Chiremba wako akakunyorerera mushonga wechirwere chakadai sekuora mwoyo kana kurwadziwa kusingaperi here? Wakambonzwa here nezvezita rekuti 'tricyclic antidepressants' pakati pemishonga iyoyo? Kunyangwe iyi iri mishonga yekare, ichiri kubatsira mune dzimwe nguva. Saka nhasi, ngatitaurei nezvemishonga iyi yetricyclic antidepressants, kana kuti "TCAs" muchidimbu.
Zvichitaurwa zviri nyore, chii chinonzi mishonga iyi ye tricyclic antidepressants (TCAs)?
Mishonga yeTricyclic antidepressants (TCAs) imhando yemishonga inobatsira kudzora zviratidzo zvechirwere chekushungurudzika kukuru. Kunyangwe iine izwi rekuti "antidepressant" muzita rayo, vanachiremba vanoinyorawo kune mamwe mamiriro akasiyana-siyana.
Idzi dzinonziwo mishonga yekudzora marwadzo ye "chizvarwa chekutanga" nekuti ndidzo dzaive mishonga yekutanga yekudzora marwadzo kuwanikwa. Dzinonzi "tricyclic" nekuti dzine marongero matatu muchimiro chadzo chemakemikari.
Mazuva ano, sezvo mishonga mitsva yekuderedza kushungurudzika yakachengeteka uye isina migumisiro yakawanda (yakadai seSSRIs), vanachiremba havasi kunyanya kunyora mishonga yeTCA yekuderedza kushungurudzika. Zvisinei, inogona kushanda zvakanyanya kune vamwe vanhu vasina kupindura mimwe mishonga. Inowanzoshandiswawo kune mamwe mamiriro ezvinhu.
Ndeapi marudzi eTCA? Ndeapi marudzi ezvirwere anonyorerwa vanachiremba?
Kune mhando dzakawanda dzeTCA dzinoshandiswa muSri Lanka nepasi rose. Tarisa uone kana mushonga wawakanyorerwa nachiremba uri mumwe wemishonga iyi.
| Zita reGeneric | Nyaya dzinowanzoshandiswa |
|---|---|
| Amitriptyline | Dzivirira kuora mwoyo, kurwadziwa kusingaperi, kurwadziwa kwetsinga, uye migraines |
| Imipramine | Kuora mwoyo, kunyorova pamubhedha muvana vadiki |
| Nortriptyline | Kuora mwoyo, kurwadziwa kusingaperi |
| Clomipramine | Inoshanda zvikuru pakurapa Obsessive-Compulsive Disorder (OCD), chirwere chinoratidzwa nepfungwa nezviito zvisingadiwi. |
| Doxepin | Kuora mwoyo, kuzvidya mwoyo, kushaya hope |
Pamusoro pekuora mwoyo uye OCD zvataurwa pamusoro apa, vanachiremba vanopa mushonga uyu kune zvimwe zvirwere zvakawanda. Izvi zvinonzi "kushandiswa kwekunze kwechiratidzo." Izvi zvinoreva kuti mushonga uyu unopihwa kune chimwe chirwere chisiri icho chakatenderwa, kana tsvakiridzo yaratidza kuti unobatsira kune chimwe chirwere.
- Marwadzo asingaperi: Marwadzo anokonzerwa netsinga, akadai sechirwere cheshuga chinonzi neuropathy uye postherpetic neuralgia.
- Kudzivirira migraine: Dzora migraines inowanzoitika.
- Kushaya hope: Vamwe vanhu vanopihwa mishonga mishoma kuti vakwanise kurara.
- Matambudziko ekuzvidya mwoyo
- Fibromyalgia: Marwadzo uye kuneta mumuviri wese.
- Kunyorova pamubhedha: Dambudziko iri dzimwe nguva rinokurudzirwa kuvana vadiki.
Mushonga uyu unoshanda sei mumuviri?
Zvichitaurwa zviri nyore, uropi hwedu hune makemikari anotumira mameseji pakati pemasero etsinga. Tinodaidza kuti ma neurotransmitters aya. `Norepinephrine` na`Serotonin` ma neurotransmitters maviri akakosha kwazvo anodzora manzwiro edu, mufaro, uye maitiro edu.
Mazinga aya anogona kunge akaderera mumamiriro ezvinhu akadai sekuora mwoyo. MaTCA anoshanda nekuwedzera huwandu hwema neurotransmitters aya, ``Norepinephrine`` uye ``Serotonin`` muuropi, zvichivandudza kutaurirana pakati pemasero etsinga.
Pakudzora marwadzo, mishonga iyi inovhara zviratidzo zvekurwadziwa kubva kumusana kuenda kuuropi.
Asi pamwe chete nemaitiro aya, mamwe ma receptors mumuviri anovharikawo. Ndosaka paine migumisiro yakadai semuromo wakaoma uye kuoma kwekuita weti.
Ndezvipi migumisiro nenjodzi zvemishonga iyi?
Mishonga yeTCA ine mikana yakawanda yemigumisiro yakaipa kupfuura mishonga mitsva. Zvisinei, havasi vese vanoiwana. Kana ikadaro, inoderera nekufamba kwenguva sezvo muviri unotanga kujaira mishonga.
Migumisiro yakajairika
- Muromo wakaoma
- Kuzvimba
- Dzungu
- Kurara
- Kuona kusina kujeka
Mimwe migumisiro yakaipa
- Kuoma kwekuita weti kana kuchengetedza weti
- Kuwedzera kwekurova kwemoyo (Tachycardia)
- Kushaya simba kweropa (Orthostatic hypotension) (kuderera kweBP kana wakamira kana wamuka)
- Kudya zvakanyanya uye kuwedzera uremu
Kana migumisiro iyi ichikunetsa, iva nechokwadi chekuti wataura nachiremba wako usati warega kushandisa mushonga. Anogona kukwanisa kugadzirisa mushonga wacho kana kukupa imwe nzira yekurapa.
Nyaya dzinoda kutarisirwa kwakakosha
- Kana uine chirwere chemwoyo: MaTCA anogona kukanganisa mamwe matambudziko emwoyo, saka chiremba wako angangoda kuita EKG asati atanga mushonga uyu.
- Kana uine pfari/kurwara: Mushonga uyu unogona kuwedzera njodzi yako yekubatwa nepfari zvishoma.
- Kana uine pamuviri kana kuti uchironga kubata pamuviri: Mishonga yeTCA haina kuchengetedzeka zvakanyanya panguva yekuzvitakura, saka zvakakosha kutaura nachiremba wako nezveizvi.
Zvakakosha: Pave nekuwedzera kwengozi yekufunga kuzviuraya kana vechidiki vari pasi pemakore makumi maviri nemashanu vatanga kushandisa mushonga uyu. Kana iwe kana mwana wako muine pfungwa idzi, taurira chiremba wako nekukasika.
Unofanira kunetseka here nezvekudarika mwero wezvinodhaka?
Ehe, ichi chinhu chatinofanira kunyatsoteerera. MaTCA imhando yemishonga inogona kukonzera chepfu yakakura kana ikanwiwa yakawandisa.
Asi yeuka, njodzi iyi haiuyi chero bedzi uchitora mushonga chaiwo wawakarairwa nachiremba wako. Kunwa mushonga wakawandisa kunoitika chete kana ukatora mushonga wakawandisa nekusaziva, kana nemaune.
Saka, gara uchinwa mushonga wako sezvawaudzwa nachiremba wako. Chengeta mapiritsi ako panzvimbo yakachengeteka kure nevana nezvipfuyo.
Zviratidzo zvekudhakwa zvakanyanya
- Kusarongeka kwekurova kwemoyo
- Kuderera kweropa zvakanyanya
- Hope dzakanyanya
- Kubatwa nepfari
- Kudengenyeka
- Dementia
- Nyika yeComa
Kana iwe kana mumwe munhu waunoziva akasangana nezviratidzo izvi, usanonoka. Fonera 1990 nekukurumidza kuti utore amburenzi, kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU). Kana zvichidikanwa, unogona zvakare kufonera National Poison Information Centre kuColombo National Hospital kuti uwane mazano.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeTCA imhando yekare, asi inobatsira zvikuru inorapa zvirwere zvakasiyana-siyana, zvinosanganisira kuora mwoyo, kurwadziwa kusingaperi, uye migraine.
- Izvi zvine migumisiro yakaipa zvishoma pane mishonga mitsva, asi havasi vese vanoiwana. Kana uine mimwe migumisiro yakaipa, taura nachiremba wako.
- Usambofa wakachinja mushonga waunotora kana kurega kuutora kamwe kamwe usina kurairwa nachiremba wako.
- Gara uchichengeta mushonga panzvimbo yakachengeteka iri kure nevana.
- Ziva zviratidzo zvekunwa zvinodhaka zvakapfurikidza mwero. Kana uchifungidzira kuti wakadaro, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
- Kana muine mibvunzo nezvemushonga wenyu, kushanda kwawo, kana migumisiro yawo, musatya kubvunza chiremba wenyu. Iye aripo kuti akubatsirei.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga