Kana iwe kana mumwe munhu waunoziva ane depression, chiremba wako anogona kunge akakunyorera mishonga yakasiyana-siyana. Kunyangwe mishonga mitsva ichiwanzo shandiswa mazuva ano, dzimwe nguva unofanira kushandisa mishonga yekare, asi inokosha zvikuru. Vamwe vanhu vanowana mhedzisiro kubva mune iyi. Nhasi, tichataura nezveimwe yemishonga yakadaro, yekare, asi isingakoshi, tricyclic uye tetracyclic antidepressants.
Ndezvipi zvinodhaka izvi zve tricyclic ne tetracyclic antidepressants?
Zvichitaurwa zviri nyore, iyi ndiyo mimwe yemishonga yekutanga kuwanikwa yekurapa kuora mwoyo. Yave ichishandiswa kubvira kuma1950. Musiyano uripo pakati pemazita maviri aya ndewemaumbirwo awo emakemikari. MaTricyclics ane mhete nhatu (tri = three) muchimiro chawo chemakemikari, nepo tetracyclics ine mhete ina (tetra = three). Asi ese ari maviri anoshanda mumuviri nenzira imwechete.
Vanachiremba havanyanyi kukurudzira mishonga iyi mazuva ano. Izvi zvinodaro nekuti mishonga mitsva yakaita seSSRIs (Selective Serotonin Reuptake Inhibitors) yauya isina migumisiro yakawanda. Asi, fungidzira kuti wakaedza mishonga mitsva inopfuura imwe chete asi haina kushanda. Kana zvakadaro, chiremba wako anogona kukuedza imwe yemishonga iyi yekare.
Mishonga iyi inokanganisa sei uropi?
Kune makemikari akakosha muuropi hwedu anodzora manzwiro emunhu. Izvi tinozvidaidza kuti neurotransmitters. Serotonin ne norepinephrine ndiwo maviri e neurotransmitters makuru. Mazinga eizvi anogona kunge akaderera muuropi hwemunhu ane depression.
Mishonga yeTricyclic antidepressants (TCAs) inoshanda nekuwedzera huwandu hweserotonin nenorepinephrine muuropi. Zvisinei, nekuti mishonga iyi inokanganisawo mamwe ma neurotransmitters, ine njodzi yakakura yemigumisiro yakaipa kupfuura mishonga mitsva yakaita seSSRIs. Zvakare, kunyanyisa kune njodzi huru.
| Mishonga inowanzoshandiswa ye tricyclic antidepressants (TCAs) |
|---|
| Amitriptyline |
| Amoxapine |
| Clomipramine |
| Desipramine |
| Doxepin |
| Imipramine |
| Nortriptyline |
| Protriptyline |
| Trimipramine |
Ndeipi migumisiro yemushonga uyu?
Sezvatakambotaura, mishonga iyi ine migumisiro yakawanda. Ndosaka vanhu vazhinji vasingade kuishandisa. Asi havasi vese vanowana migumisiro yese iyi.
Chinhu chinonyanya kukosha ndechekutaura nachiremba wako nezve chero migumisiro yakaipa yaunosangana nayo. Usarega kutora mushonga kamwe kamwe.
Heano mamwe emigumisiro yakajairika:
- Kurara
- Kuona kusina kujeka
- Kuzvimba
- Muromo wakaoma
- Kuderera kweBP paunomira kamwe kamwe kubva panzvimbo yakamira (izvi zvinogona kukonzera kuti unzwe dzungu)
- Kurova kwemoyo kusina kurongeka kana kukurumidza
- Kuvhiringidzika muvanhu vakwegura, kunyanya kana vakatora mishonga yakawanda
- Kuita weti isina kukwana (Kuchengeta weti)
- Kudya kwakawedzerwa uye nekudaro kuwedzera uremu
- Kudikitira
- Kudedera
- Kuda zvepabonde kana kudzikira kwechido
- Vanhu vane matambudziko epfari vari panjodzi yakakura yekubatwa nepfari .
Amitriptyline, Doxepin, Imipramine, uye Trimipramine zvinowanzo kukonzera hope uye kuwedzera uremu. Zvisinei, Nortriptyline neDesipramine dzine migumisiro mishoma pane dzimwe.
Zvimwe zvirwere nemishonga yeTCA
Kana uine chimwe chezvirwere zvinotevera, unofanira kuudza chiremba wako usati watora mushonga uyu.
- Glaucoma
- Prostate yakakura
- Chirwere chemwoyo
- Chirwere cheshuga
- Zvirwere zvechiropa
- Kana mesentery yakamboumbwa kare
Nemiwo zvakareKana uine pamuviri kana kuti uchironga kubata pamuviri, iva nechokwadi chekutaura nachiremba wako.
Kunwa doro zvakanyanya uye njodzi dzazvo
Ichi ndicho chinhu chakakosha chatinofanira kungwarira pamishonga iyi. Kunyangwe kunwa mishonga yeTCA zvishoma kunogona kuva nengozi kuhupenyu. Nokudaro, vanachiremba vanowanzozeza kupa mishonga iyi kumunhu ari kufunga kuzviuraya. Kunyangwe vakaipa, vanoipa muzvikamu zvidiki, senge kamwe chete pasvondo.
| Zviratidzo zveTCA Overdose | |
|---|---|
| Kusarongeka kwekurova kwemoyo | Kuderera kweropa (Hypotension) |
| Kuoma kwakanyanya kwemuromo | Kusakwanisa kuita weti |
| Kufema zvishoma nezvishoma | Kudedera uye pfari |
| Kushaya simba | |
Cherechedza: Kana uchifungidzira kuti mumwe munhu atora mushonga uyu wakawandisa, idambudziko rehutano. Fonera 1990 Ambulance Service nekukurumidza, kana kuti tora munhu wacho kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Uyewo, kana zvichibvira, fonera National Poisons Information Centre paColombo National Hospital kuti uwane mazano. Paunenge uchienda kuchipatara, usakanganwa kutaura zita remushonga watorwa nemunhu wacho.
Zvine njodzi here kurega kutora mushonga kamwe kamwe?
Ehe, zvechokwadi. Kunyangwe uchinzwa zviri nani kana kuti uchinetseka nemigumisiro, usarega kutora mushonga uyu kamwe kamwe usina kubvunza chiremba wako.Kana ukadaro, unogona kunzwa kusagadzikana kwakanyanya nekuda kwemaitiro emuviri wako pazviri (zviratidzo zvekurega kushandisa).
Izvi hazvisi zvekuti wakapindwa muropa nemushonga uyu. Mushonga uyu haupindwe muropa. Asi, muviri wako nepfungwa dzako zvajaira kemikari iyoyo, saka kana yangoerekana yapera, zvinotora nguva kuti muviri ugadzirire.
Zviratidzo zvinogona kuitika kana mushonga ukamiswa
- Kutsamwa, kushatirwa
- Kusvotwa
- Kudikitira
- Kurwadziwa kwemuviri, kunzwa kupisa muviri
- Kushaya hope
- Muviri usina upenyu
- Musoro
Saka, kana uchida kurega kutora mushonga, unofanira kuita izvozvo nekuderedza zvishoma nezvishoma mushonga wacho, uchitevera mirairo yachiremba wako .
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeTricyclic antidepressants (TCAs) imhando yekare yemishonga yekuderedza kushungurudzika, asi inobatsira zvikuru kune vamwe vanhu.
- Izvi zvine njodzi yakakura zvishoma yekukonzera migumisiro yakaipa kupfuura mishonga mitsva. Taura pachena nachiremba wako nezvenyaya iyi.
- Kana uine zvimwe zvirwere (zvakaita sechirwere chemwoyo, glaucoma), iva nechokwadi chekuzivisa chiremba wako usati watora mushonga uyu.
- Usamborega kutora mushonga uyu kamwe kamwe usina kubvunza chiremba wako. Kuita izvi kunogona kukonzera kusagadzikana mumuviri wako.
- Kunwa mushonga wakawandisa kune njodzi huru. Idambudziko rehutano. Kana uchifungidzira kuti wakadaro, enda kuchipatara nekukasika.
- Chengetedza hutano hwepfungwa dzako. Taura nachiremba wako kana uine zvinokunetsa.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga