Iingqungquthela azicebisi ukusetyenziswa kwexesha elide
Kukho uninzi lwezonyango ezifumanekayo kubantu abane-PTSD , kubandakanywa unyango lwezengqondo ezifana "nokuthetha unyango" kunye namayeza anjengezoxilongo.
Ngokuphathelele imithi, i-American Psychiatric Association incoma i-serotonin i-reuptake inhibitors (SSRIs) yokukhetha unyango lwe-PTSD.
Ziziphi ii-SSRIs?
I-SSRI ngokuqhelekileyo ibhekwa "yimichiza echasayo." I-Serotonin yikhemikhali engqondweni yakho echaphazelekayo ekulawuleni imizwa, kunye neminye imisebenzi.
Abanye abantu abanokungalingani kwiinkqubo ze-serotonin ebuchosheni babo, okubangela ukuvakalelwa okanye ukuxhalabisa. I-SSRI inqanda ukuphazamiseka, okanye "ukuphinda uphinde uphinde", we-serotonin ngengqondo yakho - ukwandisa amanqanaba atholakalayo e-serotonin, ekucingelwa ukuba ekugqibeleni kuphuculwe.
Iziphumo eziliqela zifumene ukuba i-serotonin e-reuptake inhibitors (i-SSRIs) ekhethiweyo ingaba luncedo ekhatyweni kwe-PTSD.
Yintoni i-Benzodiazepines?
I-Benzodiazepines enye yonyango enokumiselwa i-PTSD. Ixesha elithi benzodiazepines libhekisela kwiklasi leziyobisi ezinomdla kwaye zisoloko zisetyenziselwa ukunciphisa ixhala. Ezi zi yobisi, ezidla ngokubhekiswa njengabantu abanokuthula, kubangela ukunciphisa ngokukhawuleza ukuxhalabisa.
Nangona i-benzodiazepines inokumiselwa i-PTSD, imibutho ethile, kuquka iSebe leMagxarha (ii-VA) kunye neSebe lezoKhuseleko (DoD), musa ukucebisa ii-benzodiazepines ukulawula kwexesha elide le-PTSD.
Nangona la mayeza anokuba luncedo kwimpawu ezithile ze-PTSD, ezifana nokuxhalaba nobunzima bokulala, izifundo azixhasi ukusetyenziswa kwazo kunyango lweempawu ezininzi ze-PTSD, kuquka iimpawu zokuphepha.
Ukongezelela, xa kungathathwa ngokufanelekileyo, kukho ukuxhomekeka kwi-benzodiazepines, okanye ukusetyenziswa kakubi.
Abantu abane- PTSD kunye neengxaki zokusetyenziswa kakubi kweziyobisi (ezimbini iimeko ezinokubakho ngokukhawuleza) zingaba mngcipheko.
Ukusetyenziswa kwezinye ze-benzodiazepines kunokuphazamisa unyango lwengqondo kwi-PTSD, njengoluphi unyango olwenziwe ngabantu, apho abantu bafundiswa ukujamelana neemeko ezixhalabileyo, iingcamango kunye neemvakalelo kwaye ziyafundiswa ukuba zihlale zidibanisa nalezi zinto kude kubekho ukwesaba nokuxhalabisa. Isigqibo sokusebenzisa i-benzodiazepine ukuze kuncitshiswe ukuxhalabisa kule nkqubo.
I-Benzodiazepine Sebenzisa kwiiVeteran
Ngenxa yokuba i-VA ne-DoD ayincomo ukusebenzisa ii-benzodiazepines ukulawula kwexesha elide leempawu ze-PTSD, iqela labaphandi abavela kwi-Iowa City VA Medical Centre befuna ukubona ukuba i-benzodiazepine isebenzisayo kwiimfazwe zatshintshile malunga ne-11 iminyaka. Bakhangele kwiirekhodi zezobugqirha (ukususela ngo-1998 ukuya ku-2009) kwenani elikhulu labalindi be-PTSD kwaye bafumanisa ukuba, nangona inani labaqhubi be-PTSD belawulwa kwi-VA lwandisiwe, ukuphindwa kwe-benzodiazepine phakathi kwabadala be-PTSD kwehle malunga nama-37 31 ekhulwini.
Izigulane ezintsha zincinci ukuba zinqunywe i-benzodiazepines kwaye abo bafumana i-benzodiazepine bafumana iqondo eliphantsi.
Ekugqibeleni, inani labasebenzisi bexesha elide benzodiazepines lancipha.
Ukujongana neempawu zakho ze-PTSD
Iziphumo zolu pho nonongo zibonisa ukuba abaqeqeshi bezempilo yengqondo kubonakala bayibeka i-benzodiazepines engaphantsi kwonyango lwe-PTSD. Nangona izizathu ezichanekileyo zezi zinto azicacanga kulolu cwaningo, iziphumo zi thembisa. Basenokubonisa ukuba abaqeqeshi bempilo yengqondo bayazi ngokugqithiseleyo ingozi yokumisela i-benzodiazepines ye-PTSD, kwaye banokubonisa ukuba iingcali zempilo yengqondo zixhomekeka ngakumbi kwiinkalo ezahlukeneyo zonyango okanye amayeza atholakala encedo kubantu abane-PTSD .
Nangona ukusetyenziswa kwexesha elide le-benzodiazepines kunokunxulumana nemingcipheko ethile, kubalulekile ukukhumbula ukuba akukho zonyango ze-PTSD ezingenasengozini. Kwaye unyango lweengqondo lwe-PTSD ludibene nemiphumo ethile, njengokwanda kokuqala kokuxhalabisa. Ukongeza, ugqirha wakho unokuncoma ukulawula kwexesha elifutshane iimpawu ezithile zePTSD nge-benzodiazepines.
Xa ufumana unyango lwe-PTSD yakho, kubalulekile ukuba usebenze nodokotela wakho okanye nabanye abaqeqeshi bezempilo ukuze bachonge unyango olungcono kwimpawu zakho. Ukongezelela, kubaluleke kakhulu ukuba uqinisekise ukuba ulandela izikhokelo ezibekwe ngugqirha wakho okanye nabanye abaqeqeshi bezempilo, ngakumbi xa kuziwa kumachiza. Ukwenza njalo kunokuncedisa ukunciphisa ingozi kunye nokwandisa iinzuzo zonyango.
Imithombo:
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