Sɛ wugyae nnuru a ekum adwenemhaw nom mpofirim a, dɛn na ɛba? (Antidepressant Discontinuation Syndrome) Momma yɛnka eyi ho asɛm!

Ebia worenom nnuru a ekum adwenemhaw de sa adwenemhaw anaa dadwen. Ɛtɔ da bi a yɛdwene sɛ, "Oh, me ho atɔ me seesei, ɛhia sɛ megyae saa aduru yi nom." Nanso sɛ wugyae nnuru yi mpofirim a, ebetumi ama woahyia ɔhaw ahorow bi. Ɛno ne nea yɛreka ho asɛm nnɛ.

Dɛn ne Nnuru a Ɛko Tia Adwenemhaw a Wɔde Gyae Ayaresa?

Sɛ yɛbɛka no tiawa a, anyɛ yiye koraa no, sɛ wonom nnuru a ekum adwenemhaw anyɛ yiye koraa no adapɛn asia na afei wugyae mpofirim, anaasɛ wugyae a woantew so sɛnea wo duruyɛfo kamfo kyerɛ no a, wubetumi anya saa ɔhaw yi. Nnipa binom frɛ eyi sɛ ‘discontinuation syndrome’. Wɔfrɛ eyi Antidepressant Discontinuation Syndrome , anaa ADS tiawa.

Wɔ saa (ADS) tebea yi mu no, wubetumi ahu sɛnkyerɛnne ahorow pii, te sɛ nna a wuntumi nna, akisikuru, ne mmerɛwyɛ ho atenka. Nanso mma ɛnhaw wo, mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi hɔ wɔ nea ennu asram abien mu. Eyi nyɛ biribi a ɛde nipadua mu opira pii ba, nanso ebetumi ayɛ nea ɛnyɛ dɛ koraa na ɛhyɛ abufuw. Afei nso, ade a ɛho hia sen biara a ɛsɛ sɛ wokae ne sɛ, sɛ wugyae nnuru a ekum adwenemhaw no a, adwene mu tebea a wonom aduru no (sɛ nhwɛso no, adwenemhaw anaa dadwen) no betumi asan aba bio.

Enti, sɛ woresusuw ho sɛ wubegyae nnuru a ekum adwenemhaw a, akyinnye biara nni ho sɛ ɛsɛ sɛ wudi kan ne wo duruyɛfo kasa . Afei wubetumi abɔ mmɔden sɛ wubesiw tebea a wɔfrɛ no (ADS) yi ano.

Tebea yi (ADS) abu so dɛn?

Nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔbɔ mmɔden sɛ wobegyae nnuru a wɔde kum adwenemhaw nom, sɛ́ wɔn ankasa anaasɛ oduruyɛfo afotu ma wɔn no mu 27% kosi 86% nya sɛnkyerɛnne a ɛkyerɛ sɛ wɔagyae adwenemhaw (ADS). Enti woahu, ɛnyɛ eyi nyinaa ne nea wɔntee.

Dɛn ne Antidepressant Discontinuation Syndrome ho sɛnkyerɛnne ahorow?

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi ase da adi wɔ nna abien kosi anan akyi bere a wɔagyae aduru bi a wɔde kum adwenemhaw no. Eyinom ne sɛnkyerɛnne atitiriw a wobetumi ahu:

• Nsɛnkyerɛnne a ɛte sɛ atiridii: ɔbrɛ, tiyɛ, nipadua mu yaw, ne fifiri. Ɛtɔ mmere bi a, ebia wobɛda adaeso ahorow a ɛyɛ nwonwa na ɛyɛ hu.
• Akisikuru: Ɛtɔ mmere bi a, ɔfe nso betumi aba.
• Adwene a ɛyɛ basaa ne te nka sɛ ne ti ayɛ hare.
• Ɔhyew, akisikuru, anaa nkate a ɛte sɛ anyinam ahoɔden (paresthesia) wɔ nipadua no mu. Eyi betumi ayɛ osuahu a ɛyɛ nwonwa.
• Adwene mu nsakrae: Dadwen, abufuw, ahomegye, ne basabasayɛ mpo betumi aba.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn . Sɛnea sɛnkyerɛnne ahorow yi mu yɛ den no betumi ayɛ soronko wɔ onipa biara ho, nanso nnipa dodow no ara fam no, ɛnyɛ den dodo. Nhwehwɛmu bi daa no adi sɛ nnipa a wonya saa sɛnkyerɛnne ahorow a ɛma wɔtwe wɔn ho fi ho yi:

• 7% anya yare no ho sɛnkyerɛnne asram abien.
• 6% anya yare no ho sɛnkyerɛnne afe biako ni.
• 2% anya yareɛ no ho sɛnkyerɛnne bɛboro mfeɛ mmiɛnsa.

Enti, wubetumi ahu, ebia eyi bɛyɛ ade a ɛbɛkyɛ kakra ama nnipa binom.

Dɛn na ɛde eyi ba (Antidepressant Discontinuation Syndrome)?

Nokwarem no, nhwehwɛmufo da so ara nnim nea ɛde saa ``Discotinuation Syndrome'' yi ba ankasa. Nanso wosusuw sɛ ɛne nnuru bi a wɔfrɛ no ``Serotonin'' dodow a ɛkɔ fam mpofirim wɔ amemene no mu bere a wugyae aduru bi te sɛ ``SSRI ​​- selective serotonin reuptake inhibitor'' anaa ``SNRI - serotonin ne norepinephrine reuptake inhibitors'' nom mpofirim no wɔ abusuabɔ. Sɛ yɛn nipadua hwere saa serotonin yi mpofirim a, ɛyɛ n’ade denam honam ne adwene mu sɛnkyerɛnne ahorow yi a ɛde ba no so.

Dɛn ne asiane ahorow a ɛma obi nya Antidepressant Discontinuation Syndrome?

Sɛ wugyae nnuru a ekum adwenemhaw no a, ɛda adi sɛ wubehu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woagyae adwenemhaw (ADS) wɔ tebea horow a edidi so yi mu:

• Sɛ wugyae aduru no nom mpofirim (a woantew so nkakrankakra).
• Sɛ woanom saa aduru no akyɛ (mfe pii).
• Sɛ worenom nnuru a ɛko tia adwenemhaw a ɛdɔɔso a (eyi gu ahorow gyina aduru ko a wode di dwuma so).
• Sɛ woanya sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woagyae aduru no pɛn bere a wopaa nnuru dodow bi wɔ bere a atwam no mu (nanso ɛkɔɔ hɔ bere a wosan nom nnuru no bio no).

Afei nso, nnuru ko a wode ko tia adwenemhaw a wobɛnom no betumi ama asiane a ɛwɔ hɔ sɛ wubenya ADS no ayɛ kɛse anaasɛ ɛso atew. Eyi fa bere tenten a aduru no tra wo nipadua mu no ho titiriw. Nnuru a nipadua no sɛe (ɛyɛ no metabolized) ntɛmntɛm no taa de ADS ba bere a wɔagyae no akyi sen nnuru a ɛtra nipadua no mu kyɛ.

Afei ma yɛnhwɛ nnuru ahorow bi ne asiane a ɛwɔ mu:

Asiane dodow a ɛwɔ SSRI nnuru mu:

• Nnuru a asiane kɛse wom ma (ADS): `(Paroxetine)` (wɔtɔn sɛ ``Paxil®`, ``Pexeva®`) ne `(fluvoxamine)`.
• Nnuru a asiane a ɛwɔ mu ma (ADS): `(Citalopram)` (`Celexa®`), `(escitalopram)` (`Lexapro®`) ne `(sertraline)` (`Zoloft®`).
• Aduru a asiane nnim ma (ADS): `(Fluoxetine)` (`Prozac®`).

Asiane dodow a ɛwɔ (SNRI) nnuru ahorow mu:

• Nnuru a asiane kɛse wom ma (ADS): `(Venlafaxine)` (`Effexor®`) ne `(desvenlafaxine)` (`Khedezla®`, `Pristiq®`).
• Nnuru a asiane a ɛwɔ hɔ ma (ADS): `(Duloxetine)` (`Cymbalta®`, `Drizalma®`, `Irenka®`).
• Nnuru a asiane nnim sɛ wobenya (ADS): `(Milnacipran)` (`Savella®`) ne `(levomilnacipran)` (`Fetzima®`).

Nea ɛka eyi ho no, `(MAOIs - monoamine oxidase inhibitors)` , `(tricyclic nnuru a ekum adwenemhaw)` ne `(tetracyclic nnuru a ekum adwenemhaw)`Wɔtaa bu nnuru a edidi so yi nso sɛ asiane kɛse wom sɛ obi benya ASD. Enti ɛho hia sɛ wuhu nnuru a worenom.

Dɛn ne nsɛnnennen a ebetumi afi Antidepressant Discontinuation Syndrome mu aba?

Wɔ tebea horow bi mu no, nnuru a ekum adwenemhaw a wogyae no betumi de ɔhaw ahorow a ɛho hia aba. Eyinom ne nneɛma atitiriw no:

• Adwene a ɛne sɛ obekum ne ho.
• Nnipa a wokum wɔn ho.
• Mania a ɛyɛ hu.

Sɛ wo anaa wo ba no renya adwene sɛ obekum ne ho anaa suban a ɛte saa a, yɛsrɛ wo frɛ National Mental Health Helpline wɔ 1926 ntɛm ara. Obi wɔ hɔ a obetumi aboa wo nnɔnhwerew 24 da biara. Mma saa nneɛma yi nkutoo nnyɛ aperepere.

Ɔkwan bɛn so na wohu tebea yi (Antidepressant Discontinuation Syndrome)?

Aduruyɛ mu nhwehwɛmu pɔtee biara nni hɔ a wɔde hu sɛ obi anya Antidepressant Discontinuation Syndrome. Mmom no, wo duruyɛfo no bebisa wo nsɛm afa wo yare no ho sɛnkyerɛnne, w’ayaresa ho abakɔsɛm, ne bere a wugyaee wo nnuru a ekum adwenemhaw no nom ho.

ADS ho sɛnkyerɛnne betumi ayɛ te sɛ tebea afoforo te sɛ adwenemhaw ne dadwen. Enti, ɛboa sɛ wobɛka wo yare no ho sɛnkyerɛnne ne sɛnea efii ase no ho nsɛm pii akyerɛ wo duruyɛfo.

Ɔkwan bɛn so na wɔsa Antidepressant Discontinuation Syndrome?

Ayaresa a etu mpɔn sen biara a wɔde sa tebea yi (ADS) ne sɛ wɔbɛsan afi aduru a wɔde kum adwenemhaw no ase wɔ dodow koro no ara a wɔde ma kan no mu . Mpɛn pii no, eyi siesie wo yare no ho sɛnkyerɛnne no wɔ nnɔnhwerew 24 ntam. Nanso, sɛ woda so ara pɛ sɛ wugyae aduru no nom a, wo duruyɛfo bɛma wo akwankyerɛ pɔtee a ɛfa sɛnea wobɛtew dodow no so nkakrankakra na woagyae ho.

Ɛdenam sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den ne bere tenten a ɛtra hɔ so no, wo duruyɛfo betumi akyerɛw nnuru afoforo nso ama wo na aboa ma woadi so. Nhwɛsoɔ:

• Nnuru a wɔde kum ɛyaw a wɔde sa tiyɛ, te sɛ ``Ibuprofen'' anaa ``acetaminophen''.
• Biribi te sɛ ``ondansetron`` (wɔtɔn sɛ ``Zofran®``), aduru a ɛko tia akisikuru .
• Nnuru te sɛ `(hydroxyzine)` anaa `(benzodiazepines)` a wɔde sa dadwen ne nna a wontumi nna.

Dɛn ne tebea no ho anidaso (Antidepressant Discontinuation Syndrome)?

Ɛsono sɛnea wɔhwɛ tebea yi (ADS) no. Nsɛm dodow no ara nyɛ den na ɛnkyɛ ntra adapɛn awotwe. Nanso, nsɛm bi betumi ayɛ den na yare no ho sɛnkyerɛnne betumi atra hɔ afe biako anaa nea ɛboro saa. Eyi nti na ɛho hia sɛ wohwehwɛ aduruyɛ mu afotu no.

Yɛbɛyɛ dɛn asiw eyi (Antidepressant Discontinuation Syndrome) ano?

Nea ɛyɛ awerɛhow no, ɛnyɛ bere nyinaa na wobetumi asiw saa ``Antidepressant Discontinuation Syndrome (ADS)'' yi ano. Nanso, ade a ɛho hia sen biara a wubetumi ayɛ na woakwati ne sɛ wo ne wo duruyɛfo bɛkasa ansa na woagyae nnuru a wode kum adwenemhaw no. Nnuru a wɔde kum adwenemhaw a wubegyae dwoodwoo no betumi ayɛ adeyɛ a egye bere pii – ebia ɛho behia sɛ wotew wo dodow so nkakrankakra bere kɔ so no.

Ɛsono nnuru biara a wɔde kum adwenemhaw, enti onipa a oye sen biara a ɔbɛboa wo ma woagyae nom ne wo duruyɛfo. Ɔbɛkyerɛ wo ɔkwan pɔtee a wobɛfa so ayɛ eyi dwoodwoo.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti ɔhaw a ɛwɔ nnuru a wɔde kum adwenemhaw a wogyae, a wonim no sɛ ``Antidepressant Discontinuation Syndrome (ADS)``, betumi ayɛ osuahu a ɛnyɛ dɛ koraa. Ɔkwan a eye sen biara a wobɛfa so akwati ne sɛ wobɛtew wo nnuru a wɔde kum adwenemhaw no so nkakrankakra na woagyae wɔ wo duruyɛfo akwankyerɛ ase.

Kae sɛ, sɛ wowɔ nsɛmmisa anaa dadwen bi wɔ w’aduru ho a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa. Wɔwɔ hɔ sɛ wɔbɛboa wo.

Nnuru yɛ biribi a sɛ wɔde di dwuma yiye a, ebetumi aboa yɛn kɛse. Nanso ɛho hia paa sɛ yehu sɛnea yɛde bedi dwuma ne sɛnea yebesiw ano. Mewɔ anidaso sɛ wobɛte eyi ase. Sɛ wowɔ nsɛmmisa bi a, nsuro sɛ wubebisa oduruyɛfo.

` Nnuru a Ɛko Tia adwenemhaw, Nnuru a Ɛko Tia Adwenemhaw a Wogyae Ayaresa, ADS, Serotonin, Adwene mu Akwahosan, Nnuru a Wogyae, Nsɛnkyerɛnne