Ngaba kunzima ukuyeka ukusebenzisa amayeza okudakumba? Masithethe nge-Hyperbolic Tapering!

Ngaba ubusoloko usela amayeza esifo sengqondo esifana nokudakumba ixesha elide? Ngoku ekubeni uzive ungcono kakhulu, ucinge ngokunciphisa amayeza, kodwa bekungelula njengoko ubucinga. Ngaba udidekile ziingxaki ezingaqhelekanga eziza nokuyeka amayeza? Eli nqaku liza kuba libaluleke kakhulu kuwe. Makhe sithethe ngale nto ngokweenkcukacha.

Cinga ngebali lomfazi ogama linguMorgan Stewart. Wayesele esela amayeza okudakumba iminyaka. Wayesela amayeza abizwa ngokuba yiSertraline (igama elithetha iZoloft). Emva kwexesha elithile, wagqiba kwelokuba kufuneka ayeke ukuwasela amayeza kuba imeko yakhe yayisiba ngcono. Ugqirha wakhe wamxelela ukuba ayeke konke ngaxeshanye okanye, ukuze akhuseleke, anciphise amayeza. UMorgan wakhetha elokugqibela.

Kodwa emva kweeveki ezimbalwa ehlisa ipilisi ye-50 mg ukuya kwisiqingatha, waqala ukuba neempawu ezingaqhelekanga. Ukubetha kwentliziyo ngokukhawuleza okungachazekiyo, isiyezi, ukukhala ezindlebeni zakhe, iintloko ezibuhlungu, kunye nokungalali . Emva kwenyanga okanye ezimbini emva kokuyeka ngokupheleleyo amayeza, imeko yakhe yaba mandundu. Wayengakwazi ukuhlala phantsi, wayengakwazi ukulala kakuhle, waza waqala ukuba neengcamango zokulimaza umntu amthandayo okanye yena ngokwakhe.

Izinto zaba zimbi kakhulu kangangokuba uMorgan wade wachitha iintsuku ezimbalwa esibhedlele sengqondo. Kulapho waqonda khona ukuba oku kwakungekuko ukubuya koxinzelelo lwakhe, kodwa ziimpawu zokurhoxa ezaziza nokuyeka amayeza. Oogqirha babiza ezi "ziimpawu zokuyeka" ngokuba "ziimpawu zokuyeka". Kodwa akukho mntu wayesazi ukuba makenze ntoni ngazo. Ekugqibeleni, wanikwa amanye amayeza amabini (''Clonazepam'' kunye ''Buspirone'') ukulawula ezi mpawu zintsha. Ekugqibeleni, wakwazi ukuyeka elinye iyeza waza wanamathela kwamanye amayeza amabini awayenzima ukuwayeka. Nangona kunjalo, kwakungexesha efuna ulwazi kwi-Intanethi apho uMorgan wafunda ngale ndlela intsha enesiseko sesayensi esibizwa ngokuba yi-''Hyperbolic Tapering''.

Kutheni ngamanye amaxesha kuphosakele ukunciphisa amayeza ngendlela eqhelekileyo?

Ngokwezifundo ezithile, phakathi kwama-30% nama-40% abantu abayeka ukusebenzisa amayeza okudakumba banokuziva benobunzima bokuyeka ukusebenzisa amayeza. Umngcipheko weziphumo ebezingalindelekanga uphezulu kakhulu ukuba abantu abebesebenzisa la mayeza ixesha elingaphezu konyaka bayayeka.

Ingxaki ikwindlela esetyenziswa ngoogqirha abaninzi ukunciphisa amayeza. Ibizwa ngokuba yi-"linear tapering." Ngamafutshane, oku kuquka ukunciphisa umthamo wamayeza ngomlinganiselo ofanayo qho ngeveki okanye ngenyanga . Umzekelo, ukunciphisa malunga ne-10 milligrams qho ngeveki.

Uchaza oku ngolu hlobo: Khawucinge ngomntu othatha iimiligram ezingama-20 zeyeza `(Lexapro)`. Ukulinciphisa ukusuka kwi-5 ukuya kwi-0 kuvakala ngathi kunamandla aphindwe kabini engqondweni kunokulinciphisa ukusuka kwi-20 ukuya kwi-15. Kufana nokutsiba eweni. Nangona i-5mg ingabonakala ngathi yidosi encinci koogqirha, ayingobungakanani bepilisi obubalulekileyo, yimpembelelo enayo engqondweni.

Ngoko ke, xa uqala ukunciphisa amayeza, akubonakali ngathi yingxaki enkulu. Kodwa xa unciphisa ii-milligrams ezimbalwa zokugqibela, kunokuvakala ngathi "kuyinto ebuhlungu kakhulu." Xa oogqirha bengayazi le nto, banokucinga ukuba, "Esi sigulana siphinde sabuyela kwisifo."

Amava obuqu kagqirha

UGqr. Horowitz uyazi kakuhle le nto, kuba naye ngokwakhe ukhe wadlula kuyo. Xa wayeka kancinci kancinci ukusebenzisa iyeza iLexapro, awayelisebenzisa kangangeminyaka eli-12, naye wafumana iziphumo ebezingalindelekanga ezibi, kuquka neengcinga zokuzibulala. "Yayiyeyona nto yoyikekayo endakha ndayifumana ebomini bam," utshilo.

Kwakusemva kwale meko apho waqala ukucinga nzulu ngale ngxaki. Wafunda ngononophelo iimpawu ezaziza kuvela xa eyeka ukusebenzisa la mayeza.

Yintoni isayensi esekwe kule ndlela ebizwa ngokuba yi-Hyperbolic Tapering?

Ngamafutshane, "i-Hyperbolic Tapering" yindlela yokunciphisa kancinci kancinci umthamo weyeza, ukulinciphisa kancinci kancinci, nokulinciphisa nangakumbi. Le yinkqubo ecothayo kakhulu eyenzeka kwiinyanga ezininzi, ngamanye amaxesha iminyaka.

Umzekelo, umthamo wamayeza omntu ungancitshiswa nge-10% inyanga nenyanga . Nangona kunjalo, eli 10% libalwa ukusuka kwidosi yamva nje, encitshisiweyo. Ngoko ke njengoko umthamo wamayeza uncitshiswa, ubungakanani bokunciphisa buyancipha. Uphando lubonise ukuba le ndlela ingasetyenziswa ngempumelelo ekumiseni amayeza okudakumba, ukungalali, ukuxhalaba, kunye nezinye izifo zengqondo, kunye nokuyeka amayeza kwezinye iimeko.

Kodwa oku akulula ukukwenza. Kukho imingeni emibini ephambili koku:

1. Ukufumana ugqirha onolwazi: Kunzima ukufumana ugqirha onolwazi ngale ndlela kwaye onokwenza isicwangciso esikufaneleyo.

2. Ukufumana iidosi ezincinci kakhulu: Iinkampani zamayeza azivelisi iipilisi ngeedosi ezincinci kangaka. Ngoko ke kufuneka usebenzise iyeza elilulwelo okanye wenze ezi dosi zincinci ngekhemesti edibanisa amayeza. Zombini ezi dosi zinokubiza kakhulu.

Ibaluleke kangakanani le ndlela? Kutheni oogqirha bethu bengazi ngakumbi ngayo?

Ezinye iingcali zithi le ndlela "yokunciphisa uxinzelelo lwegazi" iyimfuneko kuphela kubantu abambalwa kakhulu abaneempawu ezinzima, kwaye kubantu abaninzi, iimpawu ezenzekayo xa iyeza liyekiswa ngendlela eqhelekileyo azibalulekanga kangako kwaye ziyaphela zodwa.

Kodwa uGqr. Horowitz akavumelani. Uthi, "Le ayingongxaki yabantu abambalwa." Uphando lwakhe lubonise ukuba umntu omnye kwabasixhenxe (1/7) abasebenzisa amayeza iminyaka engaphezu kwemibini bafumana iziphumo ebezingalindelekanga ezibi kakhulu.

Ingxaki ephambili kukuba oogqirha abaninzi abaqeqeshwanga kakuhle koku. Bafundiswa ukuba iziphumo ebezingalindelekanga zincinci kwaye ziya kuphela kwiintsuku ezimbalwa. Ngoko ke, xa isigulana sifika sikhalaza ngeempawu eziqatha, sicinga ukuba, "Oku akukokuyeka, ukugula kwengqondo yakho kubuye." Emva koko babuyisela isigulana kwiyeza.

Yingakho izigulane ezininzi zenze amaqela akwi-intanethi ukuze zithethe ngeengxaki zazo kwaye zifumane izisombululo, kuba oogqirha bazo abazithathi nzulu.

'Njengokuvuka ephupheni'

Namhlanje, uMorgan uthi uziva ngathi “uvuka kwiphupha elibi.” Ugqirha wakhe wayengayixhasi le ndlela intsha, ngoko wafuna uncedo komnye ugqirha owayeqeqeshwe kule nto.

Walungiselela amayeza akhe ekhaya. Wayinyibilikisa ipilisi emanzini, wasebenzisa isirinji, waza walinganisa ukuba zingaphi iimililitha ekufuneka azithathe yonke imihla. Kodwa le yindlela enobungozi kakhulu kwaye inzima. Wakwenza oku kangangeenyanga ezili-15 waza wakwazi ukuyeka ukuthatha iClonazepam ngaphandle kwemiphumo emibi emitsha.

Kubalulekile: Kuyingozi kakhulu ukuzama ezi zinto wedwa. Ngokuqinisekileyo kufuneka ucinge ngokwenza ezi zinto phantsi kweliso likagqirha owaziyo ngale nto. Ukuphosisa idosi kunokuba nemiphumo emibi kakhulu.

UMorgan uthi ubomi bakhe buzele luvuyo kwakhona. "Ndikhululekile ngoku," utshilo. "Ngummangaliso, xa ucinga apho bendikhona."