Litlhahlobo tsa Meriana bakeng sa ho Tšoenyeha Khatello ea Kelello ka mor'a Mor'a Kotsi
Na meriana e ka sebetsa le phekolo ea ho phekola lefu la khatello ea kelello (Post-traumatic stress disorder (PTSD) ? Meriana e ka nkoa neng le hore na ke lithethefatsi tse sebelisoang hangata neng?
Meriana ea PTSD
Hona joale ha ho na meriana e etselitsoeng ho rarolla PTSD, le hoja ho e-na le meriana e 'maloa e sebelisoang ho tšoara matšoenyeho le khatello ea kelello e ka thusang batho ho laola matšoao a PTSD.
Lihlopha tse peli tsa lithethefatsi tse atisang ho sebelisoa ke li-serotonin reuptake inhibitors le tricyclic ea ho tepella maikutlo.
SSRIs le PTSD
Selectional serotonin reuptake inhibitors (SSRIs) e atisa ho nkoa e le "meriana e loantšang maikutlo" 'me e kenyelletsa:
Serotonin ke k'hemik'hale boko ba hao bo amehang maikutlong a hau. Lik'hemik'hale tsena ke li -neurotransmitters , 'me li sebetsa ho romela melaetsa le melaetsa ho tloha seleng e' ngoe ho ea ho e 'ngoe bokong ba hao. Batho ba bang ha ba na maemo a nepahetseng a serotonin bokong ba bona, e leng ho lebisang ho maikutlo a ho tepella maikutlong le / kapa matšoenyeho. SSRIs e thibela ho senyeha kapa "reuptake" ea serotonin ka boko ba hao, ho eketsa litekanyetso tse fumanehang tsa serotonin, eo ho nahanoang hore e qetella e ntlafatsa maikutlo.
Liphuputso tse 'maloa li fumanoe hore serotonin reuptake inhibitors (SSRIs) e khethehileng e ka ba ea bohlokoa ho phekola PTSD .
Le hoja liphuputso tsena li fumane hore li-SSRI li atlehile ho sebetsana le matšoao a mangata a PTSD , liphuputso ha lia ka tsa e-ba matla joaloka se fumanoang liphuputsong tsa ho hlahloba katleho ea mekhoa ea ho itšoara ka tsela e nahanang ea maikutlo (mofuta oa psychotherapy) bakeng sa PTSD.
Tricyclic Ho tepella maikutlo
Tricyclic ho loantšana ha maikutlo ke batho ba baholo ba nang le bothata ba ho tepella maikutlo, empa ba fumanoe ba le thuso ho batho ba bang ba nang le PTSD.
Li-tricyclics li sebetsa ka ho phahamisa maemo a serotonin ea methapo ea kutlo hammoho le norepineprine bokong. Mehlala ea meriana ena e kenyeletsa:
- Elavil (amitryptyline)
- Ascendin (amoxapine)
- Anafranil (clomipramine)
- Pamelor (nortryptyline)
- Norpramin (deipramine)
- Tofranil (imipramine)
- Vivactil (protryptyline)
- Surmontil (trimipramine)
- Sinequan (doxepin)
Matšoao a meriana ea PTSD e ntlafatsa
Meriana ha e sebetsane le matšoao 'ohle a PTSD. SSRI e kang Prozac le tricyclic e thibelang ho imeloa kelellong li bonahala li thusa ka matšoao a kotsi a PTSD le ho fokotseha, empa ha li hlahe ho thusa ho boela ho e-na le matšoao.
Mefuta e meng ea meriana ea ho imeloa kelellong e ka boela ea nkoa, le hoja liphuputso tsa bahlabani ba ntoa li bontša hore lithibela-hloko tsa SSRI le tsa tricyclic li na le liphello tse kholo 'me li sebetsa ka potlako bakeng sa khatello ea maikutlo le ho tšoenyeha ho feta meriana e meng.
Meriana e Akarelitsoeng le Phekolo
Meriana e ka 'na ea kopanngoa le phekolo ea kelello bakeng sa PTSD, e kang phekolo ea ho itšoara hantle. Ka bobona, meriana le phekolo ea kelello li ka atleha; leha ho le joalo, ka ho li kopanya hammoho, katleho ea tsona e ka matlafatsoa.
Meriana e le Phekolo e thibelang
Kaha ho na le PTSD e tloaelehileng har'a sechaba, bafuputsi ba 'nile ba sheba litsela tseo ka tsona meriana e ka fanoang bakeng sa ba mahlomoleng e le ho thibela ho qala ha PTSD.
Nakong ena, ho na le bopaki ba hore hydrocortisone (corticosteroid), propanolol (a beta blocker) le morphine e ka fokotsa matšoao le ho hlahloba PTSD.
Litla-morao le Litlhokomeliso
Ho bohlokoa ho hopola hore meriana e ka 'na ea se ke ea e mong le e mong. Ba bangata ba amahanngoa le litla-morao tseo ba bang ba li fumanang tse sa thabiseng 'me ba bang ba ka ba lemallo, haholo-holo benzodiazepines . Ke habohlokoa ho buisana ka melemo le boiketlo ba litlafo ka ngaka ea hau kapa ngaka ea mafu a kelello pele u ea ho e 'ngoe.
Mekhoa e meng e mengata ea ho laola PTSD
PTSD e laoloa ka ho fetisisa ka mefuta e meng ea phekolo. Meriana e ka thusa ho ba bang, empa eseng kaofela, matšoao a PTSD, le meriana e kopantseng le phekolo e sebetsa ho feta meriana feela.
Ho sebetsana le mekhoa le ho tšehetsa setjhaba ke tsa bohlokoa ho sa tsotellehe hore na phekolo e phekoloa eng.
Mekhoa e mecha le e mecha ea phekolo ea PTSD e tsoang ho yoga ho ea ho 'nete ea phekolo ea phekolo ea ho bolaoa ha moriana e ntse e phenyekolloa,' me e fana ka litsela tse ling tsa ho laola matšoao a fokolisang a PTSD.
Lisebelisoa:
Friedman, M., le N. Bernardy. Ho Nahana ka Bokamoso ba Pharmacology bakeng sa PTSD. Litlhaku tsa Neuroscience . 2016 Nov 24. (Epub pele ea khatiso).
Puetz, T., Youngstedt, S., le M. Herring. Liphello tsa Pharmacotherapy ka PTSD e amanang le ho loantšana, ho tšoenyeha le ho tepella maikutlo: Tlhahlobo e hlophisitsoeng le ho hlahloba mekhoa ea boipelaetso. PLoS One . 2015. 10 (5): e0126529.
Roque, A. Pharmacotherapy e le Prophylactic Treatment of Post-Traumatic Depressing Disorder: Tlhahlobo ea Lingoliloeng. Mathata a Booki ba Maiketsetso a Bophelo ba Melello . 2015. 36 (9): 740-51.