Wakambonyorerwa mushonga wekare nachiremba wekuderedza kushungurudzika kana chimwe chirwere here? Ungangodaro uri mumwe wemishonga ye tricyclic antidepressants (TCAs). Kunyange zvazvo zita racho ringanzwika serinotyisa, mishonga iyi ichiri mishonga inobatsira zvikuru inoshandiswa kune zvirwere zvakawanda. Saka nhasi, ngatitaurei nezvemishonga iyi yeTCA nenzira iri nyore uye iri nyore kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi mishonga iyi ye tricyclic antidepressants (TCAs)?
Mishonga yeTricyclic antidepressants, kana kuti TCAs muchidimbu, imhando yemishonga inobatsira kudzora zviratidzo zvechirwere chepfungwa chinonzi major depression disorder . Zvisinei, vanachiremba mazuva ano vanopa mishonga iyi kune zvimwe zvirwere zvisiri zvekuora mwoyo chete.
Mishonga iyi yeTCA yaive imwe yemishonga yekutanga yakawanikwa yekurapa kuora mwoyo. Ndosaka tichiidaidza kuti mishonga ye "chizvarwa chekutanga" yekuora mwoyo. Asi ikozvino sezvo mishonga mitsva uye yakachengeteka (yakadai seSSRIs) yave kuwanikwa yekurapa kuora mwoyo, vanachiremba havachanyanyi kupa mishonga iyi yeTCA semishonga yekutanga yekurapa kuora mwoyo.
Mishonga iyi inonzi "tricyclics" nekuda kwemaumbirwo ayo emakemikoro. Ine ring nhatu. Ndizvo zvinoreva zita racho, hapana chekufunga nezvacho.
Ndeapi marudzi emishonga ari muboka reTCA?
Iyi ndiyo mimwe yemishonga mikuru yeTCA inoshandiswa muSri Lanka nepasi rese, pamwe chete nemazita ayo. Tarisa kana mushonga wawakanyorerwa nachiremba wako uri mumwe wemishonga iyi.
| Zita reGeneric | Mazita Emhando Dzakajairika |
|---|---|
| Amitriptyline | Elavil®, Vanatrip® |
| Amoxapine | Asendin® |
| Desipramine | Norpramin® |
| Doxepin | Silenor®, Sinequan® |
| Imipramine | Tofranil®, Tofranil-PM® |
| Nortriptyline | Aventyl®, Pamelor® |
| Protriptyline | Vivactil® |
| Trimipramine | Surmontil® |
| Clomipramine | Anafranil® |
Pamusoro pezvo, mushonga weTCA Clomipramine (Anafranil®) unoshandiswa zvakanyanya kurapa chirwere chinonzi obsessive-compulsive disorder (OCD) .
Mishonga yeTCA inoshandiswa pamamiriro ezvinhu api?
Mishonga iyi inonyanya kutenderwa kurapa kuora mwoyo. Asi sezvandambotaura, vanachiremba mazuva ano havaipe kutanga nekuda kwekuora mwoyo. Kana mimwe mishonga mitsva (senge SSRIs) isingashande, pamwe TCA ingangotangwa. Nekuti pane dzimwe nguva apo mishonga iyi yekare inoshanda zviri nani pane mishonga mitsva kune vamwe vanhu.
Zvisinei, maTCA ndiwo ava kunyanya kufarirwa pakurapa zvirwere zvisiri izvo zvaatenderwa. Tinoti kushandiswa uku "kwekunze kwechiratidzo" . Izvi zvinoreva kuti, kunyangwe mushonga uyu usati watenderwa neFood and Drug Administration pachirwere ichocho, tsvakiridzo yezvekurapa yakaratidza kuti mushonga uyu unobatsira pachirwere ichocho.
Chinhu chinonyanya kukosha ndechekuti, usamboshandisa mushonga werudzi urwu pane chero chaunoda usina kunyorerwa nachiremba.
Heano mamwe mashandisirwo eTCAs "asiri emhando yepamusoro":
- Kudzivirira migraine: Kune avo vanorwara nemigraines nguva nenguva, mushonga uyu unobatsira kudzora kuitika kwayo.
- Kushaya hope: Mamwe maTCA, kana akatorwa ari mashoma, anogona kukubatsira kurara zviri nani.
- Matambudziko ekuzvidya mwoyo: Izvi zvinoshandiswawo kudzora mamiriro akasiyana-siyana ekuzvidya mwoyo.
- Marwadzo asingaperi: Uku ndiko kumwe kwekushandiswa kukuru kweTCAs nhasi. Anonyanya kushanda pakurwadziwa kwetsinga . Semuenzaniso:
- Neuropathy ine chekuita nechirwere cheshuga
- Postherpetic neuralgia (kurwadziwa kunoitika mushure mekurwara negomarara)
- Dambudziko reFibromyalgia
- Kunyorova pamubhedha: Mushonga uyu dzimwe nguva unopihwa muzvikamu zvidiki kudzora weti yehusiku muvana.
Ndeupi musiyano uripo pakati pemishonga mitsva (SSRIs) nemishonga yekare iyi (TCAs)?
Ose ari maviri makirasi emishonga inorapa kushungurudzika. Asi pane misiyano mikuru. Unogona kunzwisisa izvi zviri nyore nekutarisa tafura iri pazasi.
| Hunhu | Mishonga yeTricyclic Antidepressive (TCAs) | MaSelective Serotonin Reuptake Inhibitors (SSRIs) |
|---|---|---|
| Chizvarwa | Mishonga yekare (yechizvarwa chekutanga). | Mishonga mitsva yechizvarwa chechipiri. |
| Migumisiro yakaipa | Yakakwira zvakanyanya uye dzimwe dzacho dzinogona kuva dzakaoma zvishoma. | Yakaderera zvishoma uye iri padanho rinoshiviririka. |
| Njodzi yekudhakwa zvakanyanya | Yakanyanya kukwira. Kunwa doro zvakanyanya kunogona kuisa upenyu panjodzi. | Zvishoma. Zvakachengeteka kupfuura TCA. |
| Kushandiswa kukuru (nhasi) | Kune zvirwere zvakaita sekurwadziwa kusingaperi, migraine, uye kushaya hope. | Kune vanorwara nepfungwa dzakaora mwoyo uye vane matambudziko ekuzvidya mwoyo. |
Mushonga uyu weTCA unoshanda sei mumuviri?
Izvi zviri nyore kunzwisisa. Masero etsinga ari muuropi hwedu anoshandisa makemikari anonzi ma neurotransmitters kutumirana mameseji. Kufanana ne postmen. Maviri eaya ma neurotransmitters akakosha zvikuru mukudzora manzwiro edu. Iwo norepinephrine uye serotonin .
Mumamiriro ezvinhu akadai sekuora mwoyo, huwandu hwemakemikari aya muuropi hunoderera. Mishonga yeTCA inoshanda nekuwedzera huwandu hwe norepinephrine ne serotonin muuropi. Izvi zvinoita kuti kutaurirana pakati pemasero etsinga kuve nani, uye zvinovandudza mafungiro.
Vaongorori vakaonawo kuti mishonga iyi inoderedza sei marwadzo. Vanoti mishonga iyi inovhara zviratidzo zvekurwadziwa kuti zvisafambe nemusana wedu zvichienda kuuropi, zvichideredza marwadzo atinonzwa.
Ndinofanira kutora mushonga uyu sei uye ndeapi mamwe matambudziko?
MaTCA anowanzo kuwanikwa semapiritsi kana makapisi. Zvakakosha zvikuru kutora mushonga chaiwo wawakanyorerwa nachiremba wako.
Nekuda kwengozi huru yekunwa mishonga iyi zvakanyanya, vanachiremba vanogara vachitanga nedosi shoma inobvira. Zvadaro, kana zvichidikanwa, vanozowedzera dosi zvishoma nezvishoma. Usambofa wakachinja dosi wega usina kurairwa nachiremba wako.
Migumisiro yakajairika
Kufanana nemishonga yese, uyu une migumisiro yakaipa. Asi havasi vese vanouwana. Vamwe vanhu vanogona kuwana mumwe kana miviri, nepo vamwe vasingazowana chero ipi zvayo.
| Rudzi rwemhedzisiro yakaipa | Tsananguro |
|---|---|
| Migumisiro yakajairika |
|
| Mimwe migumisiro inogona kuitika |
Kana uchinetseka nemhedzisiro iyi, taura nachiremba wako usingamire kushandisa mushonga. Inogona kudzorwa nekuchinja dose kana kushandisa imwe nzira.
Ndiani anofanira kungwarira zvakanyanya nezvemishonga yeTCA?
Vanachiremba vanongwarira zvikuru pavanopa mushonga uyu kune vamwe vanhu. Kana uine chimwe chezvirwere izvi, unofanira kuudza chiremba wako usati watanga mushonga uyu.
- Kana uine chirwere chemwoyo: Mishonga yeTCA inogona kuwedzera mamwe matambudziko emwoyo, saka chiremba wako anogona kuraira kuti upinzwe electrocardiogram (EKG) kuti utarise mashandiro emwoyo wako usati watanga mushonga wacho.
- Kana uine pfari: Mushonga uyu unogona kuwedzera njodzi yako yekubatwa nepfari zvishoma.
- Kana uine pamuviri kana kuti uchironga kubata pamuviri: Mishonga yeTCA haina kuchengetedzeka zvakanyanya panguva yekuzvitakura. Dzimwe ongororo dzakaona kuti inogona kukanganisa mwana ari mudumbu. Saka iva nechokwadi chekutaura nachiremba wako nezvenyaya iyi.
Yambiro inokosha zvikuru
Mune zvimwe zviitiko, vana vari pasi pemakore makumi maviri nemashanu, vana vadiki, uye vechidiki vanogona kuwedzera pfungwa dzekuda kuzviuraya kana maitiro ekuzviuraya pavanotanga kushandisa mushonga uyu, kunyanya mumavhiki mashoma ekutanga.
Kana iwe kana mwana wako muine pfungwa idzi, fonerai chiremba akakunyorerai mushonga nekukasika pasina kunonoka. Kana kuti endai kuEmergency Department (ETU) yechipatara chiri pedyo.
Zvinokwanisika here kushandisa mushonga weTCA zvakanyanya?
Ehe, unogona. Kutaura zvazviri, pakati pemhando dzemishonga inorwisa kuora mwoyo inonyorerwa, mishonga yeTCA ndiyo boka remishonga ine njodzi huru yekudhakwa. Ndosaka usingafaniri kutora zvinopfuura mwero wawakanyorerwa nachiremba wako.
Kunwa mushonga wakawandisa kunogona kuitika nekutadza, kusaziva, kana nemaune. Saka gara uchichengetedza mishonga yako yakachengeteka kure nevana nezvipfuyo.
Zviratidzo zvekudarika mwero
- Kusarongeka kwekurova kwemoyo (kuchinja kwemutinhimira)
- Kumanikidzwa kweropa kunoderera zvakanyanya
- Hope dzakanyanya
- Kubatwa nepfari
- Kudengenyeka
- Kuvhiringidzika
- Kushaya simba
Kunwa mushonga weTCA zvakanyanya idambudziko rehutano . Zvinogona kuuraya kana zvikasarapwa nekukasika. Kana uine fungidziro yekuti izvi zvakaitika kwauri kana kune mumwe munhu, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana zvichidikanwa, unogona zvakare kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Nguva yekutaura nachiremba
Kana uri kushandisa mushonga weTCA, zvakakosha kugara uchitaura nachiremba wako nguva dzose. Iva nechokwadi chekutaura nachiremba wako kana uine chimwe chezvirwere zvinotevera:
- Kana migumisiro yacho ichikunetsa zvakanyanya: Kana uchinzwa sekuti "izvi zvakanyanya kuoma," udza chiremba wako.
- Kana zviratidzo zvako zvikasavandudzika kana kuipa: Kana pasina kuvandudzika mushure memavhiki mana kana kuti zviratidzo zvichiratidza kunge zviri kuwedzera kuipa, udza chiremba wako.
- Kana uri kufunga nezvekurega mushonga: Usamborega kutora mushonga uyu kamwe kamwe. Kuita izvi kunogona kukonzera zviratidzo zvekurega. Kana ukarega, ita sezvakarairwa nachiremba wako, uchideredza zvishoma nezvishoma mushonga wacho.
Kunyangwe mushonga uyu wakare, unobatsira zvikuru kana ukashandiswa nemazvo . Saka, kana uine mibvunzo, kutya, kana kusava nechokwadi nezvemushonga uyu, bvunza chiremba wako nezvawo. Akagadzirira uye anoda kukubatsira.
Mharidzo Yekuenda Nayo Kumba
- Kunyangwe maTCA ari mhando yekare yemishonga yakagadzirwa kurapa kushungurudzika, achiri kushandiswa zvinobudirira nanhasi kune zvirwere zvakawanda, zvakaita sekurwadziwa kusingaperi uye migraine.
- Migumisiro yemishonga iyi yakanyanya kuipa kupfuura mishonga mitsva, uye njodzi yekunwa zvinodhaka zvakanyanya yakanyanya.
- Tevedzera mushonga wacho sezvawakarairwa nachiremba wako. Usambofa wakachinja mushonga wacho wega kana kurega kamwe kamwe kutora mushonga wacho.
- Kana uine zvirwere zvakaita sechirwere chemwoyo, pfari, kana kuti une pamuviri, iva nechokwadi chekuudza chiremba wako usati watanga mushonga.
- Kunwa mushonga weTCA zvakanyanya kunogona kukonzera njodzi inogona kuisa hupenyu panjodzi. Kana zvichifungidzirwa, enda kuchipatara chiri pedyo (ETU) nekukurumidza.
- Kana muine mibvunzo nezvemushonga uyu, musatya kubvunza chiremba wenyu.
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