Iwe kana mumwe munhu waunoziva akanyorerwa mushonga nachiremba wechirwere chakadai sekuora mwoyo here? Kana zvakadaro, pamwe wakambonzwa zita rekuti SNRI. Zvakajairika kuti mibvunzo yakawanda iuye mupfungwa dzako paunonzwa zita iri. "Ndezvipi SNRIs? Dzinoshanda sei chaizvo? Pane mimwe migumisiro here?" Pamwe une mibvunzo yakaita seiyi futi. Usazvidya moyo, zvakanaka, saka ngatitaurei nezveizvi zvese nenzira iri nyore uye ine hushamwari nhasi.
Ngatitangei tione, maSNRI aya chii?
Zvichitaurwa zviri nyore, maSNRI (Serotonin neNorepinephrine Reuptake Inhibitors) imhando yemishonga inoshandiswa kudzora zviratidzo zvezvirwere zvepfungwa zvakaita sekuora mwoyo. Zvisinei, vanachiremba vanopa mushonga uyu kune zvimwe zvirwere zvakawanda, kwete kusuruvara chete.
MuSri Lanka, mishonga yakati wandei iri muchikamu ichi inonyorerwa navanachiremba. Semuenzaniso, mishonga yakaita seVenlafaxine, Duloxetine, uye Desvenlafaxine inowira muchikamu ichi. Zvisinei , chiremba wako chete ndiye anogona kusarudza kuti ndeipi mishonga yakakunakira uye kuti ndeipi mushonga waunoda.
Mushonga uyu unoshanda sei mumuviri?
Kuti tinzwisise izvi, tinofanira kutanga taziva zvishoma nezvehuropi hwedu. Huropi hwedu hune makemikari anoshandiswa nevanhu anonzi neurotransmitters , sevanhu vanotumira mameseji pakati penhengo dzakasiyana dzemiviri yedu.
Pakati peizvi , Serotonin neNorepinephrine ndizvo zviviri zvezvitumwa zvikuru zvinodzora zvinhu zvakawanda zvakakosha, zvakaita semanzwiro edu, kurara, kurangarira, uye kutarisisa.
Mumamiriro ezvinhu akadai sekuora mwoyo, mashandiro evatumwa ava anoderera. Kureva kuti, vanodzokera nekukurumidza mumasero etsinga mushure mekunge vasvitsa shoko (izvi zvinonzi reuptake). Zvadaro simba ravo muuropi rinoderera.
MaSNRI anoshanda nekudzivisa kudzoserwa kweserotonin nenorepinephrine. Izvi zvinoreva kuti matumwa maviri aya anoramba achishanda muuropi kwenguva yakareba. Nekuda kweizvozvo, manzwiro edu anovandudzika uye zviratidzo zvekuora mwoyo zvinotanga kudzikira zvishoma nezvishoma.
Saka musiyano uripi pakati peSSRI neSNRI?
Ungave wakambonzwa nezve SSRIs. SSRIs (Selective Serotonin Reuptake Inhibitors) dzinongotarisa serotonin ye neurotransmitter, nepo SNRIs dzichikanganisa zvese serotonin ne norepinephrine.
Izvi hazvirevi kuti maSNRI "ari nani" pane maSSRI. Vamwe vanhu vanogona kuona maSSRI achibudirira zvakanyanya, nepo vamwe vangaona maSNRI achibudirira zvakanyanya. Chiremba wako ndiye achasarudza kuti ndeapi akakunakira zvichienderana nemamiriro ako ezvinhu, zviratidzo, uye kuti muviri wako unopindura sei paari.
Mishonga yeSNRI inoshandiswa pazvirwere zvipi?
Rudzi urwu rwemushonga runoshandiswa kurapa zvirwere zvakasiyana-siyana. Ngationei kuti chii.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Dambudziko Guru reKushungurudzika | Kusuruvara kwenguva refu uye kurasikirwa nechido zvinokanganisa mabasa ezuva nezuva. |
| Dambudziko reKuzvidya Mwoyo Rakajairika (GAD) | Kunzwa kuzvidya mwoyo kusingadzoreki nezvezvinhu zvezuva nezuva pasina chikonzero chaicho. |
| Fibromyalgia | Kurwadziwa kusingaperi mumuviri wese, kuneta, uye matambudziko ekurara. |
| Chirwere cheshuga cheNeuropathy | Marwadzo, akadai sekuzvimba uye kusanzwa, anokonzerwa nekukuvara kwetsinga nekuda kwechirwere cheshuga. |
| Marwadzo Etsandanyama Asingaperi | Marwadzo anogara kwenguva refu, akadai sekurwadziwa kwemusana. |
| Dambudziko reKunetseka Kwemagariro Evanhu | Kutya zvakanyanya uye kuzvidya mwoyo mumamiriro ezvinhu evanhu. |
Pamusoro pezvo, zvichienderana neruzivo rwachiremba uye maonero ake panyaya dzehutano, mushonga uyu unogona kukurudzirwawo pakudikitira husiku kunokonzerwa nekuguma kwemwedzi, kudzivirira migraine, uye zvimwe zvirwere zvekuzvidya mwoyo.
Ndezvipi migumisiro inowanzoonekwa nemishonga iyi?
Kufanana nemishonga yese, SNRIs inogona kukonzera kuti vamwe vanhu vasangane nemhedzisiro midiki. Zvisinei, izvi zvinowanzova zvenguva pfupi . Zvizhinji zvacho zvinopera mukati memavhiki mashoma ekutanga sezvo muviri wako uchijaira mushonga wacho.
- Kusvotwa nekurutsa
- Muromo wakaoma
- Kuzvimba
- Kuneta uye hope
- Dzungu
- Kudikitira zvakanyanya
- Matambudziko nekushanda kwepabonde (semuenzaniso, kudzikira kwechido)
Chinhu chinonyanya kukosha ndechekuti kana uchinetseka nemhedzisiro iyi, usazviregeredza uye taura nachiremba wako. Iye anogona kukwanisa kugadzirisa dose yako kana kunyora imwe mushonga.
Mamiriro ezvinhu ane njodzi anoda kutarisirwa kwakakosha
Kunyange zvazvo SNRIs iri mushonga unoshanda zvikuru, kune mamwe mamiriro ezvinhu asingawanzoitiki asi anogona kuva nengozi atinofanira kuziva.
1. Kuwanda kwenjodzi yekufunga kuzviuraya
Ongororo dzakaratidza kuti panogona kunge paine kuwedzera kwekufunga nezvekuda kuzviuraya, kunyanya kune vechidiki vari pasi pemakore makumi maviri nemashanu, kana mushonga uyu watanga kushandiswa kana kuti kana mushonga wacho wachinja. Kana iwe kana mwana wako muine pfungwa dzakadaro pamunenge muchitora mushonga uyu, musazeza kutaura nachiremba wenyu nekukasika.
2. Chirwere cheSerotonin
Ichi chirwere chisingawanzoitiki, asi chinogona kuisa hupenyu panjodzi. Chinoitika kana huwandu hweserotonin mumuviri hwakwira zvakanyanya. Njodzi iyi inonyanya kukwira kana maSNRI akatorwa pamwe chete nemimwe mishonga inowedzera huwandu hweserotonin (yakadai seMAOIs). Saka, zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora, kunyangwe mavhitamini.
| Zviratidzo zveSerotonin Syndrome | |
|---|---|
| Hunhu hwakawanda | Kusagadzikana, kuda kurutsa, manyoka, kuzara kwemaziso , kudedera kwetsandanyama, kudikitira, uye kutonhorwa. |
| Zvinhu zvine njodzi | Kuvhiringidzika, tachycardia, BP yakakwira, fivha yakakwira, pfari, kushaya hope. |
| Kana uine chimwe chezviratidzo izvi zvine njodzi, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika! | |
3. Kurega mushonga kamwe kamwe
Kana ukarega kutora SNRI kwemavhiki anopfuura matanhatu, unogona kusangana nezviratidzo zvisingafadzi. Izvi zvinonzi Antidepressant Discontinuation Syndrome. Uku hakusi "kupindwa muropa nezvinodhaka." Uku kungori kuedza kwemuviri kugadzirisa mushonga kana ukangoerekana wamira. Zviratidzo zvinogona kusanganisira kurwadziwa kwemuviri kwakaita sefivha, musoro, kuda kurutsa, dzungu, uye kunzwa kurira.
Saka , usambofa wakarega kutora mushonga uyu kamwe kamwe usina kubvunza chiremba wako. Kana uchida kurega kutora mushonga, ita izvozvo sezvakataurwa nachiremba wako, uchideredza mwero wemushonga zvishoma nezvishoma.
Zvinotora nguva yakareba sei kuti uone mhedzisiro yemushonga?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Zvinogona kutora mavhiki matanhatu kusvika masere kuti mhedzisiro yemishonga yeSNRI inzwike. Uchatanga kunzwa kuvandudzika mushure memavhiki maviri kusvika matatu ekutanga. Saka, zvakakosha kuva nemoyo murefu uye kushandisa mushonga nemazvo. Kana usinganzwe mutsauko mushure menguva ino, taura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeSNRI inoshanda zvikuru kurapa zvirwere zvakaita sekuora mwoyo, kuzvidya mwoyo, uye kurwadziwa kusingaperi.
- Mushonga uyu unoshanda nekuenzanisa huwandu hwemakemikari anonzi serotonin ne norepinephrine muuropi.
- Matambudziko ekutanga anowanzova enguva pfupi, asi kana achikunetsa, iva nechokwadi chekuudza chiremba wako.
- Usamborega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako.
- Ziva zviratidzo zvine njodzi zve serotonin syndrome (fivha yakanyanya, kuvhiringidzika, pfari). Kana izvi zvikaitika, enda kuchipatara che emergency room (ETU) nekukasika.
- Zvinogona kutora nguva kuti uwane mushonga wakakunakira. Saka iva nemoyo murefu uye ramba uchigara uchitaura nachiremba wako. Chiremba wako anogara akagadzirira kukubatsira.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment