Yintoni Okumele Uyazi Ukuphelisa Ukuyeka Ukuyeka
Ukuba uthabatha u-anti-depressant, unokuva ukuba abantu abaninzi banezibonakaliso xa beyeka imithi yabo. Yintoni oyifunayo ukuba wazi ngaphambi kokuyeka u-antidepressant?
Ukuxhatshazwa kunye neContinuation Syndrome
Phantse iipesenti ezingama-20 zezigulane ezithintele ukuxhatshazwa ubuncinane kwiiveki ezintandathu ziza kuphuhlisa into eyaziwa ngokuba yi- syndrome xa iwayeka ngokukhawuleza ukuthatha i-anti-depressant.
Ukuyeka ukugula kungabandakanya iimpawu ezinjengokukhathala, isisonguluko, intlungu yesisu, ukungapheli, ukukhathazeka, ukukhathazeka, utywabile, umbono otyhafayo, ukukhathazeka, ukuvakala komsindo, amaphupha ecacileyo, ukuphosa okanye ukutshitshiswa kwamandla kagesi. Abanye abantu bachaza ukuba le mpawu ifana nesifo sosuleleko. Ubunzima beempawu ziyakwazi ukuhluka kakhulu. Abanye abantu banemiqondiso embalwa okanye engenazo iimpawu xa beyeka iziyobisi zabo, kanti abanye bangayifumana le nto impawu ezingenakunqweneleka.
Ngenxa yokuba isifo sokuyeka ukuxilisa abantu abaninzi kwaye sinokuphazamisa ukusebenza kwansuku zonke, kuqikelele ukucima ngokukhawuleza ukunyamezela kwakho kunokumisa "ubusika obandayo." Ukukhutshwa kwinqanaba kunokunceda ukunciphisa okanye ukuphelisa le mpawu.
Ukuyeka ukutshatyalaliswa nokuPhindwa kweMpawu
Kubalulekile ukuba abantu baqonde ukuba iimpawu ezinxulumene nokuyeka ukuxhatshazwa kweengcinezelo zingafani kakhulu neempawu ezenza ukuba uthathe u-anti-depressant kwindawo yokuqala.
Abanye abantu bayesaba kukuba ukuxinezeleka kwabo okanye ukuxhalaba kubuya ngamandla, xa ngokwenene oko bajamelana nayo kuyisifo sokuyeka ukuza kusombulula ngokwalo ngexesha. Isikhathi sinokukunceda uqonde umehluko. Ukuba ukudandatheka okanye uxhalaba emva kokuyeka ukuxhatshazwa kwexesha elidlulayo kudla ngokuba yinkqubo yokuhamba ngokukhawuleza.
Ngokwahlukileyo, iimpawu ezinxulumene nokurhoxiswa kwelinye lala mayeza ziza kwenzeka ngokukhawuleza (ngaphakathi kwimihla okanye ezinye iziyobisi ezifana nePaxil (paroxetine) kwaye ziphuculwe ngokukhawuleza ngaphezu kwexesha.
Ngaphambi kokuba uphendule iMicrosoft Anti
Ngoxa usenokuba ufikile kweli khasi unethemba lokufumana imiyalelo yokuzityhalela kwakho, kufuneka uhlale udibana nogqirha wakho ngaphambi kokuba uyeke ukuthatha i-antidepressant yakho.
Okokuqala kwaye kubaluleke kubalulekile ukuba uqinisekise ukuba uphumelele iinjongo zakho zokwelapha, eziza kufezekiswa ngokupheleleyo kwiimpawu zoxinzelelo kunye nokubuyisela emsebenzini oqhelekileyo. Ezi njongo zibalulekile kuba uphando lubonisa ukuba izigulane ngokuxoxwa ngokupheleleyo azifumaneki amathuba okuba ziveze iziganeko zokudandatheka; kwaye, ukuba bafumana isiqhelo, kunokuthatha ixesha elide ukuba liphuhlise.
Okwesibini, ukuba umgomo wakho wokumisa u-antidepressant ukugwema iziphumo ezichaphazelekayo, ugqirha wakho unokukwazi ukukunceda ufumane ezinye iindlela zokulwa nale miphumo ngaphandle kokuyeka unyango.
Ekugqibeleni, ugqirha unokukunika inzuzo yolwazi kunye nobuchule bakhe ekukhetheni isicwangciso esona siphumelelo sokupakisha.
Izikhokelo zokuPhepha ukuCima iziXoxa
Ngenxa yokuba ayikho inkqubo ecacileyo yokusetyenzwa kweengcinezelo zomntu ngamnye, ugqirha wakho uya kusebenzisa isigwebo sakhe sekliniki ukuba acinge ngezinto ezininzi-njengowomthamo owuthathayo, ixesha elide uthabatha iyeza kunye nesiqingatha-sobomi beziyobisi- ukugqiba ishedyuli omele ulandele ngayo ekutshintsheni amayeza akho.
Ukongeza, ugqirha wakho unokuguqula isicwangciso, kuxhomekeke kwindlela ophendula ngayo. Gcina ukhumbule ukuba ishedyuli yakho yokuguqula ingatshintshi, kwaye ugqirha wakho unokuncoma okanye ukucoca ngokukhawuleza okanye ngokuthe ngcembe ngokuxhomekeke kwimpawu zakho.
Amanye amayeza angenakufuna ukuguqula. Kungakhathaliseki nokuba awuyi kuyidinga ukufakela imithi yakho kuxhomekeke kwisiqingatha sobomi bonyango othabathayo. Isiqingatha sobomi besilwanyana sibhekisela kwixesha apho isiqingatha sonyango siphumile emzimbeni wakho kunye nesiqingatha. Eli nani lexesha lingahluka ngokubanzi phakathi kweziyobisi ezahlukeneyo. Ezinye izidandlululo ezinjengePaxil (i-paroxetine) kunye neZoloft (i-sertraline) zinemizuzu emfutshane.
Isilwanyana "siphuma kwindlela yakho" ngokukhawuleza. Abanye, njengeProzac (i-fluoxetine) banomdla wokuhlala ixesha elide. La mayeza ayanyamalala ngokukhawuleza kwigazi lakho emva kwexesha kwaye, ngandlela-thile, ukhula.
Kukho izikhokelo eziqhelekileyo zokupakisha imishanguzo yokuxhatshazwayo, equka oku kulandelayo:
- I-taper ishiye imithi kancane. Oku kuthetha ukuthatha amancinci amancinane kunye namancinci amachiza ngaphezulu kwexesha.
- Kungenzeka ukuba unqamle ukunyanga imithi ngokukhawuleza ukuba umthamo wawuphantsi ukuya kuqala.
- Ukuyeka ukutshintshwa kuthatha ixesha elide ukuba isigulane siphelile kwisibisi ixesha elide.
- Kungenzeka ukuba umise iPrazac (i-fluoxetine) ngaphandle kokuphawula, ngenxa yobomi bayo obude obude.
Kuthiwani Ukuba Ndisenayo Iimpawu Xa I-Tapering Iphumile?
Nangona nge-taper encinane, kunokwenzeka ukuba uya kuba nempawu zokuyeka. Kule meko, ugqirha wakho unokuphinda uphinde uphinde usebenzise imithi yakho kwaye uphewule ngokucotha.
Enye indlela yokulawula iziyobisi ukunciphisa iimpawu ezithile, ezifana ne- benzodiazepine efana neValium (diazepam) okanye i-Librium (chlordiazepoxide) yokuxhalabisa, okanye isifo sokugula esinjengeBonine (meclizine) okanye i-Dramamine (dimenhydrinate) yokusila.
Ngaphantsi kwiphepha le-Anti-depressant yakho
Kubalulekile ukuba ukhumbule ukuba wonke umntu uhlukile xa kuzila ukucocwa kwi-anti-depressants. Abanye abantu banako ukuyeka ukuxhatshazwa kwabo - nokuba nabo banesiqingatha esifutshane - ngokukhawuleza bengenazo iimpawu ezibalulekileyo. Abanye banokuba nempawu ezininzi ezixhalabisayo, kwaye bafune ukuba isilwanyana sifakwe ngokukhawuleza, ngaphezu kwexesha leveki okanye kwinyanga.
Ukuba udidekile kukuba kufuneka udibanise ngokukhawuleza, jonga emva apho uvela khona. Ukuba usebenze indlela yakho ngokudakumba okanye ukuxhalabisa kwaye uphumelele umnqweno wakho wokuhlaziywa ngokupheleleyo kule miqathango, zincoma ngokwakho inkqubela. Ukuba nomonde kwaye ube lula kuwe kwaye ubhiyozele ubude obude. Uninzi lwabantu luyakwazi ukuzincama kulezi zi yobisi ngexesha lexesha.
Imithombo:
Fava, G., Gatti, A., Belaise, C., Guidi, J., no-E. Offidani. Izimpawu zokuLawula emva kweSelotonin ekhethiweyo yokubuyiswa kwe-Inhibitor: Ukuhlolwa koHlolo. I-Psychotherapy ne-Psychosomatics . 2015. 84 (2): 72-81.
I-Renoir, T., i-Selective i-Seleotonin i-Reuptake Inhibitor I-Antidepressant Treatment Discontinuation Syndrome: Ukuhlaziywa koBungqina beCliniki kunye neendlela ezinokuthi zibandakanyeke. Imida kwi-Pharmacology . 2013. 4:45.