Ka Sehloohong >> Boitsebiso Ba Lithethefatsi >> Ho imeloa kelellong: Ts'ebeliso, lihlahisoa tse tloaelehileng le tlhaiso-leseling ka polokeho

Ho imeloa kelellong: Ts'ebeliso, lihlahisoa tse tloaelehileng le tlhaiso-leseling ka polokeho

Ho imeloa kelellong: TsBoitsebiso ba Lithethefatsi

Lethathamo la ho imeloa kelellong | Ho imeloa kelellong ke eng? | Ba sebetsa joang | Sebelisa | Mefuta | Ke mang ea ka nkang ho imeloa kelellong? | Polokeho | Litla-morao | Litšenyehelo

Ho sithabela maikutlo ke lefu le tloaelehileng la maikutlo le ka bonts'ang matšoao a matla ha le sa alafatsoe. Ho na le mefuta e fapaneng ea khatello ea maikutlo, empa o mong le o mong o ka ama maikutlo a hau le ho etsa mesebetsi ea letsatsi le letsatsi e kang ho robala, ho sebetsa kapa ho ja.



Ho sithabela maikutlo ho fumanoa ha o ba le matšoao a ikhethileng boholo ba letsatsi, letsatsi ka leng, ka libeke tse peli. Matšoao a ona a kenyelletsa maikutlo a sa feleng a ho hlonama kapa ho tšoenyeha, maikutlo a ho felloa ke tšepo, ho ikutloa u le molato kapa ho hloka thuso, ho felloa ke thahasello mesebetsing ea boithabiso kapa ho fokotseha ha matla. Ho na le matšoao a mang a khatello ea maikutlo, mme mofani oa hau oa mantlha kapa oa mafu a kelello a ka bua le uena ka botlalo haeba a belaela hore o na le khatello ea maikutlo.



Ho tepella maikutlo ke boloetse bo ka phekolehang. Khetho ea kalafo e kenyelletsa kalafo ea kelello, boikoetliso, meriana kapa tse ling tsa tsona. Bakeng sa linyeoe tse matla le ho feta, kalafo ea motlakase (ECT) le mefuta e meng ea ts'usumetso ea boko e ka ba thuso. Mabapi le likhetho tsa kalafo ea meriana, li-anti-depressing ke sehlopha se akaretsang sa meriana e sebelisetsoang ho sebetsana le khatello ea maikutlo. Ho na le li-subtypes tse ngata tsa ho imeloa kelellong, 'me re tla tšohla thepa ea bona e fapaneng, mabitso a mabitso a tloaelehileng le polokeho ea bona.

Lethathamo la li-anti-depressing

Lebitso la lebitso (lebitso le tloaelehileng) Karolelano ea theko ea chelete Theko ea SingleCare Ithute haholoanyane
Elavil (ts'ebetsong) 27.99 ka 30, 25 mg, Letlapa Fumana litlankane tsa amitriptyline Lintlha tsa Amitriptyline
Tlosa (aripiprazole) $ 1059.99 ka 30, 5 mg, Letlapa Fumana Tlatsa litlankane Tlosa lintlha
Wellbutrin (bupropion) $ 194 ho tse 30, 150 mg XL Letlapa Fumana litlankane tsa Wellbutrin Lintlha tsa Wellbutrin
Selexa (citalopram) $ 366.67 ka 30, matlapa a 20 mg Fumana litlankane tsa Celexa Lintlha tsa Celexa
Pristiq (desvenlafaxine) $ 378.99 ka 30, 50 matlapa a mg Fumana litlankane tsa Pristiq Lintlha tsa Pristiq
Silenor (doxepin) $ 499.96 ka li-30, li-capsules tsa 6mg Fumana litlankane tsa Silenor Lintlha tsa Silenor
Cymbalta (duloxetine) $ 471.10 ka 30, 60 mg capsules Fumana litlankane tsa Cymbalta Lintlha tsa Cymbalta
Lexapro (escitalopram) $ 177.39 ka 30, matlapa a 10 mg Fumana litlankane tsa Lexapro Lintlha tsa Lexapro
Prozac (fluoxetine) $ 300.39 ka 30, li-capsules tse 20 mg Fumana litlankane tsa Prozac Lintlha tsa Prozac
Paxil (paroxetine) $ 355.12 ka 30, matlapa a 20 mg Fumana litlankane tsa Paxil Lintlha tsa Paxil
Zoloft (sertraline) $ 126.81 ka 30, 50 matlapa a mg Fumana litlankane tsa Zoloft Lintlha tsa Zoloft
Desyrel (trazodone) $ 70.99 ka 30, matlapa a 100 mg Fumana litlankane tsa Desyrel Lintlha tsa Desyrel
Effexor (venlafaxine) $ 317.92 ka 30, 150 mg li-capsules tsa ER Fumana litlankane tsa Effexor Lintlha tsa Effexor
Viibryd (vilazodone) $ 495.14 ka 30, matlapa a 40 mg Fumana litlankane tsa Viibryd Lintlha tsa Viibryd
Trintellix (vortioxetine) $ 701.08 ka 30, matlapa a 20 mg Fumana litlankane tsa Trintellix Lintlha tsa Trintellix

Lithethefatsi tse ling tsa ho imeloa kelellong

  • Asendin (amoxapine)
  • Rexulti (brexipiprazole)
  • Anafranil (clomipramine)
  • Priligy (dapoxetine)
  • Norpramin (desipramine)
  • Spravato (esketamine)
  • Varicose (gepirone)
  • Tofranil (imipramine)
  • Marplan (isocarboxazid)
  • Metafolin (levomefolate)
  • Fetzima (levomilnacipran)
  • Ludiomil (maprotiline)
  • Remeron (mirtazapine)
  • Serzone (nefazodone)
  • Pamelor (nortriptyline)
  • Zyprexa (olanzapine)
  • Nardil (phenelzine)
  • Vivactil (protriptyline)
  • Seroquel (quetiapine)
  • Moholo (selegiline)
  • Parnate (tranylcypromine)
  • Surmontil (trimipramine)

Ho imeloa kelellong ke eng?

Ho imeloa kelellong ke sehlopha se seholo sa meriana e laetsoeng ho phekola mefuta e fapaneng ea mathata a ho tepella maikutlo. Tsena li ka kenyelletsa khatello ea maikutlo e kholo, khatello e sa feleng ea khatello ea maikutlo, khatello ea maikutlo ka mor'a ho pepa, khatello ea kelello ea kelello, lefu la linako le linako. ho ferekana kelellong .



Ho na le mefuta e fapaneng ea li-anti-depressing mme e 'ngoe le e' ngoe e sebetsa ka tsela e fapaneng ho fokotsa matšoao a khatello ea maikutlo. Matšoao a mangata a ho imeloa kelellong a na le matšoao a fetang a le mong a lumelloang kaha a mang a ka thusa ho sebetsana le mathata a mang ho kenyelletsa ho tšoenyeha, ho tšoha, ho sithabela maikutlo kamora ho sithabela (PTSD), ho hloka taolo ho feteletseng (OCD), le ho ejaculation pele ho nako.

Li-anti-depressing li sebetsa joang?

Ka mokhoa o pharaletseng, li-anti-depressing li sebetsa ka ho fetola likarolo tse fapaneng tsa methapo ea kutlo e amang maikutlo. Sehlopha ka seng sa ho imeloa kelellong se sebetsa ka tsela e fapaneng. Ka kakaretso, serotonin, norepinephrine, le dopamine ke li-neurotransmitters tsamaisong ea methapo e bohareng (CNS) e amanang le maikutlo. Maemo a phahameng a li-transmitter tsena a amahanngoa le maikutlo a ntlafetseng le boits'oaro. Sehlopha ka seng sa ho imeloa kelellong se eketsa e le 'ngoe kapa tse' maloa tsa li-neurotransmitters ka tsela e ikhethang.

Li-anti-depressing li sebelisetsoa eng?

  • Ho tepella maikutlo
    • Lefu le leholo la khatello ea maikutlo
    • Ho tepella maikutlo ka mor'a ho pepa
    • Boloetse bo amanang le linako tsa selemo
    • Bothata ba ho ferekana kelellong
    • Ho tepella maikutlong
  • Ho tšoenyeha
  • Boloetse bo feteletseng bo qobelloang
  • Bothata ba ho tšoha
  • Fibromyalgia
  • Ho chesa haholo
  • Thibelo ea migraine
  • Khatello ea kelello e sithabetsang kelello (PTSD)
  • Bothata ba pele ho nako ea dysphoric

Mefuta ea ho imeloa kelellong

Serotonin reuptake inhibitors (SSRIs) e khethiloeng

SSRIs e thibela ho ts'oaroa hape ha serotonin ho synapse (mateano) lipakeng tsa methapo bokong. Sena se siea serotonin ea mahala, 'me keketseho ena ea serotonin ea mahala e amahanngoa le matšoao a fokolang a khatello ea maikutlo le maikutlo a betere. Li-SSRI li nkuoa e le khetho ea pele kalafong ea khatello ea maikutlo hobane li na le litlamorao tse fokolang.



Mehlala ea li-SSRI: Lexapro , Paxil, Celexa, Prozac , Zoloft

Serotonin norepinephrine reuptake inhibitors (SNRIs)

SNRIs e thibela ho ts'oaroa hape ha serotonin le norepinephrine ho synapse ea methapo. Methati ena e sa lefelloeng ea liphetisetso ka bobeli e bontšitsoe e sebetsa khahlano le matšoao a khatello ea maikutlo. SNRI e sebetsa hantle joalo ka li-SSRI 'me e ka sebelisoa e le kalafo ea mohala oa pele khahlano le khatello ea maikutlo.

Mehlala ea SNRIs: Cymbalta , E sebetsang, Pristiq , Fetzima



Norepinephrine le Dopamine Inhibitors (NDRIs)

NDRIs e thibela ho ts'oaroa hape ha dopamine le norepinephrine ho synapse ea methapo, e eketsa ho tsepamisa mohopolo ha li-neurotransmitters tsena tse peli. Sehlopha sena sa lithethefatsi le sona se netefalitsoe hore sea sebetsa ho emeng ho tsuba.

Mehlala ea li-NDRIs: Wellbutrin



Li-anti-depressing tsa Tricyclic (TCAs)

Li-TCA li eketsa maemo a norepinephrine le serotonin ha li ntse li thibela acetylcholine le histamine, tse ka bang le phello e mpe maikutlong. Li-TCA ke sehlopha sa khale ka ho fetisisa sa ho imeloa kelellong 'me hangata se nkuoa e le kalafo ea mohala oa bobeli kamora SSRIs le SNRI hobane ha ho bonolo ho e mamella.

Mehlala ea li-TCA: Tofranil, Pamelor, Norpramin



Monoamine oxidase inhibitors (MAOIs)

MAOIs a thibela liketso tsa li-enzyme tsa monoamine oxidase. Sena se eketsa ho tsepamisa mohopolo ho dopamine, norepinephrine, le serotonin. MAOIs a ka ba le litšebelisano tse matla tsa lithethefatsi le lihlopha tse ling tse ngata tsa lithethefatsi mme ha li nkoe e le kalafo ea khetho ea pele ea khatello ea maikutlo.

Mehlala ea MAOIs: Marplan Nardil, Lehlaka



Ke mang ea ka nkang ho imeloa kelellong?

Batho ba baholo

Banna le basali ba baholo ba ka noa li-anti-depressing. Tlhokomelo e lokela ho sebelisoa ho mokuli ofe kapa ofe haeba ba kile ba ba le ts'oaetso ea hypersensitivity ho li-anti-depressing tse ling. Ho imeloa kelellong ho amahanngoa le keketseho ea menahano ea ho ipolaea ho batho ba baholo ba ka tlase ho lilemo tse 25, mme sehlopha sena sa lilemo se lokela ho beoa leihlo haufi-ufi bakeng sa matšoao a menahano ea ho ipolaea.

Batho ba baholo

Mefuta e meng ea ho imeloa kelellong e lokela ho sebelisoa ka hloko ho batho ba baholo. Li-TCA li tloaetse ho baka ho otsela 'me li ka beha mokuli ea holileng kotsing e kholo ea ho oa. Haeba ts'ebetso ea sebete kapa ea liphio e fokotseha, ngaka ea hau e kanna ea nahana ho u qala ka lethal dose e tlase.

Bana

Meriana e meng ea ho imeloa kelellong e amohetse matšoao ho bana le lilemong tsa bocha. Leha ho le joalo, tse ngata li na le tlhokomeliso e matla khahlanong le ts'ebeliso ea tsona ka lebaka la keketseho ea menahano ea ho ipolaea. Ts'ebeliso ea bana e lokela ho lekanyetsoa maemong ao likhetho tse ling tse sireletsehileng tsa kalafo li hlotsoe, mme molemo o ka bang teng o feta kotsi eo. Bana le bacha ba lokela ho beoa leihlo haufi-ufi.

Na li-anti-depressing li sireletsehile?

Ho imeloa kelellong hoa hopola:

Lithibelo tsa ho imeloa kelellong

U se ke ua noa li-anti-depressing haeba u na le nalane ea ho itšoara habonolo ha li-anti-depressing tse ling.

Bakuli ba nang le nalane ea mafu a kelello a kenyeletsang mohopolo oa ho ipolaea kapa psychosis ba lokela ho ba hlokolosi ha ba noa li-anti-depressing, Maemong a mang, lithibela-mafu li ka mpefatsa mathata ana. Bakuli bana ba lokela ho beoa leihlo haufi-ufi ke bafani ba bona ba tlhokomelo ea bophelo.

Matšoao a Serotonin a ka hlaha ho bakuli ba sebelisang lithethefatsi ka tšebetso ea serotonergic, haholo haeba ba nka tse fetang e le 'ngoe. Lefu la Serotonin ke phello ea serotonin e sa lefelloeng haholo 'me e ka baka matšoao a kang ho ferekana, pherekano, ho otla ha pelo kapele, ho fufuleloa haholo le lets'ollo.

Lithethefatsi tse ling tse loantšang khatello ea maikutlo ha li khothaletsoe ho bakuli ba nang le ho holofala ha sebete kapa sebete. Etsa bonnete ba hore ngaka ea hau e tseba maemo a hau a bongaka ha u bua ka mekhoa ea kalafo.

Ho imeloa kelellong ha hoa lokela ho emisoa ka tšohanyetso kapa ntle le tumello ea mofani oa tlhokomelo ea bophelo. Matšoao a ho khaotsa a ka hlaha.

A na u ka nka li-anti-depressing ha u le moimana kapa u anyesa?

SSRIs ka kakaretso lia amoheleha nakong ea bokhachane le ha li anyesa ntle le Paxil (paroxetine). Ke eona feela SSRI e bonts'itsoeng e baka kotsi. Haeba u ne u le Paxil pele u ima, ngaka ea hau e kanna ea fana ka maikutlo a likhetho tse ling. Ts'ebeliso ea SNRIs e kanna ea amoheleha kamora hore ngaka ea hau e etse tlhahlobo ea melemo ea kotsi. Boholo ba li-anti-depressing tse ngata li lokela ho qojoa nakong ea bokhachane le ho anyesa.

Na meriana e loantšang khatello ea maikutlo e laoloa?

Boholo ba li-anti-depressing ha se lintho tse laoloang hobane tse ngata ha li iketsetse tloaelo ebile ha li bake ho itšetleha. Ntho e 'ngoe e ikhethang ke Spravato (esketamine), e leng ntho e laoloang ea kemiso ea III e khethiloeng ke Drug Enforcement Agency (DEA).

Litla-morao tse tloaelehileng tsa lithibela-mafu

Ho imeloa kelellong ho ka baka litla-morao tse fapaneng. Tsena li tla fapana hanyane ka mofuta oa ho imeloa kelellong 'me hangata li its'etleha ka lethal dose. Sena se bolela hore litla-morao tse ling li kanna tsa ba teng ka tekanyetso e phahameng ea meriana.

Litla-morao tse tloaelehileng haholo bakeng sa ho imeloa kelellong ke:

  • Ho nyekeloa
  • Ho hlobaela
  • Botsoa
  • Ho sokela
  • Ho otsela
  • Anorexy
  • Mokhathala
  • Orthostatic hypotension
  • Hyperhidrosis
  • Xerostomia
  • Ho se sebetse ha Erectile
  • Ho tšoenyeha
  • Dyspepsia
  • Ho thothomela
  • Boima ba 'mele
  • Molomo o omileng
  • Ho tlohela matšoao
  • Khatello ea mali e phahameng

Ho imeloa kelellong ho bitsa bokae?

Hoo e batlang e le lihlopha tsohle tsa ho imeloa kelellong li fumaneha ka mokhoa o tloaelehileng. Ka ts'ebeliso ea li-coupon tsa SingleCare, phepelo ea khoeli e ka tlase ho $ 10 bakeng sa li-anti-depressing tse ngata le ha o sena inshorense. Ho na le meriana e 'maloa e mecha e sebelisetsoang ho loants'a khatello ea maikutlo e se nang li-generic mmarakeng. Mohlala o mong ke oa Viibryd, o ka bang $ 500 haeba o se inshorense. A setlankane se tsoang ho SingleCare e ka theola litšenyehelo tsa Viibryd ka tlase ho $ 300. Trintellix ke mohlala o mong oa mofuta feela oa ho imeloa kelellong mme o feta $ 700 ka karolelano ntle le inshorense. A Setlankane sa Trintellix SingleCare e ka theola theko ho isa ho $ 360 — e leng poloko ea bohlokoa.

Inshorense ea hau e kanna ea ba le lithibelo tsa semolao tse tla fana ka maikutlo a hore u leke mefuta ea lithethefatsi tse ratoang pele li ka amohela ts'ebeliso ea meriana e turang ho phekola khatello ea maikutlo. Pele o tlatsa meriana ea hau ea ho imeloa kelellong, lula u botsa SingleCare ho netefatsa hore u lefa theko e ntle ka ho fetisisa.