Kodi tikambirane za mankhwala a SSRI ochizira kuvutika maganizo? (Selective Serotonin Reuptake Inhibitors)

Kodi dokotala wanu adakupatsani mankhwala ochizira matenda a maganizo kapena matenda ena amisala? Ngati ndi choncho, mwina mukudziwa bwino mawu akuti SSRI. Dzina limeneli ndi lofala kwambiri pa gulu la mankhwala. Popeza anthu ambiri amagwiritsa ntchito gulu la mankhwala amenewa, ndikofunikira kuti mudziwe bwino lomwe. Choncho lero, tiyeni tikambirane mwachidule za ma SSRI, momwe amagwirira ntchito, komanso zomwe muyenera kudziwa mukamawagwiritsa ntchito.

Mwachidule, kodi ma SSRI ndi chiyani?

Ma SSRI ndi chidule cha Selective Serotonin Reuptake Inhibitors . Ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito makamaka pochiza zizindikiro za matenda amisala monga kuvutika maganizo. Komabe, madokotala amawalemberanso matenda ena ambiri amisala, osati kuvutika maganizo kokha.

Pali mitundu ingapo ya mankhwala ochizira kuvutika maganizo. Pakati pawo, madokotala nthawi zambiri amasankha mtundu uwu wa SSRI poyamba. Chifukwa chachikulu cha izi ndichakuti, poyerekeza ndi mitundu ina ya mankhwala, SSRI nthawi zambiri imakhala ndi zotsatirapo zochepa ndipo sizikhala zoopsa kwambiri. Izi zimapangitsa kuti odwala azigwiritsa ntchito mosavuta.

Ena mwa ma SSRI omwe amalembedwa kwambiri ku Sri Lanka

Onani ngati dzina la mankhwala omwe dokotala wanu wakupatsani lili pamndandandawu. Awa ndi ena mwa ma SSRI omwe amagwiritsidwa ntchito kwambiri padziko lonse lapansi komanso ku Sri Lanka. Mayina a makampani amatha kusiyana, koma ali ndi mitundu iyi ya mankhwala.

• Fluoxetine
• Sertraline
• Escitalopram
• Citalopram
• Paroxetine
• Fluvoxamine

Kodi mankhwalawa amagwiritsidwa ntchito pa matenda otani?

Madokotala amapereka mankhwala awa pa matenda osiyanasiyana. Mankhwala ena amavomerezedwa mwalamulo kuti agwiritsidwe ntchito. Nthawi zina, madokotala amatha kupereka mankhwalawo pa matenda ena kutengera zomwe adakumana nazo pazachipatala.

Kodi mankhwalawa amagwira ntchito bwanji m'thupi? Ndi odabwitsa!

Izi n'zosavuta kumvetsa. Maselo athu a muubongo amalankhulana, kutanthauza kuti, amatumizirana mauthenga, kudzera mu mankhwala otchedwa neurotransmitters .

Serotonin ndi imodzi mwa ma neurotransmitter apadera. Mwachidule, serotonin imathandiza kulamulira zinthu zambiri, kuphatikizapo momwe timamvera, chisangalalo, tulo, ndi chilakolako. Ndicho chifukwa chake anthu ena amatcha "hormone ya chisangalalo."

Taganizirani izi motere. Selo imodzi ya ubongo imatumiza uthenga ku selo lina pogwiritsa ntchito serotonin. Pambuyo popereka uthengawo, selo yomwe idatumiza uthengawo imayamwanso serotonin yotsalayo. Izi zimatchedwa "reuptake."

Mu matenda monga kuvutika maganizo, kuchuluka kwa serotonin muubongo kumatha kuchepa. Mankhwala a SSRI amachita chinthu chosavuta kwambiri. Amaletsa kubwezeretsedwa kwa serotonin. Ndiye chimachitika ndi chiyani? Kuchuluka kwa serotonin pakati pa maselo kumawonjezeka. Izi zimathandizira kuti munthu akhale ndi maganizo abwino ndipo zizindikiro za kuvutika maganizo zimayamba kuchepa pang'onopang'ono.

Mankhwala amtunduwu ndi "osankha" chifukwa amakhudza kwambiri serotonin. Sakhudza kwambiri ma neurotransmitters ena monga dopamine kapena norepinephrine. Ichi ndi chimodzi mwa zifukwa zomwe zotsatira zoyipa zimachepa.

Zotsatirapo ndi zoopsa zomwe muyenera kudziwa

Monga mankhwala ena aliwonse, ma SSRI amatha kukhala ndi zotsatirapo zake. Si aliyense amene amawapeza, koma nthawi zambiri amatha pakatha masiku angapo. Ngati muli ndi nkhawa, onetsetsani kuti mwalankhula ndi dokotala wanu.

Zoopsa zomwe zimafuna chisamaliro chapamwamba

Izi ndi zovuta pang'ono. N'zosowa kwambiri. Koma ndikofunikira kuzidziwa.

1. Matenda a Serotonin

Ichi ndi chiopsezo choopsa kwambiri. Vutoli limachitika pamene kuchuluka kwa serotonin m'thupi kumawonjezeka mosafunikira. Chifukwa chachikulu cha izi ndichakuti mankhwala a SSRI amatengedwa limodzi ndi mankhwala ena omwe amawonjezera kuchuluka kwa serotonin (monga MAOIs). Chifukwa chake, ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala ndi mavitamini onse omwe mukumwa.

• Zizindikiro zodziwika bwino: kusakhazikika, nseru, kusanza, kutsegula m'mimba, thukuta kwambiri, kunjenjemera, mayendedwe a maso, kuuma kwa minofu kapena kugwedezeka.
• Zizindikiro zazikulu: chisokonezo, kutentha thupi kwambiri, kuthamanga kwa magazi, kugunda kwa mtima mofulumira, khunyu, kukomoka.

2. Kusamva bwino mukasiya kumwa mankhwala (Antidepressant Discontinuation Syndrome)

Anthu ambiri amatcha izi "zizindikiro zosiya kumwa mankhwala." Koma izi si chizolowezi. Ma SSRI si mankhwala osokoneza bongo. Komabe, ngati mumwa mankhwala kwa milungu yoposa 6 kenako nkusiya kumwa mwadzidzidzi, mutha kumva kusasangalala m'thupi lanu.

Zizindikiro zomwe zimachitika mutasiya kumwa:

• Malungo (kupweteka pachifuwa, thukuta)
• Kusowa tulo
• Kusanza
• Chizungulire
• Kumva ngati kumenyedwa ndi mphezi
• Nkhawa ndi kusakhazikika

Mayankho a mafunso ena omwe mungakhale nawo

Kodi mankhwalawa amatenga nthawi yayitali bwanji kuti agwire ntchito?

Izi ndizofunikira kwambiri. Mankhwala a SSRI sapereka zotsatira nthawi yomweyo. Zingatenge milungu 6 mpaka 8 kuti mumve mphamvu yonse ya mankhwalawo. Choncho, musasiye kumwa mankhwalawo chifukwa palibe kusiyana kwakukulu m'masabata oyamba. Khalani oleza mtima. Ngati palibe kusintha pambuyo pa nthawiyi, lankhulani ndi dokotala wanu.

Kodi mukufuna kukaonananso ndi dokotala liti?

Ngati mukugwiritsa ntchito SSRIs, muyenera kukaonana ndi dokotala nthawi zonse.

• Ngati zotsatirapo zake zikukuvutitsani.
• Ngati zizindikiro zanu sizikusintha kapena kuipiraipira.
• Ngati mukuona kuti muyenera kusiya kumwa mankhwalawo.
• Ngati mukuganiza zodzipha (chiopsezochi chingawonjezeke pang'ono, makamaka kwa omwe ali ndi zaka zosakwana 25 akayamba kumwa mankhwala. Ngati izi zitachitika, dziwitsani dokotala wanu nthawi yomweyo ).

Kodi kumwa mowa ndi SSRIs n'koyenera?

Sichabwino konse. Mowa umathandizanso kuchepetsa mphamvu ya mitsempha. Chifukwa chake, mowa ukhoza kuchepetsa mphamvu ya SSRIs ndikuwonjezera zizindikiro za kuvutika maganizo. Chifukwa chake, ndi bwino kupewa kumwa mowa kwathunthu mukamamwa mankhwalawa.