Депрессия — болезнь, а не состояние души. Как вовремя ее распознать и правильно лечить?
Короткий гайд по болезни 21 века.
Депрессией стардает каждый 14-ый житель Земли. Всему виной стресс, быстрая жизнь мегаполиса, жесткие рабочие условия, вечная спешка и отсутствие полноценного отдыха. Но часто за настоящую депрессию принимают эпизоды плохого настроения и упадка сил.
Разбираемся, как определить, что у вас депрессия, и что делать, чтобы справиться с ней.
Исключаем варианты: вдруг это просто стресс?
Если вы переутомлены, плохо спите, легко раздражаетесь, есть проблемы с аппетитом — не спешите ставить себе диагноз. Скорее всего, это стресс. Исправить это помогут здоровый сон, витаминотерапия и растительные успокоительные препараты.
Если уже долгое время у вас мрачное настроение, вы подавлены, не уверены в себе, ничего вас не радует и не интересует, нет сил, вы стали замкнуты, плохо спите и есть проблемы с аппетитом — нужно обратиться к психиатру. Возможно, у вас все-таки депрессия.
Почему возникает депрессия и как ее лечить?
Депрессия — это психическое расстройство, которое вызывается нарушениями биохимического равновесия организма. Дисбаланс в выработке гормонов — серотонина, норадреналина и дофамина — приводит к нарушениям пищевого и полового поведения, эмоциональной сферы и системы «сон-бодрствование». Поэтому основные препараты для лечения депрессии — антидепрессанты — воздействуют на выработку именно этих гормонов.
Помните: депрессия — это диагноз, его может поставить только врач-психиатр. Антидепрессанты продаются по рецепту, поэтому если у вас давно нарушен сон, нет аппетита, жизненных сил и настроения, не занимайтесь самолечением — обратитесь к врачу!
Антидепрессанты бывают нескольких видов — они отличаются друг от друга приницпипом действия.
Трициклические антидепрессанты (ТЦА) увеличивают количество серотонина и норадреналина за счет того, что блокируют их захват нейронами. Так работают Амитриптилин и Имипрамин.
Ингибиторы моноаминооксидазы (МАО) подавляют фермент, который разрушает серотонин и норадреналин. Ингибиторы МАО бывают обратимыми и необратимыми. В России применяются только обратимые — к ним относятся Моклобимид и Паразидол.
Селективные ингибиторы обратного захвата серотонина (СИОЗС) блокируют обратный захват серотонина нейронами, которые его выделили. За счет этого количество серотонина в организме увеличивается. К СИОЗС относятся Флуоксетин, Сертралин, Пароксетин, Циталопрам.
Ингибиторы обратного захвата серотонина и норадреналина (ИОЗСН) работают так же, как и СИОЗС, но помимо серотонина блокируют захват еще и норадреналина. Так действуют Венлафаксин, Милнаципран, Дулоксетин.
Норадренергические и специфические серотонинергические антидепрессанты (НаССА) увеличивают количество сразу трех гормонов: серотонина, норадреналина и дофамина. К таким антидепрессантам относятся Миансерин и Миртазапин.
Существует еще одна группа антидепрессантов. Они действуют по-разному, поэтому их так и называют — препараты разного действия. Это Тразадон, Агомелатин и Вортиоксетин.
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Но часто за настоящую депрессию принимают эпизоды плохого настроения и упадка сил.\u003c/p\u003e\n\u003ch3\u003eРазбираемся, как определить, что у вас депрессия, и что делать, чтобы справиться с ней.\u003c/h3\u003e\n\u003cp class=\"article-picture\" data-name=\"contentimage\" data-id=\"222\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/253/222/phoneMedium_retina/\" title=\"\"\u003e\u003c/p\u003e\n\u003ch2\u003eИсключаем варианты: вдруг это просто стресс?\u003c/h2\u003e\n\u003cp\u003eЕсли вы переутомлены, плохо спите, легко раздражаетесь, есть проблемы с аппетитом — не спешите ставить себе диагноз. Скорее всего, это стресс. Исправить это помогут здоровый сон, витаминотерапия и растительные успокоительные препараты.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/425/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"425\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eБиоритм антистресс 24\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/96620-bioritm_antistress_24_den_noch/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/426/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"426\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eКомпливит антистресс\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/95988-komplivit_antistress/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/427/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"427\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eЛедис формула\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/102355-ledi_s_formula_antistress_usil_formula/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/428/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"428\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eМэнс формула\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/103669-men_s_formula_antistress/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cp\u003eЕсли уже долгое время у вас мрачное настроение, вы подавлены, не уверены в себе, ничего вас не радует и не интересует, нет сил, вы стали замкнуты, плохо спите и есть проблемы с аппетитом — нужно обратиться к психиатру. Возможно, у вас все-таки депрессия.\u003c/p\u003e\n\u003ch2\u003eПочему возникает депрессия и как ее лечить?\u003c/h2\u003e\n\u003cp\u003eДепрессия — это психическое расстройство, которое вызывается нарушениями биохимического равновесия организма. Дисбаланс в выработке гормонов — серотонина, норадреналина и дофамина — приводит к нарушениям пищевого и полового поведения, эмоциональной сферы и системы «сон-бодрствование». Поэтому основные препараты для лечения депрессии — антидепрессанты — воздействуют на выработку именно этих гормонов.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eПомните:\u003c/strong\u003e депрессия — это диагноз, его может поставить только врач-психиатр. Антидепрессанты продаются по рецепту, поэтому если у вас давно нарушен сон, нет аппетита, жизненных сил и настроения, не занимайтесь самолечением — обратитесь к врачу!\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eАнтидепрессанты бывают нескольких видов — они отличаются друг от друга приницпипом действия.\u003c/p\u003e\n\u003cul\u003e\u003cli\u003e\u003cstrong\u003eТрициклические антидепрессанты (ТЦА)\u003c/strong\u003e увеличивают количество серотонина и норадреналина за счет того, что блокируют их захват нейронами. Так работают \u003ca href=\"https://vseapteki.ru/substance/amitriptilin_928/\" target=\"_blank\"\u003eАмитриптилин\u003c/a\u003e и Имипрамин.\u003c/li\u003e\u003c/ul\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/429/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"429\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eАмитриптилин\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/amitriptilin_928/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cul\u003e\u003cli\u003e\u003cstrong\u003eИнгибиторы моноаминооксидазы (МАО)\u003c/strong\u003e подавляют фермент, который разрушает серотонин и норадреналин. Ингибиторы МАО бывают обратимыми и необратимыми. В России применяются только обратимые — к ним относятся Моклобимид и \u003ca href=\"https://vseapteki.ru/substance/pirlindol_425/\" target=\"_blank\"\u003eПаразидол\u003c/a\u003e.\u003c/li\u003e\u003c/ul\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/430/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"430\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eПаразидол\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/pirlindol_425/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cul\u003e\u003cli\u003e\u003cstrong\u003eСелективные ингибиторы обратного захвата серотонина (СИОЗС)\u003c/strong\u003e блокируют обратный захват серотонина нейронами, которые его выделили. За счет этого количество серотонина в организме увеличивается. К СИОЗС относятся \u003ca href=\"https://vseapteki.ru/substance/fluoksetin_1359/\" target=\"_blank\"\u003eФлуоксетин\u003c/a\u003e, \u003ca href=\"https://vseapteki.ru/substance/sertralin_160/\" target=\"_blank\"\u003eСертралин\u003c/a\u003e, \u003ca href=\"https://vseapteki.ru/substance/paroksetin_714/\" target=\"_blank\"\u003eПароксетин\u003c/a\u003e, \u003ca href=\"https://vseapteki.ru/substance/tsitalopram_200/\" target=\"_blank\"\u003eЦиталопрам\u003c/a\u003e.\u003c/li\u003e\u003c/ul\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/431/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"431\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eЦиталопрам\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/tsitalopram_200/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/432/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"432\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eПароксетин\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/paroksetin_714/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/433/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"433\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eСертралин\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/sertralin_160/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/434/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"434\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eФлуоксетин\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/fluoksetin_1359/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cul\u003e\u003cli\u003e\u003cstrong\u003eИнгибиторы обратного захвата серотонина и норадреналина (ИОЗСН)\u003c/strong\u003e работают так же, как и СИОЗС, но помимо серотонина блокируют захват еще и норадреналина. Так действуют \u003ca href=\"https://vseapteki.ru/substance/venlafaksin_284/\" target=\"_blank\"\u003eВенлафаксин\u003c/a\u003e, \u003ca href=\"https://vseapteki.ru/substance/milnatsipran_1345/\" target=\"_blank\"\u003eМилнаципран\u003c/a\u003e, \u003ca href=\"https://vseapteki.ru/substance/duloksetin_1074/\" target=\"_blank\"\u003eДулоксетин\u003c/a\u003e.\u003c/li\u003e\u003c/ul\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/435/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"435\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eДулоксетин\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/duloksetin_1074/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/436/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"436\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eВенлафаксин\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/venlafaksin_284/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/437/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"437\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eИксел\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/milnatsipran_1345/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cul\u003e\u003cli\u003e\u003cstrong\u003eНорадренергические и специфические серотонинергические антидепрессанты (НаССА)\u003c/strong\u003e увеличивают количество сразу трех гормонов: серотонина, норадреналина и дофамина. К таким антидепрессантам относятся \u003ca href=\"https://vseapteki.ru/substance/mianserin_1527/\" target=\"_blank\"\u003eМиансерин\u003c/a\u003e и Миртазапин.\u003c/li\u003e\u003c/ul\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/438/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"438\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eМиансерин\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/substance/mianserin_1527/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cp\u003eСуществует еще одна группа антидепрессантов. Они действуют по-разному, поэтому их так и называют — \u003cstrong\u003eпрепараты разного действия\u003c/strong\u003e. Это \u003ca href=\"https://vseapteki.ru/product/100760-trittiko/\" rel=\" noopener noreferrer\" target=\"_blank\"\u003eТразадон\u003c/a\u003e, \u003ca href=\"https://vseapteki.ru/product/102200-valdoksan/\" rel=\" noopener noreferrer\" target=\"_blank\"\u003eАгомелатин\u003c/a\u003e и \u003ca href=\"https://vseapteki.ru/product/106572-brintelliks/\" rel=\" noopener noreferrer\" target=\"_blank\"\u003eВортиоксетин\u003c/a\u003e.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/439/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"439\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eВальдоксан\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/102200-valdoksan/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/440/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"440\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eБринтелликс\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/106572-brintelliks/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch3\u003eЧитайте также:\u003c/h3\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/esli-stress-prizhal-sovetyi-i-sredstva-chtobyi-per/\" target=\"_blank\"\u003e\u003cstrong\u003eЕсли стресс «прижал»: советы и средства, чтобы пережить 2020 год\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/udalenka-ubivaet-10-ugroz-vashemu-zdorovyu-pri-rab/\"\u003e\u003cstrong\u003eУдаленка убивает: 10 угроз вашему здоровью при работе из дома\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/vrachi-patsientyi-s-nehvatkoj-vitamina-d-tyazhelee/\" target=\"_blank\"\u003e\u003cstrong\u003eВрачи: пациенты с нехваткой витамина D тяжелее переносят COVID-19. Чем еще опасен дефицит витамина D и как его восполнить?\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e"},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basket":{"error":null,"payload":{"empty":true,"hasUnavailable":false,"products":[],"recentlyAdded":[],"info":{"countPharmacy":0,"deliveryTime":"","prescription":false,"checkout":false,"price":{"subtotal":"0","total":"0"},"quantity":{"position":0,"pack":0}},"delivery":{"method_of_obtaining":"PICKUP","address":null,"latitude":null,"longitude":null,"cost":null,"service_fee":null,"time":null,"store_id":null,"store_name":null,"chain_id":null,"checkout_url":null,"is_available":false,"prices":[],"token":null,"refresh_token":null,"secret":null,"cart_id":null,"discount_code":null}},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basketEvents":{"eventsByProducts":{},"lastAddedProducts":null,"lastRemovedProducts":null},"catalogCategoryProducts":{"error":null,"status":{"isError":false,"isInit":true,"isPending":false,"isSuccess":false,"isServer":false}},"catalogCurrentCategory":null,"catalogStructure":{"error":null,"payload":{"39":{"id":39,"title":"Лекарства","url":"/catalog/39-lekarstva/","parent":null,"order":1,"empty":false},"40":{"id":40,"title":"Прочие 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