Ziziphi iimpembelelo onokuzinyamezela kunye nezinye iimeko ozinayo
Umnqweno wokufumana i- anti-depressant medication efanelekileyo ivakalelwa kukuba "uyaphupha okanye uyaphoswa." Nangona kukho ingcamango ecacileyo emva kokulandelelana kweengcinezelo ezidityaniswe ngugqirha, akukho nto ichaza oko unokuthi ungayiphenduli. Enyanisweni, abantu abaninzi abaphenduli kwi-anti-depressant yabo yokuqala, okanye bafumana iziphumo ezingathandekiyo, ngoko kufuneka bazame okwesibini, okwesithathu, okanye okwesine.
Kodwa ukufikelela kuma-80 ekhulwini abantu ekugqibeleni baphendule unyango lwexinzelelo, ngoko kukho izizathu zonke zokuthemba ukuba uya kulungela.
Izinto Ezingacinga Ngayo Xa Ukhetha I-Anti-depressant
Kukho izinto ezininzi ezicatshangelwayo xa ugqirha ukhetha u-anti-depressant kuwe, ngaphaya kohlobo lokudakumba ohlala kuzo. Ezinye zezi zinto ziquka ukufunda okukusebenzele kuwe ngaphambili (ukuba akuyiyo ingxaki yakho yokuqala yokuqala), yintoni enokuyisebenzela kwamanye amalungu osapho lwakho (i-genetics ingadlala indima ekuphenduleni kakuhle kwakho imithi enye kwenye ), amanye amayeza owathathayo, kunye nokunye okuninzi.
Ezinye iziphumo zempembelelo, ezifana nokufumana ubunzima okanye ukungasebenzi kwezesondo, akunakwenzeka ukuba yingxaki enkulu kwabanye kodwa ingenakuxinwa kwabanye, ngoko kufuneka kucatshangelwe oku. Kwaye ezinye iziyeza zingasebenza kwezinye iimeko ozozenza ngaphezu kokudakumba.
Ngokomzekelo, i-duloxetine (i-Cymbalta) yaziwa ngokuncedisa intlungu, ngoko ke xa unesifo se-fibromyalgia okanye isifo se-arthritis ngaphezu kokudakumba, le nto ingaba yinto enhle kuwe. Okanye ukuba unesifo sokungazinzi, unokuzuza xa ukhetha i-anti-depressant ngeendawo zokuhlala, ezifana ne-mirtazapine (Remeron).
Unokwazi ukubulala iintaka ezimbini ngelitye elinye, ukuthetha-njalo.
Eminye imizekelo apho izidandlululo zingaphinde zenze imisebenzi emibili zibandakanya:
- Ukuyeka ukutshaya. I-Wellbutrin (bupropion) ngokwenene isilwanyana esifana ne-popular stop-smoking medication enegama lomthi uZyban . Ngomntu otshaya, i-Wellbutrin inokukrazula umsebenzi ophindwe kabini kwaye ibe yinto ekhethiweyo ngokuphakamisa uxinzelelo kunye nokunceda ukuyeka ukutshaya.
- Neuropathy. Zombili i-tricyclic anti-depressants kunye ne-serotonin-norepinephrine reuptake inhibitors (i-SNRIs), i-duloxetine (i-Cymbalta) kunye ne-venlafaxine (Effexor), ifumaneka iyincedo.
- Bedwetting. Nangona i-tricyclic anti-depressant ihlala isetyenziswa kangangoko kunezinye iifom ezitsha, kulabo abanenkinga yokulala, i-imipramine inokunceda kwiingxaki zombini.
- Ukukhubazeka kokufunda. Kucingelwa ukuba abanye abaxinzelelekileyo banokufumana inzuzo yesibini yokunceda abanye abakhubazekileyo ukufunda. Ukuba nguwe lo, xela ugqirha wakho malunga nokuba akukho nenye yale miyeza ingasebenza kuwe.
Kubalulekile ukuba uqaphele ukuba ekumiselwe ukuxhatshazwa, injongo yokuqala kufuneka ibe yindlela efanelekileyo yokulawula ukuxinezeleka. Ngamanye amaxesha oku kuthetha ukukhetha ukuxhatshazwa komzimba ongaphantsi kokubangela ukunyusa ubunzima, kumntu ogqithiseleyo, kwaye oko akufaki enye imeko ejongene nayo, nokuba loo nto ibonakala iyatholakala.
Kwakhona kubalulekile ukwenza ukwahlula phakathi kwelebula kunye nokusetyenziswa kweleyile ngaphandle kweleyile. Ukusetyenziswa kwileyibhile kuthetha ukuba iyeza lifumene imvume ye-FDA yeso sibonakaliso. Ukusetyenziswa kokubhaliweyo kweleyile akuthethi ukuba amayeza ayiluncedo-kwaye mhlawumbi afumaneka luncedo ukunyanga imeko-kodwa ukuba ayinayo imvume ye-FDA yeso sibonakaliso. Kwakhona kubalulekile ukuba abantu bazi ukuba abanye oogqirha bazimisele ngakumbi kunabanye ukuba baqwalasele ukucwangcisa imirhubhe.
Kubaluleke kakhulu ukuba usebenze kunye nodokotela wakho njengeqela ekwenzeni ezi zigqibo. Akukho mntu owaziyo umzimba wakho kangcono kunokuba wenze okanye uyaziqonda izinto ozikhethayo kunye nawe.
Imiqobo yokufumana unyango olufanelekileyo
Imiphumo emibi, njengoko ikhankanywe ngasentla, ingabangela imingcipheko enkulu yokufumana unyango olufanelekileyo. Le ngongoma xa ugqirha kunye nesigulane kufuneka basebenze njengeqela ukuze bafumane isisombululo isiguli esingahlala nayo. Izinketho zingabandakanywa ukwamukela umphumo wecala njengorhwebo-off for relief relief, ukunyuka kwamanye amayeza (usebenzisa amayeza angaphezu kweyodwa ukulawula ukudakumba kunye / okanye ukuphelisa iziphumo zecala), okanye ukuzama amayeza amasha. Ugqirha wakho kufuneka ahlale ezama ukufumana isilwanyana esinika uncedo oluphambili lokuxinezeleka ngenxa yecala lokusondeza i-side effects -kodwa ugcine engqondweni ukuba, ngelishwa, akukho nkunkuma iya kufezeka.
Kukho imiphumo emibili ebangelwa ukuba abantu babonakale befumana ubunzima kakhulu: ukungasebenzi kwesondo kunye nokufumana ubunzima. Esinye sezibonakaliso zeklasiki zokudakumba kukuba ukulahlekelwa ngokwesondo. Kunoko kunzima ukuba, amaninzi amayeza asetyenziswa ekuphatheni ukudakumba angakhokelela ekubanjweni kwesondo . Ukuba ezi ngxaki ziyakuchaphazela kwaye awukwazi ukuzinyamezela, i-nefazodone (i-Serzone), i-bupropion, kunye ne-mirtazapine yimishanguzo eneempembelelo ezincinci zesondo. Ewe, le myeza inokuba nezinye iziphumo ezibi.
Ukunciphisa ubuninzi kwi-anti-depressants enye inokukhalaza malunga nomphumo. Kule sebe, i-paroxetine (Paxil) kunye ne-mirtazapine babini bobubi kakhulu. I-Venlaxafine, i-bupropion, kunye ne-fluoxetine (i-Prozac) ziyi- antidepressants ezingenakwenzeka ukuba zenze inzuzo , kwaye abantu abaninzi banokulahlekelwa ngamapounds ambalwa. Kodwa kwakhona, wonke umntu uhlukile, kwaye abanye abantu bayakwazi ukunyanzela kumachiza akunakwenzeka ukuba bafumane ubunzima bokunciphisa umzimba kwaye banciphise ubunzima kulabo bavame ukufumana ubunzima.
Iimpawu eziPhakathi azihlali zibi njalo
Yikholwa okanye cha, imiphumo emibi ayikho into embi. Ukuba isiguli sinesifo sokutya kwaye sincinci kakhulu, isilwanyana esifana neprozac esithintela isidlo singenakukhanga. Kodwa isilwanyana esibangela ukondla ukutya, njenge-paroxetine okanye i-mirtazapine, inokukunceda ngokwenene lesi sigulane. Kwaye ukuba isigulane sisifo sikashukela kunye nokugqithisa, isilwanyana esinciphisa isondlo sinokuba luncedo ekulawuleni isifo seswekile kuba baya kuba neenqweno ezimbalwa zokutya ezingavunyelwe.
Oku kusebenza nakwii-anti-depressants ezivuselelayo kunye nabahlala. I-anti-depressant evuselela into efana ne-bupropion inokuba luncedo kumntu onenkxwaleko yezityalo okanye umntu obonakala engenawo amandla-kodwa kunokukhetha okungalunganga kumntu ophila ngengxaki yokukhathazeka ngaphezu kokudandatheka. Ngomqondiso ofanayo, u-anti-depressant edibeneyo onjenge-mirtazapine angasebenza kakuhle kumntu oxhalabileyo kwaye unokukhetha ukunyanzela umntu osele evakalelwa ukungabi namandla ngamandla.
Kwakhona, kubalulekile ukukhumbula ukuba wonke umntu uhlukile.
Imithombo:
UKarvalho, A., Sharma, M., Brunoni, A., ii-Vieta, E., kunye no-G Fava. Ukhuseleko, ukunyanzeliswa kunye neengozi ezibandakanyeka nokusetyenziswa kwezidakamizwa ezixhatshazwayo ezitsha ngokutsha: Ukuhlaziywa okubalulekileyo koLwazi. I-Psychotherapy ne-Psychosomatics . 2016. 85 (5): 270-88.
> Impilo yengqondo yaseMelika. Ukuxhatshazwa kunye noxinzelelo.
Nosengo, N. Ngaba Unokuyifundisa Izidakamizwa Ezintsha IiTricks ezintsha? . Uhlobo . 2016. 534: 7607.
Prus, A., noJ. Porter. Iimpahla ezixhatshazwayo zeMidakamizwa ezisetyenziselwa ukuphatha uxinzelelo kunye nokuxhalabisa. Iimxholo ezikhoyo kwi-Neuroscience . 2016 Juni 29. (Epub ngaphambi kokuprinta).