Augmentation therapy yog ib lub tswv yim uas tshawb tau raws li ib txoj kev los txhim kho qhov kev sib txawv ntawm OCD tsos mob thaum kho cov neeg mob nrog OCD tshuaj. Augmentation therapy yuav siv ob peb zaug ntawm kev siv yeeb tshuaj, es tsis yog OCD tshuaj noj, rau qhov siab tshaj plaws. Cov tswv yim ua ke yuav ua rau cov neeg tsis kam teb cov tshuaj OCD tshuaj.
Vim li cas Kev Thaj Tsob Ntiaj Teb?
Yog tias koj muaj OCD , koj yuav paub tias muaj ntau yam kev kho mob. Txawm li cas los xij, koj kuj paub tau tias tsis yog txhua tus neeg teb rau cov kev kho mob no. Txawm hais tias kev qhia txog cov tshuaj serotonin reuptake inhibitors (SSRIs) xws li Luvox (Fluvoxamine), Prozac (Fluoxetine), Paxil (Paroxetine) thiab Zoloft (Sertraline), thiab tricyclic antidepressants xws li Anafranil (Clomipramine) kev kho mob ntawm OCD, 40% mus rau 60% ntawm cov neeg yuav tsis teb rau cov tshuaj no. Raws li nyob rau lwm qhov chaw ntawm cov tshuaj, cov kws kho mob yog tam sim no tshawb nrhiav seb OCD kho mob nrog ntau hom tshuaj kho mob, tsis yog ib hom tshuaj kho mob, muab kev pab ntau ntxiv, rau ntau tus neeg.
Cov tshuaj tiv thaiv kev puas hlwb raug siv rau kev kho mob tam sim no
Txawm hais tias antidepressants yog cov kev kho mob txheem kho mob rau OCD, nws tau raug hais tias yuav ntxiv cov tshuaj tiv thaiv kev mob hlwb mus rau txoj kev kho mob yuav pab tau zoo rau kev txhim kho OCD.
Vim li cas qhov no?
Ua ntej, tshuaj tiv thaiv mob hlwb xws li Risperdal (Risperidone), Zyprexa (Olanzapine) lossis Seroquel (Quetiapine) cuam tshuam rau cov qib ntawm cov neurotransmitter dopamine . Cov teeb meem nrog lub dopamine system tau raug coj los siv hauv OCD.
Tsis tas li ntawd, qee cov neeg uas muaj OCD muaj kev nyuaj ntseeg tias lawv cov kev xav thiab / los yog kev quab yuam yog tsis paub los yog tsis tsim nyog.
Ib qho kev tsis pom los ntawm obsessions thiab / los yog kev quab yuam tsis ua rau pom tias yog ib qho thaiv kom zoo los ntawm cov kev kho mob. Nws tau raug pom tias cov tshuaj tiv thaiv kev puas hlwb yuav pab tau kom hloov txoj kev xav ntawm qhov kev xav no.
Augmentation Therapy Ua Hauj Lwm Dab Tsi?
Feem ntau, cov pov thawj muaj kev pov thawj zoo txhawb nqa kev siv cov tshuaj tiv thaiv kev puas hlwb uas yog cov tshuaj siv rau cov neeg loj uas muaj OCD tsos mob tsis teb rau cov kev kho mob.
Txawm li cas los xij, koj yuav tsum nco ntsoov tias muaj ob hom tshuaj tiv thaiv kev puas hlwb, txhua tus uas muaj kev phom sij rau lawv tus kheej. Thawj cov cim lossis "raug" cov tshuaj tua kab mob yuav muaj kev phiv cov kev txawv txav xws li tardive dyskinesia, uas yog kev tsis txwv thiab tsis muaj kev cuam tshuam ntawm ntau seem ntawm lub cev nrog rau lub qhov ncauj thiab ntsej muag. Tardive dyskinesia tuaj yeem qee zaum yuav tau mus tas li yog tias tsis tau hais kom sai.
Cov neeg laus thib ob lossis "atypical" antipsychotics feem ntau muaj feem tsawg dua ntawm kev mob tardive dyskinesia, tab sis tuaj yeem ua teeb meem metabolic xws li hnyav nce thiab nce ntshav suab thaj thiab cov roj ntshav.
Muab qhov no, cov txiaj ntsig zoo ntawm kev siv cov tshuaj tiv thaiv kev puas hlwb ua lub tswv yim txhawb kom txo cov OCD cov tsos mob yuav tsum muaj teeb meem.
Hauv qhov hwm no, cov kev mob tshwm sim tsawg dhau los ntawm ob tiam los yog atypical antipsychotics feem ntau ua rau lawv xaiv thawj zaug ua cov neeg sawv cev.
Raws li nrog rau kev kho mob, qhov kev txiav txim siab ntxiv tshuaj noj tshuaj tiv thaiv rau koj qhov kev npaj kho mob tam sim no 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 xyuas kev noj qab haus huv: kev puas hlwb tshuaj tiv thaiv kev kho mob" Molecular Psychiatry 2006 11: 622-632.
> Skapinakis, P., Papatheodorou T., & Mavreas, V. "Antipsychotic augmentation ntawm serotonergic antidepressants hauv kev kho-resistant obsessive-compulsive teeb meem: Ib meta-ntsuam ntawm randomized cov kev sim" European Neuropsychopharmacology 2007 17: 79-93.