{"id":489,"date":"2013-02-27T18:50:08","date_gmt":"2013-02-27T18:50:08","guid":{"rendered":"http:\/\/harpa.blogg.is\/2013-02-27\/einn-dag-i-senn\/"},"modified":"2013-11-19T09:57:05","modified_gmt":"2013-11-19T09:57:05","slug":"einn-dag-i-senn","status":"publish","type":"post","link":"https:\/\/harpahreins.com\/blogg\/2013\/02\/27\/einn-dag-i-senn\/","title":{"rendered":"Einn dag \u00ed senn …"},"content":{"rendered":"

\u00dea\u00f0 er nokku\u00f0 um li\u00f0i\u00f0 s\u00ed\u00f0an \u00e9g blogga\u00f0i st\u00f6\u00f0uf\u00e6rslu. Svolei\u00f0is f\u00e6rslur eru \u00f3metanlegar til lengra t\u00edma liti\u00f0 svo \u00e9g b\u00e6ti \u00far \u00fev\u00ed n\u00fana.<\/font><\/p>\n

\u00c9g lenti \u00ed dj\u00fapri \u00feunglyndisd\u00fdfu milli j\u00f3la og n\u00fdj\u00e1rs og hef ekki krafla\u00f0 mig almennilega upp \u00far henni enn\u00fe\u00e1. Hver dagur sn\u00fdst \u00fev\u00ed um a\u00f0 lifa af list, a\u00f0 eiga nokkurn veginn manns\u00e6mandi l\u00edf \u00fer\u00e1tt fyrir \u00feunglyndi\u00f0. \u00deetta tekst misjafnlega vel en mi\u00f0a\u00f0 vi\u00f0 \u00f6nnur svona t\u00edmabil gengur m\u00e9r vel. Suma daga l\u00ed\u00f0ur m\u00e9r vissulega eins og einhver hafi d\u00e1i\u00f0, er full af sorg a\u00f0 \u00e1st\u00e6\u00f0ulausu, e\u00f0a a\u00f0 \u00e9g hafi frami\u00f0 mor\u00f0i\u00f0, er full af sektarkennd a\u00f0 \u00e1st\u00e6\u00f0ulausu. En \u00e9g er dugleg a\u00f0 segja m\u00e9r a\u00f0 \u00feetta s\u00e9u falskar kenndir, \u00fe\u00e6r l\u00edkjast sorg og sektarkennd en af \u00fev\u00ed \u00e1st\u00e6\u00f0una skortir eru \u00fe\u00e6r draugatilfinningar, alveg eins og draugaverkir \u00ed \u00fatlimum sem f\u00f3lk hefur misst. Reikna me\u00f0 a\u00f0 allir \u00feunglyndissj\u00faklingar kannist vi\u00f0 svona draugal\u00ed\u00f0an.<\/font><\/p>\n

Eitt einkenni\u00f0 \u00e1 dj\u00fapri ge\u00f0l\u00e6g\u00f0 minni er truflun \u00e1 t\u00edmaskyni. \u00dea\u00f0 er hreint ekkert draugalegt vi\u00f0 \u00feetta afar sk\u00fdra einkenni; t\u00edminn l\u00ed\u00f0ur einfaldlega mj\u00f6g \u00f3e\u00f0lilega h\u00e6gt. \u00c9g er kannski a\u00f0 d\u00falla m\u00e9r eitthva\u00f0, l\u00edt \u00e1 klukkuna, l\u00edt aftur \u00e1 klukkuna eftir klukkut\u00edma og \u00fe\u00e1 s\u00fdnir klukkan a\u00f0 li\u00f0nar s\u00e9u\u00a05 m\u00edn\u00fatur. \u00deegar heilsan er nokkurn veginn \u00ed lagi er \u00e9g me\u00f0 algerlega e\u00f0lilegt t\u00edmaskyn. N\u00fana finnst m\u00e9r a\u00f0 \u00fea\u00f0 s\u00e9 h\u00e1tt \u00ed \u00e1r fr\u00e1 j\u00f3lum, finnst a\u00f0 jan\u00faar og febr\u00faar hafi spanna\u00f0 \u00f3ralangan t\u00edma. L\u00edkamleg einkenni eins og truflun \u00e1 jafnv\u00e6gisskyni\/st\u00f6\u00f0uskyni eru l\u00edka sk\u00fdr. \u00deegar \u00e9g met hversu veik \u00e9g er hverju sinni horfi \u00e9g m.a. \u00e1 \u00feessi einkenni enda eru \u00feau ekki matsatri\u00f0i. Hva\u00f0 matsatri\u00f0i var\u00f0ar hef \u00e9g fyrir l\u00f6ngu gefi\u00f0 spurningalista ge\u00f0heilbrig\u00f0iskerfisins upp \u00e1 b\u00e1tinn, vitandi a\u00f0 ge\u00f0heilbrig\u00f0iskerfi\u00f0 sj\u00e1lft tekur ekki mark \u00e1 \u00feeim. Svo \u00e9g treysti betur \u00e1 m\u00e6lit\u00e6ki\u00f0 sunnudagskrossg\u00e1tu moggans, samkv\u00e6mt \u00fev\u00ed hef \u00e9g oft veri\u00f0 fr\u00edskari (en raunar oft veri\u00f0 veikari l\u00edka).<\/font><\/p>\n

\"M\ufffdron\"N\u00fa er \u00e9g komin nokku\u00f0 \u00e1lei\u00f0is \u00ed a\u00f0 trappa ni\u00f0ur s\u00ed\u00f0asta lyfi\u00f0, ge\u00f0lyfi\u00f0 M\u00edron (mirtazap\u00edn) sem \u00e9g hef eti\u00f0 \u00ed t\u00e6p tv\u00f6 \u00e1r, til hvers veit \u00e9g ekki \u00fev\u00ed M\u00edron hefur hvorki virka\u00f0 fyrirbyggjandi n\u00e9 til b\u00f3ta \u00ed m\u00ednu \u00feunglyndi s\u00ed\u00f0ustu 12 \u00e1rin, hef \u00fe\u00f3 oft veri\u00f0 l\u00e1tin taka \u00feetta lyf \u00e1 \u00feeim t\u00edma og allt upp \u00ed \u00ferefalda r\u00e1\u00f0lag\u00f0a dagskammta. \u00c9g hugsa a\u00f0 ge\u00f0l\u00e6kninum m\u00ednum fyrrverandi hafi \u00fe\u00f3tt \u00e1kj\u00f3sanlegt a\u00f0 hafa sinn sj\u00fakling \u00e1 einhverjum lyfjum \u00fev\u00ed \u00fe\u00e1 g\u00e6ti hann haldi\u00f0 \u00fev\u00ed fram a\u00f0 hann v\u00e6ri a\u00f0 veita l\u00e6knisme\u00f0fer\u00f0. Af minni l\u00f6ngu reynslu sem sj\u00faklings veit \u00e9g a\u00f0 hans l\u00e6knisme\u00f0fer\u00f0 er einungis f\u00f3lgin \u00ed lyfjum, stundum \u00ed \u00f3h\u00f3flegu magni, e\u00f0a raflostum. L\u00edklega datt honum bara ekkert anna\u00f0 \u00ed hug eftir hina skelfilegur Marplan-tilraun en s\u00f6mu margpr\u00f3fu\u00f0u pillurnar sem ekki h\u00f6f\u00f0u skila\u00f0 \u00e1rangri.<\/font><\/p>\n

J\u00e6ja, \u00e9g \u00e1kva\u00f0 a\u00f0 n\u00fdta \u00feessa m\u00edna l\u00f6ngu reynslu til a\u00f0 l\u00e6ra af henni og las m\u00e9r l\u00edka almennilega til um \u00feetta lyf. Reynslan s\u00fdnir a\u00f0 sj\u00faklingur eins og \u00e9g ver\u00f0ur a\u00f0 setja sig inn \u00ed slatta af lyfjafr\u00e6\u00f0i, ge\u00f0l\u00e6knisfr\u00e6\u00f0i, t\u00f6lfr\u00e6\u00f0i o.fl. og n\u00fdta landsa\u00f0gang a\u00f0 ritr\u00fdndum t\u00edmaritum \u00e1 \u00feessum svi\u00f0um. <\/font><\/p>\n

Mirtazap\u00edn fellur mj\u00f6g \u00ed skuggann af SSRI-lyfjum og yfirleitt nenna menn ekki a\u00f0 ey\u00f0a p\u00fa\u00f0ri \u00e1 \u00fea\u00f0, \u00ed greinum um sl\u00e6mar aukaverkanir e\u00f0a langt\u00edma ska\u00f0legar verkanir\u00a0af \u00feunglyndislyfjum. Lyfi\u00f0 n\u00fdtur og \u00feess vafasama hei\u00f0urs a\u00f0 “v\u00edsindaleg umfj\u00f6llun” um \u00fea\u00f0 er me\u00f0 skekktustu umfj\u00f6llun af raunverulegri virkni lyfs vi\u00f0 \u00feunglyndi (sj\u00e1 mynd 3 \u00ed \u00feessari grein<\/a>). \u00de\u00f3tt einhverjir ge\u00f0l\u00e6knar haldi \u00ed alv\u00f6runni a\u00f0 \u00fea\u00f0 s\u00e9 ekkert m\u00e1l a\u00f0 sn\u00f6ggh\u00e6tta \u00e1 \u00feunglyndislyfjum vita margir sj\u00faklingar sem reynt hafa a\u00f0 svo er ekki. \u00c9g fann eina fr\u00e1s\u00f6gn af konu sem sn\u00f6ggh\u00e6tti a\u00f0 taka tv\u00f6faldan dagskammt af M\u00edron og veiktist illa<\/a>. \u00de\u00f3 gadda\u00f0i konan \u00ed sig 0,5 mg af Rivotril me\u00f0fram M\u00edroninu og h\u00e9lt \u00fev\u00ed \u00e1fram. \u00d6llu h\u00e6pnari finnst m\u00e9r fr\u00e1s\u00f6gn af konu sem t\u00f3k h\u00e1lfan dagskammt af M\u00edron \u00ed viku, h\u00e6tti \u00fev\u00ed og veiktist illa<\/a> \u00fev\u00ed hluta einkennanna m\u00e6tti skrifa \u00e1 \u00feunglyndi sem hrj\u00e1\u00f0i konuna og v\u00e6ri til sta\u00f0ar enn\u00fe\u00e1. H\u00f6fundar s\u00ed\u00f0arnefndu greinarinnar t\u00falka \u00feetta \u00fe\u00f3 sem fr\u00e1hv\u00f6rf af M\u00edroni.<\/font><\/p>\n

Almennt er \u00fea\u00f0 m\u00edn reynsla af j\u00f3j\u00f3-\u00feunglyndislyfja\u00e1ti, \u00fe.e. \u00feegar \u00e9g hef veri\u00f0 l\u00e1tin sn\u00f6ggh\u00e6tta \u00e1 einu lyfi og sn\u00f6ggbyrja \u00e1 \u00f6\u00f0ru, a\u00f0 \u00fea\u00f0 geti valdi\u00f0 alvarlegum sj\u00fakd\u00f3mseinkennum, svona eftir \u00e1 s\u00e9\u00f0 skv. skriflegum g\u00f6gnum. \u00de\u00f3tt slj\u00f3vgandi lyf sem m\u00e9r voru gefin me\u00f0fram dragi \u00far sl\u00edkum einkennum (\u00feau draga raunar \u00far \u00f6llu og stu\u00f0la a\u00f0 zombie-\u00e1standi). Svolei\u00f0is a\u00f0 \u00e9g \u00e1kva\u00f0 a\u00f0 hafa allan varann \u00e1 og \u00e6tla m\u00e9r marga m\u00e1nu\u00f0i \u00ed a\u00f0 trappa ni\u00f0ur M\u00edron.<\/font><\/p>\n

N\u00faverandi ge\u00f0l\u00e6knirinn minn benti \u00e1 \u00feau r\u00f6k a\u00f0 minnkun M\u00edrons g\u00e6ti framkalla\u00f0 \u00feunglyndiskast sem ger\u00f0i mig \u00f3vinnuf\u00e6ra (sem yr\u00f0i m\u00e9r g\u00edfurlegt \u00e1fall)\u00a0og a\u00f0 e.t.v. v\u00e6ri virka efninu ekki jafndreift \u00ed t\u00f6flurnar. M\u00e9r \u00fe\u00f3tti \u00feetta a\u00f0 sumu leyti g\u00f3\u00f0 r\u00f6k en leist ekkert \u00e1 a\u00f0 draga M\u00edron-tr\u00f6ppun fram \u00e1 sumari\u00f0, vitandi \u00fea\u00f0 a\u00f0 vetrarbyrjun hefur oft reynst m\u00e9r erfi\u00f0ur t\u00edmi. \u00c9g r\u00e6ddi \u00feetta vi\u00f0 eiginmanninn og hans sko\u00f0un var s\u00fa a\u00f0 \u00fe\u00f3tt \u00e9g veiktist talsvert yr\u00f0i \u00e9g l\u00edklega \u00e1fram vinnuf\u00e6r a\u00f0 hluta \u00fev\u00ed honum s\u00fdndist a\u00f0 \u00fea\u00f0 sem ger\u00f0i mig algerlega \u00f3vinnuf\u00e6ra v\u00e6ru lyfin sem m\u00e9r voru \u00e1v\u00edsu\u00f0, \u00fe.e. \u00feegar \u00f3\u00e6skileg \u00e1hrif \u00feeirra b\u00e6ttust ofan \u00e1 mj\u00f6g alvarlegt \u00feunglyndi. \u00deessu er \u00e9g samm\u00e1la enda get \u00e9g ekki s\u00e9\u00f0 anna\u00f0 af lestri eigin gagna (bloggs). \u00c9g er sannf\u00e6r\u00f0 um a\u00f0 hef\u00f0i \u00e9g einungis \u00feurft a\u00f0 gl\u00edma vi\u00f0 sv\u00e6si\u00f0 \u00feunglyndi hef\u00f0i \u00e9g aldrei or\u00f0i\u00f0 me\u00f0 \u00f6llu \u00f3vinnuf\u00e6r, hva\u00f0 \u00fe\u00e1 \u00ed \u00ferj\u00fa \u00e1r!<\/font><\/p>\n

N\u00e6sta skref var a\u00f0 kanna \u00feetta me\u00f0 dreifingu virka efnisins \u00ed M\u00edron-t\u00f6flum Actavis. \u00cd m\u00ednum heimab\u00e6 er miki\u00f0 \u00e1g\u00e6tis ap\u00f3tek sem kanna\u00f0i \u00feetta fyrir mig. \u00cd lj\u00f3s kom a\u00f0 virka efninu er jafndreift en Actavis benti jafnframt \u00e1 a\u00f0 til v\u00e6ru 15 mg t\u00f6flur; heimilisl\u00e6knir \u00e1v\u00edsa\u00f0i \u00feeim fyrir mig og \u00feetta gerir tr\u00f6ppun talsvert au\u00f0veldari.<\/font><\/p>\n

\u00c9g l\u00e6kka\u00f0i skammtinn um 7,5 mg, \u00far 30 mg (einf\u00f6ldum dagskammti). Eftir r\u00famlega tv\u00e6r vikur \u00e1 \u00feessum l\u00e6gri skammti komu fr\u00e1hvarfseinkenni fram. \u00deau eru einkum hitak\u00f3f, k\u00f6lduhrollur og \u00f6nnur flensul\u00edk einkenni og verkir \u00ed ne\u00f0ri kj\u00e1lka (sem \u00e9g hef \u00e1st\u00e6\u00f0u til a\u00f0 \u00e6tla a\u00f0 s\u00e9u s\u00ed\u00f0hv\u00f6rf af Rivotril) versnu\u00f0u talsvert, andv\u00f6kur jukust. \u00cd gamla daga hef\u00f0i \u00e9g geta\u00f0 synt gegnum \u00feetta slj\u00f3 af Rivotrili e\u00f0a Serouqueli en svo er ekki n\u00fa (gu\u00f0i s\u00e9 lof). \u00deunglyndi\u00f0 hefur hins vegar ekkert breyst, hvorki versna\u00f0 n\u00e9 batna\u00f0. M\u00e9r s\u00fdnist af \u00feessu a\u00f0 d\u00e6ma a\u00f0 \u00e1\u00e6tlunin sem \u00e9g haf\u00f0i um a\u00f0 taka a.m.k. sex vikur \u00ed hverri tr\u00f6ppu s\u00e9 rauns\u00e6 og l\u00edklega minnka \u00e9g skammtinn ekki nema um 3,75 mg n\u00e6st. M\u00e9r er n\u00e1kv\u00e6mlega sama hva\u00f0a sko\u00f0un ge\u00f0l\u00e6knar hafa \u00e1 \u00fev\u00ed hversu au\u00f0velt s\u00e9 a\u00f0 h\u00e6tta \u00e1 M\u00edroni, n\u00fa skr\u00e1i \u00e9g eigin reynslu og b\u00fd m\u00e9r til \u00e1\u00e6tlun \u00ed samr\u00e6mi vi\u00f0 hana. Enda er \u00fea\u00f0 \u00e9g sem er a\u00f0 h\u00e6tta \u00e1 M\u00edron.<\/font>
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\u00cd dag hef \u00e9g reynt a\u00f0 setja m\u00e9r skemmtileg verkefni, \u00fea\u00f0 er nau\u00f0synlegt til a\u00f0 gera minna g\u00f3\u00f0a daga sk\u00e1rri. \u00c9g hef a\u00f0allega veri\u00f0 a\u00f0 hanna munstur og reikna \u00fat uppskrift (og \u00feakka enn og aftur fyrir a\u00f0 hafa l\u00e6rt \u00fe\u00e1 g\u00f3\u00f0u a\u00f0fer\u00f0 \u00fer\u00edli\u00f0u). Til a\u00f0 vera g\u00f3\u00f0 vi\u00f0 mig \u00ed g\u00e6r keypti \u00e9g n\u00fdjustu b\u00f3kina hans Jussi Adler-Olsen og hl\u00f3\u00f0 inn \u00e1 Kindilinn. \u00c9g \u00e1 eftir a\u00f0 undirb\u00faa sm\u00e1vegis fyrir kennslu \u00ed fyrram\u00e1li\u00f0 en \u00fea\u00f0 gengur v\u00e6ntanlega smurt. Og svo fer drj\u00fagur t\u00edmi \u00ed a\u00f0 sansa Fr. Dietrich; Fr\u00e6ndi hennar, m\u00e1lfarsk\u00f6tturinn Ei\u00f0ur, er nefnilega fluttur inn og b\u00fdr h\u00e9r n\u00e6sta h\u00e1lfa \u00e1ri\u00f0 …<\/font>
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\u00dea\u00f0 er nokku\u00f0 um li\u00f0i\u00f0 s\u00ed\u00f0an \u00e9g blogga\u00f0i st\u00f6\u00f0uf\u00e6rslu. Svolei\u00f0is f\u00e6rslur eru \u00f3metanlegar til lengra t\u00edma liti\u00f0 svo \u00e9g b\u00e6ti \u00far \u00fev\u00ed n\u00fana. \u00c9g lenti \u00ed dj\u00fapri \u00feunglyndisd\u00fdfu milli j\u00f3la og n\u00fdj\u00e1rs og hef ekki …<\/span> Read More …<\/span><\/a><\/span><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[25],"tags":[],"class_list":["post-489","post","type-post","status-publish","format-standard","hentry","category-thunglyndid"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts\/489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/comments?post=489"}],"version-history":[{"count":1,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts\/489\/revisions"}],"predecessor-version":[{"id":596,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts\/489\/revisions\/596"}],"wp:attachment":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/media?parent=489"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/categories?post=489"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/tags?post=489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}