Ngaba Ukuxhatshazwa Kwakho Okubangela Ukugubha?
Ngaba kuyinto evamile ukuhlakulela xa uthabatha u-anti-depressant? Ziziphi izidakamizwa ezingabangela le mpawu kunye nendlela yokuphathwa ngayo?
Masiqale ngokuthetha ngento enyikimayo, iintlobo ezahlukeneyo zeentlanzi, kunye nantoni na amanye amayeza kunye neemeko zonyango ezinokubangela ukuba kunyikima.
Iintlanzi: Inkcazo
Ukugubha kukukrakra okungenakuzibandakanya okwenzeka entloko, izitho okanye iinkophe.
Oku kunyikima kwenzeka nokuba uhamba okanye xa uzama ukubamba umzimba wakho. Ngokuqhelekileyo ukukhawuleza (malunga neyesine ukuya kwe-12 intshukumo ngecandelo lesibini) kwaye liza kwaye lihambe okanye lenzeke ngokugqithisa. Iyakuncipha ngexesha lokulala kwaye ibe nzima xa umntu ephantsi kwengcinezelo. Umntu unokuba neentloko zekhanda okanye abe nezwi elizwakalayo.
Kukho ezinye iintuthuzelo ezenzeka kunye nokuphumla kunye nezinye ezenziwa kuphela ngokunyakaza. Ngamanye amaxesha ukuthuthumela kunokwenzeka kunye naluphi na ukunyakaza, ngelixa ezinye izihlandlo zenzeka ngokuphendula kwimimiselo ethile. Inkcazo ngokucophelela yokuthuthumela kwakho inokukunceda ugqirha wakho ukuba acinge ukuba i-antidepressant yakho ibangela ukuthuthumela kwakho ukuba ingaxhomekeka kwenye imeko.
Iiklasi ezithintekayo kunye neNtlanzi
Ezinye iintlobo ze-anti-depressants, ezifana ne- serotonin reuptake inhibitors (SSRIs) kunye ne- tricyclic anti-depressants zinokubangela ukuba inyikima ibe yimpembelelo yecala.
Ezinye iziphumo ziqikelela ukuba iipesenti ezingama-20 zezigulane eziphathwa nge-SSRI okanye i-tricyclic antidepressant ziya kuhlakulela. Oku kunokwenzeka nanini na ixesha emva kokuba iyeza liqaliswe.
- Celexa (citalopram)
- Lexapro (escitalopram)
- Luvox (i-fluvoxamine)
- Paxil (paroxetine)
- Prozac (i-fluoxetine)
- I-Symbyax, eprozac kunye ne-antipsychotic Zyprexa (i-fluoxetine + olanzapine)
- Zoloft (sertraline)
I-Tricyclic antidepressants iquka:
- Ascendin (amoxapine)
- I-Anafranil (i-clomipramine)
- Elavil (amitryptyline)
- I-Norpramin (desipramine)
- Pamelor (nortryptyline)
- Surmontil (trimipramine)
- Sinequan (doxepin)
- ETofranil (imipramine)
- Vivactil (ipro protectlessline)
Amanye amayeza anokubangela ukugubha
Ezinye iziyeza zengqondo, ezifana ne-lithium kunye ne- Depakote (i-stabiilzers ye-mood esetyenziselwa ingxaki ye-bipolar,) inokuthi ibangele ibangele. Imithi ye-antipsychotic, ngakumbi i-agent agents ( efana ne-antipsychotics ,) ingabangela ukuthuthumela okufana nesifo sika-Parkinson. Iziphumo zecala le-Extrapyramidal zala mayeza zingabandakanya i-dystonia (ukungahambisani ngokungavumelekanga kwezihlunu,) I- Tardive i-dyskinesia (ukungaqhelekanga kwimizimba efana ne-grimacing kunye nokuhlafuna,) kunye ne- akathisia , umva wokungazinzi onokuthi wambi ulingane.
Ukongezelela, kukho iintlobo ezahlukeneyo zezidakamizwa ezinokubangela ukuthuthumela kuquka:
- Epinephrine
- I-Anticonvulsants (izidakamizwa ezikhuselayo)
- I-anti-emetics
- Iibronchodilators ezisetyenziselwa i-asthma kunye neCOPD
- Ezinye iziyobisi zamachiza
- Ezinye imithi yokugonywa ngumzimba
- Ezinye iintsholongwane
- Ezinye iziyobisi ezichasayo
- Enye intliziyo kunye neengcinezelo zegazi
- Izikhuthazo ezifana ne-caffeine kunye ne-amphetamines
Iimeko Zonyango Ezingenza Abantlongo
Ekugqibeleni, kukho iziganeko ezithile zonyango ezinokubangela ukugubungela, njengesifo sikaPasinson, ukuhoxiswa kotywala, i-hyperthyroidism, ipheochromocytoma, isifo sikaWilson kunye nokuhluleka kwesibindi.
Unokwazi njani ukuba Ubungqina bakho buvela kwi-Anti-depressant yakho?
Ukuze uqinisekise ukuba ukuthuthumela kwakho kunxulumene ne-anti-depressant yakho, ugqirha wakho uya kwenza uvavanyo lomzimba kwaye akubuze imibuzo malunga nembali yakho yezobugqirha, kuquka neyiphi imithi oyithathayo. Ngokuqhelekileyo, oku kunokwenzela ukuba ingxaki yakho yokuxhatshazwayo iyabangela ukuba unyibilike, nangona ugqirha wakho angalula uvavanyo olongezelelweyo ukuba ufuna ukulawula ezinye izizathu ezinokubangela.
Unyango lweeNtsholongwane ezithintekayo
Mhlawumbi isisombululo esona siphumo sokubhukuda esibangelwa yi-antidepressants ukuyeka ukuthatha isidakamizwa esibangela ukuba sitshintshe kumayeza athile. Ukugubha ngokugqithiseleyo kuya kuqhelana nokuxazulula emva kwexesha emva kokuba unyango olukhubekileyo luye lwayeka, kodwa ngezinye iinkquko ukukhungulwa okubangelwa yi-SSRI kunokuqhubeka.
Ngamanye amaxesha, nangona kunjalo, unokwenza kakuhle kakuhle kumayeza akho ongafuni ukuyitshintsha ngenxa yokwesaba ukubuyisa uxinzelelo. Ukuba kunjalo, ugqirha wakho unokukhetha ukongeza iyeza ezongezelelweyo ukulawula ukuthuthumela kwakho, njenge-beta-blocker, i- benzodiazepine , i-Mysoline (primidone,) i-Topamax (i-topiramate,) okanye i- Neurontin (gabapentin.)
Ngaphantsi kwi-Antidepressant Related Tremor
Amacandelo athile e-antidepressants, ngokukodwa ii-SSRI kunye ne-tricyclic anti-depressants zixhomekeke ekuphuculeni. Olunye unyango kunye neemeko zonyango ezinokubangela ukuthuthumela kunokwandisa amathuba okuthuthumela.
Ukuxilongwa ngokuqhelekileyo kufezwa ngokuthatha imbali efanelekileyo kunye nokwenza uvavanyo lomzimba kuphela, kodwa ezinye iimvavanyo zingadingeka ngokukodwa ukuba ingacaci ukuba i-tumor yakho inxulumene ne-anti-depressant yakho okanye imeko enganyangekiyo.
Unyango olulula ukukhushulwa kwe-antidepressant-induced proversion ngokukhawuleza ukuyeka isibisi, kodwa oku akunakwenzeka njalo. Kukho iintlobo zamachiza ezingasetyenziselwa ukunciphisa ukuthuthumela xa kuqhutyelwa i-antidepressant xa kuyimfuneko.
> Imithombo:
> Dixit, S., Khan, S., no-S. Azad. Umcimbi we-SSRI owenzela i-Parkinsonism engavumelekanga. I-Journal ye-Clinical and Diagnostic Research . 2015. 9 (2): VD01-VD02.
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Ilayibrari yeSizwe ka-US yamayeza. Medline Plus. Ukugubha kweziyobisi. Ukuhlaziywa 09/05/17. https://medlineplus.gov/ency/article/000765.htm