Nkhani yabwino kwa inu amene mukulimbana ndi kuvutika maganizo!

Kuvutika maganizo ndi vuto lovuta kwambiri komanso lovuta kwambiri. Mukayesa kutuluka mu vutoli, mwina dokotala wakupatsani mankhwala olankhula kapena oletsa kuvutika maganizo. Komabe, mankhwala awa sagwira ntchito mofanana kwa aliyense. Imeneyi ndi imodzi mwa mavuto akuluakulu. Kafukufuku wina akusonyeza kuti pafupifupi munthu mmodzi mwa atatu aliwonse omwe ali ndi kuvutika maganizo sapeza mpumulo nthawi yomweyo kuchokera ku mankhwala ofalawa.

N’chifukwa chiyani chithandizo chomwecho sichigwira ntchito kwa aliyense?

Chifukwa chachikulu cha izi ndichakuti matupi athu onse ndi ubongo wathu ndi zosiyana kwambiri. Ngakhale mankhwala omwewo, momwe ubongo wanu umayankhira ndi momwe ubongo wa wina umayankhira zingakhale zosiyana kwambiri. Tangoganizirani, ngakhale abale awiri m'banja limodzi ali ndi zokonda zosiyana pa chakudya, zakumwa, ndi zovala. Umu ndi momwe zilili. Mankhwala omwe ali mu ubongo wathu amagwiranso ntchito mosiyana kuchokera kwa munthu wina kupita kwa wina.

Mwachidule, n'zovuta ngakhale kwa madokotala kunena molondola 100% kuti, "Chabwino, uwu ndi mankhwala oyenera inu" poyamba. Ndicho chifukwa chake nthawi zina zimatenga nthawi kuti mupeze mankhwala oyenera inu.

Mankhwala apamwamba kwambiri a SSRI

Masiku ano, dokotala nthawi zambiri amayamba wapereka mankhwala otchedwa SSRIs (Selective Serotonin Reuptake Inhibitors) kwa munthu amene ali ndi matenda a Major Depression Disorder (MDD). Mankhwalawa ndi apamwamba kwambiri kuposa akale.

Ngakhale dzinali lingamveke ngati nkhani yaikulu, kwenikweni ndi losavuta. Ubongo wathu uli ndi neurotransmitter yotchedwa "Serotonin." Izi zimathandiza kuwongolera zinthu monga momwe timamvera, chisangalalo, ndi tulo. Anthu omwe ali ndi vuto la kuvutika maganizo angakhale ndi serotonin yochepa. Mankhwala a SSRI amagwira ntchito posunga serotonin muubongo ikugwira ntchito kwa nthawi yayitali. Zili ngati kuletsa madzi kuyenda kwa kanthawi ndikusunga komwe akuyenera kukhala kwa nthawi yayitali.

Nazi mitundu ina ya mankhwala omwe ali m'gulu la SSRIs:

Chimodzi mwa ubwino waukulu wa mankhwala a SSRI awa ndichakuti alibe zotsatirapo zoyipa zambiri poyerekeza ndi mankhwala akale. Chifukwa chake mutha kupitiriza kugwiritsa ntchito mankhwalawa popanda vuto lililonse mpaka mutapeza zotsatira zomwe mukufuna.

Pa avareji, anthu asanu ndi mmodzi mwa khumi (6/10) omwe amamwa mankhwala a SSRI adzawona kusintha kwakukulu kwa zizindikiro zawo mkati mwa miyezi iwiri. Koma 40% yotsalayo sangapumule ndi mankhwala awa okha. Pamenepo ndi pamene tiyenera kuganizira njira zina zochiritsira.

Chiyembekezo chaposachedwa kwa iwo omwe sadziwa bwino chithandizo: Ketamine

Ketamine ndi mankhwala omwe abweretsa chiyembekezo chachikulu kwa iwo omwe akuvutika ndi kuvutika maganizo kosachiritsika komwe sikulandira chithandizo chamankhwala omwe salandira mankhwala wamba.

Ngakhale kuti mankhwalawa poyamba ankagwiritsidwa ntchito ngati mankhwala oletsa ululu panthawi ya opaleshoni, pambuyo pake zinapezeka kuti amatha kupereka mpumulo mwachangu kwambiri ku kuvutika maganizo. Ketoconazole imagwira ntchito mosiyana kwambiri ndi SSRIs. Izi zikutanthauza kuti, imakhudza dongosolo lina la mankhwala muubongo.

Kodi ketamine ndi yapadera bwanji?

• Zotsatira zachangu: Simuyenera kudikira milungu ingapo monga momwe mumachitira ndi mankhwala wamba. Ketamine ingapereke mpumulo wamaganizo mwachangu kwambiri, nthawi zina ngakhale mkati mwa maola ochepa.
• Yoyenera milandu yoopsa: Izi ndizothandiza kwambiri kwa iwo omwe sayankha mankhwala monga SSRIs. Zimathandizanso kuwongolera matenda oopsa monga malingaliro ofuna kudzipha.

Chithandizo cha Ketamine chingapezeke m'njira ziwiri zazikulu:

1. Spray ya Mphuno: Iyi ndi SpravatoImabwera pansi pa dzina la kampani ya "Esketamine." Ili ndi mankhwala otchedwa "esketamine," omwe ndi mtundu wa ketamine. Imavomerezedwa ndi mabungwe monga U.S. Food and Drug Administration (FDA), kotero imapezeka ngakhale kudzera mu inshuwaransi.

2. Fomu Yogwiritsa Ntchito M'mitsempha (IV): Njira yoperekera mankhwalawa mwachindunji m'thupi kudzera m'mitsempha. Ngakhale kuti izi sizinavomerezedwe mwalamulo kuti munthu adwale matenda a maganizo (kugwiritsa ntchito popanda chizindikiro), imagwiritsidwa ntchito pazochitika zazikulu motsogozedwa ndi madokotala ena.

Chofunika kwambiri, chithandizo chonsechi chiyenera kuchitika motsogozedwa ndi dokotala wodziwa bwino ntchito. Musayesere zinthu izi nokha. Dokotala wanu ayenera kusankha chithandizo chomwe chili choyenera kwa inu.