An SSRI chiratidzo chekudzivirira mwoyo pane dzimwe nguva chinoshandiswa pamwe chete nemimwe mishonga yekurapa kuora mwoyo kweBipolar.
Ngatitorei kuongororodza rondedzero yeSSRIs uye kunzwisisa kuti vanoshandiswa sei mu bipolar disorder.
Chii SSRIs?
SSRIs, kana sarotonin sarotonine inhibitors, ndiyo boka revanopesana nemhepo rinowedzera huwandu hweeurotransmitter serotonin inowanikwa muuropi, iyo yakaratidzwa kuva yakagadzikana mukurapa kushungurudzika kwepfungwa kusanganisira bipolar depression.
Rwendo rweSRIs
Runyorwa rweSSSRIs ruri pasi, rwuri kuratidzwa nezita rezita rinoteverwa nezita rechiito pakati pevabereki.
- Celexa (citalopram)
- Lexapro (escitalopram)
- Luvox (fluvoxamine)
- Paxil (paroxetine)
- Prozac (fluoxetine)
- Symbyax, iyo inonzi Prozac pamwe nemishonga inopesana nenyuchi Zyprexa (fluoxetine + olanzapine)
- Zoloft (sertraline)
Apo SSRIs Inoshandiswa muBipolar Disorder
Maererano neAmerica Psychiatric Association, kushandisa chirwere chinopesana nehutano hwepachirwere chete kurapa kuora mwoyo kweBipolar hakurudzirwi. Izvi ndechokuti kushandisa maitiro ekurwisa mweya, kufanana neSSRIs, kurapa kushungurudzika kwebipolar kwakabatanidzwa mukukonzera mania uye nekukurumidza mabhasikoro. Pano panewo gakava rezvepayenzi kuti zvinodzvinyirira hazvibatsiri mukurapa kuora mwoyo kwepipolar - kunyange izvi zvinopesana.
Izvo zvinotaurwa, vanhu vazhinji vane bipolar kushushikana vanorayirwa kuora mwoyo, kunyanya kana vakagamuchira zvakanaka pamberi pezvinodhaka, kana kuora mwoyo kwavo kwakanyanya, kana kuti havasi kupindura mafungiro ekusimudzira mishonga chete.
Semuenzaniso, mumamiriro ekupedzisira, kana munhu ane chirwere chepipolar isingapinduri ne lithiamu kana lamotrigine - mafungiro ekusimudzira mishonga - kupfuura chiremba wavo anogona kuwedzera pane anodzvinyirira, saPaxil (paroxetine).
Chii Chinoitika Kana Ndichimisa An SSRI?
Hezvino kutarisa zvinokonzera uye zviratidzo zve SSRI Discontinuation Syndrome, kusanzwisisika kunofadza vamwe vanhu vanofanira kuderedza kana kusiya mamwe marudzi evanhu vanodzvinyirira.
Heano mazano emapiritsi nemapukisi ekugadzirisa kushandiswa kwemigumisiro yekuderedza kuyerwa kwako kana kuregera mushonga we SSRI unodzvinyirira - apo kuchinja-kusina kunogona kukonzera zviratidzo zvinonetsa.
Ndoita sei?
Kana iwe une bipolar kuora mwoyo uye iwe uri kutora SSRI, iva nechokwadi chekukurukurirana nachiremba wako zvingava nemigumisiro, pamwewo nezviratidzo zvehuwandu hwemurume uye yebhazi. Zvakakosha iwe kutora mishonga yako, sezvakanyorwa. Usarega mishonga yako pasina kubvunza chiremba wako - izvi ndezvekuchengetedza kwako uye hukama hwakanaka.
Sources
American Psychiatric Association. Dzidzira Mazano Ekurapa Kwevarwere NeBipolar Disorder . Yakadzorerwa November 4, 2015.
Salvi V, Fagiolini A, Swartz HA, Maina G, & Frank E. Kushandiswa kwevanhu vanodzvinyirira muhutano hwepipolar. J Clin Psychiatry. 2008 Aug; 69 (8): 1307-18.