Obsessive-compulsive teeb meem no feem ntau kho nrog ob qho kev noj tshuaj thiab kev paub txog tus cwj pwm . Cov tshuaj uas npaj hom tshuaj serotonin hauv hlwb, zoo li cov tshuaj antidepressants , tshwj xeeb tshaj yog kev kho cov neeg mob OCD - thiab yog tias qhov no tsis ua haujlwm, ntxiv rau kev siv tshuaj tiv thaiv kev mob hlwb yuav pab tau.
Cia peb saib cov tshuaj uas siv los kho OCD, suav nrog cov tshuaj tua kab mob (antidepressants) thiab tshuaj tua kab mob (antipsychotics) uas pom tau tias yuav siv tau cov kev tshawb fawb.
Cov tshuaj OCD tshuaj pom zoo licas?
Muaj ntau cov tshuaj uas tau pom zoo los ntawm Food and Drug Administration (FDA) rau kev kho mob ntawm OCD. Feem ntau ntawm cov tshuaj no muaj rau chav kawm ntawm cov tshuaj tiv thaiv antidepressants hu ua cov xim serotonin reuptake inhibitors . Txawm li cas los, ib qho ntawm cov tshuaj no, Anafranil, belongs rau ib chav kawm ntawm cov tshuaj hu ua tricyclic antidepressants .
OCD cov tshuaj pom zoo los ntawm FDA tshwj xeeb rau kev kho mob ntawm OCD muaj xws li:
- Anafranil (clomipramine)
- Prozac (fluoxetine)
- Luvox (fluvoxamine)
- Paxil (paroxetine hydrochloride)
- Zoloft (sertraline)
Cov Tshuaj Tawm Ntawm Ntawv
Txawm hais tias FDA tsis pom zoo los kho tus mob OCD, lwm hom SSRIs, nrog rau serotonin thiab norepinephrine reuptake inhibitors (SNRIs), raug sau los ntawm cov kws kho mob "tawm-cim" ua OCD tshuaj. Qee cov qauv ntawm daim ntawv qhia tshuaj OCD cov tshuaj muaj xws li:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Effexor (venlafaxine)
Cov tshuaj tiv thaiv kev puas siab ntsws
Cov tshuaj tiv thaiv kev puas siab ntsws tsis siv los kho OCD ib leeg. Tiam sis, lawv feem ntau siv los txhawb lossis ua kom cov SSRIs thiab clomipramine ua kom tsis txhob muaj cov tsos mob OCD .
Feem ntau, kev siv qhov kev tu mob yog siv thaum clomipramine los yog SSRIs tsis kho OCD cov tsos mob tom qab tsawg kawg 3 lub hlis.
Feem ntau cov kws kho mob OCD cov tshuaj muaj xws li:
- Risperdal (risperidone)
- Haloperidol (Haldol)
Antipsychotics uas tau qhia tau muab sib piv thaum siv los kho SSRI kev kho rau OCD xws li:
- Zyprexa (olanzapine)
- Seroquel (quetiapine)
Aripiprazole (Abilify) kuj tau qhia cog lus tias yog kev kho rau OCD.
Cov tshuaj noj rau hauv qab ntug
Cov tshuaj uas siv cov ntsiab lus hauv glutamate hauv hlwb mas yog cov tshuaj tshiab uas yuav pab txo cov tsos mob ntawm OCD, tshwj xeeb tshaj yog thaum ntxiv rau antidepressant. Cov no suav nrog:
- Memantine (Namenda)
- Topiramate (Topamax)
- Riluzole (Rilutek)
Thaum kawg xav
Raws li nrog kev kho mob, kev txiav txim siab yuav pib ib qho tshuaj tshiab los yog ntxiv tshuaj rau koj txoj kev kho mob yog qhov kev xaiv uas yuav tsum tau ua kom sib koom tes nrog koj tus kws kho mob lossis tus kws kho mob hlwb.
Qhov chaw:
Bloch, MH, Landeros-Weisenberger, A., Kelmendi, B., Coric, V., Bracken, MB, & Leckman, JF "Kev soj ntsuam systematic: kev puas hlwb kev kho mob tsis zoo" Molecular Psychiatry 2006 11: 622 -632.
Keller M. Tshuaj kho mob ntawm obsessive-compulsive teeb meem. Dialogues Clin Neurosci. 2010; 12 (2): 187-97.
Pizarro li al. Kev kho dua tshiab ntawm cov tshuaj tiv thaiv antidepressants nrog rau kev pom kev mob cov kab mob hauv cov teeb meem ua obsessive-compulsive. Tus kws kho mob Opin Pharmacother. 2014 Jul; 15 (10): 1391-401.
Sansone RA & Sansone LA, SNRIs Pharmacological Alternatives rau Kev Kho Mob Obsessive Compulsive Disorder? Nrhav Clin Neurosci. 2011 Jun; 8 (6): 10-4.
Schruers, K., Koning, K., Luermans, J., Haack, MJ, & Griez, E. "Observations tsis zoo: ib qho tseem ceeb ntawm kev soj ntsuam kev kho mob" Acta psychiatrica Scandinavica 15 Lub ob hlis ntuj 2005 111: 261-271. 01 Cuaj hlis 2008.