Uxinzelelo yimeko enzima kakhulu neyoyikisayo. Xa uzama ukuphuma kule meko, mhlawumbi ugqirha ukunike unyango lokuthetha okanye amayeza okudakumba. Nangona kunjalo, olu nyango alusebenzi ngokufanayo kuye wonke umntu. Le yenye yezona ngxaki zinkulu. Ezinye izifundo zibonisa ukuba malunga nomntu omnye kwabathathu abanesifo soxinzelelo akafumani ncedo ngoko nangoko kolu nyango luqhelekileyo.
Kutheni unyango olufanayo lungasebenzi kubo bonke abantu?
Isizathu esiphambili soku kukuba yonke imizimba yethu kunye neengqondo zethu zahlukile kakhulu. Nokuba sisiyobisi esifanayo, indlela ingqondo yakho esabela ngayo kuso kunye nendlela ingqondo yomnye umntu esabela ngayo ingahluka kakhulu. Khawucinge nje, nokuba ngabantakwenu ababini kusapho olunye baneencasa ezahlukeneyo ngokutya, iziselo, kunye neempahla. Yiyo loo nto kunjalo. Iikhemikhali ezikwiingqondo zethu nazo zisebenza ngokwahlukileyo ukusuka komnye umntu ukuya komnye.
Ngamafutshane, kunzima nokuba oogqirha bathi ngokuchanekileyo ngokupheleleyo, "Kulungile, eli liyeza elifanelekileyo kuwe" ekuqaleni. Yiyo loo nto ngamanye amaxesha kuthatha ixesha ukufumana iyeza elifanelekileyo kuwe.
Kodwa ungalahli ithemba. Isayensi yezonyango iyaphucuka imihla ngemihla. Yiyo loo nto ngoku sineendlela ezintsha nezisebenzayo zokunyanga ukudakumba. Kufanele sivuye xa sicinga ngaloo nto.
Amayeza e-SSRI aphucukileyo ngakumbi
Kule mihla, ugqirha unethuba elingcono lokuqala ngokunika umntu oneMajor Depression Disorder (MDD) amayeza abizwa ngokuba yi -SSRIs (Selective Serotonin Reuptake Inhibitors) . La mayeza aphucuke kakhulu kunamayeza amadala.
Nangona eli gama lisenokuvakala ngathi yinto enkulu, eneneni lilula kakhulu. Iingqondo zethu ziqulethe i-neurotransmitter ebizwa ngokuba yi-"Serotonin." Oku kunceda ekulawuleni izinto ezifana neemvakalelo zethu, ulonwabo, kunye nokulala. Abantu abanesifo soxinzelelo banokuba namanqanaba aphantsi ale serotonin. Amayeza e-SSRI asebenza ngokugcina i-serotonin engqondweni isebenza ixesha elide. Kufana nokumisa ukuhamba kwamanzi okwethutyana uze uwagcine apho kufuneka abe khona ixesha elide.
Nazi ezinye iintlobo zamayeza akwiqela le-SSRIs:
| Igama eliqhelekileyo leyeza | Igama lebrendi elisetyenziswa kakhulu |
|---|---|
| I-Citalopram | (uCelexa) |
| I-Escitalopram | (Lexapro) |
| I-Fluoxetine | (Prozac) |
| I-Paroxetine | (Paxil) |
| I-Sertraline | (Zoloft) |
Enye yezona nzuzo zinkulu zala mayeza e-SSRI kukuba aneziphumo ebezingalindelekanga ezimbalwa kakhulu xa kuthelekiswa namayeza amadala. Ngoko ke ungaqhubeka nokusebenzisa la mayeza ngaphandle kweengxaki de ufumane iziphumo ozifunayo.
Ngokomyinge, malunga nabantu abathandathu kwabalishumi (6/10) abasebenzisa ii-SSRI baya kubona ukuphucuka okukhulu kwiimpawu zabo kwiinyanga ezimbini. Kodwa ama-40% aseleyo asenokungafumani kuphumla kwezi ziyobisi zodwa. Kulapho ke kufuneka siqwalasele ezinye iindlela zonyango.
Ithemba lamva nje kwabo bangaqhelananga nonyango: iKetamine
I-Ketamine liyeza elizise ithemba elikhulu kwabo banesifo sokudakumba esinganyangekiyo kunyango kodwa abangasabeliyo kumayeza aqhelekileyo.
Nangona eli yeza lalisetyenziswa ekuqaleni njengeyeza lokubulala iintlungu ngexesha lotyando, kamva kwafunyaniswa ukuba linokubonelela ngokukhawuleza kakhulu kwingxaki yokudakumba. I-Ketoconazole isebenza ngendlela eyahlukileyo ngokupheleleyo kune-SSRIs. Oko kukuthi, ichaphazela inkqubo eyahlukileyo yeekhemikhali engqondweni.
Yintoni ekhethekileyo nge-ketamine?
- Iziphumo ezikhawulezayo: Akunyanzelekanga ukuba ulinde iiveki njengamayeza esiqhelo. I-Ketamine inokubonelela ngoncedo lwengqondo ngokukhawuleza, ngamanye amaxesha kwanakwiiyure ezimbalwa.
- Ifanelekile kwiimeko ezinzima: Oku kusebenza kakhulu kwabo bangaphenduliyo kumayeza anjengee-SSRI. Ikwanceda ukulawula iimeko ezinzima ezifana neengcinga zokuzibulala.
Unyango lweKetamine lunokufumaneka ngeendlela ezimbini eziphambili:
1. Isifutho sempumlo: Le yiSpravatoIza phantsi kwegama lophawu elithi "Esketamine." Iqulethe ikhompawundi ebizwa ngokuba yi-"esketamine," oluluhlobo lwe-ketamine. Ivunyiwe ziiarhente ezifana ne-U.S. Food and Drug Administration (FDA), ngoko ke ifumaneka nangomshuwalense.
2. Uhlobo lwe-Intravenous (IV): Indlela yokunika eli yeza ngqo emzimbeni ngomthambo. Nangona oku kungekavunywa ngokusemthethweni kwi-depression (ukusetyenziswa ngaphandle kweleyibhile), lisetyenziswa kwiimeko ezinzima phantsi kweliso loogqirha abathile.
Okubaluleke kakhulu, zonke ezi ndlela zonyango maziqhutywe phantsi kweliso elibukhali likagqirha ofanelekileyo. Ungaze uzame ezi zinto wedwa. Ugqirha wakho ufanele agqibe ukuba loluphi unyango olulungele imeko yakho.
Umyalezo Wokuya Ekhaya
- Ukunyanga ukudakumba kwahlukile kumntu ngamnye. Iyeza elinye alisebenzi kuye wonke umntu, kwaye oko kuqhelekile.
- Ii-SSRI ziyindlela yonyango yodidi lokuqala ekhuselekileyo nesebenzayo esetyenziswayo namhlanje.
- Ukuba awupholi ngamayeza okuqala owanikwayo, musa ukucinga ukuba kuphelile. Oko kuthetha ukuba udinga unyango olwahlukileyo.
- Unyango lwanamhlanje, olufana neKetamine, luzise ithemba elikhulu kwabo bangasabeliyo kumayeza aqhelekileyo.
- Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho ngayo yonke into esengqondweni yakho. Nguye umntu ofanelekileyo ukufumana unyango olukufaneleyo.
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