Ungase uphuze imithi yokucindezeleka ngenxa yokucindezeleka noma ukukhathazeka. Ngezinye izikhathi sicabanga ukuthi, "O, sengizizwa ngingcono manje, kudingeka ngiyeke ukuthatha lo muthi." Kodwa ukuyeka le mithi kungazelelwe kungabangela izinkinga eziningana. Yilokho esikhuluma ngakho namuhla.

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Iyini i-Antidepressant Discontinuation Syndrome?

Kalula nje, uma uthatha imithi yokucindezeleka okungenani amasonto ayisithupha bese uyiyeka ngokuzumayo, noma uma uyiyeka ngaphandle kokuyinciphisa njengoba udokotela wakho encoma, ungakuzwa lokhu kungakhululeki. Abanye abantu bakubiza ngokuthi 'i-discontinuation syndrome'. Lokhu kubizwa ngokuthi i-Antidepressant Discontinuation Syndrome , noma i-ADS ngamafuphi.

Kulesi simo (i-ADS), ungase ube nezimpawu eziningana, njengokungalali, isicanucanu, kanye nomuzwa wobuthakathaka. Kodwa ungakhathazeki, lezi zimpawu zivame ukuphela esikhathini esingaphansi kwezinyanga ezimbili. Lokhu akuyona into ebangela ukulimala okukhulu ngokomzimba, kodwa kungaba yinto engakhululekile futhi ecasulayo. Futhi, into ebaluleke kakhulu okufanele uyikhumbule ukuthi uma uyeka ukuthatha imithi yokucindezeleka, isimo sengqondo owathatha ngaso umuthi (isibonelo, ukucindezeleka noma ukukhathazeka) singase siphinde sivele.

Ngakho-ke, uma ucabanga ukuyeka imithi yokucindezeleka, kufanele ukhulume nodokotela wakho kuqala . Ngemuva kwalokho ungazama ukuvimbela lesi simo esibizwa ngokuthi (i-ADS).

Kuvamile kangakanani lesi simo (i-ADS)?

Ucwaningo lubonise ukuthi phakathi kuka-27% no-86% wabantu abazama ukuyeka ukuthatha imithi yokucindezeleka, kungaba ngokwabo noma ngeseluleko sikadokotela, babhekana nezimpawu zokuhoxa (ADS). Ngakho-ke uyabona, lokhu akuyona yonke into engakaze ibonwe.

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Yiziphi izimpawu ze-Antidepressant Discontinuation Syndrome?

Lezi zimpawu zivame ukuqala ukuvela zingakapheli izinsuku ezimbili kuya kwezine kusukela ekuyekeni umuthi wokucindezeleka. Lezi yizimpawu eziyinhloko ezingabonakala:

Izimpawu ezifana nomkhuhlane: ukukhathala, ikhanda elibuhlungu, izinhlungu zomzimba, nokujuluka. Ngezinye izikhathi ungase ube namaphupho angajwayelekile, asabekayo.
Isicanucanu: Ngezinye izikhathi kungase kube nokuhlanza.
Ukuzizwa unesizungu nokuzizwa ukhululekile.
Ukusha, ukuqaqamba, noma imizwa efana nokushaqeka kagesi (i-paresthesia) emzimbeni. Lokhu kungaba yinto engavamile.
Ukushintsha kwesimo sengqondo: Ukukhathazeka, ukucasuka, ukungahlaliseki, ngisho nolaka lungase luvele.

Uma unalezi zimpawu, kufanele nakanjani ubone udokotela wakho . Ubukhali balezi zimpawu bungahluka kumuntu nomuntu, kodwa kubantu abaningi, azinzima kakhulu. Ucwaningo olulodwa luthole ukuthi abantu ababhekana nalezi zimpawu zokuhoxa:

Abangu-7% bebenezimpawu izinyanga ezimbili.
Abangu-6% bebenezimpawu unyaka wonke.
Ama-2% abe nezimpawu iminyaka engaphezu kwemithathu.

Ngakho-ke, uyabona, lokhu kungaba yinto yesikhathi eside kwabanye abantu.

Yini ebangela lokhu (i-Antidepressant Discontinuation Syndrome)?

Eqinisweni, abacwaningi abakazi kahle ukuthi yini ebangela lesi "Sifo Sokuyeka Ukubhema". Kodwa bacabanga ukuthi sihlobene nokwehla okungazelelwe kwamazinga ekhemikhali ebizwa ngokuthi "i-Serotonin" ebuchosheni lapho uyeka ngokuzumayo ukuphuza imithi efana ne-"SSRI - inhibitor ekhethiwe ye-serotonin reuptake" noma "i-SNRI - i-serotonin kanye ne-norepinephrine reuptake inhibitors". Lapho imizimba yethu ilahlekelwa yilesi serotonin ngokuzumayo, isabela ngokubangela lezi zimpawu zomzimba nezengqondo.

Yiziphi izici eziyingozi zokuthuthukisa i-Antidepressant Discontinuation Syndrome?

Uma uyeka ukuthatha umuthi wokucindezeleka, cishe uzoba nezimpawu zokuhoxa (i-ADS) ezimweni ezilandelayo:

Uma uyeka ukuthatha umuthi ngokuzumayo (ngaphandle kokuwunciphisa kancane kancane).
Uma usuthathe lowo muthi isikhathi eside (iminyaka).
Uma uthatha umthamo omkhulu wemithi yokucindezeleka (lokhu kuyahlukahluka kuye ngohlobo lomuthi).
Uma wake waba nezimpawu zokuhoxa lapho weqa umthamo wemithi esikhathini esidlule (kodwa zaphela lapho uphinda uthatha umuthi).

Futhi, uhlobo lomuthi wokucindezeleka owuthathayo lungandisa noma lunciphise ingozi yakho ye-ADS. Lokhu kuhlobene kakhulu nokuthi umuthi uhlala isikhathi esingakanani emzimbeni wakho. Imithi ehlukaniswa (eguqulwa) ngokushesha ngumzimba cishe ingabangela i-ADS ngemva kokuyeka kunemithi ehlala isikhathi eside emzimbeni.

Manje ake sibheke ezinye izinhlobo zemithi kanye namazinga ayo engozi:

Amazinga engozi yemithi ye-SSRI:

Imithi enobungozi obukhulu be-(ADS): (Paroxetine) (ethengiswa njenge-Paxil®, Pexeva®) kanye ne-(fluvoxamine).
Imithi enengozi ephakathi nendawo ye-(ADS): (Citalopram) (Celexa®), (escitalopram) (Lexapro®) kanye (sertraline) (Zoloft®).
Imithi enobungozi obuphansi ye-(ADS): (Fluoxetine) (Prozac®).

Amazinga engozi yemithi yohlobo lwe-(SNRI):

Imithi enobungozi obukhulu be-(ADS): (Venlafaxine) (Effexor®) kanye (desvenlafaxine) (Khedezla®, Pristiq®).
Imithi enengozi emaphakathi ye-(ADS): (Duloxetine) (Cymbalta®, Drizalma®, Irenka®).
Imithi enengozi ephansi ye-(ADS): (Milnacipran) (Savella®) kanye (levomilnacipran) (Fetzima®).

Ngaphezu kwalokhu, (MAOIs - i-monoamine oxidase inhibitors) , (i-tricyclic antidepressants) kanye (i-tetracyclic antidepressants)Imithi elandelayo ivame ukubhekwa njengeyingozi enkulu ye-ASD. Ngakho-ke kubalulekile ukwazi ukuthi imiphi imithi oyiphuzayo.

Yiziphi izinkinga ezingaba khona ze-Antidepressant Discontinuation Syndrome?

Kwezinye izimo, ukuyeka imithi yokucindezeleka kungabangela imiphumela emibi kakhulu. Lena yileyo eyinhloko:

Umbono wokuzibulala.
Ukuzibulala.
Ukuhlanya.

Uma wena noma ingane yakho ninemicabango yokuzibulala noma ukuziphatha okufanayo, sicela ushayele i-National Mental Health Helpline ku-1926 ngokushesha. Kukhona umuntu otholakala amahora angama-24 ngosuku ozokusiza. Ungalwi nalezi zinto wedwa.

Lesi simo (i-Antidepressant Discontinuation Syndrome) sitholakala kanjani?

Azikho izivivinyo zezokwelapha ezithile zokuxilonga i-Antidepressant Discontinuation Syndrome. Kunalokho, udokotela wakho uzokubuza imibuzo mayelana nezimpawu zakho, umlando wakho wezokwelapha, nokuthi uyeke nini ukuthatha i-antidepressant yakho.

Izimpawu ze-ADS zingafana nezezinye izimo, njengokucindezeleka nokukhathazeka. Ngakho-ke, kuyasiza ukutshela udokotela wakho imininingwane eminingi ngangokunokwenzeka ngezimpawu zakho nokuthi zaqala kanjani.

Iphathwa kanjani i-Antidepressant Discontinuation Syndrome?

Ukwelashwa okusebenza kahle kakhulu kwalesi simo (i-ADS) ukuqala kabusha umuthi wokucindezeleka ngesilinganiso esifanayo nangaphambili . Lokhu kuvame ukuxazulula izimpawu zakho zingakapheli amahora angama-24. Kodwa-ke, uma usafuna ukuyeka ukuthatha umuthi, udokotela wakho uzokunikeza imiyalelo eqondile yokuthi ungawunciphisa kanjani kancane kancane umthamo bese uyeka.

Kuye ngokuthi izimpawu zakho zibucayi kangakanani nokuthi zihlala isikhathi esingakanani, udokotela wakho angase akunikeze neminye imithi ukusiza ukuzilawula. Isibonelo:

Iziqeda-zinhlungu zekhanda, njenge-"Ibuprofen" noma i-"acetaminophen".
Into efana ne-"ondansetron" (ethengiswa njenge-"Zofran®"), umuthi wokulwa nesicanucanu .
Imithi efana ne-(hydroxyzine) noma (benzodiazepines) yokukhathazeka nokungalali.

Iyini inhloso yalesi simo (i-Antidepressant Discontinuation Syndrome)?

Umbono walesi simo (i-ADS) uyahlukahluka. Iningi lamacala alibi kakhulu futhi alihlali isikhathi esingaphezu kwamasonto ayisishiyagalombili. Kodwa-ke, amanye amacala angaba mabi kakhulu futhi izimpawu zingahlala unyaka noma ngaphezulu. Yingakho kubalulekile ukufuna iseluleko sezokwelapha.

Sikuvimbela kanjani lokhu (i-Antidepressant Discontinuation Syndrome)?

Ngeshwa, lesi "Sifo Sokuyeka Ukucindezeleka (ADS)" asivimbeki ngaso sonke isikhathi. Kodwa-ke, into ebaluleke kakhulu ongayenza ukuze usigweme ukukhuluma nodokotela wakho ngaphambi kokuyeka umuthi wakho wokucindezeleka. Ukuyeka umuthi wakho wokucindezeleka ngokuphephile kungaba inqubo ethatha isikhathi - kungadingeka ukuthi unciphise umthamo wakho kancane kancane ngokuhamba kwesikhathi.

Imithi yokucindezeleka ngayinye ihlukile, ngakho-ke umuntu ongcono kakhulu ongakusiza ukuthi uyeke ukuyisebenzisa udokotela wakho. Uzokutshela ngqo ukuthi ungakwenza kanjani lokhu ngokuphephile.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ukungakhululeki kokuyeka imithi yokucindezeleka, eyaziwa ngokuthi "i-Antidepressant Discontinuation Syndrome (ADS), kungaba yinto engathandeki kakhulu. Indlela engcono kakhulu yokukugwema ukunciphisa kancane kancane nokuyeka imithi yakho yokucindezeleka ngaphansi kwesiqondiso sikadokotela wakho.

Khumbula, uma unemibuzo noma ukukhathazeka mayelana nemithi yakho, qiniseka ukuthi ukhuluma nodokotela wakho. Bakhona ukuzokusiza.

Imithi iyinto engasisiza kakhulu uma isetshenziswa kahle. Kodwa kubaluleke kakhulu ukuthi sazi ukuthi singayisebenzisa kanjani nokuthi singayiyeka kanjani. Ngiyethemba ukuthi uyakuqonda lokhu. Uma unemibuzo, ungesabi ukubuza udokotela.