Ukucindezeleka kuyisimo esinzima kakhulu esithinta ingqondo nomzimba. Ngakho-ke uma sibona udokotela futhi siqala ukwelashwa, sinethemba lokuthi sizokwazi ukululama ngokushesha kulesi simo. Kodwa cabanga, usebenzise uhlobo olulodwa lomuthi, kodwa alusebenzanga. Udokotela wabe eseqala olunye uhlobo lomuthi, futhi lokho akusebenzanga njengoba bekulindelekile? Awekho amagama okuchaza ukukhungatheka, ukwesaba, kanye nokungabi namandla okuzizwa, akunjalo? Uma uke waba nokuhlangenwe nakho okufanayo, awuwedwa. Namuhla sikhuluma ngesihloko esithinta abantu abaningi, kodwa esingakhulunywa kakhulu ngaso. Lokho ukucindezeleka okumelana nokwelashwa.
Kuyini 'Ukucindezeleka Okumelana Nokwelashwa'?
Kalula nje, lolu uhlobo lokucindezeleka. Kodwa okukhethekile ukuthi akulula ukuluthola ngokwelashwa okuvamile. Nakuba kungekho ncazelo eyodwa phakathi kodokotela, umbono owamukelwa kabanzi uwukuthi uma izimpawu zokucindezeleka zinganciphi ngisho nangemva kokuthatha okungenani izinhlobo ezimbili zemithi yokucindezeleka evela ezinhlotsheni ezimbili ezahlukene ngesilinganiso esifanele nangesikhathi esifanele , lesi simo sibizwa ngokuthi 'Ukucindezeleka Okumelana Nokwelashwa'.
Cabanga ngalokhu. Udokotela wakho unquma ukuthi unesifo sokucindezeleka bese eqala umuthi owodwa. Isibonelo, i-Selective Serotonin Reuptake Inhibitor (SSRI) (isb., i-Fluoxetine). Kodwa uma ungazizwa ungcono ngemva kwamasonto ayi-6 kuya kwangu-8, udokotela wakho uzoyeka lowo muthi bese eqala umuthi ohlukile, osebenza ngendlela ehlukile. Isibonelo, i-Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) (isb., i-Venlafaxine noma i-Duloxetine). Uma lowo muthi wesibili ungasebenzi, udokotela wakho angase asole ukuthi unesifo sokucindezeleka esimelana nokwelashwa.
Uma sikhuluma iqiniso, imithi ifana nesihlungi. Uma uthola impumuzo kumthamo wokuqala noma wesibili wemithi, awunayo inkinga yokucindezeleka engamelani nokwelashwa. Kodwa uma isihlungi singasiqedi lesi sifo, kusho ukuthi sidinga indlela ehlukile.
Wazi kanjani ukuthi lesi simo sikhona?
Lokhu akuyona into enganqunywa ngobusuku obubodwa. Kuyinto okudingeka yenziwe kancane kancane, ngesineke esikhulu. Udokotela wakho uzolandela izinyathelo eziningana ngaphambi kokuphetha ngokuthi unalesi simo.
Ukunikeza isikhathi esanele semithi
Imithi yokucindezeleka ithatha isikhathi ukusebenza. Nakuba abanye abantu bengase babone umehluko omncane ezinsukwini ezimbalwa, kungathatha okungenani amasonto ayi-6 kuya kwayi-8 ukuze imiphumela ephelele yomuthi ibonakale. Ngakho-ke, akuwona umqondo omuhle ukuqala ukuphuza umuthi owodwa bese uyeka ngemva kwesonto noma amabili ucabanga ukuthi, "Lokhu akusebenzi." Kubaluleke kakhulu ukuba nesineke nokulandela imiyalelo kadokotela wakho.
Ukunikeza umthamo ofanele
Nalokhu futhi kuyiphuzu elibaluleke kakhulu. Ngezinye izikhathi udokotela uqala umuthi onesilinganiso esincane. Uma ungenawo umphumela olindelekile, akawushintshi ngokushesha umuthi. Into yokuqala okufanele uyenze ukwandisa kancane kancane umthamo womuthi wamanje. Abanye abantu kungenzeka ukuthi bathathe izinhlobo eziningana zemithi, kodwa kungenzeka ukuthi bathathe zonke ngesilinganiso esincane.
Isibonelo, uma unganikeza ama-milligram ayi-100 omuthi ukuze uthole inzuzo ephezulu, awukwazi ukuthi umuthi wehlulekile uma uwunika ama-milligram angu-50 futhi ungasebenzi. Kubaluleke kakhulu ukuzama umthamo osebenza kahle kakhulu womuthi ngamunye .
Ake sibheke leli thebula ukuze sichaze lolu hambo kabanzi.
| Isiteji | Kwenzakalani | Amanothi Abalulekile |
|---|---|---|
| Umzamo wokuqala (Isivivinyo soku-1 Sokulwa Nokucindezeleka) | Udokotela unikeza umuthi ongowesinye sezigaba zokucindezeleka (isib. i-SSRI). | - Vumela amasonto ayi-6-8 ukuze umuthi usebenze. - Umthamo uzokwenyuswa uma kudingeka. - Khuluma nodokotela wakho ngemiphumela emibi. |
| Umzamo wesibili (Isivivinyo Sesibili Sokulwa Nokucindezeleka) | Uma umuthi wokuqala wehluleka, omunye umuthi ovela kolunye uhlobo (isib. i-SNRI) uyaqalwa. | - Vumela amasonto ayi-6-8 ukuze lo muthi usebenze. - Nalapha futhi, umthamo uyalungiswa uma kudingeka. - Kubalulekile ukungesabi futhi ubekezele. |
| Ukuhlola isimo (Ukuhlolwa) | Uma izimpawu zingathuthuki ngisho nangemva kokuthatha yomibili le mithi ngesilinganiso esifanele nangesikhathi esifanele, kungatholakala ukuthi 'Ukucindezeleka Okumelana Nokwelashwa'. | - Lokhu akusikho ukuphela. Lolu ulwazi olubalulekile oluzosetshenziswa ukunquma izinyathelo zokwelapha ezilandelayo. - Khuluma nodokotela mayelana nezinketho zakho. |
Ungalilahli ithemba! Yilokho okubaluleke kakhulu.
Kuvamile ukuzizwa uthwele umthwalo osindayo nokwesaba uma uzwa amagama athi 'ukucindezeleka okumelana nokwelashwa.' Ungase ucabange, "O, angisoze ngalulama." Kodwa sithi, ngicela ungalilahli ithemba .
Ukuqaphela lesi simo akusho ukuthi uhambo lwakho seluphelile. Kusho ukuthi udinga uhlelo lokwelashwa oluhlukile kolujwayelekile, futhi oluqondene nawe ngqo.
"Into ebaluleke kakhulu ukungalilahli ithemba. Kunezindlela eziningi zokwelapha - ezikhona nezisanda kuvela - ezingenza umehluko empilweni yomuntu." - UDkt. John Krystal, waseYale School of Medicine
Udokotela wakho uzoxoxa nawe ngezinye izindlela eziningana kuleli qophelo, okuhlanganisa:
- Ukwandisa: Ukwengeza olunye uhlobo lomuthi kumuthi wokucindezeleka wamanje.
- Ezinye Izindlela Zokwelapha: Ukucabangela ezinye izindlela zokwelapha ngaphezu kwemithi.
- Ukwelapha Ngengqondo: Ukwelapha ngokukhuluma. Ukwelapha ngengqondo kungaba yimpumelelo enkulu uma kusetshenziswa kanye nemithi.
Konke lokhu kuzonqunywa yisimo sakho, izimpawu, kanye nomlando wezokwelapha. Ngakho-ke into ebaluleke kakhulu ukuvuleleka nokwethembeka kudokotela wakho ngakho konke . Mtshele ukuthi uzizwa kanjani, ukwesaba kwakho, imiphumela yakho emibi, futhi ungazigodli.
Umlayezo Wokuya Nawe Ekhaya
- 'Ukucindezeleka Okumelana Nokwelashwa' kuyisimo sangempela sezokwelapha. Akuyona into oyicabangele noma iphutha lakho.
- Ngokuvamile, lesi simo singasolwa uma kungekho ukuthuthuka ngemva kokuthatha isilinganiso esifanele semithi yokucindezeleka evela ezinhlotsheni ezimbili ezahlukene zemithi isikhathi esanele, njengamasonto ayi-6-8.
- Umthamo womuthi kanye nesikhathi sokusetshenziswa kwawo kubaluleke kakhulu. Uma umthamo ophansi ungavezi imiphumela, kungase kungabi ukwehluleka komuthi nhlobo.
- Ukuthola lesi simo akusona isiphetho. Kumane kuyisinyathelo esibalulekile ohambweni lokuthola ukwelashwa okukufanele kakhulu.
- Into ebaluleke kakhulu ukungalilahli ithemba futhi uxoxe njalo nangokukhululekile nodokotela wakho . Kunezindlela eziningi zokukusiza.
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