Ukunyangwa ngokufanelekileyo koxinzelelo kubalulekile kwiMpilo
Kubantu abanesifo senhliziyo, ukuxinezeleka kunokukhokelela ekuhlaselweni kwentliziyo, ukuhlunguphazwa kwesifuba kunye nesifuba kunokutshaya, uxinzelelo lwegazi okanye isifo sikashukela. Kodwa iingxaki ziyakwazi ukunyangwa ngokuthatha i-anti-depressants ebizwa ngokuba yi-seleotonin reuptake inhibitors (i-SSRIs), ngokutsho kophando lwaseCanada olupapashwe kwi-2007 Journal of the American Medical Association.
Izigulane ezixinezelekileyo - malunga ne-50% yezibhedlele kunye nabaninzi kwisihlanu-zabanye - ziba zihlandlo eziphindwe ezintlanu zokufa okanye zineengxaki ezingakumbi zengqondo kunyaka ozayo kunabanye.
I-SSRI, njengeCelexa (citalopram), i-Prozac (i-fluoxetine) kunye ne-Zoloft (i-sertraline), kucatshangelwa ukuba iphucule imimoya ngokukhusela iiseliti ze-nervous ukuyibuyisela i-serotonin, ngaloo ndlela yandisa inani le-neurotransmitter engqondweni. Ukuba namazinga aphantsi e-serotonin anxulumene nokudakumba, ngoko "i-reuptake inhibitors," ngokugcina i-serotonin ethe xaxa iyatholakala kwingqondo, inokunciphisa uxinzelelo. Ezi zonyango zikhuselekile kwizigulane zentliziyo kwaye zisebenza kakuhle kwabaninzi.
Ngokwe- Journal ye - Journal , ii-SSRI ziphumelele ngakumbi kunengqondo ye-psychotherapy ekuphuculeni ukudakumba kwezigulane zentliziyo.
Ngethuba leveki zokuqala zokuthatha i-SSRI, izigulane ziyakwazi ukunyuka uxhalabisayo de lize lisebenze ngokupheleleyo-ngokuqhelekileyo kwiiveki ezi-4 ukuya kwezi-6.
Iimiphumo ezimbi ezingapheliyo ngexesha lonke iyeza zithathwa ziquka ubunzima bezesondo, isicupunu, kunye nentloko.
Ezinye ii-SSRI, xa zidibene ne-antibiotic erythromycin, zinokunyusa umngcipheko weentliziyo ezingaqhelekanga okanye ukufa ngokukhawuleza. Qinisekisa ukuba ugqirha oyalela ukuba uxinzelelo lwakho luluhlu olupheleleyo lweyiphi na imithi oyithathayo.
Indlela Ukuxinezeleka kuchaphazela njani i-Cardiovascular System
Ukulawula ukudakumba kubaluleke kakhulu kwizigulane zentliziyo ngenxa yokuba, ingakhange ihlolwe, ingakwazi ukugcina umzimba kwisimo esingapheliyo sokulungelelanisa, esineempembelelo ezininzi:
- Amanqanaba amahomoni ayanda
- Imida yegazi
- Ukuphakama kwenhliziyo
Ekugqibeleni, eli lizwe likulungele ukulimaza imithana yegazi kwaye lenze intliziyo ibe yintsholongwane kwizalathisi ezixela ukuba zinciphise.
Xa abantu abaneemeko zentliziyo befumana unyango lokudandatheka, le nyeza kunceda ukunciphisa ukujonga kwabo intlungu, kuphucula amandla, kuphucula intlalo kunye nokwandisa amathuba abo okuyeka ukutshaya, ukunciphisa ukusetyenziswa kotywala, ukusetyenziswa nokutya ngokufanelekileyo.
Ezinye ezixhatshazayo
Izidalwa ezinxamnye neengcinezelo ngaphandle kwe-SSRI zingaba yingozi kubantu abanesifo senhliziyo:
I-Serotonin kunye ne-Noradrenaline Reuptake Inhibitors (i-SNRIs), kuquka i-Effexor (venlafaxine), inokunyusa uxinzelelo lwegazi.
I-Tricyclics, njenge-Elavil (amitriptyline), inokubangela ukuzondla kunye nokuphakama kwenhliziyo.
I-Monoamine Oxidase Inhibitors (ii-MAOIs), ezibandakanya uNardil (phenelzine), zingabangela intliziyo engavumelekanga kunye nokunyuswa kwengcinezelo yegazi xa ixubene nokutya okuthile.
> Imithombo:
> "Iingcinezelo." www.rcpsych.ac.uk . 2007. Ikholeji yaseRoyal of Psychiatrists.
> "Iimpembelelo zeCitalopram kunye ne-Interpersonal Psychotherapy kwi-Depression kwi-Patients Coronary Artery Disease." Umbhalo we-American Medical Association 297: 4 (2007): 367-379.
> "I-Erythromycin kunye neengozi yokufa kweCaracac Death." americanheart.org . 2008. American Heart Organization.
> "I-letter yezempilo yengqondo yeHarvard: Ingqondo kunye nomoya emva kokuhlaselwa kwentliziyo." funda.health.harvard.edu . NgoFebruwari > 1 > 2006. ISikole sezoLimo saseHarvard.
> "Imithi." nimh.nih.gov. 26 uJuni 2008. amaZiko eZiko lezeMpilo.
> "Uphando lwe-SSRI." history.nih.gov . 2008. Iziko lezeMpilo zeSizwe.