Uxinzelelo yimeko enzima kakhulu echaphazela ingqondo nomzimba. Ngoko ke xa sibona ugqirha size siqale unyango, sinethemba lokuba siya kukwazi ukuphola ngokukhawuleza kule meko. Kodwa khawucinge, usebenzise uhlobo olunye lwamayeza, kodwa aluzange lusebenze. Emva koko ugqirha waqala olunye uhlobo lwamayeza, kwaye olo aluzange lusebenze njengoko bekulindelwe? Akukho mazwi okuchaza ukukhungatheka, uloyiko, kunye nokungabi namandla okuzivayo, akunjalo? Ukuba ukhe waba namava afanayo, awuwedwa. Namhlanje sithetha ngesihloko esichaphazela abantu abaninzi, kodwa esingathethwa kakhulu ngaso. Loo nto kukuxinezeleka okunganyangekiyo kunyango.
Yintoni 'Uxinzelelo Olungamelani Nonyango'?
Ngamafutshane, olu luhlobo loxinzelelo. Kodwa eyona nto ikhethekileyo kukuba alunyangeki lula ngonyango oluqhelekileyo. Nangona kungekho nkcazelo inye phakathi koogqirha, uluvo olwamkelweyo ngokubanzi kukuba ukuba iimpawu zoxinzelelo azinciphi nokuba sele kuthathwe ubuncinane iintlobo ezimbini zeziyobisi zokudakumba ezivela kwiiklasi ezimbini ezahlukeneyo ngedosi efanelekileyo kwaye ngexesha elifanelekileyo , le meko ibizwa ngokuba yi-'Therapy-Resistant Depression'.
Cinga ngale ndlela. Ugqirha wakho ugqiba kwelokuba une-depression aze akuqalise ngeyeza elinye. Umzekelo, i-Selective Serotonin Reuptake Inhibitor (SSRI) (umz., i-Fluoxetine). Kodwa ukuba awuziva bhetele emva kweeveki ezi-6 ukuya kwezi-8, ugqirha wakho uza kuyeka elo yeza aze akuqalise ngeyeza elahlukileyo, elisebenza ngendlela eyahlukileyo. Umzekelo, i-Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) (umz., i-Venlafaxine okanye i-Duloxetine). Ukuba elo yesibini yeyeza alisebenzi, ugqirha wakho unokukrokrela ukuba une-Treat-Resistant Depression.
Ukuchaneka, amayeza afana nesihluzo. Ukuba ufumana isiqabu kwidosi yokuqala okanye yesibini yamayeza, awunakuxinezeleka okunganyangekiyo kunyango. Kodwa ukuba isihluzo asinyangi isifo, oko kuthetha ukuba sidinga indlela eyahlukileyo.
Uqiniseka njani ukuba le meko ikhona?
Oku akuyonto inokugqitywa ngobusuku obunye. Yinto ekufuneka yenziwe kancinci kancinci, ngomonde omkhulu. Ugqirha wakho uza kulandela amanyathelo aliqela ngaphambi kokuba agqibe kwelokuba unale meko.
Ukunika ixesha elaneleyo lokufumana amayeza
Amayeza okudakumba athatha ixesha ukusebenza. Nangona abanye abantu benokubona umahluko omncinci kwiintsuku ezimbalwa, kungathatha ubuncinane iiveki ezi-6 ukuya kwezi-8 ukuba iziphumo ezipheleleyo zeyeza zibonakale. Ke ngoko, ayingombono ulungileyo ukuqala ukuthatha iyeza elinye uze uyeke emva kweveki okanye ezimbini ucinga, "Oku akusebenzi." Kubaluleke kakhulu ukuba nomonde kwaye ulandele imiyalelo kagqirha wakho.
Ukunika idosi echanekileyo
Le yingongoma ebaluleke kakhulu. Ngamanye amaxesha ugqirha uqala amayeza anedosi ephantsi. Ukuba ayinayo impembelelo elindelekileyo, akatshintshi amayeza ngoko nangoko. Into yokuqala ekufuneka yenziwe kukunyusa kancinci idosi yeyeza elikhoyo. Abanye abantu basenokuba bathathe iintlobo ezahlukeneyo zamayeza, kodwa basenokuba bawathathe onke ngeedosi eziphantsi.
Umzekelo, ukuba unganika i-100 milligrams yeyeza ukuze ufumane inzuzo ephezulu, awunakuthi iyeza aliphumelelanga ukuba ulinika i-50 milligrams kwaye alisebenzi. Kubaluleke kakhulu ukuzama idosi ephezulu esebenzayo yeyeza ngalinye .
Makhe sijonge le theyibhile ukuze sichaze ngakumbi olu hambo.
| Iqonga | Kwenzekani | Amanqaku abalulekileyo |
|---|---|---|
| Umzamo wokuqala (Uvavanyo loku-1 lwe-Antidepressant) | Ugqirha unika amayeza akwiqela lezinye zeentlobo ze-antidepressant (umz., i-SSRI). | - Vumela iiveki ezi-6-8 ukuze iyeza lisebenze. - Idosi iya kwandiswa ukuba kuyimfuneko. - Thetha nogqirha wakho malunga nemiphumo emibi. |
| Umzamo wesibini (Uvavanyo lwesibini lwe-Antidepressant) | Ukuba iyeza lokuqala aliphumelelanga, kuqaliswa elinye iyeza elivela kolunye uhlobo (umz., i-SNRI). | - Vumela iiveki ezi-6-8 ukuze eli yeza lisebenze. - Nalapha, idosi iyalungiswa ukuba kuyimfuneko. - Kubalulekile ukungoyiki kwaye ube nomonde. |
| Ukuvavanya imeko (Uvavanyo) | Ukuba iimpawu aziphucuki nasemva kokuba uthathe la mayeza omabini ngedosi efanelekileyo nangexesha elifanelekileyo, unokufunyanwa 'njengoxinzelelo oluxhathisa unyango'. | - Asikuko ukuphela oku. Olu lulwazi olubalulekileyo oluza kusetyenziswa ukumisela amanyathelo onyango alandelayo. - Thetha nogqirha malunga neendlela onokukhetha kuzo. |
Musa ukuphelelwa lithemba! Leyo yeyona nto ibalulekileyo.
Kuqhelekile ukuziva umthwalo onzima kunye noloyiko xa usiva amagama athi 'uxinzelelo olunganyangekiyo ngonyango.' Usenokucinga, "Owu, andisoze ndibe ngcono." Kodwa sithi, nceda ungalilahli ithemba .
Ukuqaphela le meko akuthethi ukuba uhambo lwakho luphelile. Kuthetha nje ukuba udinga isicwangciso sonyango esahlukileyo kwesesiqhelo, nesikhethekileyo kuwe.
"Eyona nto ibalulekileyo kukungalahli ithemba. Kukho iindlela ezininzi zonyango - ezikhoyo nezivelayo - ezinokwenza umahluko omkhulu kubomi bomntu." - UGqr. John Krystal, weSikolo sezonyango saseYale
Ugqirha wakho uza kuxoxa nawe ngezinye iindlela ezininzi okwangoku, kuquka:
- Ukwandisa: Ukongeza olunye uhlobo lwamayeza kwi-antidepressant ekhoyo ngoku.
- Ezinye iindlela zonyango: Ukuqwalasela ezinye iindlela zonyango ukongeza kumayeza.
- Unyango lwengqondo: Unyango oluthetha ngengqondo. Unyango lwengqondo lunokuba luncedo kakhulu xa lusetyenziswa kunye namayeza.
Konke oku kuya kuxhomekeka kwimeko yakho, iimpawu kunye nembali yezonyango. Ngoko ke eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nangokunyaniseka nogqirha wakho ngayo yonke into . Mxelele into oyivayo, uloyiko lwakho, iziphumo zakho ezingalindelekanga, kwaye ungazibambi.
Umyalezo Wokuya Ekhaya
- 'Uxinzelelo Olungamelaniyo Nonyango' yimeko yokwenyani yempilo. Asiyonto oyicingeleyo okanye oyiphosisayo.
- Ngokuqhelekileyo, le meko inokukrokrelwa ukuba akukho phuculo emva kokuthatha idosi efanelekileyo yemithi yokudakumba kwiindidi ezimbini ezahlukeneyo zamayeza ixesha elaneleyo, njengeeveki ezi-6-8.
- Idosi yeyeza kunye nexesha lokusetyenziswa kwalo zibaluleke kakhulu. Ukuba idosi ephantsi ayivelisi ziphumo, isenokungabi kukusilela kweyeza konke konke.
- Ukufumanisa le meko akusosiphelo. Linyathelo elibalulekileyo nje kwindlela yokufumana unyango olukufaneleyo.
- Eyona nto ibalulekileyo kukungalahli ithemba kwaye unxibelelane rhoqo nangokukhululekileyo nogqirha wakho . Zininzi iindlela zokukunceda.
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