Cov kev txaus ntshai yog dab tsi?
Koj puas txhawj txog cov teebmeem ntawm kev siv tshuaj tiv thaiv ntev ntev? Lawv nyob ntawm cov feem ntau tshuaj kws kho mob nyob hauv Tebchaws Asmeskas, thiab feem ntau lawv tau siv rau kev siv mus sij hawm ntev. Tab sis nws puas siv tau cov tshuaj tiv thaiv antidepressants rau xyoo tas los?
Thaum cov tshuaj no muaj npe tom qab ib txoj kev mob nkeeg, lawv tau siv los kho ntau yam kab mob uas tsis loj tshaj qhov muaj kev nyuab siab, xws li:
- Neuropathy (qhov mob ntawm cov qab haus huv, nrog rau cov ntshav qab zib)
- Generalized ntxhov siab vim tsis meej thiab kev txhawj xeeb
- Obsessive compulsive teeb meem (OCD)
- Kev puas siab puas ntsws bipolar
- Fibromyalgia
- Myalgic encephalomyelitis / chronic fatigue syndrome (ME / CFS)
- Tom qab teeb meem tsis zoo siab (PTSD)
- Kev yau me nyuam yaus
- Premenstrual Syndrome (PMS)
- Bulimia
- Kev noj tshuaj tsis sib luag
Ntau yam ntawm cov mob no yog mob ntev lossis tuaj yeem rov qab yog tias koj tawm ntawm cov tshuaj. Nws txhais tau hais tias ntau tus neeg coj lawv mus ntau xyoo, thiab qhov ntawd ua rau kev txhawj xeeb txog cov kev phom sij ntev.
Txawm tias cov tshuaj no nrov npaum li cas los, peb tsuas kawm txog cov teebmeem no ntev npaum li cas. Cov kev tshawb fawb txuas ntxiv tsis tshua tau ua ntej txoj kev pom zoo siv yeeb tshuaj, vim li ntawd cov tshuaj yuav nyob ntev ua ntej peb pib pom dab tsi tshwm sim tom qab siv tas mus li tas mus li.
Qhov zoo ces, lub cev ntawm cov ntaub ntawv ntawm kev siv cov tshuaj tiv thaiv kev noj qab haus huv ntev mus zuj zus tuaj, thiab peb tau txais kev nkag siab zoo ntawm lawv cov kev cuam tshuam rau peb.
Antidepressants thiab koj lub hlwb
Ua ntej txoj kev tshawb nrhiav, cia saib seb cov tshuaj antidepressants ua haujlwm li cas. Antidepressants tuaj ntau hom. Lawv yog:
- Tricyclics
- MAO tus neeg ua haujlwm (MAOIs)
- Xaiv serotonin reuptake inhibitors (SSRIs)
- Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Hauv koj lub hlwb, cov ntaub ntawv-xws li kev xav-txav ntawm ib lub neuron (lub hlwb ntawm tes) mus rau lwm qhov ntawm cov tshuaj xa npe hu ua neurotransmitters.
Xav txog cov neurotransmitters ua cov ntawv yuam sij. Txhua tus tuaj yeem siv qee cov chaw txais khoom (tshuaj "xauv") rau ntawm neurons thiaj li yuav cia cov lus tuaj yeem taug kev mus.
Hauv cov kab mob thiab cov mob uas tau sau tseg saum toj no, nrog rau lwm tus, ib yam dab tsi yog messed nrog cov neurotransmitters-feem ntau serotonin thiab / los yog norepinephrine, thiab tej zaum dopamine thiab / lossis lwm tus neeg. Tej zaum nws yuav yog qhov tsis txaus. Muaj qee zaum, lub hlwb tsis siv nws zoo, los yog qhov teeb meem tuaj yeem dag nrog cov neeg txais kev pom zoo.
Txawm tsis muaj qhov teeb meem tshwj xeeb los ntawm qhov teeb meem, qhov tshwm sim yog tib yam: tus kab mob neurotransmitter dysregulation. Rov qab mus rau peb cov lus qhia, tus xa ntawv tsis tuaj yeem mus rau ntawm txoj kev xa ntawv tuaj, yog li cov lus tsis raug xa.
Antidepressants hloov li cas koj cov neurotransmitters muaj nuj nqi, ua ntau dua li ntawd thaum ib cov lus los ntawm, nws yuav tsum tau xa. Qhov no yog ua tiav los ntawm kev ua qeeb ib txoj kev hu ua txoj cai rov qab los, uas yog qhov tseem ceeb ntawm kev tu / tu ub ub no. Thaum cov lus tau ntws ntau dua li lawv yuav tsum ua, koj lub hlwb ua haujlwm zoo dua thiab cov tsos mob hais txog qeeb qeeb los yog ploj mus.
Txawm li cas los xij, lub hlwb yog lub chaw ua haujlwm, thiab txhua tus neurotransmitter muaj ntau ntau txoj haujlwm.
Kev ua kom cov neurotransmitters muaj peev xwm muaj qhov kev xav tau ntawm kev ua rau koj txoj kev nyuaj siab, txo koj lub siab mob neuropathic, los yog pab koj xav ncaj, tab sis nws tuaj yeem ua rau tag nrho cov hom kev pliaj.
Cov kev mob tshwm sim ntawm cov tshuaj tiv thaiv antidepressants muaj ntau, thiab lawv muaj peev xwm ua los ntawm kev mob nyhav me ntsis mus rau kev lag luam thiab lub neej txoj sia. Tshaj ntawd, qhov teeb meem ntawm cov tshuaj tiv thaiv kab mob yuav tsis tshua zoo dua lub sijhawm.
Raws li peb tau kawm ntau ntxiv txog cov kev mob tshwm sim mus ntev, qee qhov kev txhawj xeeb saum toj kawg nkaus uas tau tshwm sim tau ua nrog qhov hnyav nce thiab mob ntshav qab zib. Txawm li cas los xij, ntau lwm cov kev mob tshwm tuaj yeem ua mus ntev ntev thiab muaj feem cuam tshuam txog koj lub neej zoo.
Lub Sij Hawm Tuaj Txog Cov Ntxim Saib Ntxim Ua Ntej ntawm Kev Tiv Thaiv Kab Mob: Cov Neeg Hais Dab Tsi
Hauv xyoo 2016, phau ntawv xov xwm kho mob Phau Ntawv Mob Preference thiab Kev Txhaum Cai tau luam tawm ib daim ntawv saib seb cov neeg noj cov tshuaj antidepressants ntev npaum li cas yuav tsum hais txog cov kev mob tshwm sim uas lawv tau pom. Tag nrho, lawv tau hais tias lawv tsis muaj kev ntxhov siab thiab muaj lub neej zoo dua vim yog cov tshuaj, tab sis muaj li 30 feem pua tseem hais tias lawv muaj kev nyuab siab lossis mob nyhav heev.
Lub ntsiab phiv tshuaj lawv yws txog:
- Cov teeb meem ntawm kev sib deev (72 feem pua), nrog rau tsis muaj peev xwm mus cuag orgasm (65 feem pua)
- Qhov hnyav nce (65 feem pua)
- Hnov siab mob siab (65 feem pua)
- Tsis hnov zoo li lawv tus kheej (54 feem pua)
- Txo txoj kev xav zoo (46 feem pua)
- Xav tias lawv yog neeg quav yeeb quav (43 feem pua)
- Kev zov tsawg dua lwm tus neeg (36 feem pua)
- Xav tias tua neeg (36 feem pua)
Ntau tus neeg koom siab xav paub ntau ntxiv txog cov kev pheej hmoo ntawm lawv cov tshuaj mus sij hawm ntev.
Kwv yees li ntawm 74 feem pua ntawm cov neeg kuj hais txog cov tsos mob tawm, thiab lawv hais tias lawv xav tau cov lus qhia ntxiv thiab kev txhawb nqa kom mus tua cov tshuaj tua kab mob. (Koj yuav tsum tsis txhob noj cov tshuaj tua kab mob kom sai li sai tau. Tham nrog koj tus kws kho mob txog txoj kev uas yuav tsum tau tawm ntawm lawv.)
Qee cov tib neeg kuj tau sau tseg tias lawv yuav tsum sim ntau hom tshuaj tiv thaiv antidepressants ua ntej nrhiav tau tus uas ua haujlwm zoo rau lawv thiab tau ua siab ntev. Txawm li cas los xij, ntau tshaj li ob feem peb ntawm cov neeg nug tias cov tshuaj tau pab lawv tiv nrog lub neej. Txog ib-tsib tias cov antidepressants pab lawv ua haujlwm zoo.
Qee cov neeg kuj tau hais tias yog lawv paub txog cov kev mob tshwm sim thiab tawm tsam, lawv yeej tsis tau pib rau cov tshuaj txhua.
Nws Txhais li cas rau koj
Ua ntej koj siv tshuaj tua kab mob siab, xyuas kom tseeb tias koj paub txog cov kev mob tshwm sim nrog rau txoj kev zoo ntawm kev tawm ntawm lawv mus. Paub tias koj yuav tsum tau sim ntau hom tshuaj ua ntej nrhiav qhov zoo tshaj plaws rau koj.
Thaum koj nyob rau hauv kev noj tshuaj, nyob twj ywm rau cov kev mob tshwm sim thiab hnyav npaum li cas lawv pom ntau npaum li cas cov tshuaj pab koj. Thaum koj yuav tsum tau koom nrog koj tus kws kho mob hauv txhua qhov kev txiav txim siab uas koj ua tau hais txog kev siv tshuaj tua kab mob, koj tsuas yog tus txiav txim siab seb cov txiaj ntsig zoo dua qhov teeb meem.
Nyhav Nyuaj
Ib txoj kev tshawb fawb 2015 hauv Cov Phau Ntawv Mob Hlwb Psychiatry qhia tias qhov kev pheej hmoo ntawm qhov hnyav nce ntawm cov tshuaj antidepressants uas hloov cov tshuaj serotonin tuaj yeem yog siab dua rau cov poj niam ntau dua li cov txiv neej, tej zaum muaj vim yog pojniam qhov txawv ntawm kev siv cov tshuaj serotonin.
Tsis tas li ntawd, xyoo 2015, kev tshawb nrhiav Australian tau sau tseg tias cov neeg antidepressants tau nce ntau tshaj 3 feem pua ntawm lawv lub cev txhua xyoo. Sij hawm dhau los, uas tuaj yeem sib ntxiv.
Nws Txhais li cas rau koj
Qhov hnyav nce tuaj yeem muaj qhov tsis zoo rau koj tus kheej thiab koj txoj kev noj qab haus huv. Tham nrog koj tus kws kho mob txog seb koj yuav ua li cas thiaj txhim kho koj cov zaub mov thiab / los yog ua kom muaj zog ntxiv kom pab tau cov phaus ntxiv ntawm kev txeeb mus.
Ntshav Qab Zib & Ntshav Qab Zib
Muaj ntau cov kev tshawb fawb tau pom zoo li cas tias yuav yog qhov sib txuas ntawm kev siv antidepressant thiab cov teeb meem nrog kev cai tswj ntshav qab zib, nrog rau hom 2 mob ntshav qab zib.
Txoj kev ntsuam xyuas kev tsim tawm tau luam tawm nyob rau hauv ib tsab ntawm 2013 ntawm phau ntawv Journal of Diabetes Care xyuas cov kev sib raug zoo no kom tau txais kev xav zoo dua rau qhov kev yuav mus. Lawv ntsia 22 txoj kev tshawb fawb, nrog rau ob peb nrog ntau tshaj 4000 tus neeg koom.
Ntawm no yog saib ntawm qee qhov kev tshawb nrhiav uas tau thov kev ntsuam xyuas:
- Cov tshuaj tiv thaiv kev noj qab haus huv yuav ua rau kev tswj ntshav qab zib tsis zoo vim lawv tuaj yeem ua rau hnyav nce.
- SSRIs thiab nortriptyline tshaj tawm ua rau cov neeg ntshav qab zib tswj kev tswj ntshav qab zib.
- Tricyclic antidepressants ua rau hyperglycemia (ntshav siab heev) rau tib neeg.
- Hauv cov nas, tricyclic antidepressants ua rau muaj mob hu ua hyperinsulinemia, uas cov ntshav muaj insulin ntau dhau rau qhov ntau ntawm cov piam thaj.
Lub hom phiaj ntawm kev txheeb xyuas yog los txiav txim siab tias cov antidepressants nce tus kabmob ntshav qab zib rau cov neeg uas tsis muaj nws thaum lawv pib ntawm cov tshuaj. Lawv xaus lus tias yog, qee cov tshuaj tua kabmob (antidepressants) cuam tshuam kev cai tswj ntshav qab zib thiab tias cov tshuaj yuav yog qhov yuav kis tau rau ntshav qab zib. Txawm li cas los xij, cov kev tshawb fawb loj dua thiab ntev dua uas lawv ntsia pom tau hais tias qhov kev pheej hmoo yog me me.
Lawv hais tias, yog tias, cov tshuaj muaj zog dua tuaj yeem txuas rau kev pheej hmoo. Tsis tas li, qee zaum, cov neeg uas tau tsim hom 2 mob ntshav qab zib thaum nyob rau antidepressants tau pom tus kab mob no ploj thaum lawv tawm ntawm cov tshuaj.
Cov kws tshawb fawb kuj tseem nco tias cov neeg uas tau kuaj pom ntshav qab zib muaj feem ntau yuav tau noj tshuaj antidepressants, tab sis txoj kev sib raug zoo tsis muaj tseeb.
Nws Txhais li cas rau koj
Yog tias koj txhawj xeeb txog koj tus kabmob ntshav qab zib lossis muaj 2 yam ntshav qab zib, koj tuaj yeem xav nrog koj tus kws kho mob tham txog qhov nrhiav tau antidepressant uas tsis tshua muaj teeb meem txog ntshav qab zib. Koj tuaj yeem xav kuaj koj cov ntshav qab zib ntau dua.
Yog tias koj muaj ntshav qab zib, koj tus kws kho mob yuav xav kho koj tus mob ntshav qab zib thaum koj nyob rau ntawm cov tshuaj tua kab mob (antidepressants) kom paub tseeb tias koj cov ntshav qab zib nyob rau qhov zoo. Tej zaum koj kuj xav ua kom pom tseeb ntxiv ntawm qhov poob thiab qoj ib ce, vim ob yam khoom ua si hauv ntshav qab zib, thiab koj cov antidepressant tej zaum yuav ua rau qee qhov hnyav nce.
Puas muaj Antidepressants ua rau koj nyuaj siab?
Puas siv tau cov tshuaj antidepressants ntev dhau los ua rau koj nyuaj siab? Tej cov kev tshawb fawb hais tias nws yuav yog. Ob txoj kev tshawb fawb luam tawm hauv 2011, los ntawm tib pab pawg neeg tshawb fawb, sau tseg tias cov tib neeg uas muaj kev kho mob tiv thaiv kab mob loj heev, uas tau nyob hauv cov tshuaj tua kab mob siab ntev ntev, feem ntau muaj kev zoo dua tom qab tshem tawm ntawm cov tshuaj.
Vim tias cov tshuaj tiv thaiv antidepressants yuav ua tsis tau zoo dua thaum lub sij hawm, thaum koj tsim siab rau lawv, cov tsos mob tuaj yeem rov qab txoj kev; Txawm li cas los xij, pawg neeg no tsis ntseeg tias yuav muaj peev xwm suav tau rau tag nrho cov neeg uas tsim muaj kev nyuaj siab nyuaj thaum siv cov tshuaj. Lawv pom tseeb tias cov tshuaj yuav ua rau muaj kev hloov hauv lub hlwb uas ua tau rau kev nyuaj siab.
Hauv cov no, lawv tau npaj lub sij hawm tardive dysphoria los piav txog qhov nce ntawm cov tsos mob. "Tardive" txhais tau hais tias nws tuaj lig rau hauv kev kho mob. "Dysphoria" yog ib qho kev nyuab siab, tsis txaus siab, tsis xis nyob, lossis tsis muaj qab hau.
Cov neeg tshawb xyuas hu rau tardive dysphoria yuav tsum tau kawm raws li ib qho kev cuam tshuam ntawm kev siv tshuaj tua kab mob antidepressant thiab pom tias yog qhov zoo tshaj plaws hauv kev tshawb fawb txog kev kho mob-resistant kev nyuaj siab.
Nws Txhais li cas rau koj
Txoj kev tshawb no ntawm tardive dysphoria yog nyob rau theem ntxov. Yog tias koj qhov kev nyuab siab mob heev dua yog tias ua rau antidepressants, nrog koj tus kws kho mob tham txog kev tardive dysphoria thiab lwm yam ua rau ua ntej txiav txim seb puas tawm mus noj koj cov tshuaj. Tsis tas li ntawd, nco ntsoov tias koj yuav tsum tau tawm ntawm cov tshuaj kom zoo.
Nws yooj yim rau kev dhia mus rau cov lus xaus nrog tej yam zoo li no, tab sis nco ntsoov tias peb tsis paub txawm tias tardive dysphoria yog ib qho teeb meem nrog antidepressants. Ua ntse thiab ceev faj thaum koj txiav txim siab rau kev kho mob thiab koom nrog koj pawg kho mob.
Lo Lus Ntawm
Raws li tag nrho cov tshuaj ua, antidepressants muaj npe ntawm kev muaj peev xwm thiab cov qes. Kev kho yog ib qho kev ua kom haum, nrog koj thiab koj tus kws kho mob uas ua rau qhov zoo tawm tsam qhov phem thiab txiav txim siab tias qhov kev hloov tom ntej no yuav tsum yog.
Pib kev siv yeeb tshuaj tshiab yog qhov kev txiav txim siab loj, thiab yog li kev kho mob mus ntev los sis tsis xav mus ntxiv. Xyuas kom koj paub zoo txog txhua kauj ruam thiab txais kev pab tswv yim. Thaum kawg, nws yog txhua yam hais txog kev ua rau koj zoo siab.
> Qhov chaw:
> Barnard K, Peveler RC, Tuav, RIG. Cov tshuaj tua kab mob antidepressant yog qhov yuav kis tau rau tye 2 diabetes thiab impaired glucose regulation: systematic review. Diabetes Care. 2013 Kaum Ob Hlis; 36 (10): 3337-3345. doi: 10.2337 / dc13-0560.
> Cartwright C, Gibson K, Nyeem J, Cowan O, Dehar T. Kev siv tshuaj tiv thaiv ntev ntev: tus neeg mob kev pom zoo ntawm cov txiaj ntsig thiab kev phom sij. Tus neeg mob nyiam thiab ua raws li kev cai. 2016 Jul 28; 10: 1401-7. doi: 10.2147 / PPA.S110632.
> El-Mallakh RS, Gao Y, Briscoe BT, Roberts RJ. Antidepressant-vim raug tardive dysphoria. Kev kho hlwb thiab psychosomatics. 2011; 80 (1): 57-9. doi: 10.1159 / 000316799.
> El-Mallakh RS, Gao Y, Roberts RJ. Tardive dysphoria: lub luag hauj lwm ntawm lub sij hawm ntev antidepressant siv rau inducing mob kev nyuab siab. Kev kho mob hypotheses. 2011 Jun; 76 (6): 769-73. doi: 10.1016 / j.mehy.2011.01.020.
> Noordam R, Aarts N, Tiemeier H, li al. Kev sib deev kev sib raug zoo ntawm kev siv tshuaj tua kab mob thiab kev hnyav ntawm lub cev hauv kev tshawb nrhiav pejxeem hauv cov laus laus. Phau ntawv xov xwm ntawm kev puas siab puas ntsws. 2015 Jun; 76 (6): e745-51. doi: 10.4088 / JCP.13m08896.
> Paige E, Korda R, Kemp-Casey A, li al. Cov ntaub ntawv sib txuas ntawm kev siv tshuaj antidepressant thiab kev hloov pauv hauv Australian laus. Lub Australian thiab New Zealand phau ntawv journal ntawm kev puas siab puas ntsws. 2015 Nov; 49 (11): 1029-39. doi: 10.1177 / 0004867415607365.