Ese biragoye kureka gufata imiti igabanya ubukana bw'indwara zo kwiheba? Reka tuvuge kuri Hyperbolic Tapering!

Ese umaze igihe kinini ufata imiti yo mu mutwe nko kwiheba? None ko wumva umeze neza cyane, watekereje kugabanya imiti, ariko ntibyari byoroshye nkuko wabitekerezaga. Ese waba warayobewe ingorane zidasanzwe ziterwa no guhagarika imiti? Noneho iyi nkuru izaba ingenzi cyane kuri wowe. Reka tubiganireho birambuye.

Tekereza ku nkuru y'umugore witwa Morgan Stewart. Yari amaze imyaka myinshi afata imiti yo kuvura indwara yo kwiheba. Yari arimo gufata umuti witwa Sertraline (izina rya Zoloft). Nyuma y'igihe runaka, yafashe icyemezo cyo kureka gufata uwo muti kuko amarangamutima ye yari arimo arushaho kumera neza. Muganga we yamubwiye guhagarika byose ako kanya cyangwa kugira ngo agire umutekano, agabanye uwo muti. Morgan yahisemo uwo wa nyuma.

Ariko nyuma y'ibyumweru bike agabanya ikinini cya 50 mg kugeza kuri kimwe cya kabiri, yatangiye kugira ibimenyetso bidasanzwe. Umutima utera cyane, isereri, gucurama mu matwi, kuribwa umutwe cyane, no kudasinzira neza . Nyuma y'ukwezi kumwe cyangwa abiri ahagaritse burundu imiti, indwara ye yararushijeho kuba mbi. Ntiyashoboraga kwicara neza, ntiyashoboraga gusinzira neza, kandi yatangiye kugira ibitekerezo byo kugirira nabi umuntu yakundaga cyangwa we ubwe.

Ibintu byarushijeho kuba bibi ku buryo Morgan yamaze iminsi mike mu bitaro by’abarwayi bo mu mutwe. Niho yamenye ko atari ukwiheba kwe kwagarutse, ahubwo ko ari ibimenyetso byo kureka imiti byaje no guhagarika imiti. Abaganga babyita "ibimenyetso byo guhagarika imiti". Ariko nta muntu wari uzi neza icyo yakora kuri byo. Amaherezo, yahawe indi miti ibiri (``Clonazepam`` na ``Buspirone``) yo kugenzura ibyo bimenyetso bishya. Amaherezo, yashoboye guhagarika imiti imwe maze afatirwa ku yindi miti ibiri yari igoye guhagarika. Ariko, ubwo yashakishaga amakuru kuri interineti ni bwo Morgan yamenye ubu buryo bushya bufite ishingiro rya siyansi ryitwa ``Hyperbolic Tapering```.

Kuki rimwe na rimwe ari bibi kugabanya imiti mu buryo busanzwe?

Dukurikije ubushakashatsi bumwe na bumwe, hagati ya 30% na 40% by'abantu bareka gufata imiti igabanya ubukana bashobora kugira ibimenyetso bimwe na bimwe byo kuyireka. Ingaruka mbi ziba nyinshi cyane cyane iyo abantu bamaze umwaka urenga bafata iyi miti bayihagaritse.

Ikibazo kiri mu buryo abaganga benshi bakoresha kugira ngo bagabanye imiti. Byitwa "linear tapering." Mu magambo make, ibi bikubiyemo kugabanya ingano y'imiti ku rugero rumwe buri cyumweru cyangwa ukwezi . Urugero, kuyigabanyaho miligarama zigera kuri 10 buri cyumweru.

Ibi abisobanura muri ubu buryo: Tekereza umuntu ufata miligarama 20 z'umuti `(Lexapro)`. Kuwugabanya kuva kuri 5 ukagera kuri 0 bimutera imbaraga zikubye inshuro makumyabiri ku bwonko kuruta kuwugabanya kuva kuri 20 ukagera kuri 15. Ni nko gusimbuka uvuye ku rutare. Nubwo 5mg ishobora gusa nkaho ari nto ku baganga, si ingano y'ikinini ihambaye, ahubwo ni ingaruka bigira ku bwonko.

Kubwibyo, iyo ugabanyije imiti bwa mbere, ntabwo wumva ari ikibazo gikomeye. Ariko iyo ugabanyije miligarama nke za nyuma, bishobora kumera nk'aho ari "ikintu kidashoboka." Iyo abaganga batabizi, bashobora gutekereza bati "Uyu murwayi yongeye kurwara."

Ubunararibonye bwa muganga ku giti cye

Dr. Horowitz arabizi neza cyane, kuko na we ubwe yanyuzemo. Ubwo yahagarikaga buhoro buhoro gufata umuti wa Lexapro, yari amaze imyaka 12 afata, na we yagize ingaruka mbi zikomeye, harimo n'ibitekerezo byo kwiyahura. Agira ati: "Byari ibintu biteye ubwoba cyane nagize mu buzima bwanjye."

Nyuma y'iki kibazo ni bwo yatangiye gutekereza cyane kuri iki kibazo. Yize witonze ibimenyetso byazagaragara igihe azaba ahagaritse gufata uyu muti.

Ni iki gikubiye muri ubu buryo bwitwa Hyperbolic Tapering?

Mu magambo make, "Hyperbolic Tapering" ni uburyo bwo kugabanya buhoro buhoro urugero rw'umuti, kuwugabanya buhoro buhoro, no kugabanya cyane. Iki ni igikorwa gikora buhoro cyane mu mezi menshi, rimwe na rimwe imyaka.

Urugero, igipimo cy'imiti umuntu ahabwa gishobora kugabanukaho 10% buri kwezi . Ariko, iyi 10% ibarwa uhereye ku gipimo giheruka kugabanuka. Bityo uko igipimo cy'imiti kigabanuka, niko ingano y'igabanuka iba nto. Ubushakashatsi bwagaragaje ko ubu buryo bushobora gukoreshwa neza mu guhagarika imiti yo kwiheba, kudasinzira, guhangayika, n'izindi ndwara zo mu mutwe, ndetse no mu guhagarika imiti yo mu zindi ndwara.

Ariko ibi ntabwo byoroshye kubikora. Hari imbogamizi ebyiri zikomeye kuri ibi:

1. Kubona umuganga uzi neza: Biragoye kubona umuganga uzi neza ubu buryo kandi ushobora gukora gahunda ikubereye.

2. Kubona doze nto cyane: Inganda zikora imiti ntizikora ibinini mu doze nto cyane. Bityo ugomba gukoresha umuti w’amazi cyangwa ugakora doze nto binyuze muri farumasi ivangavanze. Ibi byombi bishobora kuba bihenze.

Ubu buryo ni ngombwa gute koko? Kuki abaganga bacu batabizi byinshi kuri bwo?

Impuguke zimwe zivuga ko ubu buryo bwa "Hyperbolic Tapering" bukenewe gusa ku bantu bake cyane bafite ibimenyetso bikomeye, kandi ko ku bantu benshi, ibimenyetso bibaho iyo umuti uhagaritswe mu buryo busanzwe biba byoroheje kandi bigashira ubwabyo.

Ariko Dr. Horowitz ntabyemera. Agira ati: "Iki si ikibazo cy’abantu bake." Ubushakashatsi bwe bwagaragaje ko umuntu umwe kuri barindwi (1/7) bafata imiti mu gihe kirenga imyaka ibiri agira ingaruka mbi zikomeye.

Ikibazo nyamukuru ni uko abaganga benshi badahuguwe neza muri ibi. Bigishwa ko ingaruka mbi ari nke kandi ko zizashira mu minsi mike. Rero, iyo umurwayi aje yinubira ibimenyetso bikomeye, atekereza ati: "Ubu si ukwisubiraho, indwara yo mu mutwe yawe yagarutse." Hanyuma bongera gusubiza umurwayi ku miti.

Niyo mpamvu abarwayi benshi bashinze amatsinda yo kuri interineti kugira ngo baganire ku bibazo byabo kandi babishakire ibisubizo, kuko abaganga babo batabifata nk'ibikomeye.

'Nka gukanguka uvuye mu nzozi'

Uyu munsi, Morgan avuga ko yumva "arimo gukanguka avuye mu nzozi mbi." Muganga we ntiyashyigikiye ubu buryo bushya, bityo yasabye ubufasha undi muganga wahuguwe muri ibi.

Yateguye umuti we mu rugo. Yashongesheje ikinini mu mazi, akoresha seringe, anapima neza mililitiro 40 yagombaga gufata buri munsi. Ariko ubu buryo ni uburyo buteje akaga kandi bugoye. Yabikoze amezi 15 kandi yashoboye guhagarika gufata Clonazepam nta ngaruka nshya.

Icy'ingenzi: Ni bibi cyane kugerageza ibi bintu wenyine. Ugomba gutekereza gusa kubikora uyobowe na muganga ubizi. Kwibeshya ku gipimo bishobora kugira ingaruka zikomeye.

Morgan avuga ko ubuzima bwe bwongeye kuba bwuzuyemo ibyishimo. Ati: "Ubu ndi umudendezo." "Ni igitangaza, urebye aho nari ndi."