Kuwedzera kwechirwere chirongwa ichi chiri kuongororwa senzira yekuvandudza matambudziko ekuderedza OCD zviratidzo apo kurapa varwere vane OCD mishonga. Kuwedzera kwechirwere kunosanganisira kushandisa kusanganiswa kwezvinodhaka, kwete pane imwe chete yeOCD mishonga, kuti zvive nemigumisiro yakawanda. Kuwedzerwa maitiro kunogona kunyanya kubudirira kune vanhu vasingateereri kuhutano hweOCD.
Sei Kuwedzera Kurapa?
Kana uine OCD , unogona kuziva kuti mishonga yakasiyana-siyana inowanikwa. Zvisinei, iwe unogonawo kuziva kuti havasi vanhu vose vanopindura mazano aya. Kunyange zvazvo kuiswa kwesarudzo inonzi serotonin reuptake inhibitors (SSRIs) yakadai seLuvox (Fluvoxamine), Prozac (Fluoxetine), Paxil (Paroxetine) uye Zoloft (Sertraline), uye tricyclic vanodzvinyirira zvakadai saAnafranil (Clomipramine) vave danho guru mberi kurapwa kweOCD, 40% kusvika ku60% yevanhu havazopinduri zvakakwana pamishonga iyi. Sezvimwe mune dzimwe nzvimbo dzemishonga, masayendisiti ari kuongorora iye zvino kana kurapwa kweOCD pamwe nekubatanidzwa kwemishonga, panzvimbo yemumwe chete mishonga, inopa hupfumi huzhinji, kune vanhu vakawanda.
Antipsychotic Mishonga Inoshandiswa Kuwedzera Kurapa Kwemazuva Ano
Kunyange zvazvo zvinodhaka zvinokonzerwa nekurapa kweOCD, zvakanzi kune kuwedzera zvirwere zvepachirwere kune chirongwa chekurapa kunogona kubatsira mukuvandudza maOCD zviratidzo.
Sei ichi?
Kutanga, mishonga inopesana nemishonga yakadai seChaperperdal (Risperidone), Zyprexa (Olanzapine) kana Seroquel (Quetiapine) inokanganisa maitiro eurotransmitter dopamine . Zvinetso ne dopamine system zvakabatanidzwa muOCD.
Mukuwedzera, vamwe vanhu vane OCD vane dambudziko rokutenda kuti kukanganisa kwavo uye / kana kumanikidzwa hazvina musoro kana kuti hazvina musoro.
Kukundikana kuziva kuti kushushikana uye / kana kumanikidzwa hazvina musoro zvinoratidzirwa sechipingamupinyi chekubatsirwa kubva kumishonga yakazara. Izvo zvave zvichirondedzerwa kuti antipychotic mishonga inogona kubudirira mukubatsira kuchinja mafungiro aya.
Kuwedzera Kwokurapa Kurapa Kunoshanda Here?
Nenzira yakawanda, huchapupu huripo hwezvesayenzi hwakasimba hunotsigira kushandiswa kwemishonga inorwisa antipychotic semishonga yekuwedzera inodhaka yevanhu vakuru avo vane zviratidzo zveOCD zvisati vashandura kune zvipatara zvakakwana.
Zvisinei, unofanirwa kugara uchifunga kuti kune maviri maviri emishonga inorwisa antipyrotic, mumwe nomumwe ane zvingava nemigumisiro. Chizvarwa chekutanga kana "chimiro" chinopesana nehutachiona chinowanzova nemigumisiro yakasangana nemafambiro asina kufanana akafanana ne tardive dyskinesia, iyo inosanganisira kufamba kusingaiti uye kusingadzorwiki kwezvikamu zvakasiyana zvemuviri, kusanganisira muromo uye chiso. Tardive dyskinesia dzimwe nguva inogona kuva yakagadzikana kana isina kutaurirwa nokukurumidza.
Chizvarwa chechipiri kana kuti "atypical" antipsychotics kazhinji hachina ngozi shomanana ye tardive dyskinesia, asi inogona kukonzera zvinetso zvemagetsi zvakadai sekurema uye ropa rinokudzwa sutu uye cholesterol.
Zvichipa izvi, zvinogona kubatsira kuburikidza kushandisa mishonga inorwisa antisyychotic sechirongwa chekuwedzera kwekudzikisa zviratidzo zveOCD chinofanira kupfuuridza njodzi.
Panyaya iyi, zvishoma zvisingabatsiri migumisiro yechizvarwa chechipiri kana atypical antipsychotics dzinowanzovaita chisarudzo chekutanga sevanowedzera kuwedzera.
Sezvakaitwa chero kurapwa kupi zvako, chisarudzo chekuwedzera mushonga we antipsychotic kune chirongwa chenyu chekurapa ikozvino chisarudzo chinofanira kuitwa mukushanda kwakasimba nechiremba wemhuri kana chirwere chepfungwa.
Sources:
> Bloch, MH, Landeros-Weisenberger, A., Kelmendi, B., Coric, V., Bracken, MB, & Leckman, JF "Kuongorora kwakagadziriswa: antipsychotic augmentation nerapa refractory obsessive-compulsive disorder" Molecular Psychiatry 2006 11: 622-632.
> Skapinakis, P., Papatheodorou T., & Mavreas, V. "Antipsychotic kuwedzera kweserotonergic antidepressants mukurapa kusingagumi-kusagadzikana kwepfungwa: A meta-yechirongwa chema randomised controlled trials" European Neuropsychopharmacology 2007 17: 79-93.