Nā Nīnau 6 e nīnau ai i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona MDD

Anter

• 1. Ke lawe nei wau i kaʻu lāʻau i ke ala kūpono?
• 2. Aia wau i ka lāʻau kūpono?
• 3. Ke lawe nei au i ka mahele kūpono?
• 4. He aha kaʻu mau koho lapaʻau ʻē aʻe?
• 5. Hiki paha i nā pilikia ʻē aʻe ke hoʻonāukiuki i kaʻu mau ʻōuli?
• 6. Manaʻoʻiʻo au kaumaha au?

Hana maikaʻi nā Antidepressants i ka mālama ʻana i nā ʻōuli me ka maʻi depressive nui (MDD). Eia naʻe hoʻokahi hapakolu o ka poʻe e ʻike i ka hōʻoluʻolu kūpono mai kā lākou hōʻailona me ka lāʻau mua a lākou e hoʻāʻo ai. ʻAʻole pili ka poʻe me MDD i ke kōkua piha mai kahi antidepressant, ʻaʻohe mea a lākou e lawe ai i ka mua. E hoʻomaikaʻi maikaʻi nā poʻe ʻē aʻe i kekahi manawa, akā i ka hopena, hoʻi paha kā lākou mau ʻōuli.

Inā ʻoe e ʻike i nā mea e like me ke kaumaha, ka hiamoe maikaʻi ʻole, a me ka hoʻohaʻahaʻa iā ʻoe iho a me nā lāʻau ʻaʻole kōkua, ua hiki i ka manawa e kamaʻilio me kāu kauka no nā koho ʻē aʻe. Eia nā nīnau ʻeono e alakaʻi iā ʻoe i loko o ke kūkā a lawe iā ʻoe i ke ala lapaʻau kūpono.

1. Ke lawe nei wau i kaʻu lāʻau i ke ala kūpono?

ʻO ka hapalua o ka poʻe e noho nei me ke kaumaha ʻaʻole lākou e lawe i kā lākou antidepressant i ke ala a kā lākou kauka i kauoha ai - a i ʻole. Hiki i ka hōʻalo ʻana i nā lāʻau ke hoʻololi i ka maikaʻi o ka hana ʻana o ka lāʻau.

Inā ʻaʻole ʻoe i hana pēlā, e hele i nā ʻōkuhi dosing me kāu kauka e hōʻoia e lawe pololei ʻoe i ka lāʻau. Mai hōʻoki loa i ka lawe ʻana i kāu lāʻau me ka ʻole a me ke nīnau ʻole ʻana i kāu kauka. Inā hoʻonāukiuki nā hopena iā ʻoe, e nīnau i kāu kauka inā hiki iā ʻoe ke hoʻololi i kahi lāʻau haʻahaʻa, a i ʻole kahi lāʻau ʻē aʻe me nā hopena ʻē aʻe.

2. Aia wau i ka lāʻau kūpono?

Ua ʻae ʻia kekahi mau ʻano antidepressants e mālama iā MDD. Ua hoʻomaka paha kāu kauka iā ʻoe ma ka mea koho serotonin reuptake inhibitor (SSRI) e like me fluoxetine (Prozac) a i ʻole paroxetine (Paxil).

ʻO nā koho ʻē aʻe:

• serotonin-norepinephrine
  lawe hou i nā mea kāohi (SNRI) e like me duloxetine (Cymbalta) a me venlafaxine (Effexor
  XR)
• nā lāʻau lapaʻau atypical
  e like me bupropion (Wellbutrin) a me mirtazapine (Remeron)
• kaʻa ʻōhua
  nā antidepressants e like me nortriptyline (Pamelor) a me desipramine (Norpramin)

ʻO ka loaʻa ʻana o ka lāʻau e pono ai nāu hiki ke hana i kekahi hoʻokolokolo a me ka hemahema. Inā ʻaʻole kōkua ka lāʻau mua āu e hoʻāʻo ai ma hope o kekahi mau pule, hiki i kāu kauka ke hoʻololi iā ʻoe i kahi antidepressant ʻē aʻe. E hoʻomanawanui, no ka mea hiki ke hala i ʻekolu a ʻehā mau pule no kāu lāʻau e hoʻomaka ai e hana. I kekahi mau hihia, hiki ke hala i 8 mau pule ma mua o ka ʻike ʻana i nā loli i kou ʻano.

ʻO ke ala hoʻokahi e hiki ai i kāu kauka ke hoʻohālikelike iā ʻoe i ka lāʻau kūpono me ka hōʻike cytochrome P450 (CYP450). Nānā kēia hoʻāʻo no kekahi ʻano ʻano ʻē aʻe e pili ana i ka hana ʻana o kou kino i nā antidepressants. Hiki i kēia ke kōkua i kāu kauka e hoʻoholo i nā lāʻau e hoʻomaʻamaʻa maikaʻi ʻia e kou kino, e alakaʻi ana i nā hopena ʻē aʻe a me ka hoʻomaikaʻi maikaʻi.

3. Ke lawe nei au i ka mahele kūpono?

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haahaa o kahi antidepressant e ʻike inā holo pono ia. Inā ʻaʻole, e hoʻonui mālie lākou i ka lāʻau. ʻO ka pahuhopu ka hāʻawi ʻana iā ʻoe i lawa ka lāʻau e hōʻoluʻolu ai i kāu mau hōʻailona, ​​me ka ʻole o nā hopena ʻoluʻolu ʻole.

4. He aha kaʻu mau koho lapaʻau ʻē aʻe?

ʻAʻole wale nā ​​lāʻau lapaʻau Antidepressant no ka MDD. Hiki iā ʻoe ke hoʻāʻo i ka psychotherapy e like me ka cognitive behavioral therapy (CBT). Me CBT, hana pū ʻoe me kahi mea lapaʻau nāna e kōkua iā ʻoe e ʻike i nā hiʻohiʻona hōʻino o ka noʻonoʻo a loaʻa i nā ala kūpono e kū ai i nā pilikia i kou ola. ʻike ʻoi aku ka maikaʻi o ka hui ʻana o ka lāʻau a me CBT ma nā ʻōuli o ke kaumaha ma mua o ka hoʻomaʻamaʻa hoʻokahi wale nō.

ʻO ka stimulate nerve Vagus (VNS) kahi lāʻau lapaʻau ʻē aʻe e hoʻohana ai no ke kaumaha ke hana ʻole nā ​​antidepressants. I VNS, wili ʻia kahi uea ma ke aʻalolo vagus e holo ana mai ka hope o kou ʻāʻī i kou lolo. Hoʻopili ia i kahi mea like pacemaker e hoʻoili i nā impulses uila i kou lolo e hōʻoluʻolu i nā hōʻailona kaumaha.

No ke kaumaha loa, electroconvulsive therapy (ECT) kekahi koho. ʻAʻole like kēia me ka "shock therapy" i hāʻawi ʻia i kekahi manawa i nā mea maʻi i nā asylum noʻonoʻo. He palekana a palekana ʻo ECT no ke kaumaha e hoʻohana ana i nā kaʻi uila uila i ka hoʻāʻo e hoʻololi i ka kemika o ka lolo.

5. Hiki paha i nā pilikia ʻē aʻe ke hoʻonāukiuki i kaʻu mau ʻōuli?

Nui a hewahewa nā kumu i hiki ke hōʻeha i nā hōʻailona depressive. Hiki paha i kahi mea ʻē aʻe ke hana nei i kou ola ke kaumaha nei ʻoe, a ʻaʻole lawa ka lāʻau lapaʻau e hoʻoponopono ai i ka pilikia.

E noʻonoʻo i kēia mau mea ʻē aʻe i hiki ke hoʻonā i kahi ʻano kaumaha:

• kahi loli ola hou,
  e like me ka nalo ʻana o kahi mea aloha, ka hoʻomaha loa, kahi neʻe nui, a i ʻole ka hemo male
• mehameha mai ka noho ʻana
  hoʻokahi a i ʻole ka lawa ʻole o ka launa pū ʻana
• he kō-kiʻekiʻe, hana ʻia
  papaʻai
• hoʻoikaika kino loa
• kaumaha nui mai a
  hana paʻakikī a i ʻole kahi pilina olakino
• lāʻau a lāʻau paha

6. Manaʻoʻiʻo au kaumaha au?

Inā ua hoʻāʻo ʻoe i kekahi mau lāʻau antidepressants a ʻaʻole lākou i hana, hiki paha i kahi ʻano olakino ʻē aʻe a lāʻau lāʻau paha āu e lawe ai ke kumu e ʻike nei i nā hōʻailona o MDD.

ʻO nā kūlana i hiki ke hoʻopilikia i nā hōʻailona like me:

• he overactive a i ʻole
  thyroid underactive (hypothyroidism a i ʻole hyperthyroidism)
• puʻuwai puʻuwai
• lupus
• Maʻi Lyme
• diabetes
• lualua
• mau sclerosis (MS)
• hahau
• Maʻi ʻo Parkinson
• ʻeha mau
• anemia
• pāʻālua hiamoe ʻaʻano
  (OSA)
• hōʻino lāʻau
• hopohopo

Nā lāʻau i hiki ke kumu i nā hōʻailona depressive me:

• nā mea ʻeha opioid
• lāʻau lapaʻau koko kiʻekiʻe
• Corticosteroids
• lāʻau hoʻomalu hānau
• nā mea hoʻonanea

Inā loaʻa kahi lāʻau i kāu mau hōʻailona, ​​kōkua ke hoʻololi ʻana i kahi lāʻau ʻokoʻa.

He hiki nō paha iā ʻoe ke loaʻa i kahi ʻano olakino noʻonoʻo, e like me ka maʻi bipolar.Inā ʻo ia ka hihia, pono ʻoe e kūkākūkā i nā koho lapaʻau ʻē aʻe me kāu kauka. ʻO ka maʻi Bipolar a me nā kūlana olakino ʻē aʻe e koi ai i ka mālama ʻokoʻa ʻana mai MDD.