Ingabe udokotela wakho ukunike umuthi wokucindezeleka noma ukukhathazeka? Kungenzeka ukuthi uzizwe wesaba kancane lapho ubona igama lomuthi, noma kungenzeka ukuthi uzibuze ukuthi ngabe kungasiza ngempela. Kujwayelekile kakhulu ukuzizwa ngaleyo ndlela. Namuhla sikhuluma ngohlobo lomuthi olubizwa ngokuthi i-SSRI, oluvame ukunikezwa izifo zengqondo njengokucindezeleka eSri Lanka kanye nasemhlabeni jikelele. Ukwazi okwengeziwe ngalokhu kuzophendula imibuzo eminingi onayo engqondweni.
Kalula nje, ayini lawa ma-SSRI?
Igama elithi SSRI limelela ama-Selective Serotonin Reuptake Inhibitors . Nakuba igama lingase lizwakale njengento enkulu, inqubo ilula kakhulu. Lezi uhlobo lwemithi enikezwa ukwelapha ukucindezeleka. Azisetshenziswa kuphela ekucindezelekeni, kodwa futhi nakwezinye izimo eziningana zempilo yengqondo njengokukhathazeka, ukuphazamiseka kovalo, kanye ne-OCD. Uma kuqhathaniswa nezinye izidakamizwa zokucindezeleka, zibhekwa njengeziphephile futhi zinemiphumela emibi embalwa .
Ngakho-ke lesi sidakamizwa sithinta kanjani ingqondo yethu? Cabanga ngobuchopho bethu njengomuzi omkhulu. Kunezithunywa kuleli dolobha ezithwala imiyalezo zisuka kwenye indawo ziye kwenye. Lezi zithunywa ebuchosheni bethu zibizwa ngokuthi ama-neurotransmitters. I-Serotonin ingenye yezithunywa ezikhethekile. I-Serotonin yilokho okusiza ukulawula izinto ezifana nemizwa yethu, injabulo, kanye nokulala.
Kumuntu onesifo esifana nokucindezeleka, izinga le-serotonin, eliphethe lo "myalezo ojabulisayo", lingase lehle ebuchosheni. Khona-ke ukuxhumana phakathi kwamangqamuzana obuchopho akusebenzi kahle. Lokho okwenziwa umuthi we-SSRI ukubambezela ukuphinda kuthathwe lesi sithunywa se-serotonin ngemva kokuba sesiqedile ukuthumela umlayezo. Khona-ke i-serotonin ihlala esikhaleni esiphakathi kwamangqamuzana amabili isikhathi eside . Kunjengokungathi isithunywa sivunyelwe ukuhlala lapho isikhathi eside. Ngenxa yalokho, ukuxhumana ebuchosheni kuyathuthuka, futhi izimpawu zokucindezeleka ziqala ukwehla kancane kancane.
Yiziphi izimo ezisetshenziswa imithi ye-SSRI?
Izinhlangano zamazwe ngamazwe, njenge-FDA e-United States, zivumile imithi ye-SSRI yezimo ezahlukahlukene. Futhi, ngezinye izikhathi odokotela bangase bayinike ezinye izimo ezingavunyelwe (ukusetshenziswa ngaphandle kwelebula) kuye ngesimo sesiguli.
| Imibandela evame ukushiwo (Ukusetshenziswa Okuvunyiwe) | Ukusetshenziswa Okungekho Kulebula |
|---|---|
| Isifo Sokucindezeleka Esiyinhloko | Isifo Sokuphazamiseka Komzimba |
| Isifo Sokukhathazeka Esijwayelekile | I-Fibromyalgia |
| Isifo Sokwethuka | Ukuphuma komchamo ngaphambi kwesikhathi |
| Isifo Sokucindezeleka Okungapheli (OCD) | Isifo Sokudla Okubi Kakhulu |
| Isifo Sokukhathazeka Komphakathi | Isenzakalo sikaRaynaud |
| Isifo Sokucindezeleka Ngemva Kwengozi (PTSD) | Ezinye izimpawu ezihambisana ne-autism |
| Isifo sokuphazamiseka kwengqondo ngaphambi kokuya esikhathini (PMDD) | Ukushisa Okushisayo Kwe-Menopausal |
Yiziphi ama-SSRI asetshenziswa kakhulu?
Le mithi ingathathwa eSri Lanka njengamaphilisi, amakhaphu, noma uketshezi. Udokotela wakho kungenzeka ukuthi ubhale enye yale mithi.
- I-Citalopram
- I-Escitalopram
- I-Fluoxetine
- I-Fluvoxamine
- I-Paroxetine
- I-Sertraline
Okudingeka ukwazi ngemiphumela emibi
Akuwona wonke umuntu othatha ama-SSRI azobhekana nemiphumela emibi emikhulu. Kodwa njenganoma yimuphi umuthi, kunezingozi ezithile. Ezinye zalezi zenzeka emavikini ambalwa okuqala okuthatha umuthi bese ziyanyamalala.
Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho nganoma yikuphi ukungakhululeki okusha okutholayo.
Imiphumela emibi evamile:
- Ukungalali noma ukulala ngokweqile
- Ikhanda elibuhlungu
- Ukuqubuka kwesikhumba
- Umbono ofiphele
- Umlomo owomile
- Ukungaphumuli noma ukucasuka
- Isiyezi
- Ubuhlungu bamalunga noma bemisipha
- Ukuphazamiseka kwesisu, isicanucanu, noma isifo sohudo
- Ukuncipha kwesifiso sobulili
- Izinkinga ngokuma noma ubunzima bokufinyelela ekufikeni kokuvuthwa
- Ukwehla noma ukuzuza isisindo
Eminye yale miphumela emibi ingalawulwa ngokushintsha isikhathi sosuku othatha ngalo umuthi. Isibonelo, uma uzizwa unesicanucanu, thatha umuthi nokudla, uma uzizwa ulele, uwuthathe ngaphambi kokulala, noma uma unenkinga yokulala, uwuthathe ekuseni. Khuluma nodokotela wakho ngalokhu bese uthola iseluleko.
Amaphuzu okufanele uwanake ngokukhethekile
1. Imicabango yokuzibulala: Kube nokwanda okuncane kwezehlakalo zemicabango yokuzibulala (kusuka ku-1-2% kuya ku-2-4%) ezigabeni zokuqala zokusetshenziswa kwe-SSRI, ikakhulukazi ezinganeni nakubantu abasha abangaphansi kweminyaka engama-25 ubudala . Ngakho-ke, uma unemicabango yokuzilimaza lapho uqala umuthi, tshela ilungu lomndeni kanye nodokotela wakho ngokushesha . Ezimweni ezimbi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
2. I-Serotonin Syndrome: Lesi yisimo esingavamile kodwa esingaba yingozi kakhulu. Senzeka lapho amazinga e-serotonin emzimbeni eba phezulu kakhulu. Le ngozi iphezulu kakhulu uma kuthathwa imithi emibili eyandisa i-serotonin ndawonye. Bheka lezi zimpawu:
- Ukungaphumuli okukhulu nokudideka
- Ukujuluka ngokweqile nokuthuthumela
- Isicanucanu, ukuhlanza, ubuhlungu besisu
- Amajwabu amehlo - amajwabu amehlo ayagoba, ukukhulisa amajwabu amehlo
- Ukuqhaqhazela kwemisipha, ukudlikiza
- Umfutho wegazi ophakeme, umkhuhlane
- Ukulahlekelwa ukwazi, ukudlikizela
Uma uhlangabezana nenye noma ngaphezulu yalezi zimpawu, ungachithi isikhathi bese ubona udokotela noma uye ku-ETU ngokushesha .
Ukusetshenziswa kwe-SSRI ngesikhathi sokukhulelwa nokuncelisa
Ukucindezeleka kuvamile ngesikhathi sokukhulelwa. Ukucindezeleka okungelashwa kungathinta umama kanye nomntwana. Futhi, ukuthatha imithi ye-SSRI kungaba yingozi enganeni.
Ngakho-ke, lesi yisinqumo okufanele wena nodokotela wakho nisenze ndawonye, ngemva kokuxoxa ngokucophelela ngezinzuzo nezimbi.
Ukucindezeleka okungalashwanga kungandisa ingozi ye-preeclampsia kumama kanye nokuzalwa kwengane enesisindo esiphansi kanye nokuzalwa ngaphambi kwesikhathi. Kunengozi encane yezinkinga zesikhashana enganeni, njengobunzima bokuphefumula kanye nokungaphumuli, nge-SSRIs.
Ama-SSRI ngokuvamile abhekwa njengokuphephile ukuwasebenzisa ngesikhathi sokuncelisa. Kodwa-ke, ezinye izingane zingase zibe nezinkinga zokungaphumuli kanye nokulala. Ngakho-ke, uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, qiniseka ukuthi ukhuluma nodokotela wakho ngalokhu.
Kuthatha isikhathi esingakanani ukuthi umuthi usebenze?
Lena inkinga abantu abaningi abanayo. Ama-SSRI awawona umuthi osebenza ngokushesha nje lapho uwuthatha, njengomthi wokuqeda izinhlungu.
Ukubekezela kubaluleke kakhulu. Kungathatha amasonto angu-4-6, noma ngisho nezinyanga ezimbalwa , ukuze kuzwakale umphumela ophelele womuthi.
Ungayeki ukuthatha umuthi ngoba nje ungezwa mehluko emavikini amabili noma amathathu okuqala. Udokotela wakho uzokuqala ngomthamo ophansi bese enyusa umthamo kancane kancane. Uma kungekho ukuthuthuka ngemva kwamasonto ayi-6-8, ungakhuluma nodokotela wakho ngokushintshela komunye umuthi noma ukushintsha umthamo.
Kungani kungewona umqondo omuhle ukuyeka imithi ye-SSRI ngokuzumayo?
Le mithi ayiluthi. Kodwa-ke, ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho kuyingozi kakhulu. Ukwenza kanjalo kungaholela esimweni esibizwa ngokuthi "i-discontinuation syndrome." Okusho ukuthi, ukungakhululeki okwenzekayo uma uyeka ukuthatha imithi.
- Isicanucanu
- Isiyezi
- Ukuzizwa ungakhululekile
- Umzimba ongenampilo
- Ukuthuthumela nokujuluka
Ngakho-ke, uma uyeka ukuthatha umuthi, kufanele ukwenze lokho ngokwemiyalelo kadokotela wakho, unciphise kancane kancane umthamo.
Umlayezo Wokuya Nawe Ekhaya
- Ama-SSRI ayindlela yokwelapha evamile nephumelelayo yezimo ezinjengokucindezeleka nokukhathazeka. Ungesabi lokhu.
- Lo muthi usebenza ngokulinganisela i-serotonin yamakhemikhali ebuchosheni bakho.
- Kungathatha amasonto ambalwa ukubona imiphumela yomuthi, ngakho-ke bekezela. Thatha umuthi njengoba nje udokotela wakho ekutshelile, ungaphuthelwa ngisho nosuku olulodwa.
- Imiphumela emibi ingase ivele, kodwa eminingi ingeyesikhashana. Khuluma nodokotela wakho nganoma yikuphi ukungakhululeki.
- Ungayeki ukuthatha imithi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho.
- Kubaluleke kakhulu ukwazisa udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma amakhambi e-Ayurvedic owasebenzisayo.
- Gwema utshwala nezinye izidakamizwa ngenkathi uthatha ama-SSRI, ngoba angenza izimpawu zokucindezeleka zibe zimbi kakhulu.
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