Ukucindezeleka kuyisimo esinzima kakhulu nesicindezelayo. Uma uzama ukuphuma kulesi simo, mhlawumbe udokotela ukunike imithi yokwelapha noma imithi yokucindezeleka. Kodwa-ke, lokhu kwelashwa akusebenzi ngendlela efanayo kuwo wonke umuntu. Leso esinye sezinselele ezinkulu. Ezinye izifundo zibonisa ukuthi cishe umuntu oyedwa kwabathathu abanokucindezeleka akatholi impumuzo ngokushesha kulezi zindlela zokwelapha ezivamile.
Kungani ukwelashwa okufanayo kungasebenzi kuwo wonke umuntu?
Isizathu esiyinhloko salokhu ukuthi yonke imizimba yethu nobuchopho bethu kuhlukile kakhulu. Ngisho nomuthi ofanayo, indlela ubuchopho bakho obusabela ngayo kuwo kanye nendlela ubuchopho bomunye umuntu obusabela ngayo kungahluka kakhulu. Cabanga nje, ngisho nezingane zakini ezimbili emndenini ofanayo zinokuthanda okuhlukile kokudla, iziphuzo, kanye nezingubo. Yilokho kanye. Amakhemikhali asebuchosheni bethu nawo asebenza ngendlela ehlukile kumuntu ngamunye.
Kalula nje, kunzima ngisho nodokotela ukusho ngokunembile okungu-100% ukuthi, "Kulungile, lo umuthi ofanele wena" ekuqaleni. Yingakho ngezinye izikhathi kuthatha isikhathi ukuthola umuthi ofanele wena.
Kodwa ungalilahli ithemba. Isayensi yezokwelapha iyathuthuka usuku nosuku. Yingakho manje sinezindlela ezintsha nezisebenza kangcono zokwelapha ukucindezeleka. Kufanele sijabule ukucabanga ngalokho.
Imithi ye-SSRI ethuthukisiwe kakhulu
Kulezi zinsuku, udokotela cishe uzoqala ngokunikeza umuthi obizwa ngokuthi ama-SSRI (Selective Serotonin Reuptake Inhibitors) kumuntu one-Major Depression Disorder (MDD). Lo muthi uthuthuke kakhulu kunemithi emidala.
Nakuba leli gama lingase lizwakale njengento enkulu, empeleni lilula kakhulu. Ubuchopho bethu buqukethe i-neurotransmitter ebizwa ngokuthi "i-Serotonin." Lokhu kusiza ekulawuleni izinto ezifana nesimo sethu sengqondo, injabulo, kanye nokulala. Abantu abanesifo sokucindezeleka bangase babe namazinga aphansi ale serotonin. Imithi ye-SSRI isebenza ngokugcina i-serotonin ebuchosheni isebenza isikhathi eside. Kufana nokumisa ukugeleza kwamanzi isikhashana bese uyigcina lapho kudingeka khona isikhathi eside.
Nazi ezinye izinhlobo zemithi ezingaphansi kweqembu le-SSRI:
| Igama Elijwayelekile Lomuthi | Igama lomkhiqizo elisetshenziswa kakhulu |
|---|---|
| I-Citalopram | (uCelexa) |
| I-Escitalopram | (I-Lexapro) |
| I-Fluoxetine | (Prozac) |
| I-Paroxetine | (Paxil) |
| I-Sertraline | (Zoloft) |
Enye yezinzuzo ezinkulu zale mithi ye-SSRI ukuthi inemiphumela emibi embalwa kakhulu uma iqhathaniswa nemithi emidala. Ngakho-ke ungaqhubeka nokusebenzisa le mithi ngaphandle kwezinkinga uze uthole imiphumela oyifunayo.
Ngokwesilinganiso, cishe abantu abayisithupha kwabayishumi (6/10) abathatha ama-SSRI bazobona ukuthuthuka okukhulu ezimpawini zabo zingakapheli izinyanga ezimbili. Kodwa abanye abangu-40% bangase bangatholi impumuzo kule mithi kuphela. Yilapho-ke lapho kudingeka sicabangele ezinye izindlela zokwelapha.
Ithemba lakamuva kulabo abangajwayelene nokwelashwa: i-Ketamine
I -Ketamine umuthi olethe ithemba elikhulu kulabo abahlushwa ukucindezeleka okungamelani nokwelashwa okungaphenduli emithini ejwayelekile.
Nakuba lo muthi ekuqaleni wawusetshenziswa njengesidambisi-zinhlungu ngesikhathi sokuhlinzwa, kamuva kwatholakala ukuthi unganikeza impumuzo esheshayo ekucindezelekeni. I-Ketoconazole isebenza ngendlela ehluke ngokuphelele kune-SSRIs. Okusho ukuthi, ithinta uhlelo oluhlukile lwamakhemikhali ebuchosheni.
Yini ekhethekile nge-ketamine?
- Imiphumela esheshayo: Akudingeki ulinde amasonto njengasemithini evamile. I-Ketamine ingakunikeza impumuzo yengqondo ngokushesha okukhulu, ngezinye izikhathi ngisho nangaphakathi kwamahora ambalwa.
- Kufanelekile ezimweni ezinzima: Lokhu kusebenza kakhulu kulabo abangaphenduli emithini efana ne-SSRIs. Kuphinde kusize ekulawuleni izimo ezinzima njengemicabango yokuzibulala.
Ukwelashwa nge-ketamine kungatholakala ngezindlela ezimbili eziyinhloko:
1. Isifutho Samakhala: Lesi yiSpravatoIza ngaphansi kwegama lomkhiqizo elithi "Esketamine." Iqukethe inhlanganisela ebizwa ngokuthi "esketamine," okuwuhlobo lwe-ketamine. Ivunyiwe yizikhungo ezifana ne-U.S. Food and Drug Administration (FDA), ngakho-ke iyatholakala ngisho nangomshuwalense.
2. Ifomu Lokufaka Imithambo Yegazi (IV): Indlela yokufaka umuthi ngqo emzimbeni ngomthambo. Nakuba lokhu kungakavunyelwa ngokusemthethweni ekucindezelekeni (ukusetshenziswa ngaphandle kwelebula), kusetshenziswa ezimweni ezimbi kakhulu ngaphansi kokuqondisa kwabanye odokotela.
Okubaluleke kakhulu, zonke lezi zindlela zokwelapha kufanele zenziwe ngaphansi kokuqondisa okuqinile kukadokotela oqeqeshiwe. Ungalokothi uzame lezi zinto wedwa. Udokotela wakho kufanele anqume ukuthi yikuphi ukwelashwa okufanele isimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelapha ukucindezeleka kuhlukile kumuntu ngamunye. Umuthi owodwa awusebenzi kuwo wonke umuntu, futhi lokho kuvamile.
- Ama-SSRI ayimithi yomugqa wokuqala ephephile kakhulu futhi esebenza kahle esetshenziswa namuhla.
- Uma ungalulami ngemithi yokuqala oyinikwayo, ungacabangi ukuthi sekuphelile. Kusho ukuthi udinga ukwelashwa okuhlukile.
- Izindlela zokwelapha zesimanje, njengeKetamine, zilethe ithemba elikhulu kulabo abangasabeli emithini evamile.
- Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngokukhululekile ngakho konke okusengqondweni yakho. Ungumuntu ongcono kakhulu wokuthola ukwelashwa okufanele wena.
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