Iimpawu eziqhelekileyo kunye ezibi kakhulu
Yonke imithi, kuquka i- antidepressants , inokuvelisa iimiphumo ezingathandekiyo ezingafunekiyo esizibhekisela kwimiphumo emibi .
Indlela Yokujongana Neempembelelo Zecala
Ezinye zeempembelelo ezinokuthi zibe zincinci ngelixa ezinye ziba nzima kakhulu. Ukongeza, banokuhamba okanye bangabi kakhulu ngexesha. Ukuba ufumana iingxaki ngemiphumo emibi, kufuneka ubhekisele kulo ugqirha wakho njengoko unokukwazi ukukunika izicwangciso zokujongana nemiphumo emibi okanye ukumisela ukuxhatshazwa okungafaniyo kuwe okunemiphumo engaphantsi okanye enokunyamezela.
Xhumana noDokotela wakho
Qhubeka ukhumbula, nangona kunjalo, akusoze kube yinto efanelekileyo ukuyeka ukuthatha i-antidepressant yakho ngaphandle kokuqala ukuxoxa ngayo nodokotela wakho. Iimpawu ezimnandi ezingaziwa njenge- syndrome ye-discontinuation iyakwenzeka ukuba unqabe ukusela imithi yakho ngokukhawuleza. Ezi zimpawu ziquka ukutshitshiswa kwamandla ombane, ukuphosa, ukuphuka kwamaphupha, ukuphalaza, ukuxuma, ukunyameka kwemisipha, umbono obonakalayo, ukungabonakali, ukuxhalaba, ukukhubeka, ukukhathazeka, isisu esifudumeleyo kunye nokukhathala.
Kuhlala kukulungele ukukhupha ukuxhatshazwa kwakho ngokukhawuleza kunye nesikhokelo sakho soogqirha. Oku kunika ixesha lakho ingqondo ukuba usebenzise utshintsho kwaye uya kubona iziphumo ezimbalwa xa unamathela kwisicwangciso sakho sogqirha.
Iziphumo eziPhakathi
Eminye yeziphumo ezibi kakhulu eziqhelekileyo izigulane ezininzi ezijamelana nezidandlululo zibandakanya ukuxakeka, ukukhathala, umbono ongenangqondo, iziphumo zecala, isisindo somzimba, ukuzithemba, ukungazinzi, umlomo oomileyo, isisongela kunye nokuxhalabisa.
Ugqirha wakho uya kukwazi ukukunika izicwangciso ezifanelekileyo zokujamelana neendlela ezininzi okanye unokukwazi ukwenza utshintsho kwi dose yakho okanye utshintshelo kumachiza ahlukeneyo onokukunyamezela.
Iimiphumo eziMbi kakhulu
Nangona ezininzi iziphumo eziqhelekileyo ezingekho zizathu zokukhathazeka ngokugqithiseleyo, ngokuqinisekileyo akukho nto inqabile, kodwa iziphumo ezibi kakhulu, omele uziqaphele.
Phakathi kwezi zinto:
Serotonin Syndrome
Olu hlobo lucala ludibaniswa nokusetyenziswa kwezidakamizwa ezibizwa ngokuthi i-serotonin reuptake inhibitors (SSRIs) kunye ne-serotonin-norepinephrine reuptake inhibitors (i-SNRIs). Isifo seSerotonin senzeka xa i-brain neurochemical ebizwa ngokuthi i-serotonin ifinyelela kumanqanaba aphezulu. Ngokuqhelekileyo kubangelwa xa iyeza le-SSRI okanye le-SNRI lisetyenziselwa ukudibanisa neyeza elinesibini elichaphazela amanqanaba e-serotonin, njengenye i-anti-depressant.
Iimpawu ze-serotonin syndrome ziquka ukudideka, ukuphazamiseka, ukuxubha imisipha, ukukhupha, ukuphazamisa, nokurhuda. Ukongezelela, iimeko ezinzima zingabandakanya iimpawu ezinjengomkhuhlane ophezulu kakhulu, ukuxhamla, ukunyaniseka kwentliziyo kunye nokungazi.
Ukuba umntu uqala ukubonakalisa naziphi na izimpawu ezingentla, unyango kufuneka lufunwe ngokukhawuleza njengoko le meko ingasongela ubomi.
Hyponatremia
I-Hyponatremia yimeko apho i-sodium, okanye ityuwa, amanqanaba egazini awela kumazinga aphantsi ngokungaqhelekanga. Xa oko kwenzeka, iindawo eziyingozi zamanzi ziyakwakha ngaphakathi kweeseli zomzimba. Le mpembelelo yecala ingenzeka nge-SSRIs kuba ezi ziyobisi zingasichaphazela imiphumo yehomoni echaphazelekayo ekulawuleni izinga le-sodium kunye namanzi emzimbeni.
Abantu asebekhulile bangabakholelwa ngokuthe ngqo kwi-hyponatremia.
Amatyala amancinci ye-hyponatremia angabangela iimpawu ezifana nokugula, intloko, iintlungu zomzimba, ukulahleka kwesidlo nokudideka. Kwiimeko ezinzima kakhulu, abantu banokufumana iimpawu ezinjalo njengokungabikho kohlu kunye nokukhathala, ukuphazamiseka, ukuphazamiseka, ingqondo yengqondo kunye nokuthinjelwa. Ukongezelela, i-hyponatremia inakho ukukhokelela ekubeni i-coma okanye ukufa.
Abantu abafumana iimpawu ezincinci ze-hyponatremia kufuneka bafune unyango lwangonyango.
Iingcinga zokuzibulala
Kufuneka uqaphele ukuba xa uqala ukuqala uxinzelelo, unokufumana ukuxhalabisa okwethutyana kunye nokwenyuka kokuzibulala.
Izifundo zibonisa ukuba oku kunokuba yinyani ngakumbi kubantu abangaphantsi kwama-25.
Ukuba wena, okanye umntu onyamekelayo, uva naluphi na ukukhathazeka kokudandatheka, ukwanda kweengcinga zokuzibulala okanye ukufa okanye utshintsho olungaqhelekanga ekuziphatheni kwiiveki zokuqala emva kokuqala ukuxhatshazwa kwintsholongwane, kubalulekile ukufumana uncedo lwezonyango ngokukhawuleza.
Ukuphendulwa kwemizwa
Ukuphendulwa komzimba kungenzeka ngezidandlululo, mhlawumbi ngenxa yokuba umntu uhlaselwa kwisithako esisebenzayo sala mayeza okanye ngenxa yokuba unobungozi kumatshini, izitya okanye ezinye izithako ezingasebenzi ezikhoyo kwiipilisi okanye i-capsule.
Izibonakaliso zempembelelo ezinokuthi zikwazi ukufaka ukuvuvukala, ukugqithisa, ukuhlabalala, i-blisters okanye ukuphefumula ubunzima.
Isenzo esiphezulu sokumelana nesifo singasongela ubomi ukuba sithintela umntu ukuba aphefumule. Uncedo lwezonyango lufanele lufuneke ukuba luphendule, ingakumbi ukuba kukho ukuvuvukala ebusweni okanye ubunzima bokuphefumla.
Mania
Kubantu abanesifo sengqondo se-bipolar , amayeza anjenge-antidepressants anokubangela ukuba kubekho i-mania.
Iimpawu ze-mania ziquka amandla anokwandisa kunye nomsebenzi, iingxaki zokulala, iingcamango zokugijima, ukuziphatha okubi, ukucinga okukhulu, ukuphakama okukhulu, ukunyanzeliswa kunye nentetho ephosakeleyo.
Nangona i-mania ayilona ingozi yokuphila, iya kufuna uncedo lwezokwelapha ukunyanga.
Ukuxhamla
Ezinye izidandlululo ziyakwandisa umngcipheko womntu wokubamba. Kwezinye iimeko, ukutshatyalaliswa kunokubangela umntu ongakaze abe nalunye ngaphambili. Uninzi lwezidandlululo alukhulise umngcipheko wokungena, nakuba i-Wellbutrin (bupropion) yinkinga yokuxhatshazwa yinto enokuthi ibangele enye. Ezinye izidalwa zokudambisa iingxaki ezibizwa ngokuba yi- tricyclics zinokunyusa umngcipheko wokuthatha umntu. Ngokuqhelekileyo, iintsholongwane ezichasayo zincinci ukuba zingabangela ukuxhwala.
Ukuxhamla kubandakanya iimpawu ezinjengokungatshintshi ukuhamba kweengalo kunye nemilenze, ukukhangela inkwenkwezi, ukudideka, ukuvakalelwa okungaqhelekanga kunye nokulahlekelwa ngqalelo.
Zonke izibamba kufuneka zixelelwe kugqirha. Ukuba kungowokuqala umntu uye wabanjwa ngokukhawuleza kufuneka iinkonzo zongxamiseko zibizwe.
Ngexesha lokufowunela 911
- Ukuthunjwa kuthatha imizuzu engaphezu kwemihlanu
- Umntu akavuki
- Olunye uthabatha luqala ngokukhawuleza emva koko
- Ukutshatyalaliswa kwenzeka emanzini
- Umntu ukhulelwe, uyalimala okanye unesifo sikashukela
- Kukho into engaqhelekanga malunga nokutshatyalaliswa okufaniswa nabanye abantu ababenakho ngaphambili
Imithombo:
Bressert, Steve. "Iingxaki ze-Bipolar Disorder (Ukudandatheka Kwamadoda)." Psych Central. Psych Central. Epapashwe: Februwari 23, 2007. Ukuhlaziywa kokugqibela: NguJohn M. Grohol, Psy.D. NgoJanuwari 30, 2013.
Abasebenzi beKliniki yabasebenzi. "Iingxaki zokuxhatshazwa: Zuza iingcebiso zokuhlangabezana nemiphumo emibi." Clinical Mayo . NgoJulayi 9, 2013. iSiseko seMayo seMfundo yezeMpilo noPhando.
"Ukuxabana." I- ADAM Medical Encyclopedia . MedlinePlus. ILayibrari yeSizwe ka-US yamayeza. Kugqitywa ngokutsha: Ngu-Amit M. Shelat, DO, FACP ngoFebruwari 3, 2015. Ibuyekezwa yi: I-Verimed Healthcare Network; UDavid Zieve, MD, MHA; Isla Ogilive, Ph.D. kunye neqela labahleli be-ADAM.
"Iimiphumo ezingezantsi ze-Anti-depressants." I-NHS Iinqununu . INkonzo yezeMpilo yeNational. Kugqitywe kwakhona: Oktobha 14, 2014.
Warner, uChristopher H. et. al. "I-Antidepressant Discontinuation Syndrome." I-American Family Physician 74.3 (2006): 449-56.