Dùng thuốc trầm cảm hiệu quả an toàn

Dung thuoc tram cam

hieu qua an toan -»DSCKII. BUIVANUY

Tram cam va thuoc tram cam

Mud'n lam mgt viee gi dd cdn cd

hdng tram nghin td' bao than kinh

hpp tdc vdi nhau bang each truyen

thdng tin cho nhau. Gifla dudi cua

t l bdo than kinh nay vd dau cua te

bao than kinh ke tiep kia cd mdt

khoang tring gpi Id synap (khdp

than kinh). T l bao than kinh

mud'n lidn lac vdi nhau thi phai

tilt vao synap cdc chat dan truyen

than kinh serotonin, dopamin,

norepinephrin den ngfldng can

thiet. Cfl the hang chuoi te hao se

tilt ra chat dan truyin than kinh,

tao thanh mgt dfldng dan truyin

than kinh thdng suit. Niu cdc chat

ddn truyin thdn kinh trong synap

bi sut giam qua mflc do phdn huy

hay do qud trinh thu hdi (tdi nam

bat ve noi da sinh ra nd) se tao ra

trang thai flc ehi, giam khi sac,

giam ndng Iflpng, giam hoat ddng

ggi la tram cam.

Thud'c tram cam flc che sfl phdn

hiiy, fle che sfl thu hoi cac chdt ddn

truyen than kinh, lam cdc chat nay

khdng bi sut giam, phuc hii lai

d ngfldng nhfl binh thfldng trong

synap nen chd'ng lai hidn tfldng

trdm cam.

Lam sao dung thud'c

CO hi^u qua, an toan

- Phdi khdm chuydn khoa tdm

thdn trUdc khi ddng thudc: Tram

cam ed bieu hien vl tinh than la

buon chan, bon chon, lo lang, vo

cam, suy nghi tieu cUe, khdng tap

trung, hoang tfldng; ve thi chdt Id

rd'i loan gidc ngu, cham chap, rd'i

loan an ud'ng, suy giam hoat ddng

tinh due. Cd thi nham trang thai

nay la benh suy nhflpc, rd'i loan

than kinh, rdi dung cdc thud'c an

than, bdi bo, kich thieh thdn kinh

(seduxen, vitamin, aminoacid,

pyracetam, cafein). Nhfl thd' la

dung khdng dung benh.

De dam bao chan doan dung

bdnh, dung dang, dting dung thud'c,

khi ed cdc bilu bien bat thUdng ve

tam than, nhat thilt phai kham

tai chuyen khoa tdm than.

Nhiing benh nhan tram cam chi nen dung thudc ngu theo chldinh cua bkc sTdiSu tri

- Khi bi b&nh phdi ddng tkudc,

khong tu y ngdng dung: Trim

cam Id do thilu hut cdc chd't dan

truyen than kinh trong synap.

Dung thud'c ldm giam dfldc sfl

thilu hut dd ndn bdnh hi diy lui.

Cdc lieu phap tfl than v^n ding

nhfl dung y chi nghi Iflc thay dii,

cude sd'ng, lieu phdp tdm ly... rat

quan trgng, cdn dflpc phd'i hop vdi r

thud'c... nhflng khong th i thay the

thuoc. Thud'c trdm cam chi phue

hoi cac chd't ddn truyen thdn kinh

vl d ngfldng binh thfldng n6n

thud'c eh! dfla ngfldi henh tfl trang li

thai tram cam ve trang thdi binh-^

thfldng ehfl khdng hiln ngfldi trani

cam thdnh mdt ngfldi khdc. Thulc

khi dung phdt huy hidu Iflc, khi

ngCftig dung se hit hieu Iflc, khdng

tich luy, khong gay nghidn. Dung

keo ddi khiln co th i quen thulc

ne'u ngflng dot nggt se bi cdm gidc

khd chiu, ne'u giam d^n lieu trfliJo

khi ngflng dung se khdng bi hi$n

tflpng nay. Nhieu ngfldi sp thulc

dgc, nghien ndn khdng muon diing

hay khi mdi dd trieu chflng Id tfl

y ngiftig. Tfl y ngflng diing se lam

cho henh tai phdt trd lai nSng

hon. Cung cd ngfldi cho rdng hda

dflpc ddc, chuyin sang dflng thdo

dfldc. Chfla cd tdi lidu ndo eho bilt

thao dflpc chfla dflOc trim cam.

Chuyen sang dung thao dflpc cung

hai nhfl tfl y ngifng dung.

- Trdnh phdi hgp thudc trdm

cdm vdi cdc thudc dc chi thdn kinh:

Cd ngfldi trdm cam bi bin chin lo

ldng, cd kich ddng, khi mdi diing

thulc hi cang thing mdt ngiJ- C6

ngudi trdm cdm bi trang thdi hUHg

cam, can phdi dung thulc ddc hi^u

nhfl mud'i lithium. Trong cdc trfliWg

hgp nay, khdng tfl y dung cdc thulc

gay fle che thin kinh trung iWot

nhfl benzodiazepin, phenobarbitd

THU6c & SLfC KH6 E S I 504 (15.7.2014)