Maarten Vasbinder anogara kuIsaan. Basa rake ndere general practitioner, basa raainyanya kudzidzira kuSpain. PaThailandblog anopindura mibvunzo kubva kuvaverengi vanogara muThailand.
Iwe une mubvunzo kuna Maarten uye unogara muThailand here? Tumira izvi kumupepeti: www.thailandblog.nl/contact/ Zvakakosha kuti upe ruzivo rwakakwana se:
- Zera
- Zvichemo)
- Nhoroondo
- Kushandiswa kwemishonga, kusanganisira kuwedzera, nezvimwewo.
- Kusvuta, doro
- kufuta
- Chero zvabuda murabhoritari uye kumwe kuongororwa
- Zvinogoneka BP
Mapikicha uye zvakanamirwa zvinogona kutumirwa kune [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.
Wadiwa Martin,
Ndanga ndichitora Desirel (Trazodone) nokuda kwekutya kwekutya kwemakore akati wandei. Ndinorarawo zvakaipa. Maziso angu ave kundinetsa mwedzi mishoma yapfuura. Kusaona zvakanaka. Ndakatoenda kuna chiremba wemaziso, asi hapana chaakawana.
Sezvo ini ndisinganwi mumwe mushonga, ndakashamisika kana imhaka yeDesirel. Iwe unogona kuti: rega kutora anti-depressants, asi iyo haisi sarudzo kwandiri. Ndakazviedza kakati wandei zvikashaya basa.
Kuchinjira kuFluoxetine isarudzo here? Kana kuti pane imwe anti-depressant iyo isina kuipa kumaziso?
Zera rangu rine makore makumi matanhatu nemanomwe, BMI 67, BP 25/120, kurova kwemoyo makumi matanhatu.
Pachokwadi,
F.
******
Wadiwa F,
Antidepressants zvechokwadi inogona kukonzera matambudziko emaziso. Zvisinei, kunyanya kukoshesa hakuna kumbobhadharwa kwazviri, kana kumigumisiro yemwoyo.
Iwe unogona zvechokwadi kuedza imwe antidepressant yekirasi imwechete (seretonin inhibitors) yakadai se (fluoxetine (Prozac), asi iwe unogona kuratidzirwa kune mamwe maitiro emigumisiro.
Sezvandambotaura, kutariswa kudiki kunobhadharwa kune mhedzisiro yemishonga inodzvinyirira. Iwo ma blockbusters uye anodzivirirwa zino uye mbambo neindasitiri. Bolckbusters muindasitiri yemishonga zviwanikwa zvinoburitsa mari inosvika bhiriyoni imwe chete yepurofiti pagore. ne antidepressants uye, semuenzaniso, Satins, iyo yakawanda. Dr. Peter C. Gøtzsche akapa bhuku rose kwairi: "Mishonga Inouraya uye Mhosva Yakarongwa".
Chinhu chakaipa pamusoro pemishonga inoderedza kuora mwoyo ndechokuti haishande, kunze kwekuti ine nocebo effect, zvinoreva kuti vanoita chimwe chinhu chinoita kuti unzwe wakasiyana, iwe unoshandura sekuvandudza.
Kuora mwoyo chirwere chinotyisa. Kunyanya iyo endogenous depression, iyo inowanzogadziriswa nemajini. Iyo exogenous depression inokonzerwa nezviitiko zvekunze uye inopfuura yega muvanhu vazhinji kunze kwekunge vakaiswa pa antidepressants kana kugara vachinyunyuta pamusoro.
Wakarurama pakutaura kuti zvakaoma zvikuru kurega kutora mishonga inoderedza kuora mwoyo. Zvisinei, zvinobvira nokushivirira kukuru. Nzira yakanaka munyaya yeTrazadone ndeyokuderedza ne50 mg pavhiki. Kana iwe ukatora 300 mg pazuva, izvo zvinoreva kuti kubvisa kunotora mavhiki e42. Kana iwe ukatora muyero wakaderera, unogona kuderedza 25 mg pavhiki. Mukuita kwangu, izvi zvinenge zvagara zvichishanda. Uchazoda kuita hurongwa hwehuwandu hwemapiritsi aunogona kunwa. Iva nechokwadi chokuti kutora kunogoverwa zvakaenzana sezvinobvira mumazuva evhiki. Kune vamwe vanhu zvinogona kukurumidza, asi sezvo wanga uri pamushonga unopindwa muropa kwemakore akati wandei, zviri nani kutanga zvishoma nezvishoma. Vamwe vanhu vanoenda kukiriniki yekupindwa muropa kuti vabude mujeri remishonga inoderedza kuora mwoyo.
Nekuda kwemaziso ako, hazvisi chokwadi kuti Trazodone ndiyo honzeri. Unogonawo kuva necataract. Iwe unogona kuona izvi nekutarisa ziso kune ziso kuburikidza nechubhu diki (mamirimita mashoma). Kana ukaona zvakajeka zvinoreva kuti chiratidzo chako chepakati chakamira, asi chiono chako chemukati hachisi. Muzviitiko zvakawanda, ichi ndicho chimwe chezviratidzo zvecataract. Iwe unogona kugadzira chubhu yakadaro nechibhakera chako.
Kusarara ndeimwe yemhedzisiro yeTrazodone.
Pachokwadi,
Dr. Maarten
Iwe une mubvunzo kuna Maarten uye unogara muThailand here? Tumira izvi kumupepeti: www.thailandblog.nl/contact/ Zvakakosha kuti upe ruzivo rwechokwadi (ona runyoro pamusoro pepeji).