Kuvutika maganizo ndi vuto lovuta kwambiri lomwe limakhudza maganizo ndi thupi. Chifukwa chake tikapita kwa dokotala ndikuyamba kulandira chithandizo, timakhala ndi chiyembekezo chakuti tidzatha kuchira msanga ku vutoli. Koma taganizirani, munagwiritsa ntchito mtundu umodzi wa mankhwala, koma sizinagwire ntchito. Kenako dokotalayo anayamba mtundu wina wa mankhwala, ndipo zimenezo sizinagwire ntchito monga momwe mumayembekezera? Palibe mawu ofotokozera kukhumudwa, mantha, ndi kusowa chochita komwe mukumva, sichoncho? Ngati mwakumanapo ndi vuto lofananalo, simuli nokha. Lero tikulankhula za nkhani yomwe imakhudza anthu ambiri, koma siikukambidwa kwambiri. Imeneyo ndi kuvutika maganizo kosachiritsika ndi chithandizo.
Kodi 'Kuvutika Maganizo Kosalandira Chithandizo' n'chiyani?
Mwachidule, uwu ndi mtundu wa kuvutika maganizo. Koma chapadera ndi chakuti sikuchira mosavuta ndi mankhwala wamba. Ngakhale kuti palibe tanthauzo limodzi pakati pa madokotala, lingaliro lovomerezeka ndilakuti ngati zizindikiro za kuvutika maganizo sizichepa ngakhale mutamwa mitundu iwiri ya mankhwala oletsa kuvutika maganizo ochokera m'magulu awiri osiyana pa mlingo woyenera komanso kwa nthawi yoyenera , vutoli limatchedwa 'Kuvutika Maganizo Kosachiritsika ndi Chithandizo'.
Ganizirani izi motere. Dokotala wanu asankha kuti muli ndi vuto la kuvutika maganizo ndipo akuyambani kumwa mankhwala amodzi. Mwachitsanzo, Selective Serotonin Reuptake Inhibitor (SSRI) (monga Fluoxetine). Koma ngati simukumva bwino patatha milungu 6 mpaka 8, dokotala wanu adzasiya kumwa mankhwalawo ndikuyambitsani kumwa mankhwala ena, omwe amagwira ntchito mwanjira ina. Mwachitsanzo, Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) (monga Venlafaxine kapena Duloxetine). Ngati mankhwala achiwiriwo sagwira ntchito, dokotala wanu angakayikire kuti muli ndi vuto la kuvutika maganizo lomwe silingachiritsidwe.
Kunena zoona, mankhwala ali ngati fyuluta. Ngati mutapeza mpumulo kuchokera ku mlingo woyamba kapena wachiwiri wa mankhwala, simudzakhala ndi vuto la kuvutika maganizo lomwe silingathe kuchiritsidwa. Koma ngati fyulutayo sichitha matendawa, zikutanthauza kuti tikufunika njira ina.
Kodi mumadziwa bwanji kuti vutoli lilipo?
Ichi si chinthu chomwe chingasankhidwe mwadzidzidzi. Ndi chinthu chomwe chiyenera kuchitika pang'onopang'ono, ndi kuleza mtima kwambiri. Dokotala wanu adzatsatira njira zingapo asanaganize kuti muli ndi vutoli.
Kupereka nthawi yokwanira yogwiritsira ntchito mankhwala
Mankhwala ochiza kuvutika maganizo amatenga nthawi kuti agwire ntchito. Ngakhale anthu ena angazindikire kusiyana pang'ono m'masiku ochepa, zingatenge milungu 6 mpaka 8 kuti zotsatira zonse za mankhwala ziwonekere. Chifukwa chake, si bwino kuyamba kumwa mankhwala amodzi kenako n’kusiya patatha sabata imodzi kapena ziwiri kuganiza kuti, “Izi sizikugwira ntchito.” Ndikofunikira kwambiri kukhala oleza mtima ndikutsatira malangizo a dokotala wanu.
Kupereka mlingo woyenera
Iyi ndi mfundo yofunika kwambiri. Nthawi zina dokotala amayamba mankhwala okhala ndi mlingo wochepa. Ngati sakukwaniritsa zomwe akuyembekezera, sasintha mankhwala nthawi yomweyo. Choyamba choti muchite ndikuwonjezera pang'onopang'ono mlingo wa mankhwala omwe alipo. Anthu ena mwina adamwa mitundu ingapo ya mankhwala, koma mwina adamwa onsewo mu mlingo wochepa.
Mwachitsanzo, ngati mungapereke mankhwala okwana mamiligalamu 100 kuti mupeze phindu lalikulu, simunganene kuti mankhwalawo alephera ngati mupereka mamiligalamu 50 ndipo sakugwira ntchito. Ndikofunikira kwambiri kuyesa mlingo woyenera kwambiri wa mankhwala aliwonse .
Tiyeni tiwone tebulo ili kuti tifotokoze zambiri za ulendowu.
| Gawo | Zomwe zimachitika | Zolemba Zofunika |
|---|---|---|
| Kuyesa koyamba (Mayeso Oyamba a Mankhwala Ochepetsa Kuvutika Maganizo) | Dokotala amalemba mankhwala omwe ali m'gulu la mankhwala oletsa kuvutika maganizo (monga SSRI). | - Lolani milungu 6-8 kuti mankhwala agwire ntchito. - Mlingo udzawonjezeka ngati pakufunika kutero. - Lankhulani ndi dokotala wanu za zotsatirapo zake. |
| Kuyesa kwachiwiri (Mayeso Achiwiri Oletsa Kuvutika Maganizo) | Ngati mankhwala oyamba alephera, mankhwala ena ochokera ku gulu lina (monga SNRI) amayambitsidwa. | - Lolani milungu 6-8 kuti mankhwalawa agwire ntchito. - Apanso, mlingo umasinthidwa ngati pakufunika kutero. - Ndikofunikira kuti musachite mantha komanso kukhala oleza mtima. |
| Kuwunika momwe zinthu zilili (Kuyesa) | Ngati zizindikiro sizikuchepa ngakhale mutamwa mankhwala onse awiriwa pa mlingo woyenera komanso kwa nthawi yoyenera, zitha kudziwika kuti ndi 'Kuvutika Maganizo Kosatha Chithandizo'. | - Si mapeto a nkhaniyi. Izi ndi mfundo zofunika kwambiri zomwe zingagwiritsidwe ntchito podziwa njira zochiritsira zotsatira. - Lankhulani ndi dokotala za zomwe mungasankhe. |
Musataye mtima! Ndicho chinthu chofunika kwambiri.
Ndi zachilendo kumva katundu wolemera komanso mantha mukamva mawu akuti 'kuvutika maganizo kosachiritsika ndi mankhwala.' Mungaganize kuti, "O, sindidzachira." Koma timati, chonde musataye mtima .
Kuzindikira vutoli sikutanthauza kuti ulendo wanu watha. Zimangotanthauza kuti mukufunikira dongosolo la chithandizo losiyana ndi lachizolowezi, komanso lapadera kwa inu.
"Chofunika kwambiri ndi kusataya chiyembekezo. Pali njira zambiri zochiritsira - zomwe zilipo komanso zomwe zikubwera - zomwe zingathandize kwambiri moyo wa munthu." - Dr. John Krystal, Yale School of Medicine
Dokotala wanu adzakambirana nanu njira zina zingapo panthawiyi, kuphatikizapo:
- Kuonjezera: Kuwonjezera mtundu wina wa mankhwala ku mankhwala ochepetsa nkhawa omwe alipo.
- Mankhwala Ena: Kuganizira za mankhwala ena kuwonjezera pa mankhwala.
- Chithandizo cha maganizo: Chithandizo cholankhula. Chithandizo cha maganizo chingakhale chothandiza kwambiri chikagwiritsidwa ntchito limodzi ndi mankhwala.
Zonsezi zidzadalira matenda anu, zizindikiro zanu, ndi mbiri yanu ya matenda. Choncho chofunika kwambiri ndikukhala womasuka komanso woona mtima ndi dokotala wanu pa chilichonse . Muuzeni zomwe mukumva, mantha anu, zotsatira zake, ndipo musazengereze.
Uthenga Wopita Nawo Kunyumba
- 'Kuvutika maganizo kosatha kulandira chithandizo' ndi vuto lenileni lachipatala. Si chinthu chomwe mwaganizapo kapena cholakwika chanu.
- Kawirikawiri, vutoli likhoza kukayikiridwa ngati palibe kusintha mutamwa mlingo woyenera wa mankhwala oletsa kuvutika maganizo ochokera m'magulu awiri osiyanasiyana a mankhwala kwa nthawi yokwanira, monga masabata 6-8.
- Mlingo wa mankhwala ndi nthawi yoperekera mankhwala ndizofunikira kwambiri. Ngati mlingo wochepa supereka zotsatira, sizingakhale kuti mankhwalawa alephera konse.
- Kuzindikira vutoli si mapeto. Ndi gawo lofunika kwambiri paulendo wopeza chithandizo chomwe chikukuyenererani.
- Chofunika kwambiri ndichakuti musataye mtima komanso kuti mulankhule ndi dokotala nthawi zonse komanso momasuka . Pali njira zambiri zokuthandizani.
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