Mutazindikira kuti muli ndi vuto la kuvutika maganizo, mwina munapita kwa dokotala ndikuyamba kumwa mankhwala. Tsopano mwina mukumva kuti mukuchira. Mtolo wolemera ndi kupsinjika komwe munamva tsopano kwachepa pang'ono. Ndiye tsopano mwina mukuganiza kuti, "Chabwino, tsopano ndikumva bwino, kotero nditha kusiya kumwa mankhwala awa." Koma dokotala wanu mwina akunena kuti, "Tipitiliza kugwiritsa ntchito mankhwalawa kwa kanthawi." Nchifukwa chiyani mukunena choncho? Tiyeni tikambirane izi mwatsatanetsatane lero.
N’chifukwa chiyani ndiyenera kupitiriza kumwa mankhwala ngakhale nditachira?
Choyamba chomwe muyenera kumvetsetsa ndichakuti mankhwala oletsa kuvutika maganizo si ofanana ndi mankhwala a chimfine kapena chifuwa. Tikakhala ndi chimfine, timamwa mankhwala kwa masiku angapo kuti tichiritse matendawo kwathunthu. Koma kuvutika maganizo ndi vuto lina. Mankhwalawa amawongolera zizindikiro za kuvutika maganizo ndikukupatsani mpumulo m'maganizo mwanu.
Taganizirani ngati kumwa mankhwala a matenda a shuga kapena kuthamanga kwa magazi. M'malo mothetsa matendawa kotheratu, mankhwala amenewo amathandiza kuwongolera matendawa ndikukuthandizani kukhala ndi moyo wabwinobwino. Nthawi zina kuvutika maganizo kungakhale matenda osatha omwe amafunika chithandizo cha nthawi yayitali .
Ngati mukuvutika maganizo koyamba, bungwe la American Psychiatric Association likulangiza kuti mupitirize kumwa mankhwala kwa miyezi inayi kapena isanu , ngakhale zizindikiro zanu zitayamba bwino ndipo mukumva bwino. Ngati mwakhala mukuvutika maganizo kangapo kale, mungafunike kumwa mankhwalawo kwa nthawi yayitali, mwina kwa moyo wanu wonse.
Izi zili choncho chifukwa ngati musiya kumwa mankhwala msanga, chiopsezo chobwereranso chimakhala chachikulu kwambiri. Kupitiriza kumwa mankhwala oletsa matendawa mwanjira imeneyi kumatchedwa "Maintenance Treatment."
Kodi mankhwala ofala kwambiri a kuvutika maganizo ndi ati?
Pali mitundu ingapo ya mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Iliyonse mwa iyi imagwira ntchito mosiyana pang'ono. Dokotala wanu adzasankha mankhwala omwe ali abwino kwa inu kutengera matenda anu, zizindikiro zanu, ndi matenda ena.
Mankhwala Ochepetsa Kuvutika Maganizo Atsopano
M'zaka makumi awiri zapitazi, mankhwala ambiri ogwira mtima omwe ali ndi zotsatirapo zochepa ayambitsidwa.
| Gulu la mankhwala | Momwe imagwirira ntchito ndi yosavuta. | Zotsatirapo zomwe zingatheke |
|---|---|---|
| SSRIs (Zoletsa Kubwerezabwereza kwa Serotonin) Mwachitsanzo: Fluoxetine, Sertraline, Citalopram, Escitalopram | Zimathandiza kuti serotonin , yomwe ndi mankhwala omwe amalamulira maganizo athu, igwire bwino ntchito. | Kusokonezeka m'mimba, kusagwira bwino ntchito zogonana, kusowa tulo, chizungulire, kusintha kwa thupi, mutu. (Zambiri zimakhala zochepa) |
| Ma SNRI (Serotonin ndi Norepinephrine Reuptake Inhibitors) Mwachitsanzo: Venlafaxine, Duloxetine | Zimawonjezera ntchito ya mankhwala otchedwa serotonin ndi norepinephrine . | Kusokonezeka m'mimba, mavuto ogona, kusagwira bwino ntchito zogonana, mutu, nkhawa, chizungulire, komanso kufooka. |
| NDRIs (Norepinephrine ndi Dopamine Reuptake Inhibitors) Mwachitsanzo: Bupropion (Wellbutrin) | Zimakhudza ntchito ya mankhwala otchedwa norepinephrine ndi dopamine . | Kusokonezeka m'mimba, mutu, mavuto ogona, kunjenjemera, nkhawa. (Zotsatira zoyipa zogonana komanso kunenepa sizimachitika kawirikawiri. ) Mankhwalawa si oyenera anthu omwe adadwalapo khunyu kale. |
| NaSSAs (Noradrenergic ndi Specific Serotonergic Antidepressants) Mwachitsanzo: Mirtazapine (Remeron) | Serotonin ndi norepinephrine zonse zimakhudzidwa mosiyana. | Kusakhazikika m'mimba, kugona tulo, kunenepa, nkhawa, chizungulire. |
Mankhwala Akale Oletsa Kuvutika Maganizo
Palinso mankhwala omwe ankagwiritsidwa ntchito pochiza kuvutika maganizo kale. Awa ndi Tricyclic Antidepressants ndi MAOIs (Monoamine Oxidase Inhibitors).Izi zimagwira ntchito pokhudza mankhwala otumiza mauthenga (ma neurotransmitters) muubongo.
Ngakhale kuti mankhwala awa ndi othandiza kwambiri kwa anthu ena, ali ndi zotsatirapo zambiri. Ndipo chifukwa chakuti angayambitse mavuto ndi mankhwala ena ndi zakudya zina, madokotala samawalimbikitsanso ngati njira yoyamba. Komabe, mankhwala akale awa akhoza kukhala njira yabwino kwa anthu ena omwe salabadira mankhwala atsopano.
Mankhwala Ena
Nthawi zina, dokotala angasankhe kupereka mankhwala ena pamodzi ndi mankhwala a kuvutika maganizo.
- Mankhwala oletsa nkhawa kapena kusowa tulo: Mankhwalawa amathandiza kuchepetsa nkhawa ndi mavuto ogona omwe amabwera chifukwa cha kuvutika maganizo.
- Mankhwala Oletsa Kusokonezeka Maganizo Osazolowereka: Mankhwala monga Aripiprazole (Abilify) ndi Quetiapine (Seroquel), omwe nthawi zambiri amaperekedwa kwa anthu omwe ali ndi matenda a schizophrenia kapena bipolar, angathandize kulimbitsa mphamvu ya mankhwala oletsa kupsinjika maganizo pamene sakwanira.
- L-methylfolate (Deplin): Ngakhale kuti siili m'gulu la mankhwala ndi FDA, imaonedwa ngati "chakudya chamankhwala." Iyi ndi mtundu wamphamvu wa vitamini B wotchedwa folate. Imathandiza kuwongolera mankhwala muubongo omwe amalamulira maganizo. Yakhala yothandiza pochiza kuvutika maganizo komwe sikunayankhe mankhwala ena.
Kodi mungapeze bwanji mankhwala oyenera kwa inu?
Mwatsoka, sikophweka kupeza mankhwala oyenera komanso mlingo woyenera kwa inu. Aliyense amayankha mosiyana ndi mankhwala omwewo. Ngakhale dokotala wanu sanganeneretu momwe mankhwalawo angakuthandizireni.
Kotero ichi ndi chinthu chomwe chiyenera kuchitika moleza mtima . Mungafunike kuyesa kusinthana ndi mankhwala. Nthawi zambiri, mumayamba kumva mpumulo mkati mwa milungu ingapo mutayamba mankhwala oletsa kuvutika maganizo, koma zingatenge miyezi ingapo kuti mumve zotsatira zake zonse. Choncho musataye mtima mwachangu. Pakapita nthawi, dokotala wanu angawonjezere kapena kuchepetsa mlingo wanu kutengera vuto lanu.
Ngati mwakhala mukumwa mankhwala kwa nthawi yayitali ndipo sakuthandiza, onetsetsani kuti mwalankhula ndi dokotala wanu za vutoli. Iye angakulangizeni kuti muyese mankhwala ena. Pakapita nthawi, mungapeze mankhwala kapena mankhwala osakaniza omwe angakuthandizeni.
Chofunika kwambiri n’chakuti, ngakhale mutakhala bwino tsopano, musasiye kumwa mankhwala anu popanda kufunsa dokotala wanu kaye. Kuchita zimenezi kungayambitse kuvutika maganizo kwanu, kapena ndi mankhwala ena, kungayambitse zotsatirapo zina monga zizindikiro zonga chimfine, nseru, ndi chizungulire. Chifukwa chake, ngati musiya kumwa mankhwala anu, chitani pang'onopang'ono, kutsatira malangizo a dokotala wanu.
Dokotala wanu ayenera kukuonani nthawi zonse, makamaka mukayamba kumwa mankhwala atsopano. Panthawiyi, lankhulani momasuka za kusasangalala kapena mavuto aliwonse omwe mungakhale nawo ndi mankhwalawo.
Uthenga Wopita Nawo Kunyumba
- Kuvutika maganizo si kufooka, ndi matenda omwe amafunikira chithandizo, monga matenda a shuga.
- Ngakhale mutamva bwino, pitirizani kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti mupewe kubwereranso. Izi zimatchedwa "chithandizo cha kukonza."
- Zingatenge nthawi kuti mupeze mankhwala oyenera komanso mlingo woyenera kwa inu, choncho khalani oleza mtima ndi chithandizo chanu.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda chilolezo cha dokotala wanu.
- Ngati muli ndi mafunso okhudza mankhwala kapena vuto lililonse lomwe mukukumana nalo, kambiranani momasuka ndi dokotala wanu.
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