Dokotala akakuuzani kuti muli ndi vuto la kuvutika maganizo, funso lalikulu lotsatira lomwe limabwera m'maganizo mwanu ndi 'mankhwala'. Mutha kukhala ndi mantha kwambiri ndi mankhwalawa. "Kodi ndidzakhala wokonda kwambiri izi?", "Kodi izi zindibweretsera mavuto ena?", "Kodi mankhwalawa ndi oyenera kwa ine?", ndi zina zotero, mwina zikukuzungulirani. Ndipotu, ndi zachilendo kuganiza izi. Lero, tiyeni tikambirane za mankhwala awa omwe amaletsa kuvutika maganizo, ndikupeza mayankho a mafunso onse omwe ali m'maganizo mwanu.
N’chifukwa chiyani zimanditengera nthawi yaitali kuti ndipeze mankhwala oyenera?
Ichi ndiye chinthu chofunikira kwambiri chomwe tiyenera kumvetsetsa poyamba. Kuvutika maganizo kumakhudza aliyense mosiyana. Komanso, momwe mankhwala amagwirira ntchito zimasiyananso malinga ndi munthu. Monga momwe zimakhalira kupita kusitolo kukasankha diresi, zimatenga nthawi kuti mupeze mankhwala oyenera thupi lanu komanso thanzi lanu.
Tangoganizirani, anthu ena amamva bwino kwambiri akalandira mankhwala oyamba omwe apatsidwa. Koma anthu ambiri samva bwino. Kafukufuku wamkulu wochitidwa ku United States adapeza kuti anthu 30 okha mwa anthu 100 omwe amayamba kumwa mankhwalawo amamva bwino kwambiri akalandira mankhwala oyamba. Izi zikutanthauza kuti anthu ambiri ayenera kugwira ntchito ndi dokotala wawo kwa kanthawi kuti apeze mankhwala oyenera komanso mlingo woyenera. Pali zifukwa zingapo zomwe zimapangitsa izi:
- Matenda ena: Ngati muli ndi matenda ena, monga matenda a mtima, chiwindi, kapena impso, mankhwala ena oletsa kuvutika maganizo sangakhale otetezeka kwa inu.
- Zotsatirapo za mankhwala: Nthawi zina mankhwala omwe mwapatsidwa sangagwire ntchito kwa inu, kapena mlingo womwe mwapatsidwa sungakwanire.
- Nthawi: Zingatenge milungu ingapo, mwina mpaka miyezi iwiri, kuti zotsatira zonse za mankhwalawa zimveke.
- Zotsatirapo: Anthu ena amakumana ndi zotsatirapo zambiri, zomwe zimapangitsa kuti zikhale zovuta kupitiriza kulandira chithandizo.
Choncho, musadandaule ngati mankhwala oyamba sakugwira ntchito. Zimenezo ndi zachilendo. Dokotala wanu adzakuthandizani kupeza yankho labwino kwambiri kwa inu.
Kodi mankhwala oletsa kuvutika maganizo amenewa ndi ati?
Mwachidule, awa ndi mankhwala omwe amayendetsa bwino ntchito ya mankhwala enaake (ma neurotransmitters) muubongo wathu. Kusalingana kwa mankhwala awa ndi chifukwa chachikulu cha kuvutika maganizo. Makamaka, mankhwala otchedwa serotonin ndi norepinephrine ndi omwe amakhudzidwa. Chomwe mankhwalawa amachita ndikuthandizira kusunga kuchuluka koyenera kwa mankhwala awa.
Kawirikawiri, mankhwala amisala kapena uphungu amalimbikitsidwa pamodzi ndi mankhwala awa. Ngati awiriwa agwiritsidwa ntchito limodzi, zotsatira zake zimakhala zabwino kwambiri.
Kodi mankhwala awa ndi ati?
Pali mitundu ingapo yayikulu ya mankhwala ochizira kuvutika maganizo. Ngati mtundu umodzi sugwira ntchito, dokotala wanu angayese mtundu wina. Tiyeni tiwone mitundu ikuluikulu.
| Mtundu wa mankhwala | Momwe imagwirira ntchito ndi kufotokozera mwachidule |
|---|---|
| Zoletsa Kubwerezabwereza kwa Serotonin (SSRIs) Zosankha | Mitundu iyi ndi yomwe imagwiritsidwa ntchito kwambiri masiku ano. Imawonjezera kuchuluka kwa serotonin muubongo. Zitsanzo: Fluoxetine, Sertraline, Citalopram. Zotsatira zoyipa zofala: Kusanza, kusokonezeka m'mimba, kusagwira bwino ntchito zogonana, kutopa, chizungulire, kusowa tulo, kusintha kwa thupi, mutu. Izi zitha kuchitika poyamba, koma nthawi zambiri zimatha pakapita nthawi. |
| Serotonin ndi Norepinephrine Reuptake Inhibitors (SNRIs) | Izi zimawonjezera kuchuluka kwa serotonin ndi norepinephrine. Zitsanzo: Venlafaxine, Duloxetine. Zotsatira zoyipa zofala: Kusokonezeka m'mimba, kusowa tulo, mavuto okhudzana ndi kugonana, nkhawa, chizungulire, kutopa. |
| Mankhwala Oletsa Kuvutika Maganizo a Tricyclic (TCAs) | Mankhwala awa anali amodzi mwa mankhwala oyamba omwe amagwiritsidwa ntchito pochiza matenda a maganizo. Masiku ano sagwiritsidwa ntchito kwambiri. Zitsanzo: Amitriptyline, Imipramine. Zotsatira zoyipa zomwe zimachitika kawirikawiri: pakamwa pouma, chizungulire, kusokonezeka m'mimba, kusintha kwa kuthamanga kwa magazi ndi kuchuluka kwa shuga. |
| Monoamine Oxidase Inhibitors (MAOIs) | Mankhwala awa ndi amphamvu kwambiri omwe ankagwiritsidwa ntchito masiku oyambirira. Komabe , madokotala amawalembera mosamala kwambiri chifukwa angayambitse kukhudzana kwakukulu ndi zakudya zina (monga tchizi chakale ndi nyama yosungidwa) ndi mankhwala ena . |
| Mitundu ina (yosazolowereka) | Palinso mankhwala omwe amagwira ntchito m'njira zina, monga Bupropion, Mirtazapine, ndi Trazodone. Mwachitsanzo, Mirtazapine imaperekedwa usiku kwa anthu omwe ali ndi vuto la tulo chifukwa imayambitsa tulo. Bupropion imaganiziridwa kuti ili ndi zotsatirapo zochepa zogonana. |
Chenjezo lofunika: Mankhwala ena oletsa kuvutika maganizo amakhala ndi chenjezo lakuti angawonjezere pang'ono chiopsezo cha maganizo ofuna kudzipha , makamaka kwa ana, achinyamata, ndi achinyamata osakwana zaka 24. Choncho ngati muwona kusintha kulikonse mu khalidwe lanu kapena la mwana wanu kapena maganizo ake kumayambiriro kwa chithandizo, uzani dokotala wanu nthawi yomweyo.
Kodi ndiyenera kuchita chiyani kuti ndipindule kwambiri ndi chithandizochi?
Sikokwanira kungomwa mankhwala. Chopereka chanu n'chofunika kwambiri. Nazi zina zomwe mungachite.
Lembani m'buku lanu la momwe mukumvera.
Lembani tsiku lililonse la moyo wanu komanso momwe mukumvera komanso momwe mukumvera tsiku lonse. Mukayang'ana kamodzi pa sabata, mudzadziwa nokha ngati vuto lanu likukulirakulira kapena kuipiraipira. Ngati muli ndi vuto lililonse, mutha kuliwonetsa kwa dokotala wanu ndikukambirana za vutoli.
Bweretsani anthu omwe akukuthandizani pafupi.
N'zovuta kuyenda ulendowu nokha. Lankhulani ndi mwamuna/mkazi wanu, banja lanu, anzanu apamtima, munthu amene mumamudalira pankhaniyi. Kukhala ndi gulu labwino la anthu oti akuthandizeni ndi mphamvu yaikulu.
Tsatirani chithandizocho molondola.
Imwani mlingo wolembedwa pa nthawi yolembedwa, monga momwe dokotala wanu akukulangizirani. Musadumphe mankhwala anu. Zimatenga pafupifupi milungu 6-8 kuti mankhwala awa agwire ntchito mokwanira. Choncho, musayime pakati, n’kunena kuti, “Sizikugwira ntchito panobe.” Ngati simunamwe mankhwalawo bwino, zimakhala ngati simukuwapatsa mwayi woti agwire ntchito.
Khalani ndi zizolowezi zabwino.
Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Sizingakhale zodziwika bwino ngati mutaphatikiza ndi zochita zina, monga kudya chakudya cham'mawa kapena musanagone usiku. Ndibwinonso kugwiritsa ntchito bokosi la mapiritsi la sabata iliyonse kuti musunge mankhwala anu.
Musanyalanyaze zotsatirapo zake
Zotsatira zoyipa ndi chifukwa chachikulu chosiyira kumwa mankhwala. Ngati mukuvutika ndi zotsatirapo zilizonse zoyipa, musamakhale chete ndipo lankhulani ndi dokotala wanu. Akhoza kupeza njira yochepetsera vutoli.
Kumbukirani, zotsatirapo zambiri zimaonekera kwambiri m'masabata oyamba kuyambira pamene munthu wayamba kumwa mankhwala, koma pang'onopang'ono zimachepa thupi likayamba kuzolowera mankhwalawo.
Musasiye kumwa mankhwala anu popanda chilolezo cha dokotala!
Izi ndizofunikira kwambiri.Musasiye kumwa mankhwala anu chifukwa choti mukumva bwino. Kuchita zimenezi kungapangitse kuti kuvutika maganizo kwanu kukhale koipa kwambiri komanso kungayambitse zizindikiro zosiya kumwa mankhwala. Ngati mukuona kuti muyenera kusiya kumwa mankhwala anu, lankhulani ndi dokotala wanu za vutoli. Iye adzatha kuchepetsa pang'onopang'ono mlingo wanu ndikukuwonetsani momwe mungasiyire kumwa mankhwala anu mosamala.
Uthenga Wopita Nawo Kunyumba
- Ndizachibadwa kutenga nthawi kuti mupeze mankhwala oyenera komanso mlingo woyenera wa kuvutika maganizo kwanu. Musadandaule nazo.
- Zimatenga milungu ingapo kuti zotsatira zonse za mankhwala zimveke, choncho khalani ndi chikhulupiriro mu chithandizocho ndipo pitirizani.
- Kambiranani momasuka ndi dokotala wanu za zotsatirapo zilizonse zomwe mumakumana nazo kapena kusintha kulikonse kwa momwe mukumvera.
- Ngati mukumwa mankhwala a matenda ena aliwonse, onetsetsani kuti mwadziwitsa dokotala amene akukuchizani kuvutika maganizo kwanu.
- Musayambe, kusintha mlingo, kapena kusiya kumwa mankhwala popanda upangiri wa dokotala.
- Simuli nokha paulendowu. Ndi chithandizo choyenera komanso chithandizo, mutha kuyambiranso thanzi lanu la maganizo.
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