Eyona >> Imfundo Yezempilo >> Yintoni omele uyazi ngaphambi kokutshintsha i-anti-depressants

Yintoni omele uyazi ngaphambi kokutshintsha i-anti-depressants

Yintoni omele uyazi ngaphambi kokutshintsha i-anti-depressantsImfundo yezeMpilo

Kwabaninzi, ukuthatha isigqibo sokuthatha iyeza lokuthintela uxinzelelo yinto enkulu kakhulu. Uchitha ixesha elininzi ucinga ngayo, ulinganisa i-pros and cons, kwaye Ukuthetha nomboneleli wakho wezempilo malunga nokukhetha , ngaphambi kokuthatha isigqibo sokuzama amayeza kagqirha.





Ukufumana ifayile ye- kunene Ukuxinezeleka kunokufuna uvavanyo kunye nephutha, ukulungiswa kakuhle. Kuya kufuneka utshintshe amayeza ngexesha elithile ukuze ufumane elisebenza kakuhle kuwe. Ukuba unomdla wokuba iyeza lakho langoku alisebenzi njengoko kufanelekile, thetha nogqirha wakho malunga nokutshintsha i-antidepressants.



Izizathu eziqhelekileyo zokutshintsha i-antidepressants

Esinye sezizathu eziqhelekileyo zokuba abantu batshintshe i-anti-depressants kuba beziva ukuba amayeza abo ngoku awabancedi. I-anti-depressants ayinakusebenza ngeendlela ezahlukeneyo.

1. Ixesha

I-anti-depressants ifuna ixesha lokufikelela ekusebenzeni kwayo ngokupheleleyo. Ubude bexesha bunokwahluka.

Iiveki ezintandathu zihlala zibonelela ngengqondo, ngenye indlela okanye enye, iphakamisa UGonzalo Laje, MD , MHSc, umlawuli eWashington Behaeveal Medicine Associates kunye noprofesa onxulumene neklinikhi kwiYunivesithi yaseGeorge Washington.



2. Ubungakanani

Ukuba i-anti-depressant ayisebenzi emva kweeveki ezintandathu, kusenokwenzeka ukuba idosi iphantsi kakhulu. Nxibelelana nomboneleli wakho wezononophelo lwempilo, onokuthi ngokuthe chu kwaye ngenyameko anyuse idosi. Ukuba awuva ngcono xa uthatha idosi ephezulu (okanye ubuninzi), isenokuba lixesha lokuxoxa ngokuzama enye into-okanye ukongeza elinye iyeza.

3. Iziphumo ebezingalindelekanga

Asinguye wonke umntu ohlangabezana neziphumo ebezingalindelekanga, kwaye abanye abantu bazimisele ukunyamezela ezinye imiphumela amayeza ukuba ayanceda ukudakumba kwabo. Kodwa kwabanye abantu, Iziphumo ezinje nge libido ephantsi , umlomo owomileyo, okanye isicaphucaphu ngabaqhekezi besivumelwano. Ukuba unengxaki yokujongana neziphumo ebezingalindelekanga-isenokuba lixesha lokucwangcisa ukuqeshwa kunye nomboneleli wakho wezempilo.

Ungazami ukuyeka okanye ukutshintsha amayeza ngokwakho. Unokufumana iimpawu zokurhoxa, ngakumbi ukuba uyeka ngesiquphe. Kuhlala kungcono ukuthetha nodokotela wakho malunga [nokwenza] olu tshintsho, utshilo uGqirha Laje.



Ukukhetha i-anti-depressant entsha ekulungeleyo

Emva koko umbuzo uba: Leliphi elonayeza lifanelekileyo onokutshintshela kulo? Zininzi izinto onokukhetha kuzo kwezi iindidi ze-anti-depressants :

  • Ukukhetha i-serotonin reuptake inhibitors (i-SSRIs): Eli candelo libandakanya amayeza aqhelekileyo amiselweyo njengeProzac (fluoxetine), uCelexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine), Zoloft (sertraline), kunye neVibryry (vilazodone).
  • I-Serotonin kunye ne-norepinephrine reuptake inhibitors (SNRIs): Eli candelo libandakanya i-Effexor XR (venlafaxine), iPristiq (desvenlafaxine), iCymbalta (duloxetine), kunye neFetzima (levomilnacipran).
  • I-Tricyclic antidepressants (TCAs): Ii-TCAs ziludidi oludala lwe-anti-depressant eneziphumo ebezingalindelekanga kuneziyobisi ezitsha. Ibandakanya iziyobisi ezinje ngeTofranil (imipramine), Elavil (amitriptyline), Pamelor (nortriptyline), kunye neNorpramin (desipramine).
  • I-Monoamine oxidase inhibitors (i-MAOIs): I-MAOIs lolunye udidi oludala lwamayeza olungasasetyenziswanga njengonyango lokuqala, kwaye ibandakanya iNardil (phenelzine), Azilect (rasagiline), kunye neParnate (tranylcypromine)
  • Olunye udandatheko: Eli candelo libandakanya amayeza angenakulunga ngokuchanekileyo kwelinye icandelo, njenge-Wellbutrin (bupropion), eyi-norepinephrine-dopamine reuptake inhibitor (NDRI), kunye ne-Desyrel (trazodone), eyaziwa njenge-serotonin antagonist kunye ne-reuptake inhibitor (SARI ).

Zonke i-anti-depressants ziza nezibonelelo kunye nokuhla, ngenxa yoko kunokuba ngumbuzo wento ekusebenzela kakuhle. Sihlala siyokufumana into enexabiso elincinci leziphumo eziqhelekileyo, utsho ugqirha wengqondo USamuel Mowerman, MD , ilungu leFakhalthi kwiYunivesithi yaseMiami Miller School of Medicine.

NgokukaGqirha Mowerman, amanqaku ohlobo lwakho oluthile loxinzelelo luya kuchaphazela ukhetho. Umzekelo, ukuba nawe banexhala , Ugqirha wakho unokucebisa ukuba uxinzeleleke ngeqondo lokuphumelela ekujonganeni noxinzelelo, naye.



Ugqirha wakho unokukhetha ukukutshintsha ukusuka kwelinye icandelo le-anti-depressant uye kolunye. Okanye ugqirha wakho unokucebisa ukuba unamathele kunyango oluvela kwicandelo elinye leziyobisi ubusele uzithatha. Umzekelo, ukuba sele uthatha i-SSRI enye, ugqirha wakho unokucebisa ukuba uzame enye. Unokutshintsha ukusuka ku- Iprozac ukuya Zoloft okanye tshintsha ukusuka kwiZoloft uye ILexapro .

Fumana ikhadi lesaphulelo somntu ongatshatanga



Ungalutshintsha njani uxinzelelo

Xa usenza utshintsho, zininzi iinkqubo ezinokwenzeka zokwenza:

  • Ukuwela umnqamlezo: Ukwehlisa idosi yonyango yoqobo ngelixa uqala iyeza elitsha kwidosi ephantsi kwaye uyonyusa ngokuthe ngcembe.
  • Ukutshintsha ngokuthe ngqo: Oku kunokubandakanya ukuyeka ichiza elidala kunye nokuqala elitsha ngosuku olulandelayo.
  • Taper phantsi kwaye uyeke, ngaphambi kokuqala ichiza elitsha: Ngokuthe ngcembe unciphisa isixa sokuqala sakho sokudakumba, uyeke ukusithatha ngokupheleleyo. Emva koko uqala entsha (mhlawumbi ngosuku olulandelayo, okanye kwiiveki ezimbalwa, kuxhomekeke kwingcebiso yomboneleli wakho wezempilo).

Ukunqamla umnqamlezo yindlela eqhelekileyo kwiimeko ezininzi, utsho ugqirha wezifo zengqondo ILindsay Israel, MD , igosa eliyintloko lezonyango kwi-Success TMS. Umzekelo, ihlala isetyenziswa xa utshintshela i-SSRI kwichiza kwelinye iklasi, njenge-SNRI, okanye ukuba utshintsha i-SSRI iye kwenye. Ngoba? Kuba kuthatha ixesha ukuba iyeza lokuqala lishiye inkqubo yakho, njengoko kuthatha ixesha ukuba iyeza elitsha lisebenze.



Ii-MAOIs kunye neetrayiki ziiklasi ezimbini ze-anti-depressants ekufuneka icinyiwe kuqala kunye nexesha lokuba amanqanaba egazi aye kwi-zero ngaphambi kokuqala i-antidepressant entsha, utshilo uGqirha Israel.

I-cross-taper ikuvumela ukuba uhlehle ngokuthe ngcembe i-med entsha ngelixa unciphisa ngokuthe ngqo eyokuqala, enokunceda ukunciphisa naziphi na iimpawu zento ebizwa ngokuba yi-Israel ngenxa yokuyekiswa kwesifo ngenxa yayo nayiphi na into edlulayo, ngakumbi ukuba amayeza aneempawu ezifanayo, utshilo uGqirha Israel. .



Iimpawu eziqhelekileyo ze ukuyeka isifo kubandakanya ukudinwa, isicaphucaphu, ukuphuthelwa, i-vertigo, isiyezi kunye nenkungu.

Kuthatha ixesha elingakanani ukuba inkqubo yokuwela umnqamlezo isebenze? Kuxhomekeke kwinxalenye yethamo obukhe walithatha. Umthamo ophezulu ungathatha ixesha elide. Kuxhomekeke kubomi besiqingatha sobomi bamayeza ekuthethwa ngawo kunye nomthamo wangoku, le taper yomnqamlezo inokuthatha naphi na ukusuka kwiveki enye ukuya kwiiveki ezine ukuya kwezintandathu, utshilo uGqirha Israel.

Musa ukunikezela

Ekugqibeleni, injongo yokutshintsha i-anti-depressants kukufumana iyeza elisebenzela wena.

Ingcebiso kaGqirha Mowerman: Yinike ixesha. Vumela amayeza amatsha asebenze, uyongeza. Kungathatha ixesha elithile ukunyusa idosi efanelekileyo kakhulu kuwe, okanye ukufumana iyeza elifanelekileyo. Musa ukunikezela ukuba awuziva ulungile kwangoko okanye kufuneka uzame amayeza ambalwa.

Kwaye musa ukoyika ukuthetha. Ukuba unemibuzo okanye uxhalaba malunga nemiphumo emibi, qiniseka ukubuza. Umzekelo, ungabi nazintloni ukuphakamisa naziphi na iinkxalabo malunga Iziphumo zokudakumba koxinzelelo kwisondo sakho , Utshilo uGqirha Mowerman. Ziyinyani, kwaye zichanekile, iinkxalabo.