Kusanganiswa Kwekurapa kwekushungurudzika

Zvemukati

• Basa reMishonga
• Atypical Anodzvinyirira
• Antipsychotic
• L-Triiodothyronine
• Zvinokurudzira
• Musanganiswa Therapy seYekutanga-Mutsetse Kurapa

Kana iwe uine chikuru kushungurudzika kusagadzikana (MDD), iwe ungangove uchitotora kanenge kamwe antidepressant. Musanganiswa wemishonga yekurapa imhando yekurapa iyo varapi vazhinji nevarapi vezvepfungwa vanga vachiwedzera kushandisa mukati memakore gumi apfuura.

Basa reMishonga

Kusvika nguva pfupi yadarika, vanachiremba vakanyorera mushonga weanodzvinyirira kubva mukirasi imwe chete yemishonga, imwe panguva imwe chete. Izvi zvinonzi monotherapy. Kana iwo mushonga ukakundikana, vanogona kuyedza mumwe mushonga mukati mekirasi iyoyo, kana kuchinjira kune rimwe kirasi remishonga yekudzvinyirira zvachose.

Kutsvagisa izvozvi kunoratidza kuti kutora antidepressants kubva kumakirasi mazhinji inogona kunge iri nzira yakanakisa yekurapa MDD. Imwe ongororo yakawana kuti kushandisa nzira yekubatanidza pachiratidzo chekutanga che MDD kunogona kupeta mukana wekuregererwa.

Atypical Anodzvinyirira

Pamusoro payo, bupropion inoshanda zvakanyanya pakurapa MDD, asi inogona zvakare kushandiswa pamwe chete nemimwe mishonga mune yakaoma-kurapa kushushikana. Muchokwadi, bupropion ndeimwe yemishonga inowanzo shandiswa yemishonga yekurapa. Inowanzo shandiswa nesarudzo serotonin reuptake inhibitors (SSRIs) uye serotonin- norepinephrine reuptake inhibitors (SNRIs). Kazhinji zvinoregererwa mukati mevanhu vakasangana nemhedzisiro yakaipa kubva kumimwe mishonga yekudzvinyirira. Inogona zvakare kubvisa zvimwe zvebonde mhedzisiro (yakadzikira libido, anorgasmia) inosangana neakakurumbira SSRIs uye SNRIs.

Kune vanhu vari kurasikirwa nekudya uye kusarara, mirtazapine inogona kunge iri sarudzo. Yayo yakajairika mhedzisiro mhedzisiro kurema uye kunyaradza. Zvisinei, mirtazapine haisati yadzidzwa zvakadzama semubatanidzwa mushonga.

Antipsychotic

Kutsvagurudza kunoratidza kuti panogona kuve nerubatsiro pakurapa zvakasara zviratidzo muvanhu vanotora SSRI nemaatypical antipsychotic, senge aripiprazole. Iyo inogona kuitika mhedzisiro inosanganisirwa nemishonga iyi, senge kuwedzera huremu, kudedera kwemhasuru, uye kukanganiswa kwemetabolic, inofanirwa kutariswa zvakaringana sezvo inogona kuwedzera kana kuwedzera zvimwe zviratidzo zvekuora mwoyo.

L-Triiodothyronine

Vamwe vanachiremba vanoshandisa L-Triiodothyronine (T3) mukubatanidza kurapa ne tricyclic antidepressants (TCAs) uye monoamine oxidase inhibitors (MAOIs). Tsvagurudzo mazano T3 iri nani pakumhanyisa mhinduro yemuviri pakurapwa pane kuwedzera mukana wekuti munhu apinde mukuregererwa.

Zvinokurudzira

D-amphetamine (Dexedrine) uye methylphenidate (Ritalin) zvinokurudzira kurapa kushushikana. Inogona kushandiswa se monotherapy, asi inogona zvakare kushandiswa mukubatanidza kurapa nemishonga inodzvinyirira. Ivo vanonyanya kubatsira kana zvaunoda mhinduro iri yekukurumidza mhinduro. Varwere vakaremara, kana avo vane comorbid mamiriro (senge sitiroko) kana chirwere chisingaperi chekurapa, vanogona kuve vakwikwidzi vakanaka pamubatanidzwa uyu.

Musanganiswa Therapy seYekutanga-Mutsetse Kurapa

Kubudirira kwehuwandu hwekurapa monotherapy kwakadzikira, uye saka vazhinji vaongorori navanachiremba vanotenda nzira yekutanga uye yakanakisa yekurapa MDD imishonga yekurapa. Zvakadaro, vanachiremba vazhinji vachatanga kurapa nemushonga unodzvinyirira mumwe chete.

Usati waita sarudzo nezve mushonga, ipe iyo nguva yekushanda. Mushure menguva yekutongwa (kazhinji angangoita mavhiki maviri kusvika mana), kana ukasaratidza mhinduro yakakwana, chiremba wako angangoda kushandura mishonga kana kuwedzera imwe mishonga kuti aone kana mubatanidzwa uchibatsira chirongwa chako chekurapa kubudirira.