka kuti uite basa iroro rakapedza maawa mashomanana usati warara kana kuti kukurumidza kweAdrenaline uye endorphins iwe unonzwa kunogona kupindira nehope dzako.
> Sources:
> Fava G, Gatti A, Belaise C, Guidi J, uye Offidani E. Kubvisa zviratidzo mushure meSelective Serotonin Reuptake Inhibitor Discontinuation: Kuchengetedzwa kweChechi. Psychotherapy uye Psychosomatics . 2015. 84 (2): 72-81.
> Harvard Women's Health Watch. "Zvaungaita Kuti Urege Kubvisa Anodzvinyirira." Harvard Health Publications Harvard Medical SchoolHarvard University. Yakabudiswa: November 1, 2010. Yakavandudzwa: December 1, 2015.
> Renoir T. Sarudzo yeSerotonin Reuptake Inhibitor Antidepressant Treatment Discontinuation Syndrome: Kuongororwa kweChipical Evidence uye Maitiro Anogona Kubatanidzwa. Mitsva mu Pharmacology . 2013. 4:45.
> "Zoloft." Cerner Multum, Inc. Drugs.com. Yakarongedzwa: September 23, 2015.