Mishonga Zvimwe Zvinyorwa zveKubva-Kutambudzika Kushungurudzika Kwepfungwa
Ko mishonga ingashanda pamwe chete nerapi yekurapa post-traumatic stress disorder (PTSD) here? Ndeapi apo mishonga inogona kuonekwa uye ndeipi zvinodhaka zvinowanzoshandiswa?
Mishonga yePTSD
Iko hakuchina mishonga yakagadzirirwa kunyatsogadzirisa PTSD, kunyange kune mishonga yakawanda inoshandiswa kugadzirisa kushushikana uye kuora mwoyo kunogona kubatsira vanhu kutarisa zviratidzo zvePTSD.
Makirasi maviri emishonga anoshandiswa kakawanda anosarudza serotonin reuptake inhibitors uye tricyclic vanodzvinyirira.
SSRIs uye PTSD
Kusarudza serotonin reuptake inhibitors (SSRIs) inowanzoonekwa se "anti-depressant mishonga" uye inosanganisira:
Serotonin ikemikari muhupfungwa dzako iyo inobatanidzwa mumanzwiro ako. Aya makemikari mapurogiramu eurotransmitter , uye basa rekudzorera zviratidzo uye mharidzo kubva kune imwe sero kuenda kune imwe muuropi yako. Vamwe vanhu havana mazinga akakodzera e serotonin muuropi dzavo, zvichiita kuti vanzwe kuora mwoyo uye / kana kuzvidya mwoyo. SSRIs inodzivisa kuparara kana "reuptake" ye serotonin kuburikidza nehuropi hwako, kuwedzerwa mazinga akawanikwa e serotonin, ayo anofungidzirwa kuti pakupedzisira anatsiridza mafungiro.
Ongororo dzinoverengeka dzakawana kuti sarotonin reuptake inhibitors (SSRIs) inogona kushandiswa mukurapa kwePTSD .
Kunyange zvazvo zvidzidzo izvi zvakawanzowanika kuti SSRI dzakabudirira mukugadzirisa zviratidzo zvakawanda zvePTSD , kuwanikwa kwakanga kusina kusimba sezvinowanikwa mune zvidzidzo kuongorora kubudirira kwekufunga kwehutano hwekuita (chimiro chepfungwa chepfungwa) yePTSD.
Tricyclic Anodzvinyirira
Tricyclic vanodzvinyirira ndevamwe vanhu vakwegura vanodzvinyirira, asi vakawanawo vanobatsira kune vamwe vanhu vane PTSD.
Tricyclics inoshanda kuburikidza nekusimudza maitiro eeurotransmitters serotonin uye norepineprine muuropi. Mienzaniso yemishonga iyi inosanganisira:
- Elavil (amitryptyline)
- Ascendin (amoxapine)
- Anafranil (clomipramine)
- Pamelor (nortryptyline)
- Norpramin (deipramine)
- Tofranil (imipramine)
- Vivactil (protryptyline)
- Surmontil (trimipramine)
- Sinequan (doxepin)
Zviratidzo zveMishonga yePTSD Kuvandudza
Mishonga haigoni kutarisa zvose zviratidzo zvePTSD. SSRI yakadai seProzac uye tricyclic vanodzvinyirira vanoita kuti vabatsire nezviratidzo zvehupenzi zvePTSD uye zvisingabatsiri, asi hazvioneki kuti zvingabatsira nekudzokazve zviratidzo.
Mimwe mishonga inodzvinyirira inogonawo kufungwa, kunyange zvidzidzo muhondo dzehondo dzinoratidza kuti SSRI uye tricyclic vanodzvinyirira vakave nemigumisiro uye vakashanda zvakakurumidza kune kuodzwa mwoyo uye kunetseka kupfuura mamwe mishonga.
Mishonga Yakabatana neTherapy
Mishonga inogona kunge yakabatanidzwa nepfungwa dzepfungwa dzePTSD, dzakadai sokufungisisa maitiro ekurapa. Pamusoro pavo, mushonga uye psychotherapy zvinogona kuva zvinobudirira; zvisinei, nekuvabatanidza pamwe chete, kubudirira kwavo kunogona kuwedzerwa.
Mishonga seTeventive Therapy
Zvichiitwa kuti PTSD yakawanda sei iri pakati pevanhu vose, vatsvakurudzi vave vachitsvaga nzira iyo mishonga inogona kupiwa kune avo vari mumamiriro ezvinhu ekutambudza kuitira kudzivirira kutanga kwePTSD.
Panguva ino, pane humwe uchapupu hwokuti hydrocortisone (a corticosteroid), propanolol (a beta blocker) uye morphine inogona kuderedza zviratidzo uye kuongororwa kwePTSD.
Migumisiro Yechipfuva uye Kuchenjerera
Zvakakosha kuyeuka kuti mishonga inogona kunge isina munhu wese. Vakawanda vanobatanidzwa nemigumisiro iyo vamwe vanoona isingafadzi uye vamwe vangave vachirwisa, kunyanya benzodiazepines . Zvakakosha kurukura zvinobudirira uye kurapa kwemishonga pamwe nachiremba wako kana chiremba wepfungwa asati aenda kune rimwe.
Pasi pepamusoro Dzimwe Nzira dzekutarisira PTSD
PTSD inonyatsochengetedzwa nekubatanidzwa kwezvirwere. Mishonga inogona kubatsira kune vamwe, asi kwete yose, zviratidzo zvePTSD, uye mishonga pamwe chete nerapi inoshanda kupfuura mushonga chete.
Kutsungirira nzira uye rubatsiro rwemagariro evanhu zvakakosha pasinei nokuti kurapa kunoitwa sei.
Zvitsva uye zvitsva zvekurapa kwePTSD zvakabva pa yoga kusvika kuchokwadi chaiyo yekurapa kurapa kugadziriswa zviri kuongororwa, uye kupa dzimwe nzira dzokugadzirisa zviratidzo zvinokanganisa zvePTSD.
Sources:
Friedman, M., naN. Bernardy. Kufunga Nezveramangwana Pharmacology yePTSD. Neuroscience Letters . 2016 Nov 24. (Epub mberi kwekudhinda).
Puetz, T., Youngstedt, S., uye M. Herring. Migumisiro ye Pharmacotherapy paHurumende-Yakabatana nePTSD, Kuzvidya Mwoyo, uye Kuora Mwoyo: Kuongorora Kwakarongeka uye Kuchengetedzwa Kwemashoko Kuongorora. PLoS One . 2015. 10 (5): e0126529.
Roque, A. Pharmacotherapy seProphylactic Treatment ya Post-Traumatic Stress Disorder: A Review of the Literature. Matambudziko muUtano hweMental Health . 2015. 36 (9): 740-51.