Nkag siab lub luag hauj lwm ntawm SSR nyob hauv kev kho Phobias
Cov tshuaj hu ua serotonin reuptake inhibitors, lossis SSRIs, feem ntau yog cov kws kho mob rau phobia . Tej zaum lawv kuj yuav raug sau ua ke nrog nrog kev kho rau qog phobias thiab agoraphobia . Muaj ntau tus SSRI tau dhau los ua neeg lub npe, xws li Prozac (fluoxetine), Paxil (paroxetine) thiab Zoloft (sertraline).
Yog tias koj tau raug xaj ib qho SSRI, koj yuav xav txog lub hom phiaj, kev nyab xeeb thiab tej yam tshwm sim ntawm koj cov tshuaj.
Nws yog ib qho tseem ceeb los tham txog tej yam kev txhawj xeeb nrog koj tus kws kho mob.
Ua li cas SSRI Ua Haujlwm
Serotonin yog lub hlwb hlwb (neurotransmitter) uas muaj kev koom tes ntau lub zog, nrog rau kev tswj hwm thiab kev ntxhov siab. SSRIs tau pom tias muaj kev cuam tshuam zoo rau kev ntxhov siab, xws li phobias.
Hom SSRIs
SSRIs uas feem ntau yog cov tshuaj phobias muaj xws li, tab sis tsis txwv rau, Prozac (fluoxetine), Zoloft (sertraline), Paxil (paroxetine), Celexa (citalopram), Luvox (fluvoxamine), thiab Lexapro (escitalopram). Cov tshuaj no zoo ib yam li cov phobias, tab sis txhua qhov tshuaj muaj nws cov kev mob tshwm sim, kev sib hloov tshuaj, thiab lwm yam kev xav.
SSRIs thiab Cov Neeg Laus Laus
Qee qhov kev tshawb fawb tau pom tias cov laus laus yuav ntsib teeb meem ntawm SSRIs. Raws li peb muaj hnub nyoog, peb yuav ua rau kom muaj cov tshuaj uas peb tau txais, peb yuav ua rau kev pheej hmoo ntawm kev siv yeeb tshuaj. Peb lub cev kuj tseem yuav ua rau cov tshuaj tiv thaiv kab mob tsawg dua.
Tsis tas li ntawd, qee qhov kev tshawb fawb pom tau tias cov laus laus uas siv SSRIs mus ntev yuav muaj feem yuav mob pob txha pob txha.
Txawm li cas los xij, SSRIs feem ntau pom tias yuav muaj kev nyab xeeb tshaj lwm cov kev xaiv xws li MAOIs . Qee cov neeg laus tuaj yeem zam cov tshuaj no tsis muaj teeb meem dab tsi. Tham txog txhua yam kev txhawj xeeb uas koj muaj nrog koj tus kws kho mob, thiab tsis txhob muab koj cov tshuaj tsis txhob raug cai raws li tus kws kho mob tau xaj.
SSRIs thiab Cov Menyuam
Txij xyoo 2005, lub Food and Drug Administration tau hais kom tag nrho cov tshuaj tua kab mob, xws li SSRIs, nqa cov lus ceeb toom dub uas qhia tias cov tshuaj yuav muaj kev pheej hmoo tua tus kheej hauv cov menyuam yaus thiab cov hluas. Hauv xyoo 2007, cov lus ceeb toom tau muab nthuav dav rau cov tub ntxhais hluas hnub nyoog qis dua 25 xyoo.
Txawm li cas los xij, soj ntsuam xyuas koj tus menyuam qhov kev xav tshuaj rau nws cov tshuaj yuav pab txo qis txoj kev pheej hmoo. Sib tham nrog kev txhawj xeeb nrog koj tus menyuam tus kws kho mob, thiab saib xyuas tus menyuam tus cwj pwm hauv tsev. Tsis txhob lam tau lam nres ib chav kawm ntawm SSRIs tsis muaj kev taw qhia txog kev kho mob, vim qhov no yuav ua rau muaj kev sib txuam loj.
Lwm Qhov Teebmeem ntawm SSRIs
Vim hais tias lub hlwb xav tau ntau lub lis piam kom haum rau cov teebmeem ntawm kev siv tshuaj kho, cov kev mob tshwm sim feem ntau tau hnov ntau tshaj thaum lub sijhawm thawj zaug. Yog tias koj muaj kev mob tshwm sim, nco ntsoov qhia koj tus kws kho mob paub. Tsis txhob tsum tsis siv, tiam sis, yog tias tus kws kho mob qhia. Kev sib deev tsis sib deev yog kev tsis txaus siab ntawm SSRI cov neeg siv.
Kev Tua Yus Tus Kheej thiab SSRIs
Antidepressants feem ntau, thiab SSR nyob rau hauv particular, tau nyob rau hauv cov xov xwm nyob rau hauv xyoo tas los vim tias muaj feem ntau ntawm kev tua tus kheej nyob rau hauv cov neeg mob uas siv lawv. Txawm hais tias nws yog ib qho tseem ceeb los xav txog qhov kev pheej hmoo no, nws tseem ceeb heev rau kev sib npaug nws cov kev pab cuam ntawm kev noj tshuaj.
Txhua qhov teeb meem sib txawv, thiab koj thiab koj tus kws kho mob tsuas yog txiav txim siab seb SSRIs puas tsim nyog rau koj.
Serotonin Syndrome
Serotonin syndrome yog ib qho uas tsis tshua muaj tshwm sim, tab sis muaj kev tiv thaiv ua rau muaj kev txhawj xeeb ntawm serotonin nyob rau hauv lub hlwb. Nws tsis tshua muaj rau serotonin syndrome los tsim hauv ib qho dhau ntawm tus SSRI, tab sis sib txuas nrog SSRIs nrog lwm cov tshuaj kuj ua rau muaj kev pheej hmoo siab.
Tshem tawm SSRIs
SSRIs tsis raug txiav txim siab tias yuav muaj yees. Txawm li cas los xij, kev tshem tawm yuav muaj peev xwm ua rau muaj qhov tshwm sim hu ua discontinuation syndrome. Qhov no yog ib phau ntawm cov tsos mob tawm ntawm cov tsos mob uas muaj peev xwm ntawm qhov sib txawv me me mus rau qhov siab, nyob ntawm koj lub hlwb hlwb, cov tshuaj koj nyob thiab ntev npaum li cas koj tau noj tshuaj, ntawm lwm yam.
Cov tsos mob kuj muaj, tab sis tsis txwv rau:
- Kauj taub hau
- Mob taub hau
- Mob thiab lwm yam kab mob zoo li ua npaws
- Odd hluav taws xob nyob hauv taub hau, uas tej zaum yuav raug piav hais tias yog "brain jolts"
Txawm hais tias muaj pov thawj me ntsis tias kev tsis ua haujlwm ntawm SSRIs tuaj yeem ua rau lub cev tsis zoo, cov tsos mob yuav mob heev thiab tsis yooj yim. Yog li, tsuas yog thaum tsis tshua muaj, SSRIs feem ntau yog txiav tsis tu ncua. Tapering tua cov tshuaj raws li koj tus kws kho mob tau pab txo qis lossis tshem tawm cov teebmeem no.
SSRIs feem ntau sau tseg rau kev phobia thiab siv tau los ua lwm yam kev kho mob rau agoraphobia thiab qog phobias. Cov tshuaj no nquag muaj thiab feem ntau pom tias muaj kev nyab xeeb. Txawm li cas los xij, nrog rau kev siv tshuaj, lawv muaj kev pheej hmoo ntawm kev phiv tshuaj thiab kev sib raug zoo nrog lwm cov tshuaj. Nco ntsoov tias koj tus kws kho mob paub txog tag nrho koj cov tshuaj xws li tshuaj ntsuab, tshuaj, thiab cov khoom yuav tom khw. Ua tib zoo ua raws li koj tus kws kho mob cov lus qhia thiab coj tej yam txawv txav lossis kev coj cwj pwm hloov rau nws txoj kev mloog lus.
Tau qhov twg los
Lub Koom Haum Lub Tebchaws ntawm Kev Puas Siab Puas Ntsws. Cov Tshuaj: Cov Tshuaj Tiv Thaiv Kab Mob. Lub Plaub Hlis 13, 2008. http://www.nimh.nih.gov/health/publications/medications/complete-publication.shtml#pub8