Mankhwala Oletsa Kuvutika Maganizo a Tricyclic - Kodi mukudziwa za mankhwalawa?

Kodi dokotala wanu wakupatsani mankhwala a matenda monga kuvutika maganizo kapena ululu wosatha? Kodi mwamvapo dzina lakuti 'tricyclic antidepressants' pakati pa mankhwala amenewo? Ngakhale kuti awa ndi mankhwala akale pang'ono, akadali othandiza kwambiri nthawi zina. Kotero lero, tiyeni tikambirane za mankhwala onsewa a tricyclic antidepressants, kapena "TCAs" mwachidule.

Mwachidule, kodi mankhwala oletsa kuvutika maganizo otchedwa tricyclic antidepressants (TCAs) amenewa ndi chiyani?

Mankhwala oletsa kuvutika maganizo otchedwa Tricyclic antidepressants (TCAs) ndi gulu la mankhwala omwe amathandiza kuchepetsa zizindikiro za matenda aakulu ovutika maganizo. Ngakhale kuti ali ndi mawu oti "antidepressant" m'dzina lawo, madokotala amawalemberanso mankhwala pa matenda ena osiyanasiyana.

Mankhwalawa amatchedwanso kuti "ochepetsa nkhawa a m'badwo woyamba" chifukwa anali mankhwala oyamba ochepetsa nkhawa kupezeka. Amatchedwa "tricyclic" chifukwa ali ndi mphete zitatu mu kapangidwe ka mankhwala awo.

Masiku ano, chifukwa chakuti mankhwala atsopano ochizira kuvutika maganizo ndi otetezeka komanso alibe zotsatirapo zoyipa zambiri (monga SSRIs), madokotala akupereka mankhwala a TCA pafupipafupi. Komabe, akhoza kukhala othandiza kwambiri kwa anthu ena omwe sanayankhe mankhwala ena. Amagwiritsidwanso ntchito nthawi zambiri pa matenda ena.

Kodi mitundu ya ma TCA ndi iti? Ndi mitundu ya matenda omwe madokotala amawalembera?

Pali mitundu ikuluikulu ingapo ya ma TCA omwe amagwiritsidwa ntchito ku Sri Lanka ndi padziko lonse lapansi. Yang'anani ngati mankhwala omwe dokotala wanu wakupatsani ndi amodzi mwa awa.

Kuwonjezera pa matenda a kuvutika maganizo ndi OCD omwe atchulidwa pamwambapa, madokotala amapereka mankhwalawa pa matenda ena angapo. Izi zimatchedwa "kugwiritsa ntchito popanda chizindikiro." Izi zikutanthauza kuti mankhwalawa amaperekedwa pa matenda ena osati omwe adavomerezedwa, pamene kafukufuku wasonyeza kuti ndi othandiza pa matenda ena.

• Ululu wosatha: Makamaka ululu wokhudzana ndi mitsempha, monga matenda a shuga ndi neuralgia ya postherpetic.
• Kupewa mutu waching'alang'ala: Kuletsa mutu waching'alang'ala womwe umachitika pafupipafupi.
• Kusowa tulo: Anthu ena amapatsidwa mlingo wochepa kuti agone.
• Matenda a nkhawa
• Fibromyalgia: Ululu ndi kutopa thupi lonse.
• Kunyowetsa pabedi: Vutoli nthawi zina limalimbikitsidwa kwa ana aang'ono.

Kodi mankhwalawa amagwira ntchito bwanji m'thupi?

Mwachidule, ubongo wathu uli ndi mankhwala omwe amatumiza mauthenga pakati pa maselo amitsempha. Timawatcha ma neurotransmitters awa. `Norepinephrine` ndi `Serotonin` ndi ma neurotransmitters awiri ofunikira kwambiri omwe amalamulira malingaliro athu, chisangalalo, ndi khalidwe lathu.

Magawo amenewa akhoza kukhala otsika kwambiri pamavuto monga kuvutika maganizo. Ma TCA amagwira ntchito powonjezera kuchuluka kwa ma neurotransmitters awa, ``Norepinephrine`` ndi ``Serotonin`` muubongo, zomwe zimapangitsa kuti kulumikizana pakati pa maselo amitsempha kukhale bwino.

Poletsa ululu, mankhwalawa amaletsa zizindikiro za ululu kuchokera ku msana kupita ku ubongo.

Kodi zotsatirapo zake ndi zoopsa zake ndi ziti?

Mankhwala a TCA ali ndi zotsatirapo zoyipa zambiri kuposa mankhwala atsopano. Komabe, si aliyense amene amalandira. Ngati atatero, amachepa pakapita nthawi pamene thupi lizolowera mankhwalawo.

Zotsatira zoyipa zofala

• Pakamwa pouma
• Kudzimbidwa
• Chizungulire
• Kugona tulo
• Maso osawoneka bwino

Zotsatira zina zoyipa

• Kuvuta kukodza kapena kusunga mkodzo
• Kuwonjezeka kwa kugunda kwa mtima (Tachycardia)
• Kutsika kwa magazi m'thupi (orthostatic hypotension) ndi kuchepa kwa kuthamanga kwa magazi komwe kumayambitsa chizungulire poyimirira kapena kudzuka.
• Kudya kwambiri komanso kunenepa kwambiri

Ngati zotsatirazi zikukuvutitsani, onetsetsani kuti mwalankhula ndi dokotala musanasiye kumwa mankhwalawo. Iye akhoza kusintha mlingo kapena kupereka njira ina yothetsera vutoli.

Milandu yomwe imafuna chisamaliro chapadera

• Ngati muli ndi matenda a mtima: Ma TCA amatha kukhudza matenda ena a mtima, kotero dokotala wanu angafune kuchita EKG asanayambe kumwa mankhwalawa.
• Ngati muli ndi khunyu/kukomoka: Mankhwalawa angakuwonjezereni pang'ono chiopsezo chanu cha khunyu.
• Ngati muli ndi pakati kapena mukukonzekera kutenga pakati: Ma TCA si otetezeka kwambiri panthawi ya mimba, choncho ndikofunikira kulankhula ndi dokotala wanu za izi.

Kodi muyenera kuda nkhawa ndi kumwa mopitirira muyeso?

Inde, ichi ndi chinthu chomwe tiyenera kusamala nacho. Ma TCA ndi gulu la mankhwala omwe angayambitse poizoni woopsa ngati atamwedwa mopitirira muyeso.

Choncho, nthawi zonse imwani mankhwala anu monga momwe dokotala wanu wanenera. Sungani mapiritsi anu pamalo otetezeka omwe ana ndi ziweto sangafikire.

Zizindikiro za kumwa mopitirira muyeso

• Kusakhazikika kwa mtima
• Kuthamanga kwa magazi kotsika kwambiri
• Kugona tulo toopsa
• Kugwidwa ndi khunyu
• Kugwedezeka
• Matenda amisala
• Chikhalidwe cha kukomoka

Ngati inu kapena munthu amene mumamudziwa akukumana ndi zizindikiro izi, musazengereze. Imbani nthawi yomweyo 1990 kuti muyitanitse ambulansi, kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi. Ngati pakufunika kutero, mutha kuyimbiranso National Poison Information Centre ku Colombo National Hospital kuti mupeze upangiri.