Kodi nthawi zina mumamva kutopa ndi chilichonse, simukufuna kuchita chilichonse, ndipo mumangomva chisoni? Kapena mumakhala ndi chizolowezi chodera nkhawa komanso mantha ngakhale pazinthu zazing'ono? Ngati zinthuzi sizitha patatha masiku angapo ndikupitirira, mutha kukhala ndi vuto monga kuvutika maganizo kapena nkhawa. Izi ndi matenda omwe amapitirira chisoni wamba ndipo amafunika chithandizo. Lero tikulankhula za mankhwala oletsa kuvutika maganizo, mtundu wa mankhwala omwe madokotala nthawi zambiri amalangiza pamavuto amisala otere.
Kodi mankhwala oletsa kuvutika maganizo amenewa ndi ati?
Mwachidule, mankhwala oletsa kuvutika maganizo ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga kuvutika maganizo, nkhawa, ndi matenda ovutika maganizo pambuyo pa zoopsa (PTSD). Nthawi zina amagwiritsidwanso ntchito pochiza matenda ena okhudzana ndi kudya, kupweteka kosatha, komanso kusowa tulo.
Kuvutika maganizo si kungomva chisoni chabe. Ndi vuto losatha lomwe limakhudza momwe mumamvera, malingaliro anu, mphamvu zanu, komanso chidwi chanu chochita zinthu. Mungasiye chidwi ndi zinthu zomwe munkakonda kale. Mungakhalenso ndi vuto lokumbukira zinthu, kudya bwino, komanso kugona bwino.
Chofunika kwambiri ndichakuti mankhwala awa amangochepetsa zizindikiro zanu (monga chisoni ndi kutopa), koma sachotsa chomwe chimayambitsa matendawa. Ichi ndichifukwa chake madokotala nthawi zambiri amalangiza psychotherapy, mwachitsanzo talk therapy, pamodzi ndi mankhwala awa.
Kodi mankhwalawa amagwiritsidwa ntchito pa matenda otani?
Madokotala padziko lonse lapansi avomereza mankhwala oletsa kuvutika maganizo awa makamaka pa matenda awa:
| Matenda | Kufotokozera kosavuta |
|---|---|
| Kuvutika maganizo ndi zina zokhudzana nazo | Matenda monga Matenda a Kukhumudwa Kwambiri. |
| Matenda Oda Nkhawa | Zinthu monga Matenda Ovutika Maganizo ndi Matenda Ovutika Maganizo a Anthu. |
| Matenda a Bipolar | Mkhalidwe wa kusintha kwakukulu kwa maganizo. |
| Matenda Odzikuza ndi Okakamiza (OCD) | Maganizo ndi machitidwe obwerezabwereza omwe amabwera chifukwa cha iwo. |
| Matenda a Mantha | Mantha aakulu mwadzidzidzi ndi zizindikiro zakuthupi. |
| Matenda Ovutika Maganizo Pambuyo pa Zoopsa (PTSD) | Mkhalidwe wamaganizo womwe umachitika pambuyo pa chochitika choopsa. |
| Matenda a kudya | Matenda monga Bulimia Nervosa. |
| Zochitika zina | Ululu Wosatha, Fibromyalgia, Ululu wa Mitsempha Wokhudzana ndi Matenda a Shuga, ndi Matenda a Premenstrual Dysphoric Disorder (PMDD). |
Kuphatikiza apo, nthawi zina dokotala angakupatseni mankhwala a vuto lomwe silinavomerezedwe mwalamulo. Izi zimatchedwa "kugwiritsa ntchito popanda chizindikiro." Mwachitsanzo, mankhwala ena akale oletsa kuvutika maganizo amaperekedwa kwa anthu omwe ali ndi vuto la kusowa tulo kapena mutu waching'alang'ala.
Kodi mitundu ikuluikulu ya mankhwala oletsa kuvutika maganizo ndi iti?
Pali mitundu ikuluikulu ingapo, kapena magulu, a mankhwala awa. Iliyonse imagwira ntchito mosiyana pang'ono.
| Mtundu wa mankhwala | Momwe imagwirira ntchito ndi yosavuta. |
|---|---|
| SSRIs (Zoletsa Kubwerezabwereza kwa Serotonin) | Izi zimagwira ntchito powonjezera mankhwala omwe ali muubongo mwanu otchedwa serotonin, omwe amalamulira maganizo athu. Izi ndi zomwe zimagwiritsidwa ntchito kwambiri. |
| Ma SNRI (Zoletsa Kubwerezabwereza kwa Serotonin-Norepinephrine) | Izi zimawonjezera serotonin ndi norepinephrine, yomwe imathandiza kuthetsa nkhawa, kupsinjika maganizo, komanso kukhala maso. |
| Mankhwala Oletsa Kuvutika Maganizo a Tricyclic | Izi zimawonjezeranso mankhwala onse awiri omwe atchulidwa pamwambapa. Komabe, popeza awa ndi mankhwala akale, ali ndi zotsatirapo zina. |
| MAOIs (Zoletsa za Monoamine Oxidase) | Izi zimaletsa enzyme yomwe imaphwanya mankhwala muubongo, zomwe zimawonjezera kuchuluka kwa mankhwala amenewo. Awanso ndi mtundu wakale. |
| Mitundu ina (Ma Antidepressants Atypical) | Mankhwala atsopano omwe si a m'magulu omwe ali pamwambapa ndipo amagwira ntchito mosiyana amagwera m'gululi. |
Kawirikawiri, dokotala amayamba ndi mankhwala a SSRI poyamba chifukwa amakhala ndi zotsatirapo zochepa poyerekeza ndi mitundu ina.
Kodi mankhwalawa amagwira ntchito bwanji kwenikweni?
Kuti timvetse izi, tifunika kudziwa pang'ono za ubongo. Ma neurotransmitter ndi ma chemical messenger omwe maselo amitsempha muubongo wathu amagwiritsa ntchito polankhulana. Serotonin ndi norepinephrine ndi ma chemicals otere. Muzochitika monga kupsinjika maganizo, mayendedwe a ma chemicals awa amasokonezeka.
Mankhwala oletsa kuvutika maganizo amagwira ntchito polamulira mankhwala amenewa ndikubwezeretsa mphamvu zawo, zomwe zingathandize kuti maganizo ndi khalidwe lanu likhale labwino.
Komanso, mukapitiriza kumwa mankhwalawa, ubongo umatha kupanga maulumikizidwe atsopano pakati pa maselo amitsempha. Zili ngati kuphimba msewu wakale, wodzaza ndi mabowo ndikupanga msewu watsopano, wabwino. Timatcha izi neuroplasticity. Izi zingayambitse kusintha kosatha m'maganizo mwanu pakapita nthawi.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa nthawi zambiri amabwera ngati mapiritsi. Mukayamba kuwamwa, dokotala wanu nthawi zambiri amakuyambitsani mlingo wochepa kwambiri. Kenako, adzakuyang'anirani nthawi zonse ndikuwonjezera pang'onopang'ono mlingo ngati pakufunika kutero.
Chofunika ndichakuti, izi sizili ngati kumwa mapiritsi a paracetamol. Zingatenge milungu ingapo, mwina mwezi umodzi kapena iwiri, kuti mankhwalawo agwire ntchito ndipo mumve bwino. Choncho muyenera kuleza mtima.
Mukayamba kumva bwino, muyenera kupitiriza kumwa mankhwala monga momwe dokotala wanu wanenera kwa nthawi yonse yomwe dokotala wanu wakuuzani. Musasiye kumwa mankhwala mwadzidzidzi chifukwa choti mwamva bwino. Kuchita zimenezi kungayambitse zizindikiro zosasangalatsa (monga kutentha thupi, chizungulire, ndi kusowa tulo). Chifukwa chake, ngati musiya kumwa mankhwalawo, muyenera kuchita izi motsatira malangizo a dokotala wanu, pang'onopang'ono kuchepetsa mlingo.
Kodi ndingasankhe bwanji mankhwala oyenera kwa ine?
Si chinthu chomwe muyenera kusankha nokha. Dokotala wanu adzasankha mankhwala oyenera kwa inu. Adzaganizira zinthu zingapo.
- Zizindikiro zanu: Kodi nthawi zambiri mumakhala achisoni, oda nkhawa, kapena osagona?
- Zotsatirapo zake: Mankhwala ena amayambitsa kugona, pomwe ena amayambitsa kunenepa.
- Kaya idzagwirizana ndi mankhwala ena omwe mukumwa kale: Mankhwalawa akhoza kugwirizana ndi mankhwala ena.
- Matenda ena omwe muli nawo: Ngati muli ndi matenda ena monga matenda a mtima kapena matenda a shuga, nawonso adzaganiziridwa.
Taganizirani izi, ngati mukukonzekera kukhala ndi mwana, uzaninso dokotala wanu za izi. Chifukwa pali mankhwala otetezeka panthawi ya mimba. Choncho ndikofunikira kwambiri kukambirana zonse zomwe mwakumana nazo ndi dokotala wanu.
Nthawi zina mankhwala oyamba omwe mwapatsidwa sangagwire ntchito bwino. Ngati zimenezo zitachitika, musadandaule. Zimenezo ndi zachilendo. Mutha kulankhula ndi dokotala wanu ndikusintha mlingo kapena kusintha mankhwala ena.
Kodi zotsatirapo zoyipa za mankhwala oletsa kuvutika maganizo ndi ziti?
Monga mankhwala ena onse, mankhwalawa amatha kukhala ndi zotsatirapo zake. Komabe, nthawi zambiri, izi sizili zoopsa ndipo zimachepa pakapita nthawi mukapitiriza kugwiritsa ntchito mankhwalawa. Zina mwa zotsatirapo zake zodziwika bwino ndi izi:
- Kusanza
- Pakamwa pouma
- Kugona kapena kusowa tulo
- Chizungulire
- Mutu
- Kuchepa chilakolako chogonana
- Kulemera
- Kutuluka thukuta
Ngati mukuda nkhawa ndi zotsatirapo zilizonsezi, uzani dokotala wanu za izi.
Ngozi yapadera yoti mudziwe
Pali chinthu chapadera chomwe tifunika kukambirana apa. Pali chiopsezo chochepa choti maganizo ofuna kudzipha angakule munthu wosakwana zaka 24 akayamba kumwa mankhwalawa, makamaka m'masabata oyamba. Izi sizichitika kwa aliyense, koma ndikofunikira kudziwa izi ndikuuza dokotala wanu kapena abale anu nthawi yomweyo ngati muli ndi maganizo amenewa.
Mavuto omwe angakhalepo chifukwa chomwa mankhwalawa
Anthu ambiri amamwa mankhwalawa popanda vuto lililonse, koma ndi bwino kudziwa matenda ena akuluakulu omwe angachitike nthawi zina.
| Mavuto | Zimene muyenera kudziwa |
|---|---|
| Matenda a Serotonin | Izi zimachitika kawirikawiri, koma zimakhala zoopsa kwambiri. Zimachitika pamene thupi lili ndi serotonin yambiri. Zizindikiro zake zingakhale kusokonezeka, kuuma kwa minofu, kutentha thupi kwambiri, komanso kukomoka. |
| Matenda Oletsa Kusuta | Ngati musiya kumwa mankhwala mwadzidzidzi, mungayambe kutentha thupi, chizungulire, kusowa tulo, komanso kusintha kwa maganizo. |
| Kuchuluka kwa mankhwala osokoneza bongo | Kumwa mankhwala ochulukirapo kuposa momwe dokotala wanu akulangizira kungayambitse imfa. Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) yapafupi. |
Kodi mungakhale ndi chizolowezi chogwiritsa ntchito mankhwala ochepetsa nkhawa?
Ayi. Funso limene anthu ambiri amafunsa ndi ili. Mankhwalawa si oledzeretsa. Komabe, monga tafotokozera pamwambapa, ngati musiya kumwa mwadzidzidzi, muyenera kuchita zimenezo monga momwe dokotala wanu wanenera.
Kodi muyenera kupeza chithandizo chadzidzidzi liti?
- Ngati mukuona zizindikiro za serotonin syndrome (malungo aakulu, khunyu, chisokonezo) kapena mukuganiza kuti mwamwa mopitirira muyeso, pitani ku chipinda chadzidzidzi cha chipatala chapafupi (ETU) nthawi yomweyo.
- Ngati mukumva maganizo ofuna kudzipha , chonde musakhale nokha. Lankhulani ndi munthu amene mumamudalira (wa m'banja lanu, mnzanu, dokotala) nthawi yomweyo. Kapena, mutha kupempha thandizo ku bungwe ngati Sumithrayo ku Sri Lanka. Ali okonzeka kumvetsera ndi kukuthandizani. Moyo wanu ndi wamtengo wapatali kwambiri.
Mankhwala oletsa kuvutika maganizo angathandize kwambiri kuthetsa malingaliro oti mwatopa komanso opanda chiyembekezo. Koma amatenga nthawi. Muyenera kupatsa ubongo wanu nthawi yoti mukhazikitsenso bwino.
Gwirani ntchito ndi dokotala wanu kuti mupeze mankhwala oyenera kwa inu. Iyi ndi njira. Mungafunike kusintha panjira. Ngati mukukumana ndi vuto lililonse kapena zotsatirapo zake, kambiranani za izo. Kenako mutha kusintha zomwe mukufuna kuti mupeze zotsatira zabwino kwambiri.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa kuvutika maganizo ndi mankhwala operekedwa pochiza matenda amisala monga kuvutika maganizo ndi nkhawa, osati mankhwala ongochepetsa chisoni.
- Zimatenga pafupifupi milungu 4-8 kuti izi zigwire ntchito ndipo mukumva zotsatira zake; choncho khalani oleza mtima ndipo pitirizani ndi chithandizo.
- Musayambe , kusiya, kapena kusintha mlingo wa mankhwala popanda upangiri wa dokotala.
- Ngati zotsatirapo zake sizikukuyenderani bwino kapena ngati zizindikiro zanu sizikuchepa, lankhulani ndi dokotala wanu za vutoli.
- Mankhwalawa si oledzeretsa.
- Kuti mupeze zotsatira zabwino kwambiri, ndikofunikira kwambiri kugwiritsa ntchito mankhwala olankhula pamodzi ndi mankhwala.
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