Puas yog Koj Cov Tiv Thaiv Tus Ntaus Nqi Ua Rau Koj Teeb Meem?
Puas yog dab tsi los tsim ib qho kev kub ntxhov thaum noj cov tshuaj tua kab mob (antidepressant)? Yam tshuaj twg yuav ua tau rau tus mob no thiab yuav kho li cas?
Cia peb pib los ntawm kev sib tham txog yam khoom muaj zog, ntau hom kev sib tw, thiab lwm yam tshuaj dab tsi thiab kev mob nkeeg uas yuav ua rau lub cev muaj zog.
Tremors: Txhais
Tremor yog ib qho kev sib tshuam uas tsis zoo uas tshwm sim ntawm lub taub hau, ceg tawv lossis tawv muag.
Kev sib zog no tuaj yeem tshwm sim thaum koj tsiv los yog thaum koj sim tuav koj lub cev tseem. Nws yog feem ntau ceev (muaj li ntawm plaub mus rau 12 tsiv ib pliag) thiab nws tuaj yeem mus lossis mus lossis tau tshwm sim hauv qhov tawg. Nws yuav tso plab thaum pw tsaug zog thiab mob heev ntxiv thaum ib tus neeg nyob hauv kev ntxhov siab. Ib tus neeg kuj tseem yuav paub txog lub taub hau los yog muaj lub suab nrov thav plaub.
Muaj qee qhov kev kub ntxhov uas tshwm sim nrog so thiab lwm tus uas tsuas tshwm sim nrog kev txav chaw. Qee zaus tremors tshwm sim nrog rau kev txav, thaum lwm lub sij hawm lawv tshwm nyob rau hauv cov lus teb rau kev meej heev taw. Ib qho kev qhia meej txog koj lub cev yuav pab tau koj tus kws kho mob txiav txim siab seb koj tus kab mob antidepressant puas ua rau koj lub cev qaug zog yog tias nws muaj feem rau lwm qhov mob.
Cov Kev Kawm Antidepressant thiab Cov Tsiaj Ntawv
Qee hom antidepressants, xws li cov tshuaj serotonin reuptake inhibitors (SSRIs) thiab tricyclic antidepressants yuav muaj peev xwm ua rau muaj kev sib txeeb ua rau muaj kev phiv.
Qee cov kev tshawb fawb kwv yees tias 20 feem pua ntawm cov neeg mob kho mob nrog SSRI los yog tricyclic antidepressant yuav tsim muaj kev kub ntxhov. Qhov no yuav tshwm sim thaum twg los tau tom qab cov tshuaj tau pib.
- Celexa (citalopram)
- Lexapro (escitalopram)
- Luvox (fluvoxamine)
- Paxil (paroxetine)
- Prozac (fluoxetine)
- Symbiax, uas yog Prozac ntxiv rau qhov mob hlwb Zyprexa (fluoxetine + olanzapine)
- Zoloft (sertraline)
Tricyclic antidepressants muaj xws li:
- Ascendin (amoxapine)
- Anafranil (clomipramine)
- Elavil (amitryptyline)
- Norpramin (desipramine)
- Pamelor (nortryptyline)
- Surmontil (trimipramine)
- Sinequan (doxepin)
- Tofranil (imipramine)
- Vivactil (protryptyline)
Lwm Yam Tshuaj Uas Tej Zaum Ua Rau Qee Tshaj Lij
Lwm cov kev puas siab puas ntsws, xws li lithium thiab Depakote (lub siab ua rau cov neeg muaj kev puas siab puas ntsws bipolar,) kuj yuav ua rau lub cev tsis zoo. Cov tshuaj tiv thaiv kev puas hlwb (antipsychotic medications), tshwj xeeb tshaj yog cov laus neeg ( xws li tshuaj tua kab mob ,) yuav ua rau lub cev tsis zoo rau Parkinson tus kab mob. Extrapyramidal cov kev mob tshwm sim ntawm cov tshuaj no kuj muaj xws li dystonia (tsis ua hauj lwm ntawm cov nqaij ntshiv,) Tardive dyskinesia (tsis txawv txav ntawm lub ntsej muag xws li grimacing thiab zom,) thiab akathisia , zoo nkaus li nyob tsis tswm uas tej zaum yuav ua rau muaj kev sib txig sib luag.
Tsis tas li ntawd, muaj ntau yam tshuaj rau lwm cov tshuaj uas yuav ua rau muaj kev kub ntxhov xws li:
- Epinephrine
- Anticonvulsants (tshuaj tua kab mob los tiv thaiv epilepsy)
- Anti-emetics (tshuaj tua xeev siab)
- Cov kab mob bronchodilators siv rau kev mob hawb pob thiab kab mob COPD
- Qee cov tshuaj kws khomob
- Qee hom tshuaj tiv thaiv kabmob (immunosuppressant)
- Qee cov tshuaj tua kab mob
- Qee hom tshuaj tiv thaiv kab mob
- Qee lub plawv thiab cov ntshav siab
- Stimulants xws li caffeine thiab amphetamines
Cov Kws Kho Mob Uas Twg Thiaj Ua Rau Qee Tshaj Lij
Thaum kawg, muaj qee yam kev kho mob uas ua rau muaj kev sib ntxiv, xws li Parkinson's mob, haus dej cawv tawm, hyperthyroidism, pheochromocytoma, Wilson's disease, thiab daim siab tsis ua haujlwm.
Koj Yuav Ua Li Cas Yog Tias Koj Tus Txheej Txheem Los Ntawm Koj Tus Txheej Txheem Kev Noj Qab Haus Huv?
Yuav kom txiav txim siab seb koj lub cev muaj zog npaum li cas rau koj qhov kev nyuaj siab, koj tus kws kho mob yuav ua ib qho kev kuaj mob thiab nug koj txog koj cov keeb kwm kho mob, nrog rau cov tshuaj uas koj noj. Feem ntau, qhov no txaus los txiav txim siab yog tias koj tus kab mob antidepressant ua rau koj lub cev tsis zoo, txawm tias koj tus kws kho mob yuav tseev kom kuaj ntxiv yog tias nws xav tau kev txiav txim rau lwm yam kev ua rau.
Kev kho mob rau kev tiv thaiv kev tiv thaiv kab mob
Tej zaum qhov zoo tshaj plaws daws teeb meem tshwm sim los ntawm antidepressants yog kom tsis txhob noj cov tshuaj uas ua rau nws thiab hloov mus rau lwm hom tshuaj. Tremor feem ntau yuav txiav txim siab thaum lub sij hawm tom qab cov tshuaj tiv thaiv tau tu lawm, tab sis qee zaus muaj kev kub ntxhov tshwm sim los ntawm SSRIs.
Qee zaum, txawm li cas los xij, tej zaum koj yuav ua haujlwm zoo rau koj cov tshuaj uas koj tsis xav kom hloov rau kev ntshai kev rov qab los ntawm kev nyuaj siab. Yog tias qhov no yog qhov teeb meem no, koj tus kws kho mob yuav xaiv tau ntxiv cov tshuaj ntxiv los tswj koj lub cev, xws li lub beta-blocker, ib lub benzodiazepine , Mysolin (primidone,) Topamax (topiramate,) los yog Neurontin (gabapentin.)
Taw Kab Hauv Cov Tshuaj Tiv Thaiv Sib Cog
Qee cov chav kawm ntawm antidepressants, tshwj xeeb yog SSRIs thiab tricyclic antidepressants feem ntau yog txuam nrog kev tsim cov tshuaj tiv thaiv. Lwm cov tshuaj thiab kev kho mob uas ua rau lub cev tshee hnyuv yuav ua rau kom muaj peev xwm ua rau muaj kev kub ntxhov.
Kev kuaj mob feem ntau yog ua tiav los ntawm kev siv keeb kwm zoo thiab ua ib qho kev kuaj mob ib leeg, tab sis lwm yam kev kuaj kuj yuav tsum tau tshwj xeeb tshaj yog tias nws tsis paub meej tias koj qhov kev mob yog dab tsi cuam tshuam rau koj tus mob antidepressant lossis tsis muaj kev mob nkeeg.
Qhov kev yooj yim kho rau cov tshuaj tiv thaiv antidepressant-vim li cas tsuas yog txiav tawm cov tshuaj, tab sis qhov no tsis yog ib txwm ua tau. Muaj ntau ntau hom tshuaj uas siv tau los txo qhov hnyav thaum tseem noj tshuaj antidepressant yog tias xav tau.
> Qhov chaw:
> Dixit, S., Khan, S., thiab S. Azad. Ibqho Case ntawm SSRI Txhaum Neeg Tawm Tsam Tsev Neeg Kev Nyab Xeeb. Cov Ntawv Tshawb Fawb Txog Kev Soj Ntsuam thiab Kev Mob Diagnostic . 2015. 9 (2): VD01-VD02.
> Kasper, Dennis L .., Anthony S. Fauci, thiab Stephen L .. Hauser. Harrison Cov Txheej Txheem ntawm Tshuaj Kho Mob Sab Nraud. New York: Mc Graw Hill kev kawm, 2015. Sau.
> Tebchaws Asmeskas Lub Tsev Qiv Ntawv. Medline Plus. Cov tshuaj tiv thaiv yeeb-tshuaj. Kho tawm 09/05/17. https://medlineplus.gov/ency/article/000765.htm