Cov tsos mob thiab ua rau
Melancholia yog ib qho kev nthuav qhia ntawm kev nyuab siab heev. Nrog rau daim ntawv no ntawm txoj kev nyuab siab, muaj ib qho kev tsis txaus siab ntawm txhua yam lossis txhua yam yuav luag txhua.
Lub sij hawm 'melancholia' yog ib qho ntawm cov ntsiab lus qub uas siv rau hauv kev xav. Nws tau nyob ib ncig txij li Hippocrates tau qhia nws nyob rau xyoo tsib caug tsib xyoo BC, thiab nws txhais tau tias "black bile" nyob rau hauv Greek. Qhov no yog haum vim Hippocrates ntseeg tias tus tshaj ntawm dub bile, ib qho ntawm nws sau hais tias "Tus Plaub Humours," los ntawm melancholia.
Cov tsos mob uas nws categorized hauv melancholia yog yuav luag zoo tib yam rau cov tsos mob uas peb siv niaj hnub no, nrog rau kev ntshai, tsis xav noj mov, pw tsis tsaug zog, ntxhov siab, ntxhov siab, thiab tu siab.
Ua rau
Lub sijhawm pib ntawm lub sijhawm no feem ntau tsis yog tshwm sim ntawm ib qho kev tshwm sim, thiab txawm tias thaum muaj tej yam zoo tshwm sim, tus neeg lub siab xav tsis zoo, tsis txawm tias nws yog lub sijhawm luv luv.
Kom paub meej txog hom kev puas siab puas ntsws uas koj muaj, koj tus kws kho mob yuav siv cov lus qhia tshwj xeeb. Piv txwv li, yog tias koj muaj kev nyuab siab heev nrog cov tsos mob ntawm melancholia, koj tuaj yeem kuaj hais tias koj muaj kev nyuaj siab loj (mob loj) nrog cov ntxim ntxhias (cov tsos mob tshwm sim).
Lwm yam teeb meem uas yuav xam tau tias yog:
- Kev puas siab puas ntsws bipolar
- Cyclothymic tsis meej
- Tuam meem tsis sib haum xeeb
- Kev puas siab ntsws kev puas siab puas ntsws dysregulation teeb meem
- Premenstrual dysphoric tsis meej
- Kev nyuaj siab uas tau los ntawm kev siv tshuaj txhaum cai, tshuaj noj lossis qee yam mob
Cov neeg laus, cov neeg mob, thiab cov neeg uas muaj kev puas siab puas ntsws yog cov muaj kev pheej hmoo siab rau qhov kev nyuab siab ntsws melancholic.
Cov tsos mob
Yuav kom kuaj tau nrog cov ntxaij hlau, koj yuav tsum muaj tsawg kawg yog peb yam ntawm cov tsos mob no:
- Qhov zoo ntawm kev nyuaj siab nyuaj siab thaum muaj kev nyuaj siab, kev poob siab, lossis kev tsis muaj peev xwm: Koj tsis yog tu siab los yog poob siab vim muaj kev tshwm sim hauv lub neej, xws li kev tuag ntawm ib tus neeg hlub. Qhov koj xav tau yog ntau tshaj qhov ntawd.
- Kev nyuaj siab pheej ua rau sawv ntxov tuaj
- Thaum sawv ntxov ntxov sawv ntxov tsawg kawg yog ob teev ua ntej tshaj li qub
- Psychomotor disturbances ntawm ob tug retardation , lub qeeb ntawm ib txwm txav, los yog ntxhov siab , nce thiab / lossis tsis xwm yeem
- Kev mob anorexia los yog qhov hnyav
- Kev ua txhaum ntev ntev lossis tsis tsim nyog
Kev kho mob
Rau melancholic kev nyuaj siab, kev noj tshuaj yog ib txwm muaj ib qho yuav tsum vim nws zoo li muaj keeb kwm roj ntsha. Ua lwm yam lus, vim nws tsis yog los ntawm kev sab nraud, qhov tshwm sim tshwm sim vim yog kev ua caj ces thiab lub hlwb muaj nuj nqi, yuav tsum tau muaj cov tshuaj uas ua haujlwm ntawm kev lom neeg xws li lub hlwb muaj nuj nqi.
Hom tshuaj antidepressants uas siv tau rau melancholic kev nyuab siab muaj xws li:
- Xaiv cov tshuaj serotonin reuptake (SSRIs): Cov tshuaj no ua hauj lwm los ntawm kev hloov txoj kev ua rau cov neurotransmitter serotonin ua haujlwm nyob rau hauv lub hlwb, txhim kho mus ob peb vas. Hom khaub ncaws muaj xws li Prozac (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), thiab Lexapro (escitalopram).
- Serotonin-norepinephrine reuptake inhibitors (SNRIs): SNRIs muaj feem xyuam rau txoj kev kuaj ntshav thiab norepinephrine hauv lub hlwb. Ntau hom yog Cymbalta (duloxetine) thiab Effexor (venlafaxine).
- Norepinephrine thiab dopamine reuptake inhibitors (NDRIs): Wellbutrin (bupropion) yog tsuas siv tshuaj nyob hauv chav kawm no uas cuam tshuam rau norepinephrine thiab dopamine.
- Atypical antidepressants: Cov tshuaj no cuam tshuam rau lub hlwb tshuaj uas zoo li yuav ua kom zoo dua tuaj. Piv txwv ntawm cov tshuaj hauv pawg no yog Remeron (mirtazapine), Oleptro (trazodone), Brintellix (vortioxetine), thiab Viibryd (vilazodone).
- Cov Kev Tiv Thaiv Cov Tiv Thaiv (TCAs): Cov no yog thawj tiam neeg ntawm cov tshuaj tua kab mob (antidepressants) thiab tej zaum yuav muaj kev phiv ntau dua tshiab dua tshiab. Chav kawm no muaj xws li Tofranil (imipramine), Pamelor (nortriptyline), thiab amitriptyline.
- Cov tshuaj tiv thaiv Monoamine oxidase (MAOIs): Qhov no yog ib chav loj zog ntawm cov tshuaj tua kab mob (antidepressants) uas tuaj yeem muaj cov kev mob tshwm sim loj tab sis tej zaum yuav yog qhov zoo rau qee cov tib neeg. Cov tshuaj hauv hoob no yog Parnate (tranylcypromine), Nardil (phenelzine), thiab Marplan (isocarboxazid).
Qhov chaw:
Qhia-Correia, D, Marques, JG. "Melancholia ua ntej lub xyoo pua nees nkaum: kev ntshai thiab kev tu siab lossis ib nrab insanity?" Frontiers hauv Psychology . 2015; 6: 81.
Dewhurst WG. "Melancholia thiab kev nyuaj siab: Los ntawm Hippocratic Times rau Tiag Yav Dhau Los." Phau Ntawv Psychiatry thiab Neuroscience . 1992; 17 (2).
"Kev nyuaj siab (kev nyuaj siab loj heev)." Mayo Clinic (2015).