Cov Niam Txiv Yuav Tsum Paub Txog Kev Nyuaj Siab hauv Cov Menyuam
Thaum koj tus menyuam tau txais kev nyuab siab , nws tuaj yeem ua ib qho kev ntxhov siab rau tag nrho tsev neeg. Txiav txim siab seb yuav pib koj tus menyuam li cas rau kev noj tshuaj los tswj kev nyuab siab yog tias nws tsis totaub. Txawm li cas los xij, nrog rau kev nyuaj siab luv-thiab ntev-ntev ntawm kev nyuaj siab - zoo li cov neeg txom nyem kev sib txawv, kev quav yeeb tshuaj, kev kawm tsis zoo thiab kev xav phem thiab kev coj cwj pwm - tseem ceeb heev uas yuav tau nrhiav kev kho mob zoo rau koj tus menyuam.
Paub txog cov kev pheej hmoo thiab cov txiaj ntsim ntawm cov tshuaj thiab seb yuav saib dab tsi yuav pab tau koj txiav txim siab tso siab rau koj tus menyuam.
Qhov tseem ceeb ntawm kev kho tus mob kev nyuab siab hauv cov me nyuam
Raws li American Academy of Pediatrics (AAP), 3% ntawm tag nrho cov me nyuam muaj tus mob kev nyuab siab. Feem ntau ntawm cov menyuam yaus uas tau txais kev kho mob yuav txo tau lawv cov tsos mob li ntawm ob lub hlis. Nws raug pom zoo tias cov me nyuam tau txais kev kho mob tam sim vim qhov kev muaj peev xwm ua rau muaj kev phom sij heev ntawm kev nyuaj siab tsis kho.
Puas Yog Tshuaj Noj Rau Koj Tus Menyuam?
Hom thiab qhov hnyav ntawm koj tus menyuam qhov kev nyuab siab ua rau lub luag hauj lwm nyob rau hauv los yog tsis siv tshuaj yog tsim nyog.
Rau kev puas siab puas ntsws bipolar thiab muaj mob loj los loj heev (MDD), cov tshuaj no feem ntau tau qhia, raws li kev pom zoo los ntawm American Academy of Pediatrics. Rau cov neeg mob kev nyuab siab dua, zoo li kev tu siab vim kev ploj tuag los yog kev kub ntxhov hauv lub neej, kev pab tswv yim thiab kev txhawb nqa tsev neeg yuav txaus.
Nyob rau hauv kev tshawb luam tawm xyoo 2007, lub koom haum National Mental Health (NIMH), fluoxetine - zoo tshaj plaws hu ua Prozac - nrog rau kev paub cwj pwm kev coj cwj pwm (CBT) tau qhia txog kev txhim kho rau cov me nyuam uas nyuaj siab tshaj li siv fluoxetine los yog CBT ib leeg. Yog li ntawd, qhov kev kho mob sib xyaw ua ke yuav yog qhov kev kho mob zoo tshaj plaws rau koj tus me nyuam.
Cov Psychiatric Cov Tshuaj Puas Twg Txog Cov Menyuam?
Tam sim no, fluoxetine tsuas yog noj tshuaj nkaus xwb rau cov menyuam yaus loj hauv kev nyuaj siab (MDD) hauv Tebchaws Meskas. Fluoxetine yog ib qho xim serotonin reuptake inhibitor (SSRI), uas nce tus nqi ntawm serotonin hauv lub cev. Serotonin yog ib qho neurotransmitter (ib yam tshuaj uas cuam tshuam lub hlwb ua haujlwm) uas muaj tsawg hauv cov neeg muaj kev nyuaj siab.
Cov tshuaj ntxiv los kho tus kabmob li kev puas siab puas ntsws xws li xws li lithium, tricyclic antidepressants (TCAs) thiab cov tshuaj tivthaiv monoamine oxidase (MAOIs) kuj tau hais tseg. Cov tshuaj no tsis tshua raug siv rau hauv cov menyuam vim lawv muaj kev phom sij thiab muaj kev paub txog cov teeb meem hauv cov menyuam yaus. Txawm li cas los xij, Dr. Philip Hazell, tau luam tawm hauv 2002 hauv Cochrane Database of Systematic Review , tau pom tias tsis muaj txiaj ntsig rau kev kho cov menyuam yaus nrog TCAs ua ntej tiav nkauj tiav nraug. Cov tshuaj no tsis yog hom phiaj tshuaj nkaus xwb, tab sis kuj tsis muaj tus naiskhu thiab dopamine, uas yog cov neeg mob siab rau cov neeg mob hlwb.
Ceeb toom thiab Cov Teebmeem Phom Tshuaj
Hauv xyoo 2004, FDA tau tshaj tawm tias SSRI siv rau hauv cov menyuam yaus yuav ua rau lawv muaj kev pheej hmoo siab rau kev xav phem thiab kev coj cwj pwm. Txawm li cas los xij, hauv xyoo 2007, vim lawv qhov kev tshawb nrhiav, NIMH tau tshaj tawm cov lus hais tias cov txiaj ntsim ntawm SSRI siv rau hauv cov me nyuam uas muaj kev nyuaj siab yuav muaj teeb meem ntau dua.
Txuas ntxiv, FDA piav qhia tias kev nyuaj siab nws tus kheej tso ib tug me nyuam rau ntawm kev pheej hmoo siab rau kev xav phem thiab kev coj cwj pwm.
Cov tshuaj SSRI muaj peev xwm ua rau ua rau cov me nyuam (thiab cov laus) nrog lub siab tsis zoo, ib lub xeev uas muaj siab, chim siab los yog caij tsheb kauj vab. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tau saib xyuas menyuam yaus rau cov kev mob tshwm sim.
Cov kev mob tshwm sim ntawm SSRIs yog mob taub hau, xeev siab, muaj teeb meem pw tsaug zog thiab muaj jittery.
Cov kev mob tshwm sim ntawm kev siv yeeb tshuaj tricyclic tej zaum yuav qhuav qhov ncauj, qhov muag tsis pom kev, cem quav, zis nyuaj, tsis tshua muaj ntshav siab thiab hloov plawv hloov.
Tej yam teeb meem txawv txawv los yog qhov teeb meem tsis zoo yuav tsum tau nrog koj tus kws kho mob tham sai li sai tau.
Ua raws li txoj kev npaj kho mob tseem ceeb heev. Cov tshuaj noj yuav tsum tsuas yog noj raws li qhia thiab tsis txhob nres kev kho mob.
Yuav Tau Tshaj Dab Tsi
Nws yuav siv sij hawm li ob peb lub lis piam ntawm cov tshuaj siv ntawd los ua cov cim kev txhim kho thiab 6 txog 8 lub lim piam rau tag nrho cov kev cuam tshuam. Kev siv cov tshuaj tsis haum yuav tsis tsim nyog. Cov menyuam yaus ntawm kev noj tshuaj rau kev nyuaj siab yuav tsum raug saib xyuas zoo rau kev txhim kho, muaj teebmeem tshwm sim, thiab muaj kev xav zoo thiab kev coj tus cwj pwm.
Koj tuaj yeem cia siab tias yuav tsum tau muaj lub luag haujlwm hauv koj tus menyuam kev noj tshuaj. Qhia rau koj tus me nyuam raws nraim li cov tshuaj noj rau thiab seb nws yuav cuam tshuam dab tsi nws yuav txo tau qee qhov kev txhawj xeeb. Npaj kom muaj sij hawm noj tshuaj thiab muab tso ua ke kom zoo dua tuaj yeem ua rau tsis kam.
Kev sib txuas lus nrog koj tus menyuam tus kws kho mob yog ib qho tseem ceeb. Yog tias tsim nyog, koj tus me nyuam cov xib fwb los yog cov neeg zov me nyuam ntxiv yuav pab muab kev txhawb zog thiab kev sib koom tes ua haujlwm.
Qhov chaw:
Cov Tshuaj Tiv Thaiv Kev Noj Qab Haus Huv Rau Me Nyuam thiab Cov Hluas: Cov Ntaub Ntawv rau Cov Niam Txiv thiab Cov Neeg Tu Neeg. National lub koom haum rau Kev Puas Siab Puas Ntsws. https://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health/antidepressant-medications-for-children-and-adolescents-information-for-parents-and-caregivers.shtml
Kev Siv Antidepressant Siv Cov Me Nyuam, Cov Tub Ntxhais Hluas, thiab Cov Neeg Laus. US Food thiab Drug Administration. https: //www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273
P. Hazell, D. O'Connell, D. Heathcote, DA Henry. "Tricyclic Drugs for Depression nyob rau hauv Cov Me Nyuam thiab Cov Hluas." Database ntawm kev txhim kho tawm tshiab. 2002 2
Cov Tshuaj Kho Mob Prozac. Eli Lilly thiab Company. http://www.prozac.com/Pages/index.aspx
SBEA O'Connor, Eder, M. Whitlock, EP "Kev Ntsuam Xyuas Menyuam Yaus thiab Cov Hluas Kev Nyuaj Siab hauv Tsev Zov Me Nyuam: Pom Kev Tshawb Fawb Daim Ntawv Taw Qhia Rau Teb Chaws Asmeskas Tiv Thaiv Cov Tiv Thaiv. Pediatrics 4 Apr 09 123 (4): e716-e735.
SE Son, JT Kirchner. "Kev nyuaj siab rau menyuam yaus thiab tub ntxhais hluas." American Family Physician 15 Nov 2000.