Qhov Tsaus Sab Ntawm Antidepressants

Zoo Siab

• Tshuaj xyuas rau

Yuav ua li cas yog tias tshuaj aspirin qee zaum ua rau koj lub taub hau ntau dua, hnoos hnoos pib koj nyiag, lossis tshuaj antacids ua rau koj kub siab?

Yam tsawg kawg ib yam tshuaj tuaj yeem muaj ze li qhov sib txawv ntawm lawv qhov kev xav tau-SSRIs, ib hom tshuaj tiv thaiv kev nyuaj siab. Hauv qee kis, cov tshuaj no ua rau muaj feem ntau koj yuav xav ua rau koj tus kheej puas tsuaj. Koj muaj hnub nyoog yau thiab siab dua koj qhov ntau npaum li cas, muaj kev pheej hmoo ntau dua, qhov kev tshawb fawb tshiab tseem ceeb. [Tweet qhov no!]

Cov kws kho mob tau paub txog qhov teebmeem no tsawg kawg yog kaum xyoo. Qhov tseeb, tshuaj tiv thaiv kev nyuaj siab xws li Prozac, Zoloft, thiab Paxil nqa cov lus ceeb toom loj ntawm daim ntawv lo hais txog qhov pheej hmoo ntawm kev xav tua tus kheej thiab tus cwj pwm hauv menyuam yaus, hluas, thiab cov hluas.

Txoj kev tshawb no tshiab, luam tawm hauv JAMA Internal Tshuaj, muab qee tus lej nyuaj rau ntawm qhov phom sij. Cov kws tshawb fawb tau muab piv rau cov neeg uas pib siv tshuaj tsawg rau cov neeg uas tau noj ntau dua (tab sis tseem nyob hauv ntau qhov kws kho mob feem ntau tau sau tseg).

Rau cov menyuam yaus thiab cov neeg laus hnub nyoog 24 thiab qis dua, cov uas tau txhaj koob tshuaj ntau dua yog ob zaug uas yuav txhob txwm ua rau lawv tus kheej raug mob. Qhov no ntxiv txog ib qho piv txwv ntxiv ntawm kev ua phem rau tus kheej rau txhua 150 tus neeg noj tshuaj.(Cov neeg laus dua 24 xyoos koom nrog kev kawm txog hnub nyoog 65-tsis tau ntsib ib yam kev hem thawj.)

Txoj kev tshawb no tsis tau tsim los nrhiav seb yog vim li cas qhov no tshwm sim, hais tias kev tshawb fawb tus sau Matthew Miller, MD, Sc.D., ntawm Harvard Tsev Kawm Ntawv Kev Noj Qab Haus Huv. Tab sis cov kws tshawb fawb muaj ob peb theories.

Rachel E. Dew, MD, M.HSc., tus kws kho mob hlwb ntawm Duke Medicine hais tias "Ib qho ntawm cov kev mob tshwm sim tshwj xeeb hauv cov neeg mob yau tshaj plaws tau kho nrog cov tshuaj tiv thaiv kev ntxhov siab yog kev ua kom tsis muaj zog, uas txhais tau tias ua rau lub zog ntawm ib tus neeg feem ntau yuav tawm tsam," hais tias Rachel E. Dew, MD, M.HSc. Yog li thaum koj qhov kev nyuaj siab tuaj yeem ua rau koj txoj kev xav tua tus kheej, cov tshuaj tuaj yeem nyiag koj lub zog los tawm tsam cov kev yaum ntawd.

Cov txiaj ntsig no tsis txhais tau tias koj yuav tsum tsis txhob nrhiav kev kho mob rau kev nyuaj siab. Qhov tseeb, lawv ua kom tau txais kev pab thaum ntxov tseem ceeb dua, hais tias Cleveland Clinic kws kho kev puas siab ntsws Joseph Austerman, D.O. Cov tsos mob me me-xws li kev tu siab tsis tu ncua, hloov pauv pw tsaug zog lossis tsis qab los noj mov, thiab tsis pom kev zoo siab rau yam uas koj siv los nyiam-feem ntau tuaj yeem kho nrog kev sab laj ib leeg. Thiab yog tias koj tus kws kho mob qhia tshuaj noj?

1. Pib qis. Kev pib koob tshuaj ntau dua ua rau koj pheej hmoo rau ntau yam kev phiv. Ntxiv rau, lawv tsis ua haujlwm zoo dua lossis nrawm dua ntawm kev kho kev nyuaj siab, Miller hais. Nug koj tus kws kho mob kom sau cov koob tshuaj qis tshaj plaws rau koj.

2. Ntsib nrog koj tsev neeg. Tus kheej lossis tsev neeg keeb kwm ntawm kev puas siab puas ntsws bipolar tuaj yeem ua rau koj muaj qhov tsis xav ua phem rau koj tus kheej. Thiab yog tias koj niam koj txiv lossis tus nus muag tau ntsib qhov tsis zoo nrog kev siv tshuaj tiv thaiv kev nyuaj siab, koj txoj kev pheej hmoo yuav ntau dua thiab, Austerman hais. Qhia rau koj tus kws kho mob yog tias ib qho ntawm no cuam tshuam rau koj.

3. Nug txog kev taug qab. Koj tus kws kho mob yuav tsum ua tib zoo saib xyuas koj, tshwj xeeb tshaj yog thaum thawj peb lub hlis (uas yog thaum feem ntau ntawm cov teeb meem hauv txoj kev tshawb no tshwm sim). Teem lub sijhawm rau kev txheeb xyuas, los ntawm xov tooj lossis hauv tus kheej, Austerman qhia.

4. Tsis txhob tos. "Kuv qhia kuv cov neeg mob hluas kom xav txog kev xav tua tus kheej lossis kev xav ntawm kev ua phem rau tus kheej thaum muaj xwm txheej ceev, zoo li lawv pom hluav taws," Dew hais. "Kev nyuaj siab ua rau lawv xav tias tsis muaj leej twg yuav saib xyuas, tab sis kuv hais meej tias lawv yuav tsum qhia ib tus neeg tam sim ntawd."

Tshuaj xyuas rau