Kodi mukuvutika ndi kuvutika maganizo? Mwina mwayamba kale kulandira chithandizo. Mukalandira chithandizo chotere, nthawi zina mumamva kuti ndinu opepuka komanso athanzi. Koma mwadzidzidzi, popanda chifukwa, chisoni chakale, nkhawa, ndi kulemera mumtima mwanu zimabwereranso. Musaganize kuti muli nokha ndi zinthu zabwino ndi zoyipazi. Izi ndi zachilendo kwa anthu ambiri omwe akulandira chithandizo cha kuvutika maganizo. Chifukwa chake lero, tiyeni tikambirane chifukwa chake izi zimachitika, ndi zomwe tingachite nazo.
N’chifukwa chiyani mankhwala oletsa kuvutika maganizo sagwira ntchito mofanana nthawi zonse?
Mukalandira chithandizo cha kuvutika maganizo, nthawi zina mankhwala omwe poyamba ankagwira ntchito bwino sagwira ntchito bwino monga kale. Madokotala amatcha izi kuti 'kubwereranso', kapena kubwereranso kwa zizindikiro. Kafukufuku wasonyeza kuti mpaka 30% ya anthu omwe ali pa chithandizo amakumana ndi izi mkati mwa chaka chimodzi.
Ganizirani chifukwa chake izi zikuchitika. Pakhoza kukhala zifukwa zingapo za izi. Mwachidule, china chake chingakhale chikusokoneza momwe mankhwala omwe mukumwa amagwirira ntchito.
| Zifukwa zomwe mankhwala sangagwire ntchito kapena zizindikiro zingabwererenso | Kufotokozera kosavuta |
|---|---|
| Mitundu ina ya mankhwala | Mankhwala omwe mumamwa pa matenda ena, monga ma steroids ndi maantibayotiki ena, amatha kuyanjana ndi mankhwala a kuvutika maganizo. |
| Zotsatira za moyo | Zinthu monga kusuta fodya mopitirira muyeso ndi kumwa mowa zingachepetse mphamvu ya mankhwala. |
| Kupsinjika maganizo kwambiri | Zinthu monga kusudzulana, mavuto a ntchito, mavuto azachuma, ndi mavuto okhudzana ndi ana zingakuchotsereni mtendere wamumtima. Chodabwitsa n'chakuti, kupsinjika maganizo chifukwa cha zinthu zabwino monga kukhala ndi mwana watsopano kapena kupeza ntchito yatsopano kungakhudzenso izi. |
| Kulekerera | Nthawi zina, mankhwala amasiya kugwira ntchito popanda chifukwa chomveka. Izi zitha kuchitika chifukwa pakapita nthawi, ma receptors muubongo wanu amazolowera zotsatira za mankhwalawa. Zili ngati kumvetsera nyimbo yomweyo mobwerezabwereza ndipo imataya kukongola kwake. |
Kodi mukuganiza zosiya kumwa mankhwala anu? Kodi zoopsa zake ndi ziti?
Anthu ena amatopa kumwa mankhwala chifukwa cha zotsatirapo zake. Nthawi zina, ena amasiya kumwa mankhwalawo momwe akufunira, kapena amamwa tsiku lililonse.
Izi ndi zoopsa kwambiri. Kusiya kumwa mankhwala anu kapena kusintha mlingo popanda upangiri wa dokotala kungapangitse kuti vuto lanu likhale loipa kwambiri.
Kodi zotsatirapo zoyipa izi ndi ziti?
- Kusagwira bwino ntchito zogonana: Mavuto akuluakulu ndi kusakhazikika kwa mphamvu ya kugonana mwa amuna, kulephera kufika pachimake mwa akazi, komanso kuchepa kwa chilakolako cha kugonana mwa onse awiri.
- Kunenepa: Mankhwala ena angayambitse chilakolako chofuna kudya komanso kunenepa kwambiri.
Ngati muli ndi vuto ngati ili, chinthu chabwino kuchita ndikulankhulana momasuka ndi dokotala wanu za vutoli. Iye angakusinthireni mankhwala ena omwe ali oyenera kwa inu.
Vuto lina ndi kusamwa mankhwala moyenera. Anthu ena amati, "Inde, ndimamwa mankhwala anga tsiku lililonse," pamaso pa dokotala, koma mutawafunsa molimbika pang'ono, amati, "O... ndimaiwala kumwa masiku atatu kapena anayi pa sabata." Ngati mumwa kwa tsiku limodzi kapena awiri kenako osamwa kwa masiku atatu kapena anayi, mankhwalawo sakuwonjezeka kufika pamlingo womwe amafunika kuti agwire ntchito m'thupi. Chifukwa chake, sapeza zotsatira zilizonse.
Kodi mukumva ngati kuti maganizo anu 'akufooka' chifukwa cha mankhwala?
Izi ndi zomwe odwala ena adamvapo. Izi ndi zoona makamaka kwa anthu ochepa omwe amatenga SSRIs (Selective Serotonin Reuptake Inhibitors), gulu la mankhwala lomwe nthawi zambiri limaperekedwa.
Anthu ena amati, "Sindikumva chisoni monga kale, koma sindingakhale wosangalala monga kale. Zonse zili chimodzimodzi."
Izi zitha kukhala chifukwa chakuti mankhwalawa amakhudza mankhwala muubongo otchedwa dopamine , omwe amagwirizanitsidwa ndi chisangalalo ndi thanzi labwino. Pazochitika zotere, dokotala wanu angasankhe kuwonjezera mankhwala ena (monga Bupropion) ku mankhwala anu kapena kukusinthani ku mankhwala ena.
Ichi ndi chinthu chomwe nthawi zambiri chimatha kwathunthu mukasintha mankhwala, kotero palibe chifukwa chodera nkhawa.
Kodi mungachite chiyani ngati zizindikiro zakale zibwereranso (kubwereranso)?
Chofunika kwambiri ndi kusachita mantha. Ngati mukumva kuti zizindikiro zanu za kuvutika maganizo zikubwerera, choyamba kuchita ndiKulankhula ndi dokotala wanu.
Kenako adzakupatsani yankho loyenera kwambiri. Likhoza kukhala chinthu chonga ichi:
- Kuonjezera mlingo wa mankhwala omwe mukumwa panopa.
- Kusintha kugwiritsa ntchito mankhwala ena.
- Kuwonjezera mankhwala atsopano ku mankhwala omwe alipo.
- Kuyamba psychotherapy, ndiko kuti, kulankhula ndi mankhwala, pamodzi ndi mankhwala.
Ngati vutoli ndi lalikulu kwambiri, madokotala nthawi zina angalimbikitse chithandizo chapadera monga 'shock therapy' (ECT). Komabe, chofunika kwambiri ndikutenga njira zopititsira chithandizocho pamlingo wapamwamba.
Kodi mankhwala olankhula ndi anthu ndi ofunika pamodzi ndi mankhwala?
Inde ndithu. Ngakhale kuti mankhwala amathandiza kukonza kusalinganika kwa mankhwala muubongo wanu, psychotherapy imakuthandizani kulankhula za mavuto anu ndi zochitika m'moyo wanu zomwe zayambitsa kuvutika maganizo kwanu.
Tsopano pali njira zochizira matenda afupiafupi komanso cholinga chake.
- Kuchiza Maganizo Pakati pa Anthu (IPT): Izi zikuphatikizapo kukambirana za zochitika m'moyo zomwe zinakupangitsani kuvutika maganizo (monga imfa ya wokondedwa wanu, kutha kwa ubale) ndikukuphunzitsani momwe mungathanirane nazo.
- Chithandizo cha Kuzindikira: Izi zimaphatikizapo kuzindikira malingaliro oipa osafunikira ndi malingaliro olakwika m'maganizo mwanu ndikukuthandizani kusintha.
Chithandizochi n'chofunika kwambiri makamaka ngati makolo ali ndi vuto la maganizo. Kafukufuku wasonyeza kuti matenda a maganizo a makolo akachiritsidwa, ana awo amakhala osangalala kwambiri ndipo sangakhale ndi matenda amisala monga kuvutika maganizo mtsogolo. Zimenezi zili ngati kupha mbalame ziwiri ndi mwala umodzi!
Kuvutika maganizo si vuto lanu kapena vuto lanu. Ndi vuto lachipatala lomwe limafuna chithandizo. Palibe chochita manyazi ndi kupeza chithandizo.
Kafukufuku wasonyeza momveka bwino kuti anthu omwe amamwa mankhwala oletsa kuvutika maganizo amakhala ndi chiopsezo chowonjezeka cha kubwereranso ngati atasiya kumwa mwadzidzidzi. Choncho, chinthu chabwino kwambiri chomwe mungachite ndikugwira ntchito ndi dokotala wanu ndikupitiriza kulandira chithandizo.
Uthenga Wopita Nawo Kunyumba
- Kuchiza kuvutika maganizo ndi ulendo wokhala ndi zabwino ndi zovuta. Ndizachibadwa kukhala ndi masiku abwino ndi masiku oipa.
- Ngati mukukumana ndi zotsatirapo zoyipa kapena mukuona kuti mankhwalawo sakugwira ntchito, musasiye kumwa mankhwalawo nokha. Lankhulani ndi dokotala wanu nthawi yomweyo.
- Ndikofunikira kwambiri kumwa mankhwalawo panthawi yoyenera komanso mu mlingo woyenera.
- Kuwonjezera pa mankhwala, mungapindule kwambiri mukalandira 'mankhwala olankhula/mankhwala amisala'.
- Chofunika kwambiri: Kuvutika maganizo si vuto lanu. Ndi matenda omwe angathe kuchiritsidwa.
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