Ukuqonda iNdima yama-SSRI ekuPhileni iPhobias
Imithi eyaziwa ngokuthi i-serotonin ekhethiweyo i-inhibitors, okanye i-SSRIs, iqheleke ukuba i- phobia yentlalo . Kananjalo banokumiselwa ngokubambisana kunye neyeza ezithile kwi-phobias kunye ne- agoraphobia . Uninzi lwe-SSRI sele libe ngamagama aqhelekileyo emakhaya, afana neprozac (i-fluoxetine), i-Paxil (i-paroxetine) ne-Zoloft (i-sertraline).
Ukuba unqunywe i-SSRI, unokuzibuza malunga nenjongo, ukhuseleko kunye nemiphumo emibi yonyango lakho.
Kubalulekile ukuxubusha naziphi na iinkxalabo ezithile ugqirha wakho.
I-SSRIs isebenza njani
I-Serotonin yikhemikhali yengqondo (i-neurotransmitter) echaphazelekayo kwimisebenzi eyahlukeneyo, kuquka ukulawulwa kwemizwelo kunye nokuxhalabisa. I-SSRIs iboniswe ukuba nefuthe elihle kwiziphazamiso zokuxhalabisa, kuquka i-phobias.
Eziqhelekileyo ii-SSRI
Ii-SSRI eziqhelekileyo ezichazwe kwi-phobias ziquka, kodwa azinqunywanga, i-Prozac (i-fluoxetine), i-Zoloft (i-sertraline), i-Paxil (i-paroxetine), iCelexa (citalopram), i-Luvox (i-fluvoxamine) kunye ne-Lexapro (escitalopram). Ezi zonyango zifana kakhulu kwimiphumo yazo kwi-phobias, kodwa imithi nganye ineempembelelo zayo, iziganeko zamachiza kunye nezinye izinto.
SSRIs kunye nabadala abadala
Olunye uphando luye lwabonisa ukuba abadala abadala bangabhekana neengozi eziphezulu ezivela kwi-SSRI. Njengoko sikhula, siyancipha ukwandisa inani lemimiselo esithathayo, ukuphakamisa umngcipheko wokusebenzisana kwezidakamizwa. Imizimba yethu ingaphinda ibekezele imithi ngokubanzi.
Ukongezelela, ezinye izifundo zibonise ukuba abantu abadala asebekhulile abathatha i-SSRI ixesha elide bangase babe mngcipheko weentsimbi zomzimba.
Nangona kunjalo, ii-SSRI zibhekwa njengezikhuselekileyo kunezinye iindlela ezifana nee- MAOIs . Abaninzi abakhulileyo bayakwazi ukunyamezela la mayeza angenayo imiphumo emibi. Xoxa malunga naluphi na uxhalaba onokulufumana kunye nogqirha wakho, kwaye ungayeki unyango lwakho ngaphandle kwemiyalelo kadokotela.
SSRIs kunye nezingane
Ukususela ngo-2005, iDiary Food and Drug Administration iye yafuna ukuba zonke izidandlululo, kuquka ii-SSRI, zithwale isilumkiso sebhokisi emnyama esibonisa ukuba unyango lunokwandisa ingozi yokuzibulala kubantwana nakwishumi elivisayo. Ngo-2007, isilumkiso sandisiwe ukuze kubandakanye abantu abadala abaseneminyaka engama-25.
Nangona kunjalo, ukubeka iliso ngenyameko yengxaki yomntwana kwimishanguzo yakhe kunokuncedisa ukunciphisa umngcipheko. Xoxa malunga naluphi na ukukhathazeka ngogqirha wengane yakho, kwaye uqaphele ukuziphatha komntwana ekhaya. Ungaze unqume ngokukhawuleza ikhosi ye-SSRI ngaphandle kwenkxaso yezokwelapha, njengoko oku kungakhokelela ekuphenduleni.
Iimpembelelo ezingezantsi ze-SSRIs
Ngenxa yokuba ingqondo idinga iiveki eziliqela ukulungelelanisa imiphumo yeyeza, imiphumo emibi idla ngokuvakalelwa kakhulu kwiiveki zokuqala. Ukuba ufumana imiphumo emibi, qiniseka ukuba ugqirha ugqirha wakho. Musa ukuyeka ukusebenzisa, nangona, ngaphandle kokuba ufundiswe ngugqirha. Ukukhubazeka ngokwesondo kuyisikhalazo esifanayo ngabasebenzisi be-SSRI.
Iingozi zokuzibulala kunye ne-SSRIs
Ngokugqithisileyo, kunye ne-SSRI ngokukodwa, sele beendaba kwiiminyaka yamuva ngenxa yengozi yokuzibulala kwizigulane ezizisebenzisayo. Ngekubeni kubalulekile ukuqwalasela le mngcipheko, kubalulekile ukubhalisa malunga neenzuzo zokuthatha iyeza.
Imeko nganye ihlukile, kwaye wena kuphela kunye nogqirha wakho unokukwazi ukuba ii-SSRI zilungele wena.
Serotonin Syndrome
I-Serotonin syndrome yinto engavamile kodwa ingabangela ukubulala ngokugqithiseleyo nge-serotonin ebuchosheni. Akunqabile ukuba i-serotonin syndrome iphuhlise kwi-override ye-SSRI, kodwa ukudibanisa ii-SSR kunye nezinye iziyobisi zingandisa ukwanda komngcipheko.
Ukuyeka i-SSRIs
I-SSRI ayithathwa njengeyilumkiso. Nangona kunjalo, ukuhoxiswa ngokukhawuleza kunokukhokelela kwinto ebizwa ngokuba yi-syndrome. Le yimiqoqo yeempawu zokurhoxisa ezinokuthi zihluke kwi-mildness, zixhomekeke kwi-chemistry yakho yomzimba, yiphi imithi ohlala kuyo kunye nokuba ungakanani uthabatha unyango, phakathi kwezinye izinto.
Iimpawu zingabandakanya, kodwa azikhawulelwanga:
- Utywala
- Intloko
- Iimpawu kunye nezinye iimpawu ezinjengomkhuhlane
- Iimvakalelo ezingaqhelekanga zombilini entloko, ezinokuthi zichazwe ngokuthi "i-brain jolts"
Nangona kukho ubungqina obuncinane bokuthi ukucinywa kwe-SSRI kungabungozi ngokomzimba, iimpawu zinokuba bubuhlungu kwaye bunzima ukuziphatha. Ngoko ke, ngaphandle kweemeko ezinqabileyo, ii-SSRI zivame ukuyeka kancane kancane. Ukukhupha amayeza phantsi kolawulo lugqirha kunokunceda ukunciphisa okanye ukuphelisa ezininzi zeziphumo.
Ii-SSRI ziqhelekelelwe ngokubanzi kwi-phobia yentlalo kwaye zingasetyenziselwa ukulungiswa kwezinye iindlela zokwelapha kwi-agoraphobia kunye nama-phobias athile. Ezi zonyango ziqhelekileyo kwaye zicatshangelwa ukuba zikhuselekile ngokufanelekileyo. Nangona kunjalo, njengalowo naluphi na iziyobisi, baqhuba ingozi yemiphumo emibi kunye nokusebenzisana namanye amayeza. Qiniseka ukuba ugqirha wakho uyazi zonke iimyeza zakho kuquka izigulane zamagalelo, izongezelelo, kunye nemveliso yee-counter-counter. Yilandela ngokucophelela imiyalelo yakho ugqirha uze uzise nayiphi na impawu ezingavumelekanga okanye ukuguquka kokuziphatha ekunakekeleni kwakhe.
Umthombo
ISiko leSizwe seMpilo yengqondo. Amachiza: Imithi yokuxhatshazwayo. Ngo-Apreli 13, 2008. http://www.nimh.nih.gov/health/publications/medications/complete-publication.shtml#pub8