Kodi n'kovuta kusiya kumwa mankhwala oletsa kuvutika maganizo? Tiyeni tikambirane za Hyperbolic Tapering!

Kodi mwakhala mukumwa mankhwala a matenda amisala monga kuvutika maganizo kwa nthawi yayitali? Tsopano popeza mukumva bwino kwambiri, mwaganiza zochepetsa kumwa mankhwalawo, koma sizinali zosavuta monga momwe mumaganizira. Kodi mwasokonezeka ndi zovuta zachilendo zomwe zimadza chifukwa chosiya kumwa mankhwalawo? Ndiye nkhaniyi idzakhala yofunika kwambiri kwa inu. Tiyeni tikambirane za izi mwatsatanetsatane.

Taganizirani nkhani ya mayi wina dzina lake Morgan Stewart. Anali akumwa mankhwala ochepetsa kuvutika maganizo kwa zaka zambiri. Anali kumwa mankhwala otchedwa Sertraline (dzina lodziwika bwino lakuti Zoloft). Patapita kanthawi, anaganiza zosiya kumwa mankhwalawo chifukwa maganizo ake anali kusintha. Dokotala wake anamuuza kuti asiye zonse nthawi imodzi kapena, kuti akhale otetezeka, achepetse kumwa mankhwalawo. Morgan anasankha mankhwala ena.

Koma atatha milungu ingapo akuchepetsa mapiritsi a 50 mg kufika theka, anayamba kuona zizindikiro zachilendo. Kugunda kwa mtima mofulumira kosadziwika bwino, chizungulire, kulira m'makutu mwake, mutu waukulu, komanso kusowa tulo . Patatha mwezi umodzi kapena iwiri atasiya kumwa mankhwalawo, vuto lake linakula kwambiri. Sanathe kukhala chete, sakanatha kugona bwino, ndipo anayamba kukhala ndi maganizo olakwika okhudza kuvulaza munthu amene amamukonda kapena iye mwini.

Zinthu zinafika poipa kwambiri moti Morgan anakhala masiku angapo kuchipatala cha matenda amisala. Pamenepo anazindikira kuti izi sizinali kubwereranso kwa kuvutika maganizo kwake, koma zizindikiro zosiya kumwa mankhwala zomwe zimadza ndi kusiya kumwa mankhwalawo. Madokotala amatcha izi "zizindikiro zosiya kumwa mankhwalawo". Koma palibe amene ankadziwa chochita nazo. Pomaliza pake, adapatsidwa mankhwala ena awiri (''Clonazepam'' ndi ''Buspirone'') kuti athetse zizindikiro zatsopanozi. Pomaliza, adatha kusiya kumwa mankhwala amodzi ndipo adakakamira kumwa mankhwala ena awiri omwe anali ovuta kusiya. Komabe, pamene anali kufunafuna zambiri pa intaneti, Morgan adaphunzira za njira yatsopanoyi yokhala ndi maziko asayansi otchedwa ``Hyperbolic Tapering''.

N’chifukwa chiyani nthawi zina kuchepetsa mankhwala m’njira yozolowereka n’kolakwika?

Malinga ndi kafukufuku wina, pakati pa 30% ndi 40% ya anthu omwe amasiya kumwa mankhwala ochepetsa nkhawa amatha kukhala ndi zizindikiro zina zosiya kumwa mankhwalawo. Chiwopsezo cha zotsatirapo zoyipa chimakhala chachikulu makamaka ngati anthu omwe akhala akumwa mankhwala awa kwa nthawi yoposa chaka chimodzi asiya.

Vuto lili m'njira imene madokotala ambiri amagwiritsa ntchito pochepetsa mankhwala. Imatchedwa "linear tapering." Mwachidule, izi zimaphatikizapo kuchepetsa mlingo wa mankhwala ndi kuchuluka komweko sabata iliyonse kapena mwezi uliwonse . Mwachitsanzo, kuchepetsa ndi pafupifupi mamiligalamu 10 sabata iliyonse.

Iye akufotokoza motere: Tangoganizirani munthu amene akumwa ma milligram 20 a mankhwala a `(Lexapro)`. Kuchepetsa kuchoka pa 5 kufika pa 0 kumamveka ngati mphamvu ku ubongo nthawi makumi awiri kuposa kuchepetsa kuchoka pa 20 kufika pa 15. Zili ngati kudumpha kuchokera pa phiri. Ngakhale kuti 5mg ingawoneke ngati mlingo wochepa kwa madokotala, si kukula kwa piritsi komwe kuli kofunika, koma momwe imakhudzira ubongo.

Choncho, mukayamba kuchepetsa mankhwala, sizikumveka ngati vuto lalikulu. Koma mukachepetsa ma milligrams ochepa omaliza, zingamveke ngati "zoipa kwambiri." Madokotala akamadziwa izi, angaganize kuti, "Wodwala uyu wabwereranso."

Zomwe dokotala adakumana nazo payekha

Dokotala Horowitz akudziwa bwino izi, chifukwa nayenso adakumana nazo. Atasiya pang'onopang'ono kumwa mankhwala a Lexapro, omwe adakhala akumwa kwa zaka 12, nayenso adakumana ndi zotsatirapo zoyipa, kuphatikizapo malingaliro ofuna kudzipha. "Unali chochitika choopsa kwambiri chomwe ndidakumana nacho m'moyo wanga," akutero.

Pambuyo pa izi, anayamba kuganizira mozama za nkhaniyi. Anaphunzira mosamala zizindikiro zomwe zingachitike akasiya kumwa mankhwalawa.

Kodi sayansi ya njira iyi yotchedwa Hyperbolic Tapering ndi yotani?

Mwachidule, ``Hyperbolic Tapering`` ndi njira yochepetsera pang'onopang'ono mlingo wa mankhwala, kuchepetsa pang'onopang'ono, ndikuchepetsa kwambiri. Iyi ndi njira yocheperako kwambiri yomwe imachitika kwa miyezi yambiri, nthawi zina zaka.

Mwachitsanzo, mlingo wa mankhwala womwe munthu amalandira ukhoza kuchepetsedwa ndi 10% mwezi uliwonse . Komabe, 10% iyi imawerengedwa kuchokera ku mlingo waposachedwa kwambiri, wochepetsedwa. Chifukwa chake pamene mlingo wa mankhwala ukuchepetsedwa, kuchuluka kwa kuchepetsa kumakhala kochepa. Kafukufuku wasonyeza kuti njira iyi ingagwiritsidwe ntchito bwino poletsa mankhwala a kuvutika maganizo, kusowa tulo, nkhawa, ndi matenda ena amisala, komanso poletsa mankhwala a matenda ena.

Koma izi si zophweka kuchita. Pali mavuto awiri akuluakulu pa izi:

1. Kupeza dokotala wodziwa bwino ntchito: N'zovuta kupeza dokotala wodziwa bwino njira imeneyi ndipo angapange dongosolo lomwe lingakukondereni.

2. Kupeza mlingo wochepa kwambiri: Makampani opanga mankhwala sapanga mapiritsi ochepa chonchi. Chifukwa chake muyenera kugwiritsa ntchito mankhwala amadzimadzi kapena kupanga mlingo wochepa uwu kudzera mu pharmacy. Zonsezi zitha kukhala zodula.

Kodi njira imeneyi ndi yofunika bwanji? N’chifukwa chiyani madokotala athu sadziwa zambiri za njira imeneyi?

Akatswiri ena amati njira iyi ya "Hyperbolic Tapering" ndi yofunika kwa anthu ochepa okha omwe ali ndi zizindikiro zoopsa, ndipo kwa anthu ambiri, zizindikiro zomwe zimachitika mankhwala akasiyidwa mwachizolowezi zimakhala zochepa ndipo zimatha zokha.

Koma Dr. Horowitz sakugwirizana nazo. Iye anati, "Ili si vuto la anthu ochepa." Kafukufuku wake wasonyeza kuti munthu m'modzi mwa anthu asanu ndi awiri (1/7) omwe amamwa mankhwala kwa zaka zoposa ziwiri amakhala ndi zotsatirapo zoyipa kwambiri.

Vuto lalikulu ndilakuti madokotala ambiri sanaphunzitsidwe bwino pankhaniyi. Amaphunzitsidwa kuti zotsatira zake zimakhala zochepa ndipo zimatha pakapita masiku ochepa. Choncho, wodwala akabwera n’kudandaula za zizindikiro zazikulu, amaganiza kuti, “Izi si kusiya kumwa mankhwala, matenda anu amisala abwerera.” Kenako amamubwezera wodwalayo pa mankhwalawo.

Ichi ndichifukwa chake odwala ambiri apanga magulu pa intaneti kuti akambirane za mavuto awo ndikupeza mayankho, chifukwa madokotala awo samawaona mozama.

'Ngati kudzuka kuchokera ku maloto'

Masiku ano, Morgan akunena kuti akumva ngati "akudzuka ku maloto oipa." Dokotala wake sanamuthandize pa njira yatsopanoyi, choncho anapempha thandizo kwa dokotala wina amene anaphunzitsidwa bwino.

Anakonza mankhwala ake kunyumba. Anasungunula piritsilo m'madzi, anagwiritsa ntchito sirinji, ndipo anayeza kuchuluka kwa ma milliliters omwe amafunika kumwa tsiku lililonse. Koma iyi ndi njira yoopsa komanso yovuta kwambiri. Anachita izi kwa miyezi 15 ndipo anasiya kumwa Clonazepam popanda zotsatirapo zina zatsopano.

Chofunika: Ndikoopsa kwambiri kuyesa zinthu izi nokha. Muyenera kuganizira kuchita izi motsogozedwa ndi dokotala amene akudziwa za izi. Kulakwitsa mlingo kungakhale ndi zotsatirapo zoopsa.

Morgan akuti moyo wake wadzazanso ndi chimwemwe. "Ndili mfulu tsopano," akutero. "Ndi chozizwitsa, poganizira komwe ndinali."