Tricyclic Cov Tshuaj Tiv Thaiv Kab Mob Hlwb

Zoo Siab

• Tamsis no TCAs
• Lawv ua haujlwm li cas
• Sab sij huam
• Kev sib cuam tshuam
• Txog siv nrog lwm yam mob
• Tham nrog koj tus kws kho mob

Txheej txheem cej luam

Tricyclic antidepressants, tseem paub tam sim no hu ua cyclic antidepressants lossis TCAs, tau qhia nyob rau xyoo 1950s. Lawv yog ib qho ntawm cov tshuaj tiv thaiv kab mob thawj zaug, thiab lawv tseem pom tau tias tseem muaj txiaj ntsig los kho kev nyuaj siab. Cov tshuaj no yog qhov kev xaiv zoo rau qee cov neeg uas muaj kev nyuaj siab tiv taus lwm yam tshuaj. Txawm hais tias cov kev tiv thaiv mob khaub thuas muaj peev xwm ua tau zoo, qee tus neeg pom lawv cov kev mob tshwm sim nyuaj rau lub siab ntev. Yog li ntawd thiaj li tsis siv cov tshuaj no feem ntau siv los ua kev kho mob thawj zaug.

Tamsis no TCAs

Qhov sib txawv tiv thaiv kev tiv thaiv uas muaj tam sim no muaj xws li:

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

Qee tus kws kho mob tseem tuaj yeem sau lub npe rau cov tshuaj cyclic clramipramine (Anafranil) rau kev kho mob kev ntxhov siab hauv kev siv daim ntawv lo.

Lawv ua haujlwm li cas

Cov kws kho mob feem ntau tsuas yog hais txog tricyclic tshuaj tiv thaiv kev ntxhov siab tom qab lwm cov tshuaj tsis ua haujlwm pab txo kev nyuaj siab. Tricyclic cov tshuaj tiv thaiv kab mob pab kom ntau cov serotonin thiab norepinephrine muaj rau koj lub hlwb. Cov tshuaj ua no tau tsim los ntawm koj lub cev thiab tau xav tias cuam tshuam koj lub siab. Los ntawm kev khaws ntau ntawm lawv muaj rau koj lub hlwb, tricyclic cov tshuaj tiv thaiv kev pabcuam pab tsa koj lub siab.

Qee qhov kev siv tshuaj tiv thaiv kab mob tricyclic tseem siv los kho lwm yam mob, feem ntau yog siv hauv cov ntawv sau. Cov xwm txheej no suav nrog kev tsis txaus ntseeg (OCD) thiab kev pw ua ke ntev. Hauv qis dua, cov tshuaj tiv thaiv cyclic yog siv los tiv thaiv mob migraines thiab kho mob mob ntev. Lawv tseem qee zaum siv los pab tib neeg kev ntxhov siab.

Tricyclic antidepressants kho kev nyuaj siab, tab sis lawv kuj muaj lwm yam cuam tshuam rau koj lub cev ib yam thiab. Lawv tuaj yeem cuam tshuam rau lub cev tsis siv neeg lub zog rau qee qhov haujlwm ntawm lub cev, suav nrog kev zais thiab zom plab. Lawv tseem thaiv qhov cuam tshuam ntawm cov tshuaj histamine, muaj tshuaj nyob thoob plaws koj lub cev. Kev thaiv cov histamine tuaj yeem ua rau muaj kev cuam tshuam xws li tsaug zog, ua tsis pom kev, qhov ncauj qhuav, quav tawv thiab txhaws ntsej muag. Cov no yuav pab piav qee qhov teeb meem tshwm sim ntxiv uas cuam tshuam nrog cov tshuaj no.

Sab sij huam

Tricyclic cov tshuaj tiv thaiv kev ntxhov siab feem ntau ua rau cem quav, nce phaus, thiab qaug zog ntau dua li lwm yam kev tiv thaiv kab mob. Txawm li cas los xij, cov tshuaj sib txawv nyias muaj nyias qhov teebmeem. Yog tias koj muaj qhov tsis zoo txog kev cuam tshuam nrog ib qho tricyclic antidepressant, qhia koj tus kws kho mob. Hloov mus rau lwm cov tshuaj tiv thaiv kev ntxhov siab tuaj yeem pab tau.

Muaj kev phiv ntau ntawm tricyclic antidepressants suav nrog:

• qhov ncauj qhuav
• qhov muag qhuav
• qhov muag plooj
• kiv taub hau
• nkees
• mob taub hau
• kev tsis zoo
• qaug dab peg (tshwj xeeb tshaj yog cov maprotiline)
• tsaug zog
• cem quav
• kev tso zis cia
• kev plees kev yi
• ntshav siab
• qhov hnyav nce (tshwj xeeb tshaj yog nrog amitriptyline, imipramine, thiab doxepin)
• xeev siab

Kev sib cuam tshuam

Cov neeg uas haus cawv ntau zaus yuav tsum zam tricyclic cov tshuaj tiv thaiv kev ntxhov siab. Cawv txo cov tshuaj tiv thaiv kev ua phem ntawm cov tshuaj no. Nws kuj nce lawv cov teebmeem sedating.

Tricyclic antidepressants tuaj yeem ua rau muaj kev phom sij txaus ntshai yog tias koj noj qee yam tshuaj, suav nrog epinephrine (Epi-Pen) thiab cimetidine (Tagamet). Tricyclic cov tshuaj tiv thaiv kev ntxhov siab tuaj yeem nce ntxiv cuam tshuam los ntawm epinephrine rau koj lub plawv. Qhov no tuaj yeem ua rau muaj ntshav siab thiab teeb meem nrog koj lub plawv atherosclerosis. Cimetidine tuaj yeem nce qib ntawm tricyclic antidepressant hauv koj lub cev, ua rau muaj kev phiv ntau dua.

Lwm yam tshuaj thiab tshuaj yeeb dej caw tuaj yeem cuam tshuam nrog tricyclic cov tshuaj tiv thaiv kev ntxhov siab. Nws yog ib qho tseem ceeb rau koj los qhia koj tus kws kho mob txog txhua yam tshuaj thiab yeeb tshuaj uas koj siv. Koj tus kws kho mob tuaj yeem pab koj kom tsis txhob muaj kev cuam tshuam.

Txog siv nrog lwm yam mob

Cov tshuaj no tuaj yeem ua rau qee yam mob. Cov neeg uas muaj cov xwm txheej nram no yuav tsum zam tricyclic antidepressants:

• lub kaum ntse ntse lub ntsej muag kaw
• tsam prostate
• kev tso zis cia
• teeb meem hauv lub plawv
• cov thyroid teeb meem

Tricyclic cov tshuaj tiv thaiv kev phom sij kuj cuam tshuam rau cov ntshav qab zib hauv ntshav, yog li cov neeg mob ntshav qab zib uas noj cov tshuaj no yuav tsum kuaj xyuas lawv cov ntshav qab zib kom ntshav ntau dua.

Cov poj niam cev xeeb tub lossis cov poj niam uas tseem noj niam mis yuav tsum tham nrog kws kho mob ua ntej siv cov tshuaj tiv thaiv kab mob tricyclic. Tus kws kho mob yuav pab ntsuas qhov txaus ntshai rau leej niam lossis tus menyuam tawm tsam qhov txiaj ntsig ntawm kev siv cov tshuaj no.

Tham nrog koj tus kws kho mob

Tricyclic cov tshuaj tiv thaiv kab mob tau zoo, tab sis nws tsis zoo rau txhua tus. Lawv yuav tsis yog thawj yam tshuaj tua kab mob koj tus kws kho mob koj tau sim. Qhov no feem ntau vim lawv lub peev xwm rau kev phiv.

Yog koj tau yuav cov tshuaj no, nrog kws kho mob tham txog tej kev mob tshwm sim uas koj muaj. Koj yuav tsum qhia koj tus kws kho mob yog tias koj xav tias koj tuaj yeem tsis tuaj yeem thev cov kev mob tshwm sim ua ntej hloov koj li tshuaj lossis tsum tsis kho nrog cov tshuaj no. Kev txiav tawm sai sai tricyclic antidepressant kev kho mob tuaj yeem ua rau:

• xeev siab
• mob taub hau
• kiv taub hau
• nkees
• cov tsos mob khaub thuas zoo li

Koj tus kws kho mob yuav txo koj cov tshuaj kom ntau ntxiv kom tsis txhob muaj cov teebmeem no.