Uma udokotela wakho ekutshela ukuthi unesifo sokucindezeleka, ungase utshelwe ukuthi uqale ukuthatha imithi. Ngaleso sikhathi, kuyinto evamile kakhulu ukuthi ingqondo yakho ibe nemibuzo eminingi nokwesaba njengokuthi, 'Ingabe lo muthi ungifanele ngempela?', 'Ingabe ukuthatha lokhu kuzosiza?', 'Ingabe kuzoba nemiphumela emibi?' Ukucindezeleka akuyona nje umuzwa wokudabuka, kuyisimo esithinta impilo yethu yonke. Ngakho-ke, akumangazi ukuthi uma sikhuluma ngokwelashwa, sinezinkinga zengqondo. Ngakho-ke namuhla, ake sixoxe ngalezi zidakamizwa zokucindezeleka, noma izinto okudingeka uzazi ngazo.
Ngubani lo muthi osebenza kahle kakhulu kuye?
Ayikho impendulo elula kulokhu. Kodwa ucwaningo lubonisa ukuthi le mithi isebenza kubantu abaningi. Kodwa kungenzeka ukuthi uke wezwa ukuthi le mithi isebenza kangcono kubantu abanokucindezeleka okukhulu . Kukhona iqiniso elithile kuleyo ndaba, kodwa kukhona indlela yokuliqonda.
Kalula nje, kunje. Uma odokotela benza ucwaningo, basebenzisa into ebizwa ngokuthi "i-placebo." Okusho ukuthi, banikeza iziguli umuthi, kodwa empeleni awunawo umuthi. Kufana nje nebhola likashukela. Okumangazayo ukuthi abanye abantu bazizwa bengcono kancane ngemva kokuthatha le "placebo." Lokho kungenxa yenkolelo yengqondo edala yona.
Manje, uma umuntu onesifo sokucindezeleka okukhulu enikezwa umuthi wangempela, kukhombisa umphumela ongcono kakhulu kune-"placebo". Kodwa kumuntu onesifo sokucindezeleka okuncane , ngezinye izikhathi akukho mehluko omkhulu phakathi kokukhululeka okuvela ku-"placebo" kanye nokukhululeka okuvela kumuthi wangempela.
Lokhu kusho ukuthi uma izimpawu zakho zokucindezeleka zingezimbi kakhulu, kunethuba elihle lokuthi uzolulama kahle ngezinye izindlela zokwelapha ezingezona izidakamizwa.
Isibonelo, kufanelekile ukuzama izinto ezifana nokwelulekwa , ikakhulukazi ukwelashwa kokuziphatha kwengqondo (i-CBT) , kuqala. Lokhu kungakusiza ukunqoba ukucindezeleka ngokushintsha indlela ocabanga futhi oziphatha ngayo.
Uyikhetha kanjani imithi efanele wena?
Odokotela abasenawo indlela yokuthi "Lona umuthi ofanele lesi siguli." Kuhlukahluka kakhulu kumuntu nomuntu. Kodwa ngokuvamile, odokotela baqala lokhu kwelashwa ngokulandelana okuthile. Ake sibone ukuthi kuyini.
Umuthi wokuqala okhethwayo: ama-SSRI
Lena imithi yokuqala udokotela avame ukuyinikeza. Isebenza ngokulawula amazinga e-neurotransmitter ebizwa ngokuthi i-serotonin ebuchosheni bethu. I-Serotonin iyisithunywa samakhemikhali esisiza ukugcina imizwa yethu ilawuleka.
| Uhlobo Lomuthi | Ulwazi Olubalulekile |
|---|---|
| Ama-Selective Serotonin Reuptake Inhibitors (SSRIs) |
|
Uhlobo lwesibili lwemithi okufanele ulucabangele: Ama-SNRI
Uma imithi ye-SSRI ingasebenzanga kahle kuwe, udokotela wakho angase acabangele lolu hlobo olulandelayo. Lokhu kusebenza kokubili ku -serotonin kanye ne-norepinephrine, amakhemikhali asebuchosheni.
| Uhlobo Lomuthi | Ulwazi Olubalulekile |
|---|---|
| Ama-Serotonin akhethiwe kanye nama-Norepinephrine Reuptake Inhibitors (ama-SNRI) |
|
Kuthiwani uma imithi yodwa inganele? - Ukwelashwa okwengeziwe
Ngezinye izikhathi, okungukuthi, cishe abantu abangu-30% - 50% abanokucindezeleka abalulami ngokugcwele ngomuthi owodwa nje. Uma lokho kwenzeka kuwe, udokotela wakho angase anqume ukwengeza enye indlela yokwelapha ngesikhathi esifanayo. Lokhu kufaka phakathi:
- Ezinye izinhlobo zemithi yokucindezeleka (imithi yokucindezeleka engavamile)
- Eminye imithi yokugula ngengqondo (ama-antipsychotics angavamile)
- Isifutho sekhala se-Ketamine
Ngaphezu kwalokho,Kunezindlela zokwelapha ezivuselela ubuchopho . Lezi zivame ukusetshenziselwa ukucindezeleka okukhulu okungazange kuphendule kwezinye izindlela zokwelapha.
- Ukwelashwa nge-electroconvulsive (ECT)
- Ukukhuthazwa kwamagnetic kwe-Transcranial (TMS)
- Ukuvuselelwa kwemizwa ye-vagus (VNS)
Imibuzo okufanele uyibuze udokotela wakho nakanjani
"Ukucindezeleka kungenye yezimo zezokwelapha eziyinkimbinkimbi kakhulu. Ukuze kutholakale imiphumela emihle kakhulu, kumele kube nokuqondana okuhle phakathi kwesiguli nodokotela."
Ngakho-ke, uma ubona udokotela wakho, ungesabi ukubuza le mibuzo. Izokusiza ukuthi uqonde kahle ukwelashwa kwakho.
| Umbuzo okufanele uwubuze | Kungani lokho kubalulekile? |
|---|---|
| Kuzongithatha isikhathi esingakanani ukubona imiphumela? | Ukwazi ukuthi imithi ithatha isikhathi ukusebenza kusiza ukuvimbela ukudumala kusenesikhathi. |
| Ingabe kuzoba nzima kakhulu kimi ezinsukwini ezimbalwa zokuqala? | Eminye imithi ingabangela ukungakhululeki okuncane njengoba umzimba uzivumelanisa nayo. Kubalulekile ukukwazi lokhu kusenesikhathi. |
| Kuze kube nini ngiphinde ngibonane nodokotela? | Kubalulekile ukuhlala uxhumana njalo ukuze uqaphe inqubekela phambili yokwelashwa futhi wenze noma yiziphi izinguquko ezidingekayo. |
| Yimiphi imiphumela emibi evamile ? Ihlala isikhathi esingakanani? | Ngokwazi ukuthi yimiphi imiphumela emibi evamile neyingozi, ungagwema ukwethuka futhi utshele udokotela wakho ngokushesha uma kwenzeka okuthile okubi kakhulu. |
| Wenzani uma lo muthi uyeka ukusebenza? | Kubalulekile ukuba nohlelo lwezinyathelo ezilandelayo (ukushintsha umthamo womuthi, ukushintshela komunye umuthi). |
| Ngidinga ukuthatha lo muthi isikhathi esingakanani? | Kubalulekile ukuqonda kahle isikhathi sokwelashwa. |
| Yiziphi ezinye izindlela zokwelapha ezitholakalayo ngaphandle kwemithi? | Ngokuqaphela izinketho ezifana nokwelulekwa, ungahlanganisa izindlela eziningana zokwelapha. |
Ungalahli ithemba ngokushesha!
Kuvamile ukuzizwa sengathi udinga ukululama ngokushesha. Kodwa iqiniso liwukuthi, lawa ma-antidepressant athatha isikhathi ukusebenza. Isizathu esiqondile salokhu asaziwa, kodwa enye inkolelo-mbono ukuthi athatha izinsuku noma amasonto ukushintsha izindlela zamakhemikhali ebuchosheni bethu ezibangela ukucindezeleka futhi zibuyisele esimweni esijwayelekile.
Ngokuvamile kuthatha cishe amasonto amane kuya kwayisithupha ukubona intuthuko enkulu. Kodwa-ke, ukuze usho ngeqiniso ukuthi, "Lo muthi awungisebenzeli nhlobo," udinga ukuwuthatha njalo okungenani amasonto ayisishiyagalombili .
Futhi, ungayeki ukwelashwa ngoba ukwelashwa kokuqala akusebenzanga. Ucwaningo lukhombisile ukuthi amathuba akho okululama aphezulu kakhulu uma uzama ukwelashwa okungaphezu kokukodwa.
Into ebaluleke kakhulu ukuthi ukucindezeleka kuyisifo esingelapheka. Imithi kanye nezinye izindlela zokwelapha zisebenza kahle kakhulu. Kodwa into ebaluleke kakhulu okudingeka uyenze ukungalilahli ithemba, uhlale uxhumane nodokotela wakho, futhi ulandele imiyalelo yakhe.
Umlayezo Wokuya Nawe Ekhaya
- Imithi yokucindezeleka iyindlela yokwelapha ephumelela kakhulu, kodwa kungathatha isikhathi ukuthola imithi efanele kanye nomthamo ofanele wena.
- Khuluma nodokotela wakho eduze nangokukhululekile ukuze wakhe uhlelo lokwelashwa. Ungesabi ukubuza noma yimiphi imibuzo onayo.
- Ngaphezu kwemithi, ukwelashwa okufana nokwelulekwa kwengqondo (ikakhulukazi i-CBT) kubaluleke kakhulu. Uma lokhu kokubili kusetshenziswa ndawonye, imiphumela iba yimpumelelo enkulu.
- Yiba nesineke. Kungathatha amasonto ambalwa ukubona imiphumela ephelele yomuthi. Ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Awuwedwa. Ungazisiza ekunqobeni ukucindezeleka. Ngokwelashwa okufanele, ungalulama.
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