Kho Cov Mob Muaj Zog Nrog Tshuaj Tiv Thaiv Kab Mob

Zoo Siab

• Cov tshuaj tiv thaiv kev ntxhov siab sib txawv yog dab tsi?
• Cov txiaj ntsig ntawm kev tiv thaiv kev ntxhov siab rau lub cev ntas yog dab tsi?
• Cov tshuaj tiv thaiv kev ntxhov siab zoo li cas?
• Puas yog cov tshuaj tiv thaiv kev nyab xeeb?
• Serotonin cov tsos mob
• Hauv qab kab

Cov tshuaj tiv thaiv kev ntxhov siab yog dab tsi?

Cov tshuaj tiv thaiv kev ntxhov siab yog cov tshuaj uas pab kho cov tsos mob ntawm kev mob siab ntsws. Feem ntau cuam tshuam ib hom tshuaj hu ua neurotransmitter. Neurotransmitters nqa xov nruab nrab ntawm lub hlwb hauv koj lub hlwb.

Txawm hais tias lawv lub npe, kev tiv thaiv kab mob tuaj yeem kho tau ntau yam kev mob ntxiv nrog rau kev ntxhov siab. Cov no suav nrog:

• ntxhov siab vim thiab ceeb ntshai
• kev noj zaub mov tsis meej
• insomnia
• mob mob mus ntev
• yastes yastaw

Cov tshuaj tiv thaiv kev ntxhov siab kuj yuav pab kho cov tsos mob lawm. Nyeem rau kom paub ntau ntxiv txog cov txiaj ntsig ntawm antidepressants rau kev ntas.

Cov tshuaj tiv thaiv kev ntxhov siab sib txawv yog dab tsi?

Muaj plaub hom tshuaj tiv thaiv kev ntxhov siab:

• Xaiv serotonin reuptake inhibitors (SSRIs). SSRIs nce qhov ntau ntawm cov neurotransmitter serotonin hauv koj lub hlwb. Cov kws kho mob feem ntau tau sau tseg rau qhov no ua ntej vim tias lawv ua rau tshwm sim tsawg tshaj plaws.
• Serotonin-norepinephrine reuptake inhibitors (SNRIs). SNRIs nce serotonin thiab norepinephrine ntau hauv koj lub hlwb.
• Tricyclic cov tshuaj tiv thaiv kev ntxhov siab. Cov no khaws cia ntau cov serotonin thiab norepinephrine muaj nyob hauv koj lub hlwb.
• Monoamine oxidase inhibitors (MAOIs). Serotonin, norepinephrine, thiab dopamine yog txhua yam monoamines. Ib qho tshuaj monoamine yog ib hom tshuaj tso dag tso dag. Koj lub cev ib txwm tsim cov enzyme hu ua monoamine oxidase uas txov lawv. MAOI ua haujlwm los ntawm thaiv cov enzyme no los ntawm kev ua ntawm cov monoamines hauv koj lub hlwb. Txawm li cas los xij, MAOIs tsis tshua muaj kws kho ntxiv lawm, vim nws tuaj yeem ua rau muaj kev phiv ntau dua.

Cov txiaj ntsig ntawm kev tiv thaiv kev ntxhov siab rau lub cev ntas yog dab tsi?

Cov tshuaj tiv thaiv kev ntxhov siab tuaj yeem muab kev kho mob los ntawm vasomotor cov tsos mob ntawm lawm. Cov tsos mob Vasomotor koom nrog cov hlab ntsha. Lawv suav nrog qee yam xws li:

• kub muag kawg
• tsaus ntuj tawm hws
• tawv nqaij yaug

Cov no kuj yog qee qhov pom tshwm sim tag nrho lub cev lawm. Yuav luag txhua tus poj niam muaj hnub nyoog muaj cov tsos mob no, sau tseg ib txoj kev tshawb fawb 2014.

Cov kev tshawb fawb pom tias SSRIs lossis SNRIs tsawg dua tuaj yeem pab txo cov tsos mob vasomotor, tshwj xeeb tshaj yog kub ib ce thiab tawm hws hmo ntuj. Piv txwv li, pom pom tias muaj tsawg kawg ntawm SNRI venlafaxine (Effexor) tau ua haujlwm yuav luag ib yam li kev kho qhov qub tshuaj rau txo qis kub.

Lwm los ntawm 2015 pom tias qhov tsawg kawg ntawm SSRI paroxetine (Paxil) kev txhim kho zoo pw tsaug zog hauv cov poj niam mus hla lawm. Cov neeg koom nrog kev pw tsaug zog zoo dua vim tias muaj cov tsos mob tsawg dua vasomotor thaum hmo ntuj thaum noj cov paroxetine.

Cov txiaj ntsig ntawm kev sim no tau muaj kev cia siab, tab sis cov kws tshaj lij tseem tsis paub meej tias vim li cas SSRIs thiab SNRIs txo cov tsos mob vasomotor. Tej zaum yuav cuam tshuam rau lawv lub peev xwm sib npaug ntawm norepinephrine thiab serotonin theem. Ob qho ntawm cov neurotransmitters pab tswj lub cev kub.

Nco ntsoov tias cov tshuaj tiv thaiv kev ntxhov siab tsuas yog paub pab txhawm rau kub thiab tawm hws hmo ntuj. Yog tias koj tab tom nrhiav kho lwm tus mob lawm, kev kho tshuaj hormones yog qhov kev xaiv zoo dua.

Cov tshuaj tiv thaiv kev ntxhov siab zoo li cas?

Cov tshuaj tiv thaiv kev ntxhov siab tuaj yeem ua rau ntau qhov tshwm sim. SSRIs feem ntau ua rau cov kev phiv tsawg tshaj plaws. Koj tus kws kho mob yuav qhia kom sim ua ntej.

Cov kev mob tshwm sim thoob plaws cov sib txawv ntawm cov tiv thaiv kev ntxhov siab muaj xws li:

• qhov ncauj qhuav
• xeev siab
• kev tshee
• nyob tsis tswm
• insomnia
• cov teeb meem kev sib deev, xws li mob erectile kawg

Tricyclic antidepressants, suav nrog amitriptyline, tuaj yeem ua rau muaj kev phiv ntxiv, xws li:

• qhov muag plooj
• cem quav
• tee nyob rau hauv cov ntshav siab thaum sawv ntsug
• kev tso zis cia
• tsaug zog

Cov tshuaj tiv thaiv kev ntxhov siab kuj sib txawv ntawm cov tshuaj, txawm tias nyob hauv tib hom. Ua haujlwm nrog koj tus kws kho mob kom xaiv cov tshuaj tiv thaiv kev ntxhov siab uas muab cov txiaj ntsig zoo tshaj plaws nrog cov kev mob tshwm sim tsawg tshaj plaws. Koj yuav tsum sim me ntsis ua ntej koj pom ib qho uas ua haujlwm.

Puas yog cov tshuaj tiv thaiv kev nyab xeeb?

Cov tshuaj tiv thaiv kev ntxhov siab feem ntau nyab xeeb. Txawm li cas los xij, feem ntau cov tshuaj tiv thaiv kev ntxhov siab uas siv rau cov tsos mob lawm yog suav tias yog siv daim ntawv lo. Qhov no txhais tau tias cov tshuaj tiv thaiv kev tiv thaiv tsis tau ua qhov kev sim nruj tib yam los xyuas kom muaj kev nyab xeeb thiab muaj txiaj ntsig thaum nws los kho qhov kub thiab lub ntsej muag tsaus ntuj.

Muaj ib qho tshuaj hu ua Brisdelle uas tau kawm los ntawm Asmeskas Cov Khoom Noj thiab Tshuaj (FDA) tshwj xeeb los kho vasomotor cov tsos mob. Nws tau qhia tau zoo hauv kev txo cov phom sij kub thiab tawm hws hmo ntuj thaum lub sijhawm lawm.

Cov tshuaj tiv thaiv kev ntxhov siab kuj tuaj yeem cuam tshuam nrog lwm cov tshuaj noj, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj noj thiab tshuaj noj uas koj noj. Qhov no suav nrog cov vitamins thiab tshuaj ntxiv thiab.

Koj yuav tsum qhia koj tus kws kho mob yog tias koj muaj:

• cov roj (cholesterol) siab
• keeb kwm ntawm kab mob plawv
• kev raug mob ntawm lub plawv lossis mob stroke ntau dua
• mob ntsws
• tus mob prostate

Koj tus kws kho mob tuaj yeem pab koj ntsuas qhov txiaj ntsig thiab qhov txaus ntshai ntawm kev siv tshuaj tiv thaiv kev ntxhov siab rau tus mob lawm.

Serotonin cov tsos mob

Serotonin syndrome yog yam tsis tshua muaj tab sis mob hnyav uas tshwm sim thaum koj cov qib serotonin ntau dhau. Nws mob tshwm sim thaum koj siv tshuaj tiv thaiv kev nyuaj siab, tshwj xeeb tshaj yog MAOIs, nrog rau lwm cov tshuaj, tshuaj noj, lossis cov tshuaj txhaum kev cai uas ua rau koj cov serotonin ntau ntau.

Yam uas tuaj yeem cuam tshuam nrog cov tshuaj tiv thaiv kev ntxhov siab thiab ua rau muaj serotonin syndrome suav nrog:

• Dextromethorphan. Qhov no yog qhov sib xyaw ua ke hauv cov tshuaj tiv thaiv mob khaub thuas thiab tshuaj hnoos.
• Peb Leeg. Cov no yog ib hom tshuaj antimigraine.
• Tshuaj ntsuab tshuaj ntsuab. Cov no suav nrog ginseng thiab St. John lub wort.
• Tshuaj txhaum cai. Cov no suav nrog LSD, ecstasy, cocaine, thiab amphetamines.
• Lwm cov tshuaj tiv thaiv kab mob.

Nrhiav kev kho mob xwm txheej ceev yog tias koj tau muaj ib qho kev mob tshwm sim thaum siv tshuaj tiv thaiv kev ntxhov siab:

• tsis meej pem
• mob leeg thiab tshee
• leeg ua kom nruj
• hws
• lub plawv dhia sai
• reflexes overactive
• dilated cov tub ntxhais kawm
• qaug dab peg
• tsis teb khoom

Hauv qab kab

Kho cov kub flashes thiab tawm hws hmo ntuj yog ib qho ntawm cov npe nrov tshaj tawm siv ntawm qee cov tshuaj tiv thaiv kab mob. Tsis ntev los no, FDA tau pom zoo siv Brisdelle rau cov tsos mob no.

Kev txhaj tshuaj tiv thaiv kab mob tsawg feem ntau ua rau muaj kev phiv tsawg dua thiab txo qee yam kev pheej hmoo ntawm kev kho tus kheej. Txawm li cas los xij, cov tshuaj tiv thaiv kev ntxhov siab tsuas pab nrog qee cov tsos mob lawm. Ua haujlwm nrog koj tus kws kho mob kom paub cov kev kho uas zoo tshaj plaws rau koj cov tsos mob.