{"id":1882,"date":"2023-01-17T20:45:08","date_gmt":"2023-01-17T20:45:08","guid":{"rendered":"https:\/\/fonexmedya.com\/?p=1882"},"modified":"2023-01-17T20:45:10","modified_gmt":"2023-01-17T20:45:10","slug":"tibbi-gozlemci-antidepresan-dozunun-azaltilmasi-bir-tip-uzmaninin-yardimiyla-asamali-olarak-yapilmalidir","status":"publish","type":"post","link":"https:\/\/fonexmedya.com\/?p=1882","title":{"rendered":"T\u0131bbi g\u00f6zlemci, antidepresan dozunun azalt\u0131lmas\u0131 bir t\u0131p uzman\u0131n\u0131n yard\u0131m\u0131yla a\u015famal\u0131 olarak yap\u0131lmal\u0131d\u0131r."},"content":{"rendered":"
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Ulusal Sa\u011fl\u0131k ve Bak\u0131m M\u00fckemmelli\u011fi Enstit\u00fcs\u00fc’ne (NICE) g\u00f6re, bir antidepresan dozunun azalt\u0131lmas\u0131 bir t\u0131p uzman\u0131n\u0131n yard\u0131m\u0131yla a\u015famal\u0131 olarak yap\u0131lmal\u0131d\u0131r.<\/span><\/b><\/p>\n<\/div>\n<\/div>\n

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Bunun ila\u00e7lardan kaynaklanabilecek yoksunluk belirtilerini y\u00f6netmeye yard\u0131mc\u0131 oldu\u011funu s\u00f6yl\u00fcyor.<\/span><\/p>\n<\/div>\n<\/div>\n

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NICE, \u0130ngiltere ve Galler’de ruh sa\u011fl\u0131\u011f\u0131 hizmetlerinin nas\u0131l iyile\u015ftirilebilece\u011fini ortaya koyan yeni bilgiler yay\u0131nlad\u0131.<\/span><\/p>\n<\/div>\n<\/div>\n

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Uzmanlardan olu\u015fan bir komite, toplum bak\u0131m hizmetlerinin bir tedavi plan\u0131 \u00fczerinde anla\u015fmak i\u00e7in hastalarla birlikte \u00e7al\u0131\u015fmas\u0131 gerekti\u011fini s\u00f6yl\u00fcyor.<\/span><\/p>\n<\/div>\n<\/div>\n

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Bu, ila\u00e7lar\u0131n\u0131 b\u0131rakmalar\u0131n\u0131n do\u011fru olup olmad\u0131\u011f\u0131n\u0131 ve b\u0131rakman\u0131n hangi zaman diliminde ger\u00e7ekle\u015fmesi gerekti\u011fini de\u011ferlendirmeyi i\u00e7erir.<\/span><\/p>\n<\/div>\n<\/div>\n

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Di\u011fer bir \u00f6neri ise, depresyonu olan az\u0131nl\u0131k etnik k\u00f6kenli yeti\u015fkinlere daha fazla dikkat edilmesi gerekti\u011fidir.<\/span><\/p>\n<\/div>\n<\/div>\n

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2021 tarihli NHS Digital verilerinin,<\/span>\u00a0beyaz bir aile ge\u00e7mi\u015fine sahip ki\u015filerin %64’\u00fcne k\u0131yasla karma, Siyah, Siyah \u0130ngiliz, Asyal\u0131 veya Asyal\u0131 \u0130ngiliz aile ge\u00e7mi\u015fine sahip insanlar\u0131n %57’sinin bir depresyon tedavisi s\u00fcrecini tamamlad\u0131\u011f\u0131n\u0131 g\u00f6stermesinin ard\u0131ndan gelir.<\/span><\/p>\n<\/div>\n<\/div>\n

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\u00d6neri, ruh sa\u011fl\u0131\u011f\u0131 hizmetlerinin k\u00fclt\u00fcrel olarak uygun bir \u015fekilde sunulmas\u0131 ve dil engellerinin de kald\u0131r\u0131lmas\u0131d\u0131r.<\/span><\/p>\n<\/div>\n<\/div>\n

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  • “Antidepresan b\u0131rakmam depresyondan beterdi”<\/span><\/li>\n
  • Doktorlar antidepresan b\u0131rakma konusunda uyard\u0131<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n
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    NHS’ye g\u00f6re, antidepresan re\u00e7eteleri 2022’de\u00a0<\/span>t\u00fcm zamanlar\u0131n en y\u00fcksek seviyesine ula\u015ft\u0131<\/span>\u00a0ve \u0130ngiltere’de 8,3 milyon ki\u015fi bunlar\u0131 al\u0131yor.<\/span><\/p>\n<\/div>\n<\/div>\n

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    \u0130statistikler ayr\u0131ca Birle\u015fik Krall\u0131k’ta 16 ya\u015f ve \u00fczeri her alt\u0131 yeti\u015fkinden birinin 2021 yaz\u0131nda bir t\u00fcr depresyon ya\u015fad\u0131\u011f\u0131n\u0131 ve bu oran\u0131n koronavir\u00fcs pandemisi ve soka\u011fa \u00e7\u0131kma k\u0131s\u0131tlamalar\u0131 \u00f6ncesine g\u00f6re daha y\u00fcksek oldu\u011funu g\u00f6steriyor.<\/span><\/p>\n<\/div>\n<\/div>\n

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    ‘Herkese uyan tek bir yakla\u015f\u0131m yok’<\/span><\/span><\/h2>\n<\/div>\n
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    \u00d6neriler, en son Kas\u0131m 2021’de g\u00fcncellenen yeti\u015fkinlerde depresyonun y\u00f6netilmesine ili\u015fkin \u00f6nceden var olan \u00f6nerilere ek niteli\u011findedir.<\/span><\/p>\n<\/div>\n<\/div>\n

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    NICE\u00a0<\/span>, hafif depresyonu olan ki\u015filere<\/span> ila\u00e7 tedavisi tart\u0131\u015f\u0131lmadan \u00f6nce davran\u0131\u015f terapisi veya grup egzersizi \u00f6nerilmesini \u00f6nerdi.<\/span><\/p>\n<\/div>\n<\/div>\n

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    NICE y\u00f6nergelerinden sorumlu olan Dr Paul Chrisp \u015funlar\u0131 s\u00f6yledi: “Bir\u00e7ok durumda, insanlar yoksunluk belirtileri ya\u015far ve bu ila\u00e7lar\u0131 g\u00fcvenli bir \u015fekilde b\u0131rakmalar\u0131 i\u00e7in ge\u00e7en s\u00fcre de\u011fi\u015febilir, bu nedenle komitemizin yararl\u0131 ve kullan\u0131labilir beyan\u0131 \u00e7\u00fcnk\u00fc bu ila\u00e7lardan zaman i\u00e7inde a\u015famal\u0131 bir geri \u00e7ekilme memnuniyetle kar\u015f\u0131lanacakt\u0131r.<\/span><\/p>\n<\/div>\n<\/div>\n

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    • Bu makaledeki sorunlardan herhangi biri sizi etkiliyorsa, Eylem Hatt\u0131<\/span>\u00a0arac\u0131l\u0131\u011f\u0131yla yard\u0131mc\u0131 olabilecek kurulu\u015flar\u0131n ayr\u0131nt\u0131lar\u0131n\u0131 bulabilirsiniz\u00a0.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n
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      “Ancak, antidepresanlar\u0131 b\u0131rakma konusunda herkese uyan tek bir yakla\u015f\u0131m\u0131n olmad\u0131\u011f\u0131 vurgulanmal\u0131d\u0131r” diye ekledi.<\/span><\/p>\n<\/div>\n<\/div>\n

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      \u00d6nerilere yan\u0131t olarak, Psikiyatri, Psikoloji ve Sinirbilim Enstit\u00fcs\u00fc Afektif Bozukluklar Merkezi’nden Prof.<\/span><\/p>\n<\/div>\n<\/div>\n

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      “NHS’nin mevcut durumu g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda teslim edilip edilemeyece\u011fi ba\u015fka bir soru.”<\/span><\/p>\n<\/div>\n<\/div>\n

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      “Be\u015f kere s\u00fcrekli ak\u015famdan kalma gibiydi”<\/span><\/span><\/h2>\n<\/div>\n
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      \"John<\/picture><\/span>G\u00d6R\u00dcNT\u00dc KAYNA\u011eI,<\/span><\/span>JOHN GEN\u00c7<\/span><\/span><\/div>
      Resim yaz\u0131s\u0131,<\/span><\/span><\/p>\n
      John, tecrit s\u0131ras\u0131nda antidepresanlar\u0131 b\u0131rakt\u0131<\/span><\/div>\n<\/figcaption><\/figure>\n<\/div>\n
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      34 ya\u015f\u0131ndaki John Junior, depresyon ve yayg\u0131n anksiyete bozuklu\u011fu te\u015fhisi konulduktan sonra 2017 y\u0131l\u0131nda antidepresan almaya ba\u015flad\u0131.<\/span><\/p>\n<\/div>\n<\/div>\n

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      Yava\u015f yava\u015f sertralin dozunu y\u00fckselterek, ilac\u0131n sahip oldu\u011fu intihar d\u00fc\u015f\u00fcncelerini frenlemeye “ger\u00e7ekten yard\u0131mc\u0131 oldu\u011funu” s\u00f6yl\u00fcyor.<\/span><\/p>\n<\/div>\n<\/div>\n

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      Ancak, yan etkileri dayan\u0131lmaz buldu.<\/span><\/p>\n<\/div>\n<\/div>\n

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      Verdi\u011fi deme\u00e7te, “Korkun\u00e7 bir yan etki olan \u00e7arp\u0131nt\u0131 ya\u015fad\u0131m ve her t\u00fcrden ba\u015f a\u011fr\u0131s\u0131, migren, daha \u015fiddetli endi\u015fe ve benzeri \u015feyler, hatta y\u00fcksek tansiyon bile al\u0131yordum” dedi.<\/span><\/p>\n<\/div>\n<\/div>\n

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      “Ve sonra, ya\u015fad\u0131\u011f\u0131m di\u011fer yan etkileri denemek ve maskelemek i\u00e7in daha fazla ila\u00e7 yazacakt\u0131m.<\/span><\/p>\n<\/div>\n<\/div>\n

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      “Antidepresanlara tamamen ba\u011f\u0131ml\u0131 olaca\u011f\u0131m\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm bir noktaya geldi” diyor.<\/span><\/p>\n<\/div>\n<\/div>\n

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      Koronavir\u00fcs tecridi s\u0131ras\u0131nda ilac\u0131 b\u0131rakmaya karar verdi, ancak doktoruna ula\u015famad\u0131.<\/span><\/p>\n<\/div>\n<\/div>\n

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      “Telefon her zaman me\u015fguld\u00fc – bu da i\u015fi ger\u00e7ekten zorla\u015ft\u0131r\u0131yordu.<\/span><\/p>\n<\/div>\n<\/div>\n

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      “Gittik\u00e7e daha fazla yan etki ya\u015f\u0131yordum ve bu benim i\u00e7in i\u015fe yaram\u0131yordu, v\u00fccudum s\u0131n\u0131r\u0131na ula\u015ft\u0131 ve onlardan kurtulmam gerekti\u011fini biliyordum.”<\/span><\/p>\n<\/div>\n<\/div>\n

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      “So\u011fuk hindiye” gitmenin “hastal\u0131\u011fa, ba\u015f a\u011fr\u0131lar\u0131na, ham kayg\u0131ya, terlemeye ve uykusuz gecelere” neden oldu\u011funu s\u00f6yl\u00fcyor ve bunu “be\u015f kez s\u00fcrekli ak\u015famdan kalmaya” benzetiyor.<\/span><\/p>\n<\/div>\n<\/div>\n

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      John, antidepresanlar\u0131 b\u0131rakt\u0131\u011f\u0131ndan beri iyi ba\u015fa \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ve ak\u0131l sa\u011fl\u0131\u011f\u0131n\u0131 kontrol alt\u0131nda tutmak i\u00e7in spor salonunu ve meditasyonu kulland\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyor.<\/span><\/p>\n<\/div>\n<\/div>\n

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      Yeni NICE k\u0131lavuzunu memnuniyetle kar\u015f\u0131l\u0131yor ve \u015f\u00f6yle diyor: “Bence bireysel bir plana sahip olmak harika bir fikir \u00e7\u00fcnk\u00fc insanlara bu yap\u0131y\u0131 kazand\u0131racak. T\u0131p uzmanlar\u0131ndan bu ileti\u015fim ve g\u00fcvenceye sahip olmak harika olurdu.”<\/span><\/p>\n<\/div>\n<\/div>\n

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      Ak\u0131l sa\u011fl\u0131\u011f\u0131 yard\u0131m kurulu\u015fu Mind’dan Stephen Buckley \u015f\u00f6yle diyor: “\u0130la\u00e7 baz\u0131 insanlara yard\u0131mc\u0131 oluyor, ancak di\u011ferleri i\u00e7in her zaman do\u011fru de\u011fil.<\/span><\/p>\n<\/div>\n<\/div>\n

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      “Ak\u0131l sa\u011fl\u0131\u011f\u0131n\u0131z i\u00e7in ila\u00e7 al\u0131yorsan\u0131z, almay\u0131 b\u0131rakmak isteyece\u011finiz bir noktaya ula\u015fabilirsiniz.<\/span><\/p>\n<\/div>\n<\/div>\n

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      “\u0130la\u00e7lar\u0131n\u0131z\u0131 b\u0131rakmay\u0131 d\u00fc\u015f\u00fcn\u00fcyorsan\u0131z, ilac\u0131n\u0131z\u0131 de\u011fi\u015ftirmek istiyorsan\u0131z veya yoksunluk belirtileri ya\u015f\u0131yorsan\u0131z, doktorunuzla veya ruh sa\u011fl\u0131\u011f\u0131 ekibinizle konu\u015fman\u0131z\u0131 \u015fiddetle \u00f6neririz, b\u00f6ylece ilac\u0131n\u0131z\u0131 g\u00fcvenli bir \u015fekilde b\u0131rakman\u0131z veya de\u011fi\u015ftirmeniz i\u00e7in destek alabilirsiniz. zaman.”<\/span><\/p>\n<\/div>\n<\/div>\n

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      Bu makaledeki sorunlardan herhangi biri sizi etkiliyorsa, Eylem Hatt\u0131<\/span>\u00a0arac\u0131l\u0131\u011f\u0131yla yard\u0131mc\u0131 olabilecek kurulu\u015flar\u0131n ayr\u0131nt\u0131lar\u0131n\u0131 bulabilirsiniz\u00a0.<\/span><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

      Ulusal Sa\u011fl\u0131k ve Bak\u0131m M\u00fckemmelli\u011fi Enstit\u00fcs\u00fc’ne (NICE) g\u00f6re, bir antidepresan dozunun azalt\u0131lmas\u0131 bir t\u0131p uzman\u0131n\u0131n yard\u0131m\u0131yla a\u015famal\u0131 olarak yap\u0131lmal\u0131d\u0131r. Bunun ila\u00e7lardan kaynaklanabilecek yoksunluk belirtilerini y\u00f6netmeye yard\u0131mc\u0131 oldu\u011funu s\u00f6yl\u00fcyor. NICE, \u0130ngiltere ve Galler’de ruh sa\u011fl\u0131\u011f\u0131 hizmetlerinin nas\u0131l iyile\u015ftirilebilece\u011fini ortaya koyan yeni bilgiler yay\u0131nlad\u0131. Uzmanlardan olu\u015fan bir komite, toplum bak\u0131m hizmetlerinin bir tedavi plan\u0131 \u00fczerinde anla\u015fmak i\u00e7in …<\/p>\n","protected":false},"author":1,"featured_media":1883,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,1,240,21],"tags":[513,457,279,514,515,434],"class_list":["post-1882","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tie-world","category-onemli","category-tir-saglik","category-tie-life-style","tag-antidepresan","tag-galler","tag-ingiltere-2","tag-nice","tag-ruh-sagligi","tag-saglik"],"_links":{"self":[{"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/posts\/1882","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1882"}],"version-history":[{"count":1,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/posts\/1882\/revisions"}],"predecessor-version":[{"id":1884,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/posts\/1882\/revisions\/1884"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=\/wp\/v2\/media\/1883"}],"wp:attachment":[{"href":"https:\/\/fonexmedya.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1882"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1882"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fonexmedya.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1882"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}