Ndeipi migumisiro yechirwere iwe unogona kutsungirira nemamwe mamiriro ezvinhu iwe unofunga
Chido chekuwana mishonga yakakosha yekurapa kunogona kunzwa "kushaya kana kushaya." Kunyange zvazvo pane chirevo chakasimba chekuenzanisa kwezvinorwisa zvinodhaka izvo chiremba anokurudzira, hapana kuudza zvaungaita kana kuti haungagoni kupindura. Kutaura zvazviri, vanhu vakawanda havatauri kune avo vanotanga kuora mwoyo, kana kuti vanowirwa nemigumisiro isina kunaka, saka vanofanira kuedza chechipiri, chechitatu, kana chechina.
Asi kusvika ku80 kubva muzana yevanhu vanopedzisira vanonzwa kuora mwoyo, saka pane zvikonzero zvose zvekutarisira kuti iwe uchagara pane zvakakunakira iwe.
Zvikonzero Zvokufungisisa Paunosarudza Anodzvinyirira
Ikoko zvinhu zvakawanda zvinofungidzirwa apo chiremba anosarudza anodzvinyirira iwe, kunze kwechimiro chekuora mwoyo kwauri kurarama. Zvimwe zvezvinhu izvi zvinosanganisira kudzidza zvakakubatsira munguva yakapfuura (kana iyi isisi yako yokutanga kuora mwoyo), chii chingave chakashanda kune dzimwe nhengo dzemhuri yako (genetics inogona kuita kuti iwe unopindure sei mune imwe mishonga pane imwe ), mamwe mishonga yauri kutora, nezvimwe zvakawanda.
Mimwe migumisiro yechirwere, yakadai sekurema kana kusagadzikana kwepabonde, haingaiti dambudziko guru kune vamwe asi ringave risingaregi kune vamwe, saka izvi zvinofanira kuonekwa. Uye mamwe mishonga inogona kushandiswa kune mamwe mamiriro ezvinhu iwe pane kuwedzera kuora mwoyo.
Somuenzaniso, duloxetine (Cymbalta) inozivikanwa kuti ibatsire nekunzwa kurwadziwa, naizvozvo kana iwe uchitambura ne fibromyalgia kana arthritis pamwe nekuderera, izvi zvingava sarudzo yakanaka kwauri. Kana kana iwe uchitambura nehope, unogona kubatsirwa nekusarudza unodzvinyirira nechekugara, sezvakaita mirtazapine (Remeron).
Iwe unogona kukwanisa kuuraya shiri mbiri nedombo rimwe, saka-ku-kutaura.
Mimwe mienzaniso umo vanorwara nehutachiona vanogona kuita mabasa maviri anosanganisira:
- Kuputa kusvuta. Wellbutrin (bupropion) chaizvoizvo mishonga imwecheteyo seyakakurumbira kumisa-kusvuta mishonga ine zita rinonzi Zyban . Kana munhu ari kusvuta, Wellbutrin inogona kukonzera basa reviri uye kuva sarudzo yakanaka nekusimudza kuora mwoyo uye kubatsira kubvisa kusvuta.
- Neuropathy. Vose tricyclic vanodzvinyirira uye serotonin-norepinephrine reuptake inhibitors (SNRIs), duloxetine (Cymbalta) uye venlafaxine (Effexor), yakawanikwa ichibatsira.
- Bedwetting. Kunyange zvazvo tricyclic zvinodzvinyirira zvinowanzoshandiswa zvishoma pane zvimwe zvezvigadzirwa zvitsva, kune avo vari kurwisana nemarara, imipramine inogona kubatsira nematambudziko ose.
- Kudzidzira urema. Zvinofungidzirwa kuti vamwe vevanhu vanodzvinyirira vanogona kuva nerubatsiro rwechipiri rwekubatsira kune dzimwe hurema hwekudzidza. Kana iri iwe, taura nachiremba wako nezvekuti kana kwete imwe yemishonga iyi ingakushandira iwe.
Zvakakosha kuziva kuti mukurondedzera anodzvinyirira, chinangwa chekutanga chinofanira kuva chekutonga kwakanyanya kwekuora mwoyo. Dzimwe nguva izvi zvinogona kureva kusarudza kuora mwoyo kunowanzoita kuti uwedzere kuwedzera kuburikidza nemumwe munhu ane uremu, uye izvozvo hazvirevi chimwe chimiro chaanotambura nacho, kunyange kana sarudzo iyoyo ichiita seinowanikwa.
Zvakakoshawo kuita kusiyanisa pakati pe-label uye kunze kwe-label kushandiswa kwemishonga. On-label use rinoreva kuti mishonga yakagamuchira FDA-kugamuchirwa kwechiratidzo ichi. Kubvisa-kushandiswa kwemavara hakurevi kuti mishonga haibatsiri-uye inogona kunge yakawanikwa yakakosha kurapa mamiriro-asi kuti haina kubvumirwa neDAA yechiratidzo ichocho. Zvakakoshawo kuti vanhu vazive kuti vamwe vanachiremba vanoda kupfuura vamwe kuti vafunge kuisa mishonga ye-off-label.
Zvakakosha kuti iwe ushande pamwechete nachiremba wako seboka pakusarudza izvi. Hapana anoziva muviri wako zviri nani pane iwe kana kuti unonzwisisa zvaunofarira uye iwe.
Zvipingamupinyi Zvokuwana Kurapa Kwakanaka
Zvimwe zvikanganiso, sezvataurwa pamusoro apa, zvinogona kupa zvipingamupinyi zvakakura zvekuwana mishonga yakarurama kwauri. Iyi ndiyo pfungwa apo chiremba uye murwere anofanira kushanda seboka kuti awane mhinduro iyo murwere anogona kurarama nayo. Zvisarudzo zvinogona kusanganisira kubvuma kushanda kwepasitori sechinhu chinoshandiswa-kushandiswa kwekuregererwa kwepfungwa, kuwedzerwa nemimwe mishonga (kushandisa zvinopfuura mimwe mishonga pamwe chete kudzora kushushikana uye / kana kubvisa madhara), kana kuedza mushonga mutsva. Chiremba wako anofanira kugara achiedza kuwana mishonga inopa zvakanakisisa kuponeswa kwepfungwa nemaduku mashoma anokonzera zvinodhaka zvinokonzera iwe-asi ramba uchiyeuka kuti, zvinosuruvarisa, hapana mishonga inenge yakakwana.
Kune miviri miviri yakawanda iyo vanhu vanoita sevanoona inonyanya kunetseka: kusagadzikana kwepabonde uye kuwedzera kuwedzera. Chimwe chezvikamu zvekare zvezviratidzo zvekuora mwoyo ndiko kurasikirwa kwepabonde. Asi zvinoshamisa, mazhinji emishonga inoshandiswa kurapa kuora mwoyo inogonawo kukonzera zvepabonde nemigumisiro . Kana matambudziko aya akakubata iwe uye iwe haugoni kuvabvumira, nefazodone (Serzone), bupropion, uye mirtazapine mishonga ine mikana yepabonde. Ichokwadi kuti mishonga iyi inogona kuva nemamwe matambudziko.
Kuwedzera kwehuwandu kune vanorwara nehutachiona kune imwewo inowanzonyunyutira nezvenhara-effect. Mune dhipatimendi, paroxetine (Paxil) uye mirtazapine ndevamwe vevanhu vakaipa zvikuru. Venlaxafine, bupropion, uye fluoxetine (Prozac) inorwisa zvinodzvinyirira zvisingaiti kuti uwane uremu , uye vanhu vazhinji vanotorera mapaundi mashomanana. Asi zvakare, munhu wose akasiyana, uye vamwe vanhu vanove nokurema pamishonga inenge isingaiti kuwedzera kuwedzera uye kuora muviri kune avo vanowanzokonzera kuwedzera.
Migumisiro Yechirume Haisi Nguva Yakaipa Chinhu
Unotenda kana kwete, migumisiro haisi chaicho chakaipa. Kana murwere ane dambudziko rekudya uye ari akaonda kwazvo, chirwere chakadai seProzac chinoderedza chishuvo chingave chisingadi. Asi mishonga inowedzera chido, zvakadai separoxetine kana mirtazapine, inogona kubatsira chaizvo murwere uyu. Uye kana murwere ane chirwere cheshuga uye kuwandisa kwepamusoro, chirwere chinoderedza chido chinogona kubatsira mukuraira chirwere cheshuga nekuda kwekuti vachava nezvido zvishomanana zvezvokurambidzwa.
Izvi zvinoshandawo kune vanorwara zvinodhaka zvinokurudzira uye avo vari kurara. Anodzvinyirira zvinowanzoita kuti munhu ave nechirwere chinogona kubatsira kune mumwe munhu ane kuora mwoyo kwezvinomera kana mumwe munhu anoita seasina simba-asi angave chisarudzo chisina kunaka kune mumwe munhu anorarama nechirwere chokuzvidya mwoyo kunze kwekuora mwoyo. Nenzira imwecheteyo, kugadzirisa zvinokonzera kupesana nemweya zvakadai se mirtazapine kunogona kushanda zvakanaka kune munhu ane hanya uye kungave kusarudzwa kwakashata kune mumwe munhu ari kutonzwa kusakwana kwese simba nekuora mwoyo kwavo.
Zvakare, zvakakosha kuyeuka kuti munhu wese akasiyana.
Sources:
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