Ngati muli ndi matenda a Major Depression Disorder (MDD), mwina mukuganiza zoyambitsa banja. "Kodi ndiyenera kusiya kumwa mankhwala anga?", "Kodi mwana angakhale pachiwopsezo ngati sindisiya kumwa?", "Kodi ndingatenge mankhwalawa ndikamayamwitsa?" Mwina muli ndi mafunso ambiri m'maganizo mwanu. Mwina mwakhala mukulimbana ndi matenda a maganizo kwa nthawi yayitali, kapena mwangopezeka kuti muli nawo posachedwapa. Kaya chifukwa chake ndi chiyani, pali zinthu zina zomwe muyenera kudziwa pamene mukuyamba ulendowu. Tiyeni tikambirane za iwo.
N’chifukwa chiyani chithandizo chili chofunika kwambiri?
Mwachidule, ngati simukuchiza matenda anu ovutika maganizo, zizindikiro zanu zimatha kubwereranso mobwerezabwereza. Timatcha izi kuti kubwereranso. Mukakhala ndi nkhawa, nthawi zambiri mumakhala kuti simukupeza zinthu monga kudya ndi kumwa, kupeza chithandizo chamankhwala chomwe inu ndi mwana wanu mukufunikira, ndipo nthawi zambiri mumayamba kugwiritsa ntchito mankhwala osokoneza bongo.
Chofunika kwambiri n'chakuti pali chiopsezo chachikulu cha kuvutika maganizo pambuyo pobereka , zomwe zingakhudze mwachindunji ubale wanu ndi mwana wanu.
Monga momwe akatswiri azachipatala amanenera, ana obadwa kwa amayi omwe ali ndi vuto la kupsinjika maganizo, kupsinjika maganizo, kapena nkhawa panthawi ya mimba amakhala ndi mahomoni opsinjika maganizo otchedwa 'Cortisol' okwera kwambiri. Izi zingapangitse anawo kukhala ndi nkhawa kwambiri m'maganizo (extra reactive) ali aang'ono. Izi zingawathandize kukhala ndi mavuto amisala mtsogolo.
Kusankha chithandizo choyenera kumadalira zinthu zingapo.
- Kuopsa kwa kuvutika maganizo kwanu.
- Kodi mukupeza chithandizo chanji panopa?
- Momwe munachitira ndi mankhwala omwe mudagwiritsa ntchito kale.
- Kaya muli ndi pakati, mukukonzekera kutenga pakati, kapena mukuyamwitsa.
Ngati kuvutika maganizo kwanu kuli kochepa, ndipo mwapeza mpumulo kale ku zinthu monga psychotherapy, magulu othandizira, kapena prenatal yoga, mutha kupirira nthawi imeneyi popanda mankhwala. Koma zimenezo ndi zomwe muyenera kukambirana ndi dokotala wanu. Ngati mukufuna mankhwala pambuyo pake, pali njira zambiri zoyambira kugwiritsa ntchito mankhwala ochepetsa chiopsezo.
Pa milandu yoopsa ya kuvutika maganizo komwe sikuyankha mankhwala, palinso chithandizo chotchedwa electroconvulsive therapy (ECT) . Izi zimaphatikizapo kutumiza ma pulse ang'onoang'ono mu ubongo, kusintha ntchito ya maselo a mitsempha (ma neuron) ndi mankhwala ena. Chithandizochi chimaonedwa kuti ndi chotetezeka kwa inu ndi mwana wanu .
Mankhwala ndi zoopsa zake
Kawirikawiri, chiopsezo cha mwana kukhala ndi zilema zobadwa nazo kapena mavuto ena chifukwa chomwa mankhwala ochepetsa nkhawa panthawi ya mimba n'chochepa kwambiri. Komabe, kafukufuku wasonyeza kuti mankhwala ena ndi otetezeka kuposa ena. Tiyeni tiwone zomwe zili.
| Nthawi | Zoyenera kuchita ndi mankhwala oyenera kuganizira |
|---|---|
| Musanayambe kutenga mimba | Ngati n'kotheka, lankhulani ndi dokotala wa ana oyembekezera komanso wa matenda amisala musanayambe kuganiza zokhala ndi mwana ndikupeza njira yoti mulandire chithandizo. Ngati mukufuna kusintha mankhwala, ino ndi nthawi yabwino yochitira zimenezo. Magulu awiri a mankhwala oletsa kuvutika maganizo omwe awonetsedwa kuti ndi otetezeka kwambiri panthawi ya mimba ndi SSRIs (Selective Serotonin Reuptake Inhibitors) ndi TCAs (Tricyclic Antidepressants) . Komabe, chifukwa ma TCA ndi mankhwala akale omwe ali ndi zotsatirapo zambiri, madokotala samawalangiza poyamba. Anthu ambiri amapatsidwa SSRI yofufuzidwa bwino. Zitsanzo: Citalopram (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac), Sertraline (Zoloft) . |
| Pa nthawi ya mimba | Ngati mukumwa kale mankhwala, musasinthe mwadzidzidzi kugwiritsa ntchito mankhwala ena, kaya ndi otani. Izi zithandiza kuti mwana asalandire mankhwala ambiri mosafunikira. Chofunika kwambiri, musamadzimve mlandu chifukwa chomwa mankhwala ochepetsa kuvutika maganizo panthawi ya mimba. Anthu ena, ngakhale madokotala, amaganiza kuti mankhwalawa ndi chinthu chomwe chiyenera kumwedwa "pokhapokha ngati pakufunikadi." Koma kuvutika maganizo ndi matenda omwe amafunika kuchiritsidwa, monga matenda a shuga kapena kuthamanga kwa magazi. |
| Pambuyo pobereka mwana | N'zovuta kwambiri kuthana ndi zizindikiro za kuvutika maganizo pamene mukusamalira mwana wakhanda. Choncho ndikofunikira kwambiri kupitiriza kumwa mankhwala anu. Ngati mukuona kuti zizindikiro zanu zikuipiraipira, lankhulani ndi dokotala wanu nthawi yomweyo. Mankhwala amatha kulowa mu mkaka wa m'mawere, koma pang'ono kwambiri. Kunena zoona, mlingo womwe mumamwa ndi wochepera 10%.Chifukwa chake, palibe nthawi yomwe muyenera kusiya kuyamwitsa mwana wanu chifukwa chomwa mankhwala. |
Tiyeni tiphunzirenso za mitundu ina ya mankhwala.
Ngati mukumwa SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) chifukwa ma SSRI sakugwira ntchito kwa inu, monga Duloxetine (Cymbalta) kapena Venlafaxine (Effexor), si nkhani yaikulu. Madokotala amati, "Ngati mankhwalawa akugwira ntchito kwa munthuyu, ndipo tikudziwa kuti ena sangagwire ntchito, sindikufuna kusintha." Chifukwa pali maphunziro omwe akuwonetsa kuti pali chitetezo cha SNRIs.
Komabe, mankhwala atsopano monga Vortioxetine (Trintellix) sanaphunzire mokwanira kuti adziwe chitetezo chawo panthawi ya mimba. Zikatero, dokotala wanu angakulangizeni kuti musinthe mankhwala otetezeka.
Maganizo omwe amakuvutitsani ...
"Kodi ndine mayi woipa chifukwa ndimamwa mankhwala?" Maganizo amenewa angakubwereni m'maganizo mwanu. Koma si choncho kwenikweni.
"Chifukwa cha manyazi okhudzana ndi matenda amisala m'dziko lathu, anthu ambiri amaganiza kuti kumwa mankhwala a kuvutika maganizo ndi chinthu chowonjezera komanso chosafunikira. Mukanena kuti, 'Imwani mankhwala awa ngati mukufunikiradi,' mayiyo amadzimva kuti ali ndi mlandu kwambiri," akatswiri akutero.
Chofunika kwambiri chomwe muyenera kumvetsetsa ndichakuti kuvutika maganizo si kufooka kwanu. Ndi matenda omwe amafunikira chithandizo. Kukhala mayi wathanzi kumapanga malo abwino kwambiri kwa mwana wathanzi. Ngati pakufunika mankhwala, kumwa mankhwala ndi chinthu chabwino kwambiri chomwe mungachite kwa inu ndi mwana wanu.
Uthenga Wopita Nawo Kunyumba
- Matenda a kuvutika maganizo ndi matenda enieni. Ndikofunikira kuwachiza inu ndi mwana wanu.
- Nthawi iliyonse ikatheka, lankhulani ndi dokotala wanu musanayambe kutenga pakati ndipo pangani dongosolo la chithandizo.
- Mankhwala ambiri omwe amagwiritsidwa ntchito pochiza matenda a maganizo ndi otetezeka panthawi ya mimba ndi kuyamwitsa.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda kufunsa dokotala wanu.
- Musamadzimve mlandu chifukwa chomwa mankhwala kuti mukhale ndi thanzi labwino. Mayi wathanzi ndiye mphatso yabwino kwambiri kwa mwana wathanzi.
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