Unowanzonzwa kurema, kusuruvara, kana kusurukirwa here? Pamwe chiremba wako akakuona uine depression uye akakuudza kuti utange kutora mishonga yedepression. Vamwe vanhu vanotya zvishoma pavanonzwa nezvemushonga uyu. Mibvunzo yakaita sekuti "Ndichapindwa muropa neizvi here?" uye "Pane mimwe migumisiro yakaipa here?" inouya mupfungwa. Saka nhasi, ngatitaurei nezvemishonga iyi yedepression, kana kuti `(Antidepressants)`, zviri nyore, nenzira yaunogona kunzwisisa.
Mushonga uyu wekuderedza kushushikana mupfungwa chii?
Zvichitaurwa zviri nyore, iyi mishonga inonyorerwa nachiremba wako kurapa kuora mwoyo. Kana chiremba wako aona kuti une kuora mwoyo kuri pakati nepakati kusvika kwakanyanya, mishonga iyi inogona kupihwa yega kana pamwe chete nekurapwa/kupa mazano.
Uyewo, mishonga iyi haingoshandiswi chete pakuora mwoyo, asiwo kune mamwe matambudziko akawanda ehutano hwepfungwa.
- Dambudziko reObsessive-Compulsive Disorder (OCD)
- Kutya Vanhu
- Dambudziko rekutya
- Dambudziko reKuzvidya Mwoyo Rakajairika (GAD)
- Dambudziko rePosttraumatic Stress (PTSD)
Dzimwe nguva, vanachiremba vanoshandisa mishonga iyi kune zvimwe zvirwere zvisiri zvavakatenderwa kushandisa. Semuenzaniso, mamwe marudzi ekare emishonga yekudzora kushungurudzika (Tricyclic Antidepressants) dzimwe nguva anonyorerwa marwadzo, kushaya hope, uye kunyange migraine.
Ndedzipi mhando huru dzemishonga iyi?
Mishonga iyi inowira muzvikamu zvikuru zvakasiyana. Chikamu chimwe nechimwe chinoshanda nenzira yakasiyana zvishoma. Ngatitarisei mhando huru.
1. SSRIs (Selective Serotonin Reuptake Inhibitors)
Uyu ndiwo mushonga unonyanya kutaurwa navanachiremba vazhinji pasi rose parizvino. Ungangotanga wapihwa mumwe wemishonga iyi nekuti hauna migumisiro yakaipa yakawanda.
| Hunhu | Tsananguro |
|---|---|
| Mashandiro | Inowedzera huwandu hwe serotonin inotumidzwa muuropi, izvo zvinovandudza mafungiro. |
| Migumisiro yakajairika | Kushungurudzika kwemudumbu, kuda kurutsa, musoro, kushaya hope kana hope, kudzikira kwechido chepabonde. (Izvi zvinowanzopera mushure memavhiki mashoma ekutanga). |
| Mienzaniso | Fluoxetine, Sertraline, Citalopram, Escitalopram |
2. SNRIs (Serotonin neNorepinephrine Reuptake Inhibitors)
Iyi ndeimwe mhando yemishonga iyo, seSSRIs, inowanzopihwa senzira yekutanga yekurapa.
Kuti uderedze kuda kurutsa kunobva mumishonga iyi, kutora mushonga pamwe chete nechikafu ipfungwa yakanaka.
- Chiito: Izvi zvinowedzera huwandu hwemakemikari anogadzira serotonin ne norepinephrine muuropi.
- Migumisiro inowanzoonekwa: kuda kurutsa, muromo wakaoma, kudikitira, dzungu, musoro.
- Mienzaniso: Venlafaxine, Duloxetine, Desvenlafaxine.
3. MaTCA (Tricyclic Antidepressants)
Iyi mishonga yekare. Vanachiremba havawanzoishandisa mazuva ano. Chikonzero ndechekuti ine mimwe migumisiro yakaipa, uye njodzi yekudarika mwero yakanyanya kana mushonga wacho ukawedzerwa.
Kazhinji, chiremba anofunga nezverudzi urwu rwemushonga kuvanhu vane kushushikana kwakanyanya vasingapindure mishonga yakaita seSSRIs neSNRIs.
- Migumisiro inowanzoonekwa: muromo wakaoma, kuona zvisizvo, kuzvimba, kuoma kuita weti, hope, kuwedzera uremu.
- Mienzaniso: Amitriptyline, Imipramine, Clomipramine.
4. MAOIs (Monoamine Oxidase Inhibitors)
Uyu ndiwo waiva mushonga wekutanga wekuora mwoyo kuwanikwa. Uyu hauchawanzo shandiswa mazuva ano. Chikonzero chikuru cheizvi ndechekuti unofanirwa kutevedzera mitemo yakaoma kwazvo pamusoro pekudya nekunwa paunenge uchitora mishonga iyi.
Yeukai, zvimwe zvekudya zvakajairika (semuenzaniso chizi, mamwe marudzi esoseji, soy sauce) zvinogona kuita kuti munhu anzwe kushushikana nemushonga uyu, zvichikonzera kuwedzera kweBP kamwe kamwe uye kune njodzi. Saka kana ukapihwa mushonga uyu, chiremba wako achakupa runyorwa rwezvinhu zvakanaka nezvakaipa zvekudya. Uyewo, mushonga uyu haupihwe pamwe chete nemimwe mishonga inorwisa kuora mwoyo.
Mushonga unotanga kushanda sei?
Uyu mubvunzo unonakidza zvikuru. Masayendisiti haasati aziva zvizere kuti mushonga uyu unoshanda sei. Asi uku ndiko kunzwisisa kwakanakisisa kwatinako parizvino.
Maneurotransmitter ndiwo anotumira mameseji pakati pemasero etsinga muuropi hwedu.Kuburikidza nemakemikari anonzi neurotransmitters. Funga nezveizvi sezvitumwa zvidiki. Muuropi hwemunhu ane kuora mwoyo, mashandiro evamwe vezvitumwa izvi zvinodzora manzwiro (semuenzaniso, Serotonin, Norepinephrine, Dopamine) anogona kuderedzwa.
Mishonga yekuderedza kushungurudzika inoshanda nekuita kuti mishonga iyi igare munzvimbo iri pakati pemasero etsinga (synapse). Kureva kuti, inowedzera kushanda kwemishonga iyi. Izvi ndizvo zvinovandudza mafungiro uye zvinoderedza zviratidzo zvekuora mwoyo zvishoma nezvishoma.
Chinhu chinonyanya kukosha ndechekuti usawane mhinduro nekukurumidza nemushonga uyu. Zvinogona kutora mavhiki matanhatu kusvika masere kuti mishonga yakawanda ishande zvizere. Saka zvakakosha kuva nemoyo murefu uye kuramba uchitora mushonga wako sezvaunoudzwa nachiremba wako.
Njodzi dzakakomba uye zvinhu zvekungwarira nezvazvo
Kunyangwe mishonga iyi yakawanda isina njodzi, pane zvinhu zvishoma zvatinofanira kuziva.
| Pfungwa dzinokosha dzekucherechedza | |
|---|---|
| Pfungwa dzekuzviuraya (Njodzi yekuzviuraya) | Ichi ndicho chinhu chakakosha. Mimwe mishonga yekuora mwoyo, kunyanya kune vechidiki vari pasi pemakore makumi maviri nemashanu, yakaonekwa ichiwedzera pfungwa dzekuzviuraya mumavhiki ekutanga ekutanga mushonga kana kana mushonga wacho wachinja . Ndosaka vaine 'Black Box Warning'. Kana iwe kana mumwe munhu waunoziva aine pfungwa idzi, taurira chiremba wako nekukasika, kana kuenda kuchipatara chiri pedyo nedhipatimendi rekukurumidzira (ETU). Unogona zvakare kufonera nhamba yerubatsiro rwehutano hwepfungwa yenyika nhamba 1926 kuti uwane rubatsiro. |
| Chirwere cheKurega Kushanda | Usamborega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kukonzera dzungu, kuda kurutsa, kupererwa nemusoro, kushaya hope, uye kunzwa kuvhunduka nemagetsi. Dambudziko racho rinogona kudzoka zvakare. Kana ukarega kutora mushonga uyu, ita izvozvo uchitarisirwa nachiremba wako, uye zvishoma nezvishoma uderedze mushonga wacho. |
| Chirwere cheSerotonin | Izvi hazviwanzoitika. Asi zvine njodzi huru. Izvi zvinoitika kana huwandu hweserotonin muuropi hukawedzera zvisina kufanira. Kana zviratidzo zvakaita sefivha yakanyanya, kudedera kwemuviri, kuzvidya mwoyo kusingatsananguriki, kudikitira, uye kurova kwemoyo nekukurumidza zvikaitika, idambudziko. Unofanira kuenda kuETU nekukasika. |
| Madzimai ane pamuviri uye anoyamwisa | Kana uchironga kuva nepamuviri, uine pamuviri, kana kuti uchiyamwisa, iva nechokwadi chekukurukura mushonga uyu nachiremba wako usati washandisa. Sarudzo yakanakisisa ndeyekukurukura njodzi nemabhenefiti kwauri nemwana wako. |
Ndingasarudza sei mushonga wakakodzera ini?
Iri ndiro dambudziko rine vanhu vazhinji. Ungasawana mushonga wakakodzera nekukasika. Zvakafanana nekusarudza shangu. Dzimwe dzakabatirira zvakanyanya, dzimwe dzakakura zvakanyanya, uye unofanira kuedza shoma kusvika wawana chaiyo.
Chiremba wako achatanga asarudza mushonga mushure mekufunga nezvezvinhu zvakawanda, zvakaita serudzi rwezviratidzo zvako, mamwe matambudziko ehutano auri kutora, mimwe mishonga yauri kutora, uye kushivirira kwako migumisiro yakaipa.
Kana uchiri kunzwa zviri nani mushure memavhiki matanhatu kusvika masere, kana kuti uri kuva nemigumisiro inonetsa, usanyara kana kutya kuudza chiremba wako. Anogona kugadzirisa dose, kuwedzera mumwe mushonga, kana kukuchinja kune mumwe mushonga zvachose. Izvi zvakajairika.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yekuora mwoyo inoshanda zvikuru pakurapa kuora mwoyo kuri pakati nepakati kusvika kwakanyanya. Haisi mishonga inopinda muropa.
- Mushonga uyu unofanira kushandiswa chete kana wakurudzirwa nachiremba. Usatore mushonga uri kutorwa neshamwari yako usingafungi kana kuutenga kupharmacy.
- Zvinogona kutora nguva kuti uwane mushonga wakakunakira. Saka iva nemoyo murefu, taura nachiremba wako pachena, uye ramba uchitevera kurapwa kwako.
- Usamborega kutora mishonga kamwe kamwe usina kurairwa nachiremba. Kana ukarega, ita zvishoma nezvishoma.
- Kana uine pfungwa dzekuzviuraya pakutanga kwekutora mushonga, usaedza kuzvivanza.Tsvaga rubatsiro rwechiremba nekukasika kana kufonera 1926. Hausi wega, rubatsiro ruripo.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga