Ingabe welashwa ukucindezeleka? Into eyodwa ongase uzibuze yona ukuthi lo muthi uzobangela ukukhuluphala yini. Mhlawumbe amazinga akho okucindezeleka ehlile futhi uqala ukuzizwa ungcono kancane. Kodwa lapho izingubo zakho ziqala ukuzizwa ziqinile kancane, kuyinto evamile ukuzibuza, 'Ingabe lokhu kungenxa yomuthi?' Ngakho-ke namuhla, ake sixoxe ngalokhu, ubudlelwano phakathi kwemithi yokucindezeleka kanye nokukhuluphala, ngokuningiliziwe nangokulula kakhulu.
Izinguquko zesisindo zithintana kanjani?
Into yokuqala okudingeka siyiqonde ukuthi ukucindezeleka kungathinta isisindo sakho. Lokhu kungenzeka noma ngabe uphuza imithi noma cha. Abanye abantu balahlekelwa yisifiso sabo sokudla ngokuphelele uma becindezelekile futhi behlise isisindo ngaphandle kokudla. Abanye, lapho bedabukile noma becindezelekile, bafisa ukudla okumnandi, okunama-carbohydrate amaningi. Abazizwa befuna ukuzivocavoca. Yilapho-ke bekhuluphala khona.
Manje ake ucabange ukuthi ubulokhu unenkinga yokudla ngenxa yokucindezeleka futhi wehlise isisindo esiningi. Ngemuva kwalokho, ngemithi udokotela wakho akunika yona, isimo sakho sengqondo siyathuthuka, isifiso sakho sokudla siyabuya, futhi uthola isisindo esincane. Lokhu kuyisibonakaliso esihle impela. Kusho ukuthi uyalulama.
Kodwa-ke, uma isifiso sakho sokudla sesikhulile futhi usukhuluphele ngenxa yokucindezeleka, ukukhuluphala okwengeziwe ngenxa yemithi kungaba yinkinga encane, njengoba ukukhuluphala kwandisa ingozi yokuthola ezinye izifo, njengesifo sikashukela kanye nomfutho wegazi ophakeme.
Kodwa akufanele sikhohlwe ukuthi ukucindezeleka kuyisifo esibi esidinga ukwelashwa. Ukungawuthathi umuthi ngenxa yemiphumela emibi yemithi kungadala umonakalo omkhulu nakakhulu.
Ingabe yonke imithi yokucindezeleka ibangela ukukhuluphala?
Cha. Lezi yizindaba ezinhle kakhulu. Akuwona wonke ama-antidepressant abangela ukukhuluphala. Futhi, akuwona wonke umuntu othatha le mithi ozokhuluphala. Lokhu kuyahlukahluka kakhulu kumuntu nomuntu. Eqinisweni, eminye yemithi esetshenziswa kakhulu, njenge-(Zoloft), (Prozac), kanye ne-(Celexa), ingabangela ukukhuluphala njengomphumela ongemuhle. Kodwa akwenzeki kuwo wonke umuntu. Kuye ngokuthi umzimba wakho usabela kanjani emuthini.
Ingabe ikhona imithi engase ibangele ukukhuluphala?
Yebo. Eminye imithi ingase ibangele ukukhuluphala kuneminye. Imithi yokucindezeleka ihlukaniswe ngezigaba eziningana ngokusekelwe endleleni esebenzisana ngayo namakhemikhali asebuchosheni bethu abizwa ngokuthi ama-neurotransmitters. Ake sibheke izigaba eziyinhloko.
| Ikilasi Lokulwa Nokucindezeleka | Incazelo elula nezibonelo |
|---|---|
| Ama-SSRI (Ama-Selective Serotonin Reuptake Inhibitors) | Lena imithi evame kakhulu ukunikezwa. Yandisa amazinga e-serotonin, ikhemikhali ebuchosheni elawula injabulo nokuzola. Izibonelo: I-Citalopram (Celexa), i-Fluoxetine (Prozac), i-Sertraline (Zoloft), i-Paroxetine (Paxil). |
| Ama-SNRI (ama-Serotonin nama-Norepinephrine Reuptake Inhibitors) | Lokhu kushintsha umsebenzi we-serotonin kanye ne-norepinephrine, amakhemikhali asebuchosheni. Izibonelo: i-Duloxetine (i-Cymbalta), i-Venlafaxine (i-Effexor XR). |
| Ama-Tricyclic Antidepressants | Le mithi emidala kancane. Inemiphumela emibi eminingi. Iphinde inyuse amazinga e-serotonin kanye ne-norepinephrine. Izibonelo: I-Imipramine (Tofranil), i-Nortriptyline (Pamelor). |
| Ama-Antidepressants Angavamile | Leli qembu lihlanganisa imithi esebenza ngendlela ehlukile kunezinye izinhlobo. Izibonelo: i-Bupropion (i-Wellbutrin), i-Mirtazapine (i-Remeron). |
Manje, phakathi kwala maqembu, uma uthatha imithi ye-SSRI, ingozi yokukhuluphala icishe ifane nenye nenye. Kodwa-ke, kutholakale ukuthi ingozi yokukhuluphala iphakeme ngemithi i-Paroxetine (Paxil) .
Kuzo zonke izidakamizwa zokucindezeleka, i-Bupropion (Wellbutrin) cishe ayinakho ukubangela ukukhuluphala . Ingabangela ngisho nokwehla kwesisindo kwezinye izimo. Ngokuphambene nalokho, i-Mirtazapine (Remeron) iyisidakamizwa esihlotshaniswa kakhulu nomphumela omubi wokukhuluphala .
Yimiphi imiphumela emibi yokukhuluphala ngenxa yemithi?
Ngokuvamile, ukukhuluphala okuncane kwamakhilogremu angu-2-3 akubangeli izinkinga ezinkulu zempilo. Kodwa-ke, uma ukhuluphala ngaphezu kwamakhilogremu angu-5, okungukuthi, ngaphezu kwamakhilogremu angu-10, kungathinta amazinga akho e-cholesterol kanye nomfutho wegazi. Kuphinde kwandise ingozi yakho yokuba nesifo sikashukela.
Kodwa, njengoba ngishilo ngaphambili, sidinga ukubheka olunye uhlangothi lwalokhu. Ukucindezeleka kungenye yezifo ezikhubaza kakhulu neziqeda impilo emhlabeni. Akugcini nje ngokuthinta umsebenzi wakho, ubudlelwano bomndeni wakho, umshado wakho, kodwa futhi kuthinta ngqo impilo yenhliziyo yakho.
Ngakho-ke, kufanele uqhathanise ukukhuluphala okubangelwa imithi nokuhlupheka kokucindezeleka ngaphandle kokwelashwa. Okubaluleke kakhulu kufanele kube ukwelapha ukucindezeleka.
Yini okufanele ngiyenze uma ngikhuluphala?
Uma uzizwa sengathi uyakhuluphala ngemva kokuqala imithi, noma uma uneminye imiphumela emibi ekukhathazayo, into yokuqala okufanele uyenze ukukhuluma nodokotela wakho ngakho.
Isizathu sokukhuluphala kungaba umuthi ngokwawo. Noma kungaba ukuthi ukucindezeleka kunciphile futhi isifiso sokudla sikhulile. Mhlawumbe kukhona esinye isizathu. Ngakho-ke, udokotela wakho angathola isizathu sangempela salokhu futhi akunike ikhambi elifanele kakhulu.
Uma umuthi wakho ubangela ukuthi ukhuluphale futhi uneminye imiphumela emibi, ukushintshela komunye umuthi kungaba ngumqondo omuhle. Isibonelo, uma uthatha i-SSRI, ungashintshela kokuthile okufana ne-Fluoxetine (Prozac). Noma ungazama i-Bupropion (Wellbutrin).
Kodwa khumbula, ukushintsha imithi kufanele kwenziwe ngokucophelela . Umuthi okukunikeza impumuzo njengamanje ungase ungasebenzi kahle njengomuthi omusha oshintshela kuwo. Akuzona zonke imithi ezisebenza ngendlela efanayo kuwo wonke umuntu. Ngakho-ke, uma umuthi owusebenzisayo njengamanje usebenza kahle kuwe, kungaba ngcono ukuqhubeka nokuwusebenzisa bese uzama ezinye izindlela zokulawula isisindo sakho (ukuzivocavoca umzimba, ukudla). Xoxa ngazo zonke lezi zinqumo nodokotela wakho.
Ungakwazi yini ukuvimbela ukukhuluphala ngenkathi uthatha imithi?
Yebo, kungakwenza ngempela! Kuhilela izinto ezimbalwa esizaziyo sonke, kodwa sivilapha kancane ukuzenza. Okungukuthi, ukudla okunempilo, ukuzivocavoca njalo, ukulala kahle, kanye nokulawula ukucindezeleka.
- Imikhuba emihle yokudla: Yidla ukudla okucebile nge-fiber nezakhamzimba, njengemifino emisha, imifino, nezithelo. Nciphisa ukudla okucutshunguliwe, iziphuzo ezinoshukela, kanye nokudla okunamafutha ngangokunokwenzeka.
- Ukuzivocavoca: Khetha ukuzivocavoca okuthandayo. Kungaba yinoma yini kusukela ekuhambeni, ekugijimeni, ekudanseni, kuya ekulimeni ingadi. Zama ukwenza okungenani imizuzu engama-30 yokuzivocavoca ngosuku.
- Ezinye izici: Cabanga ngezinye izici ezingaba nomthelela ekukhuleni kwesisindo sakho, njengokushintsha kwama-hormone e-thyroid, izinguquko emjikelezweni wakho wokuya esikhathini, izinkinga zokugaya ukudla, noma ukuphuza utshwala. Khuluma nodokotela wakho ngalezi zinto futhi.
Ekugcineni, impumuzo oyitholayo ngokuthatha imithi yokucindezeleka ayinakuqhathaniswa. Imiphumela emibi efana nokukhuluphala ingalawuleka. Ngakho-ke esikhundleni sokucabanga kakhulu ngakho, sebenzisana nodokotela wakho ukuthola ikhambi elingcono kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukwanda kwesisindo ngenxa yemithi yokucindezeleka akwenzeki kuwo wonke umuntu . Kuyahlukahluka kuye ngomuntu.
- Uma uzwa ukukhuluphala noma eminye imiphumela emibi, ungalokothi uyeke ukuthatha imithi yakho wedwa . Khuluma nodokotela wakho kuqala.
- Umgomo oyinhloko wokwelashwa ukwelapha ukucindezeleka. Ukungafuni ukwelashwa ngenxa yokwesaba imiphumela emibi kungadala umonakalo omkhulu nakakhulu.
- Ukudla okunempilo kanye nokuzivocavoca njalo kuyindlela engcono kakhulu yokulawula isisindo ngenkathi uthatha imithi.
- Eminye imithi ingase ibangele ukukhuluphala, kanti eminye ingase ibe mancane amathuba. Udokotela wakho angakusiza ukhethe imithi ekufanele kakhulu.
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