Kodi kumwa mankhwala ochepetsa nkhawa kumabweretsa kunenepa? (Madokotala ochepetsa nkhawa) - Tiyeni tikambirane izi!

Kodi mukulandira chithandizo cha matenda a maganizo? Ndiye chinthu chimodzi chomwe mungakhale mukudabwa ndichakuti kodi mankhwalawa apangitsa kuti kunenepa kuchuluke? Mwina nkhawa zanu zatsika ndipo mukuyamba kumva bwino pang'ono. Koma zovala zanu zikayamba kuoneka zolimba pang'ono, ndi zachilendo kudzifunsa kuti, 'Kodi izi ndi chifukwa cha mankhwalawo?' Lero, tiyeni tikambirane za izi, ubale womwe ulipo pakati pa mankhwala ochepetsa nkhawa ndi kunenepa, mwatsatanetsatane komanso mosavuta.

Kodi kusintha kwa kulemera kumakhudza bwanji wina ndi mnzake?

Choyamba chomwe tiyenera kumvetsetsa ndichakuti kuvutika maganizo kungakhudze kulemera kwanu. Izi zitha kuchitika kaya mukumwa mankhwala kapena ayi. Anthu ena amataya chilakolako chawo chonse akavutika maganizo ndipo amataya thupi osadya. Ena, akakhumudwa kapena kupsinjika maganizo, amalakalaka zakudya zokoma komanso zokhala ndi chakudya chambiri. Safuna kuchita masewera olimbitsa thupi. Pamenepo ndi pomwe amanenepa.

Tangoganizani kuti mwakhala mukuvutika kudya chifukwa cha kuvutika maganizo ndipo mwataya thupi kwambiri. Kenako, ndi mankhwala omwe dokotala wanu akukupatsani, maganizo anu amakula, chilakolako chanu chimabwerera, ndipo mumalemera pang'ono. Ichi ndi chizindikiro chabwino kwambiri. Zimatanthauza kuti mukukula.

Komabe, ngati chilakolako chanu chawonjezeka ndipo mwawonjezeka thupi chifukwa cha kuvutika maganizo, kuwonjezeka thupi chifukwa cha mankhwala kungakhale vuto lalikulu, chifukwa kunenepa kwambiri kumawonjezera chiopsezo chotenga matenda ena, monga matenda a shuga ndi kuthamanga kwa magazi.

Kodi mankhwala onse oletsa kuvutika maganizo amayambitsa kunenepa?

Ayi. Iyi ndi nkhani yabwino kwambiri. Si mankhwala onse oletsa kuvutika maganizo omwe amayambitsa kunenepa kwambiri. Komanso, si aliyense amene amamwa mankhwalawa amene adzalemera kwambiri. Izi zimasiyana kwambiri kuchokera kwa munthu ndi munthu. Ndipotu, mankhwala ena omwe amagwiritsidwa ntchito kwambiri, monga (Zoloft), (Prozac), ndi (Celexa), angayambitse kunenepa kwambiri ngati zotsatira zoyipa. Koma sizichitika kwa aliyense. Zimatengera momwe thupi lanu limayankhira mankhwalawo.

Kodi pali mankhwala ena omwe angayambitse kunenepa kwambiri?

Inde. Mankhwala ena amatha kupangitsa kuti munthu anenepe kwambiri kuposa ena. Mankhwala oletsa kuvutika maganizo amagawidwa m'magulu angapo kutengera momwe amagwirira ntchito ndi mankhwala omwe ali muubongo wathu otchedwa neurotransmitters. Tiyeni tiwone magulu akuluakulu.

Tsopano, pakati pa magulu awa, ngati mumwa mankhwala a SSRI, chiopsezo chonenepa chimakhala chofanana ndi chilichonse mwa iwo. Komabe, zapezeka kuti chiopsezo chonenepa chimakhala chachikulu ndi mankhwala a Paroxetine (Paxil) .

Pa mankhwala onse oletsa kuvutika maganizo, Bupropion (Wellbutrin) ndiye mankhwala ochepa kwambiri omwe angayambitse kunenepa kwambiri . Nthawi zina amathanso kuchepetsa thupi. Mosiyana ndi zimenezi, Mirtazapine (Remeron) ndiye mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza kunenepa kwambiri .

Kodi zotsatirapo zoyipa za kunenepa chifukwa cha mankhwala ndi ziti?

Kawirikawiri, kulemera pang'ono kwa makilogalamu 2-3 sikubweretsa mavuto aakulu azaumoyo. Komabe, ngati mutalemera makilogalamu opitilira 5, ndiko kuti, makilogalamu opitilira 10, zingakhudze kuchuluka kwa cholesterol m'magazi ndi kuthamanga kwa magazi. Zimawonjezeranso chiopsezo chanu chokhala ndi matenda a shuga.

Koma, monga ndanenera kale, tiyenera kuyang'ana mbali ina ya izi. Kuvutika maganizo ndi chimodzi mwa matenda olemala komanso owononga moyo padziko lonse lapansi. Sikuti kumakhudza ntchito yanu yokha, ubale wanu ndi banja lanu, komanso kumakhudza thanzi la mtima wanu mwachindunji.

Ndiyenera kuchita chiyani ndikanenepa?

Ngati mukumva ngati mukukula thupi mutatha kumwa mankhwala, kapena ngati muli ndi zotsatirapo zina zomwe zimakudetsani nkhawa, chinthu choyamba chomwe muyenera kuchita ndikulankhula ndi dokotala wanu za izi.

Chifukwa cha kunenepa chingakhale mankhwala okhawo. Kapena chingakhale kuti kuvutika maganizo kwachepa ndipo chilakolako cha chakudya chawonjezeka. Mwina pali chifukwa china. Chifukwa chake, dokotala wanu akhoza kupeza chifukwa chenicheni cha izi ndikukupatsani yankho loyenera.

Ngati mankhwala anu akukupangitsani kunenepa ndipo ali ndi zotsatirapo zina, kusintha kugwiritsa ntchito mankhwala ena kungakhale lingaliro labwino. Mwachitsanzo, ngati mukumwa SSRI, mutha kusintha kugwiritsa ntchito chinthu monga Fluoxetine (Prozac). Kapena mutha kuyesa Bupropion (Wellbutrin).

Koma kumbukirani, kusintha mankhwala kuyenera kuchitika mosamala . Mankhwala omwe akukupatsani mpumulo pakali pano sangagwire ntchito bwino ngati mankhwala atsopano omwe mukusintha. Si mankhwala onse omwe amagwira ntchito mofanana kwa aliyense. Chifukwa chake, ngati mankhwala omwe mukumwa pano akukugwirani ntchito bwino, kungakhale bwino kupitiriza kumwa ndikuyesera njira zina zowongolera kulemera kwanu (masewera olimbitsa thupi, zakudya). Kambiranani ndi dokotala wanu za zisankho zonsezi.

Kodi mungapewe kunenepa kwambiri mukamamwa mankhwala?

Inde, zingatheke! Zimangokhudza zinthu zingapo zomwe tonse timazidziwa, koma ndi aulesi pang'ono kuchita. Izi ndi monga kudya zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi nthawi zonse, kugona bwino, komanso kuchepetsa kupsinjika maganizo.

• Makhalidwe abwino odya: Idyani zakudya zokhala ndi ulusi wambiri ndi michere yambiri, monga masamba atsopano, ndiwo zamasamba, ndi zipatso. Chepetsani zakudya zopangidwa kale, zakumwa zotsekemera, ndi zakudya zamafuta momwe mungathere.
• Kuchita Masewera Olimbitsa Thupi: Sankhani masewera olimbitsa thupi omwe mumakonda. Akhoza kukhala chilichonse kuyambira kuyenda, kuthamanga, kuvina, mpaka kulima dimba. Yesetsani kuchita masewera olimbitsa thupi osachepera mphindi 30 patsiku.
• Zinthu zina: Ganizirani zinthu zina zomwe zingakuthandizeni kunenepa, monga kusintha kwa mahomoni a chithokomiro, kusintha kwa nthawi yanu ya msambo, mavuto a m'mimba, kapena kumwa mowa. Lankhulani ndi dokotala wanu za izi.

Pomaliza pake, mpumulo womwe mumapeza chifukwa chomwa mankhwala a kuvutika maganizo ndi wosayerekezeka. Zotsatirapo zoyipa monga kunenepa kwambiri zimatha kuthetsedwa. Choncho m'malo moganizira kwambiri, gwirani ntchito ndi dokotala wanu kuti mupeze yankho labwino kwambiri.