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معرفیانواع انگشترعقیق
انگشتر عقیق در طرح ها و رنگ های
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در سطح جهانی با عبارت کلسدونی
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است.شاخصترین و مهمترین فاکتور در شناخت انگشتر عقیق ، رنگ سنگ عقیق
میباشد که شامل عقیق سرخ ، سبز، کبود،عقیق سلیمانی ،عقیق شجروعقیق
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خرید انگشتر عقیق مردانه
انگشتر عقیق بین مردان بسیار طرفدار دارد زیرا هم
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اگر از علاقمندان انگشترهای عقیق
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خرید انگشتر عقیق زنانه
انگشتر عقیق زنانه بازگوکننده طیفی از
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قیمت انگشتر عقیق
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درمان افسردگی، پنیک اتک،
پرخوری عصبی و یا حتی سندروم پس از قاعدگی
(PMS) استفاده می شود.
پروزاک یا همان فلوکستین اولین بار در سال 1988 در
ایالات متحده ظاهر شد و به یکی
از داروهای ضد افسردگی که به طور
گسترده در این کشور تجویز می شد تبدیل شد.
اگرچه داروهای جدیدتری مانند سرترالین و سیتالوپرام اکنون در دسترس هستند اما این دارو
همچنان در بین افراد در معرض اختلالات
و تنش های روحی بسیار محبوب است.
فلوکستین دارویی تجویزی است. به شکلهای کپسول، کپسول با تأخیر در انتشار، قرص و محلول در بازار موجود است.
همه اشکال از طریق بلع مصرف میشوند.
(کپسول تأخیر در انتشار در بدن شما کندتر منتشر میشود.) کپسول خوراکی فلوکستین به صورت داروهای با
نام تجاری Prozac و Prozac Weekly نیز موجود است.
به عنوان داروی عمومینیز
در بازار موجود است. داروهای عمومیمعمولاً
قیمت کمتری نسبت به نسخههای مارک دار دارند.
فلوکستین
این داروهای عمومیدر برخی موارد، ممکن است به هر دوز یا هر شکلی به عنوان داروهای با نام
تجاری در دسترس نباشند. کپسول خوراکی فلوکستین ممکن است به
عنوان بخشی از درمان ترکیبی نیز استفاده شود.
این بدان معناست که ممکن است لازم باشد که آن را
با داروهای دیگر مصرف کنید.
نحوه ساز و کار فلوکستین چگونه
است؟
فلوکستین
کپسول خوراکی فلوکستین متعلق به طبقه ای از داروها است به نام مهار کنندههای ان تخابی بازجذب سروتونین (SSRIs).
این دسته از داروها گروهی از داروها
هستند که به روش مشابهی کار میکنند.
این داروها اغلب برای درمان شرایط مشابه استفاده
میشوند. فلوکستین با افزایش مقدار سروتونین (یک ماده طبیعی) در مغز شما کار میکند.
سروتونین به حفظ تعادل سلامت روان کمک میکند بنابراین
در بسیاری از تنش های روانی مانند افسردگی
یا اختلال دو قطبی استفاده می شود.
برای بررسی اختلالات خلقی
در خود می توانید از آزمون زیر
کمک بگیرید:
افزایش سروتونین به درمان علائم افسردگی، اختلال وسواس اجباری، پرخوری عصبی
و حملات هراس کمک میکند و یا بهتر است بگوییم از علائم
آن ها می کاهد. همچنین علائم خلقی مربوط به
اختلال دیسفوریک قبل از قاعدگی را درمان میکند.
قرص فلوکستین (Fluoxetine) داروی ضد افسردگی از مهارکننده انتخابی بازجذب سروتونین (SSRI)
است.
این دارو برای معالجه اختلال افسردگی اساسی، اختلال وسواس-اجباری (OCD)، پرخوری عصبی، اختلال هراس و اختلال دیسفوریک قبل از
قاعدگی مورد استفاده قرار میگیرد.
این دارو میتواند خطر خودکشی را در افراد
بالای 65 سال کاهش دهد.
همچنین از این دارو برای درمان
انزال زودرس استفاده میشود.
فلوکستین از طریق دهان مصرف می شود.
برای آشنایی با سایر اطلاعات در مورد داروی فلوکستین در ادامه
مطلب با کلینیک اعصاب و روان هیربد همراه باشید.
نکات مهم در مورد فلوکستین
داروی فلوکستین
قرص فلوکستین
کپسول خوراکی فلوکستین به عنوان داروهای با نام تجاری و همچنین
یک داروی عمومی در دسترس است. نامهای تجاری: Prozac Weekly و Prozac.
فلوکستین به چهار شکل ارائه میشود: کپسول، کپسول تأخیر در انتشار، قرص و محلول.
همه اشکال از طریق دهان استفاده میشوند.
کپسول خوراکی فلوکستین برای درمان انواع مختلف افسردگی، اختلالات وسواسي اجباري، برخی از اختلالات خوردن و
حملات هراس استفاده میشود. همچنین برای تسکین علائم اختلال دیسفوریک قبل از قاعدگی استفاده میشود.
بیشتر بدانیم
اختلال ملال پیش از قاعدگی
هشدارهای مهم
هشدار FDA: افکار و اقدامات خودکشی
این دارو دارای هشدار جعبه سیاه است.
هشدار جعبه سیاه، یکی از جدی ترین هشدار سازمان غذا و
دارو (FDA) است. هشدار جعبه سیاه پزشکان و بیماران را در مورد اثرات دارویی که ممکن است خطرناک باشد هشدار میدهد.
فلوکستین میتواند خطر تفکر و رفتار خودکشی
را افزایش دهد. این خطر به ویژه در کودکان، نوجوانان و بزرگسالان زیاد
است. خطر در طی چند ماه اول درمان با این دارو بیشتر است.
همچنین شما اگر سابقه شخصی یا خانوادگی از بیماری دو قطبی یا افکار یا
اقدامات خودکشی داشته باشید،
در معرض خطر بیشتری قرار دارید.
پزشک و خانواده شما باید هنگام شروع مصرف این دارو و
در هنگام تغییر دوز، شما را با دقت معاینه کرده تحت کنترل قرار دهند.
آنها باید مراقب تغییر در رفتار شما یا علائم وخیم تر شدن افسردگی باشند.
می توانید با انجام آزمون روانشناختی خودکشی در نوجوانان افکار خودکشی را در فرزندانتان مورد
بررسی قرار دهید و در صورت بروز علائم هنگام مصرف فلوکستین پزشک
معالج را باخبر کنید.
سایر هشدارها
هشدار سندرم سروتونین: این دارو میتواند یک وضعیت تهدید کننده زندگی به نام سندرم سروتونین ایجاد کند.
این سندرم هنگامیاتفاق
میافتد که داروها باعث ایجاد بیش از حد سروتونین در بدن شما شوند.
علائم این بیماری شامل اضطراب، توهم (دیدن یا شنیدن چیزی که
در آنجا نیست)، مشکلات مربوط به هماهنگی
و ضربان قلب بیش از حد است.
آنها همچنین میتوانند شامل
رفلکسهای بیش فعالی، تب، حالت تهوع، استفراغ
یا اسهال باشند. در صورت وجود علائم این
بیماری، فوراً به پزشک مراجعه کنید.
هشدار مانیا یا شیدایی: این دارو ممکن
است باعث شیدایی شود. علائم این بیماری شامل انرژی بسیار
زیاد، تحریک پذیری شدید، صحبت کردن بیشتر
یا سریعتر از حد معمول، پرش افکار یا خواب شدید است.
(آزمون روانشناختی شیدایی (مانیا و هایپومانیا))
هشدار سطح نمک پایین: این دارو
ممکن است باعث شود سطح نمک خطرناکی در
خون شما وجود داشته باشد. علائم این بیماری شامل
سردرد، ضعف، سردرگمی، تمرکز مشکلدار، مشکلات حافظه
و احساس عدم ثبات است. در
صورت بروز علائم این بیماری،
فوراً به پزشک مراجعه کنید.
فلوکستین چیست؟
فلوکستین دارویی تجویزی است.
به شکلهای کپسول، کپسول با تأخیر در
انتشار، قرص و محلول در بازار موجود است.
همه اشکال از طریق دهان مصرف
میشوند. (کپسول تأخیر در انتشار در
بدن شما کندتر منتشر میشود.)
کپسول خوراکی فلوکستین به صورت
داروهای با نام تجاری Prozac و Prozac Weekly
موجود است.
به عنوان داروی عمومینیز
در بازار موجود است. داروهای عمومیمعمولاً قیمت کمتری نسبت
به نسخههای مارک دار دارند.
این داروهای عمومیدر برخی موارد، ممکن است به هر دوز
یا هر شکلی به عنوان داروهای با نام تجاری در دسترس نباشند.
کپسول خوراکی فلوکستین ممکن است به
عنوان بخشی از درمان ترکیبی استفاده شود.
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به چاپ رسیده و این نشان دهنده توانایی و صلاحیت متخصصان روانپزشک ایرانی است.شاید یکی از این متخصصان پزشک کودک شما باشد.
این پادکست به چرخه زندگی و سرنوشت یک عدد تی شرت از کاشت گیاه
پنبه تا پایان دوره مصرف میپردازد.
البته باید توجه داشت که در گذشته بیشتر از دارو هایی مانند کلرپروپامید و تولبوتامید استفاده می شد که اثبات شد این دو نوع از سولفونیل اوره ممکن است موجب
افزایش خطر ابتلا به بیماری های قلبی و عروقی شوند و به این ترتیب امروزه از این دارو
ها استفاده نمی شود. برخی از دارو هایی
که برای درمان دیابت نوع 2 تجویز می شود
معمولا برای خانم های باردار و در دوران شیردهی توصیه
نمی شوند. این خانم ها باید سعی کنند
که با استفاده از رژیم های غذایی مناسب و همچنین انجام ورزش و
در برخی از موارد شدید با تزریق انسولین
بیماری خود را کنترل کنند.
معمولا بیشتر افراد مبتلا به دیابت را
افرادی تشکیل می دهند که به دلیل شغل
خود در طول روز تحرک کم تری دارند
و این بی تحرکی خود یکی از عوامل زمینه ساز ابتلا به دیابت می
باشد. آب یکی از بهترین نوشیدنی هایی
است که هر فرد می تواند در طول روز مصرف کرده و مصرف آن برای درست کار کردن بدن بسیار لازم و ضروری می
باشد.
علاوه بر این ، مطالعه بالینی دارو قبل
از بازاریابی نشان داد که برخی از شرکت کنندگان جوان (زیر 24 سال)
پس از مصرف فلوکستین ، تمایل به خودکشی (فکر کردن یا تلاش برای آسیب رساندن یا خودکشی)
ایجاد کردند. علاوه بر این ، هر دو فلوکسنتین و متابولیت آن نیمه عمر طولانی دارند (فلوکستین 2
یا 3 روز و متابولیت آن 2 هفته) ، که به کاهش سندرم ترک استفاده می شود که هنگام برداشت برخی از SSRI ها مشاهده می شود.
اما به خاطر داشته باشید
که این بدان معنی است که با پایان درمان مدت زمان زیادی طول می کشد تا
دارو از بدن خارج شود.
قرص فلوکستین ممکن است باعث بهبود اشتها
، خواب ، خلق و خوی و انرژیتان بشود.
دکتر سلیمی جزو بهترین پزشکان متخصص کشور بوده که هر ساله تعداد بسیار زیادی از بیماران دیابتی را با استفاده از روش های نوین درمان می
کند. نکته ی قابل توجه در باره ی رژیم
غذایی مناسب افراد دیابتی
این است که یک رژیم غذایی
از پیش تعیین شده و ثابت جود
نداشته و این رژیم غذایی باید بر
اساس تشخیص پزشک به طور خاص برای هر فرد تجویز شود.
داشتن خواب کافی می تواند کمک زیادی را برای پیشگیری
از ابتلا به دیابت باشد.
از خصوصیات این دارو این است که به زندگی روزمره تان انرژی و
حس و حال میبخشد. به طور مثال در این افراد ممکن است عفونت های دستگاه ادراری
ایجاد شده و یا در صورت ایجاد خراش
و زخم بر روی پوست آن ها، مدت زیادی طول بکشد تا زخم آن ها ترمیم یابد.
همچنین این افراد ممکن است با خارش مکرر پوست به ویژه در ناحیه ی
کشاله ی ران خود مواجه شوند. تمامی حقوق مادی و معنوی این وبگاه
برای گروه سبز و سالم محفوظ
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ادامه دهید. هرچند مطالعات انجام شده برروی حیوانات اثرات سوء نشان داده اند اما مطالعات کافی برروی زنان
بارداردراین زمینه انجام نشده است.
داروی فلوکستین برای درمان اختلال دیس فوریک قبل از قاعدگی استفاده می شود.
طبق بررسی های علمی انجام شده است که کپسول
فلوکستین، رفتار پرخاشگری با شدت کم را در
بیماران مبتلا به اختلال پرخاشگری متناوب و اختلال شخصیت مرزی کاهش می دهد.
همچنین کپسول فلوکستین، در صورت صلاحدید
روانپزشک و پزشک متخصص می تواند خشونت خانگی
را در الکلی های دارای سابقه
چنین رفتارهایی کاهش می دهد. کارآیی داروی فلوکستین در درمان حاد و نگهدارنده اختلال افسردگی
ماژور در بزرگسالان و همچنین کودکان و نوجوانان ۸
تا ۱۸ سال در بیماران مختلف نیز تعیین شده است.
خانواده یا سایر مراقبان
شما نیز باید نسبت به تغییر خلق و خو
یا علائم اثر دارو هوشیار باشند.
افراد مسن ممکن است نسبت به اثرات قرص فلوکستین
حساسیت بیشتری نشان دهند. مصرف داروی ضد افسردگی SSRI در اواخر بارداری ممکن است عوارض پزشکی جدی در کودک ایجاد کند.
از سوی دیگر، اگر مصرف داروی ضد افسردگی خود را
خودسرانه متوقف کنید ممکن است دچار
افسردگی شوید. اگر در طول مصرف
دارو باردار شدید، سریعاً به پزشک خود
اطلاع دهید. مادرانی که در دوران شیردهی هستند، در صورت مشاهده علائمی مانند تحریکپذیری، گریههای بیش از اندازه، مشکلات تغذیه یا
افزایش وزن ضعیف در کودک شیرخوار، موارد را باید به پزشک خود اطلاع
دهند.
سطح پایین سدیم در بدن که باعث سردرد، گیجی،
اختلال در گفتار، ضعف شدید، استفراغ، از دست دادن هماهنگی بدنی
و احساس بیثباتی میشود. دارو را در اسرع
وقت مصرف کنید، اما اگر نزدیک به نوبت دوز بعدی
است، دوز فراموش شده را حذف کنید.
اگر پیموزید یا تیوریدازین مصرف میکنید یا تحت درمان
با تزریق متیلن بلو هستید، نباید
از فلوکستین استفاده کنید.
درصورتیکه نیاز به مشاوره و یا طرح پرسش از پزشک
را دارید، فقط در بخش «از دکتر بپرسید» مطرح کنید.
ممکن است واکنش به فلوکستین خیلی شدید باشد به طوری که
نیاز باشد از اورژانس کمک
بگیرید. به خصوص در مواردی که نشانههای حساسیت کشنده
و واکنشهای آلرژیک مانند آنافیلاکسی (شوک آلرژیک)
وجود دارد به کمک اورژانس نیاز خواهد بود.
دوز مناسب بزرگسالان عبارت از، 20 میلیگرم
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شواهدی در این خصوص منتشر شده است که نشان میداد
ترکیب همزمان پروزاک و
زیپرکسا، در مقایسه با زیپرکسا به تنهایی، نه تنها نرخ پاسخ را بهبود میدهد بلکه ریسک عود بیماری را هم کم میکند.
مصرف خودسرانه این دارو در دوران بارداری ممکن است به جنین
آسیب برساند.
در ادامه ی مطلب به برخی از عوارض
عدم درمان بیماری دیابت اشاره می کنیم.
داروی فلوکستین به صورت شربط تا حدودی حاوی
الکل بوده و افراد مبتلا به دیابت و یا بیماری های کبدی باید برای دوز مصرف حتما به دستور پزشک خود
توجه کنند. فلوکستین امروزه به یکی از پر کاربرد ترین دارو ها
تبدیل شده است و اثراتی مانند کاهش اشتها برای کاهش وزن و همچنین افزایش سطح انرژی بدن برای عدم خواب آلودگی و … می توان برای آن برشمرد.
همچنین این دارو در افزایش خلق و روحیه ی
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کار می رود. داروی فلوکستین یک مهارکننده
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بی خوابی اختلالی است که با مشکلاتی مداوم
در شروع، حفظ، تثبیت یا کیفیت خواب شناخته می شود.
افرادی که دچار اختلال بی خوابی هستند، با وجود زمان کافی برای خواب، با خواب
دست و پنجه نرم می کنند و همچنین در هنگام بیداری دچار خواب آلودگی بیش از حد در طول روز و سایر اختلالات عملکردی می شوند.
بر اساس مطالعات و بررسی های مختلف، کارشناسان
خواب تخمین می زنند که امروزه 10 تا 30 درصد از بزرگسالان
با نوعی بی خوابی زندگی می کنند.
درمان بی خوابی معمولاً
شامل داروهای خواب آور، درمان شناختی رفتاری
مخصوص بی خوابی (CBT-i) یا ترکیبی
از هر دوی این موارد است. تغییرات مثبت در شیوه زندگی میتواند علائم اختلال
بی خوابی را برای برخی افراد کاهش دهد.
در واقع “بهترین درمان برای بی خوابی” وجود ندارد.
توصیه های درمانی خاص به بی خوابی کوتاه مدت یا مزمن بیمار و همچنین سابقه
پزشکی او بستگی دارد.
برای دریافت بسته بی خوابی
روی لینک زیر کلیک کنید :
دریافت بسته بی خوابی
تشخیص اختلال بی خوابی
درمان بی خوابی
درمان بی خوابی
قبل از شروع درمان اختلال بی
خوابی، باید با پزشک یا روانپزشک معتبر برای صحبت در مورد علائم و دریافت تشخیص مشورت
کنید. معیارهای تشخیص بی خوابی شامل
مشکل در شروع یا حفظ خواب، بیدار شدن زودتر از زمان
مطلوب و مقاومت در برابر رفتن به رختخواب
در یک ساعت معقول است. این علائم باید حداقل به مدت
3 ماه با وجود فرصت های کافی برای خواب
شبانه رخ دهند. علاوه بر این، برای
تشخیص بی خوابی باید یک یا چند مورد از علائم زیر
را در طول روز تجربه کنید:
خستگی یا بی حالی
اختلالات حافظه، تمرکز یا توجه
تأثیرات منفی بر عملکرد اجتماعی، خانوادگی، شغلی یا تحصیلی
تحریک پذیری یا اخلاق تند
خوابآلودگی مفرط در طول روز
بیش فعالی، تکانشگری، پرخاشگری یا
سایر مشکلات رفتاری
افزایش خطر خطا و تصادف
کمبود انگیزه یا انرژی
تشخیص بی خوابی شامل یک معاینه پزشکی استاندارد و
همچنین پرسشنامه خواهد بود. این روشها به
پزشک اجازه میدهد تا تشخیص دهد که آیا بیخوابی برای شما یک
بیماری مجزا است یا اینکه علائم بیخوابی را
به دلیل یک بیماری زمینهای یا اختلال پزشکی تجربه میکنید.
ثبت الگوهای خواب شبانه، دوره
های بیداری و مصرف الکل و کافئین در دفترچه روزانه خواب برای یک تا دو هفته قبل از این قرار می تواند
به پزشک شما در تشخیص اختلال کمک کند.
بسته به نتایج این آزمایش اولیه و
پرسشنامه، شاید پزشک مطالعه خواب شبانهای را توصیه کند که در خانه یا یک مرکز خواب اختصاصی انجام شود.
این آزمایشها همچنین ممکن است در طول روز
برای اندازهگیری تأخیر خواب شما، یا مدت زمانی که طول
میکشد تا به خواب بروید و احساس و عملکرد شما در طول روز اندازهگیری شود.
علاوه بر این، پزشک ممکن است اکتی گرافی را تجویز کند، آزمایش نظارتی
که از شما میخواهد هنگام خواب تا دو هفته از حسگر بدن استفاده کنید.
همچنین می توان برای رد بیماری های زمینه ای که
باعث علائم بی خوابی می شود، آزمایش خون تجویز کرد.
بی خوابی مزمن شامل علائمی است که حداقل
سه بار در هفته به مدت حداقل سه ماه رخ می
دهد. تا زمانی که این معیارها برآورده شوند،
این وضعیت بی خوابی حاد یا کوتاه مدت
در نظر گرفته می شود.
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