Ngaba ugqirha wakho ukunike amayeza okudakumba okanye ixhala? Usenokuba uzive usoyika kancinci xa ubona igama lamayeza, okanye usenokuba uzibuze ukuba ingaba kuya kunceda ngokwenene na. Kuqhelekile ukuvakalelwa ngaloo ndlela. Namhlanje sithetha ngohlobo lwamayeza abizwa ngokuba yi-SSRI, adla ngokunikwa izifo zengqondo ezifana nokudakumba eSri Lanka nakwihlabathi liphela. Ukwazi okungakumbi ngale nto kuya kuphendula imibuzo emininzi onayo engqondweni.
Ngamafutshane, zithini ezi SSRI?
Igama elithi SSRI limele iSelective Serotonin Reuptake Inhibitors . Nangona eli gama lisenokuvakala ngathi yinto enkulu, le nkqubo ilula kakhulu. La luhlobo lwamayeza anikwa ukunyanga uxinzelelo. Asetyenziswa kungekuphela nje kuxinzelelo, kodwa nakwezinye iimeko ezininzi zempilo yengqondo ezifana noxinzelelo, ukuphazamiseka kovalo, kunye ne-OCD. Xa kuthelekiswa nezinye iintlobo ze-antidepressants, zithathwa njengezikhuselekileyo kwaye zineziphumo ebezingalindelekanga ezimbalwa .
Ngoko ke esi siyobisi siyichaphazela njani ingqondo yethu? Cinga ngengqondo yethu njengesixeko esikhulu. Kukho abathunywa kwesi sixeko abathwala imiyalezo ukusuka kwenye indawo ukuya kwenye. Aba bathunywa engqondweni yethu babizwa ngokuba zii-neurotransmitters. I-Serotonin yenye yezithunywa ezikhethekileyo. I-Serotonin yiyo enceda ukulawula izinto ezifana neemvakalelo zethu, ulonwabo, kunye nokulala.
Kumntu onesifo esifana nokudakumba, inqanaba le-serotonin, eliphethe lo "myalezo wolonwabo", linokwehla engqondweni. Emva koko unxibelelwano phakathi kweeseli zengqondo alusebenzi kakuhle. Into eyenziwa liyeza le-SSRI kukulibazisa ukuphinda kuthathwe kwesi sithunywa se-serotonin emva kokuba sigqibile ukuthumela umyalezo. Emva koko i-serotonin ihlala kwindawo ephakathi kweeseli ezimbini ixesha elide . Kufana nokuba isithunywa sivunyelwe ukuba sihlale apho ixesha elide. Ngenxa yoko, unxibelelwano engqondweni luyaphucuka, kwaye iimpawu zokudakumba ziqala ukwehla kancinci kancinci.
Ziziphi iimeko ezisetyenziselwa amayeza e-SSRI?
Iiarhente zamazwe ngamazwe, ezifana ne-FDA eMelika, zivumile amayeza e-SSRI kwiimeko ezahlukeneyo. Kwakhona, ngamanye amaxesha oogqirha banokuthi bawanike ezinye iimeko ezingavunywanga (ukusetyenziswa ngaphandle kweleyibhile) kuxhomekeke kwimeko yesigulana.
| Iimeko Eziqhelekileyo Ezimiselweyo (Iindlela Ezivunyiweyo Zokusebenzisa) | Ukusetyenziswa Okungekho Kwileyibhile |
|---|---|
| Ingxaki Enkulu Yokudakumba | Ingxaki Yokungakwazi Umzimba |
| Ingxaki yokuxhalaba ngokubanzi | I-Fibromyalgia |
| Ingxaki yoXinzelelo | Ukuphuma komchamo ngaphambi kwexesha |
| Isifo Sokuxhalaba Okugqithisileyo (OCD) | Ingxaki Yokutya Ngokutya Okugqithisileyo |
| Ingxaki Yokukhathazeka Kwentlalo | Isiganeko sikaRaynaud |
| Ingxaki yoXinzelelo emva kwengozi (PTSD) | Ezinye iimpawu ezinxulumene ne-autism |
| Isifo sokungakhululeki ngaphambi kokuya exesheni (PMDD) | Ubushushu Obushushu Bokunqamka Kwexesha Lokuya Exesheni |
Zeziphi ii-SSRI ezisetyenziswa kakhulu?
La mayeza angasetyenziswa eSri Lanka njengeepilisi, iikhaphu, okanye ulwelo. Ugqirha wakho usenokuba ubhale enye yezi.
- I-Citalopram
- I-Escitalopram
- I-Fluoxetine
- I-Fluvoxamine
- I-Paroxetine
- I-Sertraline
Oko kufuneka ukwazi malunga nemiphumo emibi
Ayingabo bonke abantu abasebenzisa ii-SSRI abaya kuba nemiphumo emibi kakhulu. Kodwa njengayo nayiphi na imithi, kukho iingozi ezithile. Ezinye zezi ziphumo kwiiveki zokuqala emva kokusebenzisa amayeza zize ziphele.
Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na ingxaki entsha oyifumanayo.
Iziphumo ebezingalindelekanga eziqhelekileyo:
- Ukungalali okanye ukulala kakhulu
- Intloko ebuhlungu
- Ukuqhambuka kwesikhumba
- Umbono ofipheleyo
- Umlomo owomileyo
- Ukungazoli okanye ukuphazamiseka
- Isiyezi
- Intlungu yamalungu okanye yemisipha
- Ukuphazamiseka kwesisu, isicaphucaphu, okanye urhudo
- Ukuncipha komnqweno wesondo
- Iingxaki zokuqina okanye ubunzima bokufikelela kwi-orgasm
- Ukunciphisa okanye ukuzuza ubunzima
Ezinye zezi ziphumo zingalawulwa ngokutshintsha ixesha losuku olithathayo iyeza. Umzekelo, ukuba uziva unesicaphucaphu, thatha iyeza xa usitya, ukuba uziva ulele, lithathe ngaphambi kokuba ulale, okanye ukuba unengxaki yokulala, lithathe kusasa. Thetha nogqirha wakho ngale nto kwaye ufumane ingcebiso.
Amanqaku ekufuneka aqwalaselwe ngokukodwa
1. Iingcinga zokuzibulala: Kukho ukwanda okuncinci kwengcinga zokuzibulala (ukusuka kwi-1-2% ukuya kwi-2-4%) kumanqanaba okuqala okusetyenziswa kwe-SSRI, ingakumbi kubantwana nakubantu abancinci abangaphantsi kweminyaka engama-25 ubudala . Ke ngoko, ukuba uneengcinga zokuzenzakalisa xa uqala amayeza, xelela ilungu losapho kunye nogqirha wakho ngoko nangoko . Kwiimeko ezinzima, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
2. I-Serotonin Syndrome: Le yimeko engaqhelekanga kodwa enokuba yingozi kakhulu. Yenzeka xa amanqanaba e-serotonin emzimbeni ephakama kakhulu. Le ngozi iphezulu kakhulu xa amayeza amabini anyusa i-serotonin ethathwa kunye. Khangela ezi mpawu:
- Ukungazinzi okukhulu kunye nokudideka
- Ukubila okugqithisileyo kunye nokungcangcazela
- Isicaphucaphu, ukuhlanza, isisu esibuhlungu
- Iinkophe - iinkophe ezigobileyo, ukwandiswa kweenkophe
- Ukushukuma kwemisipha, ukuxhuzula
- Uxinzelelo lwegazi oluphezulu, umkhuhlane
- Ukulahlekelwa zingqondo, ukuxhuzula
Ukuba ufumana enye okanye ngaphezulu kwezi mpawu, musa ukuchitha ixesha uye kubona ugqirha okanye uye kwi-ETU ngoko nangoko .
Ukusetyenziswa kwe-SSRI ngexesha lokukhulelwa kunye nokuncancisa
Uxinzelelo luqhelekile ngexesha lokukhulelwa. Uxinzelelo olunganyangwanga lunokuchaphazela umama nomntwana. Kwakhona, ukuthatha amayeza e-SSRI kunokubangela iingozi ezithile kumntwana.
Ngoko ke, esi sisigqibo ekufuneka wena nogqirha wakho nisenze kunye, emva kokuxoxa ngononophelo ngezinto ezilungileyo nezingalunganga.
Ukudakumba okunganyangwanga kunokunyusa umngcipheko we-preeclampsia kumama kunye nokuzalwa okuncinci kunye nokuzalwa ngaphambi kwexesha kumntwana. Kukho umngcipheko omncinci weengxaki zexeshana kumntwana, ezifana nobunzima bokuphefumla kunye nokungaphumli, nge-SSRIs.
Ii-SSRI zihlala zithathwa njengezikhuselekileyo ukuzisebenzisa ngexesha lokuncancisa. Nangona kunjalo, ezinye iintsana zinokuba neengxaki zokungaphumli kunye nokulala. Ngoko ke, ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, qiniseka ukuba uthetha nogqirha wakho ngale nto.
Kuthatha ixesha elingakanani ukuba iyeza lisebenze?
Le yingxaki abantu abaninzi abanayo. Ii-SSRI aziloyeza elisebenzayo kwangoko xa ulisebenzisa, njengeyeza lokuphelisa iintlungu.
Umonde ubaluleke kakhulu. Kungathatha iiveki ezi-4-6, okanye iinyanga ezimbalwa , ukuba isiphumo esipheleleyo seyeza sibonakale.
Musa ukuyeka ukusebenzisa amayeza kuba nje ungeva mahluko kwiiveki ezimbini okanye ezintathu zokuqala. Ugqirha wakho uza kukuqalisa ngedosi ephantsi aze anyuse umthamo kancinci kancinci. Ukuba akukho phuculo emva kweeveki ezi-6-8, ungathetha nogqirha wakho malunga nokutshintshela kwelinye iyeza okanye ukutshintsha umthamo.
Kutheni kungengombono ulungileyo ukuyeka amayeza e-SSRI ngequbuliso?
La mayeza awakhobokisi. Nangona kunjalo, ukuyeka amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho kuyingozi kakhulu. Ukwenza njalo kunokukhokelela kwimeko ebizwa ngokuba yi-"discontinuation syndrome." Oko kukuthi, ukungakhululeki okwenzekayo xa uyeka ukuwasela amayeza.
- Isicaphucaphu
- Isiyezi
- Ndiziva ndingakhululekanga
- Umzimba ongenabomi
- Ukungcangcazela nokubila
Ngoko ke, ukuba uyeka ukusebenzisa amayeza, kufuneka wenze njalo ngokwemiyalelo kagqirha wakho, unciphise kancinci kancinci umthamo.
Umyalezo Wokuya Ekhaya
- Ii-SSRI ziyindlela eqhelekileyo nesebenzayo yonyango lweemeko ezinje ngokudakumba kunye nokuxhalaba. Musa ukoyika oku.
- Eli yeza lisebenza ngokulinganisela i-serotonin yekhemikhali engqondweni yakho.
- Kungathatha iiveki ezimbalwa ukubona imiphumo yeyeza, ngoko ke yiba nomonde. Thatha iyeza kanye njengoko ugqirha wakho ekuxelela, ungaphoswa lusuku olunye.
- Iziphumo ebezingalindelekanga zinokubakho, kodwa uninzi lwazo zezokwexeshana. Thetha nogqirha wakho malunga nokungonwabi.
- Musa ukuyeka ukuthatha amayeza ngequbuliso nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho.
- Kubaluleke kakhulu ukwazisa ugqirha wakho malunga neminye imithi, iivithamini, okanye amayeza e-Ayurvedic owasebenzisayo.
- Ziphephe utywala nezinye iziyobisi xa usebenzisa ii-SSRI, kuba zinokwenza iimpawu zokudakumba zibe zimbi ngakumbi.
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