Emva kokuba ufumanise ukuba unesifo sokudakumba, mhlawumbi uye wabona ugqirha waza waqalisa ukuthatha amayeza. Ngoku mhlawumbi uziva ukuba uya uphucuka. Loo mthwalo unzima kunye noxinzelelo owawuluva ngoku selunciphile kancinci. Ngoko ke ngoku mhlawumbi ucinga, "Kulungile, ngoku ndiziva ndingcono, ngoko ke ndingayeka ukusebenzisa la mayeza." Kodwa ugqirha wakho mhlawumbi uthi, "Siza kuqhubeka nokusebenzisa la mayeza okwethutyana." Kutheni usitsho njalo? Makhe sithethe ngale nto ngokweenkcukacha namhlanje.
Kutheni kufuneka ndiqhubeke ndithatha amayeza nokuba sele ndiphilile?
Into yokuqala ekufuneka uyiqonde kukuba amayeza okudakumba awafani namayeza omkhuhlane okanye ukukhwehlela. Xa sinomkhuhlane, sithatha amayeza kangangeentsuku ezimbalwa ukuze sinyange ngokupheleleyo isifo. Kodwa ukudakumba yimeko eyahlukileyo. La mayeza alawula iimpawu zokudakumba kwaye anike isiqabu engqondweni yakho.
Cinga ngokuthatha amayeza esifo seswekile okanye uxinzelelo lwegazi oluphezulu. Endaweni yokuphelisa ngokupheleleyo esi sifo, loo mayeza anceda ekulawuleni nasekukuncedeni uphile ubomi obuqhelekileyo. Ukudakumba ngamanye amaxesha kunokuba sisifo esingapheliyo esifuna unyango olude .
Ukuba unengxaki yokudakumba okokuqala, i-American Psychiatric Association icebisa ukuba uqhubeke usela amayeza kangangeenyanga ezine ukuya kwezintlanu , nokuba iimpawu zakho ziphucukile kakhulu kwaye uzive ungcono. Ukuba ukhe waba nesifo sokudakumba izihlandlo ezininzi ngaphambili, kunokufuneka uthathe amayeza ixesha elide, mhlawumbi ubomi bakho bonke.
Oku kungenxa yokuba ukuba uyeka ukuthatha amayeza ngokukhawuleza, umngcipheko wokubuyela umva uphezulu kakhulu. Ukuqhubeka usebenzisa amayeza okulawula isifo ngale ndlela kubizwa ngokuba yi- "Maintenance Treatment."
Ngawaphi amayeza aqhelekileyo okunyanga ukudakumba?
Kukho iintlobo ezahlukeneyo zamayeza asetyenziselwa ukunyanga ukudakumba. Elinye lala mayeza lisebenza ngendlela eyahlukileyo kancinci. Ugqirha wakho uza kukhetha amayeza afanelekileyo kuwe ngokwemeko yakho, iimpawu kunye nezinye iimeko zempilo.
Ii-Antidepressants ezintsha
Kwiminyaka engamashumi amabini edlulileyo, kuye kwaveliswa amayeza amaninzi asebenzayo aneziphumo ebezingalindelekanga ezimbalwa.
| Udidi lweziyobisi | Indlela esebenza ngayo ilula. | Iziphumo ebezingalindelekanga ezinokubakho |
|---|---|---|
| Ii-SSRI (ii-Selective Serotonin Reuptake Inhibitors) Umzekelo: iFluoxetine, iSertraline, iCitalopram, iEscitalopram | Iphucula umsebenzi we- serotonin , ikhemikhali ethumela umyalezo engqondweni elawula indlela esivakalelwa ngayo. | Ukuphazamiseka kwesisu, ukungasebenzi kakuhle ngokwesondo, ukungalali, isiyezi, ukutshintsha kobunzima, intloko ebuhlungu. (Ubukhulu becala incinci) |
| Ii-SNRI (iiSerotonin kunye neeNorepinephrine Reuptake Inhibitors) Umzekelo: iVenlafaxine, iDuloxetine | Iyandisa umsebenzi weekhemikhali ezibizwa ngokuba yi-serotonin kunye ne-norepinephrine . | Ukuphazamiseka kwesisu, iingxaki zokulala, ukungasebenzi kakuhle ngokwesondo, intloko ebuhlungu, ixhala, isiyezi, ubuthathaka. |
| Ii-NDRI (i-Norepinephrine kunye nee-Dopamine Reuptake Inhibitors) Umzekelo: iBupropion (iWellbutrin) | Ichaphazela umsebenzi wee-chemical messengers norepinephrine kunye ne-dopamine . | Ukuphazamiseka kwesisu, intloko ebuhlungu, iingxaki zokulala, ukungcangcazela, ixhala. (Iziphumo ebezingalindelekanga zesondo kunye nokutyeba azifumaneki rhoqo. ) Eli yeza alifanelekanga kubantu abakhe baxhuzula ngaphambili. |
| IiNaSSA (iiNoradrenergic kunye neeSpecific Serotonergic Antidepressants) Umzekelo: iMirtazapine (iRemeron) | Zombini i-serotonin kunye ne-norepinephrine zichaphazeleka ngeendlela ezahlukeneyo. | Ukuphazamiseka kwesisu, ukozela, ukunyuka kobunzima, ixhala, isiyezi. |
Amayeza Okunciphisa Uxinezeleko Abadala
Kukwakho namayeza awayesetyenziswa ukunyanga ukudakumba ngaphambili. La ngamaTricyclic Antidepressants kunye namaMAOI (Monoamine Oxidase Inhibitors).Ezi zisebenza ngokuchaphazela izithunywa zeekhemikhali (ii-neurotransmitters) engqondweni.
Nangona la mayeza esebenza kakhulu kwabanye abantu, aneziphumo ebezingalindelekanga ezininzi. Kwaye ngenxa yokuba anokubangela iingxaki ngamanye amayeza kunye nokutya okuthile, oogqirha abasawacebisi njengokhetho lokuqala. Nangona kunjalo, la mayeza amadala anokuba lukhetho olufanelekileyo kwabanye abantu abangaphenduliyo kumayeza amatsha.
Amanye Amayeza
Ngamanye amaxesha, ugqirha angagqiba ekubeni anike amanye amayeza kunye namayeza okudakumba.
- Amayeza okunyanga ixhala okanye ukungalali: La mayeza anceda ukulawula ixhala kunye neengxaki zokulala ezibangelwa kukudandatheka.
- Ii-Antipathy Antipsychotics: Amayeza anjenge-Aripiprazole (Abilify) kunye ne-Quetiapine (Seroquel), adla ngokunikezelwa kwi -schizophrenia okanye kwi-bipolar disorder, anokunceda ukuphucula ukusebenza kwe-antidepressant xa inganele.
- I-L-methylfolate (i-Deplin): Nangona ingachazwanga njengeyeza yi-FDA, ithathwa njenge "ukutya kwezonyango." Olu luhlobo olunamandla lwevithamini B ebizwa ngokuba yi-folate. Inceda ekulawuleni iikhemikhali ezithumela ingqondo ezilawula imood. Ibe luncedo ekunyangeni ukudakumba okungakhange kuphendule kwezinye iindlela zonyango.
Ufumana njani amayeza afanelekileyo kuwe?
Ngelishwa, akulula ukufumana amayeza afanelekileyo kunye nedosi efanelekileyo kuwe. Wonke umntu usabela ngokwahlukileyo kwiyeza elifanayo. Kwanogqirha wakho akanakuqikelela ukuba iyeza liza kusebenza kakuhle kangakanani kuwe.
Ngoko ke le yinto ekufuneka yenziwe ngomonde . Kusenokufuneka uzame ukutshintsha amayeza. Ngokwesiqhelo, uya kuqala ukuziva ukhululekile kwiiveki ezimbalwa emva kokuqala i-antidepressant, kodwa kungathatha iinyanga ezininzi ukuze uve iziphumo ezipheleleyo. Ngoko ke ungayeki ngokukhawuleza. Ekuhambeni kwexesha, ugqirha wakho unokunyusa okanye anciphise umthamo wakho ngokwemeko yakho.
Ukuba ubusoloko usela iyeza ixesha elide kwaye alincedi, qiniseka ukuba uthetha nogqirha wakho ngalo. Usenokucebisa ukuba uzame elinye iyeza. Ekuhambeni kwexesha, ungafumana iyeza okanye indibaniselwano yamayeza alungele wena.
Eyona nto ibalulekileyo kukuba, nokuba uzive ungcono ngoku, ungaze uyeke ukuthatha amayeza akho ngaphandle kokubonisana nogqirha wakho kuqala. Ukwenza njalo kunokubangela ukuba ukudakumba kwakho kubuye, okanye ngamanye amayeza, kunokubangela iziphumo ebezingalindelekanga ezifana neempawu ezifana nomkhuhlane, isicaphucaphu, kunye nesiyezi. Ngoko ke, ukuba uyayeka ukuthatha amayeza akho, yenza njalo kancinci kancinci, ulandela imiyalelo kagqirha wakho.
Ugqirha wakho ufanele ukukubona rhoqo, ingakumbi xa uqala ukusebenzisa amayeza amatsha. Ngeli xesha, thetha ngokukhululekileyo nangayiphi na ingxaki okanye iingxaki onokuba unazo ngeyeza.
Umyalezo Wokuya Ekhaya
- Ukudakumba akubobuthathaka, yimeko yezonyango efuna unyango, njengesifo seswekile.
- Nokuba uzive ungcono, qhubeka nokusela amayeza akho logama nje ugqirha wakho ekuxelela ukuba uthintele ukuphinda ubuye. Oku kubizwa ngokuba "lunyango lolondolozo."
- Kungathatha ixesha ukufumana amayeza afanelekileyo kunye nomlinganiselo ofanelekileyo kuwe, ngoko ke yiba nomonde ngonyango lwakho.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwemvume kagqirha wakho.
- Ukuba unemibuzo malunga namayeza okanye nayiphi na ingxaki onayo, thetha ngayo ngokukhululekileyo nogqirha wakho.
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