Kwenzeka ntoni ukuba uyeka ngequbuliso ukusebenzisa amayeza okudakumba? (Isifo Sokuyeka Ukudakumba) Masithethe ngale nto!

Usenokuba usela amayeza okudakumba ngenxa yokudakumba okanye ixhala. Ngamanye amaxesha sicinga ukuba, "Owu, ndiziva ndingcono ngoku, kufuneka ndiyeke ukusebenzisa la mayeza." Kodwa ukuyeka la mayeza ngequbuliso kunokubangela iingxaki ezininzi. Yiloo nto sithetha ngayo namhlanje.

Yintoni i-Antidepressant Discontinuation Syndrome?

Ngamafutshane, ukuba uthatha amayeza okudakumba ubuncinane iiveki ezintandathu uze uwayeke ngequbuliso, okanye ukuba uyawayeka ngaphandle kokuwanciphisa njengoko ugqirha wakho ecebisa, ungaziva oku kungakhululeki. Abanye abantu bayibiza le 'discontinuation syndrome'. Oku kubizwa ngokuba yi -Antidepressant Discontinuation Syndrome , okanye i-ADS ngamafutshane.

Kule meko (i-ADS), unokufumana iimpawu ezahlukeneyo, ezinje ngokungalali, isicaphucaphu, kunye nokuziva ubuthathaka. Kodwa ungakhathazeki, ezi mpawu zihlala ziphela kungekapheli neenyanga ezimbini. Oku akuyonto ebangela ukwenzakala okukhulu emzimbeni, kodwa kunokuba yinto engathandekiyo necaphukisayo. Kwakhona, eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba xa uyeka ukuthatha amayeza okudakumba, imeko yengqondo oye wathatha ngayo amayeza (umzekelo, ukudakumba okanye ixhala) inokuphinda ivele.

Ngoko ke, ukuba ucinga ngokuyeka amayeza okudakumba, ngokuqinisekileyo kufuneka uthethe nogqirha wakho kuqala . Emva koko ungazama ukuthintela le meko ibizwa ngokuba yi-ADS.

Ixhaphake kangakanani le meko (i-ADS)?

Izifundo zibonise ukuba phakathi kwama-27% nama-86% abantu abazama ukuyeka ukusebenzisa amayeza okudakumba, nokuba ngabodwa okanye ngengcebiso kagqirha, bafumana iimpawu zokurhoxa (ADS). Ngoko ke uyabona, oku akukaze kwenzeke.

Zithini iimpawu ze-Antidepressant Discontinuation Syndrome?

Ezi mpawu zihlala ziqala ukubonakala kwiintsuku ezimbini ukuya kwezine emva kokuyeka ukusebenzisa iyeza lokudakumba. Nazi iimpawu eziphambili ezinokubonwa:

• Iimpawu ezifana nomkhuhlane: ukudinwa, intloko ebuhlungu, iintlungu zomzimba, kunye nokubila. Ngamanye amaxesha unokuba namaphupha angaqhelekanga, awoyikisayo.
• Isicaphucaphu: Ngamanye amaxesha ukuhlanza kunokubakho.
• Ukuba nesiyezi kunye nokuziva ukhululekile.
• Ukutsha, ukurhawuzelela, okanye iimvakalelo ezifana nezothuko (i-paresthesia) emzimbeni. Oku kungaba ngamava angaqhelekanga.
• Utshintsho kwindlela ovakalelwa ngayo: Ukuxhalaba, ukucaphuka, ukungazinzi, kwanobundlongondlongo bunokubakho.

Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho . Ubunzima bezi mpawu buyahluka ukusuka kumntu ukuya komnye, kodwa kubantu abaninzi, azibi zimbi kakhulu. Olunye uphando lufumanise ukuba abantu abafumana ezi mpawu zokurhoxa:

• I-7% ibineempawu kangangeenyanga ezimbini.
• I-6% ibineempawu unyaka wonke.
• I-2% ibineempawu kangangeminyaka engaphezu kwemithathu.

Ngoko ke, uyabona, oku kusenokuba yinto yexesha elide kwabanye abantu.

Yintoni ebangela oku (i-Antidepressant Discontinuation Syndrome)?

Enyanisweni, abaphandi abakayazi kakuhle into ebangela le "Discontinuation Syndrome". Kodwa bacinga ukuba inxulumene nokuhla ngequbuliso kwamanqanaba ekhemikhali ebizwa ngokuba yi "Serotonin" engqondweni xa ngequbuliso uyeka ukuthatha amayeza afana ne "SSRI ​​- selective serotonin reuptake inhibitor" okanye "SNRI - serotonin kunye ne-norepinephrine reuptake inhibitors". Xa imizimba yethu ilahlekelwa yi-serotonin ngequbuliso, isabela ngokubangela ezi mpawu zomzimba nezengqondo.

Ziziphi izinto ezinokubangela umngcipheko wokufumana i-Antidepressant Discontinuation Syndrome?

Xa uyeka ukusebenzisa iyeza lokudakumba, kunokwenzeka ukuba ube neempawu zokurhoxa (ADS) kwezi meko zilandelayo:

• Ukuba uyeka ukuthatha iyeza ngequbuliso (ngaphandle kokulinciphisa kancinci kancinci).
• Ukuba sele uthatha elo yeza ixesha elide (iminyaka).
• Ukuba uthatha idosi ephezulu ye-antidepressant (oku kuyahluka ngokuxhomekeke kuhlobo lweyeza).
• Ukuba wakha waba neempawu zokurhoxa xa wawuphosa idosi yeyeza ngaphambili (kodwa zaphela xa wawuphinda wasela iyeza).

Kwakhona, uhlobo lweyeza lokudakumba olithathayo lunokunyusa okanye lunciphise umngcipheko wakho we-ADS. Oku kuxhomekeke kakhulu ekubeni iyeza lihlala ixesha elingakanani emzimbeni wakho. Amayeza aqhekezwayo (aguqulwa) ngumzimba ngokukhawuleza anokubangela i-ADS emva kokuba eyeke kunamayeza ahlala emzimbeni ixesha elide.

Ngoku makhe sijonge ezinye iintlobo zamayeza kunye namanqanaba omngcipheko wazo:

Amanqanaba omngcipheko wamayeza e-SSRI:

• Amayeza anobungozi obukhulu be-(ADS): `(Paroxetine)` (athengiswa njenge-``Paxil®``, ``Pexeva®``) kunye ne-`(fluvoxamine)`.
• Amayeza anomngcipheko ophakathi we-(ADS): `(Citalopram)` (`Celexa®`), `(escitalopram)` (`Lexapro®`) kunye `(sertraline)` (`Zoloft®`).
• Amayeza anobungozi obuphantsi (ADS): `(Fluoxetine)` (`Prozac®`).

Amanqanaba omngcipheko kumayeza ohlobo lwe-(SNRI):

• Amayeza anobungozi obukhulu kwi-(ADS): `(Venlafaxine)` (`Effexor®`) kunye `(desvenlafaxine)` (`Khedezla®`, `Pristiq®`).
• Amayeza anomngcipheko ophakathi we-(ADS): `(Duloxetine)` (`Cymbalta®`, `Drizalma®`, `Irenka®`).
• Amayeza anomngcipheko ophantsi we-(ADS): `(Milnacipran)` (`Savella®`) kunye `(levomilnacipran)` (`Fetzima®`).

Ukongeza koku, `(MAOIs - monoamine oxidase inhibitors)` , `(tricyclic antidepressants)` kunye `(tetracyclic antidepressants)`La mayeza alandelayo athathwa njenganobungozi obukhulu be-ASD. Ngoko ke kubalulekile ukwazi ukuba zeziphi amayeza ozisebenzisayo.

Ziziphi iingxaki ezinokubakho ze-Antidepressant Discontinuation Syndrome?

Kwezinye iimeko, ukuyeka amayeza okudakumba kunokubangela iziphumo ebezingalindelekanga ezibalulekileyo. Nazi ezi ziphambili:

• Ingcamango yokuzibulala.
• Ukuzibulala.
• Ubuhlanya.

Ukuba wena okanye umntwana wakho nineengcinga zokuzibulala okanye ukuziphatha okufanayo, nceda utsalele umnxeba kwiNational Mental Health Helpline ku-1926 ngoko nangoko. Kukho umntu okhoyo iiyure ezingama-24 ngosuku ukukunceda. Musa ukulwa nezi zinto wedwa.

Ifunyanwa njani le meko (i-Antidepressant Discontinuation Syndrome)?

Akukho vavanyo lwezonyango oluthile olucwangcisiweyo lokufumanisa i-Antidepressant Discontinuation Syndrome. Endaweni yoko, ugqirha wakho uza kukubuza imibuzo malunga neempawu zakho, imbali yakho yezonyango, kunye nokuba uyeke nini ukusebenzisa i-antidepressant yakho.

Iimpawu ze-ADS zinokufana nezezinye iimeko, ezinje ngokudakumba nokuxhalaba. Ngoko ke, kuyanceda ukuxelela ugqirha wakho iinkcukacha ezininzi kangangoko unako malunga neempawu zakho kunye nendlela eziqale ngayo.

Iphathwa njani i-Antidepressant Discontinuation Syndrome?

Olona nyango lusebenzayo kwesi simo (i-ADS) kukuqalisa kwakhona i-antidepressant kwidosi efanayo naleyo yangaphambili . Oku kudla ngokusombulula iimpawu zakho kwiiyure ezingama-24. Nangona kunjalo, ukuba usafuna ukuyeka ukuthatha amayeza, ugqirha wakho uya kukunika imiyalelo ethile yokuba ungayinciphisa njani kancinci kancinci idosi kwaye uyeke.

Ngokuxhomekeke kubukhali beempawu zakho kunye nokuba zihlala ixesha elingakanani, ugqirha wakho unokukunika amanye amayeza okunceda ekulawuleni iimpawu zakho. Umzekelo:

• Izithomalalisi zentlungu zentloko, ezifana ne-"Ibuprofen" okanye "i-acetaminophen".
• Into efana ne-"ondansetron" (ethengiswa njenge-"Zofran®``), iyeza lokulwa nesicaphucaphu .
• Amayeza afana ne-`(hydroxyzine)` okanye `(benzodiazepines)` okunyanga ixhala kunye nokungalali.

Injani imeko yale meko (i-Antidepressant Discontinuation Syndrome)?

Imeko yale meko (ADS) iyahluka. Uninzi lweemeko azinzima kwaye azihlali ngaphezu kweeveki ezisibhozo. Nangona kunjalo, ezinye iimeko zinokuba nzima kwaye iimpawu zinokuhlala unyaka okanye ngaphezulu. Yiyo loo nto kubalulekile ukufuna ingcebiso kagqirha.

Singayithintela njani le nto (i-Antidepressant Discontinuation Syndrome)?

Ngelishwa, le ``Antidepressant Discontinuation Syndrome (ADS)'' ayisoloko inokuthintelwa. Nangona kunjalo, eyona nto ibalulekileyo onokuyenza ukuze uyiphephe kukuthetha nogqirha wakho ngaphambi kokuba uyeke ukusebenzisa i-antidepressant. Ukuyeka ngokukhuselekileyo amayeza okudambisa uxinzelelo kunokuba yinkqubo ethatha ixesha – unokufuna ukunciphisa umthamo wakho kancinci kancinci ngokuhamba kwexesha.

Zonke izidambisi-ntlungu zahlukile, ngoko ke umntu ofanelekileyo ukukunceda uyeke ukuzisebenzisa ngugqirha wakho. Uza kukuxelela indlela yokwenza oku ngokukhuselekileyo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke ukungakhululeki kokuyeka amayeza okudakumba, aziwa ngokuba yi-"Antidepressant Discontinuation Syndrome (ADS)``, kunokuba ngamava angathandekiyo. Eyona ndlela ingcono yokukuphepha kukunciphisa kancinci kancinci nokuyeka amayeza akho okudakumba phantsi kwesikhokelo sikagqirha wakho.

Khumbula, ukuba unemibuzo okanye iinkxalabo malunga namayeza akho, qiniseka ukuba uthetha nogqirha wakho. Bakho ukuze bakuncede.

Amayeza aluncedo kakhulu xa esetyenziswa ngokuchanekileyo. Kodwa kubaluleke kakhulu ukuba siyazi indlela yokuwasebenzisa kunye nendlela yokuwayeka. Ndiyathemba ukuba uyayiqonda le nto. Ukuba unemibuzo, ungoyiki ukubuza ugqirha.

` Amayeza okudakumba, i-Antidepressant Discontinuation Syndrome, i-ADS, i-Serotonin, iMpilo yengqondo, ukurhoxiswa kwamayeza, iimpawu