Yuav ua li cas Xaiv Serotonin Reuptake Inhibitors (SSRIs) ua haujlwm
Kev rov ua dua tshiab yog qhov tseem ceeb ntawm kev kho mob kom to taub yog tias koj muaj teeb meem ntawm tus kheej (BPD) los yog lwm yam teeb meem kev mob hlwb. Vim li cas? Vim tias ntau cov tshuaj siv los kho cov kab mob kev nyuab siab mob hlwb ua hauj lwm los ntawm kev hloov ntau hom neurotransmitters hauv lub hlwb. Kev rov ua dua yog qhov tseem ceeb ntawm txoj haujlwm no.
Neurotransmitters yog cov neeg xa tshuaj uas muaj qhov chaw xa tawm rau cov hlab ntsha hlwb tso tawm (neurons) thoob cov chaw sib txawv (qhov chaw ntawm cov hlwb) los ntawm ib lub paj hlwb ntawm tes mus rau lwm qhov.
Kev rov qab deev dua yog dab tsi tshwm sim tom qab lub teeb liab kis: Lub neurotransmitter, nws "ua hauj lwm" tiav, reabsorbed rov qab rau hauv lub xov tooj uas yav tas los tso tawm nws.
Vim Li Cas Rov Qab Tuaj Tseem Ceeb Hauv Kev Kho Mob Rau Kev Ntsuam Xyuas BPD?
Kev nyuaj siab hauv BPD thiab lwm yam kab mob kev puas siab puas ntsws yog txuam nrog cov qib qee yam ntawm cov hlwb, xws li serotonin, dopamine, thiab norepinephrine.
Yog tias koj muaj BPD thiab noj tshuaj los kho kev nyuaj siab (hauv txhais tau tias, qhov tshuaj tua kab mob antidepressant), koj tuaj yeem siv cov tshuaj serotonin reuptake inhibitor lossis SSRI. Feem ntau cov tshuaj antidepressants, feem ntau siv cov SSRIs los kho cov neeg mob BPD los ntawm kev txo cov tsos mob ntawm kev nyuaj siab mus rau ib nrab.
SSRs nce tus nqi ntawm cov neurotransmitter serotonin hauv lub hlwb los ntawm, raws li koj paub tam sim no, qeeb nws rov tuaj rau hauv lub hlwb uas kis tau nws. Yog li ntawd, cov kab mob siab tshaj-li-ncua ntawm cov tshuaj serotonin yog tawm mus hauv lub hlwb.
Ua rau kom muaj tus kab mob serotonin nyob rau hauv lub hlwb zoo nkaus li pab hlwb hlwb, nrog rau nws pab txhawb nqa kev nyuab siab thiab txhim kho mus ob peb vas. Serotonin tau hu ua lub cev lub cev "zoo-zoo" tshuaj vim tias nws ua rau lub siab zoo.
Raws li koj tuaj yeem pom, SSRIs tsis pab lub cev los tsim dua serotonin.
Xwb, lawv pab kom lub cev sib tov ntau dua ntawm serotonin nws muaj.
Piv txwv ntawm SSRIs
Ntawm no yog cov npe ntawm SSRIs muaj rau koj tus kws kho mob kom sau:
- Citalopram (Celexa)
- Escitalopram (Lexapro)
- Fluoxetine (Prozac, Sarafem)
- Fluvoxamine (Luvox)
- Paroxetine (Paxil, Paxil XR, Pexeva)
- Sertraline (Zoloft)
Lo Lus Qhia ntawm Serotonin Syndrome
Tus txheej txheem ntawm txoj kev rov qab cuab yeej tseem yog ib txoj dej num nyob rau hauv no tsis tshua muaj txaus tab sis muaj kev txaus ntshai, uas tshwm sim thaum twg ib tug neeg yuav siv ob hom tshuaj uas nce qib ntawm serotonin hauv lub cev. Qhov no yuav ua rau muaj kev mob siab serotonin siab nyob rau hauv lub hlwb.
Cov tshuaj koj yuav tsum tsis txhob noj ua ke yog:
- Antidepressants, nrog rau SSRIs
- Tej yam mob lossis mob taub hau
- Qhov tshuaj ntsuab ntxiv St. John lub wort
Cov cim qhia thiab cov tsos mob ntawm serotonin syndrome muaj xws li:
- Lub plawv dhia ceev ceev
- Ntxhov siab vim
- Kev xav
- Tsis muaj kev sib koom tes
- Tsis meej pem
- Hlais
- Tremors
- Nyob tsis tswm
Yog tias koj muaj ib qho ntawm cov cim lossis cov tsos mob, thov kev pab kho mob sai.
Serotonin syndrome feem ntau yuav tshwm sim thaum koj pib noj tshuaj serotonin-boosting tshuaj lossis thaum koj noj cov tshuaj ntxiv.
Serotonin syndrome no tsis tshua muaj, vim tias cov kws kho mob tau xyuam xim txog kev sau tshuaj uas yuav ua rau nws mob. Txawm li ntawd los, vim tias tus mob no yog qhov txaus ntshai, FDA tau thov cov neeg tsim ntawm cov tshuaj noj no los muab cov ntawv ceeb toom ceeb toom rau lawv uas tuaj yeem qhia koj rau qhov kev pheej hmoo no.
Qhov chaw:
"Ua li cas SSRI Ua Haujlwm." Healthline.com (2013).
"Kev nyuaj siab (kev nyuab siab loj tshaj): cov kev xaiv tshuaj serotonin rov ua dua (SSRIs)." Mayo Clinic (2013).
"Serotonin Syndrome." Teb Chaws Asmeskas Lub Tsev Qiv Ntawv Tshuaj Kho Mob. MedlinePlus (2016).