Sengoli: Eugene Taylor
Letsatsi La Creation: 15 Phato 2021
Ntlafatsa Letsatsi: 15 December 2024
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Bay Leaf Miracles! 🍃 Get Rid of Varicose Veins and Joint Pains With This Recipe -Natural Recipes
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Litaba

Haeba u na le khatello e kholo ea maikutlo (MDD), mohlomong u se u ntse u nkile bonyane khatello ea maikutlo e le 'ngoe. Phekolo ea meriana e kopaneng ke mofuta oa kalafo oo lingaka le lingaka tse ngata tsa kelello li 'nileng tsa o sebelisa haholo lilemong tse leshome tse fetileng.

Karolo ea Meriana

Ho fihlela haufinyane, lingaka li ne li fana ka moriana o loantšang khatello ea maikutlo ho tsoa sehlopheng se le seng feela sa lithethefatsi, ka nako e le 'ngoe. Hona ho bitsoa monotherapy. Haeba sethethefatsi seo se hloleha, ba kanna ba leka moriana o mong sehlopheng seo, kapa ba fetohela sehlopheng se seng sa li-anti-depressing ka botlalo.

Hona joale lipatlisiso li fana ka maikutlo a hore ho nka li-anti-depressing tse tsoang lihlopheng tse ngata e kanna ea ba tsela e molemohali ea ho phekola MDD. Phuputso e 'ngoe e fumane hore ho sebelisa mokhoa o kopaneng lets'oao la pele la MDD ho ka eketsa menyetla ea tšoarelo habeli.


Ho tepella maikutlo ho atypical

Ka boeona, bupropion e sebetsa hantle ho phekoleng MDD, empa e kanna ea sebelisoa hammoho le meriana e meng ho khatello ea maikutlo e thata ho e phekola. Ebile, bupropion ke e 'ngoe ea meriana ea kalafo e kopaneng e sebelisoang haholo. E sebelisoa khafetsa ka li-serotonin reuptake inhibitors (SSRIs) tse khethiloeng le serotonin- norepinephrine reuptake inhibitors (SNRIs). Ka kakaretso e mamelloa hantle ho batho ba kileng ba ba le litla-morao tse matla tsa meriana e meng e loantšang khatello ea maikutlo. E ka boela ea imolla tse ling tsa litla-morao tsa thobalano (fokotseha libido, anorgasmia) e amanang le li-SSRI tse tsebahalang le SNRIs.

Bakeng sa batho ba nang le ho lahleheloa ke takatso ea lijo le ho hlobaela, mirtazapine e kanna ea ba khetho. Litla-morao tsa eona tse tloaelehileng ke ho nona le ho kokobela. Leha ho le joalo, mirtazapine ha e so ithutiloe ka botebo e le meriana e kopaneng.

Lithibela-mafu

Lipatlisiso li bontša hore ho ka ba le molemo oa ho phekola matšoao a setseng ho batho ba sebelisang li-SSRI ka li-antipsychotic tsa tlhaho, joalo ka aripiprazole. Litla-morao tse ka bang teng tse amanang le meriana ena, joalo ka ho eketsa boima ba 'mele, ho thothomela ha mesifa le pherekano ea metabolism, li lokela ho tsotelloa ka hloko kaha li ka lelefatsa kapa tsa mpefatsa matšoao a mang a khatello ea maikutlo.


L-Triiodothyronine

Lingaka tse ling li sebelisa L-Triiodothyronine (T3) kalafong e kopaneng le tricyclic antidepressants (TCAs) le monoamine oxidase inhibitors (MAOIs). Litlhahiso tsa lipatlisiso T3 li molemo ho potlakisa karabelo ea 'mele kalafong ho feta ho eketsa menyetla ea hore motho a kene tefong.

Litšusumetso

D-amphetamine (Dexedrine) le methylphenidate (Ritalin) ke lintho tse khothatsang tse sebelisetsoang ho phekola khatello ea maikutlo. Li ka sebelisoa e le monotherapy, empa li ka sebelisoa kalafo e kopaneng le meriana e loantšang khatello ea maikutlo. Li thusa haholo ha phello e lakatsehang e le karabelo e potlakileng. Bakuli ba fokolang, kapa ba nang le maemo a comorbid (joalo ka stroke) kapa mafu a sa foleng a bongaka, e kanna ea ba bakhethoa ba hantle bakeng sa kopano ena.

Therapy ea Motsoako e le Phekolo ea Mokhahlelo oa Pele

Palo ea katleho ea kalafo ea monotherapy e batla e le tlase, ka hona bafuputsi le lingaka tse ngata ba lumela hore mokhoa oa pele le o motle oa ho phekola MDD ke kalafo e kopaneng. Leha ho le joalo, lingaka tse ngata li tla qala ho phekola ka moriana o le mong o loantšang khatello ea maikutlo.


Pele o etsa qeto mabapi le meriana, e fe nako ea ho sebetsa. Kamora nako ea teko (hangata e ka ba libeke tse 2 ho isa ho tse 4), haeba u sa bontše karabo e lekaneng, ngaka ea hau e kanna ea lakatsa ho fetola meriana kapa ho eketsa litlhare tse ling ho bona hore na motswako o thusa moralo oa hau oa kalafo hore o atlehe.

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