Kodi chimachitika ndi chiyani ngati mwasiya kumwa mankhwala ochepetsa nkhawa mwadzidzidzi? (Antidepressant Discontinuation Syndrome) Tiyeni tikambirane izi!

Mwina mukumwa mankhwala ochepetsa nkhawa chifukwa cha kuvutika maganizo kapena nkhawa. Nthawi zina timaganiza kuti, "Aa, ndikumva bwino tsopano, ndiyenera kusiya kumwa mankhwalawa." Koma kusiya mwadzidzidzi mankhwala awa kungakubweretsereni mavuto angapo. Ndicho chimene tikukamba lero.

Kodi Matenda Oletsa Kuvutika Maganizo (Antidepressant Discontinuation Syndrome) ndi Chiyani?

Mwachidule, ngati mumwa mankhwala oletsa kuvutika maganizo kwa milungu yosachepera isanu ndi umodzi kenako n’kuwasiya mwadzidzidzi, kapena ngati muwasiya osachepetsa monga momwe dokotala wanu akulangizirani, mutha kumva kusasangalala kumeneku. Anthu ena amatcha izi 'discontinuation syndrome'. Izi zimatchedwa Antidepressant Discontinuation Syndrome , kapena mwachidule ADS .

Mu mkhalidwe uwu (ADS), mutha kukhala ndi zizindikiro zingapo, monga kusowa tulo, nseru, komanso kumva kufooka. Koma musadandaule, zizindikirozi nthawi zambiri zimatha pasanathe miyezi iwiri. Izi sizimayambitsa kuvulala kwambiri mwakuthupi, koma zimatha kukhala zosasangalatsa komanso zokhumudwitsa. Komanso, chinthu chofunikira kukumbukira ndichakuti mukasiya kumwa mankhwala ochepetsa nkhawa, vuto la maganizo lomwe mudamwa mankhwalawo (monga kupsinjika maganizo kapena nkhawa) lingabwerenso.

Choncho, ngati mukuganiza zosiya kugwiritsa ntchito mankhwala oletsa kuvutika maganizo, muyenera kulankhula ndi dokotala kaye . Kenako mutha kuyesa kupewa vutoli lotchedwa (ADS).

Kodi vutoli (ADS) ndi lofala bwanji?

Kafukufuku wasonyeza kuti pakati pa 27% ndi 86% ya anthu omwe amayesa kusiya kumwa mankhwala oletsa kuvutika maganizo, kaya okha kapena ndi upangiri wa dokotala, amakumana ndi zizindikiro zosiya kumwa mankhwala (ADS). Ndiye mukuona, izi sizodziwika kwambiri.

Kodi zizindikiro za Antidepressant Discontinuation Syndrome ndi ziti?

Zizindikiro zimenezi nthawi zambiri zimayamba kuonekera pasanathe masiku awiri kapena anayi kuchokera pamene munthu wasiya kugwiritsa ntchito mankhwala oletsa kuvutika maganizo. Izi ndi zizindikiro zazikulu zomwe zingaonekere:

• Zizindikiro zofanana ndi chimfine: kutopa, mutu, kupweteka thupi, ndi thukuta. Nthawi zina mungakhale ndi maloto achilendo komanso owopsa.
• Kusanza: Nthawi zina kusanza kungachitikenso.
• Chizungulire komanso kumva ngati mutu wayamba kufooka.
• Kupsa, kumva kuwawa, kapena kumva ngati kugwedezeka kwamagetsi (paresthesia) m'thupi. Izi zitha kukhala zachilendo.
• Kusintha kwa maganizo: Nkhawa, kukwiya, kusakhazikika, komanso ngakhale nkhanza zingachitike.

Ngati muli ndi zizindikiro izi, muyenera kuonana ndi dokotala wanu . Kuopsa kwa zizindikirozi kumatha kusiyana malinga ndi munthu, koma kwa anthu ambiri, sikoopsa kwambiri. Kafukufuku wina adapeza kuti anthu omwe amakumana ndi zizindikiro izi:

• 7% akhala ndi zizindikiro kwa miyezi iwiri.
• 6% akhala ndi zizindikiro kwa chaka chimodzi.
• 2% akhala ndi zizindikiro kwa zaka zoposa zitatu.

Kotero, mutha kuwona, izi zitha kukhala nkhani yanthawi yayitali kwa anthu ena.

Kodi n’chiyani chimayambitsa izi (Antidepressant Discontinuation Syndrome)?

Ndipotu, ofufuza sakudziwabe chomwe chimayambitsa "Discontinuation Syndrome". Koma amaganiza kuti izi zikugwirizana ndi kutsika kwadzidzidzi kwa milingo ya mankhwala otchedwa "Serotonin" muubongo mukasiya kumwa mankhwala monga "SSRI ​​- selective serotonin reuptake inhibitor" kapena "SNRI - serotonin ndi norepinephrine reuptake inhibitors". Pamene matupi athu mwadzidzidzi ataya serotonin iyi, amachitapo kanthu poyambitsa zizindikiro zakuthupi ndi zamaganizo izi.

Kodi ndi zinthu ziti zomwe zingachititse kuti munthu ayambe kumwa mankhwala ochepetsa nkhawa (Antidepressant Discontinuation Syndrome)?

Mukasiya kumwa mankhwala oletsa kuvutika maganizo, mumakhala ndi mwayi wokumana ndi zizindikiro zosiya kumwa mankhwala (ADS) m'mikhalidwe iyi:

• Ngati mwasiya kumwa mankhwala mwadzidzidzi (osachepetsa pang'onopang'ono).
• Ngati mwakhala mukumwa mankhwalawo kwa nthawi yayitali (zaka).
• Ngati mukumwa mankhwala ochepetsa nkhawa ambiri (izi zimasiyana malinga ndi mtundu wa mankhwala).
• Ngati munayamba mwakhalapo ndi zizindikiro zosiya kumwa mankhwala mutangosiya kumwa mankhwala kale (koma zinatha mutamwanso mankhwalawo).

Komanso, mtundu wa mankhwala oletsa kuvutika maganizo omwe mumamwa ukhoza kuwonjezera kapena kuchepetsa chiopsezo chanu cha ADS. Izi zimagwirizana kwambiri ndi nthawi yomwe mankhwalawo amakhala m'thupi lanu. Mankhwala omwe amaphwanyidwa (kusinthidwa) mwachangu ndi thupi amakhala ndi mwayi waukulu woyambitsa ADS mutasiya kumwa kuposa mankhwala omwe amakhala m'thupi kwa nthawi yayitali.

Tsopano tiyeni tiwone mitundu ina ya mankhwala ndi kuchuluka kwa zoopsa zake:

Kuchuluka kwa chiopsezo cha mankhwala a SSRI:

• Mankhwala omwe ali ndi chiopsezo chachikulu cha (ADS): `(Paroxetine)` (ogulitsidwa ngati ``Paxil®``, ``Pexeva®``) ndi `(fluvoxamine)`.
• Mankhwala omwe ali ndi chiopsezo chochepa cha (ADS): `(Citalopram)` (`Celexa®`), `(escitalopram)` (`Lexapro®`) ndi `(sertraline)` (`Zoloft®`).
• Mankhwala ochepetsa chiopsezo cha (ADS): `(Fluoxetine)` (`Prozac®`).

Kuchuluka kwa chiopsezo cha mankhwala amtundu wa (SNRI):

• Mankhwala omwe ali ndi chiopsezo chachikulu cha (ADS): `(Venlafaxine)` (`Effexor®`) ndi `(desvenlafaxine)` (`Khedezla®`, `Pristiq®`).
• Mankhwala omwe ali ndi chiopsezo chochepa cha (ADS): `(Duloxetine)` (`Cymbalta®`, `Drizalma®`, `Irenka®`).
• Mankhwala omwe ali ndi chiopsezo chochepa cha (ADS): `(Milnacipran)` (`Savella®`) ndi `(levomilnacipran)` (`Fetzima®`).

Kuwonjezera pa izi, `(MAOIs - monoamine oxidase inhibitors)` , `(tricyclic antidepressants)` ndi `(tetracyclic antidepressants)`Mankhwala otsatirawa nthawi zambiri amaonedwa kuti ndi oopsa kwambiri chifukwa cha ASD. Choncho ndikofunikira kudziwa mankhwala omwe mukumwa.

Kodi ndi mavuto ati omwe angayambitse matenda a Antidepressant Discontinuation Syndrome?

Nthawi zina, kusiya kugwiritsa ntchito mankhwala ochepetsa nkhawa kungayambitse mavuto aakulu. Izi ndi zazikulu:

• Lingaliro lofuna kudzipha.
• Kudzipha.
• Kupusa.

Ngati inu kapena mwana wanu akuganiza zodzipha kapena khalidwe lofanana ndi limeneli, chonde imbani National Mental Health Helpline pa 1926 nthawi yomweyo. Pali munthu amene angakuthandizeni maola 24 patsiku. Musamavutike ndi zinthu zimenezi nokha.

Kodi vutoli (Antidepressant Discontinuation Syndrome) limapezedwa bwanji?

Palibe mayeso enieni azachipatala oti mudziwe za Antidepressant Discontinuation Syndrome. M'malo mwake, dokotala wanu adzakufunsani mafunso okhudza zizindikiro zanu, mbiri yanu yachipatala, komanso nthawi yomwe munasiya kumwa mankhwala oletsa kuvutika maganizo.

Zizindikiro za ADS zitha kufanana ndi za matenda ena monga kuvutika maganizo ndi nkhawa. Chifukwa chake, ndikofunikira kuuza dokotala wanu zambiri momwe mungathere za zizindikiro zanu ndi momwe zinayambira.

Kodi matenda a Antidepressant Discontinuation Syndrome amachiritsidwa bwanji?

Chithandizo chothandiza kwambiri cha vutoli (ADS) ndikuyambitsanso mankhwala oletsa kuvutika maganizo pa mlingo womwewo monga kale . Izi nthawi zambiri zimathetsa zizindikiro zanu mkati mwa maola 24. Komabe, ngati mukufunabe kusiya kumwa mankhwalawo, dokotala wanu adzakupatsani malangizo enieni a momwe mungachepetsere pang'onopang'ono mlingowo ndikusiya.

Kutengera ndi kuopsa kwa zizindikiro zanu komanso nthawi yomwe zimatenga, dokotala wanu angaperekenso mankhwala ena kuti athetse zizindikirozo. Mwachitsanzo:

• Mankhwala ochepetsa ululu a mutu, monga ``Ibuprofen'' kapena ``acetaminophen''.
• Chinthu chonga ``ondansetron`` (chomwe chimagulitsidwa ngati ``Zofran®``), mankhwala oletsa nseru .
• Mankhwala monga `(hydroxyzine)` kapena `(benzodiazepines)` ochiza nkhawa ndi kusowa tulo.

Kodi chiyembekezo cha vutoli (Antidepressant Discontinuation Syndrome) ndi chotani?

Chiyembekezo cha vutoli (ADS) chimasiyana. Milandu yambiri si yoopsa kwambiri ndipo siimatenga milungu yoposa isanu ndi itatu. Komabe, milandu ina imatha kukhala yoopsa kwambiri ndipo zizindikiro zimatha kwa chaka chimodzi kapena kuposerapo. Ichi ndichifukwa chake ndikofunikira kufunafuna upangiri wa dokotala.

Kodi tingapewe bwanji izi (Antidepressant Discontinuation Syndrome)?

Mwatsoka, "Antidepressant Discontinuation Syndrome (ADS)" iyi siingathe kupewedwa nthawi zonse. Komabe, chinthu chofunikira kwambiri chomwe mungachite kuti mupewe ndikulankhula ndi dokotala wanu musanasiye kugwiritsa ntchito mankhwala anu oletsa kuvutika maganizo. Kusiya kugwiritsa ntchito mankhwala oletsa kuvutika maganizo mosamala kungakhale njira yotengera nthawi - mungafunike kuchepetsa pang'onopang'ono mlingo wanu pakapita nthawi.

Mankhwala onse oletsa kuvutika maganizo ndi osiyana, kotero munthu wabwino kwambiri amene angakuthandizeni kusiya kumwa mankhwalawa ndi dokotala wanu. Iye adzakuuzani momwe mungachitire izi mosamala.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, kotero kusasangalala kosiya mankhwala oletsa kuvutika maganizo, omwe amadziwika kuti ``Antidepressant Discontinuation Syndrome (ADS)'', kungakhale kovuta kwambiri. Njira yabwino yopewera izi ndikuchepetsa pang'onopang'ono ndikusiya mankhwala anu oletsa kuvutika maganizo motsogozedwa ndi dokotala wanu.

Kumbukirani, ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwala anu, onetsetsani kuti mwalankhula ndi dokotala wanu. Iwo alipo kuti akuthandizeni.

Mankhwala ndi chinthu chomwe chingatithandize kwambiri ngati agwiritsidwa ntchito moyenera. Koma ndikofunikira kwambiri kuti tidziwe momwe tingawagwiritsire ntchito komanso momwe tingawaletsere. Ndikukhulupirira kuti mukumvetsa izi. Ngati muli ndi mafunso aliwonse, musaope kufunsa dokotala.

Mankhwala Oletsa Kuvutika Maganizo, Matenda Oletsa Kuvutika Maganizo, ADS, Serotonin, Thanzi Lamaganizo, Kusiya Mankhwala, Zizindikiro