Chiremba akakupa mushonga unonzi SNRI here wekuderedza kushushikana kwako kana kuzvidya mwoyo nguva dzose? Pamwe mumwe weshamwari dzako ari kushandisa mushonga uyu. Ungave wakatya zvishoma pawakanzwa zita iri. Pamwe une mibvunzo yakawanda mupfungwa dzako yakaita sekuti, "Mushonga uyu chii? Wakanakira muviri here?" Saka nhasi, ngatitaurei nezvemhando iyi yemushonga unonzi SNRI zviri nyore, sekunge uri kutaura neshamwari.
Zvichitaurwa zviri nyore, ndeapi maSNRI aya?
Zvinorehwa zvizere neSNRI ndekuti Serotonin neNorepinephrine Reuptake Inhibitors . Zita iri rinonzwika serakaoma, handiti? Ngatizvitsanangure zviri nyore.
Mukati mehuropi hwedu, mune vatumwa vemakemikari vakakosha vanodzora zvinhu zvakawanda, kusanganisira manzwiro edu, pfungwa, hope, uye chido chekudya. Tinodaidza izvi kuti "Neurotransmitters." Kufanana netsamba, vatumwa ava vanotakura mashoko kubva kune imwe chikamu cheuropi kuenda kune imwe.
Vaviri vevatumwa ava ndi serotonin ne norepinephrine .
- Serotonin inokosha zvikuru pazvinhu zvakaita semanzwiro edu, kurara, uye kugaya chikafu. Kana huwandu hweserotonin hwakwira, tinonzwa kufara uye takasununguka.
- Norepinephrine inotibatsira kuti tirambe takatarisa, tiine simba, uye tichishingaira.
Chinowanzoitika ndechekuti mushure mekunge vatumwa ava vatumira meseji yavo, masero europi anovapinza zvakare. Izvi zvinonzi "Reuptake." Sezvinoita mupositi anodzokera kupositi mushure mekutumira tsamba.
Zvisinei, kune vanhu vane zvirwere zvakaita sekuora mwoyo kana kuzvidya mwoyo, mashandiro e serotonin ne norepinephrine messengers aya anogona kuderera zvishoma muuropi.
Apa ndipo panopinda mishonga yeSNRI. Zvinoitwa nemishonga iyi kuvharira kwenguva pfupi kudzokororwa kwevatumwa ivavo. Zvakafanana nekuudza munhu wekutumira tsamba kuti "mirira kwenguva yakati rebei wozotumira mamwe mashoko mashoma." Zvadaro vatumwa ava vakanaka (serotonin ne norepinephrine) vanogara muuropi kwenguva yakareba voita basa ravo rakanaka. Izvi zvinotanga kuvandudza mafungiro edu, kuderedza kuzvidya mwoyo, uye kuwedzera simba redu.
Zvichitaurwa zviri nyore, SNRIs rudzi rwemishonga inotibatsira kunzwa zviri nani nekuenzanisa huwandu hwemakemikari echisikigo muuropi hwedu anodzora "mufaro nesimba."
Mishonga yeSNRI inoshandiswa pazvirwere zvipi?
Kunyangwe mishonga iyi ichinyanya kunyorerwa matambudziko epfungwa, vanachiremba vanonyorawo mishonga iyi kune mamwe matambudziko emuviri. Ngationei kuti chii.
| Urwere | Tsananguro iri nyore |
|---|---|
| Zviitiko zvinonyanya kukurudzirwa | |
| Dambudziko Guru reKushungurudzika | Kuderedza zviratidzo zvakaita sekusuruvara kwenguva refu, kurasikirwa nehanya nechimwe chinhu, uye kufinhwa nehupenyu. |
| Dambudziko reKuzvidya Mwoyo Rakajairika | Kudzora kutya, kuzvidya mwoyo, uye kusagadzikana kunogara kuchiuya mupfungwa pasina chikonzero chaicho. |
| Dambudziko reKunetseka Kwemagariro Evanhu | Kuderedza kutya kwakanyanya uye kunyara kutaura nekuita zvinhu pamberi pevamwe. |
| Dambudziko rekutya | Kudzivirira kuvhunduka kamwe kamwe, kusingadzoreki. |
| Marwadzo Asingaperi | Kuderedza marwadzo asingaperi anokonzerwa nezvirwere zvakaita sechirwere cheshuga chinonzi neuropathy uye fibromyalgia. |
| Dzimwe nyaya (Kushandiswa kweOff-label) | |
| Dambudziko reObsessive-Compulsive Disorder (OCD) | Kudzora kuitika kwepfungwa dzisingadiwi kakawanda uye kudzokorora zvimwe zvinhu mukupindura. |
| Zviratidzo zveKuenda Kumwedzi | Kudzora zviratidzo zvakaita sekupisa kunoitika panguva yekuenda kumwedzi. |
| Migraine | Sekurapa kudzivirira migraines. |
Ungave uchishamisika kuti "kushandiswa kwemishonga isina kunyorwa" zvinorevei. Zvinoreva kuti chiremba, zvichibva paruzivo rwake rwekurapa uye ruzivo rwake, anokurudzira mushonga weimwe chirwere, pamusoro pechirwere chikuru chaunotenderwa. Ichi chinhu chinowanzoitwa.
Ndedzipi mhando dzeSNRI dzinonyanya kuwanikwa muSri Lanka?
Kune mhando dzakasiyana dzemishonga yeSNRI. Chiremba wako achasarudza mushonga wakakodzera iwe zvichienderana nemamiriro ako ezvinhu, zera, uye mamwe matambudziko ehutano.
- Venlafaxine (yakadai sezita rekuti Effexor®)
- Duloxetine (yakadai seCymbalta®)
- Desvenlafaxine (zita rechiratidzo Pristiq®)
- Milnacipran (zita rechiratidzo Savella®)
- Levomilnacipran (yakadai sezita rekuti Fetzima®)
Mushonga wawakagamuchira unogona kunge uine chimwe chezviri pamusoro apa.
Ndezvipi zvingakonzera migumisiro yekushandisa mushonga uyu?
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro midiki. Asi kune vanhu vazhinji, izvi hazvisi zvakakomba. Zvinowanzoitika mumavhiki ekutanga ekutora mushonga uye zvinozopera muviri wako paunojaira mushonga wacho.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Matambudziko ekugaya chikafu | Kusvotwa, kurutsa, kurwadziwa mudumbu, kuvimbiwa, kana manyoka. |
| Dzungu (vertigo) | Dzungu, kunyanya kana wakamira kana kuchinja nzvimbo. |
| Muromo wakaoma | Kunzwa mate mumuromo. Izvi zvinogona kudzorwa nekunwa mvura shoma. |
| Kudikitira zvakanyanya | Kudikitira kunogona kuwedzera, kunyanya husiku. |
| Matambudziko ekurara | Vamwe vanhu vanogona kurara zvisina tsarukano. Vamwe vanogona kunzwa hope dzakanyanya. |
| Matambudziko epabonde | Zvinhu zvakaita sekudzikira kwechido chebonde uye kuoma kwekuburitsa huremu zvinogona kuitika. Usanyara kutaura nachiremba wako nezvazvo. |
Chinhu chinonyanya kukosha ndechekuti, kana ukasangana nemhedzisiro yakadai, uye zvichikuremera, usamborega kutora mushonga wega. Iva nechokwadi chekutaura nachiremba wako kuti akupe mazano.
Mamiriro ezvinhu ane njodzi akakosha ekutarisira
Kunyange hazvo SNRIs iri mushonga wakachengeteka, zvakanaka kuziva nezvenjodzi dzakakomba, kunyange hazvo dzisingawanzoitiki.
1. Serotonin Syndrome
Ichi ndicho chinhu chakakosha kuchenjerera. Kana SNRIs nemimwe mishonga inokanganisa huwandu hweserotonin ikatorwa pamwe chete, huwandu hweserotonin muuropi hunogona kukwira zvisina kufanira. Iyi idambudziko guru rehutano .
- Zviratidzo: Kuvhiringidzika kusingatsananguriki, kurova kwemoyo nekukurumidza, fivha yakanyanya, tsandanyama dzakaoma kana kuti dzinorova, uye kudikitira zvakanyanya.
- Zvekuita: Kana iwe kana mumwe munhu waunoziva akaonekwa nezviratidzo izvi kamwe kamwe, enda kuna chiremba nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
2. Zviratidzo zvinoitika kana mushonga wamira (Antidepressant Discontinuation Syndrome)
Kana ukatora mushonga uyu kwenguva yakareba wobva warega kamwe kamwe, muviri wako unogona kunzwa kusagadzikana nekuda kwekuita kwawo.
- Hunhu:Dzungu, musoro, kuda kurutsa, kurwadziwa kwemuviri (sekunge kana uine fivha), uye kuzvidya mwoyo kwakanyanya.
- Kudzivirira: Usamborega kutora mushonga usina kubvunza chiremba wako. Kana uchida kurega, chiremba wako anoderedza mushonga zvishoma nezvishoma kwemwedzi mumwe chete kana miviri, orega muviri wako uchichinja, uye ozokuratidza kuti ungarega sei zvakachengeteka.
3. Pfungwa dzekuzviuraya
Iyi inyaya inonetsa zvikuru, asi chinhu chinofanira kutaurwa nezvacho. Ongororo dzakawana kuti pane mukana mudiki wekufunga kuzviuraya, kunyanya kune vechidiki vari pasi pemakore makumi maviri nemashanu , mukati memavhiki mashoma ekutanga ekushandisa mushonga uyu.
- Zvakakosha: Kana uine pfungwa idzi, ndapota usazvidya mwoyo wega. Iyi haisi mhosva yako, inogona kunge iri mhedzisiro yemushonga. Udza chiremba wako nekukasika. Udza nhengo yemhuri kana shamwari yaunovimba nayo. Kukumbira rubatsiro kunopa simba.
Zvimwe zvinhu zvekufunga nezvazvo kana uchitora SNRIs
Kunwa doro
Zvakanakisisa kusanwa doro paunenge uchitora mishonga yekuora mwoyo yakaita seSNRIs. Doro rinoderedzawo tsinga dzemuviri. Saka, rinogona kukanganisa kushanda kwemushonga. Doro dzimwe nguva rinogona kuwedzera zviratidzo zvekuora mwoyo.
Mimwe mishonga
Kana uri kutora SNRI, udza chiremba wako nezvemimwe mishonga yese yauri kutora (mishonga inonyaradza marwadzo, mishonga yekukosora, mavhitamini, kunyangwe mishonga yemishonga). Mimwe mishonga inogona kukanganisa SNRIs.
- Mishonga inouraya marwadzo yakaita seNSAIDs (semuenzaniso Ibuprofen, Diclofenac)
- Mishonga inodzivirira kuumbwa kweropa (semuenzaniso Aspirin, Clopidogrel)
- Triptans mishonga yemigraine.
- Mishonga yemishonga yakaita seSt. John's Wort
Kubata pamuviri nekuyamwisa
Kana uchironga kubata pamuviri, watova nepamuviri, kana kuti uri kuyamwisa, unofanira kutaura nachiremba wako nezvekushandisa mushonga uyu. Mamwe maSNRI anogona kukanganisa mwana ari mudumbu. Uyewo, kurega mushonga kamwe kamwe kunogona kukuvadza amai. Chiremba wako anogona kukubatsira kusarudza kuti ndeipi sarudzo yakachengeteka kwauri nemwana wako.
Zvinotora nguva yakareba sei kuti mushonga ushande?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. SNRIs haisi mushonga unoshanda ipapo ipapo sePanadol. Zvinotora nguva kuti maitiro emakemikari europi aenzane.
- Vanhu vazhinji vanoona kufambira mberi kwezviratidzo mukati memavhiki mana kusvika matanhatu .
- Zvinogona kutora pakati pemavhiki mapfumbamwe negumi nemaviri (mwedzi miviri kusvika mitatu) kuti vamwe vanhu vabatsirwe zvizere nemushonga uyu.
Saka, usarega kutora mushonga uyu nekuti hausi kunzwa shanduko huru mumavhiki ekutanga.Iva nemwoyo murefu. Kana uchiri kunzwa mutsauko mushure menguva iyoyo, taura nachiremba wako zvakare. Anogona kugadzirisa dose kana kukuchinja kuti uwane mumwe mushonga.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeSNRI inobatsira kudzora kushushikana, kuzvidya mwoyo, uye mamwe matambudziko ekurwadziwa nekuenzanisa mashandiro emakemikari echisikigo muuropi hwako.
- Mushonga uyu haushande nekukasika. Unofanira kushivirira womirira kwemavhiki mashoma kuti uone mhedzisiro.
- Sezvinoitwa nemishonga yese, panogona kuva nemigumisiro midiki. Inowanzo pera nekufamba kwenguva. Kana uine kusagadzikana kusingatsungiririki, udza chiremba wako.
- Usambofa wakarega kutora mushonga uyu kamwe kamwe usina kubvunza chiremba wako. Kuita izvi kunogona kukonzera zviratidzo zvisingafadzi.
- Zvakakosha kuzivisa chiremba wako nezvemimwe mishonga yese yauri kutora, kana uchinwa doro, uye kana uine pamuviri.
- Kana muine mibvunzo, zvinokunetsai, kana kusava nechokwadi nezvemushonga wenyu, kurukurai pachena nachiremba wenyu. Ndiye mupi wezano wenyu akanakisisa uye akavimbika.
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