Zvepabonde pane mishonga yekudzvinyirira: Kuongorora mitezo yepabonde yeSSRIs

Nhau

Mumakore gumi nemashanu-nguva, nhamba yevaAmerica vanotora mishonga yekudzvinyirira yakawedzera neinenge 65%, ichikwira kubva pasi pevane 8% yevagari veU.S. dzinenge 13% . Kutsvakurudza kunoratidza vanhu vanotanga kutora mishonga yekudzvinyirira kuti vabatsire kutarisira hutano hwepfungwa dzimwe nguva vanowana havakwanisi kumira -Kune izvo zvinokonzeresa kukuvadza.

Kusarudza serotonin reuptake inhibitors ( SSRIs ) ndevamwe vevanonyanya kupihwa mishonga yekudzvinyirira, uye nepo ivo vasingatariswe sevanodhakwa, mhedzisiro yeSSRIs inogona kusanganisira kurara, kusvotwa, kushaya hope, kusagadzikana, uye kusagadzikana kuita bonde.

Kuti unyatsotarisisa nezve maitiro ekudzvinyirira anoitwa seSSRIs kuvaAmerican uye nepo nguva dzepedyo, takaongorora vanhu chiuru avo vachangobva kurapwa neanodzvinyirira SSRI kana asiri-SSRI. Verenga pamusoro apo isu tichiongorora kuti vangani vashandisi vanoziva nezve zvemhedzisiro mhedzisiro yeSSRIs uye kuti vangani vanotenda kuti mhedzisiro yacho yakakosha.

Mishonga yekushushikana-uye ayo mhedzisiro

Kushungurudzika kunosvika sechikonzero chinonyanya kukonzera hurema pasi rose muvanhu vane makore gumi nemashanu kusvika makumi mana nemana, maererano neAnxiety and Depression Association of America. Pakati pezvirwere zvakajairika zvepfungwa kuyambuka U.S., about 7% yevakuru vane kuora mwoyo. Zviratidzo zvinogona kusanganisira kunzwa kwekusuruvara, kushaya hope, kuneta, kushomeka kwema immune system, uye a njodzi yakakwira yekurwara kwemoyo .

Sarudzo serotonin reuptake inhibitors (SSRIs) ndiyo yakanyanya kudzvinyirirwa muAmerica. Nekuwedzera mazinga eserotonin muuropi, SSRIs zvakare dzimwe nguva inorayirwa kubatsira kubata mamwe mamiriro, kusanganisira kushungurudzika kwepfungwa . SSRIs haisi isina mhedzisiro, zvakadaro. Kusvika pa 73% yevanhu vanotora SSRIs uwane rumwe rudzi rwehukama hwepabonde kubva mukirasi iyi yemishonga. Kunyange izvi zvinokanganisa zvichiderera mushure memavhiki mashoma paSSRIs, vamwe varwere vanogona kunge vasingashiviriri pakurapwa.

Kuziviswa kwehukama hwepabonde nemaSSRIs

Vanoongorora vanonzwisisa kuti SSRIs inoita kunge inokonzeresa kusagadzikana pabonde, asi ivo zvakare vanobvuma kuti kuyera iko kwechokwadi kweanodzvinyirira bonde drive uye mashandiro zvinogona kuoma. Mune zvimwe zviitiko, kusagadzikana pabonde kunogona pamberi pekuunzwa kweSSRIs senzira yekurapa (kusagadzikana pabonde zvakare chiratidzo chekuora mwoyo), kana inogona kunge iine hukama nechimwe chimiro chemuviri. Kune vamwe varwere, chikamu chega chega chehukama, kubva pachishuwo chekusangana pabonde uye kusangana, kunogona kudziviswa nekushandiswa kweSSRI.

Isu takawana vanopfuura makumi masere nemasere muzana yevanhu vane nhoroondo yekutora mishonga yekudzvinyirira vaiziva nezve mhedzisiro yepabonde. Zvakadaro, vazhinji vaive murima maringe nemabatiro avakaitwa nemishonga yavo pabonde nekutyaira kwavo. Vanopfuura gumi nevaviri muzana vevanhu vakasangana nemhedzisiro pabonde nemishonga yekudzvinyirira vaive vasingazive kuti kurapwa kwavo kunogona kukonzera kusagadzikana, kuchiteverwa neinenge 47% yevanhu vasina kuzvipupurira kwavo kuita pabonde.

Kukosha kwekutaurirana kwechiremba-murwere

Kutaurirana pakati pavanachiremba, varwere, uye vashandi vemuhofisi chikamu chakakosha chehutano. Kanganiso dzekutaurirana, dzinogona kuva nenjodzi kana dzisingafi, dzinobva mukushayikwa kwekunzwisisa, hurukuro dzisina kurekodwa, kana hurukuro dzakarasika zvachose. Muzviitiko zvakawanda, kutaurirana zvisizvo kana kusaona kutaurirana kunoguma nezvikanganiso zve zviri pakati nepakati zvakanyanya .

Vanoda kusvika makumi mashanu muzana evakadzi uye vanopfuura makumi maviri nemasere evarume vakaratidza kuti vanachiremba vavo havana kutsanangura zvachose mitezo yepabonde yeSSRIs.

Nepo vakadzi vaiwanzoita kupfuura varume kusawana tsananguro kubva kumachiremba avo nezve mukana wekusagadzikana pabonde, vakadzi vaivewo nemikana yekusimudza zvinetswa zvakafanana kuvanachiremba vavo (26%) kana kunetsekana kwavo kwakatorwa zvakanyanyisa navanachiremba vavo (63%) . Vanhu vane nhoroondo yekushandisa mishonga yekudzvinyirira vaiwanzo nyara kana kusagadzikana kutaura nezve mhedzisiro yepabonde yeSSRI nachiremba, ichiteverwa nevanhu vakanzwa mabhenefiti aya achikunda kukanganisa kune kwavo hupenyu hwepabonde.

Njodzi uye mubairo: Zvepabonde mhedzisiro yeSSRIs

Makumi manomwe nematatu muzana evakadzi uye vangangoita 63% yevarume vakabvuma kunzwa kudzikisira chishuwo chebonde vachitora SSRIs, uye vangangoita 41% yevakadzi uye makumi matatu muzana evarume vakati vakarasa chishuwo chebonde zvachose. Nepo kumwe kuchinjika kwechido chebonde kana hwehukama zvakajairika, nyanzvi dzinoyambira kuti kana icho chishuwo chikapera zvachose, chinogona kukanganisa maitiro pahukama nehunhu hwehupenyu. Kunyanya kuvakadzi, vaongorori vanoti hazvishamise yakaderera libido uye kushushikana kuti kuwirirane .

Vakadzi veSSRIs vaiwanzo kuzivisa kuderedzwa kugona kuita orgasm, kusakwanisa kuita orgasm, kutadza kumutswa, uye kurwadziwa panguva yepabonde. Zvakadaro, iyo inoshanda zvakanyanya kuti varwere veSSRI vakawana kurapwa, vashoma kunetseka ivo vaive nemhedzisiro yemushonga. Zvichienzaniswa neinenge 32% yevanhu vaitenda kuti SSRIs yakanga isiri zvachose kuti ibudirire, 79% yevarwere vakawana SSRIs kuva yakanyanyisa kuita zvakanyanya vaida kugamuchira mhedzisiro sekukosha kwayo.

Iko kukanganisa kweanodzvinyirira pahukama hwepabonde

SSRIs inogona kunge iri yakanyanya kududzirwa antidepressant, asi haisi iyo chete nzira yekurapa inowanikwa. Serotonin uye norepinephrine reuptake inhibitors (SNRIs), fomu nyowani ye mishonga inodzvinyirira , uye norepinephrine uye dopamine reuptake inhibitors (NDRIs) zvakare inomiririra zvingangoita zvekurapa. Mimwe mishonga yekudzvinyirira isingakanganise libido zvakanyanya sevamwe maSSRI inosanganisira: Wellbutrin ( bupropion ) uye trazodone .

Vanhu vane nhoroondo yekushandisa antidipressant vaiwanzogona kuzivisa hukama hwepabonde hwakaipisisa kupfuura avo vasiri-SSRIs. Vakatenderedza 60% yevakadzi uye vangangoita 54% yevarume paSSRI vakati zvinokuvadza hupenyu hwavo hwepabonde, zvichiteverwa ne30% yevakadzi uye 26% yevarume paSSRIs vane hukama hungangodaro hwakaparadzaniswa nekuda kwemushonga wavo wekudzvinyirira.

Nzira dzekurerutsa SSRI zviratidzo

Kutsvagisa kunongedzera kuhukama hwepamusoro pakati peanodzvinyirira uye kusagadzikana pabonde, asi dzimwe mhinduro dzinobvumidza imwe yakanaka mhedzisiro yeanodzvinyirira. Yakakwira mizinga inowanzo gumisira a njodzi yakakwira yemhedzisiro yemitezo , saka kutaura nachiremba nezve kudzikisa muyero kunogona kubatsira. Kutora mishonga yekudzvinyirira pane imwe nguva yezuva kunogona zvakare kubatsira kudzikisira kumanikidza pabonde.

Zvakadaro, vanhu vazhinji vakasarudza kusaita chero chinhu nezve mhedzisiro yeSSRIs pahupenyu hwavo hwepabonde. Makumi makumi mashanu muzana evakadzi uye makumi mana muzana evarume havana kuyedza kukunda zvinokanganisa bonde zvevanodzvinyirira, uye chete 14% yevakadzi uye 19% yevarume vanotaura vachitaura nachiremba.

Vamwe vanhu vakachinja mishonga zvachose, nepo vamwe vakachinja madosi avo, vakaunza matoyi epabonde kuimba yekurara, kana zviitiko zvebonde zvakarongwa.

Kukosha kwekutaurirana pakati pevanodanana

Inogona kunzwa sekunge iwe unofanirwa kusarudza pakati pekuenderera nemishonga yekudzvinyirira kana kuita hupenyu hwepabonde huri nani. Zvisinei, zvinokwanisika kuwana muyero pakati pekurapa kushushikana (kana kushushikana) pasina kusagadzikana mhedzisiro.

Nyanzvi dzinokurudzira kuwedzera kutaurirana pakati pevanodanana kunzvenga kushushikana uye kusagadzikana zvisina basa. Kugadziridza kuhupenyu pane anodzvinyirira kunogona kuoma, uye munhu wese anozvibata zvakasiyana. Kugadzira hurukuro yakavhurika pakati pevakaroorana kunogona kubatsira kubvisa kushungurudzika kwepamoyo.

Makumi masere nemana muzana muzana yevakaroora vakataura nezvemhedzisiro mhedzisiro inokonzerwa neanodzvinyirira, ichiteverwa ne81% yevanhu muhukama. Nepo 68% yevakarambana parizvino kana vakaparadzaniswa vanhu vakavhurirawo vavakaroorana navo panguva iyoyo, chete 66% yevasina kuroora vakagovana zvavakaona paSSRI. Kune avo vaive vakasununguka kuvhura nezvekushushikana kwavo pabonde, vanopfuura 22% vakataura vachikura padhuze nevavanodanana navo, zvichienzaniswa ne10% chete vasina kutaura nemumwe wavo.

Maonero ehutano hwepfungwa

Vanhu vaive neruzivo rwehupenyu nehupenyu hweanodzvinyirira uye maSSRIs vakatipa maonero avo ekugadzirisa matambudziko epabonde.

Sezvauri kuona kubva pamhinduro dzavo, kutaura nezve mamiriro acho uye kuratidza manzwiro ako kwaiwanzo kuve maitiro ekurudziro. Kunyangwe ichigona kunetseka kana kusagadzikana pakutanga, kuvhura nezve ako zviitiko zvebonde sezvo mumwe wenyu anotanga kurapwa kunogona kubatsira kudzivirira kuvhiringidzika, kufungidzira, uye kurwadziwa manzwiro.

Pamusoro pezvo, vanhu vazhinji vakabvuma kukosha kwekugovana zviitiko izvi nachiremba kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge.

Mhedziso

Vanopfuura mamirioni gumi nematanhatu vekuAmerican vane kushushikana, uye vazhinji vacho vanorapa mamiriro neanodzvinyirira anosanganisira SSRIs. Nepo mishonga iyi ichipa rubatsiro rwunodiwa kwazvo, vanhu vazhinji vanotaura vachiona kusagadzikana pabonde uye kudzikisira chishuwo chebonde nekuda kwekurapwa. Kubva pane yedu ongororo, zvinoita kunge paine mukaha mukutaurirana pakati pavanachiremba nevarwere nezvehunhu hweiyi mhedzisiro yepabonde, kunyanya pakati pevakadzi.

Chero ipi mishonga yaunoshandisa, mutengo haufanire kuve unowedzera divi mhedzisiro. At SingleCare , basa redu ndere kuita kuchengetedza pamishonga yako yekunyorera seyakareruka sezvinobvira. Shandisa webhusaiti yedu kana app kuti uwane tsamba yako, enzanisa nemitengo, uye chengeta kukhemisi yaunosarudza.

Maitiro

Kuburikidza neAmazon's Mechanical Turk, takaunganidza mhinduro kubva kuvatori vechikamu 1,002 avo vanga vachangobva kurapwa pamwe ne SSRI antidepressants kana asiri-SSRI antidepressants. 60.3% yevatori vechikamu vedu vaive vakadzi, uye 39.7% vaive varume. Vatori vechikamu vakasiyana zera kubva pa18 kusvika 71 nechinangwa che35.7 uye kutsauka kwakazara kwe10.4. Vakapindura avo vasina kunge vaonekwa kuti vane kushushikana kana avo vasina kumbonzwa kushushikana vakasiyiwa kubva kuongororo, kuwedzera kune avo vasina kurapwa nemishonga yekudzvinyirira.

Iyo data ratiri kupa yaivimba nekuzvitaurira-wega. Yega-yakashumwa dhata ine nyaya dzakadai sekusarudza ndangariro, telescoping, hunhu, uye kuwedzeredza. Mienzaniso yeinogona kuzvibata-yakazvitaurwa data mune ino ongororo ndeye-yakatsigira mushumo weanodzvinyirira kukanganisa kune hukama hwehukama, pamwe neruzivo nemhedzisiro. Hapana kuongororwa kwehuwandu kwakaitwa pane iyi data, saka zvirevo zvakanyorwa pamusoro zvinoenderana nenzira chete.