Zvese zvaunoda Kuti Uzive Nezvinodzvinyirira Zvinokonzera Kurema Kuwana

Zvemukati

• 1. Tricyclic antidepressants
• 2. Mamwe monoamine oxidase inhibitors (MAOIs)
• 3.Kushandiswa kwenguva yakareba kweimwe inosarudza serotonin reuptake inhibitors (SSRIs)
• 4. Vamwe atypical antidepressants
• Mishonga yekudzvinyirira iyo isinganyanye kukonzeresa kuwedzera uremu
• Kutora

Mhedziso

Kurema huremu inogona kuitika mhedzisiro yemazhinji antidepressant zvinodhaka. Nepo munhu wega wega achipindura kurapwa kwekudzvinyirira zvakasiyana, anotevera anodzvinyirira anogona kunge achikonzera kuwedzera uremu panguva yekurapa kwako.

1. Tricyclic antidepressants

Tricyclic antidepressants, inozivikanwawo secyclic antidepressants kana TCAs, inogona kukonzera kurema. Iyi mishonga inosanganisira:

• amitriptyline (Elavil)
• vapinda
• desipramine (Norpramin)
• doxepin (Adapin)
• imipramine (Tofranil-PM)
• nortriptyline (Pamelor)
• protriptyline (Vivactil)
• trimipramine (Surmontil)

TCAs anga ari mamwe emishonga yekutanga kubvumidzwa kurapa kushushikana. Izvo hazvina kunyorerwa kakawanda zvekare nekuti kurapa kutsva kunokonzera mashoma mhedzisiro

Kurera huremu kwaive chikonzero chakajairwa kuti vanhu varege kurapwa nemhando idzi dzeanodzvinyirira, sekureva kwechidzidzo cha1984.

Zvakadaro, maCAA anogona kushanda mune vanhu vasingapindure kune mamwe marudzi emishonga yekudzvinyirira, kunyangwe zvisingadiwe mhedzisiro.

2. Mamwe monoamine oxidase inhibitors (MAOIs)

Monoamine oxidase inhibitors (MAOIs) yaive yekutanga kirasi yemishonga yekudzvinyirira inogadzirwa. MAOIs anokonzera kurema anosanganisira:

• phenelzine (Nardil)
• isocarboxazid (Marplan)
• tranylcypromine (Parnate)

Vanachiremba vanopa MAOIs kazhinji kazhinji kana mamwe maanodzvinyirira asingashande nekuda kwemamwe mhedzisiro uye kuchengetedzeka kunetsekana. Pamatatu maMAO akanyorwa pamusoro, phenelzine ndiyo inowanzo gonesa kuwedzera huremu, maererano ne1988.

Nekudaro, kuumbwa kutsva kweMAOI inozivikanwa se selegiline (Emsam) yakaratidzirwa kunokonzera kurasikirwa nekurema panguva yekurapa. Emsam imushonga we transdermal unoiswa paganda rine chigamba.

3.Kushandiswa kwenguva yakareba kweimwe inosarudza serotonin reuptake inhibitors (SSRIs)

SSRIs ndiyo inonyanya kutaurwa kirasi yekuora mwoyo zvinodhaka. Kushandiswa kwenguva refu kweaya anotevera SSRIs kunogona kukonzera kurema.

• paroxetine (Paxil, Pexeva, Brisdelle)
• sertraline (Zoloft)
• fluoxetine (Prozac)
• citalopram (Celexa)

Kunyange hazvo mamwe maSSRI akabatanidzwa nekudzikira uremu pakutanga, kushandiswa kwenguva refu kweSSRIs kunonyanya kusunganidzwa nekuwedzera uremu. Kushandiswa-kwenguva refu kunoonekwa sekurapwa kunogara kwenguva inopfuura mwedzi mitanhatu.

Pakati peSSRIs dzakanyorwa pamusoro, paroxetine inowanzo kuve yakabatana nehuremu hwekuwedzera pamwe neyese-yenguva uye yekushandisa-pfupi.

4. Vamwe atypical antidepressants

Mirtazapine (Remeron) inopesana neradrenergic, inova mhando yeanodzvinyirira antipressant. Mushonga uyu wave uchinyanya kukonzeresa kuwedzera uremu uye kuwedzera chishuwo pane mamwe madhiragi.

Mirtazapine kashoma kuti iite kuti vanhu vawedzere uremu kana ichienzaniswa neCAA.

Izvo zvakare hazvikonzere kune mamwe akawanda mhedzisiro semamwe madhiragi ekudzvinyirira. Nekudaro, zvinogona kukonzera:

• kusvotwa
• kurutsa
• kusagadzikana pabonde

Mishonga yekudzvinyirira iyo isinganyanye kukonzeresa kuwedzera uremu

Zvimwe zvinodzvinyirira zvakave zvichisanganiswa nehuremu hushoma hwehuremu semhedzisiro. Izvi zvinodzvinyirira zvinosanganisira:

• escitalopram (Lexapro, Cipralex), SSRI
• duloxetine (Cymbalta), serotonin-norepinephrine reuptake inhibitor (SNRI), inogona kukonzeresa kuremerwa ne
• bupropion (Wellbutrin, Forfivo, uye Aplenzin), anypical antidepressant
• nefazodone (Serzone), anopikisa serotonin uye reuptake inhibitor
• venlafaxine (Effexor) uye venlafaxine ER (Effexor XR), ayo ari maviri SNRIs
• desvenlafaxine (Pristiq), SNRI
• levomilnacipran (Fetzima), SNRI
• vilazodone (Viibryd), serotonergic antidepressant
• vortioxetine (Trintellix), anypical antidepressant
• selegiline (Emsam), nyowani MAOI iwe yaunoshandisa kune rako ganda, izvo zvinogona kutungamira kumhedzisiro mhedzisiro kupfuura maMAO anotorwa nemuromo

Kurera huremu zvakare kushoma kuti kuitike neaya anotevera SSRIs kana achishandiswa kwemwedzi isingasviki mitanhatu:

• sertraline (Zoloft)
• fluoxetine (Prozac)
• citalopram (Celexa)

Kutora

Haasi munhu wese anotora antidipressant anozorema. Vamwe vanhu vanonyatso kuonda.

Nyanzvi dzinosimbisa kuti kunetseka nezvekuwana huremu hakufanirwe kukanganisa sarudzo yeanodzvinyirira vanhu vazhinji. Kune mimwe mhedzisiro uye zvikonzero zvekutarisa kana uchisarudza antidepressant.

Kana iwe ukawana huremu uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uremerwa Mamiriro ekuvandudzwa paunenge uchitora antidepressant, semuenzaniso, inogona kuwedzera chishuwo chako, zvichitungamira mukuwedzera huremu.

Usarega kutora mushonga wako ipapo kunyangwe iwe ukawana huremu hushoma. Iwe unozofanirwa kushanda nachiremba wako kuti uwane antidepressant iyo inobatsira nezviratidzo zvako zvekushushikana uye hazvipe mhedzisiro isingadiwe. Izvi zvinogona kutora zvishoma shiviriro.

Chiremba wako anogona zvakare kukupa iwe mamwe matipi ekudzivirira kuwedzera huremu paanodzvinyirira kurapwa.