Oyinza okuba ng’omira eddagala eriweweeza ku kweraliikirira olw’okwennyamira oba okweraliikirira. Oluusi tulowooza nti, "Oh, mpulira bulungi kati, nneetaaga okulekera awo okumira eddagala lino." Naye okulekera awo eddagala lino mu bwangu kiyinza okukuleetera okufuna ebizibu ebiwerako. Ekyo kye twogerako leero.
Obulwadde bw’okulekera awo eddagala eriweweeza ku kweraliikirira kye ki?
Mu ngeri ennyangu, bw’omira eddagala eriweweeza ku kweraliikirira okumala waakiri wiiki mukaaga n’oluvannyuma n’olikomya mu bwangu, oba n’olikomya nga tolikendeezezza ng’omusawo bw’akugamba, osobola okufuna obuzibu buno. Abantu abamu kino bakiyita ‘obulwadde bw’okulekera awo okukola’. Kino kiyitibwa Antidepressant Discontinuation Syndrome , oba ADS mu bufunze.
Mu mbeera eno (ADS), oyinza okufuna obubonero obuwerako, gamba ng’obuteebaka, okuziyira, n’okuwulira ng’olina obunafu. Naye teweeraliikiriranga, obubonero buno butera kuggwaawo mu bbanga eritakka wansi wa myezi ebiri. Kino si kintu ekireeta obulabe bungi ku mubiri, naye kiyinza okukutabula nnyo era nga kinyiiza. Ate era ekisinga obukulu okujjukira nti bw’olekera awo okumira eddagala eriweweeza ku kweraliikirira, embeera y’obwongo gye wamira eddagala (okugeza, okwennyamira oba okweraliikirira) eyinza okuddamu okulabika.
N’olwekyo, bw’oba olowooza ku ky’okukomya eddagala eriweweeza ku kweraliikirira, mazima ddala wandibadde osooka kwogera n’omusawo wo . Olwo osobola okugezaako okuziyiza embeera eno eyitibwa (ADS).
Embeera eno (ADS) ya bulijjo etya?
Okunoonyereza kulaga nti wakati w’ebitundu 27% ne 86% ku bantu abagezaako okulekera awo okumira eddagala eriweweeza ku kweraliikirira, oba ku lwabwe oba nga baweereddwa amagezi g’omusawo, bafuna obubonero bw’okulivaako (ADS). Kale olaba bino si byonna ebyo ebitawuliddwa.
Bubonero ki obulaga obulwadde bw’okulekera awo eddagala eriweweeza ku kweraliikirira?
Obubonero buno butera okutandika okulabika mu nnaku bbiri oba nnya ng’omaze okuyimiriza eddagala eriweweeza ku kweraliikirira. Buno bwe bubonero obukulu obuyinza okulabibwa:
- Obubonero obulinga obwa ssennyiga: obukoowu, okulumwa omutwe, okulumwa omubiri, n’okutuuyana. Oluusi oyinza okuba n’ebirooto ebyewuunyisa, ebitiisa.
- Okuziyira: Oluusi n’okusesema kuyinza okubaawo.
- Okuziyira n’okuwulira ng’omutwe guweweevu.
- Okwokya, okuwunya oba okuwulira ng’okukubwa amasannyalaze (paresthesia) mu mubiri. Kino kiyinza okuba ekintu ekyewuunyisa.
- Enkyukakyuka mu mbeera: Okweraliikirira, okunyiiga, obutawummula, n’okutuuka n’okukola obusungu biyinza okubaawo.
Bw’oba olina obubonero buno, olina okulaba omusawo wo . Obuzibu bw’obubonero buno buyinza okwawukana okusinziira ku muntu, naye eri abantu abasinga obungi, tebuba bwa maanyi nnyo. Okunoonyereza okumu kwazuula nti abantu abafuna obubonero buno obw’okulekera awo:
- 7% bamaze emyezi ebiri nga balina obubonero.
- 6% bamaze omwaka mulamba nga balina obubonero.
- 2% bamaze emyaka egisukka mu esatu nga balina obubonero.
Kale, osobola okulaba, kino kiyinza okuba ekintu ekiwanvuko katono eri abantu abamu.
Kiki ekivaako kino (Antidepressant Discontinuation Syndrome)?
Mu butuufu, abanoonyereza n'okutuusa kati tebamanyi ddala kiki ekivaako obulwadde buno obwa ``Discontinuation Syndrome''. Naye balowooza nti kikwatagana n'okukka okw'amangu mu miwendo gy'eddagala eriyitibwa ``Serotonin'' mu bwongo ng'olekera awo okumira eddagala nga ``SSRI - selective serotonin reuptake inhibitor'' oba ``SNRI - serotonin and norepinephrine reuptake inhibitors''. Emibiri gyaffe bwe gifiirwa serotonin ono mu bwangu, gikola nga gireeta obubonero buno obw’omubiri n’obwongo.
Biki ebiyinza okuvaako okulwala obulwadde bwa Antidepressant Discontinuation Syndrome?
Bw’olekera awo okumira eddagala eriweweeza ku kweraliikirira, otera okufuna obubonero bw’okulivaako (ADS) mu mbeera zino wammanga:
- Singa olekera awo okumira eddagala mu bwangu (nga tolikendeeza mpolampola).
- Bw’oba omaze ebbanga ddene (emyaka) ng’omira eddagala eryo.
- Bw’oba omira ddoozi ennene ey’eddagala eriweweeza ku kweraliikirira (kino kyawukana okusinziira ku kika ky’eddagala).
- Bw’oba wali ofunye obubonero bw’okuva ku ddagala ng’osubiddwa ddoozi y’eddagala emabega (naye ne bugenda ng’ozzeemu okumira eddagala).
Ate era, ekika ky’eddagala eriweweeza ku kweraliikirira ly’omira kiyinza okwongera oba okukendeeza ku bulabe bw’okulwala ADS. Kino kisinga kwekuusa ku bbanga eddagala lye limala mu mubiri gwo. Eddagala erimenyeka (metabolized) amangu omubiri litera okuleeta ADS oluvannyuma lw’okulekera awo okusinga eddagala eribeera mu mubiri okumala ebbanga.
Kati katutunuulire ebika by’eddagala ebimu n’akabi akali:
Emitendera gy’akabi eri eddagala lya SSRI:
- Eddagala eririna akabi akanene eri (ADS): `(Paroxetine)` (erundibwa nga ``Paxil®`, ``Pexeva®`) ne `(fluvoxamine)`.
- Eddagala eririna akabi ak’ekigero eri (ADS): `(Citalopram)` (`Celexa®`), `(escitalopram)` (`Lexapro®`) ne `(sertraline)` (`Zoloft®`).
- Eddagala ery’akabi akatono eri (ADS): `(Fluoxetine)` (`Prozac®`).
Emitendera gy’akabi eri eddagala ery’ekika kya (SNRI):
- Eddagala eririna akabi ak’amaanyi eri (ADS): `(Venlafaxine)` (`Effexor®`) ne `(desvenlafaxine)` (`Khedezla®`, `Pristiq®`).
- Eddagala eririna akabi ak’ekigero eri (ADS): `(Duloxetine)` (`Cymbalta®`, `Drizalma®`, `Irenka®`).
- Eddagala eririna akabi akatono eri (ADS): `(Milnacipran)` (`Savella®`) ne `(levomilnacipran)` (`Fetzima®`).
Ng’oggyeeko kino, `(MAOIs - monoamine oxidase inhibitors)` , `(eddagala eriweweeza ku kweraliikirira erya tricyclic)` ne `(eddagala eriweweeza ku kweraliikirira erya tetracyclic)`Eddagala lino wammanga nalyo okutwalira awamu litwalibwa okuba ery’akabi ennyo eri ASD. Kale kikulu okumanya eddagala ly’omira.
Bizibu ki ebiyinza okuva mu bulwadde bwa Antidepressant Discontinuation Syndrome?
Mu mbeera ezimu, okukomya eddagala eriweweeza ku kweraliikirira kiyinza okuvaako ebizibu eby’amaanyi. Bino bye bikulu:
- Ekirowoozo ky’okwetta.
- Okwetta.
- Mania (Mania) nga.
Bw’oba ggwe oba omwana wo mulina ebirowoozo by’okwetta oba enneeyisa efaananako bwetyo, nsaba okubire ku National Mental Health Helpline ku 1926 mu bwangu. Waliwo omuntu aliwo essaawa 24 buli lunaku okukuyamba. Ebintu bino tobilwana nabyo byokka.
Embeera eno (Antidepressant Discontinuation Syndrome) ezuulibwa etya?
Tewali kukeberebwa kwa basawo kwonna okuzuula obulwadde bwa Antidepressant Discontinuation Syndrome. Mu kifo ky’ekyo, omusawo ajja kukubuuza ebibuuzo ebikwata ku bubonero bwo, ebyafaayo by’obujjanjabi bwo, ne ddi lwe walekera awo okumira eddagala lyo eriweweeza ku kweraliikirira.
Obubonero bwa ADS buyinza okufaananako n’obw’embeera endala, gamba ng’okwennyamira n’okweraliikirira. N’olwekyo, kya muganyulo okubuulira omusawo wo ebikwata ku bubonero bwo n’engeri gye bwatandika.
Obulwadde bwa Antidepressant Discontinuation Syndrome bujjanjabwa butya?
Obujjanjabi obusinga okukola obulungi ku mbeera eno (ADS) kwe kuddamu okutandika eddagala eriweweeza ku kweraliikirira ku ddoozi y’emu nga bwe yali emabegako . Kino kitera okumalawo obubonero bwo mu ssaawa 24. Kyokka bw’oba okyayagala okulekera awo okumira eddagala lino, omusawo ajja kukuwa ebiragiro ebitongole ku ngeri y’okukendeeza ku ddoozi mpolampola n’olekera awo.
Okusinziira ku buzibu bw’obubonero bwo n’ebbanga lye bumala, omusawo ayinza n’okukuwa eddagala eddala okukuyamba okubufuga. Okugeza nga:
- Eddagala eriweweeza ku bulumi ku mutwe, nga ``Ibuprofen'' oba ``acetaminophen''.
- Ekintu nga ``ondansetron`` (ekitundibwa nga ``Zofran®``), eddagala eriweweeza ku kuziyira .
- Eddagala nga `(hydroxyzine)` oba `(benzodiazepines)` ku kweraliikirira n'obuteebaka.
Endowooza etya eri embeera eno (Antidepressant Discontinuation Syndrome)?
Endowooza y’embeera eno (ADS) ya njawulo. Emisango egisinga tegiba gya maanyi era tegisukka wiiki munaana. Wabula emisango egimu giyinza okuba egy’amaanyi era obubonero buno busobola okumala omwaka mulamba oba okusingawo. Eno y’ensonga lwaki kyetaagisa okunoonya amagezi g’abasawo.
Kino (Antidepressant Discontinuation Syndrome) tukiziyiza tutya?
Ebyembi, kino ``Antidepressant Discontinuation Syndrome (ADS)'' tekitera kuziyizibwa. Wabula ekisinga obukulu ky’oyinza okukola okukyewala kwe kwogera n’omusawo nga tonnayimiriza ddagala lyo eriziyiza okwennyamira. Okuyimiriza eddagala eriweweeza ku kweraliikirira mu ngeri ey’obukuumi kiyinza okutwala obudde bungi – oyinza okwetaaga okukendeeza ku ddoozi yo mpolampola okumala ekiseera.
Buli ddagala eriweweeza ku kweraliikirira lya njawulo, n’olwekyo omuntu asinga okukuyamba okulekera awo okulimira ye musawo wo. Ajja kukubuulira engeri entuufu ey’okukola kino nga tolina bulabe.
N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .
Okay, kale obutabeera bulungi mu kuyimiriza eddagala eriweweeza ku kweraliikirira, erimanyiddwa nga ``Antidepressant Discontinuation Syndrome (ADS)``, kiyinza okuba ekintu ekitasanyusa nnyo. Engeri esinga obulungi ey’okukyewala kwe kukendeeza mpolampola n’okulekera awo eddagala lyo eriweweeza ku kweraliikirira ng’olambika omusawo.
Jjukira nti bw’oba olina ekibuuzo kyonna oba ekikweraliikiriza ku ddagala lyo, kakasa nti oyogera n’omusawo wo. Baliwo okukuyamba.
Eddagala kintu ekiyinza okutuyamba ennyo singa likozesebwa mu ngeri entuufu. Naye kikulu nnyo okuba nga tumanyi engeri y’okuzikozesaamu n’engeri y’okuzikomya. Nsuubira kino okitegedde. Bw’oba olina ekibuuzo kyonna, totya kubuuza musawo.
` Eddagala eriweweeza ku kweraliikirira, Eddagala eriweweeza ku kweraliikirira, ADS, Serotonin, Obulamu bw’obwongo, Okuggyawo eddagala, Obubonero











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