Kana mwana wako achinetseka kana kusuruvara, unogona kunzwa zororo guru kana ukamuendesa kuna chiremba uye vanomunyorera mushonga. Zvakajairika kufunga kuti, "Zvakanaka, mwana wangu achanzwa zviri nani." Zvisinei, kune mimwe mishonga yatinofanira kuziva, kunyanya kana zvasvika pamatambudziko epfungwa evana. Nhasi tichataura nezvazvo. Iyi inyaya inonetsa, asi sevabereki, ruzivo urwu rwakakosha zvikuru kwatiri.
Chii chaizvo chiri njodzi iyi?
Nyaya iyi inotanga nechiitiko chakaitika kuAmerica muna 2004. Mukomana ane makore 13 okuberekwa anonzi Matt akazviuraya. Baba vake vakazotaura pamusangano weFDA (US Food and Drug Administration), "Mwanakomana wangu akafa mushure mekupihwa mushonga watakanga tisati tambonzwa nezvawo, nekuda kwechirwere chaisatombozivikanwa nachiremba." Matt akapihwa mushonga unonzi `Zoloft`, unoshandiswa kurapa kuora mwoyo. Chiremba akataura kuti migumisiro chete yaigona kunge iri kushaya hope uye dumbu rakaneta.
Nekuwanda kwezviitiko zvakaita seizvi kuri kutaurwa, FDA yakatanga kuferefeta nyaya iyi zvakadzama. Zvavakawana zvakashamisa nyika yese.
Kureva kuti, pane njodzi diki asi yakakura yekuti mimwe mishonga inoshandiswa kurapa kuora mwoyo, kunyanya kuvana nevechidiki, inogona kuwedzera kuora mwoyo kwavo uye inotungamira mukufunga kuzviuraya, kunyanya pavanotanga kuishandisa.
Nekuda kweizvi, masangano anoona nezvemishonga muUnited States neBritain akarayira kuti mishonga iyi isanganisire yambiro ye "black box", yambiro pamusoro penjodzi yakakura kwazvo, papakeji yayo.
Mishonga iyi yeSSRI chii?
Njodzi iyi inowanzo kurukurwa neboka remishonga inonzi `SSRIs (Selective Serotonin Reuptake Inhibitors)`. Zvichitaurwa zviri nyore, pfungwa dzedu dzine mushonga unonzi `Serotonin`. Izvi ndizvo zvinodzora mufaro wedu, kurara, uye kuda kudya. Munhu ane kuora mwoyo anogona kunge aine huwandu hwakaderera hwe`Serotonin` iyi. Zvinoitwa nemishonga yeSSRI zvinobatsira uropi kushandisa `Serotonin` yahunayo zvinobudirira.
Mimwe yemishonga inonyanya kushandiswa muSri Lanka iri muchikamu ichi ndeiyi:
- Fluoxetine (inozivikanwa nezita rekuti Prozac)
- Sertraline (inozivikanwa nezita rekuti Zoloft)
- Citalopram (inozivikanwa nezita rekuti Celexa)
- Escitalopram (inozivikanwa nezita rekuti Lexapro)
- Paroxetine (inozivikanwa nezita rekuti Paxil)
Zvakakosha kuti njodzi iyi haingogumiri pamishonga yeSSRI chete. Yambiro iyi ikozvino inoshanda kune mishonga yakawanda yekuora mwoyo .
Ndezvipi zviratidzo zvaunofanira kutarisa semubereki?
Kana mwana wako akatanga kutora mushonga werudzi urwu, zvakakosha kungwarira zvikuru , kunyanya mukati memavhiki nemwedzi mishoma yekutanga . Kutarisirwa uku kwakakosha pese painochinja mushonga wechiremba.
| Shanduko dzekutarisira | Tsananguro |
|---|---|
| Kutaura nezvekuzviuraya | Kana ukataura zvinhu zvakaita sekuti "Ndinonzwa kuda kufa," "Hupenyu huno hahuna zvahunoreva," kana kuti uchitsvaga nzira dzekuzvikuvadza. |
| Kuchinja kamwe kamwe muhunhu | Kusagadzikana kupfuura kare, kugara uchifamba-famba, uye kuita zvinhu zvisina hanya uye zvine njodzi. |
| Hasha dzakanyanya kana kuzvidya mwoyo | Kana ukakurumidza kutsamwa kupfuura kare, uchinzwa kutya nguva dzose, kana kuti ukatanga kutya kamwe kamwe. |
| Matambudziko ekurara | Kushaya hope kana kurara zvakanyanya. |
| Kuwedzera kwekuora mwoyo | Kana mwana wako achiratidza kusuruvara, kuzvidya mwoyo, uye kusurukirwa zvakanyanya mushure mekutanga kushandisa mushonga. |
| Unoita sei kana ukaona chimwe chinhu chakadai? | |
| Fonera chiremba wemwana wako nekukasika. Kana uine fungidziro yekuti mwana wako ari panjodzi yekuzvikuvadza, muendese kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika.Usambosiya mwana wako ari ega. | |
Chenjererawo nezvedambudziko rebipolar.
Vamwe vana havana kuora mwoyo kwakajairika, asi chirwere chinonzi `Bipolar Disorder` (yaimbova `Manic Depression`). Muizvi, pane shanduko mumamiriro ekuzvidya mwoyo kwakanyanya (depression) uye hyperactivity (mania). Kana mumwe munhu mumhuri aine chirwere ichi, mwana wacho ari panjodzi huru. Kana mwana ane `Bipolar Disorder` akangopihwa mushonga wekuora mwoyo chete, zvinogona kuwedzera mamiriro e`mania` uye kuwedzera njodzi yekuzviuraya. Saka, zvakakosha kupa chiremba tsananguro yakazara yezvirwere zvemhuri.
Saka hazvina kunaka here kupa mushonga uyu?
Chinhu chakakosha kunzwisisa pano ndechekuti mishonga iyi yakaponesa mamiriyoni evanhu . Vanhu vazhinji vane kuora mwoyo kwakanyanya vanowana zororo guru kubva mairi. Dambudziko nderekuti kana mishonga iyi ikapihwa kuvana nevechidiki, mabhenefiti nenjodzi zvinofanira kuyerwa nokungwarira.
Dzimwe ongororo dzinoratidza kuti kuwedzera kwekufunga kuzviuraya hakukonzerwi nemushonga wacho pachawo, asi kuti kunokonzerwa nekuoma kwepfungwa. Panewo humbowo hwekuti njodzi inowedzera pakutanga kwekurapwa kwepfungwa.
Zvisinei, kunewo zvirevo zvekuti makambani emishonga anga achishambadza mushonga uyu nekuvanza mhedzisiro yetsvagurudzo isina kunaka uye achiburitsa mhedzisiro yakanaka chete. Ndosaka, sevabereki, tichifanira kuziva izvi uye kubvunza mibvunzo.
Mishonga ndiyo mhinduro chete here?
Kwete. Mhedzisiro yakanaka inowanikwa nekupa mazano kana kurapa kwepfungwa pamwe chete nemishonga.
Kurapa Kwepfungwa Nemaitiro (CBT) kunoshanda zvikuru. Kunoongorora mafungiro emwana asina kunaka, kunomuchinja, uye kunomudzidzisa maitiro ekugadzirisa matambudziko.
Chidzidzo chakakurumbira chinonzi TADS (Kurapa Vachiri Kuyaruka Vane Kuora Mwoyo) chakaona kuti mhedzisiro yakanaka yakawanikwa kana Prozac neCBT zvikapihwa pamwe chete. Zvisinei, chidzidzo chimwe chete chakaratidzawo kuti Prozac chete yaishanda zvakanyanya kupfuura CBT chete.
Dambudziko nderekuti, kunyangwe muSri Lanka, zvakaoma kuwana nyanzvi dzakadzidziswa dzinogona kupa kurapa kwe 'CBT' nemazvo. Zvisinei, unogona kubvunza chiremba wemwana wako nezveizvi wovakumbira kuti vakutumire kune mumwe munhu akakodzera.
Mharidzo Yekuenda Nayo Kumba
- Siya chisarudzo chemushonga kuna chiremba:Sarudzo yekuti mwana anoda mushonga wekuderedza kushungurudzika here kana kuti kwete, uye kuti ndeipi mishonga yekupa, inofanira kuitwa nachiremba ane hunyanzvi. Kurukurai chero mibvunzo kana zvinokunetsai nachiremba wenyu.
- Mwedzi wekutanga wakakosha zvikuru: Nyatsoteerera maitiro emwana wako mumavhiki nemwedzi yekutanga mushure mekutanga mushonga. Taura nezvekuchinja kusingawanzoitiki kuna chiremba nekukasika.
- Usambomira mushonga kamwe kamwe: Usamborega kupa mushonga usina kurairwa nachiremba. Kuita izvi kunogona kuwedzera mamiriro emwana.
- Njodzi nerubatsiro: Sezvinongoita mishonga yese, kune njodzi nerubatsiro. Njodzi dzekuora mwoyo pasina kurapwa dzinowanzo pfuura njodzi dzemishonga.
- Hausi wega: Kugadzirisa dambudziko rehutano hwepfungwa hwemwana kwakaoma. Kana zvichidikanwa, tsvaga rubatsiro rwepfungwa. Hutano hwako hwepfungwa hwakakoshawo kumwana wako.
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