Ma muli o ka OCD nele i ka serotonin i ka lolo. Hoʻonui ka lāʻau i ka nui o ka serotonin i nā synapses (ka hui ma waena o ʻelua mau neurons) ma ka pale ʻana i ka loaʻa hou o ka hope. Kapa ʻia kēia mau lāʻau lapaʻau i nā mea kāohi i ka serotonin reuptake. Hoʻonohonoho lākou i ka hele ʻana o ka leka hopohopo.

ʻO nā antidepressants serotonin reuptake inhibitor (SSRI) i koho nui ʻia:

• Fluvoxamine (Floxyfral® / Luvox®)
• Fluoxetine (Prozac®)
• Sertraline (Zoloft ®)
• Paroxetine (Deroxat® / Paxil®)
• Escitalopram (Seroplex® / Lexapro®)
• Citalopram (Seropram® / Celexa®)

Kūpono lākou ma OCD ma hope o nā pule he nui. Hoʻomaʻamaʻa mau ka mālama ʻana i mau makahiki. I ke kū hou ʻana o nā maʻi, hiki ke hoʻonui ʻia ke ana a i ʻole e hoʻāʻo ʻia kahi mole. Ma mua o ka hapalua o nā mea maʻi e ʻike i ko lākou kūlana hoʻomaikaʻi i ke hoʻomaikaʻi ʻia i ka lāʻau lapaʻau.

ʻO Clomipramine (Anafranil®), no kahi papa ʻē aʻe o nā antidepressants, nā antidepressants tricyclic, a i hōʻike ʻia i ka hopena ma OCD, hiki ke kuhikuhi ʻia hoʻi.¹⁶. Hoʻohana mau ʻia ia ma ke ʻano he laina ʻelua, inā ʻaʻole hōʻike ʻia nā lāʻau mua e maikaʻi, no ka mea, he mea nui kāna hopena ʻaoʻao.

ʻO nā ʻōpana i kauoha ʻia no ka OCD ʻoi aku ka kiʻekiʻe ma mua o ka mālama ʻana i ke kaumaha. Inā hōʻoia ʻole ka maikaʻi o ka lāʻau, pono e nīnau ʻia kahi psychiatrist no ka mea hiki ke hoʻāʻo ʻia nā mole e like me ka lithium a i ʻole buspirone (Buspar®).

Kau ʻia nā Anxiolytic o ka papa benzodiazepine e hōʻemi i ka hopohopo. ʻO kahi laʻana, ua hōʻike ʻo clonazepam (Rivotril®) i kekahi pono i ka mālama ʻana iā OCD. Eia nō naʻe, ua hōʻike ʻia nā makaʻu o ka loli, ke huhū a me ka manaʻo suicidal.¹⁷.

ʻO ka hoʻoulu uila, i hoʻohana ʻia i ka maʻi o Parkinson, he mau hopena i ka OCD koʻikoʻi a pale ʻia paha¹⁸. Hoʻokomo ka hohonu o ka lolo (DBS) i ka hoʻopili ʻana i nā uila i loko o ka lolo a hoʻohui iā lākou i kahi stimulator e hāʻawi i kahi kaila uila. Ke hoʻokolohua mau nei kēia ʻano hoʻouka kaua¹⁹. ʻOi aku ka liʻiliʻi o ka invasive, transcranial magnet stimulate (ke hoʻouna nei i kahi pulse ʻume mākenē ʻole ʻole ma o ka coil).

Pono e mālama ʻia nā maʻi e pili pū ana me ka OCD.

ʻO ka mālama ʻana no ka maʻi obsessive-compulsive e pili pinepine ana i ka lāʻau behavioral and cognitive therapy. Hoʻolālā kēia therapy e hoʻoliʻiliʻi i nā hopohopo e pili ana i ka pulakaumaka a hoʻoliʻiliʻi i nā koi a kēia mau pulakaumaka. Hiki i nā kau ke hana i nā hana kūpono, ke kanaka i loaʻa iā ia iho i kū i nā kūlana e makaʻu ai, hoʻomaha a i ʻole nā ​​hana keaka.

Hiki ke hoʻohui ʻia nā lāʻau a me nā psychotherapies a hōʻike ʻia he maikaʻi. ʻO ka ʻoiaʻiʻo, ʻelua hapakolu o nā mea maʻi i mālama ʻia e ʻike i ka hōʻemi ʻana o kā lākou maʻi. Hāʻawi pololei ʻia ka hui pū o nā mea ʻelua i ka hanana o nā maʻi koʻikoʻi a i ʻole ma hope o ka holo pono ʻole ʻana o kahi lāʻau.

I kekahi manawa kūpaʻa ka maʻi i ka lāʻau. Pili kēia i nā poʻe me nā maʻi ʻehaʻeha pū kekahi i ka maʻi bipolar a me nā maʻi ʻai. Pono ka haukapila no laila pono.