Ngaba uziva ungonwabanga kangako, ulusizi nje, kwaye uphelelwe ngumdla kwizinto obukade uzonwabela? Okanye unesifo esifana nexhala esikwenza ukhathazeke nangezinto ezincinci kwaye sikwenze uzive usoyika ngokungeyomfuneko? Olu hlobo lweengxaki zempilo yengqondo luxhaphake kakhulu kuluntu lwanamhlanje. Xa usiya kugqirha kwimeko enjalo, kusenokwenzeka ukuba akunike iyeza elibizwa ngokuba yi-SSRI. Ke namhlanje, masithethe ngendlela elula kakhulu malunga nokuba zezi SSRI, indlela ezisebenza ngayo, kunye nayo yonke into ekufuneka uyazi ngazo.
Ngamafutshane, zithini ezi SSRI?
Ii-SSRI ziluhlobo olusetyenziswa kakhulu lwemithi yokudakumba . Igama elipheleleyo yi -Selective Serotonin Reuptake Inhibitors . Nangona igama livakala liyinkimbinkimbi kancinci, indlela esebenza ngayo ilula kakhulu. La mayeza alawula ikakhulu umsebenzi wekhemikhali ebizwa ngokuba yi-'Serotonin' engqondweni yethu. Le serotonin sisithunywa sekhemikhali esibaluleke kakhulu esichaphazela izinto ezininzi engqondweni yethu, ezinje ngolonwabo, usizi, ukulala, kunye nomdla wokutya.
Nangona kukho iintlobo ezahlukeneyo zemithi yokudakumba ezithengiswayo, oogqirha badla ngokukhetha ii-SSRI kuqala. Isizathu esiphambili soku kukuba zineziphumo ebezingalindelekanga ezimbalwa kunezinye iintlobo zamayeza kwaye azinzima kangako. Ke ngoko, zingasetyenziswa ngokukhuselekileyo ngabantu abaninzi.
Eli yeza lisebenza njani emzimbeni?
Ukuze siqonde oku, masithathe umzekelo omncinci. Khawucinge ukuba ingqondo yethu sisixeko esikhulu. Kukho amawakawaka abathunywa kwesi sixeko abathwala imiyalezo ukusuka kwenye indawo ukuya kwenye. 'I-Serotonin' ngomnye wabathunywa ababaluleke kakhulu. Kwizonyango, abathunywa sibabiza ngokuba 'zii-neurotransmitters' .
Oku kuqhele ukwenzeka: I-Serotonin ikhutshwa kwiseli yobuchopho (i-neuron) ize ithumele umyalezo kwenye iseli ekufutshane. Emva kokuba umyalezo uthunyelwe, iseli efanayo ewukhuphileyo iyawubuyisela. Le nkqubo siyibiza ngokuba yi-'reuptake' . Kufana nomntu othumela iposi ebuyela eposini emva kokuhambisa ileta.
Abanye abantu abaneengxaki ezifana nokudakumba kunye noxinzelelo banokuba namanqanaba e-serotonin anciphile kancinci engqondweni yabo, nto leyo enokubangela ukuba imiyalezo ingadluliswa ngendlela efanelekileyo.
Ii-SSRI zivimba oko kuphinda kuthathwe kwakhona okwethutyana. Oku kuvumela i-serotonin ukuba ihlale phakathi kweeseli ixesha elide kwaye idlulise umyalezo wayo ngokuchanekileyo. Ngale ndlela, xa umsebenzi we-serotonin engqondweni usanda, imeko yakho yeemvakalelo iqala ukuphucuka kancinci kancinci.
I-Serotonin inceda ekulawuleni ezi zinto emzimbeni wethu:
- Imvakalelo: Iimvakalelo ezifana nolonwabo, usizi.
- Ukulala: Ukuze ulale kamnandi ebusuku.
- Umnqweno wokutya: Ukuziva ulambile.
- Inkumbulo: Ukukhumbula izinto.
- I-Libido: Umnqweno wesondo.
- Ukuziphatha kwentlalo: Ukujongana nabanye abantu.
Zeziphi iimeko ezisetyenziselwa ii-SSRI?
Nangona ii-SSRI zaziwa kakhulu njengonyango lokudakumba, oogqirha bayazinika nezinye izifo zengqondo nezomzimba.
| Imeko | Ingcaciso elula |
|---|---|
| Ingxaki Yoxinzelelo Olukhulu (MDD) | Usizi olukhulu, oluhlala ixesha elide kunye nokulahlekelwa ngumdla ochaphazela ubomi bemihla ngemihla. |
| Ingxaki Yokuxhalaba Okuqhelekileyo (i-GAD) | Ukuhlala uxhalabile kwaye usoyika izinto ezahlukeneyo ngaphandle kwesizathu esithile. |
| Isifo Sokuxhalaba Okugqithisileyo (OCD) | Iingcinga eziphazamisayo neziphindaphindayo (iingqondo ezigqithisileyo) kunye nezenzo eziphindaphindwayo ukuphendula kuzo (ukunyanzelwa). |
| Ingxaki yoXinzelelo | Uloyiko olugqithisileyo ngequbuliso kunye neempawu zomzimba (ukubetha kwentliziyo, ukubila) ezenzeka ngaphandle kwesizathu. |
| Ingxaki Yoxinzelelo Emva Kwengozi (PTSD) | Uxinzelelo oluvela emva kwesiganeko esoyikisayo kunye nokukhumbula rhoqo eso siganeko. |
| Ingxaki Yokukhathazeka Kwentlalo | Uloyiko olugqithisileyo kunye neentloni zokuba abanye baya kukugxeka kwiimeko zoluntu. |
Ukongeza, ngokusekelwe kumava kagqirha kunye nobungqina bezonyango, la mayeza anokumiselwa nakwezinye iimeko zonyango. Umzekelo, asetyenziselwa ukuchama ngaphambi kwexesha, iimeko ezibuhlungu ezingapheliyo ezifana ne-fibromyalgia, kunye nezinye iingxaki zokutya.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga? Ngaba ziyenzeka kuye wonke umntu?
Njengayo nayiphi na imithi, ii-SSRI zinokubangela iziphumo ebezingalindelekanga kwabanye abantu. Kodwa khumbula, ayinguye wonke umntu ozifumanayo. Uninzi lwezi ziphumo bezingalindelekanga zenzeka kwiiveki zokuqala zokuthatha amayeza. Uninzi lwazo ziyaphela zodwa njengoko umzimba wakho uqhelana namayeza.
| Iziphumo ebezingalindelekanga eziqhelekileyo | Ingcaciso |
|---|---|
| Iingxaki zenkqubo yokugaya ukutya | Isicaphucaphu, ukuhlanza, iintlungu zesisu, urhudo, okanye ukuqhina. |
| Intloko ebuhlungu | Usenokuba nentloko ebuhlungu kancinci kwiintsuku zokuqala ezimbalwa. |
| Utshintsho ebuthongweni | Abanye abantu banokufumana ubunzima bokulala (ukungalali) okanye ukozela kakhulu. |
| Umlomo Owomileyo | Ukuncipha kokuvuza kwamathe emlonyeni. Oku kungalawulwa ngokusela amanzi rhoqo. |
| Ukuziphatha okubi ngokwesondo | Izinto ezinje ngokuncipha komnqweno wesondo kunye nobunzima bokufikelela kwi-orgasm zinokwenzeka. |
| Isiyezi | Inokwenzeka ngakumbi xa kutshintshwa izikhundla. |
Ukuba ezi ziphumo bezingalindelekanga ziyakukhathaza, qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba uyeke ukusebenzisa amayeza. Usenokukwazi ukulungisa umthamo, akutshintshele kwelinye iyeza, okanye akunike indlela yokulawula ezi ngxaki.
Iingozi ezikhethekileyo ekufuneka uzazi
Nangona ii-SSRI zihlala zingamayeza akhuselekileyo, kukho iingozi ezinkulu ezinokwenzeka rhoqo, kodwa ngokuqinisekileyo kufanelekile ukuzazi .
Isifo Sokuyeka Ukuxinezeleka
Ukuba uyeka ukuthatha i-SSRI kangangeeveki ezingaphezu kwezi-6, unokufumana ezinye iziphumo ebezingalindelekanga. Umzekelo, isiyezi , iintlungu zomzimba, isicaphucaphu, kunye noxinzelelo oluphezulu. Eyona ndlela ilungileyo yokuphepha oku kukunciphisa kancinci umthamo kangangeenyanga ezininzi, phantsi kwesikhokelo sikagqirha wakho.
Isifo seSerotonin
Le yimeko engaqhelekanga kodwa imbi kakhulu. Yenzeka xa amanqanaba e-serotonin emzimbeni ephakama kakhulu. Le ngozi inokwanda ukuba uthatha ii-SSRI kunye namanye amayeza achaphazela amanqanaba e-serotonin (umz., amanye amayeza okukhwehlela, amayeza e-migraine).
Nika ingqalelo kwezi mpawu:
- Ukungazinzi, ukudideka
- Ukubetha kwentliziyo
- Bendinomkhuhlane.
- Ukuqina kwemisipha okanye ukushukuma
- Ukubila okugqithisileyo
Ukuba ufumana enye okanye ezingaphezulu kwezi mpawu, musa ukuzityeshela. Fowunela ugqirha wakho ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe.
Iingcinga Zokuzibulala
Oku kubaluleke kakhulu. Ingakumbi kwiiveki zokuqala emva kokuqala ii-SSRI, ngamanye amaxesha kukho umngcipheko omncinci wokwanda kweengcinga zokuzibulala kubantu abangaphantsi kweminyaka engama-25 ubudala. Ukuba wena okanye umntu kusapho lwakho unezi ngcinga, xelela ugqirha wakho ngoko nangoko. Oku kusenokuba kokwexeshana, kwaye ugqirha wakho unokukunceda ufumane uncedo olufunayo.
Amanye amayeza angahambelaniyo nalo mayeza
Ukuba usebenzisa i-SSRI, kubaluleke kakhulu ukuxelela ugqirha wakho ngazo zonke ezinye iindlela ozisebenzisayo, njengoko ezinye iindlela zonyango zinokusebenzisana ne-SSRI, zinyuse iziphumo ebezingalindelekanga okanye ziphazamise ukusebenza kakuhle kweziyobisi.
Lumka ngakumbi ngala mayeza:
- Amayeza athintela ukujiya kwegazi: afana ne-aspirin kunye ne-clopidogrel.
- Iintlungu: Ii-NSAID ezifana ne-ibuprofen kunye ne-diclofenac.
- Amanye amayeza asetyenziselwa ukunyanga iintloko ezibuhlungu: IiTriptans.
- Ezinye izinto ezibangela uxinezeleko.
- Amanye amayeza okukhwehlela: Umzekelo, iisiraphu ezine-dextromethorphan.
- Iimveliso zezityalo: Ingakumbi imifuno iSt. John's Wort.
Nokuba uthenga iyeza lokukhwehlela okanye lokubandayo kwikhemesti, kungcono ukulithatha emva kokubonisana nogqirha wakho.
Ingaba kulungile ukusebenzisa ezi zinto ngexesha lokukhulelwa kunye notywala?
Ukukhulelwa
Le yingongoma ebucayi kakhulu. Kukho izimvo ezahlukeneyo malunga nokukhulelwa ngelixa uthatha ii-SSRI okanye uthatha amayeza ngelixa ukhulelwe. Ezinye izifundo zibonisa ukuba zinokuba nemiphumo ethile kumntwana osesibelekweni. Nangona kunjalo, ukungalawuli ukudakumba kukamama ngexesha lokukhulelwa kunokuba yingozi kumama nakumntwana. Ke ngoko, ukuba ukhulelwe okanye uceba ukukhulelwa, kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho ngale nto. Uya kuvavanya iingenelo kunye neengozi, kuxhomekeke kwimeko yakho, aze akuncede wenze isigqibo esifanelekileyo kuwe.
Utywala
Kungcono ukungaseli utywala ngokupheleleyo xa usebenzisa ii-SSRI. Utywala bukwayidambisa-xinzelelo, nto leyo enokwenza ukudakumba okanye ixhala lakho libe mandundu. Bunokuphazamisa ukusebenza kakuhle kwamayeza, bukwenze uzive ulele kwaye unesiyezi .
Kuthatha ixesha elingakanani ukubona iziphumo zeyeza?
Oku kukwayingxaki kubantu abaninzi. Ii-SSRI aziloyeza elisebenza ngoko nangoko njengeyeza lokubulala iintlungu. Zichaphazela ukwakheka kweekhemikhali zobuchopho kwaye zithatha ixesha ukuvelisa iziphumo ezizinzileyo.
Ngokwesiqhelo, uza kuqala ukuziva uphucukile kwiiveki ezi-4 ukuya kwezi-6 emva kokuba uqale ukuthatha idosi echazwe ngugqirha wakho. Kwabanye abantu, oku kungathatha iiveki ezili-9 okanye ezili-12. Ngoko ke, ungayeki ukuthatha amayeza kuba uvakalelwa kukuba akukho mahluko kwiiveki zokuqala ezimbalwa. Yiba nomonde kwaye uqhubeke nokusebenzisa amayeza. Ukuba awuziva uphucukile emva kweenyanga ezimbini ukuya kwezintathu, thetha nogqirha wakho ngaloo nto.
Ukusela amayeza okudakumba okanye ukuxhalaba akusosiso ubuthathaka bomntu. Kuqhelekile njengokusela amayeza esifo seswekile okanye uxinzelelo lwegazi oluphezulu. La mayeza anokwenza umahluko omkhulu kwimpilo yakho yengqondo neyomzimba. Anokuba lukhuthazo olukhulu ekukuncedeni ubuyele kubomi bakho obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- Ii-SSRI ziluhlobo oluqhelekileyo nolukhuselekileyo lwamayeza asetyenziselwa ukunyanga iingxaki ezahlukeneyo zempilo yengqondo, ezinje ngokudakumba kunye nokuxhalaba.
- Ezi zisebenza ngokulinganisela umsebenzi wesithunywa sekhemikhali engqondweni esibizwa ngokuba yi-serotonin.
- Kungathatha iiveki ezi-4-6 nangaphezulu ukuze uve iziphumo ezipheleleyo zeyeza, ngoko ke yiba nomonde kwaye uqhubeke ulisebenzisa.
- Eyona nto ibalulekileyo: Ungaze uyeke ukuthatha amayeza akho ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela ozisebenzisayo (kuquka amayeza okudambisa iintlungu, iivithamini, kunye neemveliso zezityalo).
- Ukuba ufumana iimpawu ze-serotonin syndrome, ezinje ngokudideka, ukubetha kwentliziyo ngokukhawuleza, kunye nomkhuhlane, funa ingcebiso kagqirha ngoko nangoko okanye uye kwigumbi longxamiseko (ETU).
- Ukuba unemibuzo okanye iinkxalabo malunga nale mithi, thetha nogqirha wakho ngayo ngokukhululekileyo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment