Iimpawu zokuxhatshazwa kweNgxaki yokuPhathwa kweNgxaki yokuPhathwa kweNgxaki
Ngaba amayeza angasebenza kunye neyeza kunyango lwe- post-traumatic disorder disorder (PTSD) ? Ngamanye amayeza angathathwa njani kwaye yiyiphi imichiza isetyenziswa ngokuqhelekileyo?
Amachiza e-PTSD
Akukho okwangoku iipilisi ezenzelwe ngokukodwa ukujongana ne-PTSD, nangona kukho inani lamachiza asetyenziswe ukuphatha uxinzelelo kunye nokudakumba okungancedisa abantu ukulawula iimpawu zePTSD.
Amacandelo amabini eziyobisi asetyenziswa ngokuqhelekileyo asebenzisa i-serotonin reuptake inhibitors kunye ne-tricyclic antidepressants.
SSRIs kunye ne-PTSD
I-serotonin reuptake inhibitors (i-SSRIs) ngokuqhelekileyo ibhekwa "yimithi echasayo" kwaye iquka:
- Prozac (i-fluoxetine)
- Celexa (citalopram)
- Paxil (paroxetine)
- Luvox (i-fluvoxamine)
- Zoloft (sertraline)
I-Serotonin yikhemikhali kwingqondo yakho echaphazelekayo kwimeko yakho. Ezi khemikhali ziyi- neurotransmitters , kwaye isebenze ukuthumela imiqondiso kunye nemilayezo esuka kwelinye iseli ukuya kwelinye kwingqondo yakho. Abanye abantu abanalo amazinga afanelekileyo we-serotonin ebuchosheni babo, ekhokelela ekuvekeni kwexinzelelo kunye / okanye ukuxhalabisa. I-SSRI inqanda ukuphazamiseka okanye "ukubuyisela kwakhona" kwe-serotonin ngengqondo yakho, ukwandisa amanqanaba atholakalayo e-serotonin, ekucingelwa ukuba ekugqibeleni kuphuculwe imizwa.
Iziphumo eziliqela zifumene ukuba i-serotonin e-reuptake inhibitors (i-SSRIs) ekhethiweyo ingaba luncedo ekhatyweni kwe-PTSD .
Nangona ezi zifundo zifumanisa ukuba i-SSRI yaphumelela ekujonganeni neempawu ezininzi ze- PTSD , ukufunyaniswa kwakungekho okunzima njengento efunyenwe kwizifundo ezivavanya impumelelo yokunyangwa kwengqondo (uhlobo lwe-psychotherapy) lwe-PTSD.
I-Tricyclic Antidepressants
I-Tricyclic anti-depressants yindawo ekhulile ye-anti-depressants, kodwa ifunyenwe luncedo kwabanye abantu abane-PTSD.
I-Tricyclics isebenza ngokuphakamisa amanqanaba we-neurotransmitters serotonin kunye ne-norepineprine kwingqondo. Imizekelo yale miyeza iquka:
- Elavil (amitryptyline)
- Ascendin (amoxapine)
- I-Anafranil (i-clomipramine)
- Pamelor (nortryptyline)
- I-Norpramin (desipramine)
- ETofranil (imipramine)
- Vivactil (ipro protectlessline)
- Surmontil (trimipramine)
- Sinequan (doxepin)
Iimpawu zeMpilo yePTSD Ukuphucula
Amayeza awanakho ukujongana nazo zonke iimpawu zePTSD. Ii-SSRI ezifana ne-Prozac kunye ne-tricyclic antidepressants zibonakala ziza kunceda ngeempawu ezixhatshazwayo ze -PTSD kwaye ziphazamisekile, kodwa zingabonakali zikunceda ukuhlaziya iimpawu.
Ezinye izidakamizwa zokuxhatshazwa nazo zingacingelwa, nangona uphando lwamaqhawe omkhosi lubonisa ukuba i-SSRI kunye ne-tricyclic anti-depressants ibe nemiphumo embi kwaye yasebenza ngokukhawuleza ekudakaleni nokuxhalabisa kunezinye iyeza.
Amachiza ahlanganiswe noNyango
Iimpawu zihlala zidibene kunye nezokwelapha zengqondo ye-PTSD, njengokonyango yokuziphatha kwengqondo. Ngokwabo, amayeza kunye neengqondo zengqondo zingasebenza; nangona kunjalo, ngokubambanisa ndawonye, ​​ukuphumelela kwabo kunokunyuswa.
Amachiza njengonyango lokukhusela
Njengoko i-PTSD eqhelekileyo iphakathi koluntu jikelele, abaphandi baye bajonga iindlela zokunikezelwa ngamachiza kulabo baxinzelelekileyo kwiimeko zokukhusela ukukhusela ukuqala kwe-PTSD.
Ngeli xesha, kukho ubungqina bokuba i-hydrocortisone (i-corticosteroid), i-propanolol (i-beta blocker) kunye ne-morphine inganciphisa iimpawu kunye nokuxilongwa kwe-PTSD.
Iimpawu eziPhakathi kunye nezilumkiso
Kubalulekile ukukhumbula ukuba amayeza angenako wonke umntu. Abaninzi banxulumene nemiphumo emibi abanye abayifumanisiyo kwaye abanye banokulutha, ngakumbi i- benzodiazepines . Kubalulekile ukuxoxa ngeengxaki kunye neengxaki zonyango ngogqirha wakho okanye ngesazi sengqondo ngaphambi kokuya kwelinye.
Ngezantsi Ezinye iindlela zokuLawula i-PTSD
I-PTSD ilawulwa kakuhle ngokudibanisa unyango. Amachiza anokunceda abanye, kodwa kungekhona zonke, iimpawu ze-PTSD, kunye neyeza kunye neyeza zisebenza ngokugqithiseleyo kunezonyango kuphela.
Ukuqhelana nezicwangciso kunye nenkxaso yoluntu kubalulekile kungakhathaliseki ukuba ziphi na izifo.
Uphando olutsha kunye olutsha lwe-PTSD oluvela kwi-yoga ukuya kwinyani ebonakalayo yonyango yokucima umzimba luphandwa, kwaye inikeze iindlela ezongezelelweyo zokulawula iimpawu ezikhubazayo ze-PTSD.
Imithombo:
UFriedman, M., noN. Bernardy. Ukuqwalasela i-Future Pharmacology ye-PTSD. Iincwadi zeeuroscience . 2016 Novemba 24. (Epub phambi kokuprinta).
Puetz, T., Youngstedt, S., kunye noMr Herring. Iimpembelelo ze-Pharmacotherapy kwi-PTSD edibeneyo-nxu lumano, ukuxhalabisa kunye nokuxinezeleka: UkuHlola okuSingqinisiso kunye noHlolo lokuHlaba kweMeta-Regression. PLoS One . 2015. 10 (5): e0126529.
Roque, A. Pharmacotherapy njenge-Prophylactic Treatment ye-Post-Traumatic Stress Disorder: Ukuhlaziywa kweeNcwadi. Iingxaki zoLondolozo lwezeMpilo yengqondo . 2015. 36 (9): 740-51.