Zvinokonzera nekudzivirira kweAnodhepressant Kurega
Kusarudza serotonin reuptake inhibitors (SSRIs) ikirasi yemishonga inowanzoshandiswa kurapa kuora mwoyo . Mishonga iyi inobatsira kuratidza uropi hunoita basa kune vanhu vane zvimwe zvinetso zvemufaro nekuwedzera huwandu hweSerotonin muuropi. Serotonin inorudzi rwemakemikari, inonzi neurotransmitter, iyo ine chinangwa kuendesa mashoko kune uye kubva kumasero europi. Nokuita kudaro, makemikari ari muuropi anogona kugadziriswa nenzira iyo inowanzovandudza kuora mwoyo kwomunhu kana kufunganya .
Zvisinei, apo chirwere che SSRI chichigadziriswa, vamwe vanhu vanogona kuve nerudzi rwekuregererwa kunonzi SSRI discontinuation syndrome. Iyo inowanzoonekwa apo kurapwa kunomira zvisinganzwisisiki uye kunogona kuratidza nezviratidzo zvinoratidzika zvakadai sekuderedza mwoyo uye kuzvidya mwoyo. Nemhaka yeizvi, vanhu vane kazhinji vanotenda kuti vari "kudzokerazve" uye vanokumbira kuti vadzoserwe kumaSRIs.
Kunzwisisa Nei SSRI Discontinuation Syndrome Inoitika
Mishonga yeSSRI inoshandiswa kugadzirisa zvirwere zvepfungwa dzine maitiro akafanana ekuita asi zvikamu zvakasiyana zvechirwere chehafu yeupenyu. Zvinodhaka hafu-hupenyu ndeyo nguva yekutsanangura kuti nguva yakareba sei inoshandiswa mishonga inodhaka inogara muropa risati radzingwa kubva mumuviri.
Kana chirwere ichi chiri nehafu yenguva-hupenyu, inoda kudzokorora nguva refu kuti ichengetedze zvakanakira kuisa muropa. Kana iri nehafu yenguva-hupenyu, icharamba ichitaridzika kwenguva yakareba uye inenge isinganyanyi kutaridzika kusvika kumusoro.
SSRI mishonga inoshandiswa kurapa kuora mwoyo inosanganisira:
- Prozac (fluoxetine)
- Zoloft (sertraline)
- Paxil (paroxetine)
- Celexa (citalopram)
- Lexapro (escitalopram)
Pakati peizvi, Prozac ine nguva yakareba kwazvo yehupenyu uye, kana yakamira, inononoka kubva muropa. Vamwe, nenzira yakasiyana, vane hafu yehupenyu hupenyu uye, apo pavanomira, vachaburuka pakarepo. Apo izvi zvinenge zvichiitika, munhu wacho angave anonetswa uye kunyange zviratidzo zvakasimba zvekurega.
Maitiro eSSRIs Mamiriro Akachinja sei muBongo
Asi zvinodhaka hafu yeupenyu ndeye chikamu chechikonzero chezvi zviratidzo. Kana yakashandiswa kwenguva yakati, SSRI inogona kuchinja kuhutano hunoita kuti vashoma uye vashomanana vasati vasinoni vawane. Izvi zvinokonzerwa, muchidimbu, kuti iyo SSRI inokonzera kuwedzera kwe serotonin muuropi.
Kana izvi zvikaitika, uropi hucha "kuderedza-kutonga" nhamba yezvinyorwa zvinotarisana nekuwedzera kwenzwi re serotonin. Iko kuenzanisa kushanda kwepanyama kunoreva kudzivirira kupfuuridza kwemasero europi.
Kana chirwere chikaguma chichigadziriswa, pachava nemaminiti mashomanana kupfuura kare uye nguva shomanana yekushaya basa ye serotonin. Mutumbi uchagadzirisa izvozvi, asi, kusvikira zvaitika, munhu angafanira kutora nguva yekugadzirisa kusvikira system zvakare ikasimudzira.
Zviratidzo zve SSRI Discontinuation Syndrome
Zviratidzo zvinowanzoitika zveSyria kugadzirisa zvirwere zvinorondedzerwa seve kurwara-kufanana kana kunzwa sokunge kudzoka kwekurumidza kwekuzvidya mwoyo kana kuora mwoyo. Dzinosanganisira:
- Chizutu
- Vertigo
- Lightheadedness
- Zvakaoma kufamba
- Nausea / kurutsa
- Kuneta
- Kusvibiswa
- Headaches
- Kunyunyuta
- Diarrhea
- Uturu hunorwadza
- Chills
- Kushungurudza-kufanana
- Paresthesia (kupisa, kunya, kana kuti ganda rinokambaira)
- Kuvhiringidzwa kunoonekwa
- Kushungurudzika kukanganisa
- Kurota kwakakwana
- Depersonalization (yakabviswa, kunze kwemuviri wezvakaitika)
- Kuzviuraya pfungwa
- Psychosis
- Catatonia (mamiriro ekusava nehanya)
Kana zviratidzo zvisinganzwisisiki, hazviwanzowi. Zvizhinji zvinongowanikwa zvishoma nezvishoma zvishoma kusvika pakuenzanisa maitiro ekugadzirisa chirwere.
Kuchengetedza SSRI Kurambidza Syndrome
Zvose zvakataurwa, vanenge makumi maviri kubva muzana yevanhu paPaulil, Zoloft, Celexa, kana Lexapro vachawana huwandu hwekuregera shure kwekuregwa kwekurapa. Yakawanda yekupedzisira kubva kune imwe kusvika masabata manomwe. Kune avo vave vari paSSSRIs kwemakore akawanda, zviratidzo zvinogona kuramba zvakadaro kwenguva refu.
Kuti udzivirire njodzi yekuregererwa kweSRIRI, taura nachiremba wako nezvekusimudza iwe kubva pamishonga zvishoma nezvishoma. Kazhinji kutaura, kana kurapwa kwave kwemavhiki masere masere, kutapura kwevhiki imwe chete kusvika kwemaviri kungaita sezvine musoro. Mushure memwedzi mitanhatu kusvika kumasere ekurapwa, iwe unogona kudimbura kusvika kwemavhiki matanhatu kusvika masere.
Asi tora mazano edu: usaedza kuzviita iwe pachako. Shanda pamwe chete nechiremba wako, uyo achanzwisisa zviri nani zvikanganiso uye zvinogona kuisa dambudziko remishonga ipi zvayo yaunotora.
Sources:
> Fava, G .; Gatti, A .; Belaise, C .; et al. "Kubvisa zviratidzo mushure meSelective Serotonin Reuptake Inhibitor Discontinuation: Kurongeka Kwakarongeka." Psychotherapy uye Psychosomatics . 2015; 84 (2): 72-81.
> Harvey, B. naSlabbert, F. "Mazano Matsva Pamusoro Pemunhu Anopesana Nezvokurambidza Syndrome." Human Psychopharmacology . 2014; 29 (6): 503-16.