I-Serotonin Reuptake Inhibitors (SSRIs) ye-SAD
I-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo ngokuqhelekileyo iyona ndlela yokukhetha imithi yokwelapha ukukhathazeka kweentlalo (SAD) . I-SSRI iyichaphazela i-chemistry yakho ngokunciphisa ukutshatyalaliswa kwakhona kwe-neurotransmitter serotonin, ikhemikhali esicinga ukuba inceda ukulawula imizwa kunye nexhala.
Iindidi ze-SSRIs
Kukho ii-SSRI ezininzi ezinokuthi zinconywe ekuphatheni i-SAD kubandakanywa oku kulandelayo.
Amachiza ngamnye adweliswe igama lomtsalane elilandelwa ligama eliqhelekileyo kubazali:
- Celexa (Citalopram)
- I-Paxil (i-Paroxetine)
- Prozac (i-Fluoxetine)
- Lexapro (Escitalopram)
- Luvox (Fluvoxamine)
- Zoloft (Sertraline)
I-SSRIs emithathu, i-Paxil, i-Zoloft, ne-Luvox ivunyiwe yi-FDA yokuphatha ingxaki yokuxhalabisa abantu. Nangona kunjalo, bonke baye baboniswa kwizifundo zonyango ukuze banikeze uphuculo lweempawu.
I-Paxil yayingu-SSRI wokuqala ukufumana imvume ye-FDA kwaye isoloko imiselwe. Nangona kunjalo, iyeza elisebenzela umntu omnye alisoloko lisebenzela omnye. Ngoko, ugqirha uya kusebenza nawe ukufumana isigunyaziso esilungileyo kuwe.
Ndithatha njani i-SSRI?
Ugqirha wakho uya kukunika imiyalelo ethile malunga nendlela yokuthatha amayeza akho. Kubalulekile ukuba ulandele ezi zikhokelo.
Ngokuqhelekileyo, uza kuthatha i-SSRI kanye ngosuku, ngokuqhelekileyo kusasa. Ugqirha wakho uya kufakela umthamo ophantsi ekuqaleni, oya kunyuswa kancane kancane.
Umthamo owufunayo awuhambelani nxamnye nobunzima beempawu zakho. Ngamanye amaxesha umane nje umboniso we-metabolism yakho. Kungathatha iiveki ezimbalwa ukuba ubone ukuphucula kwiimpawu zakho.
Imiphumela
I-SSRI ngokuqhelekileyo iyeza ezikhethiweyo ze-SAD kuba iziphumo ezibi zivame ukunyamezeleka.
Nangona kunjalo, imiphumo emibini engenzekayo ibandakanya oku kulandelayo:
- Iingxaki zokulala: ukulala, ukukhathala okanye ukulala
- Ukungasebenzi kwezesondo: ukunciphisa ukulala ngesondo, ukulibaziseka okanye ukungabikho komzimba, ukungasebenzi kwe-erectile
- Izifo eziphathekayo: izikhumba zesikhumba, umlomo owomileyo, intloko, isicathulo, isisu
- Iimpawu ezifana nokukhathazeka: ukucaphukisa, ukukhathazeka, izandla ezithintekayo, ukuthuthumela
- Ukutya iingxaki: ukufumana ubunzima okanye ukulahleka, ukulahleka kwesidlo
Ukuba unobunzima obubi kunye neziphumo, umgqirha wakho unokugqiba ekubeni anikeze i-SSRI eyahlukileyo. Ngokuqhelekileyo, ukunyuka kwamaxabiso okuqala okuncinci kunyuka kunciphisa ithuba lokuba uya kuba nemiphumo emibi.
Iingcebiso / Iingcebiso
I-SSR ayifanele ithathwe ngexesha elifanayo ne- monoamine oxidase inhibitors (MAOIs). Iziphumo zentlangano enjalo zinokubulala. Ukongezelela, ungalokothi uqale ukuthatha enye yale myeza kwiiveki zokumisa enye.
Ngo-2004, i-FDA ikhuphe isiluleko malunga ne-SSRIs kunye nomngcipheko weengcamango zokuzibulala nokuziphatha, ngakumbi kubantwana nakwishumi elivisayo. Nangona kunqabile, kunokwenzeka ngexesha lokuqala lonyango lweempawu ezimbi kunokuba ziphuculwe. Kubalulekile ukuvavanya iimpawu ngeli xesha kwaye uxelele nayiphi na inguqu enokuthi ugqirha wakho.
Ukongezelela kwiingcebiso ze-FDA kwiingcamango zokuzibulala, kukho kwakhona ukukhishwa kwengcebiso malunga nokusetyenziswa kwee-triptans zentsholongwane ye-migraine kunye ne-SSRIs. Ngokudibeneyo, kukho umngcipheko we-serotonin syndrome, imeko engasongela ubomi. Ngokubanzi, kubalulekile ukuxelela ugqirha wakho kuwo onke amayeza, kokubhaliweyo kunye nokungabhaliseki, ukuba sele uthabatha.
Ukunyanga Ukwelashwa
I-SSRI kufuneka ihlale iphela phantsi kolawulo lwengcali yezobugcisa. Ukuyeka ngokukhawuleza la mayeza angabangela ukuphindaphinda kweempawu ezixhalabileyo kunye neempawu zokuyeka ukunqanda i-serotonin kubandakanye inkathazo kunye nokulungelelanisa, ukucinga, ukucinga, ukucinga, ukukhathazeka kunye nokukhathazeka.
Ukuze ugweme iimpawu ze-serotonin zokuhoxiswa kunye nokuhlaselwa kwakhona, ii-SSR kufuneka zihlale zihlutha kancane.
Imithombo:
Bezchlibnyk-Butler KZ, Jeffries, JJ, eds. Incwadi YesiKlinikhi yee-Psychotropic Drugs . I-Toronto, Canada: Hogrefe & Huber; 2003.
US Food and Drug Administration. FDA. Usetyenziso oluxhasayo kwi-Children, i-Adolescents kunye nabantu abadala.