Ukwelapha Okufanele Ukucindezeleka Kuyisisekelo Esimweni Sempilo
Kubantu abanesifo senhliziyo, ukucindezeleka kungenzeka ukuthi kuholele ekuhlaselweni kwenhliziyo, ubuhlungu besifo nesifuba kunokubhema, ukucindezeleka kwegazi noma isifo sikashukela. Kodwa izinkinga zingabanjwa ngokuthatha izidakamizwa ezibizwa ngokuthi i-serotonin reuptake inhibitors (i-SSRIs) ekhethiwe, ngokusho kocwaningo lwaseCanada olwanyatheliswa kuyi-2007 Journal of the American Medical Association.
Iziguli ezinokucindezeleka - cishe ama-50% alabo esibhedlela kanye nabaningi-abahlanu-abanye amathuba okufa noma ukubhekana nezinkinga zenhliziyo ngaphezulu ngonyaka ozayo kunabanye.
Ama-SSRI, njengeCelexa (citalopram), i-Prozac (i-fluoxetine) ne-Zoloft (i-sertraline), acatshangwa ukuthi ayathuthukisa imizwa ngokuvimbela amangqamuzana amagciwane ukuba abuyele kabusha i-serotonin, okwandisa inani le-neurotransmitter ebuchosheni. Ukuba namazinga aphansi e-serotonin ahlotshaniswa nokucindezeleka, ngakho "ama-inhibitors okuphindwa kabusha," ngokugcina i-serotonin eningi etholakalayo ebuchosheni, anganciphisa ukucindezeleka. Le mithi iphephile iziguli zenhliziyo futhi isebenza kahle kwabaningi.
Ngokwe- Journal yocwaningo, i-SSRIs iphumelela kakhulu kune-psychotherapy yabangane ekuthuthukiseni ukucindezeleka ezigulini zenhliziyo.
Phakathi namasonto ambalwa okuqala wokuthatha i-SSRI, iziguli zingase zithole ukukhathazeka okukhulu kuze kube yilapho umuthi usebenza ngokugcwele - ngokuvamile emavikini angu-4 kuya ku-6.
Imiphumela emibi engase ihlale isikhathi sonke lapho imithi ithathwa khona kubandakanya ubunzima bezocansi, isicanucanu, kanye nenhloko.
Amanye ama-SSRI, uma ehlanganiswe ne-erythromycin yama-antibiotic, angandisa ingozi yokushaya inhliziyo noma ukufa okungazelelwe. Qinisekisa ukuthi udokotela ochaza ukuthi u-antidepressant wakho unelungelo eligcwele lenye imithi oyithathayo.
Ukuthi ukucindezeleka kuthinta kanjani isifo senhliziyo
Ukulawula ukucindezeleka kubaluleke kakhulu ezigulini zenhliziyo ngoba, kungahlosiwe, kungagcina umzimba esimweni esingapheli sokulungiswa okuphuthumayo, okunemiphumela emibi eminingana:
- Amazinga we-hormone eyanda
- Imithwalo yegazi enomkhawulo
- Inkokhelo yenhliziyo ephakeme
Ekugcineni, lesi simo sokuzilungela njalo silimaza imithwalo yegazi futhi senza inhliziyo ibe yizinkomba ezitshela ukuthi zinciphise.
Lapho abantu abanezimo zenhliziyo bethola ukwelashwa kokucindezeleka, lokhu ukwelashwa kusiza ukunciphisa umbono wabo wobuhlungu, kuthuthukisa amandla, kuthuthukise ukuhlalisana kwabantu futhi kwandisa amathuba abo okuyeka ukubhema, ukunciphisa ukuphuza utshwala, ukuzivocavoca nokudla kahle.
Ezinye izidakamizwa ezihlukumezayo
Izidakamizwa eziningana ngaphandle kwama-SSRI zingaba yingozi kulabo abanesifo senhliziyo:
I-Serotonin ne-Noradrenaline Reuptake Inhibitors (i-SNRIs), kuhlanganise ne-Effexor (venlafaxine), ingandisa ukwanda kwegazi.
Ama-Tricyclics, afana ne-Elavil (amitriptyline), angabangela isizungu nokulinganisa kwenhliziyo.
I-Monoamine Oxidase Inhibitors (MAOIs), ehlanganisa uNardil (phenelzine), ingabangela ukushaya kwenhliziyo okungavamile nokuphakama okukhulu kwegazi lapho kuhlanganiswa nokudla okuthile.
> Imithombo:
> "Ukucindezeleka." www.rcpsych.ac.uk . 2007. I-Royal College of Psychiatrists.
> "Imiphumela yeCitalopram ne-Interpersonal Psychotherapy ekucindezelekeni kweziguli ezine-Coronary Artery Disease." Umagazini we-American Medical Association 297: 4 (2007): 367-379.
> "I-Erythromycin neengozi yokufa kwe-Cardiac Cardiac". americanheart.org . 2008. American Heart Organization.
> "I-Harvard yeMental Health Letter: Mind and Mood Ngemuva kokuhlaselwa kwenhliziyo." funda.health.harvard.edu . Feb. > 1 > 2006. Isikole sezokwelapha saseHarvard.
> "Imithi." nimh.nih.gov. 26 Juni 2008. Izikhungo zezempilo zikazwelonke.
> "I-SSRI Research." umlando.nih.gov . 2008. Izikhungo zezempilo zikazwelonke.