{"id":11385565,"date":"2021-02-17T00:00:00","date_gmt":"2021-02-16T23:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/medikace-proti-depresim-a-schopnost-potapet-se\/"},"modified":"2021-02-17T00:00:00","modified_gmt":"2021-02-16T23:00:00","slug":"medikace-proti-depresim-a-schopnost-potapet-se","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/medikace-proti-depresim-a-schopnost-potapet-se\/","title":{"rendered":"Medikace proti depres\u00edm a schopnost pot\u00e1p\u011bt se"},"content":{"rendered":"<h4 style=\"text-align: justify;\">Deprese: Kdo dost&aacute;v&aacute; deprese?<\/h4>\n<p style=\"text-align: justify;\">Nen&iacute; to tak divn&eacute;, jak by se na prvn&iacute; pohled mohlo zd&aacute;t. I pot&aacute;p\u011b\u010di dost&aacute;vaj&iacute; deprese. Pom\u011brn\u011b \u010dast&eacute; dotazy, kter&eacute; dost&aacute;v&aacute;me na l&eacute;ka\u0159skou poradenskou linku DAN, se t&yacute;kaj&iacute; l&eacute;k\u016f, kter&eacute; berou pot&aacute;p\u011b\u010di proti depres&iacute;m a jak&yacute; dopad mohou m&iacute;t tyto l&eacute;ky na jejich schopnost pot&aacute;p\u011bt se. Podle N&aacute;rodn&iacute;ho institutu pro ment&aacute;ln&iacute; zdrav&iacute; za\u017eije v&iacute;ce ne\u017e 17 milion\u016f Ameri\u010dan\u016f ka\u017ed&yacute; rok n\u011bjak&eacute; obdob&iacute; klinick&eacute; deprese. Spr&aacute;vnou terapi&iacute; v&scaron;ak t&eacute;m\u011b\u0159 80 procent lid&iacute; diagnostikovan&yacute;ch s depres&iacute; zaznamen&aacute;v&aacute; podstatn&eacute; zlep&scaron;en&iacute;. Deprese nen&iacute; jen n\u011bco v hlav\u011b. M&aacute; dopad na cel&eacute; t\u011blo i mysl. P\u0159&iacute;znaky deprese jsou u ka\u017ed&eacute;ho \u010dlov\u011bka jin&eacute; a tot&eacute;\u017e plat&iacute; o jejich intenzit\u011b. Je samoz\u0159ejm&eacute;, \u017ee jedinci, kte\u0159&iacute; se ocitaj&iacute; a\u017e mimo realitu, maj&iacute; sebevra\u017eedn&eacute; sklony, nebo m&iacute;vaj&iacute; halucinace, by se nem\u011bli pot&aacute;p\u011bt. A rovn\u011b\u017e nebude pro pot&aacute;p\u011b\u010de bezpe\u010dn&eacute;, jestli\u017ee se n&aacute;sledkem depres&iacute; dost&aacute;v&aacute; do stavu, kdy je siln\u011b ovlivn\u011bna jeho schopnost \u010dinit racion&aacute;ln&iacute; rozhodnut&iacute; pro sebe nebo pro sv&eacute;ho pot&aacute;p\u011b\u010dsk&eacute;ho partnera. Mnoho lid&iacute; se v&scaron;ak &uacute;sp\u011b&scaron;n\u011b pot&aacute;p&iacute;, i kdy\u017e u\u017e&iacute;vaj&iacute; l&eacute;ky a jsou l&eacute;\u010den&iacute; kv\u016fli sv&yacute;m ka\u017edodenn&iacute;m depres&iacute;m.<\/p>\n<h4 style=\"text-align: justify;\">P\u0159&iacute;znaky deprese<\/h4>\n<p style=\"text-align: justify;\">Podle N&aacute;rodn&iacute; asociace pro deprese a manick&eacute; deprese pat\u0159&iacute; k p\u0159&iacute;znak\u016fm deprese n&aacute;sleduj&iacute;c&iacute; stavy:&nbsp;<\/p>\n<ul>\n<li style=\"text-align: justify;\">D&eacute;letrvaj&iacute;c&iacute; pocity smutku nebo nevysv\u011btliteln&eacute; z&aacute;chvaty pl&aacute;\u010de;&nbsp;<\/li>\n<li style=\"text-align: justify;\">podstatn&eacute; zm\u011bny v chuti k j&iacute;dlu a neobvykl&yacute; zp\u016fsob sp&aacute;nku;&nbsp;<\/li>\n<li style=\"text-align: justify;\">podr&aacute;\u017ed\u011bnost, vztek, strach, roz\u010dilenost, &uacute;zkost;<\/li>\n<li style=\"text-align: justify;\">neschopnost soust\u0159ed\u011bn&iacute;, nerozhodnost;&nbsp;<\/li>\n<li style=\"text-align: justify;\">nevysv\u011btliteln&eacute; bolesti;&nbsp;<\/li>\n<li style=\"text-align: justify;\">opakuj&iacute;c&iacute; se my&scaron;lenky na smrt a sebevra\u017edu.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Pro pot&aacute;p\u011b\u010de zde m\u016f\u017eeme dodat, \u017ee n\u011bkter&eacute; p\u0159&iacute;znaky spojovan&eacute; s depresemi, se dosti podobaj&iacute; p\u0159&iacute;znak\u016fm dekompresn&iacute;ho onemocn\u011bn&iacute; (DCI). Neschopnost soust\u0159ed\u011bn&iacute; nebo nevysv\u011btliteln&eacute; bolesti by mohly zna\u010dn\u011b zt&iacute;\u017eit diferenci&aacute;ln&iacute; diagn&oacute;zu. Pot&aacute;p\u011bn&iacute; do hloubek nen&iacute; pr&aacute;v\u011b \u010dinnost, p\u0159i kter&eacute; by si mohl \u010dlov\u011bk dovolit nesoust\u0159ed\u011bnost na v\u011bci, kter&eacute; jsou z&aacute;sadn\u011b d\u016fle\u017eit&eacute;, t.j. dodr\u017eov&aacute;n&iacute; pl&aacute;nu ponoru, kontrolov&aacute;n&iacute; z&aacute;soby vzduchu, nebo &ldquo;jen&rdquo; pozorov&aacute;n&iacute; sv&eacute;ho partnera pod vodou. Maj&iacute; se tedy pot&aacute;p\u011b\u010di, kte\u0159&iacute; trp&iacute; depresemi, pot&aacute;p\u011bt nebo ne? Ano i ne. Ka\u017ed&yacute; pot&aacute;p\u011b\u010d by se m\u011bl posuzovat individu&aacute;ln\u011b, p\u0159&iacute;pad od p\u0159&iacute;padu. P\u0159itom by se m\u011bla vz&iacute;t do &uacute;vahy cela \u0159ada faktor\u016f &ndash; anamn&eacute;za dan&eacute;ho jedince, druh a d&aacute;vkov&aacute;n&iacute; u\u017e&iacute;van&yacute;ch l&eacute;k\u016f, jeho reakce na aplikovanou l&eacute;\u010dbu a tak&eacute; jeho motivace pro pot&aacute;p\u011bn&iacute;. Pro bezpe\u010dnost pot&aacute;p\u011b\u010de a jeho partnera je rozhoduj&iacute;c&iacute; spr&aacute;vn&eacute; posouzen&iacute; situace.<\/p>\n<p style=\"text-align: justify;\"><img decoding=\"async\" class=\"fr-dib fr-draggable\" src=\"\/wp-content\/uploads\/imgimport\/359\/medication-1500x.jpg\" style=\"width: auto;\"><\/p>\n<h4 style=\"text-align: justify;\">L&eacute;\u010den&iacute; deprese&nbsp;<\/h4>\n<p style=\"text-align: justify;\">Sou\u010d&aacute;st&iacute; l&eacute;\u010den&iacute; deprese m\u016f\u017ee b&yacute;t u\u017e&iacute;v&aacute;n&iacute; l&eacute;k\u016f ovliv\u0148uj&iacute;ch &uacute;st\u0159edn&iacute; nervovou soustavu (CNS). Tyto l&eacute;ky mohou m&iacute;t rozd&iacute;ln&eacute; (ale i podobn&eacute;) &uacute;\u010dinky. Na trhu dnes existuj&iacute; des&iacute;tky antidepresivn&iacute;ch p\u0159&iacute;pravk\u016f, kter&eacute; depresi &uacute;\u010dinn\u011b potla\u010duj&iacute;. Ka\u017ed&aacute; jejich skupina m&aacute; sv&eacute; specifick&eacute; vlastnosti zp\u016fsobuj&iacute;c&iacute; v mozku ur\u010ditou chemickou reakci. Bohu\u017eel, n\u011bkter&eacute; z t\u011bchto l&eacute;k\u016f maj&iacute; na pot&aacute;p\u011b\u010de vedlej&scaron;&iacute; &uacute;\u010dinky podobn&eacute; p\u0159&iacute;znak\u016fm dekompresn&iacute;ho onemocn\u011bn&iacute;. P\u0159&iacute;znaky jako poruchy vid\u011bn&iacute;, slabost, z&aacute;vrat\u011b, &scaron;patn&aacute; orientace, sn&iacute;\u017een&aacute; citlivost a brn\u011bn&iacute; &ndash; jestli\u017ee se objev&iacute; po v&yacute;stupu na hladinu &ndash; to v&scaron;e m\u016f\u017ee vyvolat pot\u0159ebu vyhodnocen&iacute;, zdali se nejedn&aacute; o dekompresn&iacute; onemocn\u011bn&iacute; (DCI). N\u011bkdy se p\u0159i hled&aacute;n&iacute; optim&aacute;ln&iacute; medikace pou\u017e&iacute;v&aacute; metoda pokusu a omylu. Nikdo by v&scaron;ak nem\u011bl m\u011bnit d&aacute;vkov&aacute;n&iacute; nebo vysadit sv&eacute; l&eacute;ky bez v\u011bdom&iacute; a doporu\u010den&iacute; od sv&eacute;ho l&eacute;ka\u0159e. Vyhodnocen&iacute; individu&aacute;ln&iacute; reakce a &uacute;\u010dinn&eacute; terapie m\u016f\u017ee trvat n\u011bkolik t&yacute;dn\u016f a\u017e m\u011bs&iacute;c\u016f, proto by se pot&aacute;p\u011bn&iacute; m\u011blo odlo\u017eit a\u017e do doby, kdy se pacient ve sv&eacute; medikaci &ldquo;usadil&rdquo; a stabilizoval.&nbsp;<\/p>\n<p style=\"text-align: justify;\">Nyn&iacute; uvedeme l&eacute;ky, kter&eacute; se pou\u017e&iacute;vaj&iacute; na zvl&aacute;d&aacute;n&iacute; depres&iacute; nej\u010dast\u011bji:<br \/>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong>SSRI (selektivn&iacute; serotoninov&eacute; reuptake inhibitory) (zabra\u0148uj&iacute;c&iacute; zp\u011btn&eacute;mu p\u0159ijet&iacute; serotoninu vratn&yacute;m sm\u011brem)<\/strong><\/p>\n<p style=\"text-align: justify;\">I kdy\u017e jsou tyto inhibitory dra\u017e&scaron;&iacute; ne\u017e ostatn&iacute; p\u0159&iacute;pravky proti depresi, je jejich pou\u017e&iacute;v&aacute;n&iacute; pro pot&aacute;p\u011b\u010de pom\u011brn\u011b bezpe\u010dn&eacute;. Jejich vedlej&scaron;&iacute;m &uacute;\u010dinkem je v&scaron;ak ospalost, co\u017e m\u016f\u017ee bezpe\u010dnost pot&aacute;p\u011bn&iacute; pon\u011bkud ovlivnit.&nbsp;<\/p>\n<p style=\"text-align: justify;\">T<strong>CA \/ HCA (tricyklika \/ tetracyklika \/ heterocyklika)<\/strong><br \/>Z&aacute;vrat\u011b, ospalost a rozmazan&eacute; vid\u011bn&iacute; mohou pat\u0159it k vedlej&scaron;&iacute;m &uacute;\u010dink\u016fm souvisej&iacute;c&iacute;m s u\u017e&iacute;v&aacute;n&iacute;m tricyklik, tetracyklik a heterocyklik. V&scaron;echny l&eacute;ky, kter&eacute; ovliv\u0148uj&iacute; soust\u0159ed\u011bnost, sni\u017euj&iacute; du&scaron;evn&iacute; \u010dilost a bd\u011blost, nebo kter&eacute; oslabuj&iacute; schopnost rozhodov&aacute;n&iacute;, jsou neslu\u010diten&eacute; s bezpe\u010dn&yacute;m pot&aacute;p\u011bn&iacute;m.&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong>Dal&scaron;&iacute; antidepresiva<\/strong> jako nap\u0159. Wellbutrin(r) nebo Zyban(r) (generick&yacute; n&aacute;zev pro oba zm&iacute;n\u011bn&eacute; p\u0159&iacute;pravky je bupropion), Desyrel(r) (generick&yacute; n&aacute;zev: trazodon) a Effexor(r) (generick&yacute; n&aacute;zev: venlafaxin). U venlafaxinu existuj&iacute; i dal&scaron;&iacute; mo\u017en&eacute; (i kdy\u017e pom\u011brn\u011b vz&aacute;cn&eacute;) vedlej&scaron;&iacute; &uacute;\u010dinky jako omdl&eacute;v&aacute;n&iacute;, zv&yacute;&scaron;en&aacute; podr&aacute;\u017ed\u011bnost a pot&iacute;\u017ee s d&yacute;ch&aacute;n&iacute;m. Bupropion m\u016f\u017ee m&iacute;t jako vedlej&scaron;&iacute; &uacute;\u010dinky podr&aacute;\u017ed\u011bnost, stimulaci st\u0159edn&iacute; nervov&eacute; soustavy, z&aacute;chvaty, psych&oacute;zy sucho v &uacute;stech, bolesti lavy, migr&eacute;nu nucen&iacute; ke zvracen&iacute;, zvracen&iacute;, vyr&aacute;\u017eku hu\u010den&iacute; v u&scaron;&iacute;ch, bolesti sval\u016f a z&aacute;vrat\u011b. Je v&iacute;ce ne\u017e z\u0159ejm&eacute;, \u017ee pot&aacute;p\u011b\u010d s t\u011bmito p\u0159&iacute;znaky by podstupoval zna\u010dn&eacute; bezpe\u010dnostn&iacute; riziko.&nbsp;<\/p>\n<p style=\"text-align: justify;\">Bohu\u017eel existuje m&aacute;lo v&yacute;zkum\u016f na pot&aacute;p\u011bn&iacute; se s depresemi nebo na pot&aacute;p\u011bn&iacute; se p\u0159i u\u017e&iacute;v&aacute;n&iacute; antidepresiv. Kdy\u017e se pot&aacute;p\u011b\u010di, kte\u0159&iacute; u\u017e&iacute;vaj&iacute; n\u011bjak&eacute; l&eacute;ky na ovlivn\u011bn&iacute; &uacute;st\u0159edn&iacute; nervov&eacute; soustavy, vyjad\u0159uj&iacute; ke sv&yacute;m probl&eacute;m\u016fm, nej\u010dast\u011bji si st\u011b\u017euj&iacute; na pocity &uacute;zkosti nebo dokonce na z&aacute;chvaty paniky. Zpravidla se to p\u0159i\u010d&iacute;t&aacute; vz&aacute;jemn&eacute;mu p\u016fsoben&iacute; vysok&eacute;ho parci&aacute;ln&iacute;ho tlaku dus&iacute;ku a vedlej&scaron;&iacute;ch &uacute;\u010dink\u016f u\u017e&iacute;van&yacute;ch l&eacute;k\u016f. Takov&yacute; pot&aacute;p\u011b\u010d by m\u011bl se sv&yacute;m l&eacute;ka\u0159em prodiskutovat nebezpe\u010d&iacute; mo\u017en&eacute;ho z&aacute;chvatu. Ka\u017ed&yacute; p\u0159&iacute;pad je pot\u0159eba vyhodnotit individu&aacute;ln\u011b a nez&aacute;visle, p\u0159i\u010dem\u017e mus&iacute; pot&aacute;p\u011b\u010d (nebo z&aacute;jemce o pot&aacute;p\u011bn&iacute;) ve sv&eacute;m vlastn&iacute;m z&aacute;jmu poskytnout informace sv&eacute;mu l&eacute;ka\u0159i a v&yacute;cvikov&eacute; organizaci p\u0159esn\u011b a up\u0159&iacute;mn\u011b. Pot&aacute;p\u011b\u010di, kte\u0159&iacute; sn&aacute;&scaron;ej&iacute; medikaci dlouhodob\u011b bez probl&eacute;m\u016f a kte\u0159&iacute; um&iacute; spr&aacute;vn\u011b posoudit a vyhodnotit sv&eacute; schopnosti, si jsou tak&eacute; v\u011bdomi mo\u017en&yacute;ch vedlej&scaron;&iacute;ch &uacute;\u010dink\u016f, proto mohou o ur\u010dit&eacute;m druhu pot&aacute;p\u011bn&iacute; uva\u017eovat. Jejich rozhodnut&iacute; v&scaron;ak mus&iacute; b&yacute;t u\u010din\u011bno spole\u010dn\u011b, t.j. pot&aacute;p\u011b\u010dem i l&eacute;ka\u0159em.&nbsp;<\/p>\n<p style=\"text-align: justify;\">*<em>Obvykle se jedn&aacute; o odle\u017eel&eacute; nebo zkva&scaron;en&eacute; potraviny. Takov&eacute; potraviny obsahuj&iacute; aminokyselinu tyramin, kter&aacute; &ndash; je-li inhibov&aacute;na monoaminov&yacute;mi oxid&aacute;zov&yacute;mi inhibitory &ndash; m\u016f\u017ee v&eacute;st a\u017e k hypertenzn&iacute; krizi.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Deprese: Kdo dost&aacute;v&aacute; deprese? Nen&iacute; to tak divn&eacute;, jak by se na prvn&iacute; pohled mohlo zd&aacute;t. I pot&aacute;p\u011b\u010di dost&aacute;vaj&iacute; deprese. Pom\u011brn\u011b \u010dast&eacute; dotazy, kter&eacute; dost&aacute;v&aacute;me&#8230;<\/p>\n","protected":false},"author":1,"featured_media":11374212,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[1881],"authors":[1312],"class_list":["post-11385565","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","tag-zdravotni-cast","authors-laurie-gowen-cs_cz"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Medikace proti depres\u00edm a schopnost pot\u00e1p\u011bt se - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/medikace-proti-depresim-a-schopnost-potapet-se\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medikace proti depres\u00edm a schopnost pot\u00e1p\u011bt se - Alert Diver\" \/>\n<meta property=\"og:description\" content=\"Deprese: Kdo dost&aacute;v&aacute; deprese? 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