Yam Uas Koj Yuav Tsum Paub Txog SSRIs thiab Lwm Cov Kev Kaw Npe Nruaj Siab
Txhua txhua hnub, ib tug ntawm 6 tus neeg Mis Kas yuav siv cov tshuaj noj qab haus huv, raws li xyoo 2017 tau luam tawm los luam tawm hauv phau ntawv xov xwm kho mob ntawm American Medical Association (JAMA) . Kaum ob feem pua ntawm cov tshuaj no yog antidepressants, cov tshuaj uas ua tau los cawm tau rau cov tib neeg uas muaj cov kev mob tshwm sim ntawm qhov kev nyuaj siab loj-cov kev mob tshwm sim los ntawm kev tu siab thiab kev poob siab rau tej yam uas lawv nyiam ua rau kev nyuaj siab tsis muaj kev ntxhov siab thiab txawm xav txog kev tua tus kheej.
Thaum koj xav txog antidepressants, thawj tus uas yuav nkag mus rau hauv koj lub taub hau yog Prozac (fluoxetine). Nws tseem yog qhov tseem ceeb tshaj plaws rau ntau tus neeg, tab sis txij li tau pom zoo los ntawm US Food and Drug Administration (FDA) xyoo 1987, Prozac tau koom nrog ntau yam ntawm lwm yam tshuaj tiv thaiv kev noj qab haus huv. Yog tias koj xav tias yog siv tshuaj tua kab mob siab, nkag siab tias cov neeg ua haujlwm zoo li cas tuaj yeem pab koj thiab koj tus kws kho mob txiav txim siab uas yuav ua haujlwm zoo tshaj rau koj.
Kev Xaiv Tsa Tshuaj Txhuam Kom Zoo (Serotonin Reuptake Inhibitors) (SSRIs)
Prozac belongs rau chav kawm ntawm antidepressants hu ua selective serotonin reuptake inhibitors (SSRIs). Serotonin yog ib tug neurotransmitter uas muaj nyob hauv plab thiab hauv lub hlwb. Neurotransmitters yog cov tshuaj uas pab xa cov ntawv tawm ntawm qhov xaus ntawm paj hlwb fibers rau lwm tus neeg, los yog rau cov leeg lossis lwm cov khoom.
Hauv lub paj hlwb, cov qib qis ntawm serotonin tau txuam nrog kev nyuaj siab thiab kev ntxhov siab xws li ceeb ntshai thiab obsessive-compulsive behaviour. Qis qis ntawm serotonin nyob rau hauv lub plab tau txuam nrog tsoob siab plob tsis so tswj syndrome, osteoporosis, thiab kab mob hauv plab.
SSRI ua raws nraim li lub npe qhia txog: Lawv tiv thaiv qhov rov qab (rov mus rau hauv qhov xaus paj) ntawm serotonin, ua ntau dua ntawm cov tshuaj muaj. Hauv lwm cov lus, SSRs txo kev nyuaj siab los ntawm kev txhawb cov qib qis hauv serotonin hauv lub hlwb.
Tsib Qib Siab Nruab Nrab SSRIs
Ua ntej SSRIs, muaj ob lub ntsiab lus tseem ceeb ntawm cov tshuaj tiv thaiv kab mob antidepressants - monoamineoxidase inhibitors (MAOIs) thiab tricyclics.
Ob qho tib si ntawm cov tshuaj no muaj ntau tshaj li cov kev mob tshwm sim los ntawm SSRIs thiab muaj teeb meem ntau dua yog tias ib tus neeg tau siv ntau dhau lawm, yog li nws yooj yim los saib yog vim li cas muaj kev nce hauv hom SSRIs xaiv los ntawm.
Feem ntau cov SSRIs tau zoo ib yam rau hauv kev txiav txim siab seb lawv ua hauj lwm li cas, tab sis kuj yuav muaj kev sib txawv hauv kev sib txawv uas ua rau ib qho kev xaiv zoo dua rau koj dua. Nws yuav siv sij hawm ib qho rau txhua tus SSRIs los txhim kho rau hauv lub cev kom txaus rau cov tsos mob, li cas los xij, nws thiaj li tau ob peb lub lis piam los yog ib hlis ntawm kev sim thiab yuam kev kom nrhiav tau cov tshuaj thiab cov tshuaj uas yuav ua rau koj tshaj plaws zoo.
Cov kev mob tshwm sim ntawm SSRIs yuav txawv me ntsis, tiam sis feem ntau, tej zaum koj yuav paub txog qee yam tsawg thiab feem ntau me me, xws li xeev siab, mob plab, mob taub hau, kiv taub hau, qhov ncauj qhuav, tawm hws, thiab trembling. Ua rau muaj kev phom sij ntau ntxiv, thiab qee leej neeg nce nyhav tom qab lawv pib noj tshuaj antidepressant, tab sis qee zaus nws tsis yog cov tshuaj nws tus kheej, tiam sis qhov kev noj qab haus huv tau zoo dua thiab muaj kev txaus siab ntxiv rau kev noj kev haus rau ntawm cov phaus.
Lwm tus neeg pom kev noj tshuaj antidepressant ua rau qaug zog rau lawv lub neej nrog txiv neej pw: Cov txiv neej yuav muaj teeb meem mus rau erection, piv txwv li, thiab cov poj niam muaj kev nyuaj siab txog lub cev orgasm, yog li ntawd yuav yog qhov tseem ceeb yog tias koj muaj kev sib raug zoo .
Cov neeg uas noj SSRI yuav pom cov tshuaj ua rau lawv xav tias lawv ntshai thiab ntshai; qee cov neeg muaj kev xav txog kev ua phem rau lawv tus kheej lossis kev tua tus kheej tua tus kheej. Cov tub hluas ntxhais hluas tshwj xeeb tshaj yog qhov kev pheej hmoo rau qhov no thiab yuav tsum tau saib xyuas zoo heev. Nws yog ib qho tseem ceeb uas yuav tsum tau tawm ntawm cov tshuaj tua kab mob qeeb qeeb. Yog tias koj tsis kam noj ib qho koj tuaj yeem tshem tawm cov tsos mob, xws li kev voj voog hloov, kiv taub hau, tsos mob zoo li ua npaws, thiab mob taub hau.
- Prozac (fluoxetine) . Ntxiv dua thiab, Prozac tseem yog ib tus nyiam tshaj SSRIs. Nws yog ib yam ntawm cov FDA uas tau pom zoo rau cov menyuam yaus thiab cov hluas siv.
- Celexa (citalopram). Cov kev tshawb fawb qhia tias Celexa ua haujlwm nrog rau lwm cov SSRIs thiab muaj cov teebmeem zoo tib yam. Ib qho tseem ceeb tshaj plaws uas yuav tsum paub txog qhov tshuaj tiv thaiv no yog qhov uas siv cov koob tshuaj uas nws tau txuam nrog qhov teeb meem tsawg kawg plawv.
- Zoloft (sertraline) . Zoloft zoo heev, tab sis qee cov neeg pom nws muaj ntau dua li lwm cov SSRIs ua rau raws plab.
- Paxil (paroxetine) . Tej zaum koj yuav muaj kev phom sij ntxiv txog kev sib daj sib deev yog tias koj xaiv Paxil dua lwm yam tshuaj tiv thaiv kev noj qab haus huv. Nws kuj yog txuas rau kev pheej hmoo ntawm kev tawm hws.
- Lexapro (escitalopram) . Nrog Prozac, Lexapro yog ib qho ntawm SSRIs nkaus xwb uas tau raug pom zoo los ntawm FDA rau cov hluas siv.
Lwm yam kev tiv thaiv kab mob Antidepressants
Lwm hom tshuaj antidepressants yog ib hom tshuaj uas hu ua serotonin thiab cov neeg ua haujlwm tsis muaj zog nyob rau hauv cov neeg ua haujlwm (SNRIs). Cov inhibit no reuptake ntawm ob neurotransmitters: serotonin thiab norepinephrine. Ib qho uas feem ntau tau siv SNRIs yog Effexor (venlafaxine) , uas zoo li lwm cov tshuaj antidepressants hauv kev kho MMD, tiam sis muaj feem ntau dua ua rau xeev siab thiab ntuav, thiab muaj peev xwm nce ntshav siab thiab lub plawv dhia.
SNRI Cymbalta (duloxetine) kuj tuaj yeem ua rau kom ntshav siab, tab sis qhov kev txhawj xeeb tshaj nrog cov tshuaj no yog tias qee tus neeg nws tuaj yeem ua rau daim siab tsis ua hauj lwm, yog li koj muaj qee yam kab mob hauv daim siab nws yuav yog ib qho kev xaiv zoo rau koj. Qhov no kuj muaj tseeb yog tias koj haus dej caw ntau.
Muaj lwm cov tshuaj tiv thaiv kab mob antidepressant uas tsis haum rau ob qho tib si, Wellbutrin (bupropion) , uas ua haujlwm los ntawm kev ua rau cov neurotransmitter dopamine. Nws muaj kev pheej hmoo ntawm kev sib daj sib deev. Nyob rau hauv qhov tseeb, qee cov kws kho mob muab Wellbutrin nrog rau lwm SSRI los pab tiv thaiv tsis pub muaj libido.
> Qhov chaw:
> Consumer Health Choices. "Siv Antidepressants los kho Txoj Kev Nyuaj Siab: Sib Piv Txiaj Ntsig, Kev Nyab Xeeb, thiab Nqe."
> Mayo Clinic. "Antidepressants: Xaiv ib Qhov Yog Txoj Cai Rau Koj."
> Michael Camilleri, MD "Serotonin hauv Txoj Kev Loj Hlob." Curr Opin Endocrinol Diabetes Obes . 2009 Fib; 16 (1): 53-59.
> Thomas J.Moore, AB; Donald R. Mattison, MD, MS. "Kev Siv Cov Neeg Txom Nyem Kev Ntsig Txog thiab Cov Kev Sib Txawv los ntawm Kev Sib Deev, Hnub Nyoog, thiab Haiv Neeg." JAMA Intern Med. 2017; 177 (2): 274-275. doi: 10.1001 / jamainternmed.2016.7507.