Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau no ke kaumaha a i ʻole ka hopohopo? Ua hopohopo iki paha ʻoe i kou ʻike ʻana i ka inoa o ka lāʻau lapaʻau, a ua noʻonoʻo paha ʻoe inā e kōkua maoli ia. He mea maʻamau loa ke manaʻo pēlā. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano lāʻau lapaʻau i kapa ʻia ʻo SSRI, kahi i kuhikuhi pinepine ʻia no nā maʻi noʻonoʻo e like me ke kaumaha ma Sri Lanka a puni ka honua. ʻO ka ʻike hou aku e pili ana i kēia e pane i nā nīnau he nui āu e noʻonoʻo nei.
I ka ʻōlelo maʻalahi, he aha kēia mau SSRI?
ʻO ka inoa SSRI ke kū nei no Selective Serotonin Reuptake Inhibitors . ʻOiai ke kani nui nei ka inoa, he maʻalahi loa ke kaʻina hana. He ʻano lāʻau lapaʻau kēia i hāʻawi ʻia e mālama i ke kaumaha. Hoʻohana ʻia lākou ʻaʻole wale no ke kaumaha, akā no kekahi mau kūlana olakino noʻonoʻo ʻē aʻe e like me ka hopohopo, ka maʻi panic, a me OCD. Ke hoʻohālikelike ʻia me nā antidepressants ʻē aʻe, ua manaʻo ʻia lākou he palekana a he emi nā hopena ʻaoʻao .
No laila pehea ka hopena o kēia lāʻau lapaʻau i ko kākou noʻonoʻo? E noʻonoʻo i ko kākou lolo e like me ke kūlanakauhale nui. Aia nā ʻelele ma kēia kūlanakauhale e lawe ana i nā leka mai kekahi wahi a i kekahi wahi. Ua kapa ʻia kēia mau ʻelele i loko o ko kākou lolo he mau neurotransmitters. ʻO Serotonin kekahi o ia mau ʻelele kūikawā. ʻO Serotonin ka mea e kōkua ai i ka hoʻomalu ʻana i nā mea e like me ko kākou ʻano, ka hauʻoli, a me ka hiamoe.
I loko o ke kanaka me ke ʻano e like me ke kaumaha, hiki ke emi iho ka pae o ka serotonin, ka mea e lawe ana i kēia "leka hauʻoli", i loko o ka lolo. A laila, ʻaʻole hana pono ka kamaʻilio ʻana ma waena o nā ʻāpana lolo. ʻO ka hana a ka lāʻau SSRI, ʻo ia ke hoʻopaneʻe i ka lawe hou ʻana o kēia ʻelele serotonin ma hope o ka pau ʻana o ka hoʻouna ʻana i ka leka. A laila noho ka serotonin ma ka hakahaka ma waena o ʻelua mau ʻāpana no ka manawa lōʻihi . Me he mea lā e ʻae ʻia ana ka ʻelele e noho ma laila no kekahi manawa lōʻihi. ʻO ka hopena, hoʻomaikaʻi ka kamaʻilio ʻana ma ka lolo, a hoʻomaka mālie nā hōʻailona o ke kaumaha e emi iho.
He aha nā kūlana e hoʻohana ʻia ai nā lāʻau SSRI?
Ua ʻāpono nā keʻena honua, e like me ka FDA ma ʻAmelika Hui Pū ʻIa, i nā lāʻau lapaʻau SSRI no nā kūlana like ʻole. Eia kekahi, i kekahi manawa hiki i nā kauka ke kuhikuhi iā lākou no nā kūlana ʻē aʻe i ʻae ʻole ʻia (hoʻohana ma waho o ka lepili) ma muli o ke kūlana o ka mea maʻi.
| Nā Kūlana i Kau ʻia maʻamau (Nā Hoʻohana i ʻāpono ʻia) | Nā Hoʻohana Ma waho o ka Lepili |
|---|---|
| Ka maʻi kaumaha nui | Ka maʻi Dysmorphic Kino |
| Ka maʻi hopohopo laulā | ʻO ka Fibromyalgia |
| Ka maʻi hopohopo | Ka hoʻokuʻu mua ʻana |
| Ka maʻi hoʻopilikia-koʻikoʻi (OCD) | Ka maʻi ʻai nui ʻana |
| Ka maʻi hopohopo pili kanaka | Ka Hanana a Raynaud |
| Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD) | ʻO kekahi mau hōʻailona e pili ana me ka autism |
| ʻO ka maʻi dysphoric premenstrual (PMDD) | Nā ʻālohilohi wela o ka menopause |
He aha nā SSRI i hoʻohana pinepine ʻia?
Hiki ke lawe ʻia kēia mau lāʻau lapaʻau ma Sri Lanka ma ke ʻano he papa, capsules, a wai paha. Ua kuhikuhi paha kāu kauka i kekahi o kēia.
- ʻO Citalopram
- ʻEscitalopram
- ʻO Fluoxetine
- ʻO Fluvoxamine
- ʻO Paroxetine
- ʻO Sertraline
ʻO ka mea e pono ai ʻoe e ʻike e pili ana i nā hopena ʻaoʻao
ʻAʻole nā kānaka a pau e lawe ana i nā SSRI e ʻike i nā hopena ʻaoʻao nui. Akā e like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia. Loaʻa kekahi o kēia mau mea i nā pule mua o ka lawe ʻana i ka lāʻau lapaʻau a laila nalo.
ʻO ka mea nui loa, ʻo ke kamaʻilio ākea me kāu kauka e pili ana i kekahi ʻeha hou āu e ʻike nei.
Nā hopena ʻaoʻao maʻamau:
- ʻO ka hiamoe ʻole a i ʻole ka hiamoe nui
- ʻEha poʻo
- ʻŌhū ʻili
- ʻIke pōwehiwehi
- Waha maloʻo
- Ka hoʻomaha ʻole a i ʻole ka haunaele
- Pōʻino
- ʻEha hui a ʻeha paha
- ʻŌpū ʻeha, nausea, a i ʻole ka maʻi diarrhea
- Ua emi ka makemake moekolohe
- Nā pilikia me ke kūkulu ʻana a i ʻole ka paʻakikī i ka hiki ʻana i ka orgasm
- Ka emi ʻana o ke kaumaha a i ʻole ka loaʻa ʻana o ke kaumaha
Hiki ke kāohi ʻia kekahi o kēia mau hopena ʻaoʻao ma ka hoʻololi ʻana i ka manawa o ka lā āu e lawe ai i ka lāʻau lapaʻau. Eia kekahi laʻana, inā manaʻo ʻoe ua luaʻi, e lawe i ka lāʻau lapaʻau me ka meaʻai, inā manaʻo ʻoe ua hiamoe, e lawe ma mua o ka hiamoe ʻana, a inā pilikia ʻoe i ka hiamoe, e lawe i ke kakahiaka. E kamaʻilio me kāu kauka e pili ana i kēia a e kiʻi i ka ʻōlelo aʻo.
Nā mea e pono ai ke nānā pono ʻia
1. Nā manaʻo pepehi kanaka: Ua piʻi iki ka nui o nā manaʻo pepehi kanaka (mai 1-2% a i 2-4%) i nā wā mua o ka hoʻohana ʻana i ka SSRI, ʻoi aku hoʻi i nā keiki a me nā ʻōpio ma lalo o 25 mau makahiki . No laila, inā he mau manaʻo kou e hōʻeha iā ʻoe iho i ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi koke aku i kahi lālā o ka ʻohana a me kāu kauka . I nā hihia koʻikoʻi, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
2. Serotonin Syndrome: He kūlana kakaikahi kēia akā he mea koʻikoʻi paha. Hana ʻia ia i ka wā e kiʻekiʻe loa ai nā pae serotonin o ke kino. Kiʻekiʻe loa kēia pilikia ke lawe pū ʻia nā lāʻau ʻelua e hoʻonui ana i ka serotonin. E nānā i kēia mau hōʻailona:
- Ka hoʻomaha nui a me ka huikau
- Ka hou nui a me ka haʻalulu
- Ka luaʻi, ka ʻeha o ka ʻōpū
- Nā maka lihilihi - nā maka lihilihi e kūlou ana, ka hoʻonui ʻia ʻana o ka maka lihilihi
- ʻŌwiliwili ʻana o nā ʻiʻo, ka ʻūlū ʻana
- Ke koko kiʻekiʻe, ke kuni
- Ka nalowale o ka ʻike, nā ʻūlū
Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻonele i ka manawa a ʻike koke i ke kauka a i ʻole e hele i ka ETU .
Ka hoʻohana ʻana o ka SSRI i ka wā hāpai a me ka hānai ʻana
He mea maʻamau ke kaumaha i ka wā hāpai. Hiki i ke kaumaha i mālama ʻole ʻia ke hoʻopilikia i ka makuahine a me ka pēpē. Eia kekahi, ʻo ka lawe ʻana i nā lāʻau SSRI hiki ke hoʻopilikia i ka pēpē.
No laila, he hoʻoholo kēia e hana pū ai ʻoe a me kāu kauka, ma hope o ke kūkākūkā pono ʻana i nā pono a me nā pōʻino.
Hiki i ke kaumaha i mālama ʻole ʻia ke hoʻonui i ka pilikia o ka preeclampsia i ka makuahine a me ke kaumaha hānau haʻahaʻa a me ka hānau mua ʻana i ka pēpē. Aia kahi pilikia liʻiliʻi o nā pilikia manawa pōkole i ka pēpē, e like me nā pilikia hanu a me ka hoʻomaha ʻole, me nā SSRI.
Ua manaʻo ʻia he palekana ka hoʻohana ʻana i nā SSRI i ka wā e hānai waiū ai. Eia nō naʻe, hiki i kekahi mau pēpē ke loaʻa i kekahi mau pilikia hoʻomaha a me ka hiamoe. No laila, inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana, e kamaʻilio me kāu kauka e pili ana i kēia.
ʻEhia ka lōʻihi o ka hana ʻana o ka lāʻau lapaʻau?
ʻO kēia ka pilikia i loaʻa i nā poʻe he nui. ʻAʻole nā SSRI he lāʻau lapaʻau e hana i ka manawa āu e lawe ai, e like me ka lāʻau hoʻopau ʻeha.
He mea nui loa ke ahonui. Hiki ke hala i 4-6 mau pule, a i ʻole kekahi mau mahina , no ka ʻike piha ʻana i ka hopena piha o ka lāʻau lapaʻau.
Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ʻaʻole ʻoe e ʻike i kekahi ʻokoʻa i nā pule ʻelua a ʻekolu paha mua. E hoʻomaka kāu kauka iā ʻoe ma kahi mahele haʻahaʻa a hoʻonui mālie i ka mahele. Inā ʻaʻohe hoʻomaikaʻi ma hope o 6-8 mau pule, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka hoʻololi ʻana i kahi lāʻau lapaʻau ʻē aʻe a i ʻole ka hoʻololi ʻana i ka mahele.
No ke aha he manaʻo maikaʻi ʻole ka hoʻōki koke ʻana i ka lāʻau SSRI?
ʻAʻole hoʻopili kēia mau lāʻau lapaʻau. Eia nō naʻe, he mea weliweli loa ka hoʻōki koke ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i ka hana ʻana pēlā ke alakaʻi i kahi kūlana i kapa ʻia ʻo "discontinuation syndrome." ʻO ia hoʻi, ka ʻoluʻolu ʻole e kū mai ana ke hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau.
- Ka luaʻi
- Pōʻino
- Manaʻo hopohopo
- Kino make ʻole
- Haʻalulu a me ka hou ʻana
No laila, inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e hana pēlā e like me nā kuhikuhi a kāu kauka, e hoʻemi mālie ana i ka nui.
Leka Lawe-Home
- He lāʻau lapaʻau maʻamau a maikaʻi hoʻi nā SSRI no nā kūlana e like me ke kaumaha a me ka hopohopo. Mai makaʻu i kēia.
- Hana kēia lāʻau lapaʻau ma ke kaulike ʻana i ka serotonin kemika i loko o kou lolo.
- He mau pule ka lōʻihi e ʻike ai i nā hopena o ka lāʻau lapaʻau, no laila e hoʻomanawanui. E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka iā ʻoe, me ka haʻalele ʻole i hoʻokahi lā.
- Hiki ke loaʻa nā hopena ʻaoʻao, akā ʻo ka hapa nui he manawa pōkole. E kamaʻilio me kāu kauka e pili ana i kekahi ʻeha.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka.
- He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā mea kanu Ayurvedic āu e lawe nei.
- E hōʻalo i ka waiʻona a me nā lāʻau ʻē aʻe i ka wā e lawe ana i nā SSRI, no ka mea hiki iā lākou ke hoʻonui i nā hōʻailona o ke kaumaha.
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