Matšoao a makatsang a tloaelehileng a atisa ho phekoloa ka meriana le kalafo-ea boitšoaro . Meriana e lebisitseng litsela tsa serotonin, joaloka li- anti-depressing , li atlehile ka ho khetheha ho phekola batho ba nang le OCD - mme haeba sena se sa sebetse, ho eketsa meriana ea antipsychotic e ka ba molemo.
A re hlahlobeng meriana e sa tšoaneng e sebelisetsoang ho phekola OCD, ho akarelletsa le ho tepella maikutlo le li-antipsychotics tse fumanoeng li atleha lithutong tsa saense.
Li-Medication tsa OCD tse amohelehang tsa FDA ke eng?
Ho na le meriana e 'maloa e' nileng ea amoheloa ke Food and Drug Administration (FDA) bakeng sa phekolo ea OCD. Boholo ba lithethefatsi tsena ke tsa sehlopha sa ho tepella maikutlo se bitsoang serotonin reuptake inhibitors . Leha ho le joalo, e 'ngoe ea lithethefatsi tsena, Anafranil, ke ea sehlopha sa lithethefatsi tse bitsoang tricyclic ho loantša maikutlo .
Meriana ea OCD e amoheloang ke FDA ka ho khetheha bakeng sa phekolo ea OCD e kenyelletsa:
- Anafranil (clomipramine)
- Prozac (fluoxetine)
- Luvox (fluvoxamine)
- Paxil (paroxetine hydrochloride)
- Zoloft (sertraline)
Meriana ea Tloaeletso ea Tlhahiso
Le hoja e sa amoheloe ka molao ke FDA bakeng sa phekolo ea OCD, mefuta e meng ea SSRI, hammoho le serotonin le norepinephrine reuptake inhibitors (SNRIs), e ntse e laeloa ke lingaka "ntle le lengolo" joaloka meriana ea OCD. Mehlala e meng ea meriana ea OCD e sa fumaneheng e kenyeletsa:
- Celexa (citalopram)
- Lexapro (escitalopram)
- Effexor (venlafaxine)
Meriana ea Antipsychotic
Ha ho sebelisoe meriana ea ho phekola lefu la phekolo ea ho phekola lefu la OCD feela. Ho e-na le hoo, hangata li sebelisoa ho eketsa kapa ho ntlafatsa katleho ea SSRIs le clomipramine ho fokotsa matšoao a OCD .
Hangata, phekolo ea augmentation e sebelisoa ha clomipramine kapa SSRI li hlōleha ho ntlafatsa matšoao a OCD ka mor'a bonyane likhoeli tse 3.
Meriana ea OCD e sebelisoang hangata e akarelletsa:
- Risperdal (risperidone)
- Haloperidol (Haldol)
Li-antipsychotics tse bontšitseng liphello tse tsoakaneng ha li sebelisoa ho eketsa phekolo ea SSRI bakeng sa OCD e kenyelletsa:
- Zyprexa (olanzapine)
- Seroquel (quetiapine)
Aripiprazole (Abilify) e boetse e bontšitse tšepiso e le phekolo ea OCD.
Meriana ho Lebelloa
Meriana e lebisitseng litsela tsa glutamate bokong ke tse ling tsa meriana ea libuka tse ka thusang ho fokotsa matšoao a OCD, haholo-holo ha e kenngoa ho motho ea imetsoeng kelellong. Tsena li kenyelletsa:
- Memantine (Namenda)
- Topiramate (Topamax)
- Riluzole (Rilutek)
Menahano ea ho qetela
Joaloka kalafo leha e le efe ea meriana, qeto ea ho qala meriana e mecha kapa ho eketsa meriana ts'ebetsong ea hau ea phekolo ke khetho e lokelang ho etsoa ka ts'ebelisano e matla le ngaka ea hau ea lelapa kapa setsebi sa mafu a kelello.
Lisebelisoa:
Bloch, MH, Landeros-Weisenberger, A., Kelmendi, B., Coric, V., Bracken, MB, & Leckman, JF "Tlhahlobo e hlophisitsoeng: phekolo ea ho loantšana ha likokoana-hloko le tlhokomelo ea phekolo ea ho phekola ho hloka matla" Molecular Psychiatry 2006 11: 622 -632.
Keller M. Lithethefatsi kalafo ea boloetse bo feteletseng-bo qobelloang. Dialogues Clin Neurosci. 2010; 12 (2): 187-97.
Pizarro et al. Tlhahlobo e nchafalitsoeng ea batho ba nang le bothata ba ho tepella maikutlo ba nang le liphello tsa serotonergic ka boloetse bo feteletseng bo qobelloang. Litsebi tsa Opin Pharmacother. 2014 Jul; 15 (10): 1391-401.
Raine RA & Sansone LA ea Sansone LA, SNRI Mefuta e meng ea Pharmacological bakeng sa Phekolo ea Khatello ea ho Hloka Liphoso ea ho Hloka Liphoso? Innov Clin Neurosci. 2011 Jun; 8 (6): 10-4.
Schruers, K., Koning, K., Luermans, J., Haack, MJ, & Griez, E. "Matšoenyeho a hlokang ho qobella maikutlo: tlhahlobo ea bohlokoa ea maikutlo a phekolo" Acta psychiatrica Scandinavica 15 February 2005 111: 261-271. 01 Ntoa 2008.