Yog koj tsis noj tshuaj antidepressants tam sim ntawd lawm ces yuav ua li cas? (Antidepressant Discontinuation Syndrome) Cia peb tham txog qhov no!

Tej zaum koj yuav noj tshuaj antidepressants rau kev nyuaj siab lossis kev ntxhov siab. Qee zaum peb xav tias, "Auj, kuv zoo siab dua tam sim no, kuv yuav tsum tsis txhob noj cov tshuaj no lawm." Tab sis kev tsis txhob noj cov tshuaj no tam sim ntawd tuaj yeem ua rau koj muaj ntau yam teeb meem. Qhov ntawd yog qhov peb tab tom tham txog hnub no.

Kev Tsis Siv Tshuaj Antidepressant Discontinuation Syndrome yog dab tsi?

Yog hais yooj yim xwb, yog koj noj tshuaj antidepressants tsawg kawg yog rau lub lis piam thiab tom qab ntawd tsum tsis txhob noj tam sim ntawd, lossis yog koj tsum tsis txhob noj ntau dhau yam tsis tau txo qhov noj raws li koj tus kws kho mob pom zoo, koj yuav muaj qhov tsis xis nyob no. Ib txhia neeg hu qhov no ua 'discontinuation syndrome'. Qhov no hu ua Antidepressant Discontinuation Syndrome , lossis luv luv ADS .

Hauv qhov xwm txheej no (ADS), koj yuav muaj ntau yam tsos mob, xws li pw tsis tsaug zog, xeev siab, thiab xav tias tsis muaj zog. Tab sis tsis txhob txhawj, cov tsos mob no feem ntau yuav ploj mus hauv tsawg dua ob lub hlis. Qhov no tsis yog ib yam dab tsi uas ua rau muaj kev raug mob ntau rau lub cev, tab sis nws tuaj yeem ua rau tsis xis nyob thiab ntxhov siab heev. Tsis tas li ntawd, qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias thaum koj tsum tsis txhob noj tshuaj antidepressants, qhov mob hlwb uas koj tau noj tshuaj (piv txwv li, kev nyuaj siab lossis kev ntxhov siab) yuav rov tshwm sim.

Yog li ntawd, yog tias koj xav tso tseg kev siv tshuaj antidepressants, koj yuav tsum nrog koj tus kws kho mob tham ua ntej . Tom qab ntawd koj tuaj yeem sim tiv thaiv qhov mob no hu ua (ADS).

Tus mob no (ADS) muaj ntau npaum li cas?

Cov kev tshawb fawb tau qhia tias ntawm 27% thiab 86% ntawm cov neeg uas sim tsum tsis txhob noj tshuaj antidepressants, txawm tias lawv tus kheej lossis nrog cov lus qhia ntawm tus kws kho mob, muaj cov tsos mob rho tawm (ADS). Yog li koj pom, qhov no tsis yog txhua yam uas tsis tau hnov ​​​​dua.

Cov tsos mob ntawm Antidepressant Discontinuation Syndrome yog dab tsi?

Cov tsos mob no feem ntau yuav pib tshwm sim li ntawm ob mus rau plaub hnub tom qab tso tseg kev siv tshuaj antidepressants. Cov no yog cov tsos mob tseem ceeb uas pom tau:

• Cov tsos mob zoo li mob khaub thuas: qaug zog, mob taub hau, mob lub cev, thiab tawm hws. Qee zaum koj yuav muaj kev npau suav txawv txawv thiab txaus ntshai.
• Xeev siab: Qee zaum ntuav kuj tseem yuav tshwm sim.
• Kiv taub hau thiab xav tias lub taub hau me me.
• Kub hnyiab, tingling, lossis zoo li hluav taws xob poob siab (paresthesia) hauv lub cev. Qhov no tuaj yeem yog ib qho kev paub txawv txawv.
• Kev hloov pauv ntawm lub siab: Kev ntxhov siab, kev chim siab, kev tsis so, thiab kev ua phem yuav tshwm sim.

Yog tias koj muaj cov tsos mob no, koj yuav tsum mus ntsib koj tus kws kho mob . Qhov hnyav ntawm cov tsos mob no yuav txawv ntawm ib tus neeg mus rau ib tus neeg, tab sis rau feem ntau ntawm cov neeg, lawv tsis hnyav heev. Ib txoj kev tshawb fawb pom tias cov neeg uas muaj cov tsos mob no:

• 7% tau muaj cov tsos mob rau ob lub hlis.
• 6% tau muaj cov tsos mob rau ib xyoos.
• 2% tau muaj cov tsos mob rau ntau tshaj peb xyoos.

Yog li, koj tuaj yeem pom, qhov no yuav yog qhov ntev me ntsis rau qee tus neeg.

Dab tsi ua rau muaj qhov no (Antidepressant Discontinuation Syndrome)?

Qhov tseeb, cov kws tshawb nrhiav tseem tsis tau paub meej tias yog dab tsi ua rau muaj qhov "Kev Tsis Txuas Ntxiv Tshuaj" no. Tab sis lawv xav tias nws muaj feem cuam tshuam nrog kev poob qis ntawm cov tshuaj hu ua "Serotonin" hauv lub hlwb thaum koj tsis txhob noj tshuaj xws li "SSRI - selective serotonin reuptake inhibitor" lossis "SNRI - serotonin thiab norepinephrine reuptake inhibitors". Thaum peb lub cev poob cov serotonin no tam sim ntawd, lawv teb los ntawm kev ua rau muaj cov tsos mob ntawm lub cev thiab lub hlwb no.

Cov yam ua rau muaj kev pheej hmoo ntawm kev mob Antidepressant Discontinuation Syndrome yog dab tsi?

Thaum koj tsis noj tshuaj antidepressant lawm, koj yuav muaj feem yuav muaj cov tsos mob ntawm kev rho tawm (ADS) ntau dua hauv cov xwm txheej hauv qab no:

• Yog koj tsum tsis noj tshuaj tam sim ntawd (tsis maj mam txo nws).
• Yog koj tau noj cov tshuaj ntawd ntev heev (xyoo).
• Yog koj noj tshuaj antidepressant ntau dhau (qhov no txawv nyob ntawm hom tshuaj).
• Yog tias koj tau muaj cov tsos mob rho tawm thaum koj tsis nco qab noj tshuaj yav dhau los (tab sis lawv ploj mus thaum koj noj tshuaj dua).

Tsis tas li ntawd xwb, hom tshuaj antidepressant uas koj noj tuaj yeem ua rau koj muaj feem yuav mob ADS ntau dua lossis tsawg dua. Qhov no feem ntau yog hais txog lub sijhawm ntev npaum li cas cov tshuaj nyob hauv koj lub cev. Cov tshuaj uas lub cev zom sai sai yuav ua rau mob ADS tom qab tsis noj dua li cov tshuaj uas nyob hauv lub cev ntev dua.

Tam sim no cia peb saib qee hom tshuaj thiab lawv cov theem kev pheej hmoo:

Cov theem kev pheej hmoo rau cov tshuaj SSRI:

• Cov tshuaj uas muaj feem yuav ua rau mob (ADS): (Paroxetine) (hu ua Paxil®, Pexeva®) thiab (fluvoxamine).
• Cov tshuaj uas muaj kev pheej hmoo nruab nrab rau (ADS): `(Citalopram)` (`Celexa®`), `(escitalopram)` (`Lexapro®`) thiab `(sertraline)` (`Zoloft®`).
• Cov tshuaj uas muaj kev pheej hmoo tsawg rau (ADS): `(Fluoxetine)` (`Prozac®`).

Cov theem kev pheej hmoo rau cov tshuaj (SNRI):

• Cov tshuaj uas muaj feem yuav ua rau mob (ADS): `(Venlafaxine)` (`Effexor®`) thiab `(desvenlafaxine)` (`Khedezla®`, `Pristiq®`).
• Cov tshuaj uas muaj kev pheej hmoo nruab nrab rau (ADS): `(Duloxetine)` (`Cymbalta®`, `Drizalma®`, `Irenka®`).
• Cov tshuaj uas muaj kev pheej hmoo tsawg rau (ADS): `(Milnacipran)` (`Savella®`) thiab `(levomilnacipran)` (`Fetzima®`).

Ntxiv rau qhov no, (MAOIs - monoamine oxidase inhibitors)` , `(tricyclic antidepressants)` thiab `(tetracyclic antidepressants)`Cov tshuaj hauv qab no feem ntau suav tias yog cov tshuaj uas muaj feem yuav mob ASD. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tshuaj uas koj noj.

Cov teeb meem uas yuav tshwm sim los ntawm kev siv tshuaj Antidepressant Discontinuation Syndrome yog dab tsi?

Muaj tej lub sij hawm, kev tsum tsis txhob siv tshuaj antidepressants yuav ua rau muaj tej yam tshwm sim tsis zoo loj heev. Cov no yog cov tseem ceeb:

• Kev xav tua tus kheej.
• Kev tua tus kheej.
• Kev vwm.

Yog koj lossis koj tus menyuam muaj kev xav tua tus kheej lossis muaj tus cwj pwm zoo sib xws, thov hu rau National Mental Health Helpline ntawm 1926 tam sim ntawd. Muaj ib tus neeg tuaj yeem pab koj 24 teev hauv ib hnub. Tsis txhob nyuaj siab nrog cov teeb meem no ib leeg.

Yuav kuaj mob li cas rau tus mob no (Tshuaj Tiv Thaiv Kev Nyuaj Siab Tsis Siv Tshuaj)?

Tsis muaj kev kuaj mob tshwj xeeb los kuaj mob Antidepressant Discontinuation Syndrome. Hloov chaw, koj tus kws kho mob yuav nug koj txog koj cov tsos mob, koj keeb kwm kev mob nkeeg, thiab thaum twg koj tsis noj koj cov tshuaj antidepressant lawm.

Cov tsos mob ntawm ADS yuav zoo ib yam li cov mob ntawm lwm yam mob, xws li kev nyuaj siab thiab kev ntxhov siab. Yog li ntawd, nws yog ib qho pab tau kom qhia rau koj tus kws kho mob kom meej li meej tau txog koj cov tsos mob thiab lawv pib li cas.

Yuav kho tus mob Antidepressant Discontinuation Syndrome li cas?

Txoj kev kho mob zoo tshaj plaws rau tus mob no (ADS) yog rov pib noj tshuaj antidepressant tib yam li yav dhau los . Qhov no feem ntau yuav daws tau koj cov tsos mob hauv 24 teev. Txawm li cas los xij, yog tias koj tseem xav tsum tsis txhob noj tshuaj, koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau koj txog yuav ua li cas maj mam txo cov tshuaj thiab tsum.

Nyob ntawm seb koj cov tsos mob hnyav npaum li cas thiab lawv kav ntev npaum li cas, koj tus kws kho mob kuj tseem yuav sau lwm yam tshuaj los pab tswj lawv. Piv txwv li:

• Cov tshuaj tua mob taub hau, xws li "Ibuprofen" lossis "acetaminophen".
• Ib yam li "ondansetron" (ua lag luam hu ua "Zofran®"), yog ib yam tshuaj tiv thaiv kev xeev siab .
• Cov tshuaj xws li '(hydroxyzine)' lossis '(benzodiazepines)' rau kev ntxhov siab thiab pw tsis tsaug zog.

Yuav ua li cas thiaj nrhiav tau tus mob no (Tshuaj Tiv Thaiv Kev Nyuaj Siab Tsis Siv Tshuaj)?

Qhov kev cia siab rau tus mob no (ADS) txawv. Feem ntau cov mob tsis hnyav thiab tsis kav ntev tshaj yim lub lis piam. Txawm li cas los xij, qee kis tuaj yeem hnyav thiab cov tsos mob tuaj yeem kav ntev li ib xyoos lossis ntau dua. Qhov no yog vim li cas nws thiaj li tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob.

Peb yuav ua li cas thiaj tiv thaiv tau qhov no (Antidepressant Discontinuation Syndrome)?

Tu siab kawg li, qhov "Antidepressant Discontinuation Syndrome (ADS)" no tsis yog ib txwm yuav tiv thaiv tau. Txawm li cas los xij, qhov tseem ceeb tshaj plaws uas koj ua tau kom tsis txhob muaj qhov no yog tham nrog koj tus kws kho mob ua ntej koj tso tseg koj cov tshuaj antidepressant. Kev tso tseg cov tshuaj antidepressants kom muaj kev nyab xeeb tuaj yeem siv sijhawm ntau - koj yuav tsum maj mam txo koj cov tshuaj raws sijhawm.

Txhua yam tshuaj antidepressant sib txawv, yog li tus neeg zoo tshaj plaws los pab koj tsum tsis txhob noj nws yog koj tus kws kho mob. Nws yuav qhia koj meej tias yuav ua li cas thiaj li muaj kev nyab xeeb.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li qhov tsis xis nyob ntawm kev tso tseg tshuaj antidepressants, hu ua "Antidepressant Discontinuation Syndrome (ADS)," tuaj yeem yog qhov kev paub tsis zoo heev. Txoj hauv kev zoo tshaj plaws los zam nws yog maj mam txo thiab tso tseg koj cov tshuaj antidepressants raws li kev qhia ntawm koj tus kws kho mob.

Nco ntsoov, yog tias koj muaj lus nug lossis kev txhawj xeeb txog koj cov tshuaj, nco ntsoov nrog koj tus kws kho mob tham. Lawv nyob ntawd los pab koj.

Cov tshuaj yog ib yam uas yuav pab tau peb ntau yog tias siv kom raug. Tiam sis nws yog ib qho tseem ceeb heev uas peb yuav tsum paub siv thiab yuav tsum tsis txhob siv li cas. Kuv vam tias koj yuav nkag siab qhov no. Yog tias koj muaj lus nug dab tsi, tsis txhob ntshai nug kws kho mob.

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