Puas muaj tej lub sij hawm koj xav tias koj tus menyuam tsis zoo li qub lawm? Puas yog nws npau taws rau tej yam me me, nws yeej ib txwm chim siab, thiab zoo li dhuav tej yam uas nws nyiam ua yav dhau los? Tej zaum tej no yuav tsis yog tej yam uas menyuam yaus ib txwm ua xwb. Ib yam li cov neeg laus, cov menyuam yaus me me kuj muaj peev xwm muaj kev nyuaj siab, uas yog kev ntxhov siab ntawm lub hlwb. Kev kho nws kom zoo yuav tseem ceeb heev rau tus menyuam lub neej tag nrho.
Peb txhua tus paub tias thaum yau tsis yog lub sijhawm zoo siab tas li. Lub siab ntawm cov menyuam yaus zoo li dej hiav txwv uas muaj cua daj cua dub. Dej hiav txwv uas ntsiag to tuaj yeem hloov mus ua cua daj cua dub, thiab tom qab ntawd rov qab mus rau qhov qub sai li sai tau thaum lub hnub tawm thiab cua tshuab. Txawm li cas los xij, kev nyuaj siab tsis yog kev hloov pauv ntawm lub siab ib txwm muaj. Nws yog ib qho kab mob tiag tiag uas tuaj yeem cuam tshuam txawm tias cov menyuam yaus me me heev.
Qhov no puas yog kev tu siab xwb? Los yog nws puas yog lwm yam ntxiv?
"Peb nyuam qhuav paub tias cov menyuam yaus tuaj yeem muaj kev nyuaj siab," David Fassler, tus kws kho mob hlwb rau menyuam yaus thiab cov hluas ntawm University of Vermont hais. "Thaum kuv nyob hauv tsev kawm ntawv kho mob, li 20 xyoo dhau los, peb tau kawm tias cov menyuam yaus tsis muaj kev nyuaj siab."
Tiam sis qhov tseeb tiag, cov menyuam yaus yeej muaj kev nyuaj siab. Raws li American Academy of Child and Adolescent Psychiatry, 2% ntawm cov menyuam yaus thiab 4% txog 8% ntawm cov tub ntxhais hluas raug kev nyuaj siab.
Txawm hais tias tus mob no feem ntau tshwm sim ntawm cov menyuam yaus me, nws yog ib qho tshwm sim ntau heev ntawm cov tub ntxhais hluas. Raws li cov kws tshawb fawb, ib tug ntawm kaum tus menyuam yuav muaj mob hlwb ntsig txog kev nyuaj siab thaum muaj hnub nyoog 16 xyoo.
Kev nyuaj siab thaum yau cuam tshuam li cas rau koj lub neej tag nrho
Kev nyuaj siab muaj peev xwm ua rau tus menyuam lub neej loj thiab ntev mus. Nws tuaj yeem cuam tshuam rau tus menyuam lub neej kev sib raug zoo, kev loj hlob ntawm kev xav, thiab kev kawm ntawv. Nws kuj tseem tuaj yeem ua rau siv tshuaj yeeb tsis raug.
"Yog tsis kho, tus menyuam txoj kev nyuaj siab feem ntau kav ntev li cuaj lub hlis, uas yog ntev npaum li lub sijhawm kawm ntawv," Fassler hais. "Nws nyuaj heev rau kev kawm cov kev kawm uas tsis tau kawm."
Qhov ua rau qhov teeb meem loj dua yog, cov neeg uas muaj kev nyuaj siab thaum yau kuj raug kev txom nyem los ntawm nws thaum lawv loj hlob. Ib txoj kev tshawb fawb pom tias cov neeg laus uas muaj kev nyuaj siab thaum lawv tseem hluas feem ntau yuav muaj kev xav tsis zoo txog lub neej dua li cov uas tsis tau muaj. Yog li ntawd:
- Lawv cov nyiaj tau los nruab nrab yog qis.
- Cov neeg kawm tiav qib siab tsawg heev.
- Muaj feem yuav poob haujlwm ntau heev.
- Muaj ntau tus neeg tshaj tawm txog teeb meem ntawm kev ua haujlwm, hauv zej zog, thiab hauv tsev neeg.
Tsis tas li ntawd xwb, ib tug neeg uas muaj kev nyuaj siab thaum nws tseem hluas muaj ob npaug ntawm qhov yuav muaj kev nyuaj siab dua thaum nws laus dua li ib tug neeg uas tsis tau muaj mob hlwb dua li.
Tiamsis qhov kev tshawb fawb no ua rau neeg ntxhov siab tshaj plaws yog tus nqi ntawm kev tua tus kheej thiab kev tuag ntau heev. Txawm hais tias tsis muaj kev tuag los ntawm kev tua tus kheej tau tshaj tawm ntawm cov neeg uas tsis muaj kev nyuaj siab thaum lawv tseem hluas, 7% ntawm cov menyuam yaus uas muaj kev nyuaj siab tau tua tus kheej, thiab lwm 34% tau sim tua tus kheej.
Qhov no tsis yog ib yam uas yuav tsum tau saib yooj yim. Peb paub zoo tias cov menyuam yaus uas muaj kev nyuaj siab muaj feem yuav tua tus kheej ntau dua.
Koj paub txog kev nyuaj siab li cas hauv ib tug menyuam?
Cov niam txiv tuaj yeem txheeb xyuas cov tsos mob no los ntawm kev ua tib zoo saib xyuas lawv tus menyuam. Yog tias ib lossis ntau cov tsos mob no muaj nyob hauv tus menyuam ntev, koj yuav tsum mus ntsib kws kho mob (kws kho mob) kom tau lus qhia.
| Cov tsos mob | Hais yooj yim xwb... |
|---|---|
| Npau taws los yog chim siab | Kuv npau taws thiab sib ntaus ntau dua li yav dhau los. |
| Kev tu siab thiab kev poob siab tas li | Ib txwm tu siab, nrog lub ntsej muag poob siab. Hais lus zoo li tsis muaj kev cia siab rau dab tsi. |
| Kev kawm tsis nyob nrog zej tsoom | Tsis nrog phooj ywg thiab nyiam nyob hauv nws chav thiab nyob ib leeg. |
| Kev tsis kam lees ntau dhau | Txawm tias ib tug neeg hais ib yam dab tsi me me los, nws ua rau kuv mob siab thiab chim siab heev. |
| Kev hloov pauv ntawm kev ntshaw zaub mov | Los yog noj tsawg dua, los yog noj ntau dua. |
| Kev hloov pauv ntawm kev pw tsaug zog | Pw tsis tsaug zog, los yog pw tsaug zog ntau dhau. |
| Qw nrov nrov los yog quaj | Mam li qw thiab quaj tsis muaj laj thawj. |
| Nyuaj siab rau kev tsom ntsoov | Nws nyuaj rau koj ua tib zoo mloog koj txoj kev kawm thiab tej yam koj hais. |
| Qaug zog thiab tsis muaj zog | Kuv ib txwm nkees thiab tsis xav ua dab tsi. |
| Kev xav tias tsis muaj nqis lossis muaj kev txhaum | Lawv hais tej yam xws li "Kuv tsis quav ntsej", "Txhua yam yog kuv qhov txhaum". |
| Kev xav txog kev tuag lossis kev tua tus kheej | Hais lossis sau tej yam zoo li "Kuv xav tias kuv tuag lawm." Qhov no yog ib qho tsos mob loj heev. |
Qhov mob hnyav ntawm cov tsos mob no ua rau kev kho mob tseem ceeb. Kev kho mob yuav suav nrog kev kho mob hlwb thiab/lossis tshuaj tiv thaiv kev nyuaj siab.
"Hauv kuv txoj kev paub, yuav luag txhua tus menyuam uas muaj kev nyuaj siab tau txais txiaj ntsig los ntawm kev kho mob ib leeg," Fassler hais. "Thaum cov menyuam tau txais kev pab, cov teebmeem thib ob ntawm kev nyuaj siab, xws li kev tsis ntseeg tus kheej thiab kev sib raug zoo tsis zoo nrog tsev neeg thiab cov phooj ywg, twb tau pib tshwm sim lawm. Cov menyuam xav tau kev pab ua haujlwm los ntawm cov khoom ntawd. Kev tshuaj tsis daws cov teeb meem ntawd."
Puas yog qhov kev ntshai txog tshuaj muaj tseeb? (Kev sib cav txog tshuaj tiv thaiv kev nyuaj siab)
Txawm hais tias muaj qee qhov kev tsis sib haum xeeb txog cov tshuaj antidepressants rau cov menyuam yaus, xyoo 2004 Lub Chaw Haujlwm Saib Xyuas Khoom Noj thiab Tshuaj (FDA) tau ntxiv cov lus ceeb toom hnyav rau cov ntawv lo rau cov tshuaj no. Qhov no hu ua "kev ceeb toom dub." Nws tau hais tias cov tshuaj no yuav tsum tau siv nrog kev ceev faj vim tias lawv tau pom tias ua rau muaj kev xav tua tus kheej thiab tus cwj pwm ntawm cov menyuam yaus thiab cov tub ntxhais hluas.
Lub hom phiaj ntawm FDA yog ceeb toom cov kws kho mob kom saib xyuas cov cwj pwm tua tus kheej thaum ob peb lub hlis thawj zaug ntawm kev kho mob, tab sis cov lus ceeb toom tau ua ntau dua li ntawd.
Txawm hais tias kev sau cov tshuaj no rau cov menyuam yaus tau nce ntxiv ua ntej qhov kev ceeb toom no, los ntawm xyoo 2005, kev sau cov tshuaj no rau cov menyuam yaus hnub nyoog qis dua 18 xyoo tau poob qis 20%.
Tam sim no qee tus kws tshaj lij txog kev noj qab haus huv ntawm lub hlwb ntshai tias qhov no yuav muaj qhov tshwm sim loj heev: tias nws yuav ua rau muaj kev tua tus kheej ntau ntxiv vim tias cov niam txiv thiab cov kws kho mob ntshai tsam tsis muab tshuaj rau lawv cov menyuam.
"Tsis kho tus mob nyuaj siab muaj kev pheej hmoo ntau dua li noj tshuaj antidepressant," Jefferson Prince, MD, tus kws kho mob hlwb ntawm Massachusetts General Hospital hais.
FDA cov lus ceeb toom yog raws li kev tshuaj xyuas ntawm 24 txoj kev tshawb fawb uas qhia tau tias thaum lub sijhawm plaub lub hlis thawj zaug ntawm kev kho mob, cov menyuam yaus uas noj cov tshuaj no muaj ob npaug ntawm kev xav txog lossis sim tua tus kheej dua li cov menyuam yaus uas tsis noj cov tshuaj (placebo). Txawm li cas los xij, tsis muaj kev tuag los ntawm kev tua tus kheej hauv cov kev tshawb fawb ntawd.
Ntawm qhov tod tes, lwm cov kev tshawb fawb tau qhia tias tsuas yog 2% ntawm cov menyuam yaus thiab cov tub ntxhais hluas uas tau tua tus kheej tau noj tshuaj antidepressant thaum lawv tuag.
Yog li ntawd, Mr. Prince xav tias qhov kev ceeb toom no yuav muaj qee yam zoo. Nws tau tsa kev paub txog kev pheej hmoo ntawm kev tua tus kheej rau cov menyuam yaus uas muaj kev nyuaj siab. Nws kuj zoo uas peb tuaj yeem tham nrog cov tsev neeg txog qhov no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev nyuaj siab thaum yau tsis yog tsuas yog kev hloov pauv ntawm lub siab xwb. Nws yog ib qho mob tiag tiag uas yuav tsum tau kho.
- Yog koj pom muaj kev hloov pauv mus sij hawm ntev hauv koj tus menyuam tus cwj pwm, kev pw tsaug zog, kev noj mov, lossis kev sib raug zoo, tsis txhob tsis quav ntsej nws.
- Yog koj pom cov tsos mob, tam sim ntawd sab laj nrog kws kho mob (kws kho mob) kom tau lus qhia.
- Kev kho mob yuav suav nrog kev sab laj thiab, yog tias tsim nyog, noj tshuaj. Tsis txhob ntshai tshuaj yam tsis tsim nyog. Yog tsis tau txais kev kho mob ces txaus ntshai dua.
- Muab kev hlub, kev txhawb nqa, thiab kev nkag siab rau koj tus menyuam. Ua rau lawv xav tias lawv tsis nyob ib leeg.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus