Ukujamelana neempembelelo zecala lezesondo ezibangelwa yi-Anti-depressants
Akungabazeki ukuba uvile ukuba izidakamizwa ezingabangela ukuxhatshazwa kwezinto zesondo zingabangela ukuba kube nemiphumo emibi yezocansi, nto leyo ingenangqondo ekuqwalaseleni ukuba ukudakumba kukudla ukutsala umnqweno wakho wesondo kwindawo yokuqala. Yiyiphi imithi enokubangela ukuba le nkxalabo, kwaye unokwenza ntoni ukuphucula i-blues yokulala?
Ukuxhatshazwayo kunye neempembelelo zecala
Iziphumo zecala lezesondo ezivela kwi-antidepressants zingabangela ukuphazamiseka ngobomi bakho bobulili ngamanye amaxesha, kwaye unokukwenza ngendlela engaphezulu kweyodwa.
Ezi ziquka:
- Ukungasebenzi kwe-Erectile
- Ukungabi nomnqweno
- Unzima ngokuvusa
- Ukungakwazi ukufezekisa i-orgasm
Iingxaki zokuxhatshazwa kakhulu ezinokuthi zenze iziphumo zecala lezesondo
Mhlawumbi uye wakuva ukuba ezininzi izidandlululo zingakhokelela kwiingxaki zesini, kodwa inyaniso kukuba ayinayo ingxaki efanayo.
Iiklasi zamachiza ziyaziwa njenge -serotonin e-reuptake inhibitors (i-SSRIs) kwaye i- serotonin-norepinephrine reuptake inhibitors (i-SNRIs) ihlotshaniswa nezinga eliphezulu lokungasebenzi kwezesondo. Izifundo zibonisa ukuba ukungasebenzi kakubi ngokwesondo kunokunxulumana neengxaki zokudambisa i-anti-depressants ezijolise kumanqanaba e-serotonin (njengama-SSRI kunye nee-SNRI.)
I-SSRI iquka:
- Prozac (i-fluoxetine)
- Paxil (paroxetine)
- Zoloft (sertraline)
- Celexa (citalopram)
- Lexapro (escitalopram)
- Luvox (i-fluvoxamine)
SNRI ziquka:
- Effexor (venlaxafine)
- Prisiq (desvenlafaxine)
- I-Cymbalta (duloxetine)
Iingxaki zokuxhatshazwayo eziphi na izinto ezintle kunokwenzeka ukuba zenze iziphumo zecala lobulili
Izidalwa zokudambisa iingxaki ezi-3 zidibaniswa nemilinganiselo ephantsi yefuthe lezesondo, kuquka:
- Wellbutrin (bupropion)
- I-Remeron (i-mirtazapine) - Ingqalelo kukuba iRemeron inokubangela ukwanda kwondlo kunye nenzuzo yesisindo, oku kunokukhokelela ekusebenziseni ngokwesondo ngokoqobo
- Viibryd (vilazodone)
Yintoni ongayenza Ukuba unayo iziphumo zecala lezesondo ezivela kwi-Antidepressants
Ukuba unemiphumela yecala yezocansi kwi-anti-depressant yakho, qiniseka ukuxelela ingcali yakho yempilo yengqondo, ngubani oza kusebenza nawe ukuba aqonde indlela yokunciphisa le miphumo emibi.
Ungayeki ukuthatha amayeza akho phambi kokuba uthethe ugqirha wakho.
Kukho iindlela ezininzi ezikhoyo ukukunceda ukunqoba i-blues yokulala, nangona kungadinga ulingo kunye nesiphene ukuze ufumanise oko kusebenza kakuhle kuwe. Oku kuya kuphazamisa, kodwa ngelanga abantu abahlukeneyo basabela kwiindlela ezahlukeneyo kwaye akukho vavanyo oluhle lokukwazi okuza kusebenza kuwe. Ugqirha wakho unokuzama enye yezi zinto zilandelayo:
- Ukubona ukuba uyakha ukunyamezela kwi-antidepressant yakho. Ngokukodwa ukuba uqale uthabathe amayeza akho, ugqirha unokuncoma ukuba uqhubeke neyeza ixesha elithile ngaphambi kokuzama into entsha. Ngamanye amaxesha iziphumo ezimbi ezingamnandi zihamba kunye nexesha. Ukuba uzama le ndlela, qiniseka ukuba uthethe ugqirha wakho malunga nokuba ucinga ukuba ufanele uqhubekephi unyango, kwaye xa ufanele ulandele kunye naye.
- Ukunciphisa umthamo wakho ukwenzela ukuba iziphumo zecala azixakekanga. Nangona ukunciphisa umthamo weyeza lakho kunokuncedisa iziphumo zakho zesondo, kunokusongezela ngakumbi ukudakumba kwakho, ngoko uzimisele ukuzama into enje xa kwenzeka le nto ingasebenzi.
- Ukuba uthatha i-antidepressant yakho emva kokuba uthathe inxaxheba kwisondo. Ukuchitha ixesha lakho imithi ukwenzela ukuba amanqanaba emzimbeni wakho aphantsi kakhulu xa unqwenela ukulala ngesondo ungaba luncedo, kodwa alusebenzi nawo onke amayeza. Thetha ugqirha wakho malunga nesiqingatha sobomi bonyango othabathayo. Amanye amachiza afana neprozac anokuphila ubomi obude obude, kwaye ukulinda iiyure ezingama-24 akunakwenzeka ukunciphisa amanqanaba egazi kakhulu. Abanye, njengePaxil banomdla obuncinane obuncinane, kwaye ngoko ke amazinga akho egazi aya kuba ngaphantsi kweeyure ezingama-24 emva kokuthatha amayeza akho.
- Ukongezelela omnye umxhatshazo kwixesha lakho langoku. Izifundo zibonise ukuba iziphumo zecala zesondo zingancitshiswa xa u-Wellbutrin endizelwa kwisicwangciso sonyango.
- Ukutshintsha i-antidepressant yakho. Wena kunye nogqirha wakho unokugqiba isigqibo sokutshintshela kwi-anti-depressant kunye nemiphumo embalwa yecala.
- Ukukuqala kumachiza ngokukhethekileyo ukujongana nemiba yakho yesondo. Ugqirha wakho unokugqiba ekubeni akubeke kwiyeza ezifana neViagra (sildenafil), i-Cialis (tadalafil) okanye i-Levitra (vardenafil).
- Ukuzivocavoca . Ukongeza kwizinto ezikhethiweyo ngasentla, uqeqesho lunokuphucula ubomi bakho bobulili. Ungaphinda ukhangele ezi ziphulo zokufaka i-sizzle ebomini bakho bobulili kungakhathaliseki ukuba uneminyaka engakanani.
- Ezinye iindlela. Ukongeza kwiinketho zonyango ngasentla, kwaye ngaphezu kokuzivocavoca, kukho iinketho ezininzi ezinokuba luncedo. Ezi ziquka ukwenziwa komzimba, i-psychotherapy, ukuvuselela ukunyakaza, izongezelelo zondlobo kunye nokunye.
Ngubani ongafanele athathe i-Wellbutrin
I-Wellbutrin i-norepinephrine kunye ne-dopamine reuptake inhibitor (NDRI). Akufanele isetyenziswe ngabantu abane-disorder disorder okanye abo bathatha iZyban ukuyeka ukutshaya, okuqulethe i-bupropion. Kwakungafanelanga ukuba kusetyenziswe ukuba unokuxilongwa kwesifo sokutya, njengesi-bulimia okanye i-anorexia (kuba ingabangela ukulahleka kwesisindo), kunye nalabo ngoku bathatha i- monoamine oxidase inhibitor (MAOI) okanye abaye bayeka ii-MAOI kwiiveki ezimbini ezidlulileyo.
Ukuba uthe wangena ngokukhawuleza utywala, unyango lwe-antiepileptic, i-barbiturates okanye i-benzodiazepines, nawe akufanele uthathe i-Wellbutrin. Qiniseka ukuxelela ugqirha wakho malunga nawo onke amayeza, izibonelelo kunye neevithamini ozithathayo, kunye naziphi na ezinye izifo onokuba nazo.
Musa ukuyeka ukunyamezela kwakho ngaphandle kokuvuma kweDkt
Iziphumo zesondo kunye nezinye iziphumo ezixhalabisayo zingenakuze zixhomekeke ukuba ufuna nje ukutshixa i-antidepressant yakho. Melana nesilingo sokwenza oku ngaphandle kokuthetha nengcali yakho yezempilo yengqondo kuqala. Kusemngciphekweni ukuyeka ukuthatha i-antidepressant yakho ngaphandle kokuguqula kancane kancane. Enye ingxaki enokuyenza yindlela yokuyeka ukuguquka kwesifo se- serotonin , enokukwenza ugule, njengokuba unesifo segciwane elibi. Ukwazisa kwakhona ingozi yokudandatheka kwakho. Ukuba uyeke ukumbona ugqirha wakho, oku kunokuba yingozi kakhulu.
Ukuba iimpembelelo zakho zingenakuxinwa, qiniseka ukuba ugqirha ugqirha wakho kunye kunye unokufumana isisombululo esiya kulungelelanisa ukudakumba kwakho kunye nemiphumo embalwa engaphantsi. Kuphela kunokuthatha umonde omncinci kunye nokuvavanya ngamachiza ahlukeneyo kwithuba elithile.
Imithombo:
Baldwin, D., Manson, C., noMn. Nowak. Impembelelo yezidakamizwa ezixhatshazwayo kwiSebenzi yezesondo kunye nokuNeliseka. CNS Iziyobisi . 2015. 29 (11): 905-13.
ULornz, T., uRullo, J., no-S. Faubion. I-Antidepressant-Inceding Against Female Sexual Dysfunction. IMayo Clinic Proceedings . 2016. 91 (9): 1280-6.
Motejo, A., Montejo, L, noFerarro-Cremades. I-Side Side-Effects ye-Antidepressant and Antipsychotic. I-Opinion yangoku kwi-Psychiatry . 2015. 28 (6): 418-23.