Chii chinoitika kana ukangoerekana warega kutora mishonga yekuora mwoyo? (Antidepressant Discontinuation Syndrome) Ngatikurukurei izvi!

Ungave uchitora mishonga yekuora mwoyo kana kuzvidya mwoyo. Dzimwe nguva tinofunga kuti, "Ndava kunzwa zviri nani ikozvino, ndinofanira kurega kutora mushonga uyu." Asi kamwe kamwe kurega mishonga iyi kunogona kukonzera matambudziko akati wandei. Ndizvo zvatiri kutaura nezvazvo nhasi.

Chii chinonzi Antidepressant Discontinuation Syndrome?

Zvichitaurwa zviri nyore, kana ukatora mishonga inorwisa kushushikana kwepfungwa kwemavhiki matanhatu kana kupfuura wobva warega kamwe kamwe, kana ukairega usingaideredze sezvinokurudzirwa nachiremba wako, unogona kunzwa kusagadzikana uku. Vamwe vanhu vanodana iyi 'discontinuation syndrome'. Iyi inonzi Antidepressant Discontinuation Syndrome , kana kuti ADS muchidimbu.

Mumamiriro ezvinhu aya (ADS), unogona kuona zviratidzo zvakasiyana-siyana, zvakaita sekushaya hope, kuda kurutsa, uye kunzwa kushaya simba. Asi usazvidya mwoyo, zviratidzo izvi zvinowanzopera mukati memwedzi miviri isingasviki. Ichi hachisi chinhu chinokonzera kukuvara kwakanyanya mumuviri, asi chinogona kushungurudza uye kushungurudza. Zvakare, chinhu chakakosha kurangarira ndechekuti paunorega kutora mishonga yekuora mwoyo, mamiriro epfungwa awakatora mushonga wacho (semuenzaniso, kuora mwoyo kana kuzvidya mwoyo) anogona kudzoka zvakare.

Saka, kana uri kufunga zvekurega kushandisa mishonga inorwisa kuora mwoyo, unofanira kutanga wataura nachiremba wako . Zvadaro unogona kuedza kudzivirira chirwere ichi chinonzi (ADS).

Dambudziko iri (ADS) rakajairika zvakadii?

Ongororo dzakaratidza kuti pakati pe27% ne86% yevanhu vanoedza kurega kutora mishonga yekuora mwoyo, kungave vari vega kana kuti nekurudziro yachiremba, vanowana zviratidzo zvekurega kushandisa mishonga iyi (ADS). Saka unoona, izvi hazvisi zvese zvisingambonzwikwi.

Ndezvipi zviratidzo zveAntidepressant Discontinuation Syndrome?

Zviratidzo izvi zvinowanzotanga kuonekwa mukati memazuva maviri kusvika mana mushure mekurega kushandisa mushonga wekudzora kuora mwoyo. Izvi ndizvo zviratidzo zvikuru zvinogona kuonekwa:

• Zviratidzo zvakaita sefuruu: kuneta, musoro, kurwadziwa kwemuviri, uye kudikitira. Dzimwe nguva unogona kurota zvisinganzwisisike zvinotyisa.
• Kusvotwa: Dzimwe nguva kurutsa kunogona kuitikawo.
• Kunzwa dzungu uye kunzwa kusuruvara.
• Kupisa, kukwenya, kana kunzwa sekunge kuvhunduka kwemagetsi (paresthesia) mumuviri. Izvi zvinogona kuva chiitiko chinoshamisa.
• Kuchinja kwemanzwiro: Kunetseka, kushatirwa, kusagadzikana, uye kunyange hasha zvinogona kuitika.

Kana uine zviratidzo izvi, unofanira kuona chiremba wako . Kuoma kwezviratidzo izvi kunogona kusiyana kubva pamunhu kusvika pamunhu, asi kune vanhu vazhinji, hazvina kunyanya kuoma. Imwe ongororo yakawana kuti vanhu vanowana zviratidzo izvi zvekurega:

• 7% vave nezviratidzo kwemwedzi miviri.
• 6% vave nezviratidzo zvechirwere ichi kwegore rose.
• 2% vave nezviratidzo kwemakore anopfuura matatu.

Saka, unogona kuona, izvi zvingatora nguva yakareba kune vamwe vanhu.

Chii chinokonzera izvi (Antidepressant Discontinuation Syndrome)?

Kutaura zvazviri, vaongorori havasati vaziva chaizvo chinokonzera iyi "Discontinuation Syndrome". Asi vanofunga kuti ine chekuita nekuderera kamwe kamwe kwehuwandu hwekemikari inonzi "Serotonin" muuropi paunongoerekana warega kutora mushonga wakaita se "SSRI ​​- selective serotonin reuptake inhibitor" kana kuti "SNRI - serotonin uye norepinephrine reuptake inhibitors". Kana miviri yedu ikangoerekana yarasikirwa neiyi serotonin, inoita seinokonzera zviratidzo izvi zvemuviri nepfungwa.

Ndezvipi zvinhu zvinokonzera njodzi yekuve neAntidepressant Discontinuation Syndrome?

Kana ukarega kushandisa mushonga unorwisa kuora mwoyo, une mukana wekuti unzwe zviratidzo zvekurega kushandisa mushonga (ADS) mumamiriro ezvinhu anotevera:

• Kana ukarega kutora mushonga kamwe kamwe (usingaderedzi zvishoma nezvishoma).
• Kana wave uchitora mushonga iwoyo kwenguva yakareba (makore).
• Kana uri kutora mushonga wakawanda wekuderedza kushungurudzika (izvi zvinosiyana zvichienderana nerudzi rwemushonga).
• Kana wakambova nezviratidzo zvekurega kushandisa mushonga pawakarasikirwa nedosi remushonga kare (asi zvakapera pawakatora mushonga zvakare).

Uyewo, mhando yemishonga inorwisa kuora mwoyo yaunotora inogona kuwedzera kana kuderedza njodzi yako yeADS. Izvi zvinonyanya kuenderana nekuti mushonga unogara kwenguva yakareba sei mumuviri wako. Mishonga inogadziriswa nekukurumidza nemuviri inowanzo kukonzera ADS mushure mekumira kupfuura mishonga inogara mumuviri kwenguva yakareba.

Zvino ngatitarisei mamwe marudzi emishonga uye njodzi dzayo:

Njodzi dzemishonga yeSSRI:

• Mishonga ine njodzi huru ye (ADS): `(Paroxetine)` (inotengeswa se``Paxil®``, ``Pexeva®``) uye `(fluvoxamine)`.
• Mishonga ine njodzi iri pakati nepakati ye (ADS): `(Citalopram)` (`Celexa®`), `(escitalopram)` (`Lexapro®`) uye `(sertraline)` (`Zoloft®`).
• Mishonga ine njodzi shoma ye (ADS): `(Fluoxetine)` (`Prozac®`).

Njodzi dzemishonga yerudzi rwe (SNRI):

• Mishonga ine njodzi huru ye (ADS): `(Venlafaxine)` (`Effexor®`) uye `(desvenlafaxine)` (`Khedezla®`, `Pristiq®`).
• Mishonga ine njodzi iri pakati nepakati ye (ADS): `(Duloxetine)` (`Cymbalta®`, `Drizalma®`, `Irenka®`).
• Mishonga ine njodzi shoma ye (ADS): `(Milnacipran)` (`Savella®`) uye `(levomilnacipran)` (`Fetzima®`).

Pamusoro peizvi, `(MAOIs - monoamine oxidase inhibitors)` , `(tricyclic antidepressants)` uye `(tetracyclic antidepressants)`Mishonga inotevera inowanzoonekwawo seine njodzi huru yeASD. Saka zvakakosha kuziva mishonga yauri kutora.

Ndezvipi zvinetso zvinogona kuitika zveAntidepressant Discontinuation Syndrome?

Dzimwe nguva, kumisa mishonga inorwisa kuora mwoyo kunogona kukonzera migumisiro yakaipa. Aya ndiwo makuru:

• Pfungwa yekuzviuraya.
• Kuzviuraya.
• Kupenga.

Kana iwe kana mwana wako muchifunga kuzviuraya kana maitiro akafanana, ndapota fonerai National Mental Health Helpline pa1926 nekukasika. Pane mumwe munhu aripo maawa makumi maviri nemana pazuva kuti akubatsirei. Usanetseka nezvinhu izvi uri wega.

Dambudziko iri (Antidepressant Discontinuation Syndrome) rinoonekwa sei?

Hapana bvunzo dzekurapa dzakatarwa dzekuongorora Antidepressant Discontinuation Syndrome. Pane kudaro, chiremba wako achakubvunza mibvunzo nezvezviratidzo zvako, nhoroondo yako yezvekurapa, uye kuti wakarega riini kutora mushonga weantidepressant.

Zviratidzo zveADS zvinogona kufanana nezvezvimwe zvirwere, zvakaita sekuora mwoyo nekuzvidya mwoyo. Saka, zvinobatsira kuudza chiremba wako zvakadzama nezvezviratidzo zvako uye kuti zvakatanga sei.

Chirwere cheAntidepressant Discontinuation Syndrome chinorapwa sei?

Mushonga unoshanda zvikuru wechirwere ichi (ADS) nderekutangazve mushonga wekudzora marwadzo panguva imwe chete neyawakatanga . Izvi zvinowanzo gadzirisa zviratidzo zvako mukati memaawa makumi maviri nemana. Zvisinei, kana uchiri kuda kurega kutora mushonga, chiremba wako achakupa mirairo chaiyo yekuti ungaderedza sei piritsi zvishoma nezvishoma worega.

Zvichienderana nekuoma kwezviratidzo zvako uye kuti zvinogara kwenguva yakareba sei, chiremba wako anogonawo kunyora mimwe mishonga yekubatsira kudzora zviratidzo zvacho. Semuenzaniso:

• Mishonga inonyaradza marwadzo emusoro, yakaita se "Ibuprofen" kana "acetaminophen".
• Chimwe chinhu chakaita sekuti ``ondansetron`` (chinotengeswa se``Zofran®``), mushonga wekudzivirira kuda kurutsa .
• Mishonga yakaita se `(hydroxyzine)` kana `(benzodiazepines)` yekuzvidya mwoyo uye kushaya hope.

Ndeipi tarisiro yechirwere ichi (Antidepressant Discontinuation Syndrome)?

Maonero echirwere ichi (ADS) anosiyana. Zviitiko zvakawanda hazvina kunyanya kuipa uye hazvipfuuri mavhiki masere. Zvisinei, zvimwe zvirwere zvinogona kuva zvakanyanya uye zviratidzo zvinogona kugara kwegore kana kupfuura. Ndosaka zvichikosha kutsvaga rubatsiro rwechiremba.

Tingadzivirira sei izvi (Antidepressant Discontinuation Syndrome)?

Zvinosuwisa kuti chirwere ichi chinonzi "Antidepressant Discontinuation Syndrome (ADS)" hachigone kudzivirirwa nguva dzose. Zvisinei, chinhu chakakosha chaunogona kuita kuti usachishandise ndechekutaura nachiremba wako usati warega kushandisa mishonga yako yekuora mwoyo. Kurega kushandisa mishonga yekuora mwoyo zvakachengeteka kunogona kutora nguva - ungangoda kuderedza dose yako zvishoma nezvishoma nekufamba kwenguva.

Mishonga yese yekuora mwoyo yakasiyana, saka munhu akakodzera kukubatsira kurega kuitora ndichiremba wako. Iye ndiye achakuudza maitiro chaiwo ekuita izvi zvakachengeteka.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Saka, kusanzwa zvakanaka kwekumira kushandisa mishonga inorwisa kuora mwoyo, inozivikanwa se "Antidepressant Discontinuation Syndrome (ADS)``, kunogona kuva chiitiko chisingafadzi. Nzira yakanakisa yekudzivirira izvi ndeyekudzikisa zvishoma nezvishoma uye kurega kushandisa mishonga yako inorwisa kuora mwoyo uchitungamirirwa nachiremba wako.

Yeuka, kana uine mibvunzo kana zvinokunetsa nezvemushonga wako, iva nechokwadi chekutaura nachiremba wako. Varipo kuti vakubatsire.

Mishonga inogona kutibatsira zvikuru kana ikashandiswa nemazvo. Asi zvakakosha kuti tizive mashandisirwo ayo uye mashandisirwo ayo. Ndinovimba kuti munonzwisisa izvi. Kana muine mibvunzo, musatya kubvunza chiremba.

Mishonga yekuderedza Kushushikana, Kurega Kushushikana, ADS, Serotonin, Hutano hwepfungwa, Kurega Mishonga , Zviratidzo