Ngaba izidakamizwa ezixinzelelekileyo zenza ubundlobongela? Lo mbuzo uphazamisa abantu abaninzi ukuba loo myeza iyimfuneko ebalulekileyo yokulawulwa kwemizwelo. Kubonakala kucacile ukuba kukho ubudlelwane phakathi kweengcinezelo zokuziphatha kunye nobudlova. Kodwa ubungqina bokuba abadandathelwanayo bangela ukuba ubundlobongela bukhulu kakhulu.
Umdibaniselwano kunye neCauseation
Ukwahlukana phakathi kobudlelwane kunye necausation yohlukwano phakathi kobufakazi obuqinileyo nobungqina.
Kulula kakhulu ukufumana imibutho - kodwa kunzima ukubonisa ubungqina. Kungenxa yokuba ezininzi, izinto ezininzi zenzeke ngexesha elifanayo kunye nendawo kungekho nxu lumano.
Umzekelo - Inani leenqaba zeefowuni e-United States liye landa kakhulu. Ngelo xesha, inzala kumafilimu angaphezulu ayenyuka kakhulu. Ezi zinto zibini zihambelana, oku kuthetha ukuba zenzeke ngexesha elifanayo kwindawo enye - kodwa akukho nxu lumano!
Ukuze kuqinisekiswe ukuba iibhokhwe zeseli zikhokelela ekuthandweni kwazo zonke izinto ezimalunga ne-Marvel Comic, kuya kufuneka ukuba uqhube uphando olwenziwe ngophando. Ngaba ukuhlala kufuphi nomnxeba wefowuni kwandisa amathuba okuba intsapho iya kuba yiThor posters kwaye ihambe phakathi kweeveki zokubonisa ii-Avengers movie ezintsha? Uphononongo olufanelekileyo luya kubandakanya iqela lokulawula kunye namaqela amabini alinganisa - kunye nawo onke amaqela akhethwe ngokuchanekileyo ukuba abamele isampulu efanelekileyo yoluntu.
Kuphela xa isifundo esinjalo sigqityiwe kwaye siphinde sichazwe ngamaqela achaziweyo abaphandi - kwaye yanyatheliswa kwiphephancwadi ephononongwa ngontanga - inokuthi ibangelwe isizathu / isiphumo esinjalo.
Ukubakho ukuba akukho zifundo ezinjalo zenziwe, nangona kunjalo, akayeki abantu ukuba bajonge iigrafu ezibonisa imibutho kunye nokwenza iziqu ezinengqiqo.
Ngaba abaxhatshazwayo badibana nobudlova?
Impendulo yalo mbuzo nguEwe. Abantu abaninzi abathintela ukuxhatshazwa kwentsholongwane benza izenzo zobundlobongela ngaphandle kwabantu abangathathi i-antidepressants. Ngokutsho kwinqaku enye kwi-Time.com, "imithi ethile - ngokugqithiseleyo, ezinye izidakamizwa ezifana neprozac - ziye zadibana nomngcipheko okhuselekileyo wokuziphatha ngobundlobongela, nokuba nokuziphatha ngokuzibulala."
Kukho amabali amaninzi anecdotal ebonisa ukuxhamla phakathi koxinzelelo kunye nogonyamelo. Iwebhusayithi ebizwa ngokuthi "i-SSRI Stories" ibonisa uluhlu lwamacala angama-5,800 olwaphulo-mthetho ngabantu ababethatha i-anti-depressants, ikakhulu i-SSRIs ( i-serotonin ekhethiweyo i-reuptake inhibitors ). Ugxininiso kukugxeka abaxinzelelekileyo kubundlobongela, ukuxhatshazwa , ukuziphatha okubi okanye ukuzibulala .
Ngaba Ukuxhatshazwa Kweengxaki Kubangela Ubundlobongela?
Impendulo yalo mbuzo "mhlawumbi ayikho." Enyanisweni, inqaku elifanayo lexesha elikhankanywe ngasentla lithi, kumhlathi olandelayo, "Nceda uqaphele ukuba oku akuthethi ukuba ezi zi yobisi zibangele ukunyanzelisa." Kwimeko ye- antipsychotics , iziyobisi zinganikezelwa ukunciphisa ubundlobongela ngabantu abaphethwe yi-schizophrenia kunye nezinye iingxaki zengqondo-ngoko-ke izidakamizwa apha zingenakubangela ubundlobongela, kodwa zinokudibaniswa nayo kuba zisetyenziselwa ukuluyeka. "
Uphononongo olutshanje olukhokelwa nguSeena Fazel we-Yunivesithi ye-Oxford yaseYrithani, yabona ukuba akukho mfuneko enkulu yokuziphatha ngobundlobongela phakathi kwabantu abathatha ii-SSRI ngaphandle kwabangama-15-25. Kulo qela, ngokumangalisa ukuba, amazinga aphezulu e-SSRI afunyaniswe ukunciphisa izinga lokuziphatha ngobundlobongela.
Ngaba Ukuxhatshazwa Kweengxaki Kubangela Ukugula Kwengqondo?
Nangona kukho ezinye iindawo ezitshintshisayo le ngcamango, akukho bungqina obuqinileyo bokuxhasa. Enyanisweni, uphando oluninzi lufumene ukuba unyango kunye nokunyangwa kwengqondo kusebenza kakhulu ekuphatheni ukugula kwengqondo.
"I-SSRI Stories" ithi, "Ngoluvo lwemibuzo ye-SSRI ekhuthaza ukuba uninzi lwama-bipolar 'matyala lubangelwa ukusetyenziswa okukhulu kwezidandathelwano kweli lizwe.
Uninzi lwezi zigulane ze-bipolar zaqala ukuthatha i-anti-depressant, zibe yindoda / ingqondo, ize zifumaneke njenge-bipolar .
Ngaphandle kokubona nje, le nkcazo ibhekiselele kwizonyango kunye neembali. I-bipolar disorder kuqala yachazwa kwangexesha elidlulileyo, kwaye iimpawu zibhaliswe phantsi kweenkulungwane. Ukudakumba komntu, njengoko kwabizwa ngokuba kude kube ngasekupheleni kwee-1900, kwakukho iminyaka engama-1 ngaphambi kokuba izidakamizwa ezixinzelelekileyo-zingabikho nto i-SSRI ezixinzeleleke ngokukodwa-eziye zaphuhliswa. Iingxelo ezi ngasentla zibonakala zibonisa ukuba "i-bipolar" ayikho, okanye ukuba phantse yonke "ibangelwa" ngezidakamizwa ezixinzelelekayo, ezingenakunyaniso.
Umbutho Phakathi koXinzelelo kunye noGonyamelo
Kule ngongoma, kukho iingcamango-kodwa akukho bungqina obunzima. Zimbalwa zeengcamango:
- Kukho ukuxhamla kwangempela kodwa kungekhona-kodwa-kungqinakalisiweyo yokuxhamla phakathi kokusetyenziswa kwe-SSRI kunye nolutsha olutsha olutsha.
- Kungase kubekho uxhulumano lwe-causal - kodwa kuba abantu abasebenzisa ii-SSRI, ngentetho, abanenkxwaleko ehambelana nomoya, abo bantu banokukwazi ukuziphatha ngokukhawuleza.
- Kungase kube neengxaki ezinxulumene nokusetyenziswa kakubi kwe-SSRI, nokuba ngenxa yoluhlu oluchanekileyo kunye nemithi yeziyobisi okanye ngenxa yokusetyenziswa kakubi kweziyobisi ngezigulane.
- Kungase kubekho iingxaki eziye zange zifundwe ngeemali eziqhelekileyo ze-SSRI ezimiselwe abantu abadala, njengoko kucetywayo kwisifundo esinye.
Akukho nanye kwezi ngcamango eziye zavunywa; nayiphi na okanye akukho nto ingalungile.
Iingxelo:
Fazel, Seena. I-Serotonin ekhethiweyo yokubuyisela i-Inhibitors kunye nezobuLwaphulo-mthetho: I-PLoS Med 2015 Sep 15; 12 (9): e1001875. Epub 2015 Sep 15.
Kelland, Kate. "Isifundo sifumana abantu abaselula kwiingcinezelo ezixhatshazwayo." Reuters. Sept. 15, 2015.
I-SSRISIoWebhsayithi.
Szalavitz, Maia. "Izidakamizwa eziPhezulu ezishumi eziPhambili ezixhatshazwe kubudlova." Time.com. Jan 07, 2011.