Kodi tikambirane za mankhwala oletsa kuvutika maganizo omwe amathandiza kulimbana ndi kuvutika maganizo?

Kodi nthawi zina mumamva kuti mwatopa, muli achisoni, komanso mulibe kanthu? Tonsefe tili ndi masiku amenewo m'miyoyo yathu. Koma ngati malingaliro amenewa akupitirira, ngati akukulamulirani mpaka kufika poti simungathe kuchita zinthu zanu za tsiku ndi tsiku, akhoza kukhala vuto lotchedwa kuvutika maganizo. Chabwino kwambiri ndichakuti, ndi vuto lochiritsika. Ngati inu ndi dokotala wanu mwasankha kuchiza limodzi, mankhwala oletsa kuvutika maganizo angathandize kwambiri.

Kodi mankhwala oletsa kuvutika maganizo amenewa ndi ati?

Mwachidule, awa ndi mankhwala omwe amathandiza kulinganiza ntchito ya mankhwala enaake (ma neurotransmitters) muubongo wathu ndikukonza malingaliro athu. Koma chinthu chimodzi choyenera kukumbukira ndichakuti mankhwalawa sapereka zotsatira nthawi yomweyo. Zingatenge milungu ingapo kuti muwone zotsatira zonse. Chifukwa chake ndikofunikira kwambiri kukhala oleza mtima.

Komanso, chithandizo chabwino kwambiri cha kuvutika maganizo si mankhwala okha, koma kuphatikiza uphungu kapena mankhwala olankhulana ndi kusintha moyo (monga kuchita masewera olimbitsa thupi nthawi zonse). Muyenera kukambirana zonsezi ndi dokotala wanu.

Tsopano tiyeni tiwone mitundu ikuluikulu ya mankhwala omwe madokotala nthawi zambiri amalangiza.

1. Mtundu wa mankhwala a SSRI (Selective Serotonin Reuptake Inhibitors)

Uwu ndi mtundu wa mankhwala odziwika kwambiri padziko lonse lapansi masiku ano. Nthawi zambiri ndi mankhwala oyamba kuyamba nawo.

Kodi izi zimagwira ntchito bwanji?

Tangoganizani kuti ubongo wathu uli ndi mankhwala otchedwa 'Serotonin'. Izi ndi zomwe zimalamulira zinthu zambiri monga chisangalalo chathu, momwe timamvera, komanso tulo. Tikakhala ndi nkhawa, kuchuluka kwa serotonin kumeneku kumatha kuchepa. Mankhwala a SSRI amagwira ntchito poletsa kuyamwanso kwa serotonin muubongo. Kenako, kuchuluka kwa serotonin komwe kumapezeka muubongo kumawonjezeka, ndipo pang'onopang'ono malingaliro athu amakula.

Zotsatirapo zomwe zingatheke

Poyerekeza ndi mankhwala ena, SSRIs ili ndi zotsatirapo zochepa, koma anthu ena angakumane ndi izi:

• Kuvuta kugona
• Mutu
• Kusintha kwa kulemera (kuwonjezeka kapena kuchepa)
• Kuwonjezeka pang'ono kwa nkhawa poyamba
• Chizungulire
• Kusanza ndi kusanza
• Pakamwa pouma
• Kusintha kwa ntchito yogonana

Zotsatirapo zambirizi zimatha thupi lanu likayamba kuzolowera mankhwala. Koma ngati zipitirira, onetsetsani kuti mwadziwitsa dokotala wanu.

Zinthu zomwe siziyenera kumwedwa ndi mankhwalawa

Ngati mukumwa SSRI, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse omwe mukumwa. Makamaka, mankhwala ena omwe amawonjezera kuchuluka kwa serotonin (monga mankhwala ena oletsa kupsinjika maganizo, mankhwala ena ochepetsa ululu) angayambitse matenda oopsa otchedwa serotonin syndrome . Chifukwa chake, musamwe mankhwala aliwonse nokha.

2. Mtundu wa mankhwala a SNRI (Serotonin ndi Norepinephrine Reuptake Inhibitors)

Izi zikufanana kwambiri ndi ma SSRI, koma pali kusiyana pang'ono.

Kodi izi zimagwira ntchito bwanji?

Ma SNRI samangowonjezera kuchuluka kwa serotonin, komanso norepinephrine. Norepinephrine imakhudzanso zinthu monga chidwi chathu ndi kukhala maso. Kwa anthu ena, ngati ma SSRI okha sakwanira, dokotala wawo angawasinthe kukhala SNRI.

Zotsatirapo zomwe zingatheke

Kuwonjezera pa zotsatira zoyipa zomwezo monga SSRIs (monga nseru, pakamwa pouma, chizungulire), izi zingachitikenso:

• Kutuluka thukuta kwambiri
• Kutopa
• Kudzimbidwa
• Chilakolako cha chakudya
• Ma SNRI ena amatha kukweza kuthamanga kwa magazi pang'ono.

3. Mankhwala amtundu wa TCA (Tricyclic Antidepressants)

Mankhwala awa ndi gulu lakale la mankhwala omwe adayambitsidwa koyamba kuti athetse kuvutika maganizo. Sagwiritsidwanso ntchito kawirikawiri chifukwa ali ndi zotsatirapo zoyipa zambiri kuposa SSRIs ndi SNRIs. Komabe, angathandize anthu ena omwe sanayankhe mankhwala ena.

Mukamagwiritsa ntchito mankhwala a TCA, zotsatirapo zake monga pakamwa pouma, kudzimbidwa, kusawona bwino, komanso kuchepa kwa magazi (kutsika kwa kuthamanga kwa magazi mukamaimirira) komanso chizungulire zimatha kuchitika.

4. Mtundu wa mankhwala a MAOI (Monoamine Oxidase Inhibitors)

Iyi ndi gulu lakale kwambiri la mankhwala oletsa kuvutika maganizo omwe alipo. Ngakhale kuti akhoza kukhala othandiza kwambiri, pali malamulo okhwima okhudza chakudya ndi zakumwa mukamagwiritsa ntchito mankhwalawa. Choncho nthawi zambiri amagwiritsidwa ntchito pokhapokha ngati palibe china chilichonse chomwe chikugwira ntchito.

Zakudya zomwe simuyenera kudya mukamamwa MAOIs

Ndi bwino kusadya zakudya zomwe zili ndi mankhwala otchedwa 'Tyramine' pamene mukumwa mankhwala a MAOI. Kuchita zimenezi kungayambitse kuthamanga kwa magazi koopsa. Chifukwa chake, munthu amene akumwa mankhwalawa ayenera kupewa zakudya zotsatirazi.

Mndandanda uwu sunathe. Ngati mwapatsidwa mankhwala a MAOI, dokotala wanu adzakufotokozerani mwatsatanetsatane.

Matenda oopsa omwe amafunika chisamaliro chapadera

Mukamagwiritsa ntchito mankhwala oletsa kuvutika maganizo, kuwonjezera pa zotsatirapo zoyipa, ndikofunikira kuti mudziwe za matenda ena osowa koma oopsa kwambiri omwe angachitike.

Kodi mumasankha bwanji mankhwala oyenera kwa inu?

Ichi ndi chisankho chomwe inu ndi dokotala wanu muyenera kupanga limodzi. Dokotala wanu adzaganizira zinthu zotsatirazi akamakusankhirani mankhwala:

• Mtundu wa zizindikiro zanu.
• Zotsatirapo zomwe zingatheke.
• Matenda ena omwe muli nawo (monga matenda a mtima, matenda a shuga).
• Mankhwala ena omwe mukumwa.
• Kaya muli ndi pakati kapena mukuyamwitsa.
• Mtengo wa mankhwala.

Kwa inu, ndikofunikira kwambiri kulankhula moona mtima ndi dokotala wanu za zotsatirapo zilizonse zomwe mukukumana nazo komanso ngati mukumva mpumulo uliwonse chifukwa cha mankhwalawo. Pokhapokha ngati mlingo wa mankhwalawo ungasinthidwe kapena mankhwala ena angasinthidwe ngati pakufunika kutero.