Ngaba wakha wamiselwa amayeza ngugqirha wakho ngenxa yokudakumba okanye enye imeko yempilo yengqondo? Ukuba kunjalo, usenokuba uqhelene negama elithi SSRI. Eli ligama eliqhelekileyo lodidi lwamayeza. Ekubeni abantu abaninzi besebenzisa olu hlobo lwamayeza, kubalulekile ukuba wazi kakuhle ukuba yintoni na. Ke namhlanje, masithethe ngokufutshane malunga nokuba ziyintoni ii-SSRI, indlela ezisebenza ngayo, kunye noko kufuneka ukwazi xa uzisebenzisa.
Ngamafutshane, zithini ii-SSRI?
Ii-SSRI sisifinyezo seSelective Serotonin Reuptake Inhibitors . Ziluhlobo lwamayeza asetyenziswa kakhulu ukunyanga iimpawu zesifo sengqondo ezifana nokudakumba. Nangona kunjalo, oogqirha bawanika nezinye izifo zengqondo ezininzi, kungekuphela nje ukudakumba.
Kukho iintlobo ezahlukeneyo zamayeza okudakumba. Phakathi kwazo, oogqirha badla ngokukhetha olu hlobo lwe-SSRI kuqala. Isizathu esiphambili soku kukuba, xa kuthelekiswa nezinye iintlobo zamayeza, ii-SSRI zihlala zineziphumo ebezingalindelekanga ezimbalwa kwaye azibi nzima kangako. Oku kwenza kube lula kakhulu kwizigulana ukuzisebenzisa.
Ezinye ze-SSRI ezichazwe rhoqo eSri Lanka
Jonga ukuba igama leyeza elinikwe ngugqirha wakho likho na kolu luhlu. Ezi zezinye zezona SSRI zisetyenziswa kakhulu ehlabathini naseSri Lanka. Amagama eempawu anokwahluka, kodwa aqulathe olu hlobo lwamayeza.
- I-Fluoxetine
- I-Sertraline
- I-Escitalopram
- I-Citalopram
- I-Paroxetine
- I-Fluvoxamine
Zeziphi iimeko ezisetyenziswa leli yeza?
Oogqirha banika eli yeza kwiimeko ezahlukeneyo. Amanye ala mayeza avunyiwe ngokusemthethweni ukuba asetyenziswe. Kwezinye iimeko, oogqirha banokuthi bawanike ezinye iimeko ngokusekelwe kumava abo kwezonyango.
| Iimeko apho ii-SSRI zidla ngokumiselwa khona | |
|---|---|
| Izifo ezicetyiswayo kakhulu |
|
| Amanye amatyala anikwe ngokubona kukagqirha |
|
Eli yeza lisebenza njani emzimbeni? Liyamangalisa!
Kulula kakhulu ukuyiqonda le nto. Iiseli zethu zengqondo ziyanxibelelana, oko kukuthi, zitshintshiselana imiyalezo, ngeekhemikhali ezibizwa ngokuba zii-neurotransmitters .
I-Serotonin yenye yezona neurotransmitter zikhethekileyo. Ngamafutshane, i-serotonin inceda ekulawuleni izinto ezininzi, kuquka indlela esivakalelwa ngayo, ulonwabo, ukulala, kunye nomdla wokutya. Yiyo loo nto abanye abantu beyibiza ngokuba yi-"happy hormone."
Cinga ngale ndlela. Iseli enye yengqondo ithumela umyalezo kwenye iseli isebenzisa i-serotonin. Emva kokuhambisa umyalezo, iseli ethumele umyalezo ifunxa i-serotonin eseleyo kuyo. Oku kubizwa ngokuba yi- "reuptake".
Kwiimeko ezifana nokudakumba, amanqanaba e-serotonin engqondweni anokwehla. Amayeza e-SSRI enza into elula kakhulu. Athintela ukuphinda kuthathwe i-serotonin. Kwenzeka ntoni ke? Ubungakanani be-serotonin phakathi kweeseli buyanda. Oku kuphucula isimo sengqondo kwaye iimpawu zokudakumba ziqala ukwehla kancinci kancinci.
Olu hlobo lwamayeza "lukhetha" kuba luchaphazela kakhulu i-serotonin. Alunampembelelo ingako kwezinye ii-neurotransmitters ezifana ne-dopamine okanye i-norepinephrine. Leyo yenye yezizathu zokuba iziphumo ebezingalindelekanga zinciphe.
Iziphumo ebezingalindelekanga kunye neengozi ekufuneka uzazi
Njengayo nayiphi na imithi, ii-SSRI zinokuba nemiphumo emibi. Asinguye wonke umntu ozifumanayo, kodwa zihlala ziphela emva kweentsuku ezimbalwa. Ukuba uneengxaki, qiniseka ukuba uthetha nogqirha wakho.
| Iziphumo ebezingalindelekanga eziqhelekileyo | |
|---|---|
| Isicaphucaphu okanye ukuhlanza | Ixhaphake kakhulu kwizigaba zokuqala zokuqalisa amayeza. |
| Intloko ebuhlungu | Oku kudla ngokuba yinto yexeshana. |
| Iingxaki zokulala | Ukungalali okanye ukulala kakhulu. |
| Umlomo owomileyo | Amanzi okusela anokunceda. |
| Iingxaki zesondo | Ukuncipha komnqweno wesondo, ubunzima bokufikelela kwi-orgasm, njl. Ukuba oku kuyayichaphazela ubudlelwane bakho, xelela ugqirha wakho. |
| Isiyezi | Lumka ngakumbi xa utshintsha indawo. |
Iingozi ezifuna unonophelo oluphezulu
Ezi zizinto ezinzulu kancinci. Zinqabile kakhulu. Kodwa kubalulekile ukuba uzazi.
1. Isifo seSerotonin
Le yeyona ngozi iyingozi. Le meko yenzeka xa ubungakanani be-serotonin emzimbeni busanda ngokungeyomfuneko. Isizathu esiphambili soku kukuba amayeza e-SSRI athathwa kunye namanye amayeza anyusa amanqanaba e-serotonin (umz. ii-MAOI). Ngoko ke, kubaluleke kakhulu ukwazisa ugqirha wakho ngawo onke amayeza kunye neevithamini ozisebenzisayo.
Ukuba wena okanye umntu omaziyo uneempawu ze-serotonin syndrome, yiya kwicandelo lezonyango ezingxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. Oku kunokuba yingozi ebomini.
- Iimpawu eziqhelekileyo: ukungazinzi, isicaphucaphu, ukuhlanza, urhudo, ukubila kakhulu, ukungcangcazela, iintshukumo zamehlo, ukuqina kwemisipha okanye ukuxhuzula.
- Iimpawu eziqatha: ukudideka, umkhuhlane ophezulu, uxinzelelo lwegazi oluphezulu, ukubetha kwentliziyo ngokukhawuleza, ukuxhuzula, ukungazi nto.
2. Ukungakhululeki xa uyeka amayeza (i-Antidepressant Discontinuation Syndrome)
Abantu abaninzi bakubiza oku ngokuthi "ziimpawu zokurhoxa." Kodwa oku akukokuba likhoboka. Ii-SSRI azingomayeza abangela umlutha. Nangona kunjalo, ukuba uthatha amayeza ngaphezu kweeveki ezi-6 uze uyeke ukuwasebenzisa ngequbuliso, unokufumana ukungakhululeki emzimbeni wakho.
Musa ukuyeka ukuthatha amayeza e-SSRI ngequbuliso nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho. Ukuba uyeka ukuwasebenzisa amayeza, yeka kancinci kancinci, njengoko ugqirha wakho ekuxelele.
Iimpawu ezenzeka emva kokuyeka:
- Umkhuhlane (iintlungu zesifuba, ukubila)
- Ukungalali
- Isicaphucaphu
- Isiyezi
- Iimvakalelo ezinjengokubethwa ngumbane
- Ixhala kunye nokungazoli
Iimpendulo zeminye imibuzo onokuba nayo engqondweni
Kuthatha ixesha elingakanani ukuba eli yeza lisebenze?
Oku kubaluleke kakhulu. Amayeza e-SSRI awavelisi ziphumo ngoko nangoko. Kungathatha malunga neeveki ezi-6 ukuya kwezi-8 ukuze uve isiphumo esipheleleyo samayeza. Ngoko ke, ungayeki ukuwasela amayeza kuba akukho mahluko mkhulu kwiiveki zokuqala ezimbalwa. Yiba nomonde. Ukuba akukho tshintsho emva kweli xesha, thetha nogqirha wakho.
Ufuna ukuphinda umbone ugqirha kwakhona nini?
Ukuba usebenzisa ii-SSRI, kufuneka uhlale unxibelelana nogqirha wakho rhoqo.
- Ukuba iziphumo ebezingalindelekanga ziyakukhathaza.
- Ukuba iimpawu zakho aziphucuki okanye azibi mandundu.
- Ukuba uziva ngathi kufuneka uyeke ukusebenzisa iyeza.
- Ukuba uneengcinga zokuzibulala (le ngozi inokunyuka kancinci, ingakumbi kwabo bangaphantsi kweminyaka engama-25 ubudala xa beqala amayeza. Ukuba oku kuyenzeka, yazisa ugqirha wakho ngoko nangoko ).
Ingaba kulungile ukusela utywala ngee-SSRI?
Ayilunganga konke konke. Utywala bukwayidambisa inkqubo yemithambo-luvo. Ngenxa yoko, utywala bunokunciphisa ukusebenza kwe-SSRIs kwaye bubenze mandundu iimpawu zokudakumba. Ngoko ke, kungcono ukukuphepha ngokupheleleyo utywala ngelixa usebenzisa la mayeza.
Umyalezo Wokuya Ekhaya
- Ii-SSRI ziluhlobo lwamayeza olusebenzayo nolusetyenziswa kakhulu olunyanga izifo ezinje ngokudakumba kunye nokuxhalaba.
- Eli yeza alikhobokisi, kodwa ungayeki ukulithatha ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Kungathatha malunga neeveki ezi-6-8 ukuba ibonakale yonke imiphumo yeyeza. Yiba nomonde ngonyango.
- Xelela ugqirha wakho malunga neminye imithi, iivithamini, okanye izongezo ozisebenzisayo. Oku kubalulekile ukuze uphephe imeko eyingozi ye-serotonin syndrome .
- Musa ukoyika ukuthetha ngokukhululekileyo nogqirha wakho malunga nemiphumo emibi okanye naziphi na ezinye izinto ezikuxhalabisayo. Uza kukunceda ufumane unyango olukufaneleyo.
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