Zoloft - Mashandisiro, Mashandisiro Azvo, uye Mikana Inogona Kuitika
Zoloft (sertraline) chirwere chekudzivirira mwoyo chinowanzoshandiswa pakuora mwoyo nekuzvidya mwoyo. Zoloft anoshanda sei, ndezvipi zvingashandiswa kurapa, ndezvipi zvimwe zvinogona kuitika, uye ndezvipi zvimwe zvaunofanira kuziva kana iwe wakarayirwa mishonga iyi?
Zoloft (Sertraline) - Inoshanda Sei?
Zoloft (sertraline) iri muboka remishonga inozivikanwa sekusarudza serotonin reuptake inhibitors (SSRIs.) Mishonga iyi inoshanda nokuvhara reuptake ye serotonin nemasero emagetsi kuitira kuti serotonin yakawanda iripo.
Serotonin inonzi neurotransmitter muuropi iyo yakagadzirirwa "kunzwa zvakanaka chemakemikari."
Kana iwe uchida, iwe unogona kudzidza zvakawanda pamusoro pemakemikari ekudengenyeka , uye kuti mazinga emhando dzakasiyana-siyana dzeurotransmiteri muuropi angakanganisa mafungiro ako.
Mamiriro Ezvinhu Anoitwa naZoloft
IU.S. Food and Drug Administration (FDA) yakagamuchira Zoloft yekurapa kwevakuru kune makore gumi nemasere anowanikwa ne:
- Kuora mwoyo
- Kushungurudzika kwevanhu munzanga
- Dambudziko rinotambudza Stress Disorder (PTSD)
- Panic disorder
- Kuchengeta-compulsive disorder (OCD)
- Premenstrual dysphoric disorder (PMDD)
Zoloft inobvumirwawo kuOCD mune vana nevechiri kuyaruka vane makore 6-17.
Zoloft uye Bipolar Disorder
Ne bipolar disorder, Zoloft inowanzoshandiswa chete nokuda kwekunetseka kwepipolar depression . Mishonga yakadai saZoloft inogona kukonzera bipolar mania kana hypomania , saka kuchenjerera kunoonekwa nechiremba kunodiwa.
Kunyanya Kuchenjerera Pamusoro peZoloft Mishonga
Pane zvinhu zvakakosha zvinokosha kuti uone kana iwe uri kushandisa Zoloft.
Izvi zvinosanganisira:
- Iwe haufaniri kutora Zoloft kana uri kutora monoamine oxidase inhibitor (MAOI), uye panofanira kuve nekuputi kwemavhiki maviri pakati pokumira kana kutanga Zoloft uye kutanga kana kumisa MAOI. Zvinosuruvarisa, kunyange zvinouraya, zvinetso zvinogona kuitika kana izvi zvinodhaka zvinosanganiswa.
- Muiti anopa zano rokuti haufaniri kunwa doro paunotora Zoloft.
- Usarega Zoloft usingatauri nachiremba wako. Iwe haufaniriwo kurega kutora Zoloft zvose kamwechete kuti udzivise SSRI kuregererwa kwehana .
- Edza kungwarira kana uri kushandisa chero mimwe mishonga inogona kuwedzera maitiro ako e serotonin. Kune mishonga yakawanda, mishonga yehutano hwepfungwa nemishonga isiri yehutano yakabatana, zvakadai semishonga yemarwadzo, iyo inogona kuwedzera pamwechete kuwedzera mazinga. Izvo zvinokonzera serotonin syndrome zvinogona kunge zvisingafadzi zvikuru asi zvinowanzodziviswa nekuita kuti chiremba wako aone mishonga yose yauri kutora.
- Zvinogona kutora vhiki masere musati mishonga yako ichizadza.
- Ngwarira kuti chero munhu anodzvinyirira ane mukana wekukonzera hypomania kana mania.
Dosage uye Kutungamirirwa kweZoloft Mishonga
Nzira iyo chiremba wako anorayiridza Zoloft, kusanganisira chiyero chekutanga, ichasiyana pakati pevanhu vakasiyana uye nehutano hwakasiyana. Zvose zvinowanikwa pamusoro pekuita zvinosanganisira:
- Nhamba yekutanga yeZoloft inowanzova 25-50 mg, zvichienderana nezera remurwere uye chirwere chinorapwa.
- Izvo zvakanyanya kukurudzirwa muuko we 200 mg.
- Tora Zoloft kamwe chete, mangwanani kana manheru.
- Zoloft inogona kutorwa kana kuti isina kudya.
Zoloft uye Kuberekwa
Muna March 2006 Health Canada yakabudisa nyevero kune veSSSRI vanodzvinyirira vachiti kune zvinetso zvevana vacheche vakaberekwa naamai vanotora mimwe yemishonga iyi, kusanganisira Zoloft, panguva yechitatu yemamiriyoni ekuzvitakura. Mashoko ekugadzirisa anogadzira anotaura anoti, "Zoloft inofanira kushandiswa panguva yekuzvitakura chete kana zvingave zvichibatsira zvinokonzera ngozi inogona kuitika kumucheche."
Zoloft Side Effects
Iwe unogona kana kuti usingave nemigumisiro paunenge uchitora Zoloft, Kana iwe ukadaro, vanhu vakawanda havana zvose zvingave nemigumisiro. Zvose zvinowanzovhiringidza zveZoloft dzinosanganisira:
- Kupera kudya kudya kana kuora kurasikirwa
- Dhairrhea kana zvigaro zvakasununguka
- Chizutu
- Kukurova
- Dry mouth
- Headache
- Kuwedzera kwekutuka
- Nausea
- Dumbu kana mimba makumbo, gesi, kana kurwadziwa
- Kuneta kana kushaya simba
- Kutya kana kuzunungusa
- Dambudziko rokurara
- Zvepabonde nemigumisiro - Zvepabonde zvinokonzerwa nepabonde zvakajairika nemishonga ye SSRI. Zoloft ane hafu yehupenyu hupenyu (mukuenzanisa naProzac, somuenzaniso) uye dzimwe nguva achitora mishonga mushure mekuita zvepabonde (usiku kana mangwanani) apo ropa riri pasi rakaderera rinogona kubatsira. Dzidza zvakawanda pamusoro pekugadzirisa sei zvido zvepabonde kune vanorwara .
Zvose zveSRIRI zvinodzvinyirira zvine zvimwe zvingaita kuti uwedzere kuwedzera.
Manyevero Makuru NezveZoloft Mishonga
Iyo FDA inorayira kuti vose veSSRI vanodzvinyirira vane nyevero iri mubhuku rakajeka rebhokisi pamusoro pengozi yekuzviuraya nekuzvipira kune vana, vechidiki, uye vechidiki vaduku. Vana nevechidiki vanozotanga paZoloft vanofanira kuongororwa zvikuru nechepfungwa. Dzidza zvakawanda pamusoro pezvipikisi uye zvikwereti zvevanorwara nevana .
Zoloft Overdose
Zoloft kudarika zvinogona kunge zvakakomba kana kuti zvinokonzera rufu. Sezvinenge nemishonga ipi neipi, zvinobatsira zvinodiwa nemishonga inofanira kunge yakanyanya kuisa njodzi dzekutora mishonga, kusanganisira dambudziko rekudarika. Kana mudiwa wako ari kutora Zoloft, dzidza kuziva zviratidzo zvekudarika .
> Sources
- > Altshuler, L., Sugar, C., McElroy, S. et al. Shandura Matengo Pakurapa Kwakaitwa Bipolar II Kushungurudzika neLithium, Sertraline, kana Iviri Yakasanganiswa: Aenzaniswa Nemaviri Asingaregi Kuenzanisa. American Journal of Psychiatry . 2017. 174 (3): 266-276.
- > Amerio, A., Ordone, A., Marchesi, C., uye S. Ghaemi. Nguva Yakareba Kuchengetedzwa kweBipolar Disorder: Inopikisa Basa reAnode-depressants. Australian neNew Zealand Journal of Psychiatry . 2014. 48 (11): 1062.
- > Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw-Hill Dzidzo, 2015. Print.