Ukukhathazeka okugqithisileyo kuqhutshelwa unyango ngamachiza kunye nokunyangwa kwengqondo . Imithi ejolise kwi-serotonin indlela engqondweni, njengabaxinzelelekanga, isebenza ngokukodwa ekuphatheni abantu abane-OCD - kwaye ukuba oko kungasebenzi, ukongeza kwimiyeza yokulwa ne- antipsychotic ingayinceda .
Makhe sijonge kwiimvavanyo ezahlukahlukeneyo ezisetyenziselwa ukunyanga i-OCD, kubandakanywa nokuxhatshazwa kweengxaki kunye ne-antipsychotics ezifumene ukuba ziyasebenza kwizifundo zesayensi.
Ziziphi iiMedizo ze-OCD ezivunyelweyo ze-FDA?
Kukho inani lamachiza avunywe yi-Food and Drug Administration (FDA) kunyango lwe-OCD. Uninzi lwala mayeza luseklasini yama-antidepressants ekuthiwa yi- serotonin e-reuptake inhibitors ekhethiweyo . Nangona kunjalo, enye yezi yobisi, i-Anafranil, yile klasi yeziyobisi ezibizwa ngokuba yi- tricyclic antidepressants .
Amayeza e-OCD avunywe yi-FDA ngokukodwa kunyango lwe-OCD zibandakanya:
- I-Anafranil (i-clomipramine)
- Prozac (i-fluoxetine)
- Luvox (i-fluvoxamine)
- I-Paxil (i-paroxetine hydrochloride)
- Zoloft (sertraline)
Iimpawu zeMpawu zokuLawula
Nangona ingavunywanga ngokusemthethweni yi-FDA yokonyango lwe-OCD, ezinye iintlobo ze-SSRI, kunye ne-serotonin kunye ne-norepinephrine reuptake inhibitors (i-SNRIs), imiselwe ngabagqirha "ngaphandle kwelebuli" njengemithi ye-OCD. Eminye imizekelo yeeyilethi ze-OCD zonyango ziquka:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Effexor (venlafaxine)
IMicropsychotic Medication
Imithi ye-Antipsychotic ayisetyenziswanga ukuphatha i-OCD yodwa. Kunoko, bahlala besetyenziselwa ukunyusa okanye ukuphucula ukusebenza kwe-SSRIs kunye ne-clomipramine ekunciphiseni iimpawu ze-OCD .
Ngokuqhelekileyo, unyango lwe-augmentation lusetyenziswa xa i-clomipramine okanye i-SSRI ihluleka ukuphucula iimpawu ze-OCD emva kweenyanga ezi-3.
Ukunyuswa kwamaxabiso e-OCD aqhelekileyo aquka:
- Risperdal (risperidone)
- Haloperidol (Haldol)
I-Antipsychotics ezibonise iziphumo ezidibeneyo xa zisetyenziselwa ukwandisa unyango lwe-SSRI kwi-OCD ziquka:
- Zyprexa (olanzapine)
- Seroquel (quetiapine)
U-Aripiprazole (Abilify) uye wabonisa isithembiso njengonyango lwe-OCD.
Amachiza kwi-Horizon
Amachiza axhomekeke kwi-glutamate ezindleleni zobuchopho ziphakathi kweziyobisi ezingamnceda ukunciphisa iimpawu ze-OCD, ngakumbi xa zongezwa kwi-anti-depressant. Ezi ziquka:
- IMemantine (Namenda)
- Topiramate (Topamax)
- Riluzole (Rilutek)
Iingcamango Zokugqibela
Njengoko naluphina unyango, isigqibo sokuqala iyeza elitsha okanye ukongeza isicatshulwa kwisicwangciso sakho sokonyango sisigqibo esifanele senziwe ngokubambisana okunzulu kunye nosapho lwakho okanye ugqirha.
Imithombo:
I-Bloch, MH, uLanderos-Weisenberger, A., uKelmendi, B., Coric, V., Bracken, MB, & Leckman, JF "Ukuphononongwa ngokuchanekileyo: ukunyuswa kwe-antipsychotic ne-tracking refractory-intulsive disorder" I- Molecular Psychiatry 2006 11: 622 -632.
Keller M. Ukunyangwa kweziyobisi eziphosakeleyo. Iingxoxo zeKlinikhi ye-Neurosci. 2010; 12 (2): 187-97.
Pizarro et al. Ukuhlaziywa okuhlaziyiweyo kwezidandlululo kunye nemiphumo ephawulekayo ye-serotonergic kwi-disorder-disulsive disorder. Iingcali zeVopin Pharmacother. 2014 Julayi; 15 (10): 1391-401.
Sansone RA & Sansone LA, i-SNRIs iindlela ze-Pharmacological Alternatives kwi-Treatment ye-Obsessive Compulsive Disorder? Innov Clin Neurosci. 2011 Juni; 8 (6): 10-4.
Schruers, K., Koning, K., Luermans, J., Haack, MJ, & Griez, E. "Ukukhathazeka okugqithisileyo: ukuhlaziywa okubalulekileyo kweembono zokwelapha" Acta psychiatrica Scandinavica 15 Februwari 2005 111: 261-271. 01 Septemba 2008.