Chiremba wako akakunyorera mushonga wekuderedza kushungurudzika kana kuzvidya mwoyo here? Ungave wakatya zvishoma pawakaona zita remushonga wacho, kana kuti ungave wakazvibvunza kana zvaizobatsira zvechokwadi. Zvakajairika kunzwa saizvozvo. Nhasi tiri kutaura nezvemhando yemushonga unonzi SSRI, unowanzonyorerwa zvirwere zvepfungwa zvakaita sekuora mwoyo muSri Lanka pamwe nepasi rose. Kuziva zvakawanda nezveizvi kuchapindura mibvunzo yakawanda yauri kufunga nezvayo.
Zvichitaurwa zviri nyore, maSSRI aya chii?
Zita rekuti SSRI rinomiririra Selective Serotonin Reuptake Inhibitors . Kunyange zvazvo zita racho ringanzwika sedambudziko guru, maitiro acho ari nyore kwazvo. Iyi imhando yemishonga inopiwa kurapa kuora mwoyo. Inoshandiswa kwete chete pakuora mwoyo, asiwo kune zvimwe zvirwere zvepfungwa zvakaita sekuzvidya mwoyo, panic disorder, uye OCD. Kana ichienzaniswa nedzimwe mhando dzemishonga yekuora mwoyo, inoonekwa seyakachengeteka uye haina migumisiro yakawanda .
Saka mushonga uyu unokanganisa sei pfungwa dzedu? Funga nezvepfungwa dzedu seguta guru. Kune vatumwa muguta rino vanotakura mashoko kubva kune imwe nzvimbo kuenda kune imwe. Vatumwa ava muuropi hwedu vanonzi neurotransmitters. Serotonin imwe yenhume dzakakosha kudaro. Serotonin ndiyo inobatsira kudzora zvinhu zvakaita semanzwiro edu, mufaro, uye kurara.
Mumunhu ane chirwere chakadai sekuora mwoyo, huwandu hweserotonin, iyo inotakura "shoko remufaro", hunogona kudzikira muuropi. Ipapo kutaurirana pakati pemasero europi hakushande nemazvo. Zvinoitwa nemushonga weSSRI kunonotsa kudzoserwa kweserotonin messenger iyi mushure mekunge yapedza kutumira meseji. Zvadaro serotonin inoramba iri pakati pemasero maviri kwenguva yakareba . Zvinoita sekunge messenger iri kubvumidzwa kugara ipapo kwenguva yakati rebei. Nekuda kweizvozvo, kutaurirana muuropi kunovandudzika, uye zviratidzo zvekuora mwoyo zvinotanga kudzikira zvishoma nezvishoma.
Mishonga yeSSRI inoshandiswa pazvirwere zvipi?
Masangano epasi rose, akadai seFDA muUnited States, akabvumidza mishonga yeSSRI yezvirwere zvakasiyana-siyana. Zvakare, dzimwe nguva vanachiremba vanogona kuinyorera kune zvimwe zvirwere zvisingatenderwe (kushandiswa pasina label) zvichienderana nemamiriro emurwere.
| Mamiriro Anowanzo nyorwa (Mashandisirwo Akatenderwa) | Mashandisirwo Asina Label |
|---|---|
| Dambudziko Guru reKushungurudzika | Dambudziko reMuviri reDysmorphic |
| Dambudziko reKuzvidya Mwoyo Rakajairika | Fibromyalgia |
| Dambudziko rekutya | Kubuda kwemvura nguva isati yakwana |
| Dambudziko reObsessive-Compulsive Disorder (OCD) | Dambudziko rekudya zvisina kunaka |
| Dambudziko reKunetseka Kwemagariro Evanhu | Chiitiko chaRaynaud |
| Dambudziko rePosttraumatic Stress (PTSD) | Zvimwe zviratidzo zvinosanganiswa ne autism |
| Dambudziko rePremenstrual Dysphoric Disorder (PMDD) | Kupisa Kwemenopausal |
Ndeapi maSSRI anonyanya kushandiswa?
Mishonga iyi inogona kutorwa muSri Lanka semapiritsi, makapisi, kana mvura. Chiremba wako anogona kunge akakunyorera imwe yeiyi.
- Citalopram
- Escitalopram
- Fluoxetine
- Fluvoxamine
- Paroxetine
- Sertraline
Zvaunofanira kuziva nezvemigumisiro yakaipa
Havasi vese vanotora SSRIs vanozosangana nemigumisiro yakaipa. Asi semamwe mishonga, kune dzimwe njodzi. Dzimwe dzeizvi dzinoitika mumavhiki ekutanga ekutora mushonga uye dzobva dzapera.
Chinhu chinonyanya kukosha ndechekutaura pachena nachiremba wako nezve chero kusagadzikana kutsva kwaunosangana nako.
Migumisiro yakajairika:
- Kushaya hope kana kurara zvakanyanya
- Musoro
- Mapundu eganda
- Kuona kusina kujeka
- Muromo wakaoma
- Kusagadzikana kana kusagadzikana
- Dzungu
- Kurwadziwa kwemajoini kana tsandanyama
- Kushungurudzika kwedumbu, kuda kurutsa, kana manyoka
- Kuderera kwechido chepabonde
- Matambudziko ekusimbisa nhengo yemuviri kana kuoma kusvika pakusvika pakupera kwepabonde
- Kuderedza huremu kana kuwedzera uremu
Mimwe yemigumisiro iyi inogona kudzorwa nekuchinja nguva yezuva yaunotora mushonga. Semuenzaniso, kana uchinzwa kuda kurutsa, tora mushonga panguva yekudya, kana uchinzwa hope, tora usati warara, kana kuti kana uchinetseka nekurara, tora mangwanani. Taura nachiremba wako nezveizvi uye uwane mazano.
Pfungwa dzekunyatsoteerera
1. Pfungwa dzekuzviuraya: Kwave nekuwedzera kudiki kwekufunga kuzviuraya (kubva pa1-2% kusvika pa2-4%) pakutanga kwekushandisa SSRI, kunyanya kuvana nevechidiki vari pasi pemakore makumi maviri nemashanu . Saka, kana uine pfungwa dzekuzvikuvadza paunotanga mushonga, taurira nhengo yemhuri nachiremba wako nekukasika . Kana paine zviitiko zvakakomba, enda kuEmergency Department (ETU) yechipatara chiri pedyo.
2. Serotonin Syndrome: Ichi chirwere chisingawanzoitiki asi chinogona kunge chakakomba. Chinoitika kana huwandu hweserotonin mumuviri hwakwira zvakanyanya. Njodzi iyi inonyanya kukwira kana mishonga miviri inowedzera serotonin ikatorwa pamwe chete. Tsvaga zviratidzo izvi:
- Kusagadzikana kwakanyanya uye kuvhiringidzika
- Kudikitira zvakanyanya uye kudedera
- Kusvotwa, kurutsa, kurwadziwa mudumbu
- Maziso emaziso - maziso anorembera, kukura kwemaziso
- Tsandanyama dzichidedera, dzichigwinha
- Kukwira kweropa, fivha
- Kurasikirwa nepfungwa, pfari
Kana ukaona chimwe chezviratidzo izvi kana kupfuura, usapedza nguva woenda kuna chiremba kana kuenda kuETU nekukasika .
Kushandisa SSRI panguva yekuzvitakura nekuyamwisa
Kushungurudzika kunowanzoitika panguva yekuzvitakura. Kushungurudzika kusingarapwe kunogona kukanganisa amai nemwana. Uyewo, kutora mishonga yeSSRI kunogona kukonzera njodzi kumwana.
Saka, ichi chisarudzo chaunofanira kuita iwe nachiremba wako pamwe chete, mushure mekukurukura zvakanaka nezvakashata.
Kushungurudzika kusina kurapwa kunogona kuwedzera njodzi ye preeclampsia kuna amai uye kusununguka mwana asina huremu hwakakwana uye kusununguka mwana nguva isati yakwana. Pane njodzi diki yematambudziko enguva pfupi mumwana, akadai sekutadza kufema uye kushaya zororo, ne SSRIs.
SSRIs inowanzoonekwa seyakachengeteka kushandisa panguva yekuyamwisa. Zvisinei, vamwe vacheche vanogona kusangana nematambudziko ekurara uye kusagadzikana. Saka, kana uine pamuviri, uchiedza kubata pamuviri, kana kuyamwisa, iva nechokwadi chekutaura nachiremba wako nezveizvi.
Zvinotora nguva yakareba sei kuti mushonga ushande?
Iri ndiro dambudziko rine vanhu vazhinji. SSRIs haisi mushonga unoshanda panguva yaunotora, semushonga unouraya marwadzo.
Mwoyo murefu wakakosha zvikuru. Zvinogona kutora mavhiki mana kusvika matanhatu, kana mwedzi mishoma , kuti mushonga unyatsoshanda zvakanaka.
Usarega kutora mushonga uyu nekuti haunzwi mutsauko mumavhiki maviri kana matatu ekutanga. Chiremba wako achatanga nedosi shoma uye achawedzera dosi zvishoma nezvishoma. Kana pasina kuvandudzika mushure memavhiki matanhatu kusvika masere, unogona kutaura nachiremba wako nezvekuchinjira kune mumwe mushonga kana kuchinja dosi.
Sei zvisiri zano rakanaka kurega kushandisa SSRI kamwe kamwe?
Mishonga iyi haipindi muropa. Zvisinei, kurega mushonga kamwe kamwe pasina kurairwa nachiremba kune njodzi huru. Kuita izvi kunogona kukonzera chirwere chinonzi "discontinuation syndrome." Kureva kuti, kusagadzikana kunoitika kana ukarega kutora mushonga.
- Kusvotwa
- Dzungu
- Kunzwa kusagadzikana
- Muviri usina upenyu
- Kudedera uye kudikitira
Saka, kana ukarega kutora mushonga, unofanira kuzviita uchitevedzera mirairo yachiremba wako, uchideredza zvishoma nezvishoma mushonga wacho.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeSSRI inoshandiswa zvakanyanya uye inoshanda pakurapa zvirwere zvakaita sekuora mwoyo nekuzvidya mwoyo. Usatya izvi.
- Mushonga uyu unoshanda nekuenzanisa kemikari inonzi serotonin muuropi hwako.
- Zvinogona kutora mavhiki mashoma kuti uone kushanda kwemushonga, saka shivirira. Inwa mushonga sezvawaudzwa nachiremba wako, usingapotsi kana zuva rimwe chete.
- Migumisiro inogona kuitika, asi yakawanda yacho ndeyenguva pfupi. Taura nachiremba wako nezve chero kusagadzikana kupi zvako.
- Usarega kutora mushonga kamwe kamwe pasina chikonzero chipi zvacho usina kurairwa nachiremba wako.
- Zvakakosha kuzivisa chiremba wako nezve mimwe mishonga, mavhitamini, kana mishonga yeAyurvedic yauri kutora.
- Dzivisa doro nezvimwe zvinodhaka paunenge uchitora SSRIs, sezvo zvinogona kuwedzera zviratidzo zvekuora mwoyo.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga