Zoloft - Ukusetyenziswa, Indlela Esebenza ngayo, kunye Neempembelelo Zangaphandle
I-Zoloft (i-sertraline) luhlobo lwe-anti-depressant oluqhelekileyo elisetyenziselwa ukudandatheka kunye nokuxhalabisa. UZoloft usebenza njani, yiziphi iimeko ezingasetyenziswa ekuphatheni, zeziphi ezinye iziphumo ezichaphazelekayo, kwaye yiyiphi enye into enokuyifumana ukuba unqunyelwe le myeza?
Zoloft (Sertraline) - Isebenza njani?
I-Zoloft (i-sertraline) kwinqanaba lamachiza eyaziwa ngokuba yi -serotonin e-reuptake inhibitors (i-SSRIs ekhethiweyo). Le miyeza isebenza ngokuthintela ukubuyiswa kwakhona kwe-serotonin ngamaseli enyantya ukwenzela ukuba i-serotonin eninzi ikhona.
I-Serotonin yi-neurotransmitter engqondweni eye yaqulunqa "i-chemical good".
Ukuba unomdla, unokufunda okungakumbi malunga nekhemistre yokudakumba , kunye nendlela amazinga ahlukeneyo ngeengxaki zeengqondo ezichaphazelekayo engqondweni anokuchaphazela ngayo imizwa yakho.
Iimeko eziphathwe ngeZoloft
I-US Food Management and Drug Administration (i-FDA) ivume i-Zoloft ukuba yonyango lwabantu abadala abangaphezu kweminyaka engama-18 bafumene ukuba:
- Ukuxinezeleka
- Uxinzelelo lwentlalo
- I-Post-Traumatic Distress Disorder (PTSD)
- Ukuphazamiseka kwintlungu
- Ukukhathazeka okugqithisileyo (OCD)
- I-Premenstrual disysstric disorder (PMDD)
I-Zoloft iphinda ivunyiwe kwi-OCD kubantwana nakwishumi elivisayo elineminyaka engama-6-17.
I-Zoloft ne-Bipolar Disorder
Ngengxaki yokuguquguquka kwe-bipolar, u-Zoloft uvame ukusetyenziswa kuphela ngenxa yokudandatheka kwengqondo . Imithi efana neZoloft inokubangela i-bipolar mania okanye i-hypomania , ngoko kuhlolwa ngenyameko ngugqirha kuyadingeka.
Iingqalelo ezibalulekileyo malunga neMithi yamaZoloft
Kukho izinto ezibalulekileyo ukuba uqaphele ukuba uya kusebenzisa iZoloft.
Ezi ziquka:
- Akufanele uthathe u-Zoloft ukuba uthatha i- monoamine oxidase inhibitor (MAOI), kwaye kufuneka kube nekhefu evekini ezimbini phakathi kokuyeka okanye ukuqala iZoloft nokuqala okanye ukumisa i-MAOI. Okubalulekileyo, kwanokufa, iingxaki zingenzeka xa ezi ntlobo zonyango zidibene.
- Umvelisi ucebisa ukuba akufanele utywala xa utsatsa iZoloft.
- Musa ukuyeka uZoloft ngaphandle kokuthetha nodokotela wakho. Akufanele uyeke ukuthabatha uZoloft konke ngokukhawuleza ukuphepha ukukhutshwa kwe- SSRI .
- Ziqaphele ukuba usebenzisa nayiphi na imithi enokunyusa amanqanaba akho e-serotonin. Kukho amayeza amaninzi, amayeza empilo yengqondo kunye neengxaki ezingekho ngengqondo, ezinjengezinye iilwimi zentlungu, ezinokudibanisa kunye nokwandisa amanqanaba. I- serotonin syndrome ephazamisayo ingenakukhathazeka kakhulu kodwa iyakuthi igwetshwe ngokuqinisekisa ukuba ugqirha wakho uyazi zonke iziyeza ozithathayo.
- Kungathatha iiveki ezisibhozo ngaphambi kokuba iyeza lakho lizalise ngokupheleleyo.
- Qaphela ukuba nayiphi na i-antidepressant inokukhupha i-hypomania okanye i-mania.
Isisombululo kunye nokuPhathwa kweMithi yamaZoloft
Indlela ogqirha wakho ayichaza ngayo i-Zoloft, kuquka i-dose yokuqala, iya kwahluka phakathi kwabantu abahlukeneyo kunye nokuxilongwa okuhlukileyo. Ulwazi olubanzi malunga neering luquka:
- Umlinganiselo wokuqala weZoloft ngokuqhelekileyo u-25-50 mg, kuxhomekeke kwiminyaka yesigulane kunye nokugula kugula.
- I-dose ephakamileyo ephakanyisiweyo i-200 mg.
- Thatha i-Zoloft kanye rhoqo imihla ngemihla, kusasa okanye kusihlwa.
- I-Zoloft ingathathwa kunye okanye ngaphandle kokutya.
Zoloft kunye nokukhulelwa
Ngo-Matshi 2006 i-Health Canada yanikezela isilumkiso kwi-SSRI abaxinzezelekileyo besithi ukuba neengxaki kwiintsana ezithwele oomama ezithatha nayiphi na le myeza, kuqukwa noZoloft, ngexesha lesithathu lokukhulelwa. Ingcaciso yokumisela umenzi ithi, "I-Zoloft ifanele isetyenziswe ngexesha lokukhulelwa kuphela xa inzuzo enokubangela ukuba ingozi ibe yintsholongwane yomntwana."
Zoloft Effects Side
Unako okanye ungenayo imiphumo emibi ngelixa uthatha iZoloft, Ukuba wenzayo, abaninzi abantu abanakho iziphumo ezibi. Imiphumo emibi kakhulu yeZoloft ifaka:
- Ukunciphisa ukutya okanye ukulahleka kwesisindo
- Idayarrha okanye izitulo ezivulekileyo
- Utywala
- Ukulala
- Umlomo omile
- Intloko
- Ukwandisa ukujuluka
- I sizathu
- Isisu okanye isisu esiswini, igesi, okanye intlungu
- Ukukhathala okanye ubuthathaka
- Ukuthuthumela okanye ukuthuthumela
- Ingxaki yokulala
- Iziphumo zecala lezesondo - Iziphumo zecala zesondo ziqheleke kakhulu kwiimithi zakwa-SSRI. UZoloft unobomi obuncinane (ngokuthelekisa neprozac, umzekelo) ngamanye amaxesha athabatha imithi emva kwesondo (ebusuku okanye ekuseni) xa amazinga egazi ephantsi ayakunceda. Funda kabanzi malunga nendlela yokunciphisa iziphumo zecala ngokwesini kwi-anti-depressants .
Zonke i-SSRI ezixinzezelekileyo zinezinto ezinokubangela ukuba bunzima.
Izilumkiso ezinkulu malunga neMithi yamaZoloft
I-FDA inikwe igunya lokuba zonke i-SSRI ezixinzezelekileyo ziphethe isilumkiso esibhalwe ebhokisini elimnyama ngokubhekiselele kwingozi yokuzibulala nokuziphatha kwabantwana, abaselula kunye nabaselula. Abantwana kunye nabaselula abasenkundleni yeZoloft kufuneka bajongwe ngokugqithiseleyo ngumbono wezifo zengqondo. Funda kabanzi malunga neengozi kunye neenzuzo zokuxhatshazwa kwabantwana .
Zoloft Overdose
Ukugqithisa i-Zoloft kunokuba lukhulu okanye kubangele ukufa. Njengawo nawaphi na amayeza, iinzuzo ezinokwenzeka zonyango kufuneka zibe ngaphezu kweengozi zokuthabatha iziyobisi, kubandakanywa umngcipheko wokugqithisa. Ukuba umthandayo uthatha iZoloft, funda ukuqaphela iimpawu zokugqithisa .
> Imithombo
- > Altshuler, L., Ushukela, C., McElroy, S. et al. Ukutshintshwa kweeRhafu Ngethuba lokuPhatha ngokuthe tye kwi-Bipolar II Depressum kunye neLithium, iSertraline, okanye idibaniso ezimbini: Ukuqhathaniswa okuLungelelaniswa kabini. I-American Journal ye-Psychiatry . 2017. 174 (3): 266-276.
- > Amerio, A., i-Ordone, A., iMarchesi, C., no-S. Ghaemi. Ukwelashwa kwexesha elide lwe-Bipolar Disorder: Inxaxheba engquzulwano yezoxinzelelo. I-Australian neNew Zealand Journal of Psychiatry . 2014. 48 (11): 1062.
- > Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: iMac Graw-Hill Education, 2015. Phrinta.