Ngemva kokuthola ukuthi unesifo sokucindezeleka, cishe wabona udokotela waqala ukuthatha imithi. Manje cishe uzizwa sengathi uyalulama. Lowo mthwalo osindayo kanye nengcindezi owawuzwa manje sekunciphile kancane. Ngakho manje cishe ucabanga ukuthi, "Kulungile, manje sengizizwa ngingcono, ngakho ngingayeka ukuthatha le mithi." Kodwa udokotela wakho cishe uthi, "Sizoqhubeka nokusebenzisa le mithi isikhathi eside." Kungani usho kanjalo? Ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Kungani kudingeka ngiqhubeke ngithatha imithi ngisho nangemva kokuba sengelaphekile?
Into yokuqala okufanele uyiqonde ukuthi imithi yokucindezeleka ayifani nemithi yomkhuhlane noma ukukhwehlela. Uma sinomkhuhlane, siphuza imithi izinsuku ezimbalwa ukuze siphilise lesi sifo ngokuphelele. Kodwa ukucindezeleka kuyisimo esihlukile. Le mithi ilawula izimpawu zokucindezeleka futhi inikeze impumuzo engqondweni yakho.
Cabanga ngakho njengokuthatha imithi yesifo sikashukela noma umfutho wegazi ophakeme. Esikhundleni sokuqeda lesi sifo ngokuphelele, leyo mithi iyasiza ekusilawuleni futhi ikusize uphile impilo evamile. Ukucindezeleka ngezinye izikhathi kungaba yisifo esingamahlalakhona esidinga ukwelashwa kwesikhathi eside .
Uma ubhekene nokucindezeleka okokuqala, i-American Psychiatric Association itusa ukuthi uqhubeke uthatha imithi cishe izinyanga ezine kuya kwezinhlanu , ngisho nangemva kokuba izimpawu zakho sezithuthuke kakhulu futhi uzizwa ungcono. Uma uke waba nokucindezeleka izikhathi eziningana ngaphambili, kungase kudingeke ukuthi uphuze imithi isikhathi eside nakakhulu, mhlawumbe ngisho nokuphila kwakho konke.
Lokhu kungenxa yokuthi uma uyeka ukuthatha imithi ngokushesha, ingozi yokubuyela emuva iphezulu kakhulu. Ukuqhubeka nokuphuza imithi yokulawula lesi sifo ngale ndlela kubizwa ngokuthi "Ukwelashwa Kokunakekelwa."
Yimiphi imithi evamile yokucindezeleka?
Kunezinhlobo eziningana zemithi esetshenziselwa ukwelapha ukucindezeleka. Ngayinye yalezi isebenza ngendlela ehlukile kancane. Udokotela wakho uzokhetha imithi ekufanelekela kangcono kuye ngesimo sakho, izimpawu, kanye nezinye izimo zempilo.
Ama-Antidepressant Amasha
Eminyakeni engamashumi amabili edlule, kuye kwaziswa imithi eminingi esebenza kahle kakhulu enemiphumela emibi embalwa.
| Isigaba sezidakamizwa | Indlela esebenza ngayo ilula. | Imiphumela emibi engaba khona |
|---|---|---|
| Ama-SSRI (Ama-Selective Serotonin Reuptake Inhibitors) Isibonelo: i-Fluoxetine, i-Sertraline, i-Citalopram, i-Escitalopram | Kuthuthukisa ukusebenza kwe- serotonin , isithunywa samakhemikhali ebuchosheni esilawula imizwa yethu. | Ukucasuka kwesisu, ukungasebenzi kahle kocansi, ukuqwasha, isiyezi, ukushintsha kwesisindo, ikhanda elibuhlungu. (Ikakhulukazi okuncane) |
| Ama-SNRI (ama-Serotonin nama-Norepinephrine Reuptake Inhibitors) Isibonelo: iVenlafaxine, iDuloxetine | Kwandisa umsebenzi wezithunywa zamakhemikhali ezimbili ezibizwa ngokuthi i-serotonin ne -norepinephrine . | Ukucasuka kwesisu, izinkinga zokulala, ukungasebenzi kahle kocansi, ikhanda elibuhlungu, ukukhathazeka, isiyezi, ubuthakathaka. |
| Ama-NDRI (i-Norepinephrine kanye nama-Dopamine Reuptake Inhibitors) Isibonelo: i-Bupropion (i-Wellbutrin) | Kuthinta umsebenzi wezithunywa zamakhemikhali i-norepinephrine kanye ne-dopamine . | Ukuphazamiseka kwesisu, ikhanda elibuhlungu, izinkinga zokulala, ukuthuthumela, ukukhathazeka. (Imiphumela emibi yocansi kanye nokwanda kwesisindo akuvamile. ) Lo muthi awufanele abantu abake baba nokuxhuzula esikhathini esidlule. |
| Ama-NaSSA (Ama-Noradrenergic kanye nama-Specific Serotonergic Antidepressants) Isibonelo: iMirtazapine (iRemeron) | Kokubili i-serotonin ne-norepinephrine kuthinteka ngendlela ehlukile. | Ukuphazamiseka kwesisu, ukozela, ukukhuluphala, ukukhathazeka, isiyezi. |
Ama-antidepressant amadala
Kukhona nemithi eyayisetshenziswa ukwelapha ukucindezeleka esikhathini esidlule. Lezi yi -Tricyclic Antidepressants kanye ne-MAOIs (Monoamine Oxidase Inhibitors).Lokhu kusebenza ngokuthinta izithunywa zamakhemikhali (ama-neurotransmitter) ebuchosheni.
Nakuba le mithi isebenza kahle kakhulu kwabanye abantu, inemiphumela emibi eminingi. Futhi ngenxa yokuthi ingabangela izinkinga ngeminye imithi nokudla okuthile, odokotela abasayincomi njengokukhetha kokuqala. Kodwa-ke, le mithi emidala ingaba inketho enhle kwabanye abantu abangasabeli emithini emisha.
Eminye Imithi
Ngezinye izikhathi, udokotela angase anqume ukunikeza eminye imithi kanye nomuthi wokucindezeleka.
- Imithi yokukhathazeka noma yokungalali: Le mithi isiza ukulawula ukukhathazeka nezinkinga zokulala ezihambisana nokucindezeleka.
- Ama-Antipsychotics Angavamile: Imithi efana ne-Aripiprazole (Abilify) kanye ne-Quetiapine (Seroquel), evame ukunikezwa i -schizophrenia noma i-bipolar disorder, ingasiza ekukhuliseni ukusebenza kahle kwe-antidepressant uma inganele.
- I-L-methylfolate (i-Deplin): Nakuba ingachazwanga njengomuthi yi-FDA, ibhekwa "njengokudla kwezokwelapha." Lolu uhlobo olunamandla lwevithamini B olubizwa ngokuthi i-folate. Lusiza ekulawuleni izithunywa zamakhemikhali ebuchosheni ezilawula isimo sengqondo. Luye lwasebenza kahle ekwelapheni ukucindezeleka okungaphendulanga kwezinye izindlela zokwelapha.
Uyithola kanjani imithi efanele wena?
Ngeshwa, akulula ukuthola umuthi ofanele kanye nomthamo ofanele wena. Wonke umuntu usabela ngendlela ehlukile emuthini ofanayo. Ngisho nodokotela wakho akakwazi ukubikezela ukuthi umuthi uzosebenza kahle kangakanani kuwe.
Ngakho-ke lokhu kuyinto okudingeka yenziwe ngesineke . Kungase kudingeke uzame ukushintsha phakathi kwemithi. Ngokuvamile, uzoqala ukuzwa impumuzo ethile emavikini ambalwa okuqala umuthi wokucindezeleka, kodwa kungathatha izinyanga eziningana ukuzwa imiphumela ephelele. Ngakho ungayeki ngokushesha. Ngokuhamba kwesikhathi, udokotela wakho angandisa noma anciphise umthamo wakho ngokuya ngesimo sakho.
Uma usuthathe umuthi isikhathi eside futhi ungasizi, qiniseka ukuthi ukhuluma nodokotela wakho ngawo. Angase akuncome ukuthi uzame umuthi ohlukile. Ngokuhamba kwesikhathi, ungathola umuthi noma inhlanganisela yemithi ekusebenzelayo.
Into ebaluleke kakhulu ukuthi, noma ngabe uzizwa ungcono manje, ungalokothi uyeke ukuthatha imithi yakho ngaphandle kokubonisana nodokotela wakho kuqala. Ukwenza kanjalo kungabangela ukuthi ukucindezeleka kwakho kubuye, noma ngemithi ethile, kungabangela imiphumela emibi efana nezimpawu ezifana nomkhuhlane, isicanucanu, kanye nesiyezi. Ngakho-ke, uma uyeka ukuthatha imithi yakho, yenza kanjalo kancane kancane, ulandela imiyalelo kadokotela wakho.
Udokotela wakho kufanele akuvakashele njalo, ikakhulukazi uma uqala umuthi omusha. Phakathi nalesi sikhathi, khuluma ngokukhululekile nganoma yikuphi ukungakhululeki noma izinkinga ongase ube nazo ngomuthi.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka akusona ubuthakathaka, kuyisimo sezokwelapha esidinga ukwelashwa, njengesifo sikashukela.
- Ngisho noma uzizwa ungcono, qhubeka uthatha imithi yakho uma nje udokotela wakho ekutshela ukuthi ugweme ukubuyela emuva. Lokhu kubizwa ngokuthi "ukwelashwa kokunakekelwa."
- Kungathatha isikhathi ukuthola imithi efanele kanye nomthamo ofanele wena, ngakho-ke yiba nesineke ngokwelashwa kwakho.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kwemvume kadokotela wakho.
- Uma unemibuzo mayelana nomuthi noma ukungakhululeki obhekene nakho, xoxa ngakho ngokukhululekile nodokotela wakho.
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