Txawm hais tias kev siv tshuaj tiv thaiv antidepressants siv los kho cov kev ntxhov siab, nws tseem yog ib qhov ua tau ntawm cov tshuaj no. Qhov no yuav ua rau koj ruam, tshwj xeeb tshaj yog tias koj tau txais kev kho mob rau kev nyuaj siab tab sis pib txhawj txog tib lub sijhawm. Muaj ntau qhov ua tau rau qhov no, tab sis nws yog qhov zoo tshaj plaws los tham txog koj cov kev txhawj xeeb nrog koj tus kws kho mob.
Antidepressants thiab ntxhov siab
Cov tshuaj tua kab mob (Antidepressants ) feem ntau yog siv los kho cov kev ntxhov siab, tshwj xeeb tshaj yog kev ntxhov siab vim thiab ceeb ntshai, thiab kev nyuaj siab. Rau qee cov neeg, kev nyuaj siab thiab kev txhawj xeeb muaj peev xwm nyob ua ib ke. Piv txwv li, ib txoj kev tshawb pom pom tau hais tias thaj tsam li ntawm 67 feem pua ntawm cov neeg uas muaj kev puas siab puas ntsws kuj muaj kev ntxhov siab.
Thaum ob qho kev mob tshwm sim nyob rau tib lub sij hawm, qhov no yog hu ua comorbidity . Nws tsis yog tsis zoo thiab cov neeg tshawb xyuas tseem niaj hnub saib xyuas cov tshuaj antidepressants li cas thiaj pab tau ob hom kev mob, nrog rau kev sib txuas ntawm cov kab mob thiab cov neurotransmitter serotonin.
Ua Kev Sib Haum
Qee zaum, antidepressants kuj tuaj yeem tsim kev xav ntawm kev ntxhov siab thiab kev tsis sib haum xeeb los ua kev phiv. Cov nyhuv no, qee zaus hu ua mob qog no, feem ntau tshwm sim rau cov hnub thaum ntxov ntawm kev kho mob. Nyob rau hauv ib txoj kev tshawb nrhiav, 31 feem pua ntawm cov neeg uas tsis tau noj tshuaj tua kab mob ua ntej kev ua kom muaj mob.
Ib qho kev rov ntsuam xyuas ntawm ntau cov kev tshawb fawb tau ua li no ntxiv mus. Nyob rau hauv, cov kws tshawb fawb piv cov nqi ntawm kev mob siab / kev ntxhov siab vim cov sib txawv ntawm cov tshuaj antidepressants. Cov txiaj ntsim tau zoo heev, nrog rau qhov twg ntawm 4 txog 65 feem pua ntawm cov neeg uas tau txais cov tshuaj tua kab mob tshiab uas tau pom dua rau sab nraud.
Feem ntau, cov nyhuv tshwm sim yog ib qho me me thiab ib ntus, ua ib tug neeg ua kom cov tshuaj tshiab hloov. Kev ua pob ntseg ua rau muaj peev xwm muaj xws li xws li cov tsos mob xws li kev ntxhov siab, kev nyuaj siab, kev tsiv siab, kev chim siab, kev poob siab, thiab kev tsis tswm.
Kev nyuaj siab kev nyuaj siab thiab kev kub ntxhov
Ntxiv rau, muaj txoj kev sib raug zoo ntawm cov tsos mob xws li hypomania lossis mania . Qhov no yuav ua rau kev nyuaj siab los yog kev xav txog kev tua tus kheej-lwm qhov tshwm sim tsis zoo ntawm kev kho mob antidepressant - thiab muaj qhov mob rau lub cev.
Cov menyuam yaus, cov hluas, thiab cov tub ntxhais hluas yog cov tuaj yeem tsim cov teeb meem ntau tshaj ntawm kev nyuab siab thiab kev xav phem. Nyob rau hauv 2007, US Food thiab Drug Administration (FDA) tau hloov cov lus ceeb toom dub rau hauv tag nrho cov tshuaj antidepressants. Cov ntaub ntawv tshiab muaj qhov kev pheej hmoo rau kev tsim kev xav txog kev tsim kev kub ntxhov thiab kev ywj siab thaum ntxov ua ntej kho.
Lub FDA ntxiv pom zoo tias txhua tus me nyuam, tus me nyuam, los yog cov tub ntxhais hluas uas pib kho nrog ib tug antidepressant yuav tsum tau ua tib zoo saib rau tej yam tshwm sim ntawm kev txawv txav, hloov kev nyuab siab lossis kev tua neeg. Kev pab yuav tsum tau nrhiav tam sim ntawd yog tias ib qho ntawm cov no tshwm sim.
Yam Koj Ua Tau
Yog tias koj xav tias zoo li tus antidepressant ua rau koj kev ntxhov siab, nrog koj tus kws kho mob tham txog nws.
Muaj ntau ntau txoj kev uas lawv tuaj yeem ua rau qhov kev phom sij no. Piv txwv li, tej zaum lawv yuav txo koj cov tshuaj, hloov koj mus rau lwm hom tshuaj, los sis muab lwm cov tshuaj los tiv thaiv nws.
Nws tsis tau qhia kom tsum tsis txhob noj tshuaj antidepressant yam tsis tau tham nrog koj tus kws kho mob ua ntej. Txhob cia koj cov tshuaj sai heev tuaj yeem tsim teebmeem teebmeem, xws li cov tsos mob xws li leeg nqaij, qaug zog, mob plab, thiab kiv taub hau. Koj tseem khiav qhov kev pheej hmoo tias koj qhov kev nyuab siab yuav rov qab los yog haj yam mob ntxiv.
Lo Lus Ntawm
Thaum koj pib noj cov tshuaj tua kab mob tshiab, nws yuav siv sij hawm rau koj lub cev kom kho.
Txhua tus neeg sib txawv, uas yog vim li cas nws tseem ceeb rau kev sib txuas lus nrog koj tus kws kho mob txog cov kev mob tshwm sim uas koj tau ntsib, nrog rau kev ntxhov siab ntxiv. Qhov tseem ceeb, yog tias koj muaj kev xav txog kev suicidal, thov kev pab kho mob tam sim ntawd.
> Qhov chaw:
> Albert PR, Vahid-Ansari F, Luckhart C. Serotonin-Prefrontal Cortical Circuitry hauv kev ntxhov siab thiab Kev Nyuaj Siab Phenotypes: Pivotal Lole ntawm Pre-thiab Post-Synaptic 5-HT1a Receptor Expression. Frontiers nyob rau hauv Behavioral Neuroscience. 2014; 8: 199. doi: 10.3389 / fnbeh/2014.00199.
> Harada T, li al. Cov xwm txheej thiab kev twv ua ntej ntawm cov kev ua kom lub cev ua rau vim cov tshuaj antidepressants. Kev nyuaj siab thiab ntxhov siab . 2008; 25 (12): 1014-9. doi: 10.1002 / da.20438.
> Lamers F, li al. Comorbidity Cov Qauv ntawm Kev Ntxim Saib Ntxim Ua thiab Kev Nyuaj Siab Kev Nyuaj Siab hauv Kev Tshawb Fawb loj: Lub Tsev Kawm Ntawv Kawm Kev Nyuaj Siab thiab Kev Ntxhov Siab (NESDA). Phau Tshuaj Hloov Psychiatry . 2011; 72 (3): 341-8. doi: 10.4088 / JCP.10m06176blu.
> Sinclair L, li al. Kev Tiv Thaiv Kev Tiv Thaiv Kab Mob / Kev Ntxhov Siab Tawm Tsam: Kev soj ntsuam Systematic. Lub British Journal ntawm Psychiatry . 2009; 194: 483-490. doi: 10.1192 / bjp.bp.107.048371.