Ingabe ngezinye izikhathi uzizwa udabuke kakhulu noma usinda? Noma ingabe unenkinga yokugxila emsebenzini owodwa? Mhlawumbe uzama ukuyeka ukubhema. Lezi zimo zithintwa ukusebenza kwamakhemikhali athile ebuchosheni bethu. Namuhla sizokhuluma ngohlobo lomuthi olusiza ukulawula lowo msebenzi ngendlela efanele. Lawa abizwa ngokuthi ama-NDRI.
Iyini le NDRI?
Kalula nje, ama-NDRI (i-Norepinephrine kanye ne-Dopamine Reuptake Inhibitors) ayisigaba semithi esebenza ngokushintsha umsebenzi wezithunywa ezimbili zamakhemikhali ebuchosheni bethu: i-norepinephrine kanye ne-dopamine .
Sibiza lawa makhemikhali amabili ngokuthi ama-neurotransmitter. Yilawo athwala imiyalezo esuka kwelinye iseli ebuchosheni iye kwelinye. Njengomuntu othumelayo. Asiza ekulawuleni izinto eziningi, okuhlanganisa isimo sethu sengqondo, injabulo, ukunaka, kanye nomsebenzi.
Udokotela wakho angase akunike le mithi ye-NDRI njengokwelashwa kwezimo ezinjengokucindezeleka noma i-attention deficit hyperactivity disorder (ADHD).
Yiziphi izimo ezisetshenziswa imithi ye-NDRI?
Imithi ye-NDRI isiza ukulawula izimo ezahlukene zezokwelapha. Ake sibone ukuthi ziyini. Ngizokukhombisa lokhu etafuleni okulula ukuliqonda.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Ukucindezeleka | Ukudabuka kwesikhathi eside, ukukhungatheka, nokulahlekelwa isithakazelo ezintweni. |
| Isifo Sokuntuleka Kokunaka/Ukuphazamiseka Kokusebenza Okuphezulu (ADHD) | Ubunzima bokugxilisa ingqondo, ukungahlaliseki njalo, kanye nomsebenzi ongaguquki. |
| Inkinga yokusebenzisa ugwayi | Ukulawula izifiso ezenzeka lapho uyeka ukubhema noma imikhiqizo equkethe i-nicotine. |
| Ukukhathazeka | Ukwesaba ngokweqile kanye nemizwa yokwesaba eyenzeka ngaphandle kwesizathu. |
| Isifo se-Bipolar | Ukushintshashintsha kwemizwa okungavamile kusuka enjabulweni enkulu kuya osizini olukhulu. |
| Isifo sokuzwela kwesizini | Izimo zokucindezeleka ezenzeka ngezikhathi ezithile zonyaka (isb., ubusika). |
| Izimo ezifana nokuhamba ulele (i-Narcolepsy) | Ukulala okungalawuleki emini. |
Imithi ye-NDRI esetshenziswa kakhulu
- I-Bupropion (eyaziwa kakhulu ngegama lomkhiqizo i-Wellbutrin )
- I-Dexmethylphenidate ( Focalin )
- I-Methylphenidate ( Ritalin, Concerta )
Into ebaluleke kakhulu ukuthi udokotela wakho kuphela onganquma ukuthi le mithi ikufanele yini nokuthi kufanele uthathe muphi umthamo. Ungalokothi usebenzise le mithi ngokusekelwe ezincomweni zomunye umuntu.
Lo muthi usebenza kanjani emzimbeni wethu?
Ukuze siqonde lokhu, ake sithathe isibonelo esincane. Cabanga ukuthi udinga ukuthumela umlayezo phakathi kwamangqamuzana amabili ezinzwa ebuchosheni bakho. Amakhemikhali esikhulume ngawo ngaphambili, i-Norepinephrine ne-Dopamine, ayasiza kulokhu.
Ngemva kokuba umyalezo usuthunyelwe, iseli elithumele umyalezo libuyisela la makhemikhali kuwo (lokhu kubizwa ngokuthi ukuphindwaphindwa). Kufana nokunikeza incwadi bese uthola ikhophi.
Lokho okwenziwa umuthi we-NDRI ukuyeka lokho kuphinda kuthathwe isikhashana. Ngemuva kwalokho i-Norepinephrine ne-Dopamine zihlala phakathi kwamaseli isikhathi eside. Lokho kusho ukuthi umyalezo usebenza kahle kakhulu. Lena yindlela le mithi esiza ngayo ukuthuthukisa isimo sengqondo nokwandisa ukunaka.
Yimiphi imiphumela emibi ye-NDRIs?
Njenganoma yimuphi umuthi, ama-NDRI angaba nemiphumela emibi. Kodwa ungakhathazeki, isikhathi esiningi lokhu akukubi kangako. Kodwa-ke, kunezinto ezithile okudingeka siziqaphele. Udokotela wakho uzokhuluma nawe ngalezi zingozi ngaphambi kokukunikeza umuthi.
Ake sihlukanise le miphumela emibi ibe izingxenye ezimbili.
| Uhlobo lomphumela ongemuhle | Imiphumela emibi nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi evamile, engemibi kangako | |
| Ubunzima bokulala | Lokhu kuvamile ezigabeni zokuqala. Khuluma nodokotela wakho. |
| Isiyezi | Qaphela lapho usukuma ngokuzumayo noma ushintsha izikhundla. |
| Umlomo owomile | Phuza amanzi amaningi. Sebenzisa into efana ne-chewing gum engenashukela. |
| Ikhanda elibuhlungu kanye nokukhathala | Lokhu kuvame ukuphela ezinsukwini ezimbalwa. Uma kuqhubeka, tshela udokotela wakho . |
| Isifiso sokudla | Ngisho noma ungalambile, zama ukudla kancane kancane. |
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuvuvukala kobuso, umphimbo, ubunzima bokuphefumula, ukuqubuka kwesikhumba noma ukulunywa. Yiya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (ETU) ngokushesha. |
| Ukudideka | Izinto ezifana nokukhohlwa ukuthi ukuphi nokuthi isikhathi sini. |
| Ukubona/ukuzwa izinto ezingekho (imibono engaqondakali) | Ukuzizwa sengathi ubona noma uzwa izinto ezingekho ngempela. |
| Ukushaya kwenhliziyo | Uma inhliziyo yakho izwakala ishesha noma ishaya ngamandla. |
| Ukuquleka | Lesi yisimo esiphuthumayo esibucayi kakhulu. Yiya esibhedlela ngokushesha. |
Kuthatha isikhathi esingakanani ukuzwa imiphumela yomuthi?
Lona umbuzo abantu abaningi abawubuzayo. Kunzima ukulindela ushintsho olukhulu ngokushesha ngemva kokuqala imithi ye-NDRI, okungukuthi, ngosuku olulodwa noma ezimbili.
Ngokuvamile kuthatha cishe amasonto amabili kuya kwamane ukuthi le mithi isebenze ngokugcwele. Ngezinye izikhathi kungathatha isikhathi eside. Ngakho-ke, ungayeki ukuthatha imithi ngokushesha nje lapho uqala ukuyisebenzisa ngoba ucabanga ukuthi ayisebenzi.
Kubaluleke kakhulu ukuphuza umuthi wakho ngesikhathi esifanele nangesilinganiso esifanele, njengoba udokotela wakho ekutshela. Udokotela wakho angandisa noma anciphise isilinganiso sakho ngokuhamba kwesikhathi.
Enye into ebalulekile ukuthi, noma ngabe uzizwa ungcono, ungayeki ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungakubangela ukungakhululeki. Ngokuvamile, umthamo womuthi uyancipha kancane kancane. Ngakho-ke, yenza konke ngemva kokuxoxa ngakho nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-NDRI uhlobo lomuthi oluthinta amakhemikhali obuchopho futhi lusetshenziselwa ukwelapha izimo ezifana nokucindezeleka kanye ne-ADHD.
- Kungathatha amasonto ambalwa ukubona imiphumela ephelele ngemva kokuqala lo muthi, ngakho-ke bekezela futhi uqhubeke nokwelashwa.
- Ngisho noma uzizwa ungcono, ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Imiphumela emibi evamile (njengomlomo owomile, ikhanda elibuhlungu) ingase ivele. Kodwa-ke, uma uhlangabezana nemiphumela emibi kakhulu njengokusabela kokungezwani komzimba noma ukuquleka, funa iseluleko sezokwelapha ngokushesha.
- Hlala uthintana nodokotela wakho njalo. Khuluma ngokukhululekile ngendlela imithi yakho esebenza ngayo kanye nemiphumela emibi. Lokhu kuzokusiza ukuthola ukwelashwa okukulungele.
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