Wake wanikezwa imithi ngudokotela wakho yokucindezeleka noma esinye isimo sempilo yengqondo? Uma kunjalo, kungenzeka ukuthi ujwayelene negama elithi SSRI. Empeleni leli igama elivamile lesigaba semithi. Njengoba abantu abaningi besebenzisa lesi sigaba semithi, kubalulekile ukuthi wazi kahle ukuthi iyini. Ngakho-ke namuhla, ake sixoxe kafushane ngokuthi ayini ama-SSRI, ukuthi asebenza kanjani, nokuthi yini okufanele uyiqaphele lapho uwasebenzisa.
Kalula nje, ayini ama-SSRI?
Ama-SSRI ayisifushaniso se- Selective Serotonin Reuptake Inhibitors . Aluhlobo lomuthi olusetshenziswa kakhulu ukwelapha izimpawu zesifo sengqondo njengokucindezeleka. Kodwa-ke, odokotela bawanikeza nezinye izimo eziningi zempilo yengqondo, hhayi ukucindezeleka kuphela.
Kunezinhlobo eziningana zemithi yokucindezeleka. Phakathi kwazo, odokotela bavame ukukhetha lolu hlobo lwe-SSRI kuqala. Isizathu esiyinhloko salokhu ukuthi, uma kuqhathaniswa nezinye izinhlobo zemithi, ama-SSRI ngokuvamile anemiphumela emibi embalwa futhi awabi mabi kangako. Lokhu kwenza kube lula kakhulu ngeziguli ukuyisebenzisa.
Amanye ama-SSRI avame ukunqunywa eSri Lanka
Bheka ukuthi igama lomuthi udokotela wakho akunike wona likulolu hlu. Lawa amanye ama-SSRI asetshenziswa kakhulu emhlabeni naseSri Lanka. Amagama emikhiqizo angahluka, kodwa aqukethe lezi zinhlobo zemithi.
- I-Fluoxetine
- I-Sertraline
- I-Escitalopram
- I-Citalopram
- I-Paroxetine
- I-Fluvoxamine
Lo muthi usetshenziselwa ziphi izimo?
Odokotela banikeza lo muthi ezimweni ezahlukene. Eminye yale mithi ivunyelwe ngokusemthethweni ukusetshenziswa. Kwezinye izimo, odokotela bangase bayinikeze kwezinye izimo ngokusekelwe kokuhlangenwe nakho kwabo kwezokwelapha.
| Izimo lapho ama-SSRI avame ukunikezwa khona | |
|---|---|
| Izifo ezinconywa kakhulu |
|
| Amanye amacala anikezwa ngokubona kukadokotela |
|
Lomuthi usebenza kanjani emzimbeni? Kuyamangalisa!
Lokhu kulula kakhulu ukukuqonda. Amangqamuzana ethu obuchopho ayaxhumana, okungukuthi, abelana ngemiyalezo, ngamakhemikhali abizwa ngokuthi ama-neurotransmitters .
I-Serotonin ingenye ye-neurotransmitter ekhethekile. Kalula nje, i-serotonin isiza ukulawula izinto eziningi, okuhlanganisa isimo sethu sengqondo, injabulo, ukulala, kanye nesifiso sokudla. Yingakho abanye abantu beyibiza ngokuthi "i-hormone yenjabulo."
Cabanga ngale ndlela. Iseli elilodwa lobuchopho lithumela umlayezo kwelinye iseli lisebenzisa i-serotonin. Ngemva kokuletha umlayezo, iseli elithumele umlayezo limunca i-serotonin esele kulo. Lokhu kubizwa ngokuthi "ukuphinda kuthathwe."
Ezimweni ezifana nokucindezeleka, amazinga e-serotonin ebuchosheni angancipha. Imithi ye-SSRI yenza into elula kakhulu. Ivimbela ukuphinda kuthathwe i-serotonin. Kwenzekani-ke? Inani le-serotonin phakathi kwamaseli liyakhula. Lokhu kuthuthukisa isimo sengqondo futhi izimpawu zokucindezeleka ziqala ukwehla kancane kancane.
Lolu hlobo lomuthi "lukhetha" ngoba luthinta kakhulu i-serotonin. Alunawo umthelela omkhulu kwamanye ama-neurotransmitter njenge-dopamine noma i-norepinephrine. Leso esinye sezizathu ezenza imiphumela emibi inciphe.
Imiphumela emibi kanye nezingozi okufanele uziqaphele
Njenganoma yimuphi umuthi, ama-SSRI angaba nemiphumela emibi. Akuwona wonke umuntu owatholayo, kodwa avame ukuphela ngemva kwezinsuku ezimbalwa. Uma unenkinga, qiniseka ukuthi ukhuluma nodokotela wakho.
| Imiphumela emibi evamile | |
|---|---|
| Isicanucanu noma ukuhlanza | Kuvame kakhulu ezigabeni zokuqala zokusebenzisa imithi. |
| Ikhanda elibuhlungu | Lokhu kuvame ukuba okwesikhashana. |
| Izinkinga zokulala | Ukungalali noma ukulala ngokweqile. |
| Umlomo owomile | Amanzi okuphuza anganikeza impumuzo. |
| Izinkinga zocansi | Ukuncipha kwesifiso socansi, ubunzima bokufinyelela i-orgasm, njll. Uma lokhu kuphazamisa ubuhlobo bakho, tshela udokotela wakho. |
| Isiyezi | Qaphela kakhulu lapho ushintsha izikhundla. |
Izingozi ezidinga ukunakekelwa okukhulu
Lezi zimbi kakhulu. Ziyivelakancane kakhulu. Kodwa kubalulekile ngempela ukuziqaphela.
1. Isifo se-Serotonin
Lena ingozi eyingozi kakhulu. Lesi simo senzeka lapho inani le-serotonin emzimbeni landa ngokungadingekile. Isizathu esiyinhloko salokhu ukuthi imithi ye-SSRI ithathwa kanye neminye imithi ekhulisa amazinga e-serotonin (isib. ama-MAOI). Ngakho-ke, kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi namavithamini owathathayo.
Uma wena noma othile omaziyo eba nezimpawu ze-serotonin syndrome, hamba uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha. Lokhu kungaba yingozi empilweni.
- Izimpawu ezivamile: ukungahlaliseki, isicanucanu, ukuhlanza, isifo sohudo, ukujuluka ngokweqile, ukuthuthumela, ukunyakaza kwamehlo, ukuqina kwemisipha noma ukudikiza.
- Izimpawu ezibucayi: ukudideka, umkhuhlane ophakeme, umfutho wegazi ophakeme, ukushaya kwenhliziyo okusheshayo, ukuxhuzula, ukungazi lutho.
2. Ukungakhululeki lapho uyeka imithi (i-Antidepressant Discontinuation Syndrome)
Abantu abaningi bakubiza lokhu ngokuthi “izimpawu zokuhoxa.” Kodwa lokhu akulona umlutha. Ama-SSRI awawona imithi yokulutha. Kodwa-ke, uma uthatha umuthi isikhathi esingaphezu kwamasonto ayisithupha bese uyeka ukuwuthatha ngokuzumayo, ungase uzizwe ungakhululekile emzimbeni wakho.
Ungayeki ukuthatha imithi ye-SSRI ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho. Uma uyeka ukuthatha imithi, yenza kanjalo kancane kancane, njengoba udokotela wakho ekutshelile.
Izimpawu ezenzeka ngemva kokuyeka:
- Njengomkhuhlane (ubuhlungu besifuba, ukujuluka)
- Ukungalali
- Isicanucanu
- Isiyezi
- Imizwa efana nokushaywa umbani
- Ukukhathazeka nokungaphumuli
Izimpendulo zeminye imibuzo ongase ube nayo engqondweni
Kuthatha isikhathi esingakanani ukuthi lo muthi usebenze?
Lokhu kubaluleke kakhulu. Imithi ye-SSRI ayivezi imiphumela ngokushesha. Kungathatha cishe amasonto ayi-6 kuya kwayi-8 ukuzwa umphumela ophelele womuthi. Ngakho-ke, ungayeki ukuthatha umuthi ngoba awukho umehluko omkhulu emasontweni ambalwa okuqala. Bekezela. Uma kungekho shintsho ngemva kwalesi sikhathi, khuluma nodokotela wakho.
Ufuna ukuphinde ubonane nodokotela nini?
Uma uthatha ama-SSRI, kufanele uhlale uxhumana nodokotela wakho njalo.
- Uma imiphumela emibi ikukhathaza.
- Uma izimpawu zakho zingathuthuki noma zingabi zimbi kakhulu.
- Uma uzizwa sengathi udinga ukuyeka ukuthatha umuthi.
- Uma unemicabango yokuzibulala (le ngozi ingase ikhuphuke kancane, ikakhulukazi kulabo abangaphansi kweminyaka engama-25 ubudala lapho beqala umuthi. Uma lokhu kwenzeka, yazisa udokotela wakho ngokushesha ).
Ingabe kulungile ukuphuza utshwala ngama-SSRI?
Akukuhle neze. Utshwala futhi luyisidakamizwa sokucindezeleka kwesimiso sezinzwa esiyinhloko. Ngakho-ke, utshwala bungaqeda ukusebenza kahle kwama-SSRI futhi bube bubi kakhulu izimpawu zokucindezeleka. Ngakho-ke, kungcono ukugwema utshwala ngokuphelele ngenkathi uthatha le mithi.
Umlayezo Wokuya Nawe Ekhaya
- Ama-SSRI ayiqembu lemithi elisebenza kahle kakhulu nelisetshenziswa kabanzi elapha izimo ezinjengokucindezeleka nokukhathazeka.
- Lo muthi awumlutha. Kodwa-ke, ungayeki ukuwuthatha ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Kungathatha cishe amasonto ayi-6-8 ukuthi imiphumela ephelele yomuthi ibonakale. Yiba nesineke ngokwelashwa.
- Tshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma izithasiselo ozithathayo. Lokhu kubalulekile ukuze ugweme isimo esiyingozi se-serotonin syndrome .
- Ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngemiphumela emibi noma ezinye izinkinga. Uzokusiza ukuthola ukwelashwa okufanele wena.
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