SSRIs inogona kukonzera dzimwe nguva usiku apo tricyclics inogona kubereka hope dzakanaka
Kana uine kliniki yekuora mwoyo, iwe unogona kunge uchiziva nguva yemazuva emangwanani. Kuora mwoyo kunozivikanwa nekukonzera kushungurudzika kwehope zvakadai sokushaya hope, mangwanani-ngwanani kumutswa, uye kurota kwakaipa kana kurota. Chaizvoizvo, yakaratidzwa kuchinja chikamu chehope chinosangana nekufamba kwemaziso kwakakurumidza kunonzi REM kurara, uko kurota kunoitika.
Kunyanya, kuora mwoyo kunoderedza nguva inotora nguva yekupinda REM kurara (inonzi REM sleep latency) uye inowedzera kutengesa kwekufamba kwemaziso panguva yekurara (inonzi REM kurara kwehuwandu).
Mukubatana nekushanduka uku muhope REM, vanhu vane kuora mwoyo vanoratidzira kuva nehope dzakaipa kana dzakaipa.
Zvinoshamisa kuti, zvinodhaka, zvinotapodza, zvinogona kukonzera kurota kwako kuburikidza nekukanganisa kurara kwe REM. Kutsvakurudza kwakabudiswa mumakore mashomanana akapfuura kwakaratidza kuti vanogona kukurudzira zvakanaka kana kuti zvisina kunaka kurota manzwiro, zvinokurudzira kuti iwe unorota sei kazhinji, uye kuderera kwako kuyeuka kwezviroto. Izvi zvinotarisana nezvinoitwa nevarwere vanowanzotaura nezvehope dzavo pavanenge vachirwisa zvirwere.
Kudzidza Chirwere cheAnode-depression paDota
Mumushumo wegore ra2013 wakabudiswa muHarare Medicine Ongororo , Gotthard Tribl neboka rake rekutsvakurudza vakapedzisa kurongeka kwakarongeka, izvo zvakaongororisa zvinokonzerwa nevanorambidzana nehutano pamusoro pezviroto zvakagadzikana mune vose vakaora mwoyo uye vasina kuora mwoyo. Kubva pane zvese zvidzidzo zvakange zvichinyorwa pamusoro pemakore makumi matanhatu, vakawana zvidzidzo makumi maviri nezviviri zvemakiriniki uye 25 nhoroondo dzenyaya dzaive dzakakodzera kubvunzurudzwa.
Zvidzidzo izvi zvakaenzanisa nharo dzorota mukati mehutano hwehutano hwakasiyana-siyana uyewo kuenzanisa pakati pehuroti hwevaya vanotora kana kusatora antidipressant. Nzira dzakasiyana-siyana dzaishandiswa kunyora ruchidzo rwekurota, kusanganisira mangwanani ekurota mapepa, mapepa emashoko mashomanana pamusana pekumanikidzwa kwekumuka munguva yeR sleep neyemibvunzo yakagadzirirwa kuunganidza ruzivo pamusoro pehusiku hwehusiku uye nguva dzese dzenhamo.
Chikoro cheAntidepressant Matters
Izvo zvakanyorwa nevanyori vekudzidza ndechokuti kutora zvirwere zvinotapodza zvinowanzoita kuti vose vakaora mwoyo nevasina kuora mwoyo vayeuke kurota kwavo zvishoma. Izvi zvaive zvakakurumbira kune vanhu vachitora kirasi yevanorwara zvinodhaka zvinonzi tricyclic vanodzvinyirira uyewo monoamine oxidase inhibitor inonzi phenelzine (Nardil), uye inowanzowanika kune vanhu vanosarudza serotonin reuptake inhibitors (SSRIs) . Tricyclics ndiyo yakakura yekurwisa zvinodhaka iyo inhibit reuptake ye serotonin uye norepinephrine. Dzinosanganisira mishonga yakadai seamitriptyline (Elavil), clomipramine (Anafranil), imipramine (Tofranil), uye trimipramine (Surmontil).
Zvinodzvinyirira zvevadzidzi ve SSRI, pamwe neserotonin-norepinephrine reuptake inhibitors (SNRIs), zvakawanikwa mukugadziriswa kusimbisa zviratidzo uye kuwedzera kuti kazhinji vanhu vanorati vave nehope. Mienzaniso yeSSRIs inosanganisira citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), uye sertraline (Zoloft). SNRIs inosanganisira mishonga yakadaro se desvenlafaxine (Pristiq), duloxetine (Cymbalta), uye venlafaxine (Effexor).
Tricyclics, kune rumwe rutivi, yakaratidza kuwedzera huroto hwakanaka.
Mune rumwe ruzivo kuwedzera kwehutano hwakanaka hwekurota kwakabatanidzwawo nekuvandudzwa kwezvirwere zvekuora mwoyo. Kurega kwevanorwara nevakaremara kazhinji kwakakonzera kuwedzera mukurota kuyeuka uye kazhinji kacho kazhinji.
Kutsvakurudza kwakawanda pamusoro pevanorwara nehutano nekurota kunodiwa
Vanyori vekuongorora iyi vakaona, zvisinei, kuti hakuna kumbova nehanya yakawanda inobhadharwa kurota yekuyeuka uye zvakagadzirwa. Mukuongorora kwavo, vakaratidza kuti zvimwe zvidzidzo zvinodiwa kuitira kuti tive nemafungiro ekuvhiringidzika kwevanhu vanorota vachirota sezvo izvi zvinogona kukanganisa kurapa kwevarwere maererano nemishonga, uyewo mazano ekurwisana nawo anonyatsokodzera kune chero murwere akapiwa.
Sources:
"Zvinodhaka, Zvirwere uye Maitiro: Zvinodhaka, OTC, uye Herbals: Psychiatrists." Medscape Reference. WebMD LLC. 2013. Kuwana: December 8, 2015.
Tirbl, GG, TC Wetter naM. Schredl. "Kurota pasi pekunetseka kwepfungwa: kugadziriswa kwehupupuriro hwehuchapupu muvhiringidzi vanorwara nevanozvipira vane utano." Kurara Mishonga Ongororo . 17.2 (April 2013): 133-42.