Ntho e ngoe le e ngoe eo o hlokang ho e tseba ka ho imeloa kelellong ho bakang boima ba 'mele

Litaba

• 1. Tricyclic lithibela-mafu
• 2. Monoamine oxidase inhibitors (MAOIs) e meng
• 3. Ts'ebeliso ea nako e telele ea li-inhibitors tse khethiloeng tsa serotonin reuptake (SSRIs)
• 4. Meriana e meng e loantšang ho tepella maikutlo
• Ho imeloa kelellong ho seng bonolo ho baka boima ba 'mele
• Tsela

Kakaretso

Boima ba 'mele ke litlamorao tse ka bang teng tsa lithethefatsi tse ngata tse loantšang khatello ea maikutlo. Le hoja motho e mong le e mong a arabela kalafo ea ho imeloa kelellong ka tsela e fapaneng, li-anti-depressing tse latelang li ka 'na tsa baka boima nakong ea kalafo.

1. Tricyclic lithibela-mafu

Li-anti-depressing tsa Tricyclic, tse tsejoang hape e le cyclic antidepressants kapa li-TCA, li ka baka boima ba 'mele. Lithethefatsi tsena li kenyelletsa:

• amitriptyline (Elavil)
• amoxapine
• desipramine (Norpramin)
• doxepin (Adapin)
• imipramine (Tofranil-PM)
• Nortriptyline (Pamelor)
• protriptyline (Vivactil)
• trimipramine (Surmontil)

Li-TCA ke tse ling tsa lithethefatsi tsa pele tse amoheloang ho phekola khatello ea maikutlo. Ha li sa laeloa khafetsa hobane kalafo e ncha e baka litla-morao tse fokolang.

Boima ba 'mele e ne e le lebaka le tloaelehileng la hore batho ba emise kalafo ka mefuta ena ea ho imeloa kelellong, ho latela phuputso ea 1984.

Leha ho le joalo, li-TCA li ka sebetsa hantle ho batho ba sa arabeleng ho mefuta e meng ea lithethefatsi tse loantšang khatello ea maikutlo, leha ho na le litla-morao tse sa batleheng.

2. Monoamine oxidase inhibitors (MAOIs) e meng

Monoamine oxidase inhibitors (MAOIs) e ne e le sehlopha sa pele sa lithibela-mafu tse lokelang ho etsoa. MAOIs a bakang boima ba 'mele a kenyelletsa:

• phenelzine (Nardil)
• isocarboxazid (Marplan)
• tranylcypromine (Parnate)

Lingaka li fana ka li-MAO hangata ha li-anti-depressing tse ling li sa sebetse ka lebaka la litla-morao tse itseng le matšoenyeho a polokeho. Ho li-MAOI tse tharo tse thathamisitsoeng kaholimo, phenelzine ke eona e ka lebisang ho nona haholo, ho latela 1988.

Leha ho le joalo, tlhahiso e ncha ea MAOI e tsejoang ka hore ke selegiline (Emsam) e bonts'itsoe hore e baka tahlehelo ea boima ba 'mele nakong ea kalafo. Emsam ke moriana o fetisitsoeng o sebelisitsoeng letlalong ka setsiba.

3. Ts'ebeliso ea nako e telele ea li-inhibitors tse khethiloeng tsa serotonin reuptake (SSRIs)

Li-SSRI ke sehlopha se atisang ho beoa sa lithethefatsi tsa khatello ea maikutlo. Tšebeliso ea nako e telele ea li-SSRI tse latelang e ka baka boima ba 'mele:

• paroxetine (Paxil, Pexeva, Brisdelle)
• sertraline (Zoloft)
• fluoxetine (Prozac)
• citalopram (Celexa)

Le hoja li-SSRI tse ling li amahanngoa le ho theola boima ba 'mele qalong, ts'ebeliso ea nako e telele ea li-SSRI hangata e hokahane le boima ba' mele. Tšebeliso ea nako e telele e nkuoa e le kalafo e tšoarellang nako e telele ho feta likhoeli tse tšeletseng.

Ho li-SSRI tse thathamisitsoeng kaholimo, paroxetine hangata e amahanngoa le boima ba 'mele ka ts'ebeliso ea nako e telele le ea nako e khuts'oane.

4. Meriana e meng e loantšang ho tepella maikutlo

Mirtazapine (Remeron) ke mohanyetsi oa noradrenergic, e leng mofuta oa atypical antidepressant. Lithethefatsi li bile le monyetla oa ho baka boima ba 'mele le ho eketsa takatso ea lijo ho feta lithethefatsi tse ling.

Mirtazapine ha e na monyetla oa ho etsa hore batho ba be le boima ba 'mele ha e bapisoa le li-TCA.

Hape ha e hlahise litla-morao tse ling tse ngata joaloka li-anti-depressing tse ling. Leha ho le joalo, e ka baka:

• ho nyekeloa ke pelo
• ho hlatsa
• ho se sebetse ka thobalano

Ho imeloa kelellong ho seng bonolo ho baka boima ba 'mele

Meriana e meng ea ho imeloa kelellong e amahanngoa le phaello e tlase ea boima joalo ka litlamorao. Li-anti-depressing tsena li kenyelletsa:

• escitalopram (Lexapro, Cipralex), SSRI
• duloxetine (Cymbalta), serotonin-norepinephrine reuptake inhibitor (SNRI), e ka baka boima ba 'mele bo itekanetseng le
• bupropion (Wellbutrin, Forfivo, le Aplenzin), sethibela-mafu se atypical
• nefazodone (Serzone), mohanyetsi oa serotonin le reuptake inhibitor
• venlafaxine (Effexor) le venlafaxine ER (Effexor XR), tseo ka bobeli e leng SNRIs
• desvenlafaxine (Pristiq), SNRI
• levomilnacipran (Fetzima), SNRI
• vilazodone (Viibryd), serotonergic e loantšang khatello ea maikutlo
• vortioxetine (Trintellix), e loantšang khatello ea maikutlo
• selegiline (Emsam), MAOI e ncha eo u e sebelisang letlalong la hao, e ka lebisang litlamorao tse fokolang ho feta MAOI a nkiloeng ka molomo

Boima ba 'mele ha bo na monyetla oa ho hlaha ka li-SSRI tse latelang ha li sebelisoa ka nako e ka tlase ho likhoeli tse tšeletseng:

• sertraline (Zoloft)
• fluoxetine (Prozac)
• citalopram (Celexa)

Tsela

Ha se motho e mong le e mong ea noang ho imeloa kelellong ea tla ba boima. Batho ba bang ba tla theola boima ba 'mele.

Litsebi li hatisa hore matšoenyeho a ho nona ha a lokela ho susumetsa khetho ea ho imeloa kelellong ho batho ba bangata. Ho na le litla-morao tse ling le lintlha tseo u lokelang ho nahana ka tsona ha u khetha moriana o sithabetsang maikutlo.

Haeba o nona boima ba 'mele ha o ntse o nka ho imeloa kelellong, moriana o kanna oa se be sesosa se tobileng sa phaello ea boima ba' mele. Ho ba le maikutlo a ntlafetseng ha u ntse u e-na le ho imeloa kelellong, ka mohlala, ho ka eketsa takatso ea lijo, e lebisang ho nona.

Se ke oa emisa ho noa sethethefatsi sa hau hanghang leha o ka nona. U tla hloka ho sebetsa le ngaka ea hau ho fumana moriana o tepelletsang maikutlo o thusang matšoao a hau a khatello ea maikutlo mme ha o bake litlamorao tse sa batleheng. Sena se ka hloka mamello hanyane.

Ngaka ea hau e ka u fa malebela a ho thibela ho nona ha u le kalafong ea khatello ea maikutlo.