SSRIs yuav ua npau suav ntau dua thaum tricyclics yuav tsim kev npau suav zoo
Yog tias koj muaj kev nyuaj siab kho mob, koj muaj peev xwm paub txog lub sij hawm dhau los thaum sawv ntxov. Kev nyuaj siab yog paub tias yuav ua rau muaj kev ntxhov siab xws li insomnia, thaum sawv ntxov ntxov sawv ntxov, thiab ua npau suav phem los yog npau suav phem. Nyob rau hauv qhov tseeb, nws tau raug qhia kom hloov tau ib feem ntawm kev pw tsaug zog nrog qhov muag ceev ceev hu ua REM pw, qhov twg dreaming tshwm sim.
Tshwj xeeb, kev nyuaj siab txo qis qeeb rau lub sijhawm uas nws yuav tsum nkag mus pw REM (hu ua REM pw tsaug zog latency) thiab ua rau lub sijhawm muaj qhov muag ceev ceev thaum pw tsaug zog (hu ua REM pw tsaug zog).
Hauv nrog cov kev hloov hauv REM pw tsaug zog, cov neeg muaj kev nyuaj siab qhia tias muaj ntau yam tsis zoo los yog tsis zoo.
Ironically, antidepressants, uas kho kev nyuaj siab, yuav cuam tshuam koj npau suav los ntawm kev cuam tshuam REM pw tsaug zog. Kev tshawb nrhiav luam tawm ob peb xyoos dhau los tau qhia tias lawv yuav ua kom muaj kev xav zoo los sis tsis pom kev, muaj feem xyuam pes tsawg zaus uas koj npau suav, thiab txo koj cov npau suav. Cov kab no nrog cov neeg mob zoo li cas txog lawv txoj kev pw tsaug zog thaum nyob rau hauv cov tshuaj tua kab mob.
Kawm cov kev cuam tshuam ntawm Antidepressants rau Npau suav
Nyob rau hauv 2013 tsab ntawv ceeb toom uas tau luam tawm nyob rau hauv Cov Tshuaj Xyuas Kev Kho Mob , Gotthard Tribl thiab nws pab neeg tshawb fawb tau ua tiav cov kev tshawb xyuas, uas tau kuaj xyuas qhov cuam tshuam ntawm cov tshuaj tiv thaiv antidepressants rau hauv cov ntsiab lus npau suav hauv cov neeg muaj kev nyuaj siab thiab cov tsis muaj kev ntxhov siab. Tawm ntawm tag nrho cov kev tshawb fawb uas tau luam tawm ntev dua 60 xyoo, lawv nrhiav tau tag nrho 21 cov kev tshawb fawb thiab 25 cov ntawv qhia uas tau tsim nyog los saib xyuas.
Cov kev tshawb fawb piv rau cov ntsiab lus ntawm kev npau suav nyob thoob plaws hauv ib qho kev sib txawv ntawm kev sib txawv antidepressants thiab kev sib piv ntawm cov npau suav cov ntsiab lus ntawm cov neeg noj los yog tsis noj tshuaj antidepressant. Ntau txoj hauv kev siv los sau txog kev npau suav cov ntsiab lus, suav nrog kev ua npau suav yav sawv ntxov, cov lus ceeb toom tam sim ntawd thaum yuam kev tsim tawm thaum lub sijhawm REM pw tsaug zog thiab cov lus nug tsim los sau cov ntsiab lus hais txog kev npau suav thiab sij hawm luv npau suav.
Chav kawm ntawm Antidepressant Matters
Cov kws tshawb fawb tshawb pom tau hais tias kev noj cov tshuaj tiv thaiv (antidepressants) ua rau cov neeg muaj kev nyuaj siab thiab cov tsis muaj kev nyuaj siab nco qab lawv txoj kev npau suav ntau dua. Cov nyhuv no yog qhov tseem ceeb tshaj plaws rau cov neeg uas siv cov tshuaj antidepressants hu ua tricyclic antidepressants thiab cov tshuaj monoamine oxidase hu ua phenelzine (Nardil), thiab feem ntau pom muaj nyob hauv cov neeg uas siv cov tshuaj serotonin rov ua dua (SSRIs) . Tricyclics yog cov tshuaj antidepressants uas muaj inhibit rov qab los ntawm serotonin thiab norepinephrine. Lawv muaj xws li tshuaj xws li amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Tofranil), thiab trimipramine (Surmontil).
Cov tshuaj antidepressants rau SSRI, nrog rau serotonin-norepinephrine reuptake inhibitors (SNRIs), tau pom nyob rau hauv kev saib xyuas los ua kom muaj kev npau suav thiab nce ntau npaum li cas cov neeg qhia txog kev npau suav. Piv txwv ntawm SSRIs muaj xws li citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), thiab sertraline (Zoloft). SNR muaj xws li cov tshuaj xws li desvenlafaxine (Pristiq), duloxetine (Cymbalta), thiab venlafaxine (Effexor).
Tricyclics, ntawm qhov kev tes, tended yuav tsim dua kev npau suav.
Nyob rau hauv ib txoj kev tshawb no qhov nce hauv kev npau suav tau zoo yog txuas nrog txoj kev txhim kho kev nyuaj siab. Kev tshem tawm cov tshuaj tua kab mob (antidepressants) feem ntau ua rau kom rov ua kom rov ua npau suav thiab npau suav ntau dua.
Kev Tshawb Fawb Ntxiv rau Antidepressants thiab Npau Suav Xav Tau
Cov sau phau ntawv ntawm txoj kev tshawb nrhiav no, txawm li ntawd los, tias tsis tau muaj ntau txoj haujlwm them rau kev npau suav rov qab thiab cov ntsiab lus. Nyob rau hauv lawv txoj kev ntsuam xyuas, lawv pom tias ntau cov kev tshawb fawb xav tau los ua kom paub txog tias cov tshuaj tua kab mob npau li cas yuav ua rau kev mob siab vim qhov no yuav cuam tshuam rau tus neeg mob nyiam txog kev siv tshuaj, thiab cov lus pom zoo uas cov tshuaj tua kab mob siab zoo tshaj plaws rau txhua tus neeg mob.
Qhov chaw:
"Tshuaj, Kab Mob thiab Cov Txheej Txheem: Tshuaj, Tshuaj Txhuam OTC, thiab Tshuaj Ntsws: Cov Psychiatrists." Medscape Reference. WebMD LLC. 2013. Tau: Lub Kaum Ob Hlis 8, 2015.
Tirbl, GG, TC Wetter thiab M. Schredl. "Dreaming nyob rau hauv antidepressants: ib tug systematic tshuaj xyuas cov pov thawj nyob rau hauv cov neeg mob depressive thiab ua haujlwm pab dawb." Tshuaj Xyuas Tshuaj Txhaj Tshuaj . 17.2 (Plaub Hlis 2013): 133-42.