Txhua yam koj yuav tsum paub txog Tshuaj tiv thaiv kev txhaum uas ua kom yuag yuag tawm

Zoo Siab

• 1. Tricyclic cov tshuaj tiv thaiv kev ntxhov siab
• 2. Qee qhov monoamine oxidase inhibitors (MAOIs)
• 3. Lub sijhawm ntev siv qee yam xaiv serotonin reuptake inhibitors (SSRIs)
• 4. Qee cov tshuaj tiv thaiv atypical
• Cov tshuaj tiv thaiv kev ntxhov siab uas yuav ua rau hnyav nce ntxiv
• Cov nqa mus

Txheej txheem cej luam

Qhov hnyav nce yog qhov tshwm sim tsis zoo ntawm ntau cov tshuaj tiv thaiv kab mob. Thaum txhua tus neeg teb rau cov tshuaj tiv thaiv kev ntxhov siab txawv, cov kev pab cuam tiv thaiv kev ntxhov siab nram qab no yuav ua rau hnyav nce ntxiv thaum koj kho.

1. Tricyclic cov tshuaj tiv thaiv kev ntxhov siab

Tricyclic antidepressants, tseem hu ua cyclic antidepressants lossis TCAs, tuaj yeem ua rau nce phaus. Cov tshuaj no suav nrog:

• amitriptyline (Elavil)
• amoxapine
• desipramine (Norpramin)
• doxepin (Adapin)
• Tshuaj imipramine (Tofranil-PM)
• Qaum teb qaum teb (Pamelor)
• protriptyline (Vivactil)
• cov tshuaj trimipramine (Surmontil)

TCAs yog qee cov tshuaj thawj zaug tau pom zoo los kho kev kho siab. Lawv tsis tau hais kom ua ntau tshaj ntxiv vim tias cov kev kho tshiab dua ua rau muaj kev phiv ntau dua.

Qhov hnyav nce ntxiv yog qhov laj thawj uas tib neeg tso tseg kev kho mob nrog cov tshuaj tiv thaiv kev ntxhov siab, raws li kev tshawb pom xyoo 1984.

Tseem, TCAs tuaj yeem muaj txiaj ntsig zoo rau cov neeg uas tsis teb rau lwm yam tshuaj tiv thaiv kev ntxhov siab, txawm hais tias tsis muaj kev cuam tshuam txog yam tshwm sim.

2. Qee qhov monoamine oxidase inhibitors (MAOIs)

Monoamine oxidase inhibitors (MAOIs) yog thawj chav kawm ntawm kev tiv thaiv kev ntxhov siab los tsim kho. MAOIs uas ua rau koj qhov hnyav nce suav nrog:

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

Cov kws kho mob sau ntawv rau MAOI feem ntau thaum lwm cov tshuaj tiv thaiv tsis ua haujlwm vim muaj kev phiv tshuaj thiab kev txhawj xeeb txog kev nyab xeeb. Ntawm peb MAOI uas teev rau saum toj no, phenelzine yog feem ntau yuav ua rau nce phaus, raws li xyoo 1988.

Txawm li cas los xij, kev tsim dua tshiab ntawm MAOI hu ua selegiline (Emsam) tau pom tias ua kom poob phaus thaum kho. Emsam yog ib hom tshuaj hloov ntshav uas tau thov rau daim tawv nqaij nrog ib thaj.

3. Lub sijhawm ntev siv qee yam xaiv serotonin reuptake inhibitors (SSRIs)

SSRIs yog qhov feem ntau kho chav kawm txog cov tshuaj kho kev nyuaj siab. Kev siv cov SSRIs hauv qab no ntev yuav ua rau koj qhov hnyav nce:

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

Txawm hais tias qee qhov SSRI tau cuam tshuam nrog kev poob phaus thaum xub thawj, siv ntev ntawm SSRIs feem ntau txuas nrog qhov hnyav nce. Kev siv ntev ntev yog suav tias yog kev kho mob uas siv sijhawm ntev dua rau lub hlis.

Ntawm SSRIs uas tau teev los saum toj no, paroxetine feem ntau cuam tshuam nrog cov hnyav nce ntxiv nrog ob qho tib si ntev thiab luv siv.

4. Qee cov tshuaj tiv thaiv atypical

Mirtazapine (Remeron) yog tus tiv thaiv kev tawm tsam noradrenergic, uas yog hom ntawm atypical antidepressant. Cov tshuaj tau dhau los yuav ua rau nce phaus ntxiv thiab nce qab los noj mov ntau dua li lwm cov tshuaj.

Mirtazapine tsawg dua yuav ua rau tib neeg nce phaus piv nrog TCAs.

Nws kuj tsis tuaj yeem ua rau ntau lwm cov kev phiv tawm tsam lwm cov tshuaj tiv thaiv kev nyuaj siab. Txawm li cas los xij, nws tuaj yeem ua rau:

• xeev siab
• ntuav
• kev plees kev yi

Cov tshuaj tiv thaiv kev ntxhov siab uas yuav ua rau hnyav nce ntxiv

Lwm cov tshuaj tiv thaiv kev ntxhov siab tau cuam tshuam nrog qhov hnyav dua li cov tshwm sim. Cov tshuaj tiv thaiv kev ntxhov siab muaj xws li:

• escitalopram (Lexapro, Cipralex), ib qho SSRI
• duloxetine (Cymbalta), serotonin-norepinephrine reuptake inhibitor (SNRI), tuaj yeem ua rau nce phaus me ntsis nrog
• bupropion (Wellbutrin, Forfivo, thiab Aplenzin), tshuaj tiv thaiv atypical
• nefazodone (Serzone), ib tug serotonin antagonist thiab reuptake inhibitor
• venlafaxine (Effexor) thiab venlafaxine ER (Effexor XR), uas yog ob qho SNRIs
• desvenlafaxine (Pristiq), ib qho SNRI
• levomilnacipran (Fetzima), ib qho SNRI
• vilazodone (Viibryd), tshuaj tiv thaiv kev puas hlwb serotonergic
• vortioxetine (Trintellix), tshuaj tiv thaiv atypical antidepressant
• selegiline (Emsam), MAOI tshiab dua uas koj siv rau koj cov tawv nqaij, uas yuav ua rau muaj kev phiv ntau dua li MAOIs noj ntawm qhov ncauj

Qhov hnyav nce los kuj tsis tshua pom muaj cov SSRIs hauv qab no thaum lawv tau siv tsawg dua rau lub hlis:

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

Cov nqa mus

Tsis yog txhua tus neeg siv tshuaj tiv thaiv kev rog yuav nce phaus. Qee tus neeg yuav ua poob phaus.

Cov kws tshaj lij taw qhia tias qhov kev txhawj xeeb txog kev hnyav yuav tsis cuam tshuam rau kev xaiv ntawm tshuaj tiv thaiv kab mob rau ntau tus neeg. Muaj lwm cov kev mob tshwm sim thiab lwm yam los xav txog thaum xaiv cov tshuaj tiv thaiv kev ntxhov siab.

Yog tias koj nce qee qhov hnyav thaum noj tshuaj tiv thaiv kab mob siab, cov tshuaj yuav tsis yog qhov ua rau nce nyhav. Txhim kho tus cwj pwm txawv thaum noj tshuaj tiv thaiv kev ntxhov siab, piv txwv li, tuaj yeem nce koj lub siab, ua kom lub cev hnyav dua.

TSIS TXHOB txiav koj cov tshuaj tam sim ntawd txawm tias koj hnyav dua me ntsis. Koj yuav tsum tau ua haujlwm nrog koj tus kws kho mob txhawm rau txhawm rau nrhiav tshuaj tiv thaiv kev ntxhov siab uas yuav pab ua rau koj cov kev mob tshwm sim thiab tsis yog qhov tshwm sim tsis tshwm sim. Qhov no yuav siv sijhawm ntev me ntsis.

Koj tus kws kho mob tseem tuaj yeem muab qee cov lus qhia rau koj kom tiv thaiv cov hnyav thaum lub sijhawm tiv thaiv tshuaj tiv thaiv kab mob.