Iingxaki zokuxhatshazwayo zinganceda njani ukuphazamiseka kwengxaki yokutya?
Kusenokwenzeka ukuba uye wakuva ukuba izidakamizwa zinoxinzelelo zingakunceda ukuphazamiseka kwintlungu . Enye iklasi ye-antidepressants, i-serotonin reuptake inhibitors (SSRIs) ekhethiweyo, idla ngokuphindaphindiweyo ukuze iphathwe ngokuphazamiseka kwintlungu, ukuxhalaba kunye nokuhlaselwa. Funda indlela ii-SSRI ezisetyenziselwa ngayo unyango lweengxaki zesifo.
I-Serotonin Reuptake Inhibitors ekhethiweyo, okanye i-SSRIs nje, ibhekisela kwiklasi ethile yeemithi ezichasayo.
Ngethuba lokuqala ekuqaleni kwee-1980, i-SSRIs yayisetyenziselwa ukuphatha uxinzelelo. Ngoku kusekwa ukuba kube ngempumelelo ekuphatheni ukuphazamiseka kwengxaki, ii-SSRI ziquka imishanguzo efana neProzac (i-Fluoxetine), i-Paxil (i-Paroxetine), iCelexa (iCitalopram), i-Lexapro (i-Escitalopram), i-Luvox (iFluvoxamine) kunye ne- Zoloft (i-Sertraline).
Njengoko igama lichaza, ii-SSRI zithintela i-serotonin, eyimveliso yendalo okanye i-neurotransmitter engqondweni. I-Serotonin inxulumene nokulawulwa kwemizwelo kwaye ithathwa njengento engalinganiyo nalabo abaneengxaki. I-SSRI igxininise kuphela kumanqanaba e-serotonin (okhethiweyo) ngokuthintela ukutshatyalaliswa kwayo (i-reuptake) ngamaseli enyongqondo engqondweni. Ngamazinga okuzinzisa we-serotonin, la mayeza anciphisa imizwa yokuxhalaba, ukulawula isimo sengqondo, nokuphucula ubuthongo obenza ukuba bakwazi ukulawula ukuxinezeleka nokuxhalabisa.
Ngenxa yokusebenza kwangexesha elide, iziphumo ezicwangcisiweyo zecala, kunye neziphumo zophando eziqinisekisiweyo, i-SSRI isisigxina esiphambili esisisigxina sokuphazamiseka kwesifo.
Ukuba ucinga ngamachiza okanye njengama-SSRs okwangoku, unokuba uzibuza ukuba la mayeza angakunceda njani. Uluhlu olungezantsi ziindlela eziqhelekileyo ezisebenzisa ii-SSR kwionyango lophazamiseko.
Ukunciphisa isifo
Ngokubanzi, umntu onesifo sokuphazamiseka u-SSRI unqwenela ukuncedisa ekunciphiseni iimpawu ezinzima.
I-SSRIs ifunyenwe ukunciphisa ubukhulu kunye nobunzima bokuhlaselwa kwesoyiki . Ukunciphisa ubunzima bokuhlaselwa kukunceda ukrekrele uloyiko olujongene nokuhlaselwa kwangaphambili, yenye yezona zinto ziphazamisekile iimpawu zesifo sokuphazamiseka. I-SSRI ingenza umehluko omkhulu kumntu oyesabayo ukushiya ikhaya okanye unengxaki ekubandakanyekeni kwezinye izinto eziyimfuneko.
Ukwakha izakhono
Ukuthatha inxaxheba kwipilisi kunye nemisebenzi yokuzinceda yinto ebalulekileyo yenkqubo yokubuyisela. Izicwangciso zokuncedisa ukuzibandakanya zibandakanya ukuzisebenzisa ukuphefumula kunye nezakhono zokuphucula. Umgqirha ofanelekileyo unokubonelela ngonyango lweCognitive Behavioral ( CBT ), olubandakanya ukuphuhlisa iindlela ezintsha zokucinga nokuziphatha ukuze ukwazi ukujamelana neengxaki zokuphazamiseka.
Uphononongo lubonisa ukuba i-CBT yodwa ayinayo inzuzo ngaphandle kwe-SSRIs. I-CBT iyona uncedo oluhlala ixesha elide ekulawuleni iimpawu, kodwa amayeza angancedisa ngokukhawuleza ukunciphisa iimpawu, ukuvumela ukugxila kwiindlela. Xa iimpawu ziphantsi kolawulo, umntu unokuziva ekulungele ukuqhuba unyango olusondeleyo, ukuqaliswa ngokuthe ngcembe kwiimeko ezinobungozi ukuphucula ngokukhawuleza xa ufumana ukwesaba. Kubantu abaninzi abaneengxaki zokuphazamiseka, ulwaphulo olunobungozi luyakwenzeka kuphela ngenkxaso eyenziwa yi-SSRIs.
Ukunyanga imiba echaphazelekayo
I-SSRI ayinakunceda kuphela ukulwa neempawu zesifo sokuphazamiseka kodwa inganciphisa nemiba ekhoyo. Ezinye iinkalo zempilo yengqondo, ezifana nokudandatheka okanye iintlobo ezahlukeneyo zokuxhalaba, zidla ngokudibanisa nokuphazamiseka kwengxaki. Izibonakaliso zesifo sengqondo ziquka iimpawu ezinjengokukhathala, ukudabuka, nokunciphisa intshukumo kwimisebenzi enandiphayo ngaphambili.
Imiba yokusetyenziswa kakubi kweziyobisi nayo ihambelana nokuphazamiseka kwesifo. I-SSRI inokumiselwa ngokukhuselekileyo kwiimeko ezinjalo. Ngokungafani nezidalwa ezinjengezinto ezinjenge-Xanax, i- Ativan , okanye i- Valium , ii-SSRI azikho umlutha. Ekubeni ukuxhomekeka kungengomngeni, i-SSRI imiselwe ixesha elide elide, lwandise amathuba okuphuculwa.
Njengawo nawaphi na amayeza, kukho iingozi kunye nemiphumo emibi echaphazelekayo ne-SSRIs. Eminye imiphumo emibi kakhulu ingabandakanyeka ithuba lokuzibulala nokuziphatha, ukuphazamiseka, kunye neengxaki ngexesha lokukhulelwa . Ezi zingozi zingabonakali kwaye kufuneka zihlolwe ngugqirha wakho. Ezinye zeziphumo eziqhelekileyo ezichaphazelekayo zibandakanya izibilini, iintloko , ukuguqulwa kwesisindo, kunye nokusebenza kakubi ngokwesondo. Ngenxa yobuninzi bokulala nokungqinelana ne-SSRIs, kufuneka uqaphele xa uqhuba okanye uthatha inxaxheba kwezinye izinto ezifuna ukuphaphazela.
Ezinye zeempembelelo eziqhelekileyo eziqhelekileyo zihlala ziphela ngexesha. Kunokukunceda ukulandela nayiphi na imiphumo yempembelelo kunye nenkqubela phambili oye wayibona ngenkathi uthatha i-SSRI. Ulwazi olunjalo lunokunceda ugqirha wakho ekunqumeni ukuba i-dosage kufuneka ilungiswe okanye unyango lushintshiwe. Ngokuqhelekileyo, ugqirha wakho uza kukuqalisa kwi-dosage ephantsi kwaye wandise imali njengoko kuyimfuneko. Ukuqaphela ukuba yeyiphi imilinganiselo efanelekileyo ukuba uya kufuna umonde. I-SSRI inokuthatha ixesha lokuba isebenze, ngamanye amaxesha idinga iiveki eziliqela ukuqala ukubona ukuphucula kunye neenyanga eziliqela ukufikelela kwisiphumo esiphezulu. Nangona ukholelwa ukuba loo mayeza ayisebenzi, musa ukuyeka ngokukhawuleza ukuthatha ii-SSRI. Ukuze ugweme iingxaki ezinokuthi, unqunyelwe ukusebenzisa kuphela phantsi kolawulo lugqirha wakho.
Ngokuqhelekileyo, abaninzi abantu abaneengxaki zokuphazamiseka bazakuphendula ngokuqinisekileyo kwi-SSRIs. Ukuba unqwenela ukuzisebenzisa njengenxalenye yesicwangciso sakho sonyango , khumbula ukuba uhlale unesineke, lungele uxoxe ngenqubekela phambili kwintetho nganye, kwaye ulindele ukuqala ukuziva ukhululekile kwiimpawu zesifo sokuphazamiseka.
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