Kodi dokotala wanu wakupatsani mankhwala ochizira kuvutika maganizo kapena nkhawa? Mwina munachita mantha pang'ono mutaona dzina la mankhwalawo, kapena munadzifunsa ngati angathandizedi. Ndizachilendo kumva choncho. Lero tikulankhula za mtundu wa mankhwala otchedwa SSRI, omwe nthawi zambiri amaperekedwa kwa matenda amisala monga kuvutika maganizo ku Sri Lanka komanso padziko lonse lapansi. Kudziwa zambiri za izi kudzayankha mafunso ambiri omwe muli nawo m'maganizo.
Mwachidule, kodi ma SSRI amenewa ndi chiyani?
Dzina lakuti SSRI limayimira Selective Serotonin Reuptake Inhibitors . Ngakhale dzinali lingamveke ngati nkhani yaikulu, njira yake ndi yosavuta. Izi ndi mtundu wa mankhwala omwe amaperekedwa pochiza kuvutika maganizo. Amagwiritsidwa ntchito osati kokha pa kuvutika maganizo, komanso pa matenda ena amisala monga nkhawa, mantha, ndi OCD. Poyerekeza ndi mitundu ina ya mankhwala oletsa kuvutika maganizo, amaonedwa kuti ndi otetezeka ndipo alibe zotsatirapo zoyipa zambiri .
Ndiye kodi mankhwalawa amakhudza bwanji malingaliro athu? Taganizirani ubongo wathu ngati mzinda waukulu. Pali amithenga mumzinda uno omwe amanyamula mauthenga kuchokera kumalo ena kupita kwina. Amithenga awa muubongo wathu amatchedwa ma neurotransmitters. Serotonin ndi mthenga wapadera wotere. Serotonin ndi yomwe imathandiza kulamulira zinthu monga momwe timamvera, chisangalalo, ndi tulo.
Kwa munthu amene ali ndi vuto monga kuvutika maganizo, kuchuluka kwa serotonin, komwe kumabweretsa "uthenga wosangalatsa", kungachepe muubongo. Kenako kulumikizana pakati pa maselo a muubongo sikugwira ntchito bwino. Chomwe mankhwala a SSRI amachita ndikuchedwetsa kubwezeretsedwa kwa serotonin messenger uyu akamaliza kutumiza uthengawo. Kenako serotonin imakhala pakati pa maselo awiri kwa nthawi yayitali . Zimakhala ngati messenger akuloledwa kukhala pamenepo kwakanthawi kochepa. Zotsatira zake, kulumikizana muubongo kumakula, ndipo zizindikiro za kuvutika maganizo zimayamba kuchepa pang'onopang'ono.
Kodi mankhwala a SSRI amagwiritsidwa ntchito pa matenda otani?
Mabungwe apadziko lonse lapansi, monga FDA ku United States, avomereza mankhwala a SSRI pa matenda osiyanasiyana. Komanso, nthawi zina madokotala amatha kuwalembera pa matenda ena omwe saloledwa (kugwiritsa ntchito popanda chizindikiro) kutengera momwe wodwalayo alili.
| Mikhalidwe Yomwe Amalembedwa Kawirikawiri (Ntchito Zovomerezeka) | Kugwiritsa Ntchito Zinthu Zosakhala ndi Chizindikiro |
|---|---|
| Matenda Ovutika Maganizo Akuluakulu | Matenda a Thupi Osasinthasintha |
| Matenda Odetsa Nkhawa Ofala | Fibromyalgia |
| Matenda a Mantha | Kutulutsa umuna msanga |
| Matenda Odzikuza ndi Okakamiza (OCD) | Matenda Odya Mopitirira Muyeso |
| Matenda a Nkhawa Pagulu | Chochitika cha Raynaud |
| Matenda Ovutika Maganizo Pambuyo pa Zoopsa (PTSD) | Zizindikiro zina zokhudzana ndi autism |
| Matenda a Premenstrual Dysphoric (PMDD) | Kutentha Kwambiri kwa Menopausal |
Kodi ma SSRI omwe amagwiritsidwa ntchito kwambiri ndi ati?
Mankhwalawa angatengedwe ku Sri Lanka ngati mapiritsi, makapisozi, kapena zakumwa. Dokotala wanu mwina adakulemberani imodzi mwa izi.
- Citalopram
- Escitalopram
- Fluoxetine
- Fluvoxamine
- Paroxetine
- Sertraline
Zimene muyenera kudziwa zokhudza zotsatirapo zake
Si aliyense amene amamwa mankhwala a SSRI amene amakumana ndi zotsatirapo zoyipa kwambiri. Koma monga mankhwala ena aliwonse, pali zoopsa zina. Zina mwa izi zimachitika m'masabata oyamba kumwa mankhwalawo kenako zimatha.
Chofunika kwambiri ndikulankhulana momasuka ndi dokotala wanu za vuto lililonse latsopano lomwe mukukumana nalo.
Zotsatira zoyipa zofala:
- Kusowa tulo kapena kugona tulo topitirira muyeso
- Mutu
- Kutupa pakhungu
- Maso osawoneka bwino
- Pakamwa pouma
- Kusakhazikika kapena kusokonezeka
- Chizungulire
- Kupweteka kwa mafupa kapena minofu
- Kusokonezeka m'mimba, nseru, kapena kutsegula m'mimba
- Kuchepa chilakolako chogonana
- Mavuto okhudzana ndi kuima kapena kuvutika kufika pachimake
- Kuchepetsa thupi kapena kuwonjezeka
Zina mwa zotsatirapo zake zitha kuthetsedwa mwa kusintha nthawi yomwe mumamwa mankhwalawo. Mwachitsanzo, ngati mukumva nseru, imwani mankhwalawo ndi chakudya, ngati mukumva tulo, imwani musanagone, kapena ngati mukuvutika kugona, imwani m'mawa. Lankhulani ndi dokotala wanu za izi ndipo funsani upangiri.
Mfundo zofunika kuziganizira kwambiri
1. Maganizo ofuna kudzipha: Pakhala kuwonjezeka pang'ono kwa maganizo ofuna kudzipha (kuchokera pa 1-2% mpaka 2-4%) kumayambiriro kwa kugwiritsa ntchito SSRI, makamaka kwa ana ndi achinyamata osakwana zaka 25. Chifukwa chake, ngati muli ndi malingaliro ofuna kudzivulaza mukamayamba kumwa mankhwala, uzani wachibale wanu ndi dokotala wanu nthawi yomweyo . Ngati zinthu zavuta kwambiri, pitani ku Dipatimenti Yothandiza Anthu Odwala (ETU) ya chipatala chapafupi.
2. Matenda a Serotonin: Uwu ndi matenda osowa koma omwe angakhale oopsa. Umachitika pamene kuchuluka kwa serotonin m'thupi kwakwera kwambiri. Chiwopsezochi chimakhala chachikulu makamaka ngati mankhwala awiri omwe amawonjezera serotonin atengedwa limodzi. Yang'anani zizindikiro izi:
- Kusakhazikika kwakukulu ndi chisokonezo
- Kutuluka thukuta kwambiri komanso kunjenjemera
- Kusanza, kupweteka m'mimba, kupweteka m'mimba
- Zikope - zikope zikugwa, kukula kwa zikope
- Kugwedezeka kwa minofu, kugwedezeka
- Kuthamanga kwa magazi, malungo
- Kutaya chidziwitso, kugwedezeka
Ngati mukukumana ndi chimodzi mwa zizindikiro izi, musataye nthawi ndikupita kwa dokotala kapena kupita ku ETU nthawi yomweyo .
Kugwiritsa ntchito SSRI pa nthawi ya mimba ndi kuyamwitsa
Matenda a kuvutika maganizo ndi ofala kwambiri panthawi ya mimba. Matenda a kuvutika maganizo osachiritsidwa angakhudze mayi ndi mwana. Komanso, kumwa mankhwala a SSRI kungayambitse mavuto ena kwa mwana.
Choncho, ichi ndi chisankho chomwe inu ndi dokotala wanu muyenera kupanga pamodzi, mutakambirana mosamala za ubwino ndi kuipa kwa mankhwalawo.
Kuvutika maganizo kosachiritsidwa kungapangitse kuti mayi akhale ndi vuto la preeclampsia komanso mwana wosabadwa bwino komanso mwana wosabadwa msanga. Pali chiopsezo chochepa cha mavuto akanthawi mwa mwana, monga kupuma movutikira komanso kusakhazikika, ndi ma SSRI.
Mankhwala a SSRI nthawi zambiri amaonedwa kuti ndi otetezeka kugwiritsa ntchito poyamwitsa. Komabe, makanda ena amatha kukhala ndi vuto la kugona komanso kusagona mokwanira. Chifukwa chake, ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwalankhula ndi dokotala wanu za izi.
Kodi mankhwalawo amatenga nthawi yayitali bwanji kuti agwire ntchito?
Ili ndi vuto lomwe anthu ambiri ali nalo. Mankhwala a SSRI si mankhwala ogwira ntchito mukangomwa, monga mankhwala ochepetsa ululu.
Kuleza mtima n'kofunika kwambiri. Zingatenge milungu 4-6, kapena miyezi ingapo , kuti mphamvu yonse ya mankhwala imveke.
Musasiye kumwa mankhwala chifukwa choti simukumva kusiyana kulikonse m'masabata awiri kapena atatu oyambirira. Dokotala wanu adzayamba kumwa mankhwala ochepa ndipo pang'onopang'ono adzawonjezera mlingo. Ngati palibe kusintha pakatha milungu 6-8, mutha kulankhula ndi dokotala wanu za kusintha mankhwala ena kapena kusintha mlingo.
N’chifukwa chiyani si bwino kusiya kumwa mankhwala a SSRI mwadzidzidzi?
Mankhwalawa si oledzeretsa. Komabe, kusiya kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala n'koopsa kwambiri. Kuchita zimenezi kungayambitse vuto lotchedwa "discontinuation syndrome." Izi zikutanthauza kusasangalala komwe kumachitika mukasiya kumwa mankhwalawo.
- Kusanza
- Chizungulire
- Kumva kusakhazikika
- Thupi lopanda moyo
- Kunjenjemera ndi thukuta
Choncho, ngati musiya kumwa mankhwalawo, muyenera kutero motsatira malangizo a dokotala wanu, pang'onopang'ono kuchepetsa mlingo.
Uthenga Wopita Nawo Kunyumba
- Mankhwala a SSRI ndi mankhwala ofala komanso othandiza pa matenda monga kuvutika maganizo ndi nkhawa. Musachite mantha ndi izi.
- Mankhwalawa amagwira ntchito pokonza serotonin yomwe ili mu ubongo wanu.
- Zingatenge milungu ingapo kuti muwone zotsatira za mankhwalawa, choncho khalani oleza mtima. Imwani mankhwalawo monga momwe dokotala wanu wanenera, osaphonya tsiku limodzi.
- Zotsatirapo zake zingachitike, koma zambiri zimakhala zakanthawi kochepa. Lankhulani ndi dokotala wanu za vuto lililonse.
- Musasiye kumwa mankhwala mwadzidzidzi pazifukwa zilizonse popanda upangiri wa dokotala.
- Ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena zitsamba za Ayurvedic zomwe mukumwa.
- Pewani kumwa mowa ndi mankhwala ena osokoneza bongo mukamamwa mankhwala a SSRI, chifukwa amatha kukulitsa zizindikiro za kuvutika maganizo.
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