Ingabe uzizwa ungajabule kangako, udabukile nje, futhi ulahlekelwe yisithakazelo ezintweni owawuzijabulela? Noma unesifo esifana nokukhathazeka esikwenza ukhathazeke ngisho nangezinto ezincane kakhulu futhi sikwenze uzizwe wesaba ngokungadingekile? Lezi zinhlobo zezinkinga zempilo yengqondo zivame kakhulu emphakathini wanamuhla. Uma uya kudokotela esimweni esinjalo, cishe uzokunikeza umuthi obizwa ngokuthi i-SSRI. Ngakho-ke namuhla, ake sixoxe ngendlela elula kakhulu ngokuthi ziyini lezi SSRI, ukuthi zisebenza kanjani, nakho konke okudingeka ukwazi ngazo.
Kalula nje, ayini lawa ma-SSRI?
Ama-SSRI ayisigaba esivame ukusetshenziswa kakhulu semithi yokucindezeleka . Igama eliphelele yi -Selective Serotonin Reuptake Inhibitors . Nakuba igama lizwakala liyinkimbinkimbi kancane, indlela esebenza ngayo ilula kakhulu. Le mithi ilawula kakhulu umsebenzi wekhemikhali ebizwa ngokuthi 'i-Serotonin' ebuchosheni bethu. Le serotonin iyisithunywa samakhemikhali esibaluleke kakhulu esithinta izinto eziningi engqondweni yethu, njengenjabulo, usizi, ukulala, kanye nesifiso sokudla.
Nakuba kunezinhlobo eziningi ezahlukene zemithi yokucindezeleka emakethe, odokotela bavame ukukhetha ama-SSRI kuqala. Isizathu esiyinhloko salokhu ukuthi anemiphumela emibi embalwa kunezinye izinhlobo zemithi futhi ayinzima kangako. Ngakho-ke, angasetshenziswa ngokuphephile ngabantu abaningi.
Lo muthi usebenza kanjani emzimbeni?
Ukuze siqonde lokhu, ake sithathe isibonelo esincane. Cabanga ukuthi ubuchopho bethu buyidolobha elikhulu. Kunezinkulungwane zezithunywa kuleli dolobha ezithwala imiyalezo zisuka kwenye indawo ziye kwenye. 'I-Serotonin' ingenye yezithunywa ezibaluleke kakhulu. Kwezokwelapha, lezi zithunywa sizibiza ngokuthi 'ama-neurotransmitters' .
Yilokhu okuvame ukwenzeka: I-Serotonin ikhishwa kwelinye iseli lobuchopho (i-neuron) bese ithumela umlayezo kwelinye iseli eliseduze. Ngemva kokuthunyelwa komlayezo, iseli elifanayo eliwukhiphile liyawubuyisela. Sibiza le nqubo ngokuthi 'ukuthathwa kabusha' . Kufana nomuntu othumela iposi ebuyela eposini ngemuva kokuletha incwadi.
Abanye abantu abanezimo ezifana nokucindezeleka nokukhathazeka bangase babe namazinga aphansi e-serotonin ebuchosheni babo, okungabangela ukuthi imiyalezo ingadluliswa ngendlela efanele.
Ama-SSRI avimba okwesikhashana lokho kuphinda kuthathwe. Lokhu kuvumela i-serotonin ukuthi ihlale phakathi kwamaseli isikhathi eside futhi inikeze umyalezo wayo ngokunembe kakhudlwana. Ngale ndlela, lapho umsebenzi we-serotonin ebuchosheni ukhula, isimo sakho sengqondo siqala ukuthuthuka kancane kancane.
I-Serotonin isiza ukulawula lezi zinto emzimbeni wethu:
- Isimo sengqondo: Imizwa efana nenjabulo, usizi.
- Ukulala: Ukuze ulale kahle ebusuku.
- Isifiso sokudla: Ukuzizwa ulambile.
- Inkumbulo: Ukukhumbula izinto.
- Isifiso sobulili: Isifiso sobulili.
- Ukuziphatha komphakathi: Ukusebenzelana nabanye.
Yiziphi izimo ezisetshenziswa ama-SSRI?
Nakuba ama-SSRI aziwa kakhulu njengokwelapha ukucindezeleka, odokotela bawanikeza nezinye izimo eziningi zengqondo nezomzimba.
| Isimo | Incazelo elula |
|---|---|
| Isifo Sokucindezeleka Okukhulu (MDD) | Ukudabuka okukhulu, kwesikhathi eside kanye nokulahlekelwa isithakazelo okuthinta impilo yansuku zonke. |
| Isifo Sokukhathazeka Okujwayelekile (i-GAD) | Ukukhathazeka njalo nokwesaba izinto ezahlukene ngaphandle kwesizathu esithile. |
| Isifo Sokucindezeleka Okungapheli (OCD) | Imicabango ephazamisayo nephindaphindayo (ukuzidela) kanye nezenzo eziphindaphindayo eziphendula kuyo (ukuphoqelelwa). |
| Isifo Sokwethuka | Ukwesaba okukhulu, okungazelelwe kanye nezimpawu zomzimba (ukushaya kwenhliziyo, ukujuluka) ezenzeka ngaphandle kwesizathu. |
| Isifo Sokucindezeleka Ngemva Kokuhlukumezeka (PTSD) | Ukucindezeleka okwenzeka ngemva kwesenzakalo esesabekayo kanye nokukhumbula njalo leso senzakalo. |
| Isifo Sokukhathazeka Komphakathi | Ukwesaba ngokweqile kanye namahloni okuthi abanye bazogxeka wena ezimweni zomphakathi. |
Ngaphezu kwalokho, ngokusekelwe kokuhlangenwe nakho kukadokotela kanye nobufakazi bezokwelapha, le mithi ingase inikezwe nezinye izimo zezokwelapha. Isibonelo, isetshenziselwa ukuphuphuma kokuphuma kocansi ngaphambi kwesikhathi, izimo zobuhlungu obungapheli njenge-fibromyalgia, kanye nezinye izinkinga zokudla.
Ingabe ikhona imiphumela emibi? Ingabe kuyenzeka kuwo wonke umuntu?
Njenganoma yimuphi umuthi, ama-SSRI angabangela imiphumela emibi kwabanye abantu. Kodwa khumbula, akuwona wonke umuntu oyitholayo. Iningi lale miphumela emibi livela emasontweni ambalwa okuqala okuthatha umuthi. Iningi lawo liyaphela ngokwalo njengoba umzimba wakho ujwayela umuthi.
| Imiphumela emibi evamile | Incazelo |
|---|---|
| Izinkinga zesistimu yokugaya ukudla | Ukucanuzela kwenhliziyo, ukuhlanza, izinhlungu esiswini, uhudo, noma ukuqunjelwa. |
| Ikhanda elibuhlungu | Ungase uzwe ikhanda elincane ezinsukwini ezimbalwa zokuqala. |
| Izinguquko zokulala | Abanye abantu bangase babe nobunzima bokulala (ukungalali) noma ukulala ngokweqile. |
| Umlomo Owomile | Ukuncipha kwamathe emlonyeni. Lokhu kungalawulwa ngokuphuza amanzi njalo. |
| Ukuziphatha okubi ngokocansi | Izinto ezinjengokuncipha kwesifiso sobulili kanye nobunzima bokufinyelela i-orgasm zingase zenzeke. |
| Isiyezi | Kungenzeka ikakhulukazi uma ushintsha izikhundla. |
Uma le miphumela emibi ikukhathaza, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuyeka umuthi. Angase akwazi ukulungisa umthamo, akushintshele komunye umuthi, noma akunike indlela yokulawula lokhu kungakhululeki.
Izingozi ezikhethekile okufanele uziqaphele
Nakuba ama-SSRI ngokuvamile ayimithi ephephile kakhulu, kunezingozi ezinkulu ezingavela kaningi, kodwa ngokuqinisekile kufanelekile ukuzazi .
Isifo Sokuyeka Ukucindezeleka
Uma uyeka ukuthatha i-SSRI amasonto angaphezu kwayisithupha, ungase ube nemiphumela emibi. Isibonelo, isiyezi , izinhlungu zomzimba, isicanucanu, kanye nokukhathazeka okukhulu. Indlela engcono kakhulu yokugwema lokhu ukunciphisa kancane kancane umthamo esikhathini esiyizinyanga eziningana, ngaphansi kwesiqondiso sikadokotela wakho.
I-Serotonin Syndrome
Lesi yisimo esingavamile kodwa esibucayi. Senzeka lapho amazinga e-serotonin emzimbeni eba phezulu kakhulu. Le ngozi inganda uma uthatha ama-SSRI kanye neminye imithi ethinta amazinga e-serotonin (isib. eminye imithi yokukhwehlela, imithi ye-migraine).
Nakisisa lezi zimpawu:
- Ukungahlaliseki, ukudideka
- Ukushaya kwenhliziyo
- Nginomkhuhlane.
- Ukuqina kwemisipha noma ukudikiza
- Ukujuluka ngokweqile
Uma uhlangabezana nenye noma ngaphezulu yalezi zimpawu, ungazinaki. Shayela udokotela wakho ngokushesha, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
Imicabango Yokuzibulala
Lokhu kubaluleke kakhulu futhi. Ikakhulukazi emasontweni ambalwa okuqala ngemva kokuqala ama-SSRI, ngezinye izikhathi kuba nengozi encane yokwanda kwemicabango yokuzibulala kubantu abangaphansi kweminyaka engu-25. Uma wena noma othile emndenini wakho enale micabango, tshela udokotela wakho ngokushesha. Lokhu kungaba okwesikhashana, futhi udokotela wakho angakusiza uthole usizo oludingayo.
Eminye imithi engahambisani nalo muthi
Uma uthatha i-SSRI, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo, njengoba eminye imithi ingasebenzisana nama-SSRI, yandise imiphumela emibi noma iphazamise ukusebenza kahle komuthi.
Qaphela kakhulu ngale mithi:
- Imithi evimbela ukujiya kwegazi: njenge-aspirin ne-clopidogrel.
- Ama-painkiller: Ama-NSAID afana ne-ibuprofen ne-diclofenac.
- Eminye imithi esetshenziselwa ukwelapha ikhanda elibuhlungu: Ama-Triptan.
- Eminye imithi yokucindezeleka.
- Eminye imithi yokukhwehlela: Isibonelo, ama-syrup aqukethe i-dextromethorphan.
- Imikhiqizo yamakhambi: Ikakhulukazi ikhambi i-St. John's Wort.
Ngisho noma uthenga umuthi ojwayelekile wokukhwehlela noma womkhuhlane ekhemisi, kungcono ukuwuthatha ngemuva kokubonisana nodokotela wakho.
Ingabe kulungile ukusebenzisa lezi zinto ngesikhathi sokukhulelwa kanye notshwala?
Ukukhulelwa
Lesi yisihloko esibucayi kakhulu. Kunemibono ehlukene mayelana nokukhulelwa ngenkathi uthatha ama-SSRI noma uthatha imithi ngenkathi ukhulelwe. Ezinye izifundo zibonisa ukuthi zingaba nemiphumela ethile enganeni esibelethweni. Kodwa-ke, ukungalawuli ukucindezeleka kukamama ngesikhathi sokukhulelwa kungaba yingozi kumama kanye nengane. Ngakho-ke, uma ukhulelwe noma uhlela ukukhulelwa, kubalulekile ukukhuluma ngokukhululekile nodokotela wakho ngalokhu. Uzolinganisa izinzuzo nezingozi, kuye ngesimo sakho, futhi akusize wenze isinqumo esingcono kakhulu kuwe.
Utshwala
Kungcono ukugwema utshwala ngokuphelele ngenkathi usebenzisa ama-SSRI. Utshwala futhi buyadambisa ukucindezeleka, okungenza ukucindezeleka noma ukukhathazeka kube kubi kakhulu. Bungaphazamisa nokusebenza kahle komuthi, kukwenze uzizwe ulele futhi unesiyezi .
Kuthatha isikhathi esingakanani ukubona imiphumela yomuthi?
Lokhu kuyinkinga nakubantu abaningi. Ama-SSRI awawona umuthi osebenza ngokushesha njengombulali wezinhlungu. Athinta ukwakheka kwamakhemikhali ebuchosheni futhi athatha isikhathi ukukhiqiza umphumela ozinzile.
Ngokuvamile, uzoqala ukuzizwa ungcono phakathi kwamasonto amane kuya kwayisithupha kusukela uqale ukuthatha umthamo obekwe udokotela wakho. Kwabanye abantu, lokhu kungathatha amasonto ayisishiyagalolunye noma ayi-12. Ngakho-ke, ungayeki ukuthatha umuthi ngoba unomuzwa wokuthi akukho mehluko emasontweni ambalwa okuqala. Bekezela futhi uqhubeke nokusebenzisa umuthi. Uma ungazizwa ungcono ngemva kwezinyanga ezimbili kuya kwezintathu, khuluma nodokotela wakho ngakho.
Ukuthatha imithi yokucindezeleka noma ukukhathazeka akulona neze ubuthakathaka bomuntu siqu. Kuvamile njengokuthatha imithi yesifo sikashukela noma umfutho wegazi ophakeme. Le mithi ingenza umehluko omkhulu empilweni yakho yengqondo neyomzimba. Ingaba yimbangela enkulu yokukusiza ukuthi ubuyele empilweni yakho evamile.
Umlayezo Wokuya Nawe Ekhaya
- Ama-SSRI ayisigaba semithi esivame kakhulu nesiphephile esisetshenziselwa ukwelapha izinkinga ezahlukene zempilo yengqondo, njengokucindezeleka nokukhathazeka.
- Lokhu kusebenza ngokulinganisela umsebenzi wesithunywa samakhemikhali ebuchosheni esibizwa ngokuthi i-serotonin.
- Kungathatha amasonto angu-4-6 noma ngaphezulu ukuzwa imiphumela ephelele yomuthi, ngakho-ke yiba nesineke futhi uqhubeke nokuwusebenzisa.
- Okubaluleke kakhulu: Ungalokothi uyeke ukuthatha imithi yakho ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi ama-painkiller, amavithamini, kanye nemikhiqizo yamakhambi).
- Uma ubona izimpawu ze-serotonin syndrome, njengokudideka, ukushaya kwenhliziyo okusheshayo, kanye nomkhuhlane, funa iseluleko sezokwelapha ngokushesha noma uye ekamelweni eliphuthumayo (ETU).
- Uma unemibuzo noma ukukhathazeka ngalo muthi, khuluma nodokotela wakho ngakho ngokukhululekile.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment