Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs) yeSAD
Kusarura serotonin reuptake inhibitors (SSRIs) kazhinji isarudzo yokutanga yemishonga yekurapa kushungurudzika kwevanhu munzanga (SAD) . SSRI inokanganisa uropi hwemakemikari nekuderedza kufungidzirwazve kwe-neurotransmitter serotonin, kemikemikari yatinofunga inobatsira kudzora mafungiro nemafungiro.
Marudzi eSSRIs
Kune dzakawanda zveSSSI zvinogona kukurudzirwa mukurapa SAD kusanganisira zvinotevera.
Mishonga imwe neimwe inorongedzwa nezita rezita rinoteverwa nemazita ezvakanyorwa muvaberekiheses:
- Celexa (Citalopram)
- Paxil (Paroxetine)
- Prozac (Fluoxetine)
- Lexapro (Escitalopram)
- Luvox (Fluvoxamine)
- Zoloft (Sertraline)
Nhatu SSRIs, Paxil, Zoloft, uye Luvox dzakagamuchirwa neRDA mukurapa chirwere chekugara kwevanhu. Zvisinei, zvose zvakave zvichiratidzwa mune zvidzidzo zvekliniki kuti zvipike kuvandudza kwezviratidzo.
Paxil ndiye wekutanga SSRI kugamuchira chibvumirano che FDA uye ichiri kuwanzorehwa. Zvisinei, mishonga inoshanda kumunhu mumwe chete haiwanzoshanda kune imwe. Saka, chiremba wako achashanda newe kuti awane mvumo yakakodzera kwauri.
Ndinotora sei SSRI?
Chiremba wako achakupa mirayiridzo yakananga yekutora mishonga yako. Zvakakosha kuti uite zvinotevera.
Kazhinji, iwe uchatora SSRI kamwe kamwe pazuva, kazhinji mangwanani. Chiremba wako kazhinji anopa chirongwa chepasi pakutanga, icho chichawedzerwa zvishoma nezvishoma.
Chirwere chaunoda hachirevi hazvo kubata kwezviratidzo zvako. Dzimwe nguva inongova chiratidzo chekusiyana kwako kwemasabolism. Zvinogona kutora vhiki dzinoverengeka kuti iwe uone kuvandudzwa mune zviratidzo zvako.
Migumisiro Yechiri
SSRIs ndiyo inowanzodiwa mushonga weSAD nokuti migumisiro inowanzove yakabvumirwa zvakanaka.
Zvisinei, mimwe miviri inogona kuitika inosanganisira zvinotevera:
- Dambudziko rokurara: hope, kuneta kana kusuruvara
- Kuvhiringidza zvepabonde: kuderedza zvepabonde motokari, kunonoka kana kusavapo, kana kuti kusavapo, erectile dysfunction
- Zvirwere zvepanyama: mapapiro eganda, yakaoma muromo, misoro, kusuruvara, chirwere
- Kuzvidya mwoyo-kufanana nezviratidzo: kusagadzikana, kutya, maoko akazununguka, kutuka
- Kudya zvinetso: kuwedzera kukura kana kurasikirwa, kurasikirwa nechido
Kana iwe uine dambudziko guru nemigumisiro, chiremba wako angasarudza kuudza imwe SSRI yakasiyana. Pakati pese, maitiro ekutanga ekutanga anowedzera zvishoma achiita kuti muve nemikana yakaipa.
Mazano / Mazano
SSRIs haifaniri kutorwa panguva imwe chete se monoamine oxidase inhibitors (MAOIs). Migumisiro yekubatana kwakadaro inogona kuuraya. Mukuwedzera, usatotanga kutora imwe yemishonga iyi mukati memavhiki ekumisa imwe.
Muna 2004, FDA yakabudisa mazano pamusoro peSRIs uye njodzi yekuzviuraya nemafungiro, kunyanya kuvana nevechiri kuyaruka. Kunyange zvazvo zvisingawanzoitiki, zvinokwanisika panguva yekutanga chirongwa chekurapa kwezviratidzo zvinowedzera kupfurikidza pane kuvandudza. Zvakakosha kutarisa zviratidzo panguva ino uye kurondedzera kushanduka kusina kunaka kune chiremba wako.
Mukuwedzera kune mazano eDDA pamusoro pekuzviuraya, pane zvakare mazano akabudiswa maererano nekushandiswa kwe triptans kwemusoro wemigraine pamwe ne SSRIs. Mukubatana, kune ngozi ye serotonin syndrome, chinogona kutyisa upenyu. Kazhinji, zvakakosha kuzivisa chiremba wako wemishonga yose, zvose zvinyorwa uye zvisiri izvo, zvauri kutotora.
Kugadzira Kurapa
SSRIs inofanira kugara ichidziviswa pasi pekutarisirwa kwechiremba wezvechiremba. Kumbomira kumisa mishonga iyi kunogona kukonzera kudzokorora kwezvirwere zviratidzo uye serotonin kurega zviratidzo zvinosanganisira dambudziko nekubatanidza, kufungidzira kunononoka, zviratidzo zvakajeka, zviratidzo zvakadai sechirwere, kufunganya, uye kuora mwoyo.
Kuti udzivise izvi zviratidzo zvekusiya zvirwere zveSerotonin uye mukana wekudzoka zvakare, SSRI inofanira kugara ichidzimwa zvishoma nezvishoma.
Sources:
Bezchlibnyk-Butler KZ, Jeffries, JJ, eds. Clinical Handbook Psychotropic Zvinodhaka . Toronto, Canada: Hogrefe & Huber; 2003.
US Food and Drug Administration. FDA. Kushungurudzika Kunoshandisa Vana, Vana Vachiri Kuyaruka, uye Vakuru.