Ingabe ungumuntu ohlushwa ukucindezeleka noma uthatha imithi yokucindezeleka? Uma kunjalo, kungenzeka ukuthi ujwayelene nalokhu okuhlangenwe nakho. Umuthi udokotela akunike wona ekuqaleni, 'owokuqala' esiwaziyo sonke, ungashintsha ekhemisi ngemva kwesikhashana. Ungase uthole umuthi ofanayo ngaphansi kwegama elihlukile futhi usephaketheni elihlukile. Lokhu yilokho esikubiza ngokuthi umuthi 'ojwayelekile'. Ngalesi shintsho, ingabe uzizwa sengathi imizwa yokudabuka nokukhathazeka owawunayo ngaphambili iyavela kabusha? Noma ingabe imiphumela emibi owayithola lapho uqala ukuthatha umuthi ibuye yavela? Ungakhathazeki, awuwedwa ohlangabezana nalezi zinto. Masicacise ngalokhu.
Uyini umehluko phakathi 'kwegama lomkhiqizo' kanye 'negama elivamile'?
Kalula nje, inkampani esungula umuthi omusha ithola ilungelo lobunikazi bawo. Phakathi naleso sikhathi, yileyo nkampani kuphela engenza lowo muthi. Siwubiza ngokuthi 'igama lomkhiqizo' noma umuthi wokuqala . Lapho lesi sikhathi sobunikazi siphela, ezinye izinkampani zivunyelwe ngokomthetho ukwenza izidakamizwa zisebenzisa isithako esifanayo esisebenzayo. Yilokho esikubiza ngokuthi izidakamizwa 'ezijwayelekile' .
Izikhungo ezinkulu zezempilo emhlabeni jikelele, njenge-Food and Drug Administration (FDA) e-United States, zithi akukho mehluko omkhulu phakathi kwalezi zinhlobo ezimbili. Ngakho-ke, odokotela emhlabeni jikelele, kanye nasezweni lethu, bavame ukuncoma ngokuqiniseka imithi ejwayelekile. Ngoba ibhekwa njengamakhophi asebenzayo omuthi wokuqala. Futhi ishibhile kakhulu.
Pho kungani lolu shintsho luthinta abanye abantu?
Lona umbuzo abantu abaningi abanawo. Uma zombili izidakamizwa zifana ngokombono, kungani abanye abantu bezwa umehluko lapho beshintsha kusuka kumuthi wokuqala baye kojwayelekile? Kungaba nezizathu ezimbili eziyinhloko zalokhu:
1. Ukuphindaphinda kwezimpawu: Ngemva kokushintshela emithini ejwayelekile, ezinye iziguli ziqala ukuzwa izimpawu zazo zakudala zokucindezeleka, njengokudabuka, ukuphelelwa yithemba, nokukhathazeka, futhi.
2. Imiphumela emibi iyaphinda ivele: Kwabanye, imiphumela emibi efana nokuzungeza kanye nesicanucanu okwaqala ukubonakala lapho kuqala umuthi wokuqala iqala ukuvela futhi lapho kushintshelwa komuthi ojwayelekile.
Cabanga ngalesi simo. Umuntu ogama lakhe linguSamantha wayesebenzisa umuthi wokuqala `(Paxil)` wokucindezeleka cishe unyaka futhi wayesebenza kahle kakhulu. Kodwa ngemva kokuba ikhemisi limnike uhlobo lwalo olujwayelekile olubizwa ngokuthi `(Paroxetine)` phakathi namasonto ambalwa waqala ukuzizwa enobunzima obufanayo nokungabi nasithakazelo kunoma yini. Kukhona ngisho nemibiko yezokwelapha mayelana nalezi zimo. Ngezinye izikhathi, ngisho nalapho ushintsha kusuka kolunye uhlobo olujwayelekile uye kolunye, imiphumela enjalo ingenzeka.
Into ebalulekile ukuthi lokhu akuyona "inkinga ehlelekile" ngemithi ejwayelekile. Kodwa kubalulekile ukuthi odokotela baqaphele kakhulu ngalokhu.
Iyini incazelo yesayensi yalo mehluko?
Ezimweni eziningi, inkinga akukhona ukuthi umuthi ojwayelekile "uncane" kunowokuqala. Kodwa kungase kube nomehluko omncane kakhulu. Lowo mehluko omncane ungathinta abanye abantu.
Kalula nje, iphilisi aliyona nje into esebenzayo eyi-100%. Ezinye izithako zengezwa ephilisini ukuze zilihlanganise ndawonye (izihlanganisi), zigcine isimo sephilisi, bese kufakwa ungqimba phezulu (izingqimba). Lezi zibizwa ngokuthi 'izithako ezingasebenzi' . Lezi zithako ezingasebenzi zingahluka phakathi komuthi wokuqala nomuthi ojwayelekile. Lo mehluko ungashintsha kancane izinga umuthi oncibilika ngalo emzimbeni kanye nezinga umuncwa ngalo egazini.
Ngokomthetho, izinga lomuthi okufanele umuthi ojwayelekile uqoqeke egazini lomzimba liphakathi kuka-80% no-125% wezinga umuthi wokuqala oqoqeka ngalo. Nakuba lokhu kungase kubonakale sengathi kukhulu, abantu abaningi ngeke bawubone lo mehluko. Kodwa-ke, kwabanye abantu abazwelayo, ikakhulukazi labo abanezinye izimo zezokwelapha noma ukuhlukahluka kofuzo, ngisho nalo mehluko omncane ungabathinta.
Lo mehluko ungachazwa kabanzi kuthebula elingezansi.
| Iqiniso | Umuthi obizwa ngegama lomkhiqizo (wasekuqaleni) | Umuthi ojwayelekile |
|---|---|---|
| Isithako Esisebenzayo | Kufana ngokuphelele | Kufana ngokuphelele |
| Izithako ezingasebenzi | Kukhona inhlanganisela eyodwa ethile | Kungahluka. (isb., izinto zokubopha, izembozo) |
| Amazinga Egazi | Inezinga elithile | Kungaba phakathi kuka-80% - 125% wento yokuqala |
| Intengo | Ngokuvamile kuyabiza | Ngokuvamile kushibhile |
Yini okufanele uyenze?
Kulungile, ngakho-ke uma nawe uzizwa umehluko uma ushintshela kumuthi ojwayelekile, ungakhathazeki. Kunezinto ezimbalwa ongazenza.
Khuluma nodokotela.
Lesi yisinyathelo esibaluleke kakhulu nesokuqala . Tshela udokotela wakho nganoma yiziphi izinguquko oziqaphelayo, kungakhathaliseki ukuthi izimpawu ziyabuya noma kuvela imiphumela emibi. Khuluma ngokucacile, "Dokotela, ngilubonile lolu shintsho selokhu ngashintshela emuthini omusha." Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngokwakho.
Ukulungiswa Komthamo
Ngezinye izikhathi udokotela wakho angase anqume ukushintsha umthamo wemithi yakho kancane. Isibonelo, uma ubuthatha u-20mg womuthi wokuqala ``(Celexa)`` futhi wenza kahle, kungadingeka ukuthi uthathe u-30mg noma u-40mg womuthi ojwayelekile ``(Citalopram)`` ukuze uthole imiphumela efanayo. Lesi sinqumo kufanele senziwe udokotela wakho ngokuphelele.
Ukushintshela emuva emithini yokuqala
Uma umuthi ojwayelekile ungakufanelani futhi ungakwazi ukukhokhela intengo yomuthi wokuqala, udokotela wakho angase akucebise ukuthi ushintshele emthini wokuqala.
Ekuphetheni, imithi yokucindezeleka ejwayelekile ngokuvamile iyimithi ephephile kakhulu futhi esebenza kahle. Ayibizi kakhulu, okwenza itholakale kalula kubantu abaningi. Kodwa njenganoma yimuphi umuthi, kubalulekile ukuqaphela ukuthi uthinta kanjani umzimba wakho nokukhuluma nodokotela wakho nganoma yiziphi izinkinga.
Umlayezo Wokuya Nawe Ekhaya
- Ama-antidepressant ajwayelekile ngokuvamile aphephile futhi asebenza kahle njengomuthi wokuqala.
- Uma ushintsha kusuka kumuthi wokuqala uye kowohlobo olujwayelekile, inani elincane labantu lingase libone izimpawu noma imiphumela emibi ibuya. Lokhu kungenxa yokwehluka 'kwezithako ezingasebenzi' eziqukethwe ephilisini.
- Uma ubona ushintsho olunjalo, ungesabi, khuluma nodokotela wakho ngokushesha.
- Akufanele uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
- Khuluma nodokotela wakho ukuze uthole umuthi kanye nomthamo ofanele wena. Inhlalakahle yakho yengqondo ibaluleke kakhulu.
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