Ngaba ngamanye amaxesha uziva uxinezelekile, uxhalabile, okanye uloyiko ngaphandle kwesizathu? Ngamanye amaxesha awukwazi ukulala ebusuku? Okanye uba novalo ngaphambi kotyando olukhulu? Ngamaxesha anje, ugqirha wakho unokukunika ipilisi encinci ukukunceda uzole kwaye ulale ngcono. Olunye uhlobo lwamayeza olunikwa ngale ndlela yi-benzodiazepines esithetha ngayo namhlanje. Ezi zikwabizwa ngokuba yi-"benzos" ngamafutshane.
Ngamafutshane, eli yeza lisebenza njani?
Cinga ngenkqubo yethu yemithambo-luvo njengendlela exakekileyo esebenza rhoqo, ihambisa imiyalezo isiya phambili nangasemva. Xa le ndlela ikhawuleza kakhulu, siziva izinto ezifana noxinzelelo kunye noloyiko. IiBenzodiazepines zisebenza ngokuthumela umyalezo omncinci engqondweni yethu, zithomalalise le nkqubo yemithambo-luvo kancinci, kwaye ziyithomalalise.
Ukuchaneka, kukho iikhemikhali engqondweni yethu ezithwala imiyalezo, kwaye sizibiza ngokuba zii-neurotransmitters. Oko kwenziwa ngala mayeza kukuxelela ingqondo ukuba ikhuphe i-neurotransmitter ekhethekileyo ebizwa ngokuba yi -gamma-aminobutyric acid (GABA) . Umsebenzi ophambili wale messenger ebizwa ngokuba yi-GABA kukuzolisa inkqubo yemithambo-luvo. Kufana nokuxelela yonke inkqubo, "Kulungile, masisebenze nzima kancinci, masiphumle."
Xa inkqubo yemithambo-luvo izolile ngale ndlela, sifumana iziphumo ezininzi ezibalulekileyo.
| Uhlobo lwempembelelo | Intsingiselo nje |
|---|---|
| Ukungakwazi ukukhumbula (ukuphazamiseka kwenkumbulo) | Eli yeza lithintela ukwakheka kweenkumbulo ezintsha okwethutyana ngelixa lisebenza. Oku kuluncedo xa unika i-anesthesia ngaphambi kotyando. |
| I-Anxiolytic (isinciphisi sokuxhalaba) | Oku kwenzelwa "ukuphumla" izinto ezinje ngoloyiko, ixhala, kunye noxinzelelo. Kunciphisa ubunzima engqondweni yakho. |
| I-hypnotic | Intsingiselo yale gama inxulumene nokulala. La mayeza akwenza uzive ulele kwaye akunceda ulale kakuhle. |
| I-thomalalisa umzimba | Oku "kuzola" inkqubo yemithambo-luvo, kudala umoya wokuzola noxolo. Kuphumza izihlunu. |
Zeziphi iintlobo zezifo ezisetyenziselwa la mayeza?
IiBenzodiazepines aziloyeza linye, kodwa ludidi lwamayeza. Ke ngoko, iintlobo ezahlukeneyo zamayeza kolu didi zisetyenziselwa iimeko ezahlukeneyo zonyango.
- Iingxaki Zokuxhalaba: Ezi ziluncedo kakhulu kwiimeko ezifana nesifo sokuxhalaba kwezentlalo kunye nesifo sokuxhalaba.
- Ukungalali: Ezi zimiselwe ukunceda abantu abangakwaziyo ukulala ebusuku ukuba balale ixesha elifutshane.
- Isifo Sokuxhuzula Nokuxhuzula: Ezi zinikwa njengamayeza okusindisa ubomi ukulawula ukuxhuzula, ingakumbi kwiimeko ze-'Status Epilepticus', imeko eyingozi eqhubekayo.
- Ukuqaqamba Kwemisipha: Ezi zisetyenziselwa ukuthomalalisa izihlunu ezibuhlungu nezixineneyo emzimbeni.
- Ukuyekiswa kotywala: Ezi zinikwa ukulawula iimpawu eziqatha ezenzeka xa uyeka ngequbuliso ukusela utywala.
- Ngaphambi kotyando: Ezi zinikwa ngaphambi kotyando ukuze zithomalalise isigulane kwaye zincede ngokubulala iintlungu.
Ezinye zezona benzodiazepines zixhaphakileyo eSri Lanka yi-`Alprazolam` (Xanax®), `Diazepam` (Valium®), `Clonazepam` (Klonopin®), kunye ne-`Lorazepam` (Ativan®). Kodwa ngaphezu kokwazi la magama, kubalulekile ukuba ugqirha wakho akunike amayeza afanelekileyo kwimeko yakho.
Zithini iingozi kunye neengxaki zokusebenzisa eli yeza?
Nangona ii-benzodiazepines ziludidi oluluncedo kakhulu lwamayeza, kufuneka silumke kakhulu xa siwasebenzisa, njengoko kukho iingozi ezininzi ezinxulumene nawo.
Isilumkiso esibalulekileyo: Ungaze usele utywala ngelixa usebenzisa ii-benzodiazepines nangasiphi na isizathu. Ukudibana kwezi zimbini kunokubangela amanqanaba aphantsi kakhulu omsebenzi wenkqubo yemithambo-luvo, nto leyo enokubangela nemiphumo ebulalayo, njengokuma kokuphefumla.
Eminye imingcipheko yile:
1. Amathuba okusetyenziswa gwenxa kunye nokuxhomekeka:Xa la mayeza esetyenziswa ixesha elide, kukho ithuba elikhulu lokuba umzimba uya kuwaqhela, oko kukuthi, umlutha wawo. Ngoko ke, ukusebenzisa la mayeza ngaphandle kwengcebiso kagqirha okanye ukwandisa umthamo kuyingozi kakhulu.
2. Umngcipheko Wokusebenzisa Idosi Egqithisileyo: Ukusebenzisa idosi egqithisileyo kunokukhokelela ekuyekeni kokuphefumla, ingakumbi xa kuthathwe kunye namanye amayeza abangela ukozela okanye utywala.
3. Ukozela kunye nokuncipha kwamandla okusabela: Ukusela eli yeza kunokubangela ukuba umzimba wakho ukhawuleze ukusabela. Ngoko ke, kufuneka uphephe ukwenza izinto ezinjengokuqhuba , ukusebenza kwiindawo eziphakamileyo, kunye nokusebenzisa oomatshini abanzima ngelixa ulisebenzisa.
4. Umngcipheko wokusetyenziswa gwenxa: Abanye abantu basebenzisa la mayeza ngeenjongo zolwaphulo-mthetho. Umzekelo, umntu angawaxuba engazi aze asele, nto leyo emenza umntu angabi nangqondo aze amsebenzise kakubi. Eli yeza `(Flunitrazepam)`, ekwaziwa ngokuba yi`Rohypnol`, lidume kakhulu ngale nto.
Yintoni ekufuneka siyenze ukuze sisebenzise eli yeza ngokukhuselekileyo?
Ngazo zonke ezi ngozi, kufuneka ulandele le migaqo ukuze usebenzise ii-benzodiazepines ngokukhuselekileyo.
Landela kanye oko kuthethwa ngugqirha.
Sela eli yeza kuphela ngokwedosi, ngexesha, nangexesha elichazwe ngugqirha wakho. Ungaze wandise idosi ngokwakho kuba nje uzive ungcono, okanye uxelele umhlobo wakho ukuba eli yeza lilungile. Kwakhona, ukuba kufuneka uyeke ukulisebenzisa, yenza njalo emva kokuba uthethe nogqirha wakho. Ukuliyeka ngequbuliso kunokubangela iimpawu zokurhoxa.
Gcina amayeza akho ekhuselekile.
Oku kubaluleke kakhulu. Gcina amayeza akho kwindawo evaliweyo netshixiweyo, ingakumbi kude nabantwana kunye nabanye abantu endlwini. Rhoqo, abantu abawasebenzisa kakubi la mayeza bawafumana kwiikhabhathi zamayeza zosapho nabahlobo.
Ukuba ukrokrela ukuba ungumntu othanda iziyobisi, ungoyiki ukuthetha.
Ukuba ukhathazekile okanye unenkxalabo malunga nokuba likhoboka lale mithi, zive ukhululekile ukuxoxa ngayo ngokukhululekileyo nogqirha wakho. Umsebenzi kagqirha asikokukugweba, kodwa kukukunceda. Emva koko anganciphisa umthamo, akutshintshele kwenye iyeza, okanye atshintshe isicwangciso sakho sonyango njengoko kufanelekile.
Ungazikhusela njani ekutyeni eli yeza ungaqondi?
Ngamanye amaxesha, ngaphandle kokuba sizazi, umntu angabeka isiyobisi esifana nesi kwesinye seziselo zethu. Oku kunokwenzeka nakubani na, nokuba ungowaluphi na uhlobo lwesini. Ngoko ke lumka oku kwindawo kawonke-wonke okanye kwitheko.
- Musa ukuyishiya yodwa isiselo sakho. Musa ukuyishiya ingabonakali, nokuba ngumzuzwana nje.
- Musa ukwamkela isiselo kumntu ongamaziyo.Ngamanye amaxesha isenokuba ngabantu esicinga ukuba ngabahlobo bethu abenza ezi zinto.
- Lumka xa usela kwiibhotile ezivulekileyo.
- Ukuba unesikrokro sokuba isiselo sakho singcolisiwe, musa ukusisela. Ukuba ukrokrela ukuba kukho into eyenzekileyo kuwe, funa uncedo ngoko nangoko kumntu omthembileyo okanye uye esibhedlele.
Ukuba kukho ityhefu egqithisileyo okanye kurhanelwa ukuba ityhefu ifunyenwe, mse ngokukhawuleza kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane. Okanye, ungatsalela umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- IiBenzodiazepines ziluhlobo oluluncedo kakhulu nolunamandla lwamayeza asetyenziselwa ukunyanga iimeko ezifana nokuxhalaba kunye nokungalali.
- Ezi zifanele zisetyenziswe kuphela phantsi kwengcebiso kunye nolawulo logqirha ofanelekileyo.
- Ungaze unike abanye amayeza owanikiweyo. Kwakhona, musa ukusebenzisa amayeza abanye abantu.
- Kuphephe ukusela utywala nangasiphi na isizathu ngelixa usebenzisa eli yeza.
- Gcina amayeza akho evalelwe kwindawo ekhuselekileyo, kude nabantwana nabanye abantu.
- Ukuba unenkxalabo malunga nokuba likhoboka okanye naziphi na ezinye iziphumo ebezingalindelekanga, ungoyiki ukuthetha nogqirha wakho.
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