Mwana wanu akakhala ndi nkhawa pang'ono kapena chisoni, mumatha kumva bwino kwambiri ngati mutamutengera kwa dokotala ndipo akukupatsani mankhwala. Ndizabwinobwino kuganiza kuti, "Chabwino, tsopano mwana wanga akumva bwino." Komabe, pali mankhwala ena omwe tiyenera kuwadziwa bwino, makamaka pankhani ya mavuto amisala a ana. Lero tikambirana za izi. Iyi ndi nkhani yovuta, koma monga makolo, chidziwitsochi n'chofunika kwambiri kwa ife.
Kodi chiopsezo chimenechi ndi chiyani kwenikweni?
Nkhaniyi ikuyamba ndi chochitika ku America mu 2004. Mnyamata wazaka 13 dzina lake Matt wadzipha. Pambuyo pake abambo ake adati pamsonkhano wa FDA (US Food and Drug Administration), "Mwana wanga wamwamuna anamwalira atapatsidwa mankhwala omwe sitinamvepo, chifukwa cha vuto lomwe dokotala sankadziwa kuti lilipo." Matt adapatsidwa mankhwala otchedwa `Zoloft`, omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Dokotalayo adati zotsatirapo zake zokha zinali kusowa tulo komanso kuvutika m'mimba.
Popeza nkhani zambiri ngati izi zikunenedwa, a FDA anayamba kufufuza nkhaniyi mozama. Zimene adapeza zinadabwitsa dziko lonse lapansi.
Izi zikutanthauza kuti pali chiopsezo chochepa koma chachikulu chakuti mankhwala ena omwe amagwiritsidwa ntchito pochiza kuvutika maganizo, makamaka kwa ana ndi achinyamata, angawonjezere kuvutika maganizo kwawo ndikupangitsa kuti aganize zodzipha, makamaka akayamba kuwagwiritsa ntchito.
Pachifukwa ichi, mabungwe olamulira mankhwala ku United States ndi Britain alamula kuti mankhwala awa akhale ndi chenjezo la "black box", chenjezo lokhudza chiopsezo chachikulu, pa phukusi lawo.
Kodi mankhwala a SSRI awa ndi ati?
Chiwopsezochi nthawi zambiri chimakambidwa ndi gulu la mankhwala otchedwa `SSRIs (Selective Serotonin Reuptake Inhibitors)`. Mwachidule, ubongo wathu uli ndi mankhwala otchedwa `Serotonin`. Izi ndi zomwe zimalamulira chisangalalo chathu, tulo, ndi chilakolako chathu. Munthu amene ali ndi vuto la kuvutika maganizo angakhale ndi milingo yochepa ya `Serotonin` iyi. Zimene mankhwala a SSRI amachita zimathandiza ubongo kugwiritsa ntchito `Serotonin` yomwe uli nayo bwino kwambiri.
Mankhwala ena omwe amagwiritsidwa ntchito kwambiri ku Sri Lanka omwe ali m'gululi ndi awa:
- Fluoxetine (yomwe imadziwika ndi dzina loti Prozac)
- Sertraline (yodziwika ndi dzina la kampani ya Zoloft)
- Citalopram (yomwe imadziwika ndi dzina la Celexa)
- Escitalopram (yomwe imadziwika ndi dzina la Lexapro)
- Paroxetine (yomwe imadziwika ndi dzina loti Paxil)
Chofunika kwambiri, chiopsezochi sichikungokhala pa SSRI zokha. Chenjezoli tsopano likugwira ntchito pa mankhwala ambiri oletsa kuvutika maganizo .
Kodi ndi zizindikiro ziti zomwe muyenera kuziganizira monga kholo?
Ngati mwana wanu wayamba kumwa mankhwala amtunduwu, ndikofunikira kusamala kwambiri , makamaka m'masabata ndi miyezi yoyambirira . Chisamalirochi n'chofunika nthawi iliyonse dokotala akasintha mlingo.
| Zosintha zomwe muyenera kuzisamala | Kufotokozera |
|---|---|
| Kulankhula za kudzipha | Ngati mukunena zinthu monga "Ndikumva ngati ndikufa," "Moyo uno ulibe tanthauzo," kapena ngati mukufuna njira zodzivulaza. |
| Kusintha kwadzidzidzi kwa khalidwe | Kukhala wosakhazikika kuposa kale, kuyenda mozungulira nthawi zonse, komanso kuchita zinthu mosasamala komanso moopsa. |
| Mkwiyo waukulu kapena nkhawa | Ngati mukwiya msanga kuposa kale, mumakhala ndi mantha nthawi zonse, kapena mumakhala ndi mantha (kuopa mwadzidzidzi). |
| Mavuto ogona | Kusowa tulo kapena kugona kwambiri. |
| Kuwonjezeka kwa kuvutika maganizo | Ngati chisoni, nkhawa, ndi kusungulumwa kwa mwana wanu zikuoneka kuti zawonjezeka atayamba kumwa mankhwala. |
| Kodi mumatani ngati muwona chinthu chonga ichi? | |
| Imbani dokotala wa mwana wanu nthawi yomweyo. Ngati mukukayikira kuti mwana wanu ali pachiwopsezo chodzivulaza, pitani naye ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi nthawi yomweyo.Musamusiye mwana wanu yekha. | |
Samalani ndi matenda a bipolar.
Ana ena alibe vuto la kuvutika maganizo mwachibadwa, koma vuto lotchedwa `Bipolar Disorder` (lomwe kale linkatchedwa `Manic Depression`). Pachifukwa ichi, pali kusintha kwa mkhalidwe wa nkhawa kwambiri (depression) ndi kuchita zinthu mopitirira muyeso (mania). Ngati wina m'banjamo ali ndi matendawa, mwanayonso ali pachiwopsezo chachikulu. Ngati mwana yemwe ali ndi `Bipolar Disorder` angopatsidwa mankhwala a kuvutika maganizo, zimatha kuipitsa mkhalidwe wa `mania` ndikuwonjezera chiopsezo chodzipha. Chifukwa chake, ndikofunikira kwambiri kupatsa dokotala kufotokozera kwathunthu za matenda a m'banjamo.
Ndiye kodi kupereka mankhwala awa n’kulakwa?
Chofunika kumvetsetsa apa ndichakuti mankhwalawa apulumutsa miyoyo ya anthu mamiliyoni ambiri . Anthu ambiri omwe ali ndi vuto lalikulu la kuvutika maganizo amapeza mpumulo waukulu kuchokera ku mankhwalawa. Vuto ndilakuti mankhwala awa akaperekedwa kwa ana ndi achinyamata, ubwino ndi zoopsa zake ziyenera kuganiziridwa mosamala.
Kafukufuku wina akusonyeza kuti maganizo odzipha omwe amawonjezeka samachitika chifukwa cha mankhwala okha, koma chifukwa cha kuopsa kwa kuvutika maganizo. Palinso umboni wakuti chiopsezochi chimawonjezeka kumayambiriro kwa chithandizo cha maganizo.
Komabe, palinso milandu yoti makampani opanga mankhwala akhala akugulitsa mankhwalawa pobisa zotsatira zoyipa za kafukufuku ndikungotulutsa zotsatira zabwino. Ichi ndichifukwa chake, monga makolo, tiyenera kudziwa izi ndikufunsa mafunso.
Kodi mankhwala ndiye njira yokhayo yothetsera vutoli?
Ayi. Zotsatira zabwino kwambiri zimapezeka popereka uphungu kapena chithandizo chamankhwala pamodzi ndi mankhwala.
Chithandizo cha Maganizo (CBT) ndi chothandiza kwambiri. Chimazindikira malingaliro oipa a mwana, kuwasintha, komanso kuwaphunzitsa momwe angathanirane ndi mavuto.
Kafukufuku wotchuka wotchedwa TADS (Chithandizo cha Achinyamata Ovutika Maganizo) adapeza kuti zotsatira zabwino kwambiri zimapezeka pamene Prozac ndi CBT zonse zinaperekedwa pamodzi. Komabe, kafukufuku yemweyo adawonetsanso kuti Prozac yokha inali yothandiza kwambiri kuposa CBT yokha.
Vuto ndilakuti, ngakhale ku Sri Lanka, n'kovuta kupeza akatswiri ophunzitsidwa bwino omwe angapereke chithandizo cha `CBT` moyenera. Komabe, mutha kufunsa dokotala wa mwana wanu za izi ndikuwapempha kuti akutumizireni kwa munthu woyenera.
Uthenga Wopita Nawo Kunyumba
- Siyani chisankho cha mankhwala kwa dokotala:Chisankho chokhudza ngati mwana akufunikira mankhwala a kuvutika maganizo, ndi mankhwala oti apereke, chiyenera kupangidwa ndi dokotala wodziwa bwino ntchito yake. Kambiranani mafunso kapena nkhawa zilizonse zomwe muli nazo ndi dokotala wanu.
- Mwezi woyamba ndi wofunika kwambiri: Yang'anirani kwambiri khalidwe la mwana wanu m'masabata ndi miyezi yoyambirira atayamba kumwa mankhwala. Uzani dokotala nthawi yomweyo za kusintha kulikonse kwachilendo.
- Musasiye kumwa mankhwala mwadzidzidzi: Musasiye kupereka mankhwala popanda upangiri wa dokotala. Kuchita zimenezi kungapangitse kuti vuto la mwanayo liipireipire.
- Zoopsa ndi maubwino: Monga mankhwala ena onse, pali zoopsa ndi maubwino. Zoopsa zokhala ndi vuto la kuvutika maganizo popanda chithandizo nthawi zambiri zimakhala zazikulu kuposa zoopsa za mankhwala.
- Simuli nokha: Kuthana ndi vuto la thanzi la maganizo la mwana n'kovuta. Ngati kuli kofunikira, funani thandizo la uphungu wa maganizo. Thanzi lanu la maganizo ndilofunika kwambiri kwa mwana wanu.
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