Dokotala wanu akakuuzani kuti muli ndi vuto la kuvutika maganizo, mungauzidwe kuti muyambe kumwa mankhwala. Panthawiyo, n'zachibadwa kuti maganizo anu azikhala ndi mafunso ambiri ndi mantha monga, 'Kodi mankhwalawa ndi oyeneradi kwa ine?', 'Kodi kumwa mankhwalawa kungathandize?', 'Kodi padzakhala zotsatirapo zake?' Kuvutika maganizo sikutanthauza kungomva chisoni, koma ndi vuto lomwe limakhudza miyoyo yathu yonse. Chifukwa chake, sizodabwitsa kuti tikamalankhula za chithandizo, timakhala ndi mavuto amisala. Chifukwa chake lero, tiyeni tikambirane za mankhwala oletsa kuvutika maganizo awa, kapena zinthu zomwe muyenera kudziwa zokhudza iwo.
Kodi mankhwalawa ndi othandiza kwambiri kwa ndani?
Palibe yankho losavuta pa izi. Koma kafukufuku akusonyeza kuti mankhwalawa amagwira ntchito kwa anthu ambiri. Koma mwina munamvapo kuti mankhwalawa amagwira ntchito bwino kwa anthu omwe ali ndi vuto lalikulu la kuvutika maganizo . Pali zoona zina pankhaniyi, koma pali njira yomvetsetsera.
Mwachidule, zili motere. Madokotala akamafufuza, amagwiritsa ntchito chinthu chotchedwa ``placebo.'' Izi zikutanthauza kuti, amapatsa odwala mankhwala, koma kwenikweni alibe mankhwala. Zili ngati mpira wa shuga. Chodabwitsa n'chakuti, anthu ena amamva bwino pang'ono akamwa ``placebo'' iyi. Izi zimachitika chifukwa cha chikhulupiriro cha m'maganizo chomwe chimapanga.
Tsopano, munthu amene ali ndi vuto la kuvutika maganizo kwambiri akapatsidwa mankhwala enieni, amasonyeza zotsatira zabwino kwambiri kuposa "placebo". Koma kwa munthu amene ali ndi vuto la kuvutika maganizo pang'ono , nthawi zina pamakhala kusiyana kwakukulu pakati pa mpumulo wochokera ku "placebo" ndi mpumulo wochokera ku mankhwala enieni.
Izi zikutanthauza kuti ngati zizindikiro zanu za kuvutika maganizo sizili zazikulu kwambiri, pali mwayi waukulu woti mudzachira bwino ndi mankhwala ena osagwiritsa ntchito mankhwala.
Mwachitsanzo, ndikofunikira kuyesa zinthu monga uphungu , makamaka chithandizo chamaganizo (CBT) , choyamba. Izi zingakuthandizeni kuthana ndi kuvutika maganizo mwa kusintha momwe mumaganizira komanso momwe mumachitira zinthu.
Kodi mumasankha bwanji mankhwala oyenera kwa inu?
Madokotala alibe njira yoti anene kuti "Uwu ndi mankhwala oyenera kwa wodwala uyu." Amasiyana kwambiri malinga ndi munthu ndi munthu. Koma nthawi zambiri, madokotala amayamba chithandizochi motsatira dongosolo linalake. Tiyeni tiwone chomwe chili.
Mankhwala oyamba kusankha: SSRIs
Awa ndi mankhwala oyamba omwe dokotala nthawi zambiri amatipatsa. Amagwira ntchito powongolera kuchuluka kwa neurotransmitter yotchedwa serotonin muubongo wathu. Serotonin ndi mankhwala omwe amathandiza kuti maganizo athu aziyenda bwino.
| Mtundu wa Mankhwala | Chidziwitso Chofunikira |
|---|---|
| Zoletsa Kubwerezabwereza kwa Serotonin (SSRIs) Zosankha |
|
Mtundu wachiwiri wa mankhwala oti muganizire: SNRIs
Ngati mankhwala a SSRI sanagwire ntchito bwino kwa inu, dokotala wanu angaganizire za mtundu wotsatirawu. Izi zimagwira ntchito pa serotonin ndi norepinephrine, mankhwala omwe ali muubongo.
| Mtundu wa Mankhwala | Chidziwitso Chofunikira |
|---|---|
| Selective Serotonin ndi Norepinephrine Reuptake Inhibitors (SNRIs) |
|
Nanga bwanji ngati mankhwala okha sakwanira? - Mankhwala ena
Nthawi zina, kutanthauza kuti, pafupifupi 30% - 50% ya anthu omwe ali ndi vuto la kuvutika maganizo sachira mokwanira ndi mankhwala amodzi okha. Ngati zimenezo zikukuchitikirani, dokotala wanu angasankhe kuwonjezera njira ina yothandizira nthawi yomweyo. Izi zikuphatikizapo:
- Mitundu ina ya mankhwala oletsa kuvutika maganizo (mankhwala oletsa kuvutika maganizo achilendo)
- Mankhwala ena a matenda amisala (Atypical antipsychotics)
- Ketamine mphuno yopopera
Kuphatikiza apo,Pali mankhwala omwe amalimbikitsa ubongo . Mankhwalawa nthawi zambiri amagwiritsidwa ntchito pa matenda a kuvutika maganizo omwe sanayankhe mankhwala ena.
- Chithandizo cha electroconvulsive (ECT)
- Kulimbikitsa kwa maginito kwa Transcranial (TMS)
- Kulimbikitsa mitsempha ya vagus (VNS)
Mafunso omwe muyenera kufunsa dokotala wanu
"Kuvutika maganizo ndi chimodzi mwa matenda ovuta kwambiri. Kuti mupeze zotsatira zabwino kwambiri, payenera kukhala kumvetsetsana bwino pakati pa wodwalayo ndi dokotala."
Choncho, mukapita kwa dokotala wanu, musaope kufunsa mafunso awa. Adzakuthandizani kumvetsetsa bwino za chithandizo chanu.
| Funso lofunsa | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Kodi zinditengera nthawi yayitali bwanji kuti ndione zotsatira zake? | Kudziwa kuti mankhwala amatenga nthawi kuti agwire ntchito kumathandiza kupewa kukhumudwa msanga. |
| Kodi zidzakhala zovuta kwambiri kwa ine masiku oyamba? | Mankhwala ena angayambitse kusasangalala pang'ono thupi likayamba kuwazolowera. Ndikofunikira kudziwa izi pasadakhale. |
| Kodi ndiyenera kupita kwa dokotala nthawi yayitali bwanji? | Ndikofunikira kulankhulana pafupipafupi kuti muwone momwe chithandizo chikuyendera komanso kusintha kulikonse kofunikira. |
| Kodi zotsatirapo zake zofala ndi ziti ? Zimatenga nthawi yayitali bwanji? | Mukadziwa zotsatirapo zake zofala komanso zoopsa, mutha kupewa kuchita mantha ndipo mwamsanga muuzeni dokotala wanu ngati chinachake chachikulu chachitika. |
| Kodi mumatani ngati mankhwala awa asiya kugwira ntchito? | Ndikofunikira kukhala ndi dongosolo la njira zotsatirazi (kusintha mlingo wa mankhwala, kusintha mankhwala ena). |
| Ndiyenera kumwa mankhwalawa kwa nthawi yayitali bwanji? | Ndikofunikira kumvetsetsa bwino nthawi ya chithandizo. |
| Ndi mankhwala ena ati omwe alipo popanda mankhwala? | Mwa kudziwa njira zina monga uphungu, mutha kuphatikiza njira zingapo zochiritsira. |
Musataye mtima msanga!
Ndizachibadwa kumva ngati ukufunika kuchira mwachangu. Koma zoona zake n'zakuti, mankhwala oletsa kuvutika maganizo amenewa amatenga nthawi kuti agwire ntchito. Chifukwa chenicheni cha izi sichikudziwika, koma lingaliro limodzi ndilakuti amatenga masiku kapena masabata kuti asinthe njira zamagetsi muubongo wathu zomwe zimayambitsa kuvutika maganizo ndikubwezeretsa ku moyo wabwinobwino.
Nthawi zambiri zimatenga milungu 4 mpaka 6 kuti munthu asinthe kwambiri. Komabe, kuti munene zoona, "Mankhwala awa sagwira ntchito kwa ine konse," muyenera kumwa mankhwalawa mosalekeza kwa milungu yosachepera 8 .
Komanso, musasiye kulandira chithandizo chifukwa chithandizo choyamba sichinagwire ntchito. Kafukufuku wasonyeza kuti mwayi wanu wochira ndi waukulu kwambiri mukayesa mankhwala oposa amodzi.
Chofunika kwambiri ndichakuti kuvutika maganizo ndi matenda ochiritsika. Mankhwala ndi njira zina zochiritsira zimathandiza kwambiri. Koma chofunika kwambiri ndichakuti musataye mtima, pitirizani kulankhulana ndi dokotala wanu, ndikutsatira malangizo ake.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa kuvutika maganizo ndi othandiza kwambiri, koma zingatenge nthawi kuti mupeze mankhwala oyenera komanso mlingo woyenera.
- Lankhulani ndi dokotala wanu mwatcheru komanso momasuka kuti mupange dongosolo la chithandizo. Musaope kufunsa mafunso aliwonse omwe muli nawo.
- Kuwonjezera pa mankhwala, chithandizo monga uphungu wa maganizo (makamaka CBT) n'chofunika kwambiri. Zikagwiritsidwa ntchito pamodzi, zotsatira zake zimakhala zabwino kwambiri.
- Khalani oleza mtima. Zingatenge milungu ingapo kuti muwone zotsatira zonse za mankhwalawo. Musasiye kumwa mankhwalawo kapena kusintha mlingo wake popanda upangiri wa dokotala.
- Simuli nokha. Mungathe kudzithandiza nokha kuthana ndi kuvutika maganizo. Ndi chithandizo choyenera, mutha kuchira.
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