Lwm Yam Kev Siv Antidepressants
Peb txhua tus paub tias antidepressants tau siv los kho tus mob kev nyuab siab , tab sis koj puas paub tias feem ntau lawv muaj npe rau lwm yam mob thiab? Lawv kuj siv tau los pab koj pw tsaug zog, kho cov kev ntxhov siab , kev haus luam yeeb, kev chim siab plob tsis so tswj hlwb, thiab qee qhov siv tau los pab txo qee yam mob.
Lawv Ua Haujlwm Li Cas
Cov tshuaj tua kab mob yuav tshwm sim rau cov neurotransmitters hauv lub hlwb, cov tshuaj uas kis paj hlwb impulses ntawm hlwb hlwb, los yog neurons .
Feem ntau, cov tshuaj no ua rau kom muaj ntau cov neurotransmitters ntawm qhov nruab nrab ntawm neurons, hu ua synapse, los yog khaws cov tshuaj no ntev dua.
Keeb Kwm
Tus thawj antidepressant, isoniazid, tau tsim los ua ib txoj kev kho mob rau tuberculosis, tab sis nws pom tseeb tias cov neeg mob uas tau siv nws muaj qhov siab loj siab tuaj. Vim nws cov tshuaj tua kab mob antidepressant, nws tau pom zoo nyob rau xyoo 1950 los kho kev nyuaj siab.
Iproniazid, lwm yam derivative, koom rau ib chav kawm ntawm cov tshuaj uas hu ua monoamine oxidase inhibitors (MAOIs) .Cov hom tshuaj no ua rau kev kho mob kev nyuab siab, tab sis cov neeg mob tau ua raws li kev cai noj haus kom tsis txhob muaj kev phom sij. MAOIs tsuas yog siv rau kev nyuaj siab thaum lwm cov tshuaj antidepressants tsis tau ua haujlwm.
Cov tshuaj MAOIs tau ua raws li cov tshuaj tiv thaiv kab mob tricyclic . Thawj cov yeeb-tshuaj, Tofranil (imipramine), yog tsim los ua kev kho tau tus mob schizophrenia.
Nws ua tsis tau raws li txoj kev kho tus mob schizophrenia tab sis ua tiav raws li cov tshuaj tua antidepressant. Tricyclics nce qib siab thiab nce zog hauv ntau cov neeg mob siab.
Selective serotonin reuptake inhibitors (SSRIs) thiab serotonin thiab norepinephrine reuptake inhibitors (SNRIs) yog cov hom kawm dhau los ntawm antidepressants kom tsim.
Cov tshuaj no yuav ua rau muaj kev phom sij tsawg dua qub dua qub thiab yog thawj kab kev kho mob uas cov kws kho mob hlwb siv rau kev nyuaj siab thiab lwm yam mob hlwb.
Cov tshuaj tua kab mob tsaug zog
Tricyclic antidepressants yuav ua rau sedating, thiaj li tricyclics xws li Elavil (amitriptyline) thiab Oleptro (trazodone) siv qee zaum siv tshuaj tsaug zog. Cov tshuaj no yog cov tshuaj ntau zaus rau insomnia txij thaum lawv yuav tsum tau txhaj ntawm lub siab kom tsis txhob muaj kev nyuaj siab, tab sis qis tsis zoo yuav ua rau kev tsaug zog.
Antidepressants rau kev ntxhov siab
Tom qab kev nyuab siab, antidepressants feem ntau yog siv los kho kev ntxhov siab. Ib qho khoom plig ntawm antidepressants hauv txhua qeb tau raug pom zoo los kho ntau hom kev ntxhov siab. Piv txwv, Paxil (paroxetine), SSRI, tau txais FDA-pom zoo los kho tus mob thoob plaws kev txhawj xeeb, obsessive-compulsive teeb meem (OCD) thiab kev txhawj xeeb ntawm kev txhawj xeeb (SAD). Tofranil, tricyclic, yog siv los kho cov tsiv siab tsis zoo, kev nyuaj siab tom qab ntxhov siab (PTSD), thiab kev puas siab ntsws generalized (GAD). Tag nrho cov hauj lwm no zoo sib xws li cas lawv ua hauj lwm rau kev nyuaj siab, los ntawm kev hloov cov kev ua ntawm lub paj hlwb cov neurotransmitters.
Cov Tiv Thaiv Kev Tiv Thaiv kom tsis txhob haus luam yeeb
Ib qho tshuaj tua kab mob hu ua Wellbutrin (bupropion), kuj tau muag raws li Zyban, tau pom zoo los ntawm Food and Drug Administration (FDA) los pab cov neeg haus luam yeeb.
Txawm hais tias nws tsis paub tias Zyban yuav pab li cas, ib qhov zoo tshaj yog tias qee cov neeg haus luam yeeb los daws lawv cov kev ntxhov siab thiab Zyban yuav txo kev ntxhov siab.
Antidepressants rau IBS
Tricyclic antidepressants, tshwj xeeb, tau pom tias yuav pab txo cov tsos mob ntawm cov tsos mob chim siab (IBS). Lawv ua hauj lwm los ntawm kev mob rau hauv plab thiab lub plab nyom.
Antidepressants rau qhov mob
Txawm tias thaum muaj kev nyuaj siab tsis yog ib qho kev mob tshwm sim, cov tshuaj tua kab mob feem ntau siv rau mob mob los ntawm kev mob xws li mob caj dab, mob nraub qaum, fibromyalgia, mob paj hlwb, yoojyim, mob taub hau thiab mob plab pelvic.
Tsis muaj leej twg paub tseeb vim li cas antidepressants pab, tab sis nws zoo li yog tias hloov cov kev ua neurotransmitters ua hauj lwm hauv lub hlwb, qhov no yuav txo qhov hnov mob mob. Relief yuav siv li ob peb lub lim tiam, li cas los xij.
Qhov chaw:
Chaitra T. Ramachandraih, Narayana Subramanyam, thiab. al., "Antidepressants: Los ntawm MAOIs rau SSRIs thiab Ntau." Indian Journal of Psychiatry 53 (2), (2011).
"Tshuaj." Ntxhov Siab thiab Kev Ntxhov Siab Txog Tebchaws Meskas (2016).
"FDA 101: Cov Khoom Txiav Kev Haus Luam Yeeb." US Food thiab Drug Administration (2015).
Xie C., Tang Y., Wayng Y., thiab. al., "Kev ua tau zoo thiab kev nyab xeeb ntawm Antidepressants rau Kev Kho Mob ntawm Kev Tiv Thaiv Cov Kev Ntsej Muag Xeeb: Ib Meta-Analysis." PLOS Ib (2015).
"Antidepressants: Lwm riam phom tawm tsam mob mob." Mayo Clinic (2013).