Ziziphi abantu abaninzi abanokungazi ukuba kukho izidakamizwa ezithile zonyango ezingabangela iimpawu zokudakumba njengempembelelo yecala, nakubantu abangenakuqhelaniswa nokudandatheka. Ukongeza, abantu abaneembali zokudakumba bangafuna ukuphepha abo mayeza okanye bawasebenzise ngokulumkisa, kuba banokunyusa ukugula kwabo.
Ziziphi iziyobisi ezinokubangela ukuxinezeleka?
Ezi zilandelayo zilishumi iintlobo eziqhelekileyo zamachiza ezingabangela iimpawu zokudandatheka. Nangona kunjalo, oku akukho uluhlu olubanzi. Kufuneka uqhagamshelane nogqirha okanye i-pharmist ukuze ufumane ulwazi malunga nesirhumo sakho semithi.
1. I-Beta-blockers - i-Beta-blockers ngokuqhelekileyo imiselwe ukonyango lwegazi oluphezulu, nangona zingasetyenziselwa ukuphatha i-migraines angina, intliziyo engavaliyo kunye neentshukumo. Kananjalo banokunikwa njengeliso lehla ekunyangeni kwe-glaucoma.
Kukho ingxoxo malunga negalelo apho la mayeza angabangela ukudakumba, kodwa ngokuqhelekileyo badibaniswa neempawu zokudakumba ezifana neengxaki zesini kunye nokukhathala.
Imizekelo yalolu hlobo lweziyobisi iquka metoprolol kunye nepropranolol (Inderal).
2. I-Corticosteroids - Le miyeza isetyenziselwa ukunyanga izimo ezivuthayo, ezifana ne-lupus, i-rheumatoid arthritis, isifo sengqondo kunye nesifo se-Sjögren's.
I-Corticosteroids ingabangela iintlobo zeempawu zeengqondo. Kucingelwa ukuba phakathi kwezinye iziphumo, i-corticosteroids ithintela i- serotonin , into eveliswa yingqondo ekholelwa ukuba ifakwe kwimimiselo yemoya.
Imizekelo yalolu hlobo lwamayeza lubandakanya i-cortisone, i-prednisone, i-methylprednisolone kunye ne-triamcinolone.
3. I-Benzodiazepines - La mayeza aqhelekileyo asetyenziselwa kunyango lwexhala kunye nokungazinzi okanye xa kubalulekile ukwenza ukuba imisipha ikhulule.
Kweemeko ezithile, iziyobisi zingakha emzimbeni, zikhokelela kwiimpawu zokudandatheka.
Imizekelo eqhelekileyo ye-benzodiazepines ibandakanya i-alprazolam (i-Xanax), i-temazepam (i-Restoril) ne-diazepam (iValium).
4. Iziyobisi zikaParkinson - Ezi zezidakamizwa ezisetyenziselwa unyango lwe-Parkinson.
Iziyobisi ezisetyenziselwa esi sifo zichaphazela into engqondweni kwingqondo ebizwa ngokuthi i-dopamine, eyona yinye yeekhemikhali ezisisiseko ezidibene ne-causation of depression. Iingcali zenzululwazi zikholelwa ukuba xa ezi zi yobisi zenza ukuba i-dopamine iphakanyiswe ixesha elide, linokuchaphazela nomoya womntu.
Imichiza esetyenziswa ngokuqhelekileyo ekuphatheni isifo se-Parkinson yi-levodopa. Ezinye iilwimi eziqhelekileyo ezingasetyenziswa ziquka i-carbidopa (i-Atamet, iSinemet, ne-Stalevo), i-pramipexole (Mirapex) kunye ne-ropinirole (ixhoba),
5. Iziyobisi ezichaphazela iHormones - Ezi zi yobungozi ziquka iindlela ze-hormonal zokulawulwa kokuzalwa kunye ne-estrogen yonyango yokutshintshwa kweempawu ze-menopausal.
Ukutshintshwa kwamanqanaba e-hormone kubasetyhini badla ngokudibanisa nesifo sokudandatheka, nangona kungacaciswanga ngokucacileyo indlela oku kusebenza ngayo.
6. Izikhuthazo - Iimvumi ezinomdla zingaphakanyiswa ukuphatha ubuthongo bemini ehambelana neemeko ezinjenge-narcolepsy, kwaye zingasetyenziselwa unyango lwengxaki yokukhathazeka / i-disperactivity disorder (ADHD) .
La mayeza ayaziwa ukuba atshintshe inani le-dopamine kwingqondo ngendlela engabangela ukudandatheka kwabanye abantu.
I-Methylphenidate (Ritalin) kunye ne-modafinil (Provigil) yimizekelo yelo hlobo lonyango.
7. I-Anticonbulsants - Lezi ziyobisi ezisetyenziselwa unyango lwamaxinzelelo, nangona zingasetyenziselwa ukunyanga ezinye iimeko, ezinjenge-bipolar disorder kunye nentlungu ye-neuropathic.
Ngenxa yokuba zichaphazela iikhemikhali kwingqondo ekholelwa ukuba zijongene nokulawulwa kwemizwa, ngamanye amaxesha kunokubangela ukucindezeleka.
Eminye imizekelo yale hlobo lonyango iquka i-carbamazepine (iTegretol), i-topiramate (Topamax) ne-gabapentin (i-Neurontin).
8. Iproton pump inhibitors kunye ne-block block ye-H2 - Le miyeza inqunyiwe ngokuqhelekileyo ukunyanga isifo se-reflux ye-gastroesophageal (GERD) kwaye ngezinye izihlandlo idibene nokudakumba ngenxa yezizathu ezingacacile.
9. Iitatimins kunye nezinye izidakamizwa ezinciphisa i-cholesterol - Nangona i-statins yilezi zidakamizwa eziqhelekileyo ezichanekileyo zokunciphisa i-cholesterol, ezinye iziyobisi, ezifana ne-fibrates, colesevelam, ezetimibe kunye ne-nicotinic acid zingasetyenziselwa le njongo.
Kukho iingxelo ezidibanisa ezi zi yobisi kunye nokudandatheka. Kucingelwa ukuba ezi ziyobisi zingabangela ukudakumba ngokunciphisa amanqanaba e-cholesterol engqondweni, apho isebenze imisebenzi ebalulekileyo.
Iziyobisi ze-anticholinergic - Iziyobisi ze- anticholinergic zithonya imisebenzi eyahlukeneyo emzimbeni, kubandakanywa ukunciphisa isenzo samathumbu. Zihlala zisetyenziselwa unyango lwe-balm syndrome (i-IBS) esicasulayo (i-IBS) kwiyeza ezifana ne-dicyclomine (iBentyl).
Indlela abayisebenzisayo ngokuthintela i-acetylcholine, into eyenza izihlunu - ezinjengezo ezisetrateni zamathumbu-ukuthenga kunye nokudala ukunyakaza. Nangona kunjalo, kuba zichaphazela inkqubo ye-nervous central, nazo zingabangela iimpawu zoxinzelelo.
I-Dicyclomine (i-Bentyl) yonyango elisoloko lisetyenziselwa unyango lwe-IBS.
Indlela Yokukwazi Ukuba Imithi Yenza Ukhathazekile
Isibonakaliso esibonakalayo kakhulu sokudakumba kukuba, ngokwenene, uvakalelo lokudabuka kunye neqondo eliphantsi. Ngaphandle kwemoya ecinezelekileyo, kunjalo, kukho ezinye iimpawu zokudakumba onokuzifumana, njengalezi zilandelayo:
- Imiva yokungathembeki okanye ukungenakunceda
- Ukuziva unetyala okanye ukungabi nantoni
- Ukuxhalabisa
- Ukutshatyalaliswa nokungazinzi
- Ukukhathala kunye namandla aphantsi
- Iingxaki zokulala
- Iingxaki ngokutya okanye ubunzima
- Iingxaki ngokucinga, imemori kunye nokugxininisa
- Ukulahlekelwa ngumdla kwizinto ebezikunandipha
- Iingcamango zokufa okanye ukuzibulala
Yintoni enokuyenza Ukuba iMichiza Yenza Uziva Uxinezelekile
Ukuba ukholelwa ukuba unokubandezeleka ngeempawu zokudakumba, nokuba zihambelana nezilwanyana ozithathayo okanye cha, kufuneka udibane nodokotela wakho. Ungayeki ukuthatha iyeza lakho ngaphandle kwemvume yakho. Ukuba unenkxalabo enkulu okanye ucinga ukuzibulala, unganqikazi ukufuna unyango olusisiseko.
Imithombo:
Celano, uChristopher M. "Iimpembelelo ze-Depressogenic zonyango: ukuhlaziywa." Iingxoxo kwi-Clinic Neuroscience. 13.1 (2011): 109-125.
"Izidakamizwa Ezibangelwa Ukudandatheka." I-WebMD Reference Reference . WebMD, LLC.
Iziko zeSizwe zeMpilo yengqondo. "Imithi yokuxhalabisa, i-Panic, neFobias". Psych Central .
Neel, Armon B., Jr. "Imithi Eyayenza Ubandezelo." Webhusayithi ye-AARP. NgoFebruwari 27, 2013. I-AARP.
"Iimpawu zoxinzelelo." I-WebMD Reference Reference . WebMD LLC.